ML17292B368

Audit 298-008, WNP-2 Emergency Preparedness Program.

ML17292B368
Person / Time
Site:	Columbia
Issue date:	04/10/1998
From:	ATKINSON D K, BARBER A S, MASSEY J W WASHINGTON PUBLIC POWER SUPPLY SYSTEM
To:
Shared Package
ML17292B367	List: ML17292B366 ML17292B368
References
298-008, 298-8, NUDOCS 9805070336
Download: ML17292B368 (28)

Text

QualityDepartment AuditReportWNP-2EMERGENCY PREPAREDNESS PROGRAMAudit298-008April10,1998AuditDates:February23throughMarch5,1998EntranceMeeting:February23,1998ExitMeeting:March18,199898oso7oss6 eso4aaPDRADQCK05000397FPDRWASHINGTON PUBLICPOWER1NSUPPLYSYSTEM QUALITYDEPARTMENT AUDIT298408TABLEOFCONTENTSExecutive Summary.PurposeandScope.ReportDetailsSection1.0Emergency PlanImplementing Procedures Section2.0Emergency ResponseOrganization Training.

Section3.0Readiness Testing..

Section4.0Equipment andFacilities.

Section5.0Interfaces withStateandLocalGovernments Section6.0ProblemIdentification andResolution Section7.0DoseAssessment Capabilities.

Section8.0Personnel Qualifications Section9.0Emergency ResponseOrganization StaKngLevels...

FSARReviewandResponseto10CFR50.54(f)RequestforInformation.

AppendixAPersonnel Contacted.

AppendixBReferences

.AppendixCQualityRecommendations,

Findings, andStrengths.

Ig\~I QUALITYDEPARTMENT AUDIT298%EXECUTIVE SUMMARYAn'ndependent auditoftheWNP-2Emergency Preparedness Programisperformed atleastonceeverytwelvemonthsasrequiredbyTitle10oftheCodeofFederalRegulations, Part50.54(t)andOperational QualityAssurance ProgramDescription (OQAPD)AppendixIII,Additional QualityProgramRequirements.

TheauditteamassessedspecificareasasrequiredbyNUREG0654,CriteriaforPreparation andEvaluation ofRadiological Emergency ResponsePlansandPreparedness inSupportofNuclearPowerPlants.Theresultsoftheauditindicatethatactivities whichmakeuptheWNP-2Emergency Preparedness Programareimplemented andconducted inaccordance withgoverning regulations andarecapableofprotecting thehealthandsafetyofthepublicintheeventofanemergency.

TheEmergency Preparedness (EP)organization hascontinued todemonstrate astrongdesireforself-improvement.

Thiswasillustrated.

bytheirprogramownership, pro-active identification andresolution ofproblems, andcommunication withoffsiteagencypersonnel.

However,thesuccessoftheEmergency Preparedness Programisdependent onthesupportandparticipation ofallSupplySystemorganizations.

Theprimaryissuesidentified duringthisauditrelatedtoalackofownership ofthelineorganizations fortheirportionsoftheprogram.Asaresultofthisaudit,threeProblemEvaluation Requests(PERs)wereissuedinthefollowing areas:Lineorganizations arenotassuringthatpersonnel arequalified andassignedtotheappropriate qualification group;withthereduction inshiftcompliment andchangesinshiftschedule, management hasnotassuredthatminimumEmergency ResponseOrganization (ERO)shiftstaffinghasbeenmaintained; andprocesses thateffectemergency preparedness havebeenchangedwithoutnotifying theEmergency Preparedness Department orupdatingtheEmergency Plan.TwelveQualityRecommendations wereissuedtocorrectminorerrorsintheEmergency Planandimplementing procedures orforsuggested programimprovements.

Inaddition, three"properuse"goldcardswereissuedduringthecourseoftheauditforcommendable individual performance.

8.~~9/jo/ffD.K.Atkinson, Manager,QualityDepartment A.S.Barber,Supervisor, QualityServicesio.Massey,itTeamLeader(ATL)AUDITTEAMKMGunterQualityJCLattaQualityMKLaudisioQualityJGDockterAdminstration ServicesTARogersFranklinCountyEmergency Management QUALITYDEPARTMENT AUDIT298408PURPOSEANDSCOPE~~IAnindependent auditoftheWNP-2Emergency Preparedness Programisrequiredeverytwelvemonthsby10CFR50.54(t)andtheOQAPDAppendixIII,Section2.2.8(f).

Specificareasassessedaredescribed in10CFR50,AppendixEandNUEEG0654,SectionII.P.9andinclude:~Emergency PlanandImplementing Procedures

~Emergency ResponseOrganization (ERO)Training~Readiness Testing-(DrillObservation)

~Equipment andFacilities

~Interfaces withStateandLocalGovernments Inaddition, thefollowing additional areaswereincludedinthescopeofthisaudit:~ProblemIdentification andResolution

~DoseAssessment

~Personnel Qualifications

~StaffingLevels(Emergency ResponseOrganization)

REPORTDETAILSSection1.0-Emergency PlanandImplementing Procedures Areviewwasconducted todetermine iftheEmergency PlanImplementing Procedures (Volume13ofthePlantProcedure Manual(PPM))satisfytherequirements oftheWNP-2Emergency Plan.Additionally, thereviewverifiedthattherequirements of10CFR50,AppendixEandNUEEG-0654 werecontained intheEmergency Plan.Thereviewconcluded thattheWNP-2Emergency Preparedness Programsatisfies theregulatory requirements.

However,somedeficiencies wereidentified intheEmergency Planandprocedures thatneedtobecorrected.

Thedeficiencies thatcouldpotentially resultinadecreaseineffectiveness oftheprogramhavebeensubmitted onPERsforfurtherreview.Thedetailsofthenoteddeficiencies andthestrengths oftheprogramarerecordedundertheappropriate sectionsofthisreport.TheEmergency Planrequiresaninternalreviewoftheplanandanindependent auditoftheemergency planandimplementing procedures everytwelvemonths.TheEmergency Planhasbeenrevisedfivetimeswithinthelastthreeyears.

SinceithasbeenlessthanayearsinceRevision19wasissued(4/3/97),

andRevision20isinareviewstage,itcanbeconcluded thatthePlanhasbeenreviewedatleastannuallyduringthelastfewyears.Areviewofpreviousauditreportsconcluded thatappropriate areaswereassessed, theauditswereindependent ofEPpersonnel, andtheauditswereperformed withintwelvemonths.10CFR50,AppendixEstates:"Licensees whoareauthorized tooperateanuclearpowerfacilityshallsubmitanychangestotheEmergency Planorprocedures totheCommission, within30daysofsuchchanges."

TheauditteamverifiedthatRevision19totheWNP-2Emergency Plan,datedMarch27,1997,wassenttotheNRCwithin30daysoftherevisiondate.2 r~QUALITYDEPARTMENT AUDIT298-008Section1.0-Emergency PlanandIinplementing Procedures

-continued

~~~Revision19wassubmitted totheNRConApril3,1997,asdocumented bySupplySystemlettertotheNRC,GO297-062.

Abriefreviewofthesynopsisofchangeswasperformed todetermine whetheranyofthechangesreducedtheeffectiveness oftheplan.Inparticular, EROstaffingchangesmadewerereviewed.

Ineachcase,thestaffingchangewasjustified basedonthepositionbeingassumedbyanothermemberorthepositioneliminated duetoincreased efficiency.

Thesechangesareinaccordance withtheguidanceinPPM1.3.43,Licensing BasisImpactDetermination, regarding changestotheEmergency Plan.AreviewoftheEmergency Plan(Rev.19)andthePPMdatabasefoundthatthe30-dayrequirement forsubmitting changestotheemergency procedures wasnotcontained inthePlanorWNP-2PlantProcedures.

TheSupplySystemhasmetthisrequirement byincluding theNuclearRegulatory Commission (NRC)onthedistribution listforchangestotheVolume13Emergency Procedures.

RecordsControlpersonnel havebeensubmitting Volume13changestotheNRCwithintherequiredtimelimitusingaDesktopInstruction, butwerenotawarethatthiswasaregulatory requirement.

Therefore, Qualityissuedthefollowing recommendation:

QUALITYRECOMMENDATION AU298-008-A Assignedto:TimMessersmith DueDate:June9,1998Incorporate the10CI"R50,AppendixErequirement tosubmitanychangestotheEmergency Planorprocedures totheNRCwithin30daysofsuchchangesintoanappropriate KVP-2procedure.

SitewideProcedure SWP-PRO-03, Section3.2.3.1.2 states:"Whenever arequirement orcommitment issatisfied byastatement inthebodyofaprocedure, thestatement shouldbeidentified byplacingtherequirement orcommitment numberinbraces,rightjustified, immediately following thestatement."

Thisstatement isamanagement expectation toassurethatwhenaprocedure isrevisedallrequirements andcommitments areidentified andconsidered.

Noneoftheemergency procedures reviewedcontained bracestoidentifytrackedrequirements andcommitments.

Asaresult,Qualityissuedthefollowing recommendation:

QUALITYRECOMMENDATION AU298-008-8 Assignedto:TimMessersmith DueDate:June9,1998AnnotateRegulatory Requirements andCommitments intheemergency procedures inaccordance withSPY-PRO-03.

DuringthereviewoftheEmergency Plan,itwasdiscovered thatacanceledprocedure (PPM13.10.15) wasstilllistedinAppendix2ofthePlanasanImplementing Procedure.

Also,inSection5.2.1theEmergency Planstates,"thatothermeteorological information isavailable fromBattelle."

Thereferenced procedures formeteorological datastates,"PNNLasthebackupsourceforthistypeofinformation."

Asaresult,thefollowing Qualityrecommendation wasissued:

QUALITYDEPARTMENT AUDIT298408Section1.0-Emergency PlanandImplementing Procedures

-continued QUALITYRECOMMENDATION AU298-008-C Assignedto:TimMessersmith DueDate:June9,1998UpdatethelistofEmergency Planimplementing procedures inthe8XP-2Emergency Plan,Appendix2,andreplacethereference toBattellewithPALinSection5.2.1.Section2.0-Emergency ResponseOrganization TrainingTheWNP-2Emergency Plan,theQualification Directory Manual,theEmergency Preparedness trainingcoursecatalog,andtheSitewideProcedure (SWP)onEROtrainingwasreviewed.

Thereviewfoundthatappropriate trainingisofferedforeachidentified EROposition.

Thetrainingincludesspecifictrainingforcertainpositions aswellasgeneraltrainingrequirements forallEROpositions.

Therearealsoprovisions forannualrefresher training.

TheWNP-2Emergency Planstatesthattrainingforstateandcountyagencieswillbemadeavailable byWNP-2.WNP-2alsoprovidesMedicalServicesSupportTrainingtolocalhospitals andfiredepartments.

Aletterissenttoappropriate oFsiteorganizations eachyear.Thelettergivesindividuals responding toanemergency theopportunity toattendWNP-2GeneralEmployeeTraining(GET)orspecificEPtraining.

Annualrefresher trainingisprovidedforallEROpersonnel.

Thistrainingisprovidedinseveralwaysincluding drills,classroom

training, andmailoutmaterial.

EPmonitorsallEROpersonnel toverifythattrainingrequirements arebeingmet.EPnotifiesindividuals, andtheirmanagement, viae-mailwhentheirtrainingiscomingdue.EPremovestheindividual

&omtheautomatic dialersystem(ADS)immediately whenre&esherrequirements becomedelinquent, andnotifiestheindividual andtheirmanagement.

Aprogramhasbeeninitiated whereEPisnotifiedbySecurityimmediately uponreceiving a16440formfortermination ofanemployee.

EPthenremovestheterminated employeefromtheADS.Forthoseindividuals whoreceiveallrequiredtrainingbutareunabletoparticipate inanannualemergency drill,EPprovidesamailouttestasare&esher.

Whenthemail-outiscompleted andreturnedtoEP,thePersonnel Qualification Database(PQD)isupdated.Theauditteamconcluded thatnecessary mechanisms areinplacetotrackEROqualifications andpersonnel areproperlynotifiedwhenre-qualification isdue.STRENGTHEmergency Preparedness personnel arediligentattrackingqualifications forthoseindividuals listedasEROmembers.Appropriate management isnotifiedpriortoindividiialslosingtheirqualifications andalsowhenqualifications expire.DespiteEP'seffortstotrackandnotifyEROpersonnel whenrequiredtrainingisneeded,linemanagement andsupervision havenotassuredthatallindividuals assignedtotheEROsatisfyqualification requirements priortobecomingdelinquent.

Thelineorganizations haverecognized theproblemwithre-qualifying shiftworkerswhohavelimitedtimetomeetalltheirtrainingneeds.Theadministrative assistants foreachshophavetakenresponsibility tore-schedule thetaskssuchasmask QUALITYDEPARTMENT AUDIT298408Section2.0-Emergency ResponseOrganization Training-continued

~I~fitsandmedicalexaminations inblocks.ThiswillallowmeetingtheEROrequirements foreachcrewatonetime.TheshopshavealsoworkedwithHealthPhysics(HP)toarrangefortherequiredfacilities tobeprovidedonthedaywherethemostnumberofshiftpersonnel areavailable.

EPisworkingwiththelineorganizations toassurethatafullytrainedEROorganization ismaintained.

SitewideProcedure SWP-EPP-01, "Emergency ResponseOrganization Training,"

undertheinitialtrainingsection,states:"Uponcompletion oftraining, thestudentsarenormallyrequiredtopassawrittenexam,ortodemonstrate performance-based actions,e.g.,duringadrillorexercise."

Performance-based scenarios areconducted withtheCenterDirectors toensuretheirproficiency.

However,formanyEROpositions, performance-based actionsarenotperformed untiladrillorexercise.

Interviews withEROparticipants andobservations ofthedrillconducted inNovember1997foundthatmanyofthenewpersonnel didnotfullyunderstand theirdutiesasEROmembers.Onseveraloccasions, duringthedrill,coachingoftheseindividuals wasrequiredbytheEPrepresentative orotherpersonnel inthecenter.Thoseinterviewed alsonotedthataftertheirfirstdrilltheyfeltmoreproficient inperforming theirduties.TheEPorganization hasrecognized, fromobservation andafteractionreports,thatfirsttimeparticipants areuncomfortable intheiremergency centerroles.EPisinitiating apracticeofassigning anexperienced coachwithnewpersonnel fillingemergency centerpositions.

ThispracticeshouldincreasetheeKciencyofthedrillandalleviate theapprehensions ofthefirsttimeresponders.

However,immediately uponnotification thatanindividual hascompleted therequiredclassroom

training, EPupdatestheautomatic dialerandnotifiestheindividual thattheyhavebeenactivated inthesystem.Sincedrillsareconducted

annually, thepotential existsforpersonnel toberequiredtorespondtoanactualemergency priortoparticipating inperformance-based actions.Sinceinitialtrainingisperformed yearround,qualityrecommends thefollowing:

QUALITYRECOMMENDATION AU298-008-D Assignedto:TimMessersmith DueDate:June9,1998Expandtheinitialtrainingforemergency centerpersonnel involvedwithcommunications, logkeeping,andteamtrackingtoincludeperformance-based actions.Section3.0-Readiness Testing(DrillObservations)

Sincetherewerenodrillactivities scheduled duringtheperformance ofthisaudit,theauditteamusedobservations gatheredduringtheTeamBdrillperformed November18,1997,todetermine ifidentified concernshadbeenadequately resolvedbytheEPorganization.

DuringtheNovemberdrill,Qualitypersonnel were-stationed intheEmergency OffsiteFacility(EOF),Technical SupportCenter(TSC),Operations SupportCenter(OSC),andJointInformation Center(JIC).Additionally, aQualityindividual accompanied oneofthefieldteamsperforming radiological, monitoring.

Ingeneral,Qualityconcluded thatdrillperformance wasadequateinthecentersassessed.

Strengths werecitedintheteamworkobservedinthefieldteams,EOF,andJIC.Quality's assessment ofthedrillperformance wassupported byEmergency Preparedness DrillReport97-4.

e QUALITYDEPARTMENT AUDIT298408Section3.0-Readiness Testing(DrillObservations)

-continued

'ualityobservedissuesconcerning thestaffingoftheOSCinthatinitially noEquipment Operators (EO's)wereavailable tosupportthedrill.Also,therewerenoChemistry Technicians available.

Inaddition, thescheduled OSCCommunicator wasnotpresent.Asaresult,anindividual whowaspresenttoobservetheposition(andwasqualified intheposition) wascalledontoparticipate.

ProblemswithstaffingtheOSChasbeenarepeatdrillconcern.SpecificactionstakenbyEPpersonnel toresolvetheseactionshaveresultedinimprovedperformance.

FortheEOs,arrangements havebeenmadewithOperations TrainingtoschedulethetrainingweekEOsfordrillparticipation ratherthantryingtouseon-shiftEOswhoalsohaveconcurrent plantduties.Agreements weremadewithChemistry Technicians toclarifytheirparticipation duringdrills.Chemistry Technicians aredirectedtoreporttotheOSCandsignin,afterwhichtheyreturntothelaboratory.

Theindividual performance issueassociated withtheOSCCommunicator wasaddressed withtheindividual's supervisor whotookappropriate actions.Forthesubsequent drillsperformed sinceNovember1997,participation hasbeenwellsupported withafullcomplement ofEOs,Chemistry Technicians, HPs,andcraftpersonnel.

Qualitypersonnel attendedthetrainingprovidedtotheController/Evaluators priortothedrillandalsothetraininggiventoplayersthedayofthedrill.DuringtheController/Evaluator

training, itwasnotedthattheControllers wereremindedtousethedrillasanopportunity toprovidetraining.

TheuseofdrillsasatrainingmethodandtheroleofControllers inproviding thattrainingwasaconcernfromthepreviousEmergency Preparedness audit.Duringtheplayertraining, itwasnotedthattherewasnotamechanism employedtocaptureplayercomments/suggestions ortoprovidefeedbacktotheplayermakingthesuggestion.

Severalsuggestions andmuchdiscussion wasnotcapturedbytheEPorganization.

Therefore, thefollowing recommendation isissued:QUALITYRECOMMENDATION AU-298-008-E Assignedto:TimMessersmith DueDate:June9,1998Provideamechanism tocaptureinformation,

comments, andsuggestions providedduringpre-drill trainingsessions.

Thismechanism shouldhaveafeedbacklooptotheindividual providing theinformation.

ThedrillreportdatedDecember18,1997,wasevaluated foridentified strengths andweaknesses.

Thereportisformatted suchthatitprovidesanoverallsummaryofthedrillaswellasindividual centersummaries.

Individual drillobjectives areidentified foreachcenterandarecategorized asfollows:Demonstrated, NotDemonstrated, Demonstrated withIssue,NotObserved, orNotApplicable.

Twoofthenineteendrillobjectives werenotdemonstrated.

Onewastheabilitytorecognize Emergency ActionLevelsandclassifytheincident(ControlRoom).Theotherwastheactivation andstaffingofemergency facilities (OSC).Indiscussions withEmergency

Planners, itwasdetermined thatcorrective actionswerebeingtakentoaddresstheseissues.However,therewasnoapparenttrackingmechanism usedtoidentifythosecorrective actions.ThisdoesnotagreewiththeSection4.10oftheDrillandExerciseManualwhichstatesthedrillreportshall"ensureitemsrequiring corrective actionareplacedintoanappropriate activitytrackingsystem."

QUALITYDEPARTMENT AUDIT898408Section3.0-Readiness Testing(DrillObservations)

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~~Playercommentsaresolicited aftereachdrill.ThesearereviewedbyEPstaffandthosethatrequirefollow-up actionsareenteredintoaRegulatory AffairsdatabasewithinthePTLsystem.Priorities, duedates,andresponsible individuals areidentified inthedatabase, aswellasthenameoftheplayersubmitting thecomment.Allcommentsenteredintothedatabaseforthe1997drillswerereviewedforappropriate priorities, reasonable duedates,andrepeatissues.Approximately 113playercommentswerereviewed.

Ofthese,67wereenteredintothedatabase.

Ifacommentisnotenteredintothedatabaseandtheplayerrequestsareply,thereisnomechanism toensureareplyisprovided.

Areviewwasconducted ofthelatestFinalAfterActionReport(FAAR)whichdocumented aneventwhereWNP-2enteredTechnical Specification ActionStatement 3.0.3.Thereportidentified eightareasforimprovement.

ThesewerenottrackedintheRegulatory AffairsActiondatabase.

Fromthenotedexamples, thereisnoconsistency astowhatistrackedinthedatabase.

Asaresultoftheissuesraisedabove,thefollowing recommendation wasissued:QUALITYRECOMMENDATION AU298-008-F Assignedto:TimMessersmith DueDate:June9,1998IdentifyitemsthatshouldbetrackedintheRegulatory Affairsdatabase.

Itemstoconsiderinclude:Repliestoplayercomments, controller/evaluator

concerns, drillobjectives notdemonstrated, andI:AARareasforimprovement.

Itemswereselectedfromthedrillplayercommentstodetermine iffollow-up actionhadbeenperformed.

Fourplayercommentformsnotedwheretelephone numberswerenotcorrectintheEmergency PhoneDirectory.

Thesearereviewedandverifiedonaquarterly basis,butsincesomemoveshadbeenmade(JIC,CountyEOC)intheintervaltheyhadnotbeenupdated.Acheckofthelatestdirectory, datedDecember1997,indicated thatthetelephone numberchangeshadbeenincorporated exceptforonenumber.Inthiscase,theAuthorized NuclearInsurer(ANI)numberhadatypographical error.Thecorrectnumberwasalsolocatedinaseparatesectionofthedirectory.

Whennotifiedofthisdiscrepancy, EPpersonnel immediately corrected thedatabase.

Section4.0-Equipment andFacilities TheWNP-2Emergency PlanandPPM13.14.4,Emergency Equipment, werereviewedandwalkdowns wereconducted ofallemergency centers.Asampleofemergency kitsandcabinetswereinspected toverifycontentslistedinPPM13.14.4.Thecontentsofthekitsandcabinetsandthecalibration ofradiation instruments areverifiedperiodically throughModelWorkOrdersorthroughPlantTrackingSystem(PTL)actionitems.Thematerials intheemergency centersarerestocked aftereachdrill.Thereviewdetermined thattheemergency facilities areadequately stockedandthatperiodicverifications arebeingconducted.

OneareaoftheEmergency PlanthatQualityreviewedinvolvedthethreelocalhospitals.

Thesehospitals serveastheprimaiyorbackupstationsforthedecontamination ofinjuredpersonnel.

TheSupplySystemprovidesemergency radiological kitsforeachhospitaltotreatpersonnel ifsuchascenariooccurs.Qualityreviewedthelistofcontentsofthehospitalemergency kitsinPPM13.14.4,Attachment 5.3andquestioned whetheradoseratemeterwasincluded.

Thisquestionwasbasedona QUALITYDEPARTMENT AUDIT298408Section4.0-Equipment andFacilities

-'continued

~~possiblescenariowhereahighlycontaminated personmayhaveemanating radiation fromthecontamination.

Emergency Preparedness personnel pointedoutthatalthoughadoseratemeterisnotlisted,itispartofallthekits.TheKadlecMedicalCenterRadiological Kitcontentswereverifiedandadoseratemeterwasincluded.

Basedonthis,thefollowing recommendation wasissued:QUALITYRECOMMENDATION AU-298-008G AssignedTo:TimMessersmith DueDate:June9,1998IncludeaDoseRateMeteraspartofthecontentslistedonAttachment 5.3ofPPM13.14.4,HospitalRadiologicalEmergency Kit.ThehospitalkitsaretrackedonModelWorkOrders(MWO)bothbyEPandRadiation Protection (RP).Radiation Protection trackstheThermoluminescent Dosimeters (TLD),countratemeters,anddoseratemeterstoensurethattheyareincalibration andreadyforuse.EPperformsquarterly checkstoverifyandchange-out theinstruments.

FortheMWO'stoperformthequarterly checks,twooftheworkordersgenerated wereincorrectly assignedtoRP,whileonewasassignedtoEP.Toaligntheworkorderprocesswiththeappropriate discipline thefollowing recommendation isissued:QUALITYRECOMMENDATION AU298-0088 AssignTo:TimMessersmith DueDate:June9,1998Ensureworkordersgenerated toinventory hospitalradiological kitsareassignedtotheEmergency Preparedness group.Theauditteamassessedwhetheremergency facilities andequipment identified byNUEEG-0696 anddescribed intheFSARassupporting emergency responsehasbeenadequately providedandmaintained.

Thisassessment determined thatsufficient equipment andfacilities areinplacetosupportemergency response.

Section5.0-Interfaces WithStateandLocalGovernments

'TheWNP-2Emergency Plan,Section4.3andPlantProcedure Manual13.1.1,Classifying TheEmergency, requirethatagreements withoffsiteagenciesbereviewedannually, withthelatestrevisionreviewedbystateandlocalgovernment representatives.

Interviews wereconducted andtheMemorandums ofUnderstandings (MOUs),agreement letters,andcontracts werereviewed.

Thesedocuments areinplacetoensurethattheSupplySystemandoffsiteagenciescommunicate andreviewanychangesintheiragreements.

Variousoffsitepersonnel wereinterviewed toensurethatagreements andcontracts betweentheSupplySystemandtheirfacilityhavebeenreviewedandalsotodetermine therelationship betweenoffsiteagenciesandWNP-2.Someoftheagreements andalloftheMOUswereverifiedashavingreceivedtherequiredannualreview.Thepersonnel interviewed indicated thattheyareinformedofallrevisions totheemergency planandtheircommunication withWNP-2EPpersonnel continues tobestrong.Bothonandoffsitepersonnel expressed aprofessional andamicablerelationship withtheircounterparts.

Allpersonnel interviewed statedthatthereisanadequatelevelofsupportforeachothersprogramsandanimprovedresponsetoemergency topicsamongtheirgroups.Qualityhasdetermined thattheEPgroupadequately interfaces withtheoffsiteagencies.

QUALITYDEPARTMENT AUDIT298-008Section5.0-Interfaces

%ithStateandLocalGovernments

-continued

~~STRENGTHTheEmergency Preparedness groupmainiains anopenlineofcommunication withoffsitepersonnel regarding emergency preparedness issues.AconcernwasraisedbytheDirectorofMorrowCountyEmergency Management (Oregon).

Theissueregardedadisparity ofmapscalebetweenWNP-2andDepartment ofEnergy(DOE)-RLmapsusedtochartdoseprojection.

ItwasstatedthatDOEandnottheSupplySystemwasunwilling tocooperate incorrecting themaps.Asaresult,Qualityrecommends:

QUALITYRECOMMENDATION AU298-008-I AssignedTo:TimMessersmith DueDate:June9,1998Investigate thedisparitt'es inscalesdealingwithexposurelingestion countymapstodetermine ifthesedifferences affectthecounties'bility torespondtoanemergency eventatWAF-2.Section6.0-ProblemIdentiTication andResolution ThePERsandRecommendations resulting fromthe1997Emergency Preparedness ProgramAuditwerereviewedforeffectiveness.

ThreePERsresultedfromthe1997audit.TwoofthePERshavebeencompleted andclosed(297-0183 and297-0198).

Theauditteamreviewedthecorrective actionsassociated withthesePERstodetermine iftheywereimplemented effectively.

Theclosuredocumentation forthesePERssatisfied theinstructions onthecorrective actionplans.TherewerenoconcernswiththesePERs.OnePERremainsopenfromlastyear'saudit.PER297-0205documented that"Instructions/Procedures donotexistwhichmaintainthelicensebasisrequirements fornonpowerblockfacilities."

ThisPERhasfivecorrective actions,allofwhicharestillopen.Theseactionshavebeenextended, andatthelasttimeofrequestforextension Qualityrequiredaplanforcompletion aswellasajustification forextension.

Potential effectsoftheextendedduedatesaremitigated byCorrective ActionPlan(CAP)5whichisaninterimactionfortheManagerofFacilities andSupportServices(ordesignee) toreviewallFacilityServiceRequestsissueduntilCAPs1through4arecompleted.

Assuch,thisactionwillbeinplaceandongoinguntiltheotheractionshavebeencompleted.

Qualitywillcontinuetofollowthisissueandreviewdocumentation uponcompletion ofPER298-0205.

ThereweretenQualityRecommendations issuedwiththepreviousEmergency Preparedness ProgramAudit.Onlyoneisopenatthistime.Recommendation AU297-005-B wasissuedtorevisePPM13.8.1, Emergency DoseProjection SystemOperations, toincorporate doseassessment enhancements.

Thisactionwillbecompleted atthetimeofbiennialreviewoftheprocedure, currently scheduled forApril1998.Thiswasacceptable toQuality.Anotherrecommendation, thatwasclosedbasedonpendingactions,wasevaluated todetermine iftheactionhadbeencompleted.

Recommendation AU297-005-J wasissuedtoestablish criteriatomaintainthebackupPostAccidentSamplingSystem(PASS)laboratory inastateofreadiness.

Theresponsetothisrecommendation indicated thatChemistry wouldrevisePPM12.1.1, 1~AI QUALITYDEPARTMENT AUDIT298408Section6.0-ProblemIdentification andResolution

-continued

'Laboratory QualityAssurance, toprovideschedulefrequencies forbackupPASSlaboratory instrumentation.

AreviewofPPM12.1.1,Rev.9,datedDecember17,1997,indicated thattheseactionshadnotbeenincorporated intotheprocedure.

Sincethetimethisrecommendation wasissued,Qualityhasestablished apracticeoftrackingactionsinresponsetorecommendations.

Thispracticewillaidtheresponsible individual, aswellasQuality,inassuringcompletion ofauditrecommendation responses.

QualitytouredthePASSLaboratory anddetermined thatitwasinastateofreadiness.

However,Qualitystillbelievesthisissuewarrantsactionandtherefore, isre-issuingthefollowing recommendation:

QUALITYRECOMMENDATION AU298-008-JAssignedto:JohnC.HansonDueDate:June9,1998Establish criteriatomaintainthebaciaspPASSLaboratory inastateofreadiness.

Theremaining recommendations thathadbeenclosedwereverifiedtohavebeenimplemented orreferredtoanotherdocument(PERA)thatwastrackingtheitem.ThePTLdatabasefortheEmergency Preparedness groupwassearchedforPERsassignedtoEPsinceJanuary1,1997.ThePERsummaries werereviewedandconsidered forindications ofrepeatoccurrences ortrends.TwoPERsrelatedtotheAutomated Notification System(ANS)wereselectedforadditional review.PER297-0230documented wheretheANStransmitted anincorrect message,indicating adrillwasinprogressinsteadoftheactualUnusualEvent.PER297-0740 documented wheretheANSstoppedprocessing outgoingtelephone andpagermessages.

Inthefirstinstance, itwasdetermined thattheproblemwasduetothevendorfailingtolinkthecorrectscenariotothecorrectmessage.Corrective actionsassociated withPER297-0230includedaprocurement ofadevicethatwouldallowtestingthesystemwithoutactivating EROpagersandtocheckallscenarios forsimilaroccurrences.

ThesecondPERwasinconclusive inidentifying acause.Throughdiscussions withthevendor,itwasbelievedthatanexcessive amountofdatastoredin'temporary datalogswithinthesystemcausedtheproblem.Corrective actionsincludedmonitoring andpurgingofthetemporary filesandtestingthesystemeach12hourstoverifyoperability.

Quality's reviewofthesetwoPERsdetermined thattheydidnotrepresent anadversetrendorfailuretopreventrecurrence sincethetwofailureswerenotdirectlyrelated.Themostrecentself-assessment performed byEPwasperformed February21,1997.Thisself-.assessment utilizedEPindividuals fromoffsiteutilities aswellaspersonnel fromthestateandcountyemergency organizations.

ThreePERsand29recommendations resultedfromtheself-assessment.

Allrecommendations havebeenclosedexceptonewhichisdependent onthenextself-assessment performance toclose.Currently, EPisscheduling thenextself-assessment forthefirstweekofMay1998.The1997EPself-assessment wasdetermined tobeself-critical andeffectively usedoutsideresources toidentifyandresolveproblemareas.STRENGTHTheEmergency Preparedness organization isproactiveinidentifying problemsandimplementing appropriate corrective actions.10 QUALITYDEPARTMENT AUDIT298408Section7.0-DoseAssessment Capabilities TheWNP-2Emergency Planandapplicable plantprocedures werereviewedtodetermine ifrequiredsystemsareavailable andaccessible forpersonnel toacquireresultsfordoseassessments inatimelymanner.Also,interviews wereconducted andtrainingreviewedtoassurethatcapablepersonnel wereavailable toperformthedoseassessments.

Theavailable WNP-2systemsincludetheEmergency DoseProjection System(EDPS),BackupEmergency DoseProjection System(BEDPS)andtheQuickEmergency DoseProjection Systems(QEDPS).Theseprogramsarestand-alone systemswhichhavealternate powersuppliesallowingfordataacquisition intheeventoflossofpowerduringanemergency.

Theseprogramsarealsousedbytheoffsiteagenciesandarecomparable withthedoseassessment programutilizedbytheNuclearRegulatory Commission.

Qualityconcludes thatadequatesystemsareavailable toprovidedataforpersonnel toperformdoseassessments inatimelymanner.Thereisamanualbackupmodelfordoseassessment inplaceforsystemfailuresnotedinPPM13.1.1,Classifying theEmergency, Attachment 5.1,Tables3and4.Alldoseassessment personnel interviewed wereawareofthisbackupmodelandstateditwaspresented intrainingbutnotutilizedduringdrills.WhenusingtheQEDPS,doseassessment personnel arerequiredtodrawadoseprojection mapfordistribution tooffsiteagencies.

Allpersonnel interviewed statedthattheyhavedrawndoseprojection mapsindrillsandarecomfortable indoingso.Personnel taskedwithperforming doseassessments weredetermined tobetrainedandqualified.

PPM13.8.1,Emergency DoseProjection System,definesBEDPSasthebackupsystemtoEDPSandreferstothepre-planned alternate monitoring methodasperTechnical Specification 3.3.7.5.ItwasnotedthatTechnical Specification 3.3.7.5wasnotavaliddocumentandhadbeenremovedwiththeimplementation ofImprovedTechnical Specifications (ITS).Therefore, Qualityrecommends:

QUALITYRECOMMENDATION AV298-008-K Assignedto:TimMessersmith DueDate:June9,1998Revisedoseprojection PPMs13.8.1and13.8.2todeletereferences tosuperseded Technical Specification 3.3.7.5andreflectcurrentrequirements.

Emergency Preparedness proposedtoeliminate BEDPSthroughRev.20oftheEmergency Plan.Itwasbelievedthatthismonitoring methodhadbeendeletedwiththeimplementation oftheITS.Revisionstates:"EDPSsoftwarewillbeupgradedbycombining so&warefeaturesoftheBEDPSandwillprovideaneasytouseoperating

platform, thusallowingtheremovaloftheBEDPSprogram."

However,aSupplySystemlettertotheNuclearRegulatory Commission datedDecember23,1996,statestheBEDPSis"thepre-planned alternate monitoring methodasperTechnical Specifications 3.3.7.5."

Basedonthisinformation, EPdecidedtokeepBEDPSintheEmergency Plan.Emergency Plan,Section5.1.4,Personnel DoseAssessment, referstoroutineandemergency personnel exposuremonitoring anddoseassessments beingaccomplished byissuingthermoluminescent dosimeters (TLDs),electronic, ordirectreadingdosimeters andmonitoring forairborneradioactivity.

Theplanalsodenotesthatthereisa24-hour-per-day capability to11 ttQUALITYDEPARTMENT AUDIT298408Section7.0-DoseAssessment Capabilities

-continued analyzeSupplySystemissueddosimetry.

ItfurtherstatesthattheSupplySystemmaintains apersonnel monitoring programthroughtheuseofTLDreadersandwholebodycounters.

Therequirement toprovide24-hour-per-day capability comesfromNUIKG-0654, CriteriaforPreparation andEvaluation ofRadiological Emergency ResponsePlansandPreparedness inSupportofNuclearPowerPlants.Presently, theSupplySystemhasnoonsiteequipment fortheanalyzing ofTLDs.Section6.2.8oftheEmergency Plan,HealthPhysicsCenter,statestheSupplySystemcontracts withalocalvendortoprocessTLDsandprovideresultstotheSupplySysteminatimelymanner.TheSupplySystem'slocalcontractvendor,ThermoNuTech, hasrelocated fromWestRichland, Washington, toAlbuquerque, NewMexico.Althoughthecontractvenderisnotlocal,EPbelievesthattheSupplySystemcandemonstrate thecapability toanalyzeTLDs24-hours-per-day andprovidetheresultsinatimelymanner.SincetheEmergency Plandoesnotreflectactualpractice, thefollowing PERwasissued.QUALITYHOUNDINGPER298-0194Section6.2.8oftheemergency PlanstatesthattheSupplySystemcontracts withalocalvendortoprocessTLDs.Thevendorrelocated toAlbuquerque, NewMexico.Regulatory Guide1.23,OnsiteMeteorology

Programs, Rev.0,states:"meteorological instruments shouldbeinspected andservicedatafrequency whichwillassureatleastaninetypercentdatarecoveryandwhichwillminimizeextendedperiodsofinstrument outage."Qualityutilizedthe1996and1997AnnualRadioactive EftluentReporttoverifythatthemeteorological jointrecoverydatasubmitted totheNRCannuallywasatleastwithintheninetypercentacceptance criteria.

Thejointrecoverydataforthesetwoyearswasfoundacceptable.

Section8.0-Personnel QualiTications TheQualification Directory Manual,theNovember1997drillobservations, drillafteractionreports,andpreviousdrillreportswerereviewedtodetermine ifEROmemberswerequalified toperformtheiremergency centerfunctions.

Also,interviews wereconducted withEROresponders.

Allpersonnel listedasEROresponders havemetthequalifications requiredoftheirpositions.

Allpersonnel interviewed expressed thatasafirsttimeresponder theywereunsureofwhatwasrequired.

However,eachpersoninterviewed saidthatafterparticipating inadrilltheywereconfident intheirabilitytoperformtheirduties.Theissuewithfirsttimeresponder qualifications isaddressed inthetrainingsectionofthisreport(Recommendation AU298-008-D).

PQDwasreviewedagainstOperations, Maintenance, andHealthPhysicscrewschedules.

Individual qualification requirements wereevaluated bynameandbyQualification Group.Maintenance andHealthPhysicspersonnel werefoundtohaveadequatequalifications.

However,twoOperations'rews didnotappeartohavetherequiredcompliments oftwoEROtrainedindividuals.

AreviewoftrainingrecordsbyOperations foundthatrequiredtraininghadbeenconducted butsomeequipment operators werenotenteredintheappropriate Qualification GroupinPQD.Oneshiftmanagerstatedthattherequirements ofPPM1.3.1wereusedtoverifyrequiredshiftcompliment.

Itwasalsoindicated thatwhenfillingvacantcrewpositions, ERO12 r-IE QUALITYDEPARTMENT AUDIT298-008Section8.0-Personnel QualiTications

-continued qualifications werenotalwaysreviewed.

Itwasassumedthatfirebrigadetrainingmetthequalification requirements fortheERO.Asaresultoftheaboveissues,thefollowing PERwasissued:QUALITYFINDINGPER298-0169Theprocessisinadequate forassigning newequipment operators toEmergency ResponseQualification Groups.Section9.0-StaAingLevelsEmergency ResponseOrganization TheWNP-2EROPersonnel List,thePQD,andPPM1.3.1(WNP-2Operating

Policies, Programs, andPractices) werereviewedtodetermine ifEROstaffingwasadequatetorespondtoanemergency.

Theauditteamconcluded thatthereareadequatepersonnel available tostafftheWNP-2EROwithintherequired60-minute limit.Thosepersonnel trackedviathePQDareassignedtooneoffourEROteamswhorotatethroughatwoweekperiodofbeingon-call.TheDutyteamisissuedpagers.Intheeventofanemergency orduringtheconductofaNotification Drill,theEPstaffinitiatethealertusingtheDialogics Automated Notification System(DANS).EROteammembersrespondusingatelephonic codetoindicatewhethertheyareabletoreportforemergencyduties.

Shortages areidentified andreplacements arecalledin.Astaffingcheck"oftheoncomingEROteamisconducted theThursdaypriortoshiftrotationbyEPstaffThischeckidentifies anygapsintheEROteamandallowsEPstafftimetofindpersonnel tofilltheroster.NUREG0654,Rev.1,SectionII.A.4statesinpart,"Eachprincipal organization shallbecapableofcontinuous (24-hour) operations foraprotracted period.Theindividual intheprincipal organization whowillberesponsible forassuringcontinuity ofresources (technical, administrative, andmaterial) shallbespecified bytitle."Ingeneral,thecurrentmethodofstaffingtheEROshouldprovideforcontinuous operations.

However,theWNP-2Emergency Plan(Rev.19),doesnotspecifythepersonresponsible forensuring24-hourcontinuous operations.

Thistopicisdiscussed inseveralEROdutypositionprocedures andspecifically intheManpowerScheduler dutydescription.

Therearenoguidelines intheemergency procedures forhowlongEROpersonnel willmantheirstationsafterreporting.

Althoughthisrequirement fromNUREG0654ismetbythewordandintentoftheWNP-2Emergency Plan,itisunclearintheVolume13procedures thata24-hourstaffingschedulemayberequired.

Also,therearenoclearprovisions intheprocedures toestablish a24-hourstaffingscheduleforaprotracted period.Therefore Qualityrecommends:

'QUALITYRECOMMENDATION AU298-008-L Assignedto:TimMessersmith DueDate:Iune9,1998RevisetheEmergency PlanImplementing Procediires toprovideguidanceforestablishing andmaintaining continrious 24-hourstaffingoftheEmergency Responseorganization foraprotracted period.13 QUALITYDEPARTMENT AUDIT298408-Section9.0-StaffingLevelsEmergency ResponseOrganization

-continued Theadministrative mechanisms toensureminimumshiftstaffingandaugmentation requirements areinplaceand,ifusedconsistently byallorganizations, willmeetthegoalsoftheEmergency Plan.However,somelinesupervisors arenotawareoftheEROstaffingrequirements norusethetoolsprovided.

TheWNP-2Emergency Plan,Table2-1andNUREG-0654, TableB-1,specifytheminimumstaffingfortheSupplySystemEmergency Responseorganization.

Thesetablesrequiretwoequipment operators andtwomaintenance personnel on-shift(aroundtheclock)toperformemergency functions.

Thepositionofthemaintenance personnel maybeprovidedbyshiftpersonnel assignedotherfunctions.

OnApril3,1997,Rev.19totheWNP-2Emergency Planwassubmitted totheNRC.Attachment Aofthe10CFR50.54(q)evaluation supporting thechangeswasanassessment ofminimumon-shiftEROstaffing.

Thisassessment concluded thatfourequipment operators wereneededon-shifttomeetEROrequirements.

Thetwoadditional equipment operators areassignedtocovertheemergency maintenance functionbetween2:00and6:40a.m.whenmaintenance personnel arenotavailable on-shift.

TheMinimumShiftEROStaffingTabledeveloped bythisassessment wasincludedinPPM1.3.1,WNP-2Operating

Policies, Programs, andPractices.

Areviewofqualifications foroperating crewsfoundthatOperations CrewsCandEhavebeenstaffed,duringthehoursbetween2:00a.m.to6:40a.m.,withlessthanfourEROqualified equipment operators.

ThisproblemonEROstaffingresultedin:QUALITYFINDINGPER298-0191PPM1.3.1requirements forminimumshiftEROstaffingarenotbeingmetbetween2:00a.m.and6:40a.m.withqualified personnel.

FSARREVIEWANDRESPONSETO10CFR50.54(f)REQUESTFORINFORMATION TheFSAR,Section13.3,identifies therequiredsupportcentersandemphasizes communications betweenthosecentersandtheControlRoom.Thedetailsoftheprogramdescription arecontained intheEmergency Plan.TheEmergency Planisanattachment totheFSARandwasreviewedextensively throughout thisaudit.TherearenoFSARissuesotherthanthosedelineated inthereportinconnection withtheEmergency Plan.Thereisnodiscussion ofEmergency Preparedness ortheEmergency Responseorganization inthe50.54(f)letter.However,undertheRequirements TrackingDatabasediscussion, the50.54(f)letterstates,"Development ofthedatabasealsoincludesverification ofwherethecommitment ismetinthecurrentoperating programsandprocedures."

Thisstatement supportsQualityRecommendation AU298-008-B whichpertainstoidentifying commitments inemergency procedures.

14 APPENDIXAPersonnel Contacted DuringtheAuditHMAdamsALAlexander TEAltonAJAndersonDKAtkinsonLWBallASBarberREBarnesKCBeardDABennettTBrownSMBruceDWColemanLLCollinsMSCollinsJGDockterRLEhrJSFloodJAGloynSRGoodwinKMGunterJCHansonMHenryDWHillyerDBHolmesJPIttnerREJorgenson JPKaneAFKlaussJALakeyAALangdonJCLattaMKLaudisioCRMaddenRDMaddenJWMasseyLLMayneJEMcDonaldKPMeehanTCMessersmith MMessmanGAMoyerRRNelsonSupervisor, Maintenance CraftTechnical Specialist, Chemistry QualityTechnical Specialist Technical SupportSpecialist/Administrative ServicesManager,Quality~Emergency Planner+~Supervisor, QualityServicesMechanicDirector, MorrowCountyEmergency Management OSCCommunicator Emergency Planner,CooperNuclearStationSupervisor, ControlRoomActingManager,Regulatory Affairs+Technical SupportSpecialist/Administrative ServicesQualityServicesTechnical SupportSpecialist/Administrative Services+

Supervisor, Engineering ShiftTechnical AdvisorSupervisor, FFD/TrainingQualityServices+

QualityServices+

Manager,WNP-2Chemistry Manager,Department ofHealthManager,WNP-2Radiation Protection+

Emergency Planner+0 Emergency Planner+0 LeadEmergency Planner+Engineering GeneralManager+Emergency Planner~Chemistry Technician Assistant totheWNP-2PlantGeneralManager+QualityServices+o QuahtyServices+0HealthPhysics~QualityServices+

QualityServices+0 Chemistry Specialist ScienceEnvironmental RPEmergency Planner~Corporate Emergency Preparedness, HealthandSafetyOfncer+ProgramManager,DOECraftSupervisor Operations Specialist 15 QUALITYDEPARTMENT AUDIT298408~~~APPENDIXA-continued HLNielsonDLOvermanWAPQtzerRMPflugerGDPhillipsLARathbunJERhoadsKDSaenzDLSeeverDMSmithRLWebringJEWyrickSupervisor, Chemistry Technical Specialist Licensing+

SeniorAuditorHealthPhysicsTechnician HealthPhysicsEngineering RecordsTeamLeadEmergency Planner,SouthernCalifornia EdisonTechnical SupportSpecialist/Administrative ServicesVicePresident, Operations Support/Public Information Officer~Supervisor, QualityServices++AttendedEntranceMeeting~AttendedExitMeeting16 QUALITYDEPARTMENT AUDIT298%08APPENDIXBReferences Emergency PlansConditions ofLicensesAppendixE,Emergency PlanningandPreparedness forProduction andUtilization Facilities NUREG0654,FEMAREP-1,Rev.1;CriteriaforPreparation andEvaluation ofRadiological Emergency ResponsePlansandPreparedness inSupportofNuclearPowerPlants;SectionII.BWNP-2Emergency Preparedness Plan,Rev.19WNP-2Emergency Plan,Rev.20ProposalEmergency DoseAssessment SystemUsersManualVolume13SeriesofEmergency PlanImplementing Procedures PASSPORTPredefined DatabasePPM1.3.43Rev.12"Licensing BasisImpactDetermination" Emergency Preparedness TrainingCourseCatalogSWP-TQS-01

Training, Qualification, andSimulators SWP-EPP-01 Emergency ResponseQualifications andTrainingEmergency PhoneDirectory Emergency ResponseOrganization ListEmergency ResponseOrganization TrainingPlayerTrainingHandoutIOMdatedSeptember 12,1996,toOffsiteEmergency Management Organizations,

Subject:

AnnualTrainingforOffsiteAgenciesIOMfromL.W.Balldated01/30/98,

Subject:

February1998ERPPastDueTrainingReportIOMfromL.W.Balldated02/13/98,

Subject:

EROTrainingLookAheadReportPQDEROLateReportgenerated byL.W.Ball,dated02/13/98QualityDepartment AuditReportAU297-055, WNP-2Training, Performance, andQualification QualityDepartment AuditReportAU297-005, WNP-2Emergency Preparedness ProgramPER297-0816, EROPersonnel NotinCompliance WithMinimumTrainingRequirements IOMfromC.L.Blissdated08/26/97

Subject:

CraftMembersoftheEROPQDScheduled MonthlyReportdated02/25/98DrillandExerciseManualforWNP-2,Rev.6Quarterly TrainingDrill97-4DrillReport,datedDecember18,1997PTLDatabaseRegulatory AffairsAction,InternalActionSummaryReportfor1997DrillsLetterNo.G02-89-227, Supply.SystemtoNRC,datedDecember2,1989,"Response toNoticeofViolation" FinalAfterActionReportNo.31datedMarch20,1997Sample,ModelWorkOrdersforEmergency Equipment TrackingRegGuide1.101Rev.3,Emergency PlaningandPreparedness forNuclearPowerPlantsLetterNo.GO2-94-263, SupplySystemtoFEMA,"MOUContractNo.C-30061"LetterNo.GO2-95-225, SupplySystemtoFEMA,"WNP-2Emergency PlanAnnualReviewofSupporting Agreements ContractNo.C-30046"LetterNo.G02-95-230, SupplySystemtoDOE,"WNP-2Emergency PlanAnnualReviewofSupporting Agreements ContractNo.C-00676"LetterNo.GO2-95-236, SupplySystemtoDOE,"WNP-2Emergency PlanAnnualreviewofSupporting Agreements ContractNo.C-30042"17

QUALITYDEPARTMENT AUDIT208408APPENDIXB-continued PTLDatabasePERs297-0183, 297-0198, 297-0205, 297-0230, 297-07401997Emergency Preparedness ProgramAudit297-0051997Emergency Preparedness Self-Assessment NRCInspection ManualChapter2515/134, LicenseeOn-ShiftDoseAssessment Capabilities Reg.Guide1.23,Rev.0,OnsiteMeteorology ProgramsReg.Guide1.101,Rev.3,Emergency PlanningandPreparedness forNuclearPowerPlantsNRCInspection ManualChapter2515/134, LicenseeOn-ShiftDoseAssessment Capabilities LetterNoGO2-96-251, SupplySystemtotheNRC,datedDecember23,1996,"WNP-2Operating LicenseNPF-21SpecialReportReactorBuildingEffluentMonitoring System"NRCInspection Manual"DoseCalculation andAssessment" No.82207ANSUAN2.5"Standard forDetermining Meteorological Information atNuclearPowerPlantsEPA-520/1-95-001-A "ManualofProtective ActionGuidesandProtective ActionsforNuclearPowerIncidents,"

1990NRCInspection Procedure No.82701"Operational StatusoftheEmergency Preparedness Program"QualityDepartment AuditReportAU297-005, WNP-2Emergency Preparedness ProgramQualityDepartment AuditReportAU297-055, WNP-2Training, Performance, andQualification Qualification Directory Manual,Section2.8,Emergency ResponseQualification Directory Manual,Section4.2,Equipment Operators Emergency Preparedness TrainingCourseCatalogEmergency PhoneDirectory, Emergency ResponseOrganization ListEmergency ResponseOrganization TrainingPlayerTrainingHandoutOperations Logsdated09/27/97to10/01/97Operations Logsdated02/01/98to02/25/98Operations CrewRoostersdated09/21/97and03/2/98HealthPhysicsShiftAssignments forSeptember toOctober1997anddatedJanuary27,1998PQDReportsforQUALGroupsEPAL,EPAN,EPAQEPCN, EPAJ,EPCP,EPAC,EPAIPPM1.3.1,WNP-2Operations,

Policies, Programs, andPractices PER$297-0816, 297,0108EPResponsetoPSASynopsisofChangestoWNP-2Emergency Plan;proposedRev.20,datedFebruary23,1998SWP-EPP-01:

Emergency ResponseOrganization andTraining; Rev.0;datedAugust5,199718 APPENDIXCSummaryofQualityRecommendations,

Findings, andStrengths AU298-008-A Incorporate the10CFR50AppendixErequirement tosubmitanychangestotheEmergency Planorprocedures totheCommission within30daysofsuchchangesintoaappropriate WNP-2procedure.

(Assigned toT.M.Messersmith

-ResponseduedateJune9,1998)AU298-008-B AnnotateRegulatory Requirements andCommitments intheEmergency Procedures inaccordance withSWP-PRO-03.

(Assigned toT.M.Messersmith

-ResponseduedateJune9,1998)AU298-008-C UpdatethelistofEmergency Planimplementing procedures intheWNP-2Emergency PlanAppendix2,andreplacethereference toBattellewithPNNLinSection5.2.1.(Assigned toT.M.Messersmith

-ResponseduedateJune9,1998)AU298-008-D Expandtheinitialtrainingforemergency centerpersonnel involvedwithcommunications, logkeeping,andteamtrackingtoincludeperformance-basedactions.(Assigned toT.M.Messersmith

-ResponseduedateJune9,1998)AU298-008-E Provideamechanism tocaptureinformation,

comments, andsuggestions providedduringpre-drill trainingsessions.

Thismechanism shouldhaveafeedbacklooptotheindividual providing theinformation.

(Assigned toT.M.Messersmith

-ResponseduedateJune9,1998)AU298-008-F Identifyitemsthatshouldbe'tracked intheRegulatory Affairsdatabase.

Itemstoconsiderinclude:repliestoplayercomments, controller/evaluator

concerns, drillobjectives notdemonstrated, andFAARareasforimprovement.

(Assigned toT.M.Messersmith

-ResponseduedateJune9,1998)AU298-008-G IncludeaDoseRateMeteraspartofthecontentslistedonAttachment 5.3ofPPM13.14.4.,

HospitalRadiological Emergency Kit.(Assigned toT.M.Messersmith

-ResponseduedateJune9,1998)AU298-008-H Ensureworkordersgenerated toinventory hospitalradiological kitsareassignedtotheEmergency Preparedness group.(Assigned toT.M.Messersmith

-ResponseduedateJune9,1998)AU298-008-I Investigate thedisparities inscalesdealingwithexposure/ingestion countymapstodetermine ifthesedifferences effectthecounties'bility torespondtoanemergency eventatWNP-2.(Assigned toT.M.Messersmith

-ResponseduedateJune9,1998)19 QUALITYDEPARTMENT AUDIT298408APPENDIXC-continued AU298-008-JEstablish criteriatomaintainthebackupPASSLaboratory inastateofreadiness.

(Assigned toJ.C.Hanson-ResponsedueJune9,1998)AU298-008-K Revisedoseprojection PPMs13.8.1and13.8.2todeletereferences tosuperseded Technical Specification 3.3.7.5andtoreflectcurrentrequirements.

(Assigned toT.M.Messersmith

-ResponseduedateJune9,1998)AU298-008-L RevisetheEmergency PlanImplementing Procedures toprovideguidanceforestablishing andmaintaining continuous 24-hourstaffingoftheEmergency Responseorganization foraprotracted period.(Assigned toT.M.Messersmith

-ResponseduedateJune9,1998)PER298-0194Section6.2.8oftheEmergency PlanstatesthattheSupplySystemcontracts withalocalvendortoprocessTLD's.Thevendorrelocated toAlbuquerque, NewMexico.PER298-0169Theprocessisinadequate forassigning newequipment operators toEmergency ResponseQualification Groups.PER298-0191PPM1.3.1requirements forminimumshiftEROstaffingarenotbeingmetbetween2:00a.m.and6:40a.m.withqualified personnel.

Strength:

Emergency preparedness personnel arediligentattrackingqualifications forthoseindividuals listedasEROmembers.Appropriate management isnotifiedpriortoindividuals losingtheirqualifications andalsowhenqualifications expire.Strength:

TheEmergency Preparedness groupmaintains anopenlineofcommunication withoF-sitepersonnel regarding emergency preparedness issues.Strength:

TheEmergency Preparedness organization isproactive inidentifying problemsandimplementing appropriate corrective actions.20 0t(fv