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HomeMy WebLinkAbout851154.tiff ``tot A ECy9 UNITED STATES 0'= NUCLEAR REGULATORY COMMISSION REGION IV om ,, 3` s-... `. 611 RYAN PLAZA DRIVE, SUITE 1000 2,7 �a°y ARLINGTON,TEXAS 76011 MAY 3 7 1985 In Reply Refer To: Fln r^ TY r.^:MtdlSSIONfPS Docket: 50-267/85-06 _ MAY 91985 Public Service Company of Colorado 111ATTN: 0. R. Lee, Vice President Electric Production , « '.. COW. P. O. Box 840 Denver, Colorado 80201 Gentlemen: This refers to the inspection conducted by Mr. M. E. Skow of this office during the period March 5-8, 1985, of activities authorized by NRC Operating License DPR-34 for Fort St. Vrain Nuclear Station, and to the discussion of our findings with Mr. Singleton and other members of your staff at the conclusion of the inspection. Areas examined during the inspection included receiving and maintenance with specific focus on the control rod refurbishment. The inspection in these areas is a continuation from NRC Inspection Report 50-267/85-01. Within these areas, the inspection consisted of selective examination of procedures and representative records, interviews with personnel , and observations by the inspector. These findings are documented in the enclosed inspection report. During this inspection, it was found that certain of your activities were in violation of NRC requirements. Consequently, you are required to respond to these violations, in .writing, in accordance with the provisions of Section 2.201 of the NRC' s "Rules of Practice," Part 2, Title 10, Code of Federal Regulations. Your response should be based on the specifics contained in the Notice of Violation enclosed with this letter. Should you have any questions concerning this inspection, we will be pleased to discuss them with you. Sincerely, E. H. Johnson, Chief Reactor Project Branch 1 Enclosures: 1. Appendix A - Notice of Violation 2. Appendix B - NRC Inspection Report 50-267/85-06 cc w/enclosures: (cont. on next page) 851154 Public Service Company of Colorado -2- Mr. D. W. Warembourg, Manager Nuclear Engineering Division Public Service Company of Colorado P. 0. Box 840 Denver, Colorado 80201 Mr. David Alberstein, 14/159A GA Technologies, Inc. P. 0. Box 85608 San Diego, California 92138 Kelley, Stansfield & O'Donnell Public Service Company Building 550 15th Street, Room 900 Denver, Colorado 80202 Chairman, Board of County Comm. of Weld County, Colorado Greeley, Colorado 80631 Regional Representative Radiation Programs Environmental Protection Agency 1860 Lincoln Street Denver, Colorado 80203 Mr. H. L. Brey, Manager Nuclear Licensing/Fuels Div. Public Service Company of Colorado P. 0. Box 840 Denver, Colorado 80201 J. W. Gahm, Manager, Nuclear Production Division Fort St. Vrain Nuclear Station 16805 WCR 19} Platteville, Colorado 80651 L. Singleton, Manager, Quality Assurance Division (same address) Colorado State Department of Health APPENDIX A NOTICE OF VIOLATION Public Service Company of Colorado Docket: 50-267 Fort St. Vrain Nuclear Station License: DPR-34 Based on the results of an NRC inspection conducted during the period of March 5-8, 1985, and in accordance with the NRC Enforcement Policy (10 CFR Part 2, Appendix C) , 49 FR 8583, dated March 8, 1984, the following violation was identified: 10 CFR 50, Appendix B, Criterion XVI requires that conditions adverse to quality such as deficiencies, deviations, and nonconformances are promptly identified and corrected. The FSAR section B.5 implements the Appendix B requirements and delegates QA program definition and implementation to the Manager, Quality Assurance. Contrary to the above, timely corrective action was not taken to promptly revise administrative procedures Q-15 and Q-16 as noted in CAR 84-093. This is a Severity Level IV Violation. (Supplement I) (50-267/8506-01) Pursuant to the provisions of 10 CFR 2.201, Public Service Company of Colorado is hereby required to submit to this office, within 30 days of the date of this Notice, a written statement or explanation in reply, including: (1) the corrective steps which have been taken and the results achieved; (2) corrective steps which will be taken to avoid further violations; and (3) the date when full compliance will be achieved. Consideration may be given to extending your response time for good cause shown. Dated: MAY 0 7 1985 APPENDIX B U. S. NUCLEAR REGULATORY COMMISSION REGION IV NRC Inspection Report: 50-267/85-06 License: DPR-34 Docket: 50-267 Licensee: Public Service Company of Colorado (PSC) P. 0. Box 840 Denver, Colorado 80201 Facility Name: Fort St. Vrain Nuclear Station (FSV) Inspection At: Platteville, Colorado Inspection Conducted: March 5-8, 1985 Inspector: Pi/ /3/scr M. E. Skow, Reactor Inspector, Special Projects Date and Engineering Section, Reactor Project Branch 1 Approved: ,e. 041- 1.4111 3d 7S Ireland, ef, Specal Projects and to Engineering Section, Reactor Project Branch 1 Inspection Summary Inspection Conducted March 5-8, 1985 (Report 50-267/85-06) -2- Areas Inspected: Routine, unannounced inspection of receiving and maintenance with specific emphasis on the control rod refurbishment program. The inspection in these areas is a continuation of NRC Inspection Report 50-267/85-01. The inspection involved 33 inspector-hours onsite by one NRC inspector. Results: Within the two areas inspected, one violation was identified (lack of QA independence, paragraph 2). -3- DETAILS 1. Persons Contacted *C. Fuller, Station Manager *F. Novachek, Technical/Administrative Services Manager *L. Singleton, Manager, Quality Assurance (QA) *F. Borst, Support Services Manager *T. Orlin, QA Service Manager *R. Craun, Supervisor, Nuclear Site Engineering R. Gappa, Refurbishment Shift Floor Manager *P. Moore, Supervisor QA Technical Support *S. Willford, Training Supervisor G. Redmond, MQC Supervisor J. Jackson, QA/QC Supervisor W. Parsons, QC Receiving Inspector *Denotes those present at exit interview. 2. Receiving, The NRC inspector reviewed the following documents: Number Title Issue MRIM-1 General Receiving Inspection 4 P-5 Material Control 8 Q-15 Control of Nonconforming Items 3 G-2 FSV Procedure Systems 15 Q-1 FSV Organization and Responsibilities 5 The majority of the CRDOA refurbishment parts that had arrived on site had completed receiving inspection. The receiving inspection packages for several parts were reviewed by the NRC inspector. The packages appeared complete. The receiving inspectors had up-to-date drawings and change notices available as well as the purchase orders. During discussions with QA/QC personnel , the NRC inspector was informed that corrective changes were being prepared to certain Administrative Q procedures. Members of QA also stated that issuing changes to their procedures took a long time. The reason given was that organizations outside QA which must approve the procedures often delay approval action or require revisions to the proposed changes. The approval signatures that are required on these Q procedures are specified in G-2. For 16 of the 18 Q procedures, approval signatures are required from the managers of the Nuclear Production, Nuclear Engineering, and Quality Assurance Divisions; and for 8 of those 16 procedures, the Executive Staff Assistant (now Manager, Nuclear Licensing and Fuels) as well . -4- An example referred to by QA personnel was Q-15. They stated that current attempts to revise Q-15 began in the first half of 1984. Three-major major revisions had been drafted but had not been approved outside of QA, as of November 1984. Two complete rewrites have taken place thus far in 1985. The latest was to have gone to Engineering the week of this inspection. QA personnel stated that the Nuclear Engineering Division causes most of the delays in achieving approvals. Some documentation was found in the corrective action request files which support the statements by QA personnel . The documents related to a change to Q-16, "Corrective Action System." CAR 84-093 was written to correct items identified by NFSC Audit C-84-02. The two items referenced in CAR 84-093 are CAAR's 633 and 712. CAR 84-093 points out that "the requests were made over 'one year' ago." CAR-84-093 explains the underlying cause for CAAR 633's delay as "the failure to obtain timely approval (or disapproval ) of a procedure in order to get it revised and issued." CAAR 633 is dated June 20, 1983. The revision to Q-16 was finally issued October 12, 1984. CAR 84-093 stated that the resolution to CHAR 712 "was a trivial change and was determined not to be a factor in the resolution of the CAAR. . . . The minor change requested in CAAR 712 is currently caught up in a major revision to Q-15. . . ." The change to Q-15 was expected to be completed by February 1, 1985, as stated on CAR-84-093, "Action to Correct Discrepancy." Corrective action timeliness was previously raised as an unresolved item, 50-267/8123-01. It was discussed further in inspection report 50-267/82-03 and was left open pending further review of a revised corrective action program. The item was closed in inspection report 50-267/82-18 after Q-16 had been revised and the number of outstanding CAARs had been reduced. However, the examples cited above illustrate that the QA organization is still having difficulty revising their Q procedures to resolve CARs as required by 10 CFR 50, Appendix B. The three managers of Nuclear Production, Nuclear Engineering, and Nuclear Licensing and Fuels who must also approve Q procedures have each been QA managers. The NRC inspector felt this provides strong potential for constructive input to the QA program. However, the NRC inspector noted that the requirement in G-2 for three or four of these managers to all sign for approval could be cause for Q procedure revisions not being made in a prompt, timely manner. This is a violation. (8506-01) 3. Maintenance The first rod, to be refurbished CRDOA 21, was discussed in the maintenance section of NRC Inspection Report 85-01. During this inspection, CRDOA 21 had already been refurbished and installed in the core. CRDOAs 26 and 2 -5- were nearly complete, and CRDOAs 15 and 4 were earlier in their refurbish- ment programs. CRDOA 6 was removed from the core during this period and began to be refurbished. The number of procedure deviation reports being generated has diminished since the previous inspection. This supports the observations by the NRC inspector that the refurbishment program is now proceeding more smoothly. The availability of parts has improved, as discussed in paragraph 2, and the methods for dispensing them are continuing to evolve within procedural constraints. The system is maintaining parts traceability. However, if a replaced part is inadvertently left out of the list in the procedure, it would be difficult, after the fact, to find documentation during an audit. No violations or deviations were noted in this area. 4. Exit Interview An exit interview was held March 8, 1985, with Mr. Singleton, Manager Qualtiy Assurance and other PSC personnel as denoted in paragraph 1 of this report. The NRC senior resident inspector and R. Farrell , a senior resident inspector from another site in Region IV, also attended this meeting. At this meeting the scope of the inspection and the findings were summarized. ERR REGp c`. 49. UNITED STATES 4 a9 NUCLEAR REGULATORY COMMISSION a 1 0 REGION IV jee 4 yy 611 RYAN PLAZA DRIVE, SUITE 1000 „%*##H ARLINGTON,TEXAS 76011 "fill e^f,9r p r MAY 07 1S•85 _ + In Reply Refer To: Docket: 50-267/85-08 MAY 91985 /) GRE4-1,g,y cot°, Public Service Company of Colorado ATTN: 0. R. Lee, Vice President Electric Production P. 0. Box 840 Denver, Colorado 80201 Gentlemen: This letter forwards the report of the Systematic Assessment of Licensee Performance (SALP) Board for the Fort St. Vrain Nuclear Generating Station. The SALP Board met on April 12, 1985, to evaluate the performance of the Fort St. Vrain Nuclear Generating Station for the period October 1 , 1983, through February 28, 1985. The performance analyses and resulting evaluations are documented in the enclosed SALP Board Report. This report is being provided in advance of a meeting to be held between the NRC and Public Service Company of Colorado in late May or early June 1985. The specific time and place will be announced later. The performance of your facility was evaluated in the selected functional areas identified in Section IV of the enclosed SALP Board Report. The overall performance of Fort St. Vrain Nuclear Generating Station was satisfactory but exhibited a continuation of the problems noted during the previous SALP evaluation. Resources were strained or not effectively used such that minimally satisfactory performance was achieved with respect to plant operations; maintenance; licensing activities; quality programs and administrative controls affecting quality; and design, design changes, and modifications. Performance in these functional areas declined or showed no improvement since the last SALP period. A decline was also noted in emergency preparedness. Major strengths were noted in the areas of refueling and radiological controls, with these areas showing improvement since the last SALP period. We are concerned about the weaker performance in the five functional areas identified above, and request that you develop an expedited response to Region IV on the SALP Board's recommendations. Your responses should emphasize steps that have been taken for prompt improvement and recent accomplishments; i .e, plans implemented and results achieved since the latter part of the SALP evaluation period. You should be prepared to discuss these plans and actions at the meeting in late May or early June 1985, or earlier if practicable. Public Service Company of Colorado -2- Any comments which you may have regarding our evaluation of the performance of your facility should be submitted to this office within 30 days of the date of the formal meeting. Your comments , if submitted, and our disposition of them, will be issued as appendices to the SALP Board Report. Comments which you may submit are not subject to the clearance procedures of the Office of Management and Budget as required by the Paperwork Reduction Act, PL 96-511. Should you have any questions concerning this letter, we shall be pleased to discuss them with you. Sincerely, rfglit obert D. Martin Regional Administrator Enclosure: Appendix - SALP Board Report 50-267/85-08 Attachment 1 - NRR Licensing Input Attachment 2 - AEOD Input cc: Mr. D. W. Warembourg, Manager Nuclear Engineering Division Public Service Company of Colorado P. 0. Box 840 Denver, Colorado 80201 Mr. David Alberstein, 14/159A GA Technologies, Inc. P. 0. Box 85608 San Diego, California 92138 Kelley, Stansfield & O'Donnell Public Service Company Building 550 15th Street, Room 900 Denver, Colorado 80202 Chairman, Board of County Comm. of Weld County, Colorado Greeley, Colorado 80631 (cont. on next page) Public Service Company of Colorado -3- Regional Representative Radiation Programs Environmental Protection Agency 1860 Lincoln Street Denver, Colorado 80203 Mr. H. L. Brey, Manager Nuclear Licensing/Fuels Div. Public Service Company of Colorado P. 0. Box 840 Denver, Colorado 80201 J. W. Gahm, Manager, Nuclear Production Division Fort St. Vrain Nuclear Station 16805 WCR 194 Platteville, Colorado 80651 L. Singleton, Manager, Quality Assurance Division (same address) SALP BOARD REPORT U.S. NUCLEAR REGULATORY COMMISSION REGION IV SYSTEMATIC APPRAISAL OF LICENSEE PERFORMANCE Inspection Report 50-267/85-08 Public Service Company of Colorado Fort St. Vrain Nuclear Generating Station October 1, 1983 - February 28, 1985 I. INTRODUCTION The Systematic Assessment of Licensee Performance (SALP) program is an integrated NRC staff effort to collect available observations and data on a periodic basis and to evaluate licensee performance based upon this information. SALP is supplemental to normal regulatory processes used to ensure compliance to NRC rules and regulations. SALP is intended to be sufficiently diagnostic to provide a rational basis for allocating NRC resources and to provide meaningful guidance to the licensee' s management to promote quality and safety of plant construction and operation. An NRC SALP Board, composed of the staff members listed below, met on April 12, 1985, to review the collection of performance observations and data to assess the licensee performance in accordance with the guidance in NRC Manual Chapter 0516, "Systematic Assessment of Licensee Performance." A summary of the guidance and evaluation criteria is provided in Section II of this report. This report is the SALP Board's assessment of the licensee' s safety performance at Fort St. Vrain Nuclear Generating Station for the period October 1 , 1983, through February 28, 1985. The SALP Board was composed of the following members of the NRC staff: R. Denise Director, Division of Reactor Safety and Projects RIV R. Bangart Director, Division of Radiation Safety and Safeguards, RIV E. Johnson Chief, Reactor Project Branch 1, RIV J. Miller Chief, Operating Reactors Branch 3, NRR R. Ireland Chief, Special Projects and Engineering Section, RIV G. Plumlee Senior Resident Inspector, RIV P. Wagner Project Manager, RIV Attendees at all or part of the SALP Board meeting were: D. Powers Regional Technical Reviewer, RIV W. Seidle Technical Assistant, RIV J. Baird Chief, Emergency Preparedness Section, RIV J. Everett Chief, Nuclear Materials Safety Section, RIV B. Murray Chief, Facilities Radiological Protection Section, RIV II. CRITERIA Licensee performance is assessed in selected functional areas, depending whether the facility is in a construction, preoperational , or operating phase. Each functional area normally represents areas significant to nuclear safety and the environment, and are normal programmatic areas. Some functional areas may not be assessed because of little or no licensee activities or lack of meaningful observations. Special areas may be added to highlight significant observations. -2- One or more of the following evaluation criteria were used to assess each functional area. 1. Management involvement and control in assuring quality 2. Approach to resolution of technical issues from a safety standpoint 3. Responsiveness to NRC initiatives 4. Enforcement history 5. Reporting and analysis of reportable events 6. Staffing (including management) 7. Training effectiveness and qualification However, the SALP Board is not limited to these criteria and others may have been used where appropriate. Based upon the SALP Board assessment, each functional area evaluated is classified into one of three performance categories. The definitions of these categories are: Category 1. Reduced NRC attention may be appropriate. Licensee management attention and involvement are aggressive and oriented toward nuclear safety; licensee resources are ample and effectively used so that a high level of performance with respect to operational safety or construction is being achieved. Category 2. NRC attention should be maintained at normal levels. Licensee management attention and involvement are evident and are concerned with nuclear safety; licensee resources are adequate and are reasonably effective so that satisfactory performance with respect to operational safety or construction is being achieved. Category 3. Both NRC and licensee attention should be increased. Licensee management attention or involvement is acceptable and considers nuclear safety, but weaknesses are evident; licensee resources appear to be strained or not effectively used so that minimally satisfactory performance with respect to operational safety or construction is being achieved. The SALP Board has also categorized the performance trend over the course of the SALP assessment period. The trend is meant to describe the general or prevailing tendency (the performance gradient) during the SALP period. This categorization is not a comparison between the current and previous SALP ratings; rather the categorization process involves a review of performance during the current SALP period and categorization of the trend of performance during that period only. The performance trends are defined as follows: -3- Improved: Licensee performance has generally improved over the course of the SALP assessment period. Same: Licensee performance has remained essentially constant over the course of the SALP assessment period. Declined: Licensee performance has generally declined over the course of the SALP assessment period. III. SUMMARY OF RESULTS 1. Strengths Major station design changes in progress or previously completed and the aggressive control-rod-drive refurbishment program preparations identified at the end of this appraisal period indicate management' s attention to upgrading FSV to a more efficient, reliable, and safe plant. Strong ALARA controls are evident during the performance of all work activities. 2. Weaknesses Management controls in all functional areas indicate weaknesses. The most evident weaknesses were noted in the functional areas of plant operations, maintenance, licensing activities, quality assurance programs and administrative controls affecting quality and design, design changes, and modifications. The SALP Board determined that the examples of: failures to follow procedures, inadequate licensee technical reviews and responses, inadequate cleanliness controls, inadequate quality assurance program, and apparent breakdown in design change controls were the strongest indicators of weaknesses in management control . Significant weaknesses were identified both during routine NRC inspections and during the special NRC assessment of FSV in the area of plant operations and maintenance which reflect an operating philosophy that subscribes to a less formal mode of operation than is common at other commercial nuclear power plants. The areas of quality assurance and design control indicate significant weaknesses concerning implementation of program requirements which indicates a significant reduction in performance level over the last appraisal period. 3. Performance Category A summary of the licensee' s performance, as determined during the SALP Board meeting, is shown in the table below. Also included is the summary from the previous evaluation period. -4- Previous Present Trend During Performance Category Performance Category Latest SALP Functional Area (9/1/82 to 9/30/83) (10/1/83 to 2/28/85) Period A. Plant Operations 3 3 Same B. Radiological Controls 1 Improved 1. Radiation Protection 2 2. Confirmatory Measure- 2 ments, Chemistry/ Radiochemistry 3. Radwaste Systems, 2 Effluent Release, Effluent Monitoring 4. Transportation/Solid 1 Radwaste 5. Environmental Sur- 2 veillance C. Maintenance 2 3 Declined D. Surveillance 2 2 Same E. Fire Protection *** 2 Improved F. Emergency Preparedness 1 2 Same G. Security and Safeguards 2 2 Declined H. Refueling 2 1 Same I. Licensing Activities 3 3 Same J. Training 2 2 Same K. Quality Programs 2/3** 3 Declined and Administrative Con- trols Affecting Quality L. Design, Design Changes, 3 3 Declined and Modifications * Individual areas under radiological controls were not assigned a rating. ** Previously evaluated as two functional areas (quality assurance and management controls). *** No category assignment this period. -5- The total NRC inspection effort during this SALP evaluation period consisted of 43 inspections involving a total of 3248 hours onsite by NRC inspectors and contractors/consultants. A special audit of FSV operations was also conducted during July-August 1984. IV. PERFORMANCE ANALYSIS A. Plant Operations 1. Analysis This area has been inspected on a continuing basis by the NRC senior resident inspector (SRI) and region-based personnel and was examined by the NRC staff during the special assessment. The four violations below involve activities in the functional area of plant operations. These violations represent failure to follow procedures. • Severity Level IV Violation (50-267/8414-01). The nitrogen blanketing subsystem for the prestressed concrete reactor vessel (PCRV) cooling water surge tanks had been in a deviation status without operation' s knowledge. • Severity Level V Violation (50-267/8414-03). Reactor power was increased above 2% without having completed the Overall Plant Operating Procedure OPOP I.C. Master Check List. • Severity Level IV Violation (50-267/8415-02). The emergency firewater pump house fans were in a deviation status without operation' s knowledge. • Severity Level IV Violation (50-267/8416-01). No administrative procedure for shift and relief turnover was in effect. The six licensee event reports (LER) listed below can be attributed to plant operations: • Following a turbine trip and reactor trip, primary coolant moisture level increased. After the subsequent startup with outlet temperature greater than 1200°F, the concentration of total primary coolant oxidants exceeded 10 PPM. Operation continued in degraded mode of LCO 4.2. 10 for 1.6 hours. (LER 83-049) • PCRV cooling water system outlet temperature exceeded the 120°F limit of LCO 4. 2.15(b). The normal audible/visual alarm was isolated. Personnel failed to monitor temperature and return cooling water flow to the heat exchangers. (LER 83-052) -6- • Insertion of the neutron startup source fuel block into Region 22 increased startup rate Channel II count rate and initiated an automatic actuation of the reactor trip circuitry. (LER 84-003) • Loop I shutdown and two loop trouble trip occurred during rod withdrawal for startup when a high level moisture monitor tripped due to high moisture in the primary coolant. Two of three low level moisture monitors for Loop I were already manually tripped because they were inoperable. (LER 84-006) • Loop I shutdown occurred at 2% power when the rapid rise relay tripped; this tripped the 4160/480 volt transformer; this in turn tripped off the helium circulators due to loss of circulator bearing water. The cause was apparently a spurious actuation of the rapid rise relay contact. (LER 84-007) • A plant trip occurred from high pressure caused by icing in the coolant purification system caused by high coolant moisture content. The moisture came from automatic trip of helium circulator caused by loss of bearing water from trip of auxiliary transformer caused by trip of rapid rise relay. (LER 84-008) With respect to operational safety, satisfactory performance is being achieved, but weaknesses are evident: • Housekeeping has continued to be a problem as identified in NRC Inspection Reports 83-25 (Open Item 8325-03), 84-14, 84-15 (Open Item 8415-03), 84-16, 84-18, 84-29, and 84-34. • Weaknesses in the licensee' s startup procedures (Overall Plant Operating Procedure) have been identified by the SRI in NRC Inspection Reports 83-31 (Unresolved Item 8331-01), 84-13 (Open Item 8413-05) , and 84-14 (Violation 8414-03). This was addressed as an item of concern due to the reactor operators confusion over what the requirements were for completing certain sections of the startup book and when to complete these sections. • Operator knowledge of equipment/plant status and attentiveness to annunciators has been addressed as a weakness as identified in NRC Inspection Reports 83-25 (Open Item 8325-01), 84-14, 84-15 (Unresolved Item 8415-01, Violation 8415-02, and Open Item 8415-04) , 84-16 (Violation 8416-01) , 84-22, 84-26, 84-29, and 84-34. -7- • The NRC' s special assessment of the operation of FSV conducted during this appraisal period disclosed weaknesses in the conduct of operations which confirmed previous observations by the NRC. These weaknesses were attributed to an operating philosophy that appears to subscribe to less formality and less rigid control of operations in terms of the use of procedures, detail and verification steps in procedures, and adherence to procedures, than is common at other commercial nuclear power plants. (Refer to NRC Inspection Reports 84-18 and 84-22. ) • As identified in this assessment report and in NRC Inspection Report 84-16, failure to follow procedures by operators and other plant personnel has continued to be a problem. With respect to operational safety, the following improvements have been identified: • PSC has taken steps to enforce procedure usage which makes it clear that disciplinary action will be taken in any documented failure to follow procedure violation as identified in NRC Inspection Report 84-16. A positive effect of this improvement is not yet evident. • As identified in NRC Inspection Reports 84-13 and 84-14, the licensee has begun a program of walkdowns on systems disturbed during an outage to verify that piping and instrumentation drawings (P&ID) agree with the as-built system, and that the standard operating procedure (SOP) valve lineups also agree with the as-built system prior to plant startup from refueling. • PSC has increased shift manning by requiring a third senior reactor operator in the control room acting in a supervisory capacity. This additional senior reactor operator has provided additional oversight for plant operations, adherance to 'Technical Specification and procedural requirements, review of plant logs, shift turnover, and training. 2. Conclusions The licensee is considered to be in Performance Category 3 in this area. During this period, there has been some improvement in the performance of operators; however, the planned improvements at the management level are not evident yet. Overall the general trend has been the same. -8- 3. Board Recommendations a. Recommended NRC Actions A high level of NRC attention in this area should continue in an effort to assure that the licensee' s attention is directed at improving performance in this area. b. Recommended Licensee Actions Increased and vigorous management attention is required to improve performance in this functional area. Licensee management should emphasize adherence to procedures and Technical Specifications in an effort to reduce the number of procedural violations. Management should increase monitoring of plant operations until compliance is achieved. Management should also continue efforts for improving Technical Specifications and operating procedures. B. Radiological Controls 1. Analysis Ten inspections were conducted during the assessment period by region-based radiation specialists regarding radiological controls. These ten inspections covered the following areas: radiation protection-normal operations; radiation protection- control rod drive repair outages; radwaste management, effluent releases, and effluent monitoring; chemistry/radiochemistry and confirmatory measurements; transportation of radioactive materials/solid radwaste; and environmental monitoring. Three violations and two deviations were identified: • Severity Level IV Violation (50-267/8420-03) . Failure to make 10 CFR Part 50.72(a)(2) report regarding liquid effluents that exceeded two times MPC limits. • Severity Level IV Violation (50-267/8420-02) . Failure of continuous liquid effluent monitors to terminate releases that exceeded Technical Specification limits. • Severity Level V Violation (50-267/8404-01). Failure to follow health physics procedures. • Notice of Deviation (50-267/8328-01) . Failure to designate individual responsible for low-level waste transportation program. • Notice of Deviation (50-267/8328-02). Failure to conduct training regarding transportation activities. -9- The five LERs listed below can be attributed to the functional area of radiological controls: • With the reactor at ≥69% power, an unsampled radioactive gaseous release was made from the reactor building via the filtered and monitored ventilation exhaust stack. The release was calculated to be less than associated maximum permissable concentrations. The release was caused by a crack in the casing of the analytical moisture monitor allowing the escape of primary coolant into the reactor building. (LER 83-046) • Personnel failed to adjust the radioactive gaseous effluent activity monitor nominal alarm/trip setpoints in accordance with the 0DCM. (LER 84-001) • Reactor building sump sample was found to be above MPC for unknown beta emitters. (LER 84-009) • HP personnel failed to place continuous sampler in service resulting in a ≥10 gpm liquid effluent release from the reactor building sump without the sampler in service. (LER 84-010) • Both hot service facility area radiation monitors were inoperable for a period of time longer than that allowed by Technical Specifications. (LER 84-013) a. Radiation Protection This area was inspected five -times during the assessment period. These inspections involved: two inspections con- cerning work associated with control rod drive repair; one inspection during the refueling outage; one inspection of the ALARA program; and one inspection during routine operation. The person-rem at FSV continues to be below the national average for light water reactors. The total exposure during 1983 at FSV was 0.95 person-rem compared to the national average of 735 person-rem for light water reactor. The FSV total for 1984 was 3 person-rem. The 1984 person-rem for light water reactors have not been tabulated, but it is expected that the 1984 data will be about the same as 1983. -10- The licensee implemented a comprehensive program to control radiation protection activities during control rod drive repair work. The licensee devoted considerable effort during the advanced planning and preparation phase to assure proper controls were implemented during actual work activities. The radiation protection department maintains an aggressive program that requires adherence to established controls. The radiation protection manager was promoted to the posi- tion of support services manager. This new position in- cludes responsibility for managing the licensed and nonlicensed training programs along with previous manage- ment responsibilities for the radiation protection and radiochemistry programs and functioning as the radiation protection manager. During this same period, the support services manager was also assigned the responsibility for managing the environmental monitoring and water chemistry programs which were previously the responsibility of the corporate office. The staffing of the radiation protection staff has been stable during the assessment period; the turnover rate has been less than 10%. All of the radiation protection technicians meet the ANSI N18. 1-1971 qualifications as senior health physics technicians. b. Chemistry/Radiochemistry and Confirmatory Measurements This area was inspected once during the assessment period which included onsite confirmatory measurements with the Region IV mobile laboratory. Problems continue to exist concerning acceptable agreement between the NRC' s and the licensee' s results of radionuclides identified on prepared charcoal cartridge standards. This same problem existed in the previous assessment period. Radionuclide analyses of all other sample media were in 100% agreement. The radiochemistry staff has experienced a low turnover rate during the past several years. As a result, a stable program exists with an adequate number of experienced technicians. Several problem areas were identified with the water chemistry program concerning analytical procedures, QA/QC program, and a formal training program. Organization changes occurring during the assessment period included transferring the responsibility for supervising the water -11- chemistry program from the corporate office to the site under the management of the support service manager. c. Radwaste Management, Effluent Releases, and Effluent Monitoring This area was inspected initially as part of the routine inspection program and a second time during a special inspection. The special inspection included a violation concerning the failure of the liquid effluent monitors to terminate releases that contained high concentrations of beta activity. The liquid releases at FSV are unique when compared to light water reactors in that beta activity has been the predominant concern during liquid releases. The installed monitors, which are described in the FSAR, were designed to respond to gamma activity. Consequently, the monitors failed to terminate releases, which included high concentrations of beta activity. The effluent sampling and analyses activities are well defined with only minor changes occurring in the program. There has been little turnover in the past several years regarding personnel responsible for performing effluent analyses. d. Transportation Activities and Solid Radwaste This area was inspected once during the assessment period. The licensee had made shipments involving both spent fuel and low-level waste. Two deviations concerning IE Bulletin 79-19 were identified: (1) failure to designate a person responsible for the low-level waste transportation program; and (2) failure to conduct training on transportation activities. The FSV facility generates small amounts of low-level waste when compared to a typical light water reactor. The licensee has made about 10 low-level radwaste shipments between 1973 through 1984. Most of these shipments were made in 1983 and consisted of contaminated reflector blocks. No shipments were made in 1984. During late 1984 and early 1985, the licensee accumulated considerable amounts of low-level waste as a result of the control rod drive repair work, which is additive to that already stored on the site. Some of this low-level waste is scheduled to be shipped in late-1985. The licensee had revised their procedures to include the July 1, 1983, update to the DOT regulations, but procedures -12- have not been developed that address the revisions to 10 CFR 20.311, 10 CFR 61.55, and 10 CFR 61.56 which were effective December 27, 1983. e. Environmental Monitoring The environmental monitoring program was inspected once during the assessment period. No significant problems were identified during the inspection. The licensee amended their radiological effluent Technical Specification in November 1983 to be in agreement with the format in NUREGs 0472/0473. The responsibility for management and implementation of the environmental monitoring program was transferred from the corporate office to the site under the supervision of the support services manager. Under the new organization, the environmental monitoring program is included as part of the chemistry/radiochemistry organization. 2. Conclusions The licensee' s person-rem values continue to be less than 1% of the national average for light water reactors. The radiation protection and radiochemistry programs are well managed with a high level of technical competence. The organization changes involving the water chemistry program should provide improvements in the areas of QA/QC activities, implementing procedures, and training. The reassignment of responsibilities for the environmental monitoring program should provide better technical oversight of program activities. The radiation protection manager (support services manager) has been assigned management responsibility for the training, environmental monitoring, and water chemistry programs. The additional work load will reduce the amount of time he has available for radiation protec- tion manager duties. The liquid effluent monitors described in the FSAR do not provide adequate monitoring for beta activity. Transportation procedures have not been revised to include the December 27, 1983, update to 10 CFR 20.311, 10 CFR 61.55 and 10 CFR 61.56. Confirmatory measurement results on prepared charcoal cartridge standards indicate disagreement between the NRC' s and the licensee' s measurements. The licensee is considered to be in Performance Category 1 in this area. Trend: Improved. -13- 3. Board Recommendations a. Recommended NRC Actions The overall level of NRC inspection effort in this area can be reduced but additional inspection related to water chemistry, transportation, liquid effluent control will be performed. b. Recommended Licensee Actions Management attention is needed to assure that the radiation protection manager has adequate time available to devote to radiation protection activities. The licensee' s calibration program regarding the analyses of charcoal cartridges should be reviewed to verify the validity of their measurements. Transportation procedures should be updated to assure the requirements of 10 CFR 20.311, 10 CFR 61.55 and 10 CFR 61.56 are included as part of the transportation program. Management needs to take positive steps to ensure that unplanned and unmonitored releases do not occur. C. Maintenance 1. Analysis This area was inspected on a continuing basis by the SRI and one inspection was performed by region-based personnel . The three violations below involve activities in the functional area of maintenance. One violation (8422-01) consists of two parts against maintenance with a third part involving activities in the functional area of quality assurance. One violation (8429-02) involved activities in both the functional area of maintenance and quality assurance. These violations can be attributed to the failure to follow procedures. • Severity Level V Violation (50-267/8415-08) . A special test was in progress without having the shift supervisor' s signature documenting permission to initiate the test. • Severity Level IV Violation (50-267/8422-01). a. During a review of a design change to the steam generator marmon flanges, the NRC inspector determined that weld data sheets were not attached to the controlled work procedure (CWP), weld data sheets did not contain the required testing and visual inspection requirements, weld rod control was not in accordance with Procedure WM-7, and weld data reports were not completed. -14- b. (This part of the violation is listed under the area of quality programs and administrative controls affecting quality. ) c. It was also determined during the above review that electrode control was not recorded on the weld rod control form. • Severity Level IV Violation (50-267/8429-02). The assembly of the shim motor and brake subassembly on control rod drive (CRD) 21, an activity affecting quality, had a hold point and procedural steps that were not signed off as required. The nine LERs listed below can be attributed to the functional area of maintenance: • Emergency diesel generator set taken out-of-service due to blown air filter petcock disabling the air starter motor. Reportable as a degraded mode of LCO 4.6.1(d) . (LER 83-041) • "lA" Boiler feedpump removed from service three times from October 6-11, 1983, to resolve speed oscillation problems while "1C" boiler feedpump was out for repairs. Plant at power. Report required due to degraded mode of LCO 4.3.2. (LER 83-042) • The bearing water makeup pump was removed from service to perform maintenance on leaking valves and filters associated with the pump. Pump was removed from service with reactor at power constituting a degraded mode of LCO 4.2.2(d) . (LER 83-044) • The Halon 1301 system and associated isolation dampers in the three-room complex were removed from service to perform modification work associated with CN 1722. (LER 83-045) • One Class I hydraulic shock suppressor (snubber) found inoperable. No visible oil level in reservoir due to leaking reservoir gaskets. (LER 83-047) • Two of three of the "10" helium circulator bearing water pressure differential switches were found inoperable due to an accumulation of dirt and oil on the switches. (LER 83-048) -15- • Mounting bolt washout and concurrent vibration damaged air intake filter and generator mounting assembly on the ACM-DG. ACM-DG was out-of-service for almost 2' days. (LER 83-051) • Bearing water makeup pump (P-2105) removed from service to perform maintenance on leaking valves. Constitutes operation in a degraded mode of LCO 4.2.2(d) . (LER 83-053) • On two successive days, the emergency feedwater supply header to the Loop I helium circulators was isolated to repair leaking valves. This constitutes operations in a degraded mode of LCO 4.2.2(a) . (LER 83-054) With respect to maintenance, satisfactory performance is being achieved, but some weaknesses are evident: • Problems with improper completion of plant trouble reports (PTR) and station service requests (SSR) were identified in NRC Inspection Reports 84-01, 84-13 (Open Item 8413-03) , and 84-34. • As identified in NRC Inspection Report 84-16, the backlog of PTRs has continued during this assessment period and was most evident by the large number of "out-of-service tags" on switches, alarm windows, and other equipment in the control room. • Poor maintenance practices were identified in NRC Inspection Reports 84-16, 84-22, 84-29, and 84-34 (Open Item 8434-01) . • Poor housekeeping was also identified as an area of concern in NRC Inspection Reports 84-29 and 84-30. • The October 1984 NRC assessment of FSV maintenance activities resulted in the following concerns: 1) Scheduling - no formalized priority system. 2) Preventive Maintenance - appeared to be a static, nontechnical approach, rather than a dynamic, technology-based, engineered method for ensuring equipment readiness. 3) Spare Parts Management - no shelf-life program and no special designation for safety-related items. -16- 4) Maintenance Procedure - some procedures were not precise. 5) Maintenance Testing - licensee does not endorse 100% postmaintenance testing. 6) Backlog - no means to display the status of backlog items to management. With regard to maintenance, the following improvements have been identified: • The licensee has developed the Power Plant Maintenance Information System (PPMIS) for maintenance documentation gathering. • The licensee has initiated a large—scale cleanup program in response to the June 1984 special inspection (NRC Inspection Report 84-16) by Region IV personnel . 2. Conclusions Due to the increase in the number of violations in this reporting period versus the last SALP, as well as the marked decrease in the quality of maintenance activities as identified in the above analysis over the last reporting period, the licensee' s overall performance rating has decreased in this functional area. The licensee has initiated programs designed to improve their performance in this area, however, as of the end of this reporting period, no significant improvement has been achieved. The licensee is considered to be in Performance Category 3 in this area. Trend: Declined. 3. Board Recommendations a. Recommended NRC Actions The NRC inspection effort in this functional area should be increased. Emphasis should be placed in the areas of housekeeping, scheduling, preventive maintenance, spare parts management, maintenance procedures, maintenance testing, and maintenance practices. -17- b. Recommended Licensee Actions Licensee management attention should be increased in the areas of weaknesses identified above. Initiatives should also be undertaken to strengthen overall management control in this area. D. Surveillance 1. Analysis This area was inspected on a continuing basis by the SRI. The one violation below involved activities in the functional area of surveillance. This violation can be attributed to a failure to follow procedures. • Severity Level IV Violation (50-267/8329-01) . PCRV cooling system subheader temperature alarms were not tested and temperature readings were not checked as required. The eight LERs listed below can be attributed to the functional area of surveillance: • Surveillance requirement for PCRV cooling water system temperature scanner not performed within the required interval . A temporary scheduling technician did not deliver the test to the responsible department prior to the "late" date. (LER 83-050) • During surveillance test, one of eight helium circulator penetration safety valves was found to relieve at a setting below the minimum acceptable set pressure. (LER 83-055) • Routine surveillance test identified one of three bearing water pressure differential switches inoperable. (LER 84-002) • Surveillance test requirements for SR 5.2.23, firewater booster pump surveillance were not performed in conjunction with Surveillance Test SR 5.2.7a-A, water turbine drives surveillance due to a procedure inadequacy caused by personnel modifying the procedure without adequate technical review of the change. (LER 84-004) • Corrosion and failure of PCRV tendon wires. (LER 84-005) • Surveillance test identified five of twelve UT detectors for steam pipe rupture under the PCRV and one of twelve UT -18- detectors outside the PCRV as out-of-tolerance limits. (LER-011) • Reserve shutdown hopper of Control-Rod-Drive-and- Orifice Assembly 21 failed the functional test of SR 5. 1.2c-X when only half of the reserve shutdown material was released. (LER 84-012) • Semiannual surveillance for loss of outside power and turbine trip failed. Both diesel generator tie breakers failed to close. (LER 84-014) 2. Conclusions With respect to surveillance, satisfactory performance is being achieved. The licensee is considered to be in Performance Category 2 in this area. Trend: Same. 3. Board Recommendations a. Recommended NRC Actions The NRC should maintain a normal level of attention in this area. b. Recommended Licensee Action The licensee management should take steps to ensure the accuracy of surveillance procedures. The proposed program for Technical Specification upgrade to incorporate a surveillance for each limiting condition for operation (LCO) should continue to be actively pursued. E. Fire Protection 1. Analysis This area was inspected on a continuing basis by the SRI . One inspection was performed in this area by a region-based inspector. The one violation and two deviations below involved activities in the functional area of fire protection. The violation can be attributed to the failure to follow procedures. -19- • Notice of Deviation (50-267/8412-09) . Public Service Company of Colorado committed, in Section 2.0 of the fire protection program review for Fort St. Vrain Nuclear Generating Station in response to Branch Technical Position 9.5-1, submitted by letters P-78167 and P-78182, dated October 13, 1978, and November 13, 1978, to certain planned improvement actions in order to meet the guidelines of the Branch Technical Position 9.5-1. In deviation from this commitment: (1) three 55-gallon drums of oil were found stored in front of the Loop 2 buffer-helium panel (S 2112) and one 55-gallon drum of oil was found stored just under the end of the bearing water cooler (E 2105 S) ; (2) the hydraulic oil mist detector had not been hooked up and is inoperable; (3) the fire detectors to be installed, according to Table 2.0-1, have either not been installed or made operable; and (4) lubricating oil is still being stored in drums in the fuel handling purge system equipment room. • Severity level IV Violation (50-267/8414-02) . Areas were identified inside the reactor building where: unused combustible material was not stored in covered flameproof containers; used combustible material was not kept in noncombustible bins or containers; equipment manuals (procedures) were not stored in suitable cabinets; and work areas were not controlled as required. • Notice of Deviation (50-267/8430-04) . Installation of fire detection equipment and an oil mist detection system had not been completed by October 1984 as committed in letter P-84194 and a request for change in schedule had not been received by the NRC. No LERs can be attributed to the area of fire protection. A special fire protection safety inspection (NRC Inspection Report 83-23) was conducted August 22-26, 1983, to determine compliance with 10 CFR 50.48 and applicable sections of 10 CFR 50, Appendix R. As identified in the previous SALP Report 83-30, the results of this inspection were under review and evaluation. The results of this inspection indicated the need to expeditiously resolve the issue of compliance of FSV to the requirements of Appendix R. FSV responded to NRC letters that they were in compliance with Appendix R. The licensee relied on previous (BTP 9.5. 1 Appendix A) evaluations even though 10 CFR 50.48 and NRC letters required a reassessment to ensure compliance with Items III .G. , -20- III .3. , and III.0. of Appendix R. The staff requested that the required reassessment be promptly completed so that compliance determinations can continue. The licensee subsequently committed to perform the reassessment which was to consist of a four report submittal . As of the end of this reporting period, the staff has received the first, second, and third reports (i .e. , Shutdown Model , Electrical Reviews, and Fire Protection) of the four-part evaluation performed by the Tenera Corporation for PSC. The fourth report, to consist of proposed modifications and exemption requests, was received April 1, 1985. A subsequent commitment was made to provide a fifth report providing a BTP 9.5-1, Appendix A type evaluation for the new Building 10 and is due June 1, 1985. The reports are currently under review/evaluation by the staff. Findings from this review will be factored into the next appraisal . With respect to fire protection, satisfactory performance is being achieved, but weaknesses are evident: • Housekeeping, as identified in the violation and deviation above as well as in other functional areas of this report, has continued to be an area of concern during this assessment period. • The licensee did not agressively pursue the evaluation and resolution of Appendix R issues until late in the evaluation period. 2. Conclusion The licensee has initiated programs to improve plant cleanliness which has resulted in bringing the plant' s housekeeping to what must be considered an average level . However, housekeeping still continues as an area in need of further improvement. The licensee is considered to be in Performance Category 2 in this area. Trend: Improved. 3. Board Recommendations a. Recommended NRC Actions The level of NRC inspection effort should remain about the same with emphasis placed on the licensee' s completion of 10 CFR Part 50, Appendix R, commitments. -21- b. Recommended Licensee Actions Licensee management must continue its involvement in upgrading the fire protection system to meet 10 CFR Part 50, Appendix R, requirements. Also, licensee management should continue to place emphasis on improving housekeeping practices at FSV. F. Emergency Preparedness 1. Analysis During the assessment period, three emergency preparedness inspections were conducted. The first inspection, conducted October 24-28, 1983, was a review of the emergency preparedness program in the areas of emergency detection and classification, protective action decision making, emergency notification and communication. No violations or deviations were identified, but concerns were identified in regard to shift supervisors capabilities in following emergency implementing procedures, describing the emergency coordinator function, and the transfer of authority during the course of the emergency. These NRC concerns were not effectively addressed in a timely manner as demonstrated by similar problems identified during the licensee' s emergency exercise in August 1984. The next inspection was conducted during the period February 27 through March 2, 1984. This inspection reviewed the licensee' s program in the areas of emergency response organization staffing and augmentation, emergency training, emergency worker protection and changes to the emergency preparedness program. No significant problems were identified during this inspection. The last inspection was conducted during the period August 13-17, 1984. The inspection included observation of the licensee' s annual emergency exercise conducted on August 15, 1984. During this exercise, significant problems were observed in regard to station staff following emergency plan implementing procedures and demonstrating effective management control of the emergency response facilities resources. In addition, a violation was identified in regard to the distribution and timeliness of submittal to NRC of amendments to the emergency plan. The licensee' s response to these findings was considered to satisfactorily address the NRC concerns, but had not been verified by inspection by the end of the period. During the August 15, 1984 exercise, an adequacy survey of the prompt public alert and notification system (tone alert radios) -22- was conducted by the Federal Emergency Management Agency (FEMA) . Subsequent analysis of survey data led to a conclusion by FEMA that the system performance did not provide reasonable assurance that the system was adequate to alert and notify the public in the plume exposure emergency planning zone in the event of an accident at the station. Just prior to the end of the assessment period, this deficiency was identified to the licensee along with a request for corrective action and use of compensating measures until the action is completed. This issue had not been resolved by the end of the period. Several organizational changes were made during the assessment period in the areas of station management and emergency preparedness which appeared to have the potential to strengthen the emergency preparedness program. There were no reportable events in the emergency preparedness area received during this reporting period. 2. Conclusions The licensee has maintained an acceptable level of emergency preparedness during the period and demonstrated adequate capability to protect the health and safety of the public during an emergency exercise. However, the licensee' s program in this area decreased in effectiveness during the period from the level attained during the previous assessment period. Corporate and station management appeared to be actively involved in the program but management controls were not effective in maintaining the level of preparedness and resolving NRC concerns during the first two-thirds of the period. Organizational changes made in the latter part of the period appeared to strengthen the licensee' s management controls and provide more attention to implementation of an effective emergency preparedness program. The licensee is considered to be in Performance Category 2 in this area. Trend: Same. 3. Board Recommendations a. Recommended NRC Action The NRC inspection effort in this functional area should be conducted in accordance with the normal inspection program. -23- b. Recommended Licensee Action The licensee should maintain a high level of attention in this area to assure that the management changes made during the latter part of the period are effective in addressing the concerns identified by the NRC during the period and reversing the downward trend observed during the first part of the period. G. Security—Safeguards 1. Analysis The physical security staff performed five inspections during this SALP period. NRC Inspection Reports 83-32, 84-05, 84-09, 84-23, and 84-35 document the findings of these inspections. All inspections were routine. All inspections except 84-35 were unannounced. The two violations listed below involve activities in the functional area of security: • Severity Level IV Violation (50-267/8423-02) . Inadequate key control . • Severity Level IV Violation (50-267/8423-03) . Failure to maintain operable detection aids. A management meeting was held on February 19, 1985, to discuss vital equipment withheld from Revision 14 to the physical security plan that had previously been characterized as vital equipment. The licensee was given the opportunity to provide the technical basis for describing this equipment as nonvital or place this equipment back in the physical security plan and protect it in accordance with 10 CFR 73.55(c)(1). The management meeting was called to discuss this inadequacy of the physical security plan discovered in December and documented in Inspection Report 84-35. The licensee was noted to lack initiative in making improvements in the security program. 2. Conclusion The licensee has now improved his security plan, and present licensee management is more effective and responsive to the need to improve the program. They still need to demonstrate increased initiative. The licensee is considered to be in Performance Category 2. Trend: Declined. -24- 3. Board Recommendations a. Recommended NRC Action Continue basic program. b. Recommended Licensee Action The licensee management should take an aggressive approach in resolving security-related issues. H. Refueling 1. Analysis This area was inspected on a periodic basis by the SRI during the licensee' s third refueling outage. No violations or deviations were identified. The conduct of refueling activities reflected preventive maintenance, adequate staffing, and training which resulted in a smooth and uneventful refueling. No LERs can be attributed to the area of refueling. 2. Conclusion With respect to refueling, satisfactory performance is being achieved. The licensee is considered to be in a Performance Category 1 in this area. Trend: Same. 3. Board Recommendations a. Recommended NRC Actions The level of NRC inspections should remain consistent with the basic inspection program. b. Recommended Licensee Actions The licensee should maintain the present level of attention in this area. The licensee should perform adequate planning prior to the next refueling to ensure that the fuel examination activities and the equipment necessary are -25- well defined and agreed to between the NRC and the licensee. I. Licensing Activities 1 . Analysis The evaluation of the licensee' s performance in this functional area was based on consideration of the seven attributes specified in NRC Manual Chapter 0516, but was weighted in favor of the key attributes of management involvement, resolution of technical issues, and responsiveness. A discussion of the analysis of this functional area is contained in the enclosure to this report. 2. Conclusion Based on our evaluation of the attributes as they relate to the licensing activities, an overall Performance Category 3 is determined. Specifically, management attention and involvement must be improved and resolution of NRC initiatives must be more aggressively pursued. 3. Recommendations In order to improve performance in the licensing activities functional area, the following is recommended: a. PSC nuclear department staffing levels should be reevaluated to ensure that there is adequate attention to licensing issues, and that personnel are made aware of and knowledgeable in the light water reactor licensing activities; b. A program should be implemented that will keep PSC management informed of current NRC initiatives in other reactors, and provide for an assessment of how those initiatives could affect Fort St. Vrain; and c. PSC should identify an individual with responsibility to ensure complete, timely, and correct responses to NRC requests. J. Training 1. Analysis Two specific inspections in this functional area were performed by NRC region-based inspectors. Eight inspections conducted in -26- other functional areas also assessed training quality and effectiveness for that area. There were no violations or deviations identified in the training areas. During the period, there were numerous cases of personnel failing to follow procedures. No LERs can be attributed to the area of training. Two senior reactor operator replacement retake examinations were administered in February 1984. Both candidates passed the examination. The Fort St. Vrain Requalification Program was evaluated as satisfactory after administering examinations to a sample of licensed personnel in July 1984. Overall operator licensing performance, based on this small sample, has been acceptable during the SALP review period. 2. Conclusions The licensee continues to demonstrate a satisfactory training program although weaknesses are evident by the performance noted in several of the above functional areas. The licensee is considered to be in Performance Category 2 in the functional area of training. Trend: Same. 3. Board Recommendations a. Recommended NRC Actions The level of NRC inspection effort in this functional area should focus on training effectiveness. b. Recommended Licensee Actions The licensee should place emphasis on continuing to pursue the INPO accreditation program. The licensee should emphasize the importance of procedure compliance in the training program. The licensee should prepare for training on the revised operating procedures and technical specifications. -27- K. Quality Programs and Administrative Controls Affecting Quality 1. Analysis This area was inspected on a continuing basis by the SRI and periodically by region-based inspectors. The inspections included organization and administration, safety review committees, licensee audits, quality assurance (QA) program, quality control program, procurement activities, and quality materials receipt, handling, and storage. Included in the scope of this functional area was the licensee' s utilization of the quality control (QA/QC) organization and maintenance quality control (MQC) organization. The degree and success of administrative controls exerted by the licensee over safety—related activities at FSV was not the subject of specific inspections during this evaluation period, but management involvement is considered during many inspection activities. Included within the scope of this functional area is management' s utilization of the plant operations review committee (PORC) , and the nuclear facility safety committee (NFSC). The ten violations and one deviation below involved activities in this functional area. One part of a three-part violation (8422-01) involved activities in this functional area. One violation (8429-02) involved activities in both this functional area and maintenance. These violations can be attributed to the failure to follow procedures and an inadequate QA program. • Severity Level IV Violation (50-267/8401-01) . The required receipt inspection had not been performed on safety-related switchgear purchased for electrical system modifications to be made during the third refueling outage. • Severity Level IV Violation (50-267/8401-04) . A QA/QC inspector failed to document nonconforming reserve shutdown material purchased under Purchase Order (PO) N3554, and failed to accumulate the QA PO record file for the purchase as required to include all pertinent documents. • Severity Level V Violation (50-267/8401-05) . MQC was not reviewing all new/revised maintenance procedures as required • Severity Level IV Violation (50-267/8414-04) . Surveillance SR 5.2.16f-RX, "PCRV Auxiliary System Penetration Check Valve Test," and Maintenance Procedure MP 11-3, "Repair/Replacement of Reactor Penetration Purge Flow and RSD in Line Check Valves," had not been followed and SR 5.2. 16f-Rx did not contain appropriate proof tests. -28- • Notice of Deviation (50-267/8415-06) . In deviation from PSC letter P-80028 in response to actions taken at FSV to implement the TMI requirements, an annual independent check of plant operations and specifically shift turnover procedures had not occurred during 1983. • Severity Level IV Violation (50-267/8422-01) . a. (See the functional area of Maintenance. ) b. Postweld heat treatment specification data and report sheets were not completed and/or attached to the control work procedure (CWP), mandatory QA/QC inspection hold points were not identified, and the PWHT charts were not signed/dated by QA/QC. c. (See the functional area of Maintenance. ) • Severity Level IV Violation (50-267/8422-02) . No inspection points had been inserted in the CWP-Deviation Reports for CWP 84-120; a hold point had not been assigned to an item that required all work to stop in order to perform the inspection; and the review of completed CWPs 83-171 and 84-74 had not been performed. • Severity Level IV Violation (50-267/8429-02) . The procedure for the assembly of the shim motor and brake subassembly on CRD 21, an activity affecting quality, had a hold point and procedural steps that were not signed off as required. • Severity Level IV Violation (50-267/8430-02) . Applicable portions of the licensee' s QA program, as defined in their FSAR for the alternate cooling method (ACM) equipment, the fire protection system, and the plant security system, were not documented by written policies, procedures, or instructions. • Severity Level V Violation (50-267/8501-01) . Items received for Supplement 2 to PO N-5868 were not inspected using MRIM-2.4. • Severity Level IV Violation (50-267/8503-01). Quality-related-confirming orders for control-rod-drive and orificing-assembly parts were processed without nuclear engineering division and quality assurance reviewed purchase requisitions. -29- The one LER listed below can be attributed to this functional area: • GA Technology' s assumptions used in development of Figure 4. 1.9-1 and 4. 1.9-2 of LCO 4.1.9 were not conservative and could have led to reactor operation in a manner less conservative than that assumed in the basis of the specification. Plant was operating at about 66% power when this error was identified. (LER 83-043) With respect to QA, satisfactory performance is being achieved, but weaknesses are evident: • There has been a significant increase in numbers of procedural violations during the appraisal period. • The increase in failure to comply with procedures describing the licensee' s QA program (Violations 8401-01, 8401-04, 8401-05, 8414-04, 8422-01, 8422-02, and 8429-02) and the failure to document portions of this program (Violation 8430-02) is considered a significant decrease in performance. • NRC Inspection Reports 84-26 (Violation 8426-02) and 84-29 (Violation 8429-04) indicate weaknesses in the licensee' s corrective action program for which problems previously identified by the licensee' s QA department were not corrected in a timely manner. • This appraisal period has identified numerous weaknesses in the area of procurement and receipt inspection. (e.g. , Unresolved Item 8401-03, Open Item 8417-07, and Violations 8401-01, 8401-04, 8501-01, and 8503-01) • Responses to QA audit findings frequently are not timely or responsive. • Inadvertent deletion of QA commitments to the NRC has been identified as a weakness (Open Item 8415-07 and Deviation 8415-06) . • Inadequate MQC inspection, control of nonconforming material , and traceability of safety-related parts have been identified as a weakness (NRC Inspection Reports 84-18, 84-30, and 85-03). -30- • During the NRC assessment of FSV operations in July and August 1984, concerns were identified with the licensee not having a shelf-life program and not having a parts management system with a special designation for safety-related items. This review also concluded that PSC should undertake initiatives designed to strengthen overall management control . • NRC Inspection Report 84-22 addressed the NRC' s concerns over management controls affecting quality that permitted the recurrence of the types of violations and activities as noted in the report. As noted in NRC Inspection Report 84-34, the licensee has contracted Gilbert Commonwealth, Inc. , to perform: (1) a complete review of FSV licensing requirements, (2) clearly define and provide procedural guidance for commercial grade components, sole source suppliers, identical replacement parts, and vendor qualification criteria, and (3) prepare a new definition of "quality-related." Several of the contractor' s resulting recommendations were beyond the original scope of the proposed work, but were evaluated by PSC to be legitimate and warranted further investigation. Gilbert Commonwealth' s review indicated that significant weaknesses exist in the licensee' s QA program within the areas of classification of items, FSV administrative procedures, vendor evaluations and source inspection, receiving inspection activities, and storeroom separation and shelf-life. As identified in the licensee' s letter dated February 28, 1985, P-85066, the licensee contracted with NUS Operating Services Corporation to perform an independent assessment of PSC' s management controls for its nuclear activities. This investigation confirmed the basic concerns that were identified by the NRC and provided recommendations which, if aggressively implemented on a timely basis, should correct the identified weakness. PSC submitted an action plan constituting a first-phase response to the NUS report. 2. Conclusions Significant weaknesses have been identified during this appraisal period in the areas of administrative controls and oversight of nuclear activities, procedural violations, corrective action program, procurement and control of nonconforming materials, and parts management. -31- The licensee has initiated programs designed to improve their performance in this area, however, as of the end of this reporting period, the programs are still being developed and no significant improvement has been observed. The licensee is considered to be in Performance Category 3 in this area. Trend: Declined. 3. Board Recommendations a. Recommended NRC Actions The NRC inspection effort in this functional area should be increased. Emphasis should be placed in the areas of: design changes; QA program; and followup of licensee corrective actions, management' s program to ensure procedural compliance and implementation of appropriate Gilbert Commonwealth' s and NUS recommendations. b. Recommended Licensee Actions Licensee management attention must be increased to the extent necessary to provide sufficient management oversight of its nuclear activities. Emphasis should be increased in: the QA department' s independence and capability to provide timely corrective action; implementing, on a timely basis, contractor recommendations to correct identified weaknesses; and improving the quality of communications between the PSC QA, production, and engineering departments. The licensee should implement an increased audit/monitoring activity to identify and correct weak areas. L. Design, Design Changes, and Modifications 1. Analysis This area was inspected on a continuing basis by the SRI . One inspection was performed in this area by region-based personnel . The eight violations and one deviation identified below involve activities in the functional area of design, design changes, and modifications. The violations below can be classified as failures to follow procedures and inadequate design controls. -32- • Severity Level V Violation (50-267/8326-01) . The NRMCA certificate was not available and the certification for the batch plant had not been approved by the NRMCA. • Severity Level V Violation (50-267/8412-01). The control room copy of Drawing PI-21-10 had not been updated as required. • Notice of Deviation (50-267/8414-05). In deviation from PSC letter P-83368, dated November 10, 1983, in response to violations contained in NRC Inspection Report 83-24, "old" CWP forms were still in use on May 14, 1984. • Severity Level V Violation (50-267/8414-12). The process of performing/controlling CWPs, procedure/inspection/test/ reports (PITR) , and deviation reports (DR), which are activities affecting quality, were not prescribed by instructions/procedures. • Severity Level IV Violation (50-267/8422-03) . a. CWP-DRs for CWP 84-120 affected the tagging boundaries and were not approved by the shift supervisor; CWPs 83-171 and 84-74 were not processed, controlled, and implemented as required; and the systems addressed in CWPs 83-171 and 84-74 were returned to service without the shift supervisor performing the required verifications. b. The shift supervisors were not following the corrective actions in the licensee' s letter P-82049, in response to Violation 8126-03, concerning the return of modified systems to service. c. The licensee' s administrative procedure revision in response to Violation 8324-01 did not prevent the shift supervisor from returning a system to service without performing the required verifications. • Severity Level IV Violation (50-267/8422-06) . Licensee submittals to IE Bulletin 80-11 were not submitted under oath or affirmation and did not provide a complete detail of wall modifications with drawings as required. • Severity Level IV Violation (50-267/8426-02) . The controlled work procedure manual was not being used during the preparation of CWPs. -33- • Severity Level IV Violation (50-267/8429-03). Requirements for controlling and documenting safety-related design changes were not followed. • Severity Level IV Violation (50-267/8429-04) . Design changes on safety-related equipment were authorized based on engineering judgement for which no design verification or checking was performed. No LERs can be attributed to this area. With respect to design, design changes, and modifications, satisfactory performance is being achieved, but weaknesses are evident: • NRC Inspection Reports 84-14 and 84-26 identified poor planning/analysis in the area of design modifications. • NRC Inspection Report 84-22 (Unresolved Item 8422-05) and 84-29 (Violation 8429-04) identified the use of "engineering judgement" as a design change justification without supportive design verification. • As identified in the above violations and in the previous SALP, the breakdown in the licensee' s design change program regarding newly modified systems being returned to operation without the required documentation and shift supervisor verification continued to be a weakness. • A significant weakness was identified concerning certain portions of the licensee' s design program not being prescribed by instructions/procedures. • The same statement from the last two appraisal reports should again be reemphasized, "This functional area requires considerable coordination between the nuclear engineering division and the nuclear production division on a day-to-day basis." Coordination between the design groups and the QA department has also been identified as a weakness during this appraisal period. 2. Conclusions The licensee is considered to be in Performance Category 3 in this area. Trend: Declined. -34- 3. Board Recommendations a. Recommended NRC Actions The level of NRC inspection effort in this functional area should be increased with particular emphasis placed on the licensee' s development and control of modifications. b. Recommended Licensee Actions Increased management attention in the area of modification controls; coordination between NED, NED-site, QA, and production; CN preparation; and increased emphasis on implementation of 10 CFR 50.59. . V. SUPPORTING DATA AND SUMMARIES A. Licensee Activities 1. Major Outages October 29, 1983 - Unscheduled outage for 62. 1 hours - automatic scram due to moisture. Outage extended to perform surveillance testing. November 1, 1983 - Continued outage from October to complete scheduled surveillance testing - 167 hours. January 19, 1984 - Commenced scheduled refueling - thru May 16, 1984 included turbine overhaul , routine corrective and preventive maintenance, "A" helium circulator changeout, PCRV tendon surveillance. June 22, 1984 thru - Unscheduled outage continued for February 28, 1985 control-rod-drive-mechanism- malfunction investigation and overhaul of mechanisms. Helium circulator investigation and refurbishment. 2. Power Limitations The reactor power level was limited to 2% power from April 19, 1984, through May 16, 1984, pending a final resolution of the PCRV tendon wire corrosion problem. The licensee presently has -35- a continuing administrative limit of 85% reactor power pending completion of rise-to-power (B-0) testing. 3. License Amendments Refer to the attached licensing enclosure. 4. Significant Modifications Major modifications completed during this appraisal period were Building 10 construction, which was completed in January 1984; and the 480V system upgrade, which was completed during the third refueling. B. Inspection Activities 1. Violations See Table 1 2. Major Inspections The special inspections listed below were conducted during this appraisal period: • A special inspection of licensee activities occurred on June 4-5, 1984, and is documented in NRC Inspection Report 84-16. • On July 9-13, 1984, the NRC staff audited the overall operation of FSV. The staff defined as areas for review: (1) the failure of 6 of 37 control-rod pairs to automatically insert on a scram signal on June 23, 1984; (2) the overall conduct of operations, including maintenance and housekeeping; (3) assessment of existing Technical Specifications; (4) the continued water ingress problem; and (5) the construction and utilization of Building 10. A further plant visit was conducted on August 1-3, 1984, to audit the performance of control-rod instrumentation in response to observed anomalies. C. Investigations and Allegations Review One investigation was conducted during this reporting period and documented in NRC Inspection Report 50-267/84-11, dated March 20, 1984. This investigation was conducted as a result of the NRC' s discovery that a contract security employee had not listed two felony convictions on his personnel security questionnaire. Subsequent to -36- this investigation the employee voluntarily informed his employer. His employment was terminated. D. Escalated Enforcement Actions 1. Civil Penalties There were no civil penalties issued during this evaluation period. 2. Orders No orders were issued relating to enforcement. E. Management Conferences 1. Conferences The following conferences were held during this appraisal period: • The ACRS meeting on May 19, 1984, as identified in NRC Inspection Report 84-14. • Various licensing related meetings and conferences as identified in the attached licensing enclosure. • A June 25, 1984, meeting in Region IV between the NRC Region IV and PSC to discuss: (1) NRC commitments as a result of BTP 9.5-1, Appendix A review; (2) Building 10 licensing requirements; (3) NRC notification of control-rod failure to scram; (4) documentation of disciplinary actions; (5) clearance tags; (6) radiological emergency exercise scenario; and (7) temporarily installed controller in LN2 System. • A February 19, 1985, meeting in Region IV between the NRC Region IV and PSC to discuss matters related to management, security, and the offsite emergency warning system. 2. Confirmation of Action Letters (CAL) Three CALs were issued during this appraisal period: • On October 13, 1983, a CAL was issued confirming commitments made in an Enforcement Conference on October 12, 1983, regarding diesel generator test requirements. (Identified in previous SALP report) . -37- • On June 26, 1984, a CAL was issued confirming commitments made in a meeting of June 25, 1984, regarding the failure of six control-rod pairs to properly insert on receipt of a trip signal on June 23, 1984. (Refer to NRC Inspection Report 84-15) • On November 2, 1984, a CAL was issued confirming commitments made in a telecommunication on October 25, 1984, regarding key control . F. Review of Licensee Event Reports and 10 CFR Part 21 Reports Submitted by the Licensee 1. Licensee Event Reports (LERs) The SALP Board reviewed the LERs submitted by the Public Service Company of Colorado for the period of October 1, 1983, through February 28, 1985. This review included the following LERs: • 83-041 through 83-055 • 84-001 through 84-014 The NRC Office for Analysis and Evaluation of Operational Data (AEOD) performed reviews of licensee LERs, concentrating on the technical accuracy, completeness, and clarity of the event reports. Refer to Attachment 2 and 3 for details of those reviews. 2. Part 21 Report One 10 CFR Part 21 report was made by the licensee on July 30, 1984, as documented in NRC Inspection Report 84-22. The report concerned defective 5/8-inch diameter threaded rod purchased under specification ASTM A193, 8-16, from Texas Bolt Company of Houston, Texas. -38- TABLE 1 INSPECTION ACTIVITY AND ENFORCEMENT FUNCTIONAL VIOLATIONS SEVERITY LEVELS DEVIATIONS AREA V IV III II I A. Plant Operations 1 3 B. Radiological Controls 3 2 2 C. Maintenance 1 2 D. Surveillance 1 E. Fire Protection 1 2 F. Emergency Preparedness 1 G. Security Safeguards 2 H. Refueling I. Training J. Licensing Activities K. Quality programs and Administrative Controls Affecting Quality 2 8 1 L. Design, Design Changes , and Modifications 3 5 1 TOTAL 10 25 6 Docket No. 50-267 Attachment 1 FACILITY: Fort St. Vrain Nuclear Generating Station LICENSEE: Public Service Company of Colorado EVALUATION PERIOD: October 1, 1983 to February 28, 1985 PROJECT MANAGER: Philip C. Wagner I . INTRODUCTION This report contains an assessment of the licensee' s performance in the functional area of licensing activities as input to the Systematic Assessment of Licensee Performance (SALP) review for the Fort St. Vrain Nuclear Generating Station (FSV) . The assessment of the licensee' s performance was conducted according to NRR Office Letter No. 44, NRR Inputs to SALP Process, dated January 3, 1984. This Office Letter incorporates NRC Manual Chapter 0516, SALP. II . SUMMARY NRC Manual Chapter 0516 specifies that each functional area evaluated will be assigned a performance category (Category 1, 2, or 3) based on a composite of a number of attributes. The performance of the Public Service Company of Colorado in the functional area of Licensing Activities is rated Category 3. III. CRITERIA The evaluation criteria used in this assessment are given in NRC Manual Chapter 0516 Appendix, Table 1, Evaluation Criteria with Attributes for Assessment of Licensee Performance. IV. METHODOLOGY This evaluation represents the integrated inputs of the Operating Reactor Project Manager (ORPM) and those technical reviewers who expended significant amounts of effort on the Fort St. Vrain licensing actions during the current rating period. Using the guidelines of NRC Manual Chapter 0516, the ORPM and each reviewer applied specific evaluation criteria to the relevant licensee performance attributes, as delineated in Chapter 0516, and assigned an overall rating category (1, 2, or 3) to each attribute. The reviewers included this information as part of Safety Evaluation Reports transmitted to the Division of Licensing. The ORPM, after reviewing the inputs of the technical reviewers, combined this information with his own assessment of licensee performance and, using appropriate weighting factors, arrived at a composite rating for the licensee. This rating also reflected the comments of the NRR Senior -2- Executive assigned to the Fort St. Vrain SALP assessment. A written evaluation was then prepared by the 0RPM and circulated to NRC management for comments which were incorporated in the final draft. The basis for this appraisal was the licensee' s performance in support of licensing actions that were either completed or had a significant level of activity during the current rating period. These actions, consisting of amendment requests, exemption requests, relief requests, responses to generic letters, TMI items, and other actions, are classified as follows: - 11 Multi-Plant Actions (4 completed). Included in this category are: • Radiological Effluent Technical Specifications, A-02, Complete • Snubbers, B-17 and B-22, Complete • Control of Heavy Loads, Phase I , C-10, Complete (later reopened) • Technical Specifications Affected by Changes to 50.72 and 50.73, A-18, Complete • Environmental Qualification (10 CFR 50.49) , B-60 • Masonry Wall Design (IEB 80-11) , B-59 • Instrumentation to Follow Accidents (RG 1.97) , A-17 • Control of Heavy Loads, Phase II, C-15 • Responses to G.L. 83-28, B-76 through B-79, and B-85 through B-93 • NUREG-0737 Technical Specifications (G.L. 83-36 and 37), B-83 • Diesel Generator Reliability Technical Specifications (G.L. 84-15) , D-19 - 35 Plant Specific Actions (17 Completed) . Included in this category are: • Administrative Controls Technical Specifications, Complete • CRDM Hot Spots, Complete • PCRV Hot Spots, Complete • Plateout Probe Data Evaluation, Complete • Plateout Probe Removal Schedule, Complete • Steam Generator Tube Leak Investigation, Complete • Moisture Monitor Relocation, Complete • Disposal of Sulphur-35, Complete • Use of H-451 Graphite Fuel Blocks, Complete • Calibration Sources License Condition, Complete • Neutron Detector Decalibration, Complete • Moisture Monitor LCI , Complete • Fuel Segment 2 Report Review, Complete • Security Plan Revision 14, Complete • Secondary Coolant Activity TS, Complete • Steam Generator Tube TS, Complete • Fire Hose Station Numbers, Complete -3- • Instrument Setpoints • Fuel Block Crack Investigation • Electrical Modifications and Technical Specifications • Startup Test Program Changes • LCO 4.1.9 Non Conservatisms • ISI/IST Technical Specifications • Appendix R Review • PCRV Tendon Problems • Changes to Circulator Overspeed Trip • Seventy Percent Moisture Monitor Tests • Building 10 Evaluation • Restart Issue (October 16, 1984 Report) • Control of Heavy Loads, Phase I Reevaluation • Technical Specifications Upgrade Program • Liquid Effluent Release Monitors • Organizational Changes • Security Plan Reevaluation • Circulator Operability Technical Specifications 12 TMI (NUREG-0737) Actions (2 Completed) . Included in this category are: • Shift Manning, F-02, Complete • High Range Radiation Monitor, F-22, Complete • Inadequate Core Cooling Guidelines, F-04 • Abnormal Transient Operator Guidelines, F-05 • Post Accident Sampling, F-12 • Noble Gas Monitor, F-20 • Technical Support Center, F-63 • Operational Support Center, F-64 • Emergency Operations Facility, F-65 • Meteorological Data Upgrade, F-68 • Detailed Control Room Design Review, F-08 and F-71 • Safety Parameter Display System, F-09 V. ASSESSMENT OF PERFORMANCE ATTRIBUTES The licensee' s performance evaluation is based on consideration of seven attributes as specified in NRC Manual Chapter 0516. For most of the licensing actions considered in this evaluation, only three of the attributes were of significance. Therefore, the composite rating is heavily based on the following attributes: - Management Involvement and Control in Assuring Quality • Approach to Resolution of Technical Issues from a Safety Standpoint - Responsiveness to NRC Initiatives. -4— With the exception of Enforcement History, for which there was no basis within NRR for evaluation, the remaining attributes of Reporting and Analysis of Reportable Events ▪ Staffing (Including Management) - Training and Qualification Effectiveness were judged to apply only to a few licensing activities. A. Management Involvement and Control in Assuring Quality There were numerous instances during this assessment period in which management involvement has not been apparent. There has been a lack of corporate management involvement in site activities as evidenced by the infrequent plant tours taken by these individuals and the poor general housekeeping practices which existed prior to NRC special inspections. Both management visibility and plant housekeeping practices have been addressed by PSC and a significant plant cleanup effort has been undertaken. There have also been numerous instances when requested information has not been submitted in a timely and thorough manner which necessitated further questioning and, therefore, a delay in completion of the given issue. An example of the delayed issues is the resolution of NUREG-0737, Item II . F.1. 1 "Noble Gas Accident Monitoring Instrumentation" which has required numerous pieces of correspondence but is yet to be finalized. When NRC questioned the acceptability of the installed "semiportable" monitor (NRC letter dated April 3, 1984) , PCS responded that an evaluation of obtaining a monitor of an acceptable range would be performed (PSC letter dated May 3, 1984). PSC' s July 2, 1984 letter stated that their present plans called for dilution of the sample stream to the existing monitor with an additional clarification of the proposed installation date made by letter dated July 12, 1984. NRC' s October 24, 1984 letter agreed that dilution was a practical approach but requested that design information be provided together with an implementation schedule. PSC responded to this request by letter dated November 28, 1984 that an evaluation of a new higher range and testable monitor was to be undertaken and that NRC would be advised of either the new monitor or the dilution system. Another area of apparent weakness in management involvement relates to the number of procedural violations which have occurred during this reporting period. The specific violations are discussed elsewhere in this report but are mentioned here because we believe comments from the licensing organization are worthwhile. A specific example of the type of problem we find is presented in LER 84-010 -5- wherein incorrect radioactive effluent monitoring occurred twice during a single release and little corrective action was proposed. In addition, the problem of coordination within PSC, which was mentioned in both the 1982 and 1983 SALP reports, continues to exist. This situation may be improved, however, by the recent formation of the Nuclear Licensing and Fuel Division. Based on the above considerations, a rating of Category 3 has been assigned to this attribute. B. Approach to Resolution of Technical Issues From a Safety Standpoint The frequent delays in obtaining complete and thorough responses to NRC questions and concerns, due to the positions taken by PSC, tends to lower the rating for this performance element. The previous two SALP Reports made mention of the uniqueness of the facility as being a contributing factor in PSC' s ability to respond to NRC requests (which are usually directed to Light Water Reactors) . While this remains a factor, it appears that insufficient effort has been expended by PSC in order to ensure timely resolution of issues. This problem was discussed in some detail in the NRC' s, October 16, 1984, assessment report related to PSC' s response to Generic Letter 83-28. PSC had responded that because the plant is a one of a kind design, the need for vendor interface does not exist. The NRC had proposed the establishment of periodic communication with vendors to help provide assurance of continued reliable equipment operation; PSC chose not to establish a program without attempting to understand its purpose or advantages. PSC has, at times, delayed the completion of commitments when, in their opinion, the requirement was not necessary. Examples of this problem are the completion of the B-0 startup tests for Xenon stability and full load rejection (or the arrangements necessary for their completion) and the delay in establishing an enforceable fuel element surveillance program. Both of these issues have required numerous correspondence and neither has been resolved. On the basis of the above indications, a rating of Category 3 is assigned to this attribute. C. Responsiveness to NRC Initiatives While the uniqueness of the facility was mentioned in the previous two SALP reports as also being a contributing factor in PSC' s ability to promptly respond to NRC initiatives, a review of the evaluation attributes contained in NRC Manual Chapter 0516 indicates that the thoroughness and acceptability of responses should be considered. A -6- review of the correspondence associated with numerous licensing actions (e.g. NUREG-0737 items, Electrical System Technical Specifications, Startup Testing Program, Appendix R, PCRV Tendon Surveillance) indicates that responses frequently lack sufficient detail to reach a conclusion, thereby requiring supplemental requests and repeated submittals. An example of PSC taking a nonconservative approach to an NRC initiative, which has resulted in undue delays in reaching resolution of a safety issue is the response to the control of heavy loads. PSC took a literal interpretation of the definition of a heavy load and defined a load as being 165 tons rather than the approximately one ton load envisioned by the NRC. This has caused a complete reevaluation to be required and could have been avoided by a conservative approach which requested NRC clarification. Another example of PSC taking the position that the uniqueness of their design should relieve the facility from compliance with requirements is in the area of fire protection. Although PSC had provided a statement that the facility complies with the requirements of Appendix R (by letter dated November 20, 1981) , an inspection in August 1983 disclosed numerous deficiencies. Following numerous contacts and discussions, PSC requested a general exemption to the requirements of Appendix R, Items III.G, III .J, and III.L by letter dated March 2, 1984. The NRC stated that the general exemptions were not acceptable and provided further guidance. Three meetings have been held to discuss the issues and numerous pieces of correspondence have been exchanged. PSC has provided the first three of four reports to ensure compliance of Appendix R requirements by letters dated November 17 and December 17, 1984, and January 17, 1985. A great deal of time could have been saved and compliance with the requirements achieved much sooner had PSC sought a clearer understanding of the issues and taken a conservative approach toward resolution. In addition, the recommendation, contained in the past two SALP Reports, that PSC be more assertive in keeping abreast of NRC policy matters, does not appear to have been implemented. Based on the above observations, a rating of Category 3 is assigned to this attribute. D. Enforcement History No basis exists for a licensing evaluation of this attribute. -7- E. Reporting and Analysis of Reportable Events This attribute is addressed as a separate functional area elsewhere in the SALP report. We have reviewed the functional area and agree with the conclusions. F. Staffing The delays encountered in obtaining an acceptable resolution to various NRC initiatives as discussed in the preceding areas is indicative of a marginally acceptable staff size. This same concern was expressed in the two previous SALP reports. While the increase in the number and significance of the problems encountered by PSC during this assessment period has had an effect on their ability to promptly respond to numerous NRC initiatives, delays are encountered in almost all areas. PSC has established a Licensing Division which should improve coordination of PSC efforts in dealing with the NRC, but may not affect the delays being experienced if the technical staff is not expanded. Based on the above considerations, a rating of Cateogry 3 is assigned to this attribute. E. Training and Qualification Effectiveness During this assessment period, two Senior Reactor Operator replacement retake examinations were administered with both candidates passing. In addition, the Fort St. Vrain Requalification Program was evaluated and found to be acceptable. The number of procedural violations and the presented inability to determine the applicability of some light water reactor requirements, however, indicates possible deficiencies in the overall training program. The area of training is discussed as a separate functional area elsewhere in this report. Based on these limited observations, a rating of Category 2 is assigned to this attribute. VI. Conclusion Based on our evaluation of the attributes reviewed above, PSC performance in the Licensing Activities functional area has been determined to be Category 3. VII . Recommendations In order to improve performance in the Licensing Activities function area, the following recommendations should be considered: -8- 1. PSC nuclear department staffing levels should be reevaluated with consideration given to including personnel knowledgeable of light water reactor operations; 2. A program should be implemented that will keep PSC management informed of current NRC initiatives and how those initiatives could affect Fort St. Vrain; and 3. PSC should implement a policy of providing complete and candid responses to NRC requests. Supporting Data and Summary 1. Licensing Related Meetings* January 17, 1984 SALP Meeting (Site) February 29, 1984 Environment Qualification (Headquarters) April 4, 1984 Cracked Fuel Problem (Headquarters) May 2, 1984 Property Insurance (Headquarters) May 17, 1984 ACRS (Site) June 8, 1984 Appendix R (Headquarters) July 9-11, 1984 Assessment Team (Site) August 1-3, 1984 Assessment Team (Site) August 30, 1984 Project Manager and PSC Licensing (Denver) August 31, 1984 Project Manager and Plant Staff (Site) October 1, 1984 Control Rod Problems (Site) November 28 and 29, 1984 Control Rod Problems (Site) December 12 and 13, 1984 Masonry Walls (Denver and Site) January 15, 1985 Restart Issues (Region IV) January 31, 1985 Appendix R (Headquarters) February 20-22, 1985 Restart Issues (Site) 2. Site Visits* May 21, 1984 Commissioner Gilinsky made a general plant tour. June 4 and 5, 1984 Licensing personnel from Region IV toured facility to evaluate comments made by Commissioner Gilinsky and to discuss the situation with PSC July 10 and 11, 1984 PM and others met with PSC personnel and reviewed various in-progress maintenance activities *All meetings held at the site and each of the above site visits included a general plant tour including the reactor building, turbine building, and the control room by the project manager and others. 3. Commission Briefings None. 4. Schedular Extensions Granted None. However, an extension for the Emergency Exercise was requested. When the exercise was postponed, a rule change made the request moot and it was withdrawn. 5. Reliefs Granted None. -2- 6. Exemptions Granted None. The Exemption Request for 10 CFR 50.54(w) , "Property Damage Insurance," has been withdrawn. 7. License Amendments Issued Amendment No. 36 Administrative Controls, Staffing, and STA, October 13, 1983 Amendment No. 37 Radiological Effluent Technical Specifications, November 23, 1983 Amendment No. 38 Plateout Probe Removal Schedule, January 3, 1984 Amendment No. 39 Snubbers-Hydraulic and Mechanical , January 25, 1984 Amendment No. 40 Use of H-451 Graphite, March 2, 1984 Amendment No. 41 Calibration Source Size Changes, March 8, 1984 Amendment No. 42 LER Rule Change to Technical Specifications, June 4, 1984 Amendment No. 43 Moisture Monitor Changes to Technical Specifications, June 5, 1984 Amendment No. 44 Secondary Coolant Activity Surveillance Requirements, October 26, 1984 Amendment No. 45 Steam Generator Tube ISI Requirements, November 9, 1984 Amendment No. 46 Fire Hose Station Numbering System Change, January 3, 1985 8. Emergency Technical Specifications Issued None. 9. Orders Issued None. -3- 10. Licensee Management Conferences November 9, 1984 EDO, Director NRR and Administrator, Region IV met with CEO and Vice President of PSC on Conduct of Operations ``Epp AEC��q Attachment 2 UNITED STATES a .I y, o . NUCLEAR REGULATORY COMMISSION WASHINGTON,D.C.20555 O ao **Irk* N0V 5 1984 MEMORANDUM FOR: Eric H. Johnson, Chief Reactor Project Branch No. 1 Division of Resident, Reactor Project and Engineering Programs, RIV FROM: Karl V. Seyfrit, Chief Reactor Operations Analysis Branch Office for Analysis and Evaluation of Operational Data SUBJECT: EVALUATION OF LERs FOR FORT ST. VRAIN AEOD INPUT TO SALP REVIEW COVERING THE PERIOD FROM OCTOBER 1 , 1983, TO NOVEMBER 30, 1984 In support of the ongoing SALP reviews, AEOD has reviewed the LERs for Fort St. Vrain. Our review concentrated on LER Form completeness and the clarity, understandability, and adequacy of the event report contents. From the LERs that were reviewed, we concluded that the licensee provided adequate event reports during the assessment period. We found no signifi- cant deficiencies and the reports complied with the guidelines of NUREG-0161 and NUREG-1022 in all reviewed categories. The enclosure provides additional observations from our review of the LERs. If you should have any questions regarding this report, please contact either myself or Ted Cintula of my staff. Mr. Cintula can be reached at FTS 492-4494. v .22 /Karl V. Seyfr' , Chief Reactor Operations Analysis Branch Office for Analysis and Evaluation of Operational Data Enclosure: As stated cc: w/enclosure: T. Colburn, NRR G. L. Plumlee, RIV AEOD INPUT TO SALP REVIEW FOR FORT ST. VRAIN The Licensee submitted about 35 reports, plus updates, during the assessment period from October 1 , 1983 to November 30, 1984. Our review included the following LER numbers: 83-041 to 83-055 84-001 to 84-009 The LER review followed the general instructions and procedures of NUREG-0161 and NUREG-1022. The specific review criteria and our findings follow: 1 . LER Completeness a) Was the information sufficient to provide a good understanding of the event? 1983 LERs The information in the two free-form narrative sections of the LER Form was consistently brief and to the point. There were a few instances of overrunning narratives, but they were of small magnitude and would not be a problem for future abstracting. Our review concluded the LERs provided sufficient information to provide a clear and adequate description of the occurrence, the direct consequences and the corrective action. The reports typical - ly included specific details of the event such as valve identifica- tion numbers, model numbers, number of operable redundant systems , the date of completion of repairs, etc. , to provide a good under- standing of the event. The reports were easy to read and meaning- ful . 1984 LERs The abstract described the major occurrences of the event, including all component or system failures that contributed to the event and the significant corrective actions taken or planned to prevent recurrence as stated in NUREG-1022. b) Were the LERs coded correctly? 1983 LERs We checked the codes that the licensee selected against the narra- tive description of the event for accuracy. We agreed with the licensees selection in all coded fields except for a few entries. These disagreements were minor and did not detract from our overall impression of a judicious selection of coded information. - 1 - 1984 LERs We agreed with the licensee' s selection in all coded fields. c) Was supplemental information provided when needed? 1983 LERs The licensee provided additional supplementary information with every LER. The attachments typically provided plant specific detailed information such as the limiting condition of operation, the purpose of the system, all functions performed by the defective component, etc. , which was useful in assessing the full impact of the event rather than just a restatement of the original argu- ments. The attachments were well organized with each topic of discussion separated and titled. In addition, the licensee typi- cally provided tabular information and simplified flow schematics with the supplemental information. These aids greatly assisted in explaining the event. In view of both the quantity and quality of the supplemental information, we concluded that the licensee was outstanding in this category. 1984 LERs The narrative description in the attachments was very informative and the new reports provided substantial detail about the events. The licensee typically stated the purpose of the system and all functions performed by the defective component. The safety analysis often assumed the conservative loss of the complete system to describe a worst case scenario. Some reports included diagrams and tables to help explain the event and the narratives and diagrams were coded with symbols so it was easy to follow all system/component interactions of the event. We thought the supplemental information was excellent. d) Follow-up Reports 1983 LERs The licensee positively stated in each LER as to whether the LER would be updated at some future date or that no further corrective action was required. However, only one of the promised LERs was actually updated in this assessment period (LER 83-050) . A review of the data base showed that thirteen other older LERs were also updated in this assessment period. A review of these LERs showed the updated reports contained new narrative information and the codes were revised correctly in accordance with the guidelines of NUREG-0161 . The portions of the narratives that were revised were identified by a vertical line in the left hand margin of the page so the extent of corrected information was readily apparent to all readers. - 2 - 1984 LERs Three of the new reports have been updated so far. They were up- dated correctly by the standards of NUREG-1022 and the above comments would be applicable. e) Were similar occurrences properly referenced? 1983 and 1984 LERs Previous LER numbers of events of a similar nature were referenced correctly. In addition, the licensee positively stated when there have been no previous similar reports. 2. Multiple Event Reporting in a Single LER The licensee submitted several LERs that combined multiple events of component failures into a single report. These multiple events were combined correctly into a single LER in accordance with the guidelines of NUREG-0161 and NUREG-1022. 3. Prompt Notification Follow-up Reports Only two PNs were issued in this SALP assessment period, the failure of six of the 37 control rod pairs to insert on June 22, 1984 and an excessive Beta radiation liquid release on July 20, 1984. Each of these events were reportable, and they were reported as LERs 84-008 and 009. Therefore, it appears the licensee is reporting all events that are required to be reported. - 3 - ``ERR REGt,4 m° 'o9t UNITED STATES Attachment 3 a` I 5' o NUCLEAR REGULATORY COMMISSION m ° 3 WASHINGTON,D.C.20555 3 P'•t++#a MAR 221986 MEMORANDUM FOR: Eric H. Johnson, Chief Reactor Project Branch No. 1 Division of Resident, Reactor Project and Engineering Programs, RIV FROM: Karl V. Seyfrit, Chief Reactor Operations Analysis Branch Office for Analysis and Evaluation of Operational Data SUBJECT: EVALUATION OF LERs FOR FORT ST. VRAIN AEOD INPUT TO SALP REVIEW COVERING THE PERIOD FROM OCTOBER 1 , 1983, to FEBRUARY 28, 1985 In my memorandum to you dated November 5, 1984 (same subject) we provided an evaluation of the LERs for Fort St. Vrain for the period October 1 , 1983 through November 30, 1984. In response to Regional Office Notice 0603, we have evaluated the additional LERs through February 28, 1985. The findings in our previous evaluation are valid for the extended assessment period, but with one additional consideration. We found in the most recent LERs, that the licensee needs to improve the safety evaluation of the event in the LERs. In general , the analysis of the event concluded without adequate bases that there was no potential effect on the health and safety of the public. The evaluation of the safety consequences and implications should also include the potential effects of the event had it occurred at different operating conditions and whether it is an analyzed event. If you should have any questions regarding our evaluation, please contact either myself or Wayne Lanning of my staff. Mr. Lanning can be reached at FTS 492-4433. 7i1/7C`i- arl V. Seyfrit ief Reactor Operations Analysis Branch Office for Analysis and Evaluation of Operational Data cc: T. G. Colburn, NRR G. L. Plumlee, R IV R. E. Ireland, R IV Hello