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Department of EnergyWashington, DC 20585 WBS 1.2.11

QA: N/A

FEB i4 1994

Distribution

CORRECTIVE ACTION STATUS REPORT FOR THE MONTH OF JANUARY 1994 (SCP: N/A)

The status of Corrective Action Requests (CARS) issued by the Office ofCivilian Radioactive Waste Management (OCRWM) Office of Quality Assurance(OQA) as of January 31, 1994, is enclosed. Enclosure 1 is a summary of CARactivity for the month of January. A status of open CARs issued byHeadquarters Quality Assurance Division and the open Standard DeficiencyReport and CARs issued by Yucca Mountain Quality Assurance Division as ofJanuary 31, 1994, is provided in Enclosures 2 and 3, respectively.

It is requested that the responsible individual in your organization reviewthe reported information for any required action. Any discrepancies should bepromptly reported to the OQA.

If you have any questions, please contact either Robert B. Constable at(702) 794-7945 or Nita J. Brogan at (702) 794-7777.

OQA:RBC-2012

Enclosures:1. CAR Status for January 19942. Headquarters Quality Assurance

Division CAR Status Report forJanuary 1994

3. YMQAD CAR Status Report forJanuary 1994

220033

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98TE3 402PDR

Donald G. Horton, DirectorDffice of Quality Assurance

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I14il'- AldII. I_

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-Distribution--Memorandum dated FEB 1 4 1994

Daniel A. Dreyfus, HQ (RW-1) FORSRobert W. Clark, HQ RW-3.1) FORS.Jerome D. Saltzman, HQ RW-4) FORSSamuel Rousso, HQ (RW-10) FORSStephan J. rocoum, HQ (RW-22) FORSDwight E. Shelor, HQ (RW-30) FORSRonald A. Milner, HQ (RW-40) FORSFred Mayes, HQ (EI-523) H-STRalph E. Erickson, HQ (EM-343) TREVIenneth R. Hooks, NRC, Washington, DC ¢Susan W. Zimmerman, NWPO, Carson City, NVRobert P. eele, YMQAD/QATSS, Las Vegas, NVNita J. Brogan, YQAD/QATSS, Las Vegas, NVHenry T. Greene, YMQAD/QATSS, Las Vegas, NVKimberly A. Ransom, QATSS/CER, Arlington, VALester W. Wagner, QATSS/CER, Arlington, VAPeter Zavattaro, EG&G/EM, Las Vegas, NVJulie A. Canepa, LANL, Los Alamos, NMWillis L. Clarke, LLNL, Livermore, CARoland L. Robertson, &O/TRW, Vienna, VAL. Dale Foust, &O/TRW, Las Vegas, NVRonald P. Ruth, &O/Duke, Las Vegas, NVPaul W. Eslinger, PNL, Richland, WAAsim hawaja, PL, Richland, WARobert F. Pritchett, REECo, Las Vegas, NVWilliam C. Kopatich, RSN, Las Vegas, NVLes E. Shephard, SNL, 6302, Albuquerque, NMLarry R. Hayes, USGS, Las Vegas, NVRobert H. Nelson, Jr., YP, NVRichard E. Spence, YMQAD (RW-3.2) YMP, NV

Enclosure 1 %

CORRECTIVE ACTION REOUEST STATUS REPORT FOR JANUARY 1994

1. HEADQUARTERS CORRECTIVE ACTION REQUEST AND STOP WORK ORDERS

A. Corrective Action Requests

CARs MONT TO DATE TOTAL TO DATE

CARs Issued 3 104

CARs Closed j 8

CARs Open 16

B. Sto, Work Orders

No Activity

2. YMP CORRECTIVE ACTION REQUEST AND STOP WORK ORDERS

A. Corrective Action Reguests

CARs I MONTH TO DATE [ TOTAL TO DATE

CARs Issued 10 [ 292

CARs Closed 9 | 252

CARs Open | 40

B. Stop Work Orders

No Activity

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ENCLOSURE

HEADQUARTERS QUALITY ASSURANCE DIVISION Enclosure ;MONTHLY CORRECTIVE ACTION REQUEST (CAR) STATUS REPORT

FOR JANUARY 1994

CAR NUMBER ISSUE SEVERITY ADVERSE CORRECTIVE CORRECTIVE NEXT f NEXTDATE CONDITION ACTION . ACTION CTION ACTION

l______ ___________________ __________RESPONSIBILITY_ DESCRI __ON DUE DATE

RW.30 _

HQ-92-017 10/13/92 SC Inadequate management of records D. Shelor 1) Review status of records pkgs; 2) Complete 01/03194by originators RW-30 assign record pkg. responsibilities; and Corrective Action (

3) attend training

HQ-93-007 01/28/93 Employees performing work under D. Shelor I) Add employees to "List of Employees Complete 03/01/94QARD reqmts not on list RW-30 Performing Assignments Against the Verification (Note:

QARD", 2) issue HLP-2.IQ awaiting issuancel_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ o f H L P -2 .Q ) l__ _ _ __f_ _ _

RW-3 l

HQ-93-003 0n/8193 Lead Auditor exams not in record R. Clark 1) Issue memo to Lead Auditor Complete 02/18/93pkgs. RW-3.1 certification records pkg. 2) Revise Verification

I_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Q A A P 18.111HQ-93-004 01/28/93 Audit schedules not provided to R. Clark I) Issue FY93 Surveillance Schedule; 2) Verification N/A

TPO and QA Mgrs. Surveillance RW-3.1 Revise QAAP 18.3 Completed andschedules not reviewed by CAR ClosedDirector, OQA 01/11/94

EIA _

HQ-92-022 10/21192 SC No SQAP; inadequate controls F. Mayes I) Complete SQAP for RW-859 Code; Complete 12/31/93applied to RW-859 Data Collection (EI-523) 2) hold lessons learned class Corrective ActionComputer Code |___l__ | __

PQ-92-023 10/21192 SC No SQAP; inadequate controls F. Mayes 1) Complete SQAP for NM Code; and Complete 12/31/93applied to INM Computer Code (EI-523) 2) hold lessons learned class Corrective Action

HQ-92-029 10/21/92 Document control deficiencies F. Mayes Develop procedures to identify Complete 12/31/93(EI-523) controlled documents Corective Action

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HEADQUARTERS QUALITY ASSURANCE DIVISIONMONTHLY CORRECTIVE ACTION REQUEST (CAR) STATUS REPORT

FOR JANUARY 1994

Enclosure 2

CAR NUMBER |ISSUE SEVERITY ADVERSE CORRECTIVE CORRECTIVE NEXT | NEXTDATE CONDITION ACTION ACTION ACTION ACTIOO

l _________ _______ ___________________ RESPONSIBILITY DESCRIPTION DUE DATE

O M -3 4 3 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

HQ-93-009 02/16/93 SC Ineffective technical review R. Erickson I) Revise TRO (SPP 4.15); 2) conduct Complete 01/14/94process (EM-343) surveillance Verification

HQ-93-010 02/16/93 SC Technical activities not verified R. Erickson I) Revise SPP 5.1; 2) verify no negative Complete 01/14/94during auditstsurveillances (EM-343) impact of tech activities; 3) conduct Verification

surveillance; 4) increase participation oftech specialist l

HQ-93-011 02/16/93 SC List of items & activities subject to R. Erickson 1) Issue memo; 2) evaluate items & Complete 01/14/94QARD reqmts has not been (EM-343) activities lists for QA reqmts; 3) update Verificationdeveloped DWPF WCP

HQ-93-027 08/05/93 . 1) No procedure for prep of tech R. Erickson 1) Evaluate controls applied during Complete 03/31/94documents; 2) interfaces for (EM-343) development of EM-WAPS, 2) revise Corrective Actiondevelopment of WAPS not SPP 4.16controlled; 3) WAPS input notcontrolled

HQ-93-028 08/05/93 1) No evidence of comment R. Erickson I) Evaluate WA-SRD reqmts not Complete3/31/94resolution; 2) no tracking of (EM-343) completely stated in EM-WAPS, Corrective Actionrequirements to WCP & WQR 3) 2)revise SPP 4.16no list of reviewers &qualifications; 4) checklists notreceived; 5) review package notreceived; 6) WA-SRDrequirements not in WAPS

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HEADQUARTERS QUALITY ASSURANCE DIVISIONMONTHLY CORRECTIVE ACTION REQUEST (CAR) STATUS REPORT

FOR JANUARY 1994

Enclosure 2

CAR NUMBER ISSUE SEVERITY ADVERSE CORRECTIVE CORRECTIVE NEXT NEXTDATE CONDITION ACTION ACTION ACTION ACTION

RESPONSIBILITY DESCRIPTION .DUE DATE

r*&OrrRwHQ-93-013 03/18/93 SC Procedures lack adequate R. Robertson Trace the QARD requirements to Complete 02/01/94

acceptance criteria (M&O) implementing procedures Verification

HQ-93-031 I0/22/93 1) CRD reqmts not adequately R. Robertson Revise SRD's Complete 09/1594-addressed in MGDS-RD; 2) (M&O) Corrective ActionMDGS-RD reqmt lacking ref to 40CRIF

SNL

HQ-94-001 12/20/93 - T) CSDP organization chart Brady Respond to CAR 02/14/94inadequacies; 2) CSDP lacks (SNL)evidence of reporting & trackingsystem

HQ-94-002 12/20/93 Yes I) CSDP QA Manual not cunent Brady Respond to CAR 02/14/94and several CSDP QA Program (SNL)inadequacies _ _ _

HQ-94-003 12/20/93 Yes I) Lack of CSDP QA audits and Brady Respond to CAR 021surveillances (SNL) _ _ _ _ _.

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YUCCA MOUNTAIN QUALITY ASSURANCE DMSIONMONTHLY CORRECTIVE ACTION REQUEST STATUS REPORT

FOR JANUARY 1994

Enclosure 3

CtR NUMBER ISSUE SEVERITY ADVERSE CORRECTIVE CORRECTIVE NEXT NEXT ACTIONDATE CONDITION ACTION ACTION ACTION DUE DATE

RESPONSIBILITY DESCRIPTION

EG&G

YM-93-005 10/21192 Some procedures do not meet EG&G Revise QPD. Develop procedure for Verify corrective 02/14/94QPD requirements. Zavattaro resolving disputes. Develop action

procedure for identification andtraceability of data.

YM-93-006 10/21192 Changes to procurement EG&G Revise Y10O-072.A Verify corrective 02/14/94documents not reviewed by Zavattaro actionsame organizations

YM-93-007 10/21/92 DRR and DRS forms not used EG&G Revise Y100-051.A Verify corrective 02/14/94for review of technical Zavattaro actionprocedures

YM-93-008 10/21/92 QAO not performing document EG&G Revise Y100-061.A Verify corrective 02/14/94distribution activities for Y300 Zavattaro actionprocedures .

LLNL

YM-91-056 | 06/24/91 | 2 Procedures Issued w/o meeting | LLNL | Revise QP 2.1 and QAPP Complete 02/14/94I } | requirements of QAPP Clarke corrective action

YM-94-005 | I SC | Procedure not implemented to | LLNL | | Evaluate 02/03/94i____________ I |_______ | _________ J conduct quality affecting work. [ Clarke _ response

P4iL

YMU-93-024 |1V31192 Inadequate follow-up of | PNL | Reopen audit report. Issue | Complete 03/30/94corrective action | Eslinger document change request to QAP- corrective action

70-704 _ __

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YUCCA MOUNTAIN QUALITY ASSURANCE DM\/SIONMONTHLY CORRECTIVE ACTION REQUEST STATUS REPORT

FOR JANUARY 1994

Enclosure 3

TR NUMBER ISSUE SEVERITY ADVERSE CORRECTIVE CORRECTIVE NEXT NEXT ACTIONDATE CONDITION ACTION ACTION ACTION DUE DATE

RESPONSIBILITY DESCRIPTION

REECoL

YM-93-058 07/07/93 Survey activities not performed REECo Surveyers to be qualified and Evaluate 02/11/94in accordance with REECo YM Pritchett instruments calibrated. Technical amended

._____ _______ QA procedures control procedure to be developed. response

YM-93-061 07/07/93 Failure of QC to notify REECo Implement log system to ensure Evaluate 02/11/94construction to take additional Pritchett timely receipt of test data amendedsamples response .

YM-94-008 12/22/93 Water removed from ESF not REECo Revise TC-581-SP-0009 Complete 03/18/94being reported as required Pritchett correive action

YM-94-009 12/22/94 Failure to adequately address REECo Evaluate 02/07/94specification requirements Pritchett response

YM-94-011 12/14/93 Documentation of Rock Bolt REECo Revise TC-581-SP-001 1 Complete 02/11/94installation incorrectly Pritchett corre actioncompleted

RSN

YM-94-016 I l Job descriptions for matrixed RSN Issue CARRSN personnel not sent to Kopatich

. _____________ ________ __________ Training Coordinator __l

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YUCCA MOUNTAIN QUALITY ASSUiRANCE DMSIONMONTHLY CORRECTIVE ACTION REQUEST STATUS REPORT

FOR JANUARY 1994

Enclosure 3

CtR NUMBER ISSUE SEVERITY ADVERSE CORRECTIVE CORRECTIVE NEXT NEXT ACTIONDATE CONDITION ACTION ACTION ACTION DUE DATE

RESPONSIBILITY DESCRIPTION

RSN (Continued)

YM-94-017 1) Existing conditions at drill RSN Issue CARsite not included in USW NRG- Kopatich7 & USW SDA12 workprograms 2) QA records notaddressed In USW NRG-7work programs 3) Workprograms do not addressunattended holes from

.____________ ________ _____spudding to rgdown. .

SNL

YM-93-094 09f29/93 Technical review not performed SNL Review al records packages of SNL Complete 02/14/94as required Shephard study plans completed after 1/1189. Corrective Action

If inadequate evaluate on case bycase basis. Implement tracking

YM-93-097 09/29/93 |A requirements not SNL tools and controls.

YM-93-97 09f29/93 | QArequiremenshnot SNL Review |SL current service contracts. Complete 02/15/94incorporated In procurement Shephard Revise WA-0073. Revise contracts corrective actiondocuments as stated. Develop procurement QA

review checklist.

TRW

Y&93-040 04/01f93 SC OCRWM QARD requireien|ts TRW Prepare and issue ILP Verify corrective 01131194not contained In design Foust action

________ |__ procedures _ _ | _|

YM-93-045 04/1693 SC Use of unqualified vendor for TRW Resolve audit recommendations. Verify corrective 02/11/94one-of-a-kind records storage Foust Monitor via annual surveillance action

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YUCCA MOUNTAIN QUALITY ASSURANCE DMSIONMONTHLY CORRECTIVE ACTION REQUEST STATUS REPORT

FOR JANUARY 1994

Enclosure 3

CiR NUMBER ISSUE | SEVERITY ADVERSE I CORRECTIVE | CORRECTIVE NEXT NEXT ACTIONDATE CONDITION ACTION ACTION ACTION DUE DATE

RESPONSIBILITY DESCRIPTION

TRW (Continued)

YM-93-066 07/19/93 QAP 17-4 does not reflect TRW Delete RW-0194, Rev. 2. Appendix Complete 04104/93records management policies Foust D D3.2c, D3.4a and D.3.4c. Revise corrective actionand requirements document RMPRupper tier requirements

YM-93-070 07/16/93 SC Repetitive deficiencies TRW Implement the RTN matrix for Complete 03/01/94regarding inadequate or non- Foust procedure review and issuance. corrective actionexistent procedures

YM-93-072 07/22193 SC Independent verification of TRW Correct deficient drawings through Issue closuredrawings not indicated Foust FCRs. Check RSN Package 1A letter

drawings for completeness. ReviewDIEs for TBVs to be added. CheckRSN drawings on light table forhandwritten notes. Develop ILP forpreparing BFD documents.

YM-93-073 07/22193 SC Drawings do not list quality- TRW Revise MGP-3-8. Revise RSN BFD. Unsatisfactoryaffecting design inputs Foust Prepare ILP to allow revisions to the verification. Issue

RSN BFD. Develop tracking for lettercontrolling design inputs.

YM-94-002 10/28193 SC No detailed documentation for TRW Revise the Technical Document Complete 05/01/94supporting derived require- Foust Preparation Plan for the preparation corrective actionments contained In the project of MGDS Design Requirementsrequirements documents Documents

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YUCCA MOUNTAIN QUALITY ASSUR~ANCE DMVSIONMONTHLY CORRECTIVE ACTION REQUEST STATUS REPORT

FOR JANUARY 1994

Enclosure 3

CfR NUMBER ISSUE SEVERITY ADVERSE 1 CORRECTIVE CORRECTIVE I NEXT INEXT ACTION1DATE ICONDITON ACTION ACTION I ACTION I DUE DATE

TRW (Continued) .1 ~~~~~~~~~~~RESPONSIBILITY DESCRIPTION jL

YM-94-003 10128193 Source nput controls on TRW Perform a review of Design Complete 03/30194project design requirements Foust Requirements Documents. Revise corrective actiondocuments Technical Document Preparation

__________ ____________ ~~~~ ~~~~~Plan

YM-94-013 12/30193 Plans prescribing Quality TRW Evaluate 02114/94Afecting Activities not Foust responsecontrolled n accordance with

_______ QA Program__ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _

YM-94-014 12/30193 SC Selection of design TRW Evaluate 02107194configuration for DIEs not Foust extension request

______ _ ____ _____ governed by procedure _ _ _ _ _ _ _ _ _ _ _ _ _ _

YM-9".15 12130193 SC Validation status of data used TRW Evaluate 02107194in Waste Isolation Impact Foust extension requestEvaluation is not documentedor tracked

U SG S _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _

YM-93-053 07102193 Subcontractor's QA Programs USGS Revise USGS QMP-401 Verify corrective 02/14194do not include applicable QA Hayes action

______ _____ _____ _ ___ _____ Program requirements _ _ _ _ _ _ _ _ _ _ _ _ _

Y11i-94-004 10129193 No temperature control for core USGS Revise USGS procedure HP- 131. Complete 02128/94and rubble samples. No Hayes corrective actioncalibration device or log book

__________ of storage temperatures. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

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YUCCA MOUNTAIN QUALITY ASSUFRANCE DIVISIONMONTHLY CORRECTIVE ACTION REQUEST STATUS REPORT

FOR JANUARY 1994

Enclosure 3

ADVERSE CORRECTIVE CORRECTIVE 1 NEXT NEXT ACTIONCONDON ACTION ACTION ACTION DUE DATE

RESPONSIBILITY DESCRIPTION _

YMP IYM-91-005 11/09/90 3 No matrix for OCRWM YMP Complete modifications dentified in Complete 04/01/94

procedures and QARD/QAP Nelson matrix review corrective action

YM-93-004 10/13/92 SC Illegible Records and Records YMP Revise AP-1.18Q. Resubmit Job Evaluate 02/07/94Problems Nelson Package 92-12 to LRC extension request

YM-93-027 12/31/92 SC Failure to implement YMP Revise TFM Plan. Revise AP-5.21Q Provide response 02/09/94procedures for Control of Nelson and AP-5.32Q to unsatisfactoryTracers, Fluids, and Materials verification

YM-93-035 03/18/93 SC FCRs are not being completed YMP Review FCRs and provide training Evaluate 02/07/94In accordance with AP-3.5Q Nelson responserequirements

YM-93-044 04/16/93 Readiness Review not properly YMP Revise QAAP 2.6. Provide training Complete 02/28/94documented Nelson corrective action

YM-93-086 08/24/93 SC Work performed prior to review YMP Approve and Issue Technical Verify corrective 02/14/94of procurement documents Nelson Directives. Perform procedure action

revisions as necessary. I

YM-93-091 09/08/93 Inadequate approval of Job YMP Correct typographical errors. Issue closurePackage 92-12 Nelson Implement AP-5.21Q, Rev. 4. letter

YM-93-093 09/14/93 Deficiencies In QA YMP Test planning packages and job Complete 03/12/94Implementation control in the Nelson packages to be modified. AP 5.21Q corrective action

__________ scientific investigation process and AP 5.32Q are being revised.

YM-94-006 12/03/93 Required logging procedures YMP Provide response 02/0294not implemented to conduct Nelson

l _____________ ________ __________ quality affecting work. _ _

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YUCCA MOUNTAIN QUALITY ASSURANCE DMSIONMONTHLY CORRECTIVE ACTION REQUEST STATUS REPORT

FOR JANUARY 1994

Enclosure 3

CAR NUMBER ISSUE SEVERITY ADVERSE CORRECTIVE CORRECTIVE I NEXT | NEXT ACTIONDATE CONDITION ACTION ACTION ACTION DUE DATE

RESPONSIBIL17Y DESCRIPTION l

YMP (Continued)

YM-94-010 12/16/93 Failure to videotape core YMP Provide training Issue closureNelson letter

YM-94-012 12/29/93 Ground support system for YMP Evaluate 02/07/94drilling blast section of the ESF Nelson responseadded to the Q-List withoutrequired documentation. .

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