ML20080K277

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Mgt Assessment of QA Program Effectiveness. Related Info Encl
ML20080K277
Person / Time
Site: Perry  FirstEnergy icon.png
Issue date: 02/16/1979
From: Hartline L
CLEVELAND ELECTRIC ILLUMINATING CO.
To:
Shared Package
ML20079G896 List:
References
FOIA-83-199 NUDOCS 8309290083
Download: ML20080K277 (17)


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TITLE Management Assessment of

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CORPORATE NUCLEAR QUALITY

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ASSURANCE PROGRAM; O

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ADMINISTRATION'. i.

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Procedure % d Records -

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APPROVERS p n,h r

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EFFECTIVE 2/ 16/ 79

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~e This document is written in response to the Code of Federal Regulations, Title 10, Part 50 (10CFR50) Appendix B, and The Cleveland Electric Illu=inating Cc:pany Corporate Nuclear Quality Assurance Prc5 ram.~

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E 4e Project Administration 0204 Rev. O Effective 2 / 16 / 79 Page 1 of 7 l ',

MANAGEMENT ASSESSMENT OF QUALITY ASSURANCE PROGRAM EFFECTIVENESS INTRODUCTION In order to determine the effectiveness of the Corporate Nuclear Quality Assur-ance Program it is the expressed commitment of the Illuminating Company to eval-unthntheadeguacyoftheprogram__and_its_compliancewiththeprogram.

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--~----_._,,,_,~~~v 1.1 PURPOSE To establish program evaluation measures and reporting channels to the level of management necessary to achieve effective implementation of the Corporate Nuclear Quality Assurance Program, and to insure that the pro-gram is achieving the proper quality results.

3 1.2 RESPONSIBILITIES AND REQUIREMENTS The Departrant Managers of Purchasing, Nuclear Engineering, and Nuclear Quality Ascurance are responsible for reporting the effectiveness of the Corporate Quality Assurance Program as it applies to their area of responsibility.

The Manager, Nuclear Quality Assurance Department, has the additional re-sponsibility for reviewing, evaluating and reporting on a quarterly basis the overall adequacy, implementation, and effectiveness of the Corporate Nuclear Quality Assurance Program.

The reporting of program effectiveness shall be accomplished through the Performance Analysis Report and Quality Assurance Quarterly Evaluation Report. Additional reports and correspondence, such as a Quality Engineering nonconformance trend analysis, may also be employed; but they are also included in the formal system.

-- ~~~-

Performance Analysis Reports i

Performance Analysis Reports are a written vertical commun kbnmedium for reporting problems, important events and progress t s'/lanning objectives on a regular monthly basis.

Performance Analysis Reports supplement other less means of commun-Ed s rations below their ication and enable managers to maintain contact w immediate spheres of activity. Top management is provided with compre-hensive summaries of operations which are necessary in modifying and improv-ing overall plans and policies.

j Since a monthly departmental quality performance analysis is inherently re-stricted by scope and a short term data base, Quality Assurance evaluation shall be conducted on a quarterly basis.

These quarterly performance analyscs are performed by Perry Project Depart-ments and shall provide the basis for an analysis of the entire program by l

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Project Administration 0204 Rev.

O Effective 2 /16 (79 Page 2 of 7 l

the Nuclear Quality Assurance Department. Attachment I delineates the u_

reporting measures necessary for the Quarterly Quality Assurance Program Evaluation Report.

1.3 EVALUATION PROCEDURE Quarterly Performance Analysis Report Evaluation Department Each quarter, includes as an attachment in the Department Per _,

Managers formance Analysis Report the data and_sur=ary_ analysis required byAttachment.1. entitled'QualityAssuranceProgramMeasuresof~

Effectiveness'[.

The Nuclear Quality Assurance Department shall assist in the data accumulation by providing printouts of (Audit) Action Request, Nonconformance Report, and Corrective Action Request and other information deemed pertinent by Perry Project Depart-ments.

Submit to the Manager, Nuclear Quality Assurance Department, one copy of the attachment and copies of any other pertinent Quality Program performance analyses contained with the report.

Manager Review the submitted materials for compliance with reporting Nuclear requirements and adequacy of content. Contact submitting Quality organization for clarification or additional details as re-Assurance quired.

Compare and evaluate the submitted performance analy-Department

,ses,i Include in the evaluation, any specific analysis reports from Quality Assurance Units, such as contractor nonconformance

, trend analysis, and the reviews and evaluations provided by the

, Quality Assurance Advisory Committee.

Consider in the analysis l process the data available from the project procedures,%

end in-istruetions.

b Procedures and instructions are designed to provi#e igh visibility of various trend indicators. Documes dontrol logs for drawings, specifications, procedureg[-(F((e(ld Questio surveillance / inspections, audits and noncompit ece documents delineste quantities and system implemeng$hio efficiency.

d Computer coding systems for Action Reed 6st$**and nonconformances allowforrapidsortingbyseveralvd($?BCriteria,cause tabl'es including the cited organization, applicable Appendi l

codes and nonconformance codes, k

Miscellaneous information such as yards of concrete, tons of steel, linear feet of installed piping or cable, number of purchased parts and components are available in detail from Engineering, Construction and Purchasing elements for meaningful comparisons.

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Project Administration 0204 Rev. O Effective 2 / 16/ 79 Page 3 of 7 Prepare a summary report for submittal to the Vice President, Systems Engineering and Construciton and Vice President of Administrative Services, and to the project department managers.

The summary report is to consist of:

-An assessment of the adequacy of Departmental Quality Program Effectiveness.

-A highlighting of those reported items considered to be of greatest significance and those requiring ic=ediate action.

-Recommendations on actions to be taken for those items of significance.

In addition, the quarterly reports for the second quarter shall include special emphasis on the qualifications and certificationg status of project personnel. This emphasis at this time compli' ments the CEI annual personnel evaluations and the annual Quality Administration review of inspection and auditor certifications.

Vice Review the Quarterly Report, consult as necessary with project Presidents management, and determine a course of corrective action for System reported problem areas.

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Engineering

& Construc-These actions may consist of:

tion

& Adminis-

-further study and analysis trative Services

-issuance of noncompliance documents

-initiating special inspection, surveillance or audity ity

-initiating program revisions

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f,v,y Resultsofactionstakeninresponsetoevaluat[on'Y$portitems aretobeaddressedinsubsequentPerformance#AnalysisReport.

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{,Y 1.4 CORRECTIVE ACTION y[n Manager Solicits management responses and suggested' corrective actions

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Nuclear to the evaluation and recommendations of the report. Responses, Quality including specific assignments and due dates, are documented Assurance and distributed to responsible supervisory personnel. A record Department copy is maintained for status tracking rmasures.

Resolution is documented by the responsible supervisor assigned to each corrective action and returned to the NQAD Manager for close out.

Status of these corrective actions are reported in-the NQAD tiionthly Performance Analysis Report. ( Distribution is made to the recipients of the original report.

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Project Administration 0204 Rev. O Effsetive 2 /16 /79 Page 4 of 7 PERFORMANCE ANALYSIS REPORT QUALITY ASSURANCE PROGRAM NUCLEAR ENGINEERING MEASURES OF EFFECTIVENESS DEPARTMENT Report Ites Coverage Procedures 1.

Procedure development / revision status for:

Design Engineering Section Nuclear Construction Section Nuclear Test and Start-Up Section Procedures and Records 2.

General program status and ef fectiveness evaluation by the Procedures and Records.

Section. Include tabulation of data for:

No. of procedures and instruction submitted No. reviewed and approved No. reviewed and rejec'ted Turn around tLne for review cycle Audit Findings Report on significant audit findings with re-spect to Nuclear Engineering Department and their contractors and vendors.

A Housekeeping Report on significant site hous fenging problems and progress. Tabul ekgphbers of violations and resolutio us for the month. Evaluate overall s usekeeping conditions and the effee n)ssofthe housekeeping programs o..

  • site and site

'A D' contractors.

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qw FVA Tabulate FVA's, ECNa?and specification revisions.

ECN Evaluate and report any significant changes which are related to quality and variations which may indicated an adverse quality trend.

l Receiving 1.

Report on significant vendor engineering,

problem resolution.~-

Inspection 2.

Evalante current adequacy of lay down areas, warehousing maintenance, and in-ventory control.

3.

Tabulate numbers and types of receipt

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problems (deficiency reports) for safety and non-safety items.

s-Prcject Administration 0204 Rev. O Effective 2 / 16/ 79 Page 5 of 7 d

PURCHASING DEPARTMENT Report Item Coverage Procedures Report Purchasing procedure development and revision status.

Audit Findings Report on significant audit findings with respect to the Purchasing Department and their affected' contractors and vendors.

NUCLEAR QUALITY ASSURANCE DEPARTMENT Report Item Coverage Procedures 1.

Procedure development status for:

Program Quality Section Construction Qual,ity Section 2.

CQS tabulation of contractor proced-ures reviews and status 3.

PQS tabulation of vendor procedures reviews and status 4.

PQS tabulation of project procedures reviews and status NOTE:

Tabulations to includ er sub-mitted, approved, re and turn-around tire.

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Assessment of Progr opment & Main-

'::ance Adequacy

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&F Internalaudit<prohbamevaluationand Audits 1.

i reporting of(impjementation adequacy,,

significant fig' dings, and problem resolution status.

2.

GAI Design Control audit program sum-mary and status as in number 1 above.

3.

Contractor audit program susnary and i

status as in number 1 above.

4 4.

Vendor preaward survey and audit sum-mary and status as in number 1 above, i;

5.

Quality Assurance agent audit program summary and status as in number 1 above.

6.

NSSS audit program su=:ary and status as in number 1 above.

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Projset Administration 0204 Rev. 0 Effective 2/ 16/79 Page 6 of 7 NUCLEAR QUALITY ASSURANCE DEPARTMENT (cont.)

Report Item Coverage Receiving 1.

Report significant receiving inspection Inspection problems.

2.

Report significant storage, maintenance or turnover problems.

3.

Tabulate receiving inspection noncon-formance reports and their resolution status.

4.

Evaluate receiving inspection, stotage and maintenance program effectiveness.

Contractor 1.

Report significant contractor quality Program items.

2.

Tabulate number of Nonconformance Reports by contractors Quality Control and Quality Assurance and their resolu-tion status.

3.

Tabulate contractor Action Request's and their resolution status.

4.

Tabulate contractor CAR's and their resolution status.

5.

Report Stop Work Notices a

$eir status.

6.

Perform evluation of ea entractors quality program effeqt'ivep'bss. Include numbers and types of.nonconformances analysis on these,ts','pirform trend and Action Reques

'itsms and include such factors as pro,c'edure development /revi-e sion status and(tiends, probles resolu-

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tion adequacy and timeliness ?nd other f,

observations and trends.

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Vendor Program 1.

Report significant vendor quality items.

2.

Tabulate number of vendor requests for deviations and their status.

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Project Administration 0204 8

Rev. 0 Effective 2 /16 /79 Page 7 of 7 NUCLEAR QUALITY

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ASSURANCE DEPARTMENT (cont.)

Report Item Coverage 3.

Tabulate vendor Corrective Action Re-quests and their resolution status.

4.

Report Stop Work Notices and their status.

5.

Identify reportable deficiencies and their status.

Perform evaluation of long tern vendor's quality program effectiveness.

For those vendors whose actual manufactur-ing time is short (i.e.,1-6 months)

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report final evaluation of vendors qual-ity performance af ter completion of contract.

6.

Tabulate or summarize numbers and type of vendor surveillance activ ies, dis-cuss implementation status chedule.

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3 QA Record 1.

Report on vendor recor&Opackage general status and special p o quis.

Reportoncontracgdh'Ie*cordpackage 2.

turnoverandacedy e status.

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NRC Inspection Provide quarterly ry analysis of NRC Summary inspections, their findings, and CEI respon-ses.

Summarize trends, special problems, reportable deficiency status and general CEI-NRC liaison conditions, favorable or un-favorable.

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THE CLEVELAND ELECTRIC ILLUMINATING COMF N'

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MEMORANDUM j

Qo B.D.WalrathpMo L. E. Hartline RDOM 2C204 rnoM DATE August 16, 1979 PHONE 390 ROOM 2C204 SUBJECT 1980 Internal Audit Schedule s

Attached to this memo is the 1980 project internal audit schedule. Please see me if you have any questions, h) h ') Y i

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O G A BDW:rmw Attachment pgg cc:

P. P. Martin R. L. Vondrasek

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9.5 1980 PROJECT INTERNAL AUDIT SCHEDULE 3'

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The project internal audit program is intended to assure the effectiveness I

of the Quality Assurance Program being implemented by internal pro-ject organizations performing safety related activities.

t The project internal audit program covers only selected program areas due to coverage by other project audit programs. Program areas to be covered are identified in the following table.

Audit Program Coverage Program Area 1

2 3

ORGANIZATION 1

2 3

Program 2

3 4

5 Design Control Procurement Document Control 2

3 4

Inst. Procedures and Drawings 2

3 4

2 3

4 5

Document Control Control of Purchased Material 2

3 4

2 3

4 Identification Control 2

3 Control of Special Processes 2

3 4

Inspection 2

3 Test Control Control of Test and Measurement 2

3 Equipment Handling, Storage and Shipping 2

3 4

2 3

4 Inspection Test & Operating Status 2

3 4

Nonconformance Control Corrective Action 1

2 3

4 2

3 4

Records 1

2 3

Audits i

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NQAD Audits.(PQA) 2.

Vendor Audits (PQE/GAI/QAD) j 3.

Contractor Audits (CQE)

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4.

Project Internal Audits 5.

GAI Design Control Audits (GAI/QAD)

It should be noted that the above table does not reflect NSSS or QA Agent audits. Both are independent and cover the entire scope of activities performed. The NSSS audit program is administered by PQE and the QA Agent Audit Program is administered by PQA.

Of greater importance, it should be noted that the project internal audit program is not scheduled to cover preoperational test, start-up and operation areas.

It is assumed that these areas will be covered by OQA.

The following project internal audits are, therefore, scheduled for 1980:

PIA-80-1 Warehousing and Equipment Maintenance January 1980 Program areas:

Control of Purchased Material Identification Control Handling, Storage & Shipping Inspection Inspection Status Areas to be evaluated include receipt inspec-3V tion, identification, handling, storage, and maintenance of OWNER supplied equipment. Parti-cular emphasis shall be placed on field main-tenance of equipment released to contractors.

Audit activities will be conducted on site.

PIA-80-2 Nonconformance and Corrective Action Control February 1980 Program areas: Nonconformance Control Corrective Action This audit will evaluate processing of all non-conformances and corrective actions by project organizations. Vendor and Contractor programs will not be evaluated as part of this audit.

Audit activities will be conducted in Reading and on site.

PIA-80-3 Drawing, Specification and ECN Control April 1980 Program areas:

Design Control Drawing Control Document Control This audit will evaluate design control

.Q measures for the generation, review and revi-sion of drawings, specifications and ECNs.

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This audit will also evaluate the control and distribution of these documents up to the point of transmittal to contractors and

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vendors. All project organizations involved in these processes will be evaluated.

Audit activities will be conducted in Reading s

and on site.

Instruction and Procedure Control PIA-80-4 May 1980 Instruction and Procedure Program areas:

Document Control This audit will evaluate generation and pro-cessing of project, vendor and contractor instructions and procedures by project organiza-tions.

Internal Vendor and Contractor programs will not be evaluated as part of this audit.

Audit activities will be conducted in Reading and on site.

Procurement Document Control PIA-80-5 July 1980 Procurement Document Control Program Areas:

The audit will evaluate the processing and control of purchase agreements, purchase 3

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orders, PCk'As and professional service agree-t_

ments by all involved orgarizations.

This audit will be conducted on site.

Indoctrir ation and Trainig PlA-80-6 September 1980 Indoctrination & Training (Program)

Program area:

This audit will evaluate the indoctrination and training programs of all project organizations.

Contractor and vendor indoctrination and training programs will not be evaluated.

Audit activities will be conducted on site.

Records PIA-80-7 November 1980 Program area:

Records This audit will evaluate the definition, s tatus and control of project organizations' records.

Contractor and vendor internal record programs will not be evaluated as part of this audit.

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Audit activities will be conducted in Reading and on site.

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l~ s i.: q-s c-THE CLEVELAND ELECTRIC ILLUMINATING COMPANY L,..n MEMORANDUM RODM FROM G. R. Leidich oATc January 13, 1980 0

J. J, Connelly V170 PHONc 538 nooM W170 R, E, Crofton wi70 susaccT Unit PAR / Highlight Perfomance,

C. V, Hunter y170 S. P. Tulk W170 I? C C EI V E D R. F. Williams W170 yNTHLY

'PEWCTm%eE AMl-ySLS REPORf LUG c51981 5.N55]

With a few exceptions, the Unit PAR / Highlight performance recently has been belov standard..As ve've discussed, part of this can be assisted by providing some. specific guidelines on.what should be included in PA's and Highlights.

The following items summarize the major points for these reports:

'-akly Highlights'

1. ' Highlights are due' to me.by the end of the day each Wednesday.

Timely submittal 'obviously needs improvement.

2.

Our primary format objectives are-brevity and clarity.

Cur highlights.will' typically'.be 1b pages,. depending on the items reported.

3 Our primary content objectives are to report:

a.

Significant events in.the field which may have an effect on~

quality (e.g. Fuel Pool Penetration Mess).

b.

Noticeable improvements or ' degradation in the contractor's program and/or implementation of his program (e.g. issuance of AR's, CAR's, closeout of CAR's, results of. rend analyses, iTR-t activity,.need for procedure. changes, etc.).

c. ' StatusIof medtin'g-our objectives 4(e.g.' audit co=mitment).

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d.. Trt.ining,: development.and persondel changes '(e.g. attending

. courses,'semin'rs,. teaching courses, new personnel, new.

a assigr.ments).

e.. Evaluation of our efforts 'to support. critical areas (e.g.

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document reviews to support critical path, important NR's).

f.

Assessment of changes in the field on the quality program (e.g.

contractor vill now be working second shift and we are concerned that he vill be able. to support it from a QA/QC personnel stand-point).

g.

Any item which yo.u feel requires communication to higher supervision.

Part of the reporting-objective is to eliminate " big surprises".

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P THE. CLEVELAND ELECTRIC ILLUMINATING COMPANY l7v,..n M. E M O R A N D U M Page 2 r]

ROOM FROM.

DATE

'PHONC ROOM BUBJECT 4

h.: Avoid:

a. ' A lot of detailed infomation on day-to-day nom'ai activities (e.g. we reviewed two~ procedures this week).

b.

"Everything is OK".

c.

Items requi. ring interpretation or enalysis - include the full story.

Monthly Perfomance' Analysis Report (PAR) 1.

Input is due t'o me by the end of the day Tuesday of the first full week of the month.

2.. Our primary femat. objectives are again brevity and clarity. Our PAR will typically be h-5 pages. The CQE Unit PAR femat is contained in Attachment A.

A management perspective from one.of our Executive Vice Presidents is Attachment B.

3 Our content objectives are to report:

a.

At least'.one' paragraph'from each groupf de5cribing a majo.r item of importance (for Section II) b.

Changes.in the. overtime useage for the' mbnth (for Section~ III.B.)

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c.

A paragraph describing a significant, NRC faterface item, if applicable. ( for : Section IV. A. )

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d.. A paragraph. assessing the audit status and problem areas ~from'the

. audit group (for Section IV.C. )

3.,

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'A' paragraph assessing do'c package review status end problem areas l-from the turnover group (for Section IV.D.)

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,.f.

.Ite=s related-to-personnel chanEes, nev assignments, trnining,

. development-, c'ommittee work,. PDP, etc. (for'Section.IV.H)~

g.

OI. activity (for Section.'IV.I).

h.

Contractor perfomance from each QE (for Appendix C).

This should'

. include a rating each month and.a few sentences describing activities or problem areas.

The applicable rat'ings for the PAR are as follows:

~

i THE CLEVELAND ELECTRIC ILLUMINATING COMPANY l1,,,,,

MEMDRANDUM Page 3 vD ROOM FROM OATE PHONE ROOM SUBJECT Excellent'-

Contractor program and manage =ent approach is superior, is exceeding our' expectations and-goals -or implementation during the month re-sulted in a significant positive. achievement.

Good -

Contractor program and managenent approach are adequate, appropriate in scope, consistent in implementation and' rease' ably efficient in n

obtaining the desired quality. level..Our goal vould be that most contractors fall in this category.

Satisfactory -

. Contractor program and manegement approach are adequate, however, deficiencies' in' onelor more aspects may, if not., corrected, result'in adverse

- effects on.the desired quality.

Unsatisfactory - Contra'etor program :and. m' nagement approach in a

some ' areas are inadequate. Defici.encies have been identified (as a. minimum, via' CAR) and contractor is nbt adequately responding.

Poor -

Contractor program and manage =ent approach in

, all areas are inadequate.

Stop Work Notices are being considered or have been issued in several or all activities.

Contract'or.has not demon-strated an intent to: comply.

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.Other Reports

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Each month.the",tvelve major. contractors are' evaluated by'

. contract l-team.1 This. effort 1s coordinated by the' Contr'act Administrator. The Quality l

Engineer should obtain'. input from QC for this report.

' 2. ' Each qiiarter,.all contractors are evaluated.by.the contract team. Again, this 'is coordinated :by.ithe' Contract. Admin'istrator.'

3.'.

Each quarter,(vel provide input.t'o the Quarterly Nanagement' Ass.essment"of Quality' Assurance Program Effectiveness. This 'is prepared'by 'me' using monthly PAR material and input from QE's if requested.

l

. If there ?are. any questions concerning these reporting mechanisms, feel free to ask.

Our intent is to iniprove our corriunications to management and concisely summarize our activities.

cc:

W. J. Kacer F. A. Myers J. Litchfield

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r Attachment A j

Standard Fomat.for CQE PAR I.

Sumary of' the Month

~0ne paragraph describing the performance and results of the month.

j

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.This includes a listing of Favorable Factors and Unfavorable Factors.

- 'Ba'sically, these are brief one-sentence descriptions.

.Most Significant Problems and Opportunities II.

A list of major items and a paragraph for each..

III. Variations From Budget A.. Manning - status plus coments B.

Overtime _ - status plus coments Other Items (* item vill be reported.each month)

IV. -

A.

Construction-Related NRC Activitig Overall assessment plus any detail

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B.

Contractor Perfomance" Overall assessment C.

Audits *

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IOverall. assessment.(by Audit. Group)

D.. Turnover / Document Reviev' T

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'Overali. assessment (by Turnover Group);

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Statistical'esumary '

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Attendance

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