96-26679. Policy and Procedure for Enforcement Actions; Departures From FSAR  

  • [Federal Register Volume 61, Number 203 (Friday, October 18, 1996)]
    [Notices]
    [Pages 54461-54466]
    From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
    [FR Doc No: 96-26679]
    
    
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    NUCLEAR REGULATORY COMMISSION
    
    [NUREG-1600]
    
    
    Policy and Procedure for Enforcement Actions; Departures From 
    FSAR
    
    AGENCY: Nuclear Regulatory Commission.
    
    ACTION: Policy statement: Revision.
    
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    SUMMARY: The Nuclear Regulatory Commission (NRC) is amending its 
    General Statement of Policy and Procedure for Enforcement Actions 
    (Enforcement Policy) to address issues associated with departures from 
    the Final Safety Analysis Report.
    
    DATES: This revision is effective on October 18, 1996. Comments are due 
    on or before November 18, 1996.
    
    ADDRESSES: Send written comments to: The Secretary of the Commission, 
    U.S. Nuclear Regulatory Commission, Washington, DC 20555, ATTN: 
    Docketing and Service Branch. Deliver comments to: 11555 Rockville 
    Pike, Rockville, Maryland 20852, between 7:45 am and 4:15 pm, on 
    Federal workdays. Copies of comments may be examined at the NRC Public 
    Document Room, 2120 L Street, NW. (Lower Level), Washington, DC.
    
    FOR FURTHER INFORMATION CONTACT: James Lieberman, Director, Office of 
    Enforcement, U.S. Nuclear Regulatory Commission, Washington, DC 20555 
    (301)-415-2741.
    
    SUPPLEMENTARY INFORMATION:  As a result of increased regulatory 
    attention to Part 50 licensees' adherence to the Final Safety Analysis 
    Report and the Updated Final Safety Analysis Report (FSAR), both 
    licensees and NRC have identified numerous failures to conform to these 
    documents. Given these findings, the Commission has reviewed the 
    current Enforcement Policy to determine if additional guidance is 
    needed to treat compliance issues associated with departures from the 
    FSAR. The Commission has concluded that the guidance in the current 
    Enforcement Policy, NUREG-1600, published in the Federal Register (60 
    FR 34381; June 30, 1995) should be revised.
        Many operating licenses contain a finding which states that the 
    licensed facility is as described in the FSAR, as amended and revised. 
    In accordance with 10 CFR 50.59, the Commission allows licensees to 
    make changes to the facility or procedures described in the FSAR and to 
    perform certain tests or experiments not described in the FSAR without 
    prior NRC approval provided evaluations are performed to demonstrate 
    that the change does not involve an unreviewed safety question and the 
    change does not conflict with a technical specification. Specifically, 
    10 CFR 50.59(a) provides:
    
        The holder of a license authorizing operation of a production or 
    utilization facility may (i) make changes in the facility as 
    described in the safety analysis report, (ii) make changes in the 
    procedures as described in the safety analysis report, and (iii) 
    conduct tests or experiments not described in the safety analysis 
    report, without prior Commission approval, unless the proposed 
    change, test, or experiment involves a change in the technical 
    specifications incorporated in the license or an unreviewed safety 
    question.
    
        If an unreviewed safety question or a change to a technical 
    specifications is involved, 10 CFR 50.59(c) requires that the licensee 
    submit an application for a license amendment pursuant to 10 CFR 50.90, 
    before making the change or departing from the FSAR.
        Section 50.59(b) requires that the evaluation be documented in 
    writing and maintained and reports of the changes be submitted to the 
    Commission. Periodic updates to the FSAR are required by 10 CFR 
    50.71(e) to reflect changes made under 10 CFR 50.59.
        The regulatory process is predicated on the assumption that when 
    the license is issued, the facility, procedures, tests, and experiments 
    will be as described in the FSAR. Thus, 10 CFR 50.59 is primarily a 
    prospective requirement. Section 50.59 requires a process to be 
    followed in evaluating proposed changes from the description of the 
    facility and its procedures described in the FSAR. However, 10 CFR 
    50.59 is also used to form the basis for citations when the facility or 
    procedures never met the description in the FSAR. These cases represent 
    de facto changes from the FSAR. A failure of the facility to conform to 
    the FSAR may also mean that the FSAR may contain inaccurate or 
    incomplete information, subjecting the licensee to enforcement action 
    for a violation of 10 CFR 50.9.
        In addition, failure to meet a specific commitment in the FSAR 
    which
    
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    describes how the licensee was to meet a regulatory requirement, may be 
    a violation of that regulatory requirement. In some cases, the 
    departure from the FSAR, if it does not involve a change to the 
    facility, procedures, or tests or experiments described in the FSAR, 
    may not cause the licensee to be in violation of any legal requirement. 
    In such cases, the departure from the FSAR would not be a violation, 
    and only a Notice of Deviation may be warranted.
        Thus, there are a variety of requirements that can be used to form 
    the basis for enforcement action to address departures from the FSAR. 
    Each potential enforcement case is reviewed on its merits to determine 
    which requirement, or set of requirements, is appropriate to base the 
    enforcement action on. Given a violation of NRC requirements, the next 
    step in the process is to determine the severity level of the violation 
    based on the safety and regulatory significance of the violation. The 
    Enforcement Policy provides definitions of severity levels (Section IV. 
    Severity of Violations) and examples (Supplements I-VIII) which are 
    used in categorizing the severity levels of violations.
    
    Revisions to the NRC Enforcement Policy
    
        Given the variety of discrepancies from the FSARs that have been 
    recently found, additional guidance has been developed to address 
    severity levels to categorize violations of 10 CFR 50.59 and 50.71(e) 
    and reporting requirements, application of the corrective action factor 
    in Section VI.B.2.c. of the Enforcement Policy, use of Section VII.B.3 
    of the Enforcement Policy, Enforcement Discretion for Violations 
    Involving Old Design Issues, and applying enforcement discretion to 
    increase sanctions in this area under Section VII.A.2 of the 
    Enforcement Policy.
        In developing this guidance, the Commission considered the 
    following two principles: (1) The importance of licensees performing 
    appropriate evaluations to ensure that there are not unreviewed safety 
    questions or conflicts with technical specifications, and (2) the 
    importance of maintaining and controlling changes to the FSAR so that 
    both the licensee and the NRC understand the regulatory envelope that 
    has been established for the facility. The changes to the Enforcement 
    Policy described below should make it clear to licensees that the 
    Commission believes that failures in either area can be significant and 
    can justify substantial regulatory action.
        The Commission recognizes that not every unreviewed safety question 
    is a significant safety issue. However, until the question is reviewed 
    and understood, there is an uncertainty in the basis for the 
    Commission's safety decision in licensing the plant. Therefore, the 
    failure to follow the regulatory process established by 10 CFR 50.59, 
    regardless of the actual safety significance of the change, when there 
    is an unreviewed safety question or a conflict with a technical 
    specification, is a significant regulatory concern. Licensees must 
    ensure that they are in conformance with the FSAR as it was a key 
    element for the basis for the Commission's decision in licensing the 
    plant and continues to be an important consideration in current 
    licensing actions. The enforcement process is a tool that the 
    Commission intends to use to emphasize the importance of achieving this 
    conformance and deter violations from continuing in this area.
    
    1. Severity Levels
    
        The definitions and examples of severity levels in the current 
    Enforcement Policy provide sufficient guidance to cover most potential 
    violations. Additional guidance is needed to address violations of 10 
    CFR 50.59 and 50.71(e) which are the requirements that likely will most 
    often be used to address departures from the FSAR. Currently, two 
    specific examples are provided to categorize violations of 10 CFR 50.59 
    in Supplement I, Reactor Operations and no examples specifically 
    address violations of 10 CFR 50.71(e).
        The first example, I.C.5, provides that a Severity Level III 
    violation would involve:
    
        A significant failure to meet the requirements of 10 CFR 50.59, 
    including a failure such that a required license amendment was not 
    sought.
    
        This example includes changes involving unreviewed safety questions 
    and conflicts with technical specifications. It also includes 
    situations not involving an unreviewed safety question where the 
    licensee would need to perform a detailed evaluation before it would 
    have had a reasonable expectation that an unreviewed safety question 
    was not involved without the performance of a detailed evaluation. This 
    is significant because of the importance of licensees using the 
    required process for maintaining and operating the facilities in 
    accordance with the design and procedures described in the FSAR when 
    there is uncertainty as to whether an unreviewed safety question is 
    present. An after-the-fact evaluation that demonstrates that an 
    unreviewed safety question was not involved would, in general, not 
    mitigate the regulatory significance of failing to perform an 
    appropriate evaluation prior to implementation of the change.
        The second example, I.D.2, provides that a Severity Level IV 
    violation would be a failure to meet the requirements of 10 CFR 50.59 
    that does not result in a Severity Level I, II, or III violation.
    
    Revised Examples of Severity Levels
    
        Consistent with the above two principles, the changes to the 
    Enforcement Policy provide additional examples to categorize severity 
    levels for violations associated with failures to meet the FSAR. The 
    current two examples described above are deleted and the following ten 
    examples are being added to the policy:
    Severity Level II
        One example of a Severity Level II problem (the term ``problem'' is 
    used here since more than one violation is involved) is proposed. 
    Example I.B.4 1 addresses inspection findings involving a number 
    of failures to meet 10 CFR 50.59 including several unreviewed safety 
    questions, and/or conflicts with a technical specification, involving a 
    broad spectrum of problems affecting multiple areas, some of which 
    impact the operability of required equipment. This situation is a very 
    significant concern, the definition of a Severity Level II problem, 
    because of the breadth of the process failures and the impact on 
    equipment operability as well as the licensing envelope.
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        \1\ The examples are numbered in accordance with the numbering 
    used in the changes to the Enforcement Policy.
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        As to Severity Level II violations or problems, the Enforcement 
    Policy provides that the base civil penalty for a Severity Level II 
    violation or problem is $88,000. However, Section VII.A.1.a of the 
    Policy provides that discretion should be considered for Severity Level 
    II cases. In assessing civil penalties for cases meeting the above 
    example, discretion will be considered, consistent with the Policy, 
    based on the number and nature of the violations and the breadth of the 
    problem that warranted the Severity Level II categorization in 
    determining whether civil penalties substantially in excess of the base 
    amount are warranted. This will include consideration of assessing 
    separate civil penalties for each violation that is aggregated into the 
    Severity Level II problem.
    
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    Severity Level III
        Four examples of Severity Level III violations are added that 
    demonstrate a significant regulatory concern, the definition of a 
    Severity Level III violation:
        Example I.C.10 involves an unreviewed safety question, and/or 
    conflict with a technical specification. Example I.C.11. addresses the 
    failure to perform the required evaluation under section 50.59 prior to 
    implementation of the change in those situations in which an extensive 
    evaluation would be needed before a licensee would have had a 
    reasonable expectation that an unreviewed safety question did not 
    exist. The fact that a post-implementation evaluation demonstrated that 
    no unreviewed safety question existed would not mitigate the regulatory 
    significance of the failure to perform the required evaluation prior to 
    implementation of the change. These two examples encompass the prior 
    example I.C.5. Example I.C.11 is set out as a separate example to give 
    clearer notice.
        Example I.C.12 addresses programmatic failures (i.e., multiple or 
    recurring failures) to meet the requirements of 10 CFR 50.59 and/or 
    50.71(e) which show a significant lack of attention to detail resulting 
    in a current safety or regulatory concern about the accuracy of the 
    FSAR or a concern that 10 CFR 50.59 requirements are not being met. 
    This example addresses a current programmatic failure or past 
    programmatic failure of current concern to meet 10 CFR 50.59 or 
    50.71(e). Application of this example requires weighing factors such 
    as: a) the time period over which the violations occurred and existed, 
    b) the number of failures, c) whether one or more systems, functions, 
    or pieces of equipment were involved and the importance of such 
    equipment, functions, or systems, and d) the potential significance of 
    the failures.
        Example I.C.13. addresses the failure to update the FSAR as 
    required by 10 CFR 50.71(e) where the failure to update the FSAR 
    resulted in an inadequate decision that demonstrates a significant 
    regulatory concern. This example addresses a significant failure 
    associated with 10 CFR 50.71(e) where the violation adversely impacted 
    other decisions such as whether or not a license amendment is needed or 
    whether or not an NRC licensing action should be taken. An example of 
    such a violation would be the failure to update the FSAR to delete a 
    reference to equipment that had been properly removed from the 
    facility. As a result an inadequate decision was made that an 
    unreviewed safety question was not present for a subsequent change to 
    the facility based on the presumed presence of equipment that the FSAR 
    erroneously indicated was still present in the plant.
    Severity Level IV
        Four examples of Severity Level IV violations are added that 
    demonstrate violations of more than minor concern which left 
    uncorrected, could become a more significant concern, the definition of 
    a Severity Level IV violation.
        Example I.D.5 addresses relatively isolated violations 2 of 10 
    CFR 50.59 not involving severity level II or III violations that do not 
    suggest a programmatic failure to meet 10 CFR 50.59. Example I.D.6 
    addresses a relatively isolated failure to document an evaluation where 
    there is evidence that an adequate evaluation was performed prior to 
    the change in the facility or procedures, or the conduct of an 
    experiment or test. Example I.D.7 addresses a failure to update the 
    FSAR as required by 10 CFR 50.71(e) where an adequate evaluation under 
    10 CFR 50.59 had been performed and documented. These three examples 
    are, by their nature, less significant than a Severity Level III 
    violation.
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        \2\ Relatively isolated violations or failures would include a 
    number of recently discovered violations that occurred over a period 
    of years and are not indicative of a programmatic safety concern 
    with meeting the requirements of 10 CFR 50.59 or 50.71(e).
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        Example I.D.8 addresses a past programmatic failure to meet 10 CFR 
    50.59 and/or 10 CFR 50.71(e) requirements not involving Severity Level 
    II or III violations that does not reflect a current safety or 
    regulatory concern about the accuracy of the FSAR or a current concern 
    that 10 CFR 50.59 requirements are not being met. This example is 
    similar to example I.C.12. However, it is less significant because it 
    does not involve a current performance issue nor does it have a current 
    impact. This would address past programmatic issues where both the 
    cause and the impacts have been corrected.
        The determination of whether a violation or grouping of violations 
    should be considered a severity level III or IV matter will require 
    exercise of judgement to determine if the failures are sufficiently 
    broad and programmatic to warrant a finding of significant regulatory 
    concern. To maintain consistency and fairness, the regions will 
    coordinate with the Office of Enforcement on severity level IV cases 
    where there is a potential to categorize the violations at a severity 
    level III.
    Minor Violations
        An example is added to address minor violations which are not 
    subject to formal enforcement action under the Enforcement Policy and 
    are not normally addressed in inspection reports. Example I.E addresses 
    a failure to meet 10 CFR 50.59 requirements that involves a change to 
    the FSAR description or procedure, or involves a test or experiment not 
    described in the FSAR, where there was not a reasonable likelihood that 
    the change to the facility or procedure or the conduct of the test or 
    experiment would ever be an unreviewed safety question. The example 
    also addresses a failure to meet a 10 CFR 50.71(e) violation, where a 
    failure to update the FSAR would not have a material impact on safety 
    or licensed activities.
        This example is provided because 10 CFR 50.59 covers the complete 
    FSAR. However, there are some descriptions in the FSAR of the facility 
    or procedures that have very little or no relevance to safety and are 
    of little or no regulatory concern. Nevertheless, by the specific terms 
    of the regulation, changes to the facility as described in the FSAR 
    must be evaluated. Violations in these areas are by definition minor 
    and if included in an inspection report would be non-cited pursuant to 
    section IV of the Enforcement Policy such as a change to the location 
    of sanitary sewer lines (in contrast to natural gas pipelines) in owner 
    controlled areas. The focus of this example is on plant equipment, 
    procedures, tests, or experiments described in the FSAR that would not 
    reasonably have any impact on safety regardless of the change. If the 
    change involves equipment, procedures and tests that have some safety 
    purpose the violation should normally be considered to be of more than 
    a minor concern.
    
    2. Corrective Action
    
        Corrective action is a key element in considering the appropriate 
    sanction. The discussion of corrective action in Section VI.B.2.c. of 
    the Enforcement Policy has been expanded to provide that in response to 
    violations of 10 CFR 50.59, corrective action should normally be 
    considered prompt and comprehensive only if the licensee (1) makes a 
    prompt decision on operability, and either (2) makes a prompt 
    evaluation under 10 CFR 50.59 if the licensee intends to maintain the 
    facility or procedure in the as found condition, or (3) promptly 
    initiates corrective action consistent with Criterion XVI of 10 CFR 50, 
    Appendix B if it intends to restore the facility or procedure to the 
    FSAR description. It is important for
    
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    licensees to recognize the need for these actions because until such 
    actions are taken the violation continues unabated.
    
    3. Reporting
    
        Section IV.D. of the Enforcement Policy provides that unless 
    otherwise categorized in the Supplements, the severity level of a 
    violation involving the failure to make a required report to the NRC 
    will be based upon the significance of and the circumstances 
    surrounding the matter that should be reported. The Policy has been 
    clarified to make it clear that failure to make a required report under 
    10 CFR 50.72 and 50.73, if the matter not reported involves (i) an 
    unreviewed safety question (ii) a conflict with a technical 
    specification or (iii) any Severity Level III violation, is a 
    significant regulatory concern. The NRC needs such information 
    concerning significant issues to carry out its regulatory 
    responsibilities.
    
    4. Old Design Issues
    
        Section VII.B.3, Violations Involving Old Design Issues, of the 
    Enforcement Policy addresses enforcement discretion for old design 
    issues and may be applicable to some 10 CFR 50.59 violations to the 
    extent that voluntary action by a licensee identifies a past problem, 
    such as in engineering, design, or installation. This discretion 
    addresses violations that would not likely be identified by routine 
    licensee efforts such as normal surveillance or quality assurance 
    activities. Identification of past violations through required efforts 
    would be treated using the normal policy.
        This provision was originally adopted to encourage voluntary 
    initiatives to establish design reconstitution programs such as 
    licensee initiated safety systems functional inspections to identify 
    and correct past design errors. This section places a premium on 
    licensees identifying issues before degraded equipment is called upon 
    to work. Similarly, application of this provision in the policy to past 
    FSAR issues could encourage licensees to establish programs with goals 
    to ensure full compliance with the FSAR licensing basis and determine 
    if there are unknown unreviewed safety questions that have not been 
    identified and addressed. To justify the exercise of Section VII.B.3 
    discretion, licensees must take comprehensive corrective action. The 
    policy provides that licensees should expand their reviews, as 
    necessary, to identify other failures from similar root causes. Thus, 
    in applying this discretion, as with any significant violation 
    associated with 10 CFR 50.59 and 50.71(e), the licensee should be 
    taking broad corrective action to ensure that the licensee is meeting 
    its licensing basis. The corrective action should have a defined scope 
    and schedule.
        The Commission intends to utilize Section VII.B.3 of the 
    Enforcement Policy to provide incentives to encourage licensees to 
    identify and correct violations which are not normally identified 
    through current surveillance and quality assurance activities. 
    Enforcement action would normally not be taken against a licensee if 
    the licensee identifies violations up to and including Severity Level 
    II associated with the FSAR by a voluntary initiative (including either 
    a formal program or informal effort where issues are identified through 
    a questioning attitude of an employee), provided the licensee takes 
    comprehensive corrective action and appropriately expands the scope of 
    the voluntary initiative to identify other failures with similar root 
    causes. If this enforcement discretion is utilized, the licensee's 
    voluntary initiative must be described in writing and be publicly 
    available. The staff will reference and summarize the licensee's 
    voluntary initiative, including the scope and schedule for corrective 
    action, in an inspection report and will follow the licensee's 
    corrective action until complete as an inspection report open item.
        Section VII.B.3 discretion would not normally be applied to 
    departures from the FSAR if:
        (a) The NRC identifies the violation unless it was likely in the 
    staff's view that the licensee would have identified the violation in 
    light of the defined scope, thoroughness, and schedule of the 
    licensee's initiative (provided the schedule provides for completion of 
    the licensee's initiative within two years of this policy change);
        (b) The licensee identifies the violation as a result of an event 
    or surveillance or other required testing where required corrective 
    action identifies the FSAR issue;
        (c) The licensee identifies the violation but had prior 
    opportunities to do so (was aware of the departure from the FSAR) and 
    failed to correct it earlier;
        (d) There is willfulness associated with the violation;
        (e) The licensee fails to make a report required by the 
    identification of the departure from the FSAR; or
        (f) The licensee either fails to take comprehensive corrective 
    action or fails to appropriately expand the corrective action program. 
    The corrective action should be broad with a defined scope and 
    schedule.
        Applying this discretion should further the objectives of the 
    Enforcement Policy to encourage identification and correction of 
    violations as well as provide deterrence for future violations.
        The Commission recognizes the importance to provide licensees with 
    incentives to embark on voluntary initiatives to identify and correct 
    FSAR discrepancies. However, licensees should be designing and 
    implementing their programs with goals to have these discrepancies 
    identified in the near term. Therefore, it is not appropriate to 
    continue indefinitely the granting of enforcement discretion in cases 
    where the NRC identifies the violations. As provided above in item a, 
    for NRC identified violations use of Section VII.B.3 enforcement 
    discretion for FSAR discrepancies will consider the schedule for the 
    licensee's voluntary initiative and when NRC identified the violation. 
    The two year period will provide a reasonable time period and incentive 
    for licensees to plan and conduct appropriate reviews to ensure that 
    their facilities meet the descriptions in the FSAR and take necessary 
    corrective action. The staff will continue to document in inspection 
    reports the results of its inspections against the FSAR and other than 
    the exception noted in item a, above, will continue enforcement for 
    NRC-identified violations.
        Following this two year period, if a Severity Level II ($88,000) or 
    III ($55,000) violation is identified, the Commission intends to use 
    its discretion to increase the fine and could assess civil penalties 
    for each violation or problem of $110,000 which may be further 
    escalated after considering the number and nature of the violations, 
    the severity of the violations, whether the violations were continuing, 
    and who identified the violations (and if the licensee identified the 
    violation, whether exercise of Section VII.B.3 enforcement discretion 
    is warranted), rather than the normal assessment factors. This approach 
    is intended to increase the incentive for licensees to take timely 
    action to ensure that their facilities match the FSAR. For example, if 
    a single Severity Level III violation is identified by the NRC and it 
    lasted for more than one day, a civil penalty of $220,000 could be 
    assessed. If the licensee identified the same violation and application 
    of enforcement discretion under Section VII.B.3 was not warranted, a 
    civil penalty of $110,000 ($55,000  x  2 days) could be assessed for 
    the example cited above which will provide some recognition of the 
    licensee's efforts. Section VII.A.1 of the
    
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    Enforcement Policy is being amended consistent with this approach.
        In summary, to encourage licensees promptly to undertake voluntary 
    initiatives to identify and correct FSAR noncompliances, the NRC is 
    modifying Section VII.B.3 of the Enforcement Policy to provide for:
        (1) The exercise of discretion to refrain from issuing civil 
    penalties and, in some instances, citations for a two year period where 
    a licensee undertakes voluntary initiative to identify and correct FSAR 
    noncompliances that will be completed within that two year period, and
        (2) The exercise of discretion to escalate the amount of the civil 
    penalties for FSAR/50.59 noncompliances identified by the NRC 
    subsequent to the two year voluntary initiative period.
    
    Amounts of Penalties
    
        The amounts of penalties reflected in this Notice and the 
    accompanying Policy Statement are based on the current Policy Statement 
    that was revised on October 4, 1996 and published in the Federal 
    Register on October 11, 1996 (61 FR 53557). The revised penalty amounts 
    apply to violations occurring or continuing after November 12, 1996. 
    Otherwise the amounts in the Policy Statement at the time of the 
    violation will be used in assessing any civil penalty.
    
    Paperwork Statement
    
        This policy statement does not contain a new or amended information 
    collection requirement subject to the Paperwork Reduction Act of 1995 
    (44 U.S.C. 3501 et seq.). Existing requirements were approved by the 
    Office of Management and Budget, approval number 3150-0136. The 
    approved information collection requirements contained in this policy 
    statement appear in Section VII.C.
    
    Public Protection Notification
    
        The NRC may not conduct or sponsor, and a person is not required to 
    respond to, a collection of information unless it displays a currently 
    valid OMB control number.
    
    Small Business Regulatory Enforcement Fairness Act
    
        In accordance with the Small Business Regulatory Enforcement 
    Fairness Act of 1996, the NRC has determined that this action is not a 
    major rule and has verified this determination with the Office of 
    Information and Regulatory Affairs of OMB.
        Accordingly, the NRC Enforcement Policy is amended as follows:
    
    GENERAL STATEMENT OF POLICY AND PROCEDURE FOR NRC ENFORCEMENT 
    ACTIONS
    
        1. In Section VI., add the following language at the end of 
    paragraph B.2.c.
    
    VI. Enforcement Actions
    
    * * * * *
        B. Civil Penalty. * * *
        2. Civil Penalty assessment. * * *
        c. Credit for prompt and comprehensive corrective action * * *
        In response to violations of 10 CFR 50.59, corrective action should 
    normally be considered prompt and comprehensive only if the licensee
        (i) Makes a prompt decision on operability; and either
        (ii) Makes a prompt evaluation under 10 CFR 50.59 if the licensee 
    intends to maintain the facility or procedure in the as found 
    condition; or
        (iii) Promptly initiates corrective action consistent with 
    Criterion XVI of 10 CFR 50, Appendix B if it intends to restore the 
    facility or procedure to the FSAR description.
    * * * * *
        2. In Section VII., add the following language as paragraph h. at 
    the end of paragraph A.1.g.:
    
    VII. Exercise of Discretion
    
        A. Escalation of Enforcement Sanctions. * * *
        h. Severity Level II or III violations associated with departures 
    from the Final Safety Analysis Report identified after two years from 
    October 18, 1996. Such a violation or problem would consider the number 
    and nature of the violations, the severity of the violations, whether 
    the violations were continuing, and who identified the violations (and 
    if the licensee identified the violation, whether exercise of Section 
    VII.B.3 enforcement discretion is warranted).
    * * * * *
        3. In Section VII. add at the end of paragraph B.3:
        B. Mitigation of Enforcement Sanctions. * * *
        3. Violations Involving Old Design Issues. * * *
    * * * * *
        Section VII.B.3 discretion would not normally be applied to 
    departures from the FSAR if:
        (a) The NRC identifies the violation unless it was likely in the 
    staff's view that the licensee would have identified the violation in 
    light of the defined scope, thoroughness, and schedule of the 
    licensee's initiative (provided the schedule provides for completion of 
    the licensee's initiative within two years after October 18, 1996;
        (b) The licensee identifies the violation as a result of an event 
    or surveillance or other required testing where required corrective 
    action identifies the FSAR issue;
        (c) The licensee identifies the violation but had prior 
    opportunities to do so (was aware of the departure from the FSAR) and 
    failed to correct it earlier;
        (d) There is willfulness associated with the violation;
        (e) The licensee fails to make a report required by the 
    identification of the departure from the FSAR; or
        (f) The licensee either fails to take comprehensive corrective 
    action or fails to appropriately expand the corrective action program. 
    The corrective action should be broad with a defined scope and 
    schedule.
        4. In Supplement I, paragraphs C(5) and D(2); are removed and 
    paragraphs B(4), C(10), C(11), C(12), C(13), C(14), D(5), D(6), D(7), 
    D(8) and E are added to read as follows:
    
    Supplement I--Reactor Operations
    
        B. Severity Level II--Violations involving for example:
    * * * * *
        4. Failures to meet 10 CFR 50.59 including several unreviewed 
    safety questions, or conflicts with technical specifications, involving 
    a broad spectrum of problems affecting multiple areas, some of which 
    impact the operability of required equipment.
        C. Severity Level III--Violations involving for example:
    * * * * *
        5. [Reserved]
    * * * * *
        10. The failure to meet 10 CFR 50.59 where an unreviewed safety 
    question is involved, or a conflict with a technical specification, 
    such that a license amendment is required;
        11. The failure to perform the required evaluation under 10 CFR 
    50.59 prior to implementation of the change in those situations in 
    which no unreviewed safety question existed, but an extensive 
    evaluation would be needed before a licensee would have had a 
    reasonable expectation that an unreviewed safety question did not 
    exist;
        12. Programmatic failures (i.e., multiple or recurring failures) to 
    meet the requirements of 10 CFR 50.59 and/or 50.71(e) that show a 
    significant lack of attention to detail, whether or not such failures 
    involve an unreviewed safety question, resulting in a current safety or 
    regulatory concern about the accuracy of the FSAR or a concern that
    
    [[Page 54466]]
    
    10 CFR 50.59 requirements are not being met. Application of this 
    example requires weighing factors such as: (a) the time period over 
    which the violations occurred and existed, (b) the number of failures, 
    (c) whether one or more systems, functions, or pieces of equipment were 
    involved and the importance of such equipment, functions, or systems, 
    and (d) the potential significance of the failures;
        13. The failure to update the FSAR as required by 10 CFR 50.71(e) 
    where the unupdated FSAR was used in performing a 10 CFR 50.59 
    evaluation and as a result, an inadequate decision was made 
    demonstrating a significant regulatory concern; or
        14. The failure to make a report required by 10 CFR 50.72 or 50.73 
    associated with (a) an unreviewed safety question, (b) a conflict with 
    a technical specification, or (c) any other Severity Level III 
    violation.
        D. Severity Level IV--Violations involving for example:
    * * * * *
        2. [Reserved]
    * * * * *
        5. Relatively isolated violations of 10 CFR 50.59 not involving 
    severity level II or III violations that do not suggest a programmatic 
    failure to meet 10 CFR 50.59. Relatively isolated violations or 
    failures would include a number of recently discovered violations that 
    occurred over a period of years and are not indicative of a 
    programmatic safety concern with meeting 10 CFR 50.59 or 50.71(e);
        6. A relatively isolated failure to document an evaluation where 
    there is evidence that an adequate evaluation was performed prior to 
    the change in the facility or procedures, or the conduct of an 
    experiment or test;
        7. A failure to update the FSAR as required by 10 CFR 50.71(e) 
    where an adequate evaluation under 10 CFR 50.59 had been performed and 
    documented; or
        8. A past programmatic failure to meet 10 CFR 50.59 and/or 10 CFR 
    50.71(e) requirements not involving Severity Level II or III violations 
    that does not reflect a current safety or regulatory concern about the 
    accuracy of the FSAR or a concern that 10 CFR 50.59 requirements are 
    not being met.
        E. Minor Violations:
        A failure to meet 10 CFR 50.59 requirements that involves a change 
    to the FSAR description or procedure, or involves a test or experiment 
    not described in the FSAR, where there was not a reasonable likelihood 
    that the change to the facility or procedure or the conduct of the test 
    or experiment would ever be an unreviewed safety question. In the case 
    of a 10 CFR 50.71(e) violation, where a failure to update the FSAR 
    would not have a material impact on safety or licensed activities. The 
    focus of the minor violation is not on the actual change, test, or 
    experiment, but on the potential safety role of the system, equipment, 
    etc. that is being changed, tested, or experimented on.
    * * * * *
        Dated at Rockville, MD, this 11th day of October 1996.
    
        For the Nuclear Regulatory Commission.
    John C. Hoyle,
    Secretary of the Commission.
    [FR Doc. 96-26679 Filed 10-17-96; 8:45 am]
    BILLING CODE 7590-01-P
    
    
    

Document Information

Effective Date:
10/18/1996
Published:
10/18/1996
Department:
Nuclear Regulatory Commission
Entry Type:
Notice
Action:
Policy statement: Revision.
Document Number:
96-26679
Dates:
This revision is effective on October 18, 1996. Comments are due on or before November 18, 1996.
Pages:
54461-54466 (6 pages)
Docket Numbers:
NUREG-1600
PDF File:
96-26679.pdf