ENGINEERING EVALUATION REPORT · 2014-06-19 · UNITED CONTROLS INTERNATIONAL ENGINEERING...

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UNITED CONTROLS INTERNATIONAL ENGINEERING EVALUATION REPORT EER-14-94597-01 Revision 2 UCI Evaluation of Customer Returned Orders for Part 21 Evaluation Prepared By.•': Engineering Reviewed By: ____•/v, "Engifpering Date: / Date: 5 Date: 5 Approved By: Quality Assurance www.unitedcontrols.com

Transcript of ENGINEERING EVALUATION REPORT · 2014-06-19 · UNITED CONTROLS INTERNATIONAL ENGINEERING...

Page 1: ENGINEERING EVALUATION REPORT · 2014-06-19 · UNITED CONTROLS INTERNATIONAL ENGINEERING EVALUATION REPORT EER-14-94597-01 Revision 2 UCI Evaluation of Customer Returned Orders for

UNITED CONTROLS INTERNATIONAL

ENGINEERING EVALUATION REPORT

EER-14-94597-01

Revision 2

UCI Evaluation of Customer Returned Orders for Part 21 Evaluation

Prepared By.•':Engineering

Reviewed By: ____•/v,"Engifpering

Date: /

Date: 5

Date: 5Approved By:Quality Assurance

www.unitedcontrols.com

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Revision History:Date Revision Description

04/24/14 0 Initial Issue

05/16/14 1 Updated Part 21 evaluations for NCRs 3909 and 5670.Removed NCR 4679, this is for an international plant.Added Part 21 evaluation for job 95581 (NCRs 6189).

NCR 7065 removed as it was a customer DNR and wasvoided. ECO# 205473

05/30/14 2 Remove Confidentiality statement as this EER is for PublicRelease with the UCI NRC Inspection Results. ECO#

_205489

1.0: Customer:UCI

2.0: Sales Order Numbers:95443, 6144, 95581, 91103, 93049, 94597, 94900, 95108, 95245, 95581, 91103, 94860,

91980

3.0: NCR Numbers:6256, 6916, 6331, 4679, 5180, 4980, 4413, 5669, 5670, 4924, 6189, 3905, 3909, 6029,6859

4.0: References:A. UCI QCP 21.1B. UCI QCP 15.2C. UCI CAR 13-14

6.0: Description:This engineering evaluation is being written to document the part 21 evaluations performedon the above listed NCRs and Sales Order Lines.

7.0: Technical Evaluation I Analysis I Disposition:Per findings listed on the NRC Inspection Report 99901436-2014201 and the Notice ofViolation received on 4/11/2014, UCI has reviewed all customer returned items for thepast 3 years. This time frame was chosen as it covers all orders since the last NUPICaudit of UCI. The above listed NCRs were determined to need further evaluation to meetthe requirements of UCI QCP 21.1, QCP 15.2 and 10CFR 21.21. Upon furtherevaluation, all orders were determined to have no defects and no reportable findings.

8.0 Conclusions:As documented in the attached QA 21.1F Forms for all the NCRs listed in section 3.0above, no defects were found after performance of the part 21 evaluation process.

9.0 Attachments:1. Part 21 Evaluations for NCRs listed in section 3.

Page 2 of 25United Controls International E 205 Scientific Drive El Norcross, GA 30092

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Attachment 1Part 21 Evaluations

Page 3 of 25United Controls International D1 205 Scientific Drive L Norcross, GA 30092

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UNITED CONTROLS INTERNATIONAL

NCR No.: 4980/5180

NCR Rev.: 0

PART 21 EVALUATIONREPORT

Discovery of Deviation Date: 4/22/14 Evalu

Evaluation Disposition: No Defect Interim R

Evaluation Disposition Complete B

ation Due Date: 4/25/14

eport Required? N

Date: l _r,

Evaluation Disposition is (A) Not Capable:

Interim Report to Customer &-NRC Due Date: N/A

Interim Report Submitted to Customer By: N/A Date:

Report#: N/A

Interim Report Submitted to NRC By: N/A Date:

Report#: N/A

Evaluation Disposition is (B) No Defect:

Evaluation Disposition Notes:

Relays, all from the same date code and that had manufacturing witnessed by UC1, underwent 100%functional testing and were all found to be in working order prior to shipment to the customer. When thecustomer notified UCI of the in storage bench test failure, UCI pulled an additional relay from the samedate code from UCI stock. This relay had been kept in level B storage. The replacement relay wastested to the same dedication procedure and passed all testing. Due to the sensitive nature of theserelays, UCI has concluded that the contact failure is an isolated incident that was caused by shipping andhandling issues.

Evaluation Disposition Is (C) Defect Exists-:

Responsible Officer Notification Due Date: N/A

Responsible Officer Notified: N/A

Responsible Officer Notification Complete By: N/A Date:

Initial Notification to NRC Due Date: N/A

Initial Notification to NRC via Fax (301-816-5151) By: N/A

Verification of Receipt of Initial Notification to NRC via Phone(301-816-5100) By: N/A

Date:

Date:

Written Notification to NRC Due Date: N/A

Written Notification Sent to NRC By: N/A Date:

1 of 2 QA Form 21.1F, RO

Page 4 of 25United Controls International ED 205 Scientific Drive El Norcross, GA 30092

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UtlllEO CONTROLS INTTERNATIONAL

NCR No.: 4980/5180

NCR Rev.: 0PART 21 EVALUATION

REPORT

CAR Required? N

Notes:

CAR.Report #: N/A

• i .

I C- (-i'%Part 21 Evaluation Complete By (QA): Date:

2 of 2 QA Form 21.1F, RO

Page 5 of 25United Controls International [1 205 Scientific Drive D Norcross, GA 30092

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UNITEO CONTROLS INTERNATIONAL

NCR No.: 6029

NCR Rev.: 0PART 21 EVALUATION

REPORT

Discovery of Deviation Date: 4/22/14 Evaluation Due Date: 4/25/14

EvaluationDisposition:. No Defect. Interim Report Required? N

Evaluaiion Disposition Compiete By' Date: A/

Evaluation Disposition Is (A). Not Capable:

Interim Report to Customer & NRC Due Date: N/A

Interim Report Submitted to Customer By: N/A Date:

Report #: N/A

Interim Report Submitted to NRC By: N/A Date:

Report #: N/A

Evaluation Disposition is (B) No Defect:

Evaluation Disposition Notes:

The returned power supply was part of a blanket refurbishment order carried out by UCI. The failurewas linked to a low voltage inside one of the control loops of the power supply. No other refurbishedpower supplies have been reported with this failure. The power supply was reworked to acceptablecondition.

Evaluation Disposition Is (C) Defect Eists

Responsible Officer Notification Due Date: N/A

Responsible Officer Notified: N/A

Responsible Officer Notification Complete By: N/A Date:

Initial Notification to NRC Due Date: N/A

Initial Notification to NRC via Fax (301-816-51.51) By: N/A Date:

Verification of Receipt of Initial Notification to NRC via Phone(301-816-5100) By: N/A Date:

Written Notification to NRC Due Date: N/A

Written Notification Sent to NRC By: N/A Date:

1 of 2 QA Form 21.1F, R0

Page 6 of 25United Controls International [1 205 Scientific Drive D Norcross, GA 30092

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UNWED CONTROLS INTERNATIONAL

NCR No.: 6029

NCR Rev.: 0

PART 21 EVALUATIONREPORT

CAR Required? N

Notes:

CAR Report #: N/A

Part 21 Evaluation Complete. By (QA): k{5~AiACk I •K1- Date:

V

2 of 2 QA Form 21.1F, RO

Page 7 of 25United Controls International E 205 Scientific Drive ED Norcross, GA 30092

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UNiTED CONTROLS OTnERNAI1ONAL

NCR No.: 6331

NCR Rev.: 0PART 21 EVALUATION

REPORT

Discovery of Deviation Date: 4/22/14 Evaluation Due Date: 4/25/14

Evaluation Disposition: No Defect Interim Report Required? N

Evaluation Disposition Complete B. Date:

Evaluation Disposition is (A) Not Capable:

Interim Report to Customer & NRC Due Date: N/A

Interim Report Submitted to Customer By: N/A Date:

Report#: N/A

Interim Report Submitted to NRC By: N/A Date:

Report #: N/A

Evaluation Disposition is (B) No Defect:

Evaluation Disposition Notes:

Item was found to be in working order during original dedication. No shorts were found duringinsulation testing during the original dedication. The item was originally shipped to the customer in2003 and the failure at the customer site was in 2010. Failure analysis has determined that the shortedcontacts are fused together. UCI's determination is that the failure is an isolated incident and most likelydue to in proper installation or testing.

Evaluation Disposition is (C) Defect Exists :

Responsible Officer Notification Due Date: N/A

Responsible Officer Notified: N/A

Responsible Officer Notification Complete By: N/A Date:

Initial Notification to NRC Due Date: N/A

Initial Notification to NRC via Fax (301-816-5151) By: N/A

Verification of Receipt of Initial Notification to NRC via Phone(301-816-5100) By: N/A

Written Notification to NRC Due Date: N/A

Date:

Date:

Written Notification Sent to NRC By: N/A Date:

1 of 2 QA Form 21.1F, RO

Page 8 of 25United Controls International [1 205 Scientific Drive [I Norcross, GA 30092

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UNITED CONTROLS INTERNATIONAL

NCR No.: 6331

NCR Rev.: 0

PART 21 EVALUATIONREPORT:

CAR Required? N

Notes:

CAR Report#: N/A

Part 21 Evaluation Complete By (QA): +'1 tJ6k ILM . Date: 4#4L4-

2 of 2 QA Form 21.1F, R0

Page 9 of 25United Controls International [1 205 Scientific Drive W Norcross, GA 30092

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PART 21 EVALUATIONREPORT

UNITED CONTROLS INITERNATIONAL

NCR No.: 4924

NCR Rev.: 0

Discovery of Deviation Date:' 4/22/14 Evaluation Due Date: 4/25/14

Evaluation Disposition: No Defect Interim Report Required? N

Evaluation Disposition Complete : Date

Evaluation Disposition is (A) Not Capable:

Interim Report to Customer & NRC Due Date: N/A

Interim Report Submitted to Customer By: N/A Date:

Report#: N/A

Interim Report Submitted to NRC By: N/A Date:

Report#: N/A

Evaluation Disposition is (B) No Defect:

Evaluation Disposition Notes:

Additional locking mechanism found on the breakers was a configuration issue. This issue had no effecton the intended safety function of the breaker to trip and interrupt current when required.

Evaluation Disposition is (C) Defect Exists

Responsible Officer Notification Due Date: N/A

Responsible Officer Notified: N/A

Responsible Officer Notification Complete By: N/A Date:

Initial Notification to NRC Due Date: N/A

Initial Notification to NRC via Fax (301-816-5151) By: N/A Date:

Verification of Receipt of Initial Notification to NRC via Phone(301-816-5100) By: N/A Date:

Written Notification to NRC Due Date: N/A

Written Notification Sent to NRC By: N/A Date:

1 of 2 QA Form 21.1F, RO

Page 10 of 25United Controls International [1 205 Scientific Drive ED Norcross, GA 30092

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UNHED CONTROLS INTERATIONAL

NCR No.: 4924

NCR Rev.: 0

PART 21 EVALUATIONREPORT

CAR Required? N

Notes:

CAR Report #:. N/A

Part 21 Evaluation. Complete By (QA): Date:

2 of 2 QA Form 21.1F, RO

Page 11 of 25United Controls International E 205 Scientific Drive E1 Norcross, GA 30092

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UNITED CONTROLS INTERNAlIONAL

NCR No.: 4413

NCR Rev.: 0

PART 21 EVALUATIONREPORT

Discovery of Deviation Date: 4/22/14 Evaluation Due Date: 4/25/14

Evaluation Disposition: No Defect Interim Report Required? N

Evaluation Disposition Complete By: Date: /.-211

Evaluation Disposition Is (A) Not Capable:

Interim Report to Customer & NRC Due Date: N/A

Interim Report Submitted to Customer By: N/A Date:

Report#: N/A

Interim Report Submitted to NRC By: N/A Date:

Report#: N/A

Evaluation Disposition is (B) No Defect:

Evaluation Disposition Notes:

The item passed all original dedication testing acceptably. Customer received item with apparentinternal component damage and limited functionality. Because the item passed original UCI testing, andthe internal parts shifted sometime between UCI testing and customer bench testing, UCI is reasonablyassured that the item failure is due to shipping and handling issues.

Evaluation Disposition Is (C) Defect Exists

Responsible Officer Notification Due Date: N/A

Responsible Officer Notified: N/A

Responsible Officer Notification Complete By: N/A Date:

Initial Notification to NRC Due Date: N/A

Initial Notification to NRC via Fax (301-816-5151) By: N/A Date:

Verification of Receipt of Initial Notification to NRC via Phone(301-816-5100) By:

Written Notification to NRC Due Date: N/A

N/A Date:

Written Notification Sent to NRC By: N/A Date:

1 of 2 QA Form 21.1F, RD

GA 30092Page 12 of 25

United Controls International ED 205 Scientific Drive E Norcross,

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UNITED CONTROLS INTERNATIONAL

NCR No.: 4413

NCR Rev.: 0

PART 21 EVALUATIONREPORT

CAR Required? N

Notes:

CAR Report#: N/A

Part 21.Evaluation Complete By (QA): Date: ýWm+

2 of 2 QA Form 21.1F, RO

Page 13 of 25United Controls International E 205 Scientific Drive El Norcross, GA 30092

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PART 21 EVALUATIONREPORT '.

UNITED CONTROLS INTERNATIONAL

NCR No.: 6859

NCR Rev.: 0

Discovery of Deviation Date: 4/22/14 Evaluation Due Date: 4/25/14

Evaluation Disposition: No Defect Interim Report Required? N

Evaluation Disposition Complete By Date:

Evaluation Disposition is (A) Not Capable:

Interim Report to Customer & NRC Due Date: N/A

Interim Report Submitted to Customer By: N/A Date:

Report #: N/A

Interim Report Submitted to NRC By: N/A Date:

Report#: N/A

Evaluation Disposition is (B) No Defect:

Evaluation Disposition Notes:

Per UCI EER-1 1-5664-01 and CAR 61-13, the bloom found on the surface of the UCI Nuke Tape (UCI-003XS) did not have an adverse affect on its installed safety function and thus no defect exists.

Evaluation.Disposltion is (C) Defect Exists•

Responsible Officer Notification Due Date: N/A

Responsible Officer Notified: N/A

Responsible Officer Notification Complete By: N/A Date:

Initial Notification to NRC Due Date: N/A

Initial Notification to NRC via Fax (301-816-5151) By: N/A Date:

Verification of Receipt of Initial Notification to NRC via Phone(301-816-5100) By: N/A Date:

Written Notification to NRC Due Date: N/A

Written Notification Sent to NRC By: N/A Date:

1 of 2 QA Form 21.IF, R0

Page 14 of 25United Controls International [1 205 Scientific Drive ED Norcross, GA 30092

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UNITED CONTROLS INTERNATIONAL

NCR No.: 6859

NCR Rev.: 0PART 21 EVALUATION

REPORT

CAR Required? Y

Notes:

CAR Report #: 61-13

CAR 61-13 completed as of 2/18/2014 . ..

Part 21 Evaluation Complete.By (QA):..... u . b "- . .Date: ,ipy L4

2 of 2 QA Form 21.1F, RD

Page 15 of 25United Controls International E 205 Scientific Drive E1 Norcross, GA 30092

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PART 21 EVALUATIONREPORT

UNITED CONTROLS INTERNATIONAL

NCR No.: 6256

NCR Rev.: 0

Discovery of Deviation Date: 4/22/2014 Evaluation Due Date: 4/25/14

Evaluation Disposition: No Defect Interim Report Required? N

Evaluation Disposition Complete By: Date:

Evaluation Disposition Is (A) Not Capable:

Interim Report to Customer & NRC Due Date: N/A

Interim Report Submitted to Customer By: N/A Date:

Report#: N/A

Interim Report Submitted to NRC By: N/A Date:

Report#: N/A

Evaluation Disposition Is (B) No Defect;

Evaluation Disposition Notes:

Item was returned from customer due to workmanship and finish concerns. The item was not defectiveand was in full working order.

Evaluation Disposition Is (C) Defect Exists:

Responsible Officer Notification Due Date: N/A

Responsible Officer Notified: N/A

Responsible Officer Notification Complete By: N/A Date:

Initial Notification to NRC Due Date: N/A

Initial Notification to NRC via Fax (301-816-5151) By: N/A Date:

Verification of Receipt of Initial Notification to NRC via Phone(301-816-5100) By: N/A Date:

Written Notification to NRC Due Date: N/A

Written Notification Sent to NRC By: N/A Date:

1 of 2 QA Form 21.1F, RO

Page 16 of 25United Controls International ED 205 Scientific Drive EW Norcross, GA 30092

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UNITED CONTROLS INTEHNAIIONAL

NCR No.: 6256

NCR Rev.: 0

PART 21 EVALUATIONREPORT

CAR Required? Y

Notes:

CAR Report #: 13-14

CAR 13-14 was written in response to the NRC finding of deficiency part 21 evaluation of customerreturned items. This NCR was identified as one that needed further evaluation.

Part 21 Evaluation Complete By (QA): Date:

. I I .

2 of 2 QA Form 21.1F, RO

Page 17 of 25United Controls International E 205 Scientific Drive [I Norcross, GA 30092

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UNITED CONhTROLS INTERNATIONAL

NCR No.: 6189

NCR Rev.: 0

Discovery of Deviation Date: 4/22/14 Evaluation Due Date: 4/25/14

Evaluation Disposioin: No Detect Interim Report Required? N

Evaluation Disposition ..- l" B Date:

Evaluation Disposition Is (A) Not Capable:

Interim Report to Customer & NRC Due Date: N/A

Interim Report Submitted to Customer By: N/A

Report#: N/A

Interim Report Submitted to NRC By: N/A

Report#: N/A

Date:

Date:

Evaluation Disposition Is (B) No Defect:

Evaluation Disposition Notes:

Mersen fuses were a buyout item. Mersen GDLI fuses are bought by Mersen from Bel and are Bel 3SBfuses. An Equivalency Evaluation, EE-95581-01-01 was written to accept either marking on the fuses.

Evaluation Disposition Is (C) Defect Exists:

Responsible Officer Notification Due Date: N/A

Responsible Officer Notified: N/A

Responsible Officer Notification Complete By: N/A Date:

Initial Notification to NRC Due Date: N/A

Initial Notification to NRC via Fax (301-816-5151) By: N/A Date:

Verification of Receipt of Initial Notification to NRC via Phone(301-816-5100) By: N/A Date:

Written Notification to NRC Due Date: N/A

Written Notification Sent to NRC By: N/A Date:

1 of 2 QA Form 21.1F, RO

Page 18 of 25United Controls International El 205 Scientific Drive L Norcross, GA 30092

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UNITED CONTROLS INTERNATIONAL

NCR No.: 6189

NCR Rev.: 0

PART 21 EVALUATIONREPORT

CAR Required? N

Notes:

CAR Report #: N/A

Part 21 Evaluation Complete By (QA): Date: ý4ýL/-

2 of 2 QA Form 21.1F, RO

Page 19 of 25United Controls International [1 205 Scientific Drive E Norcross, GA 30092

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UNITED CONTROLS INITERNATIONAL

NCR No.: 5669/5670

NCR Rev.: IPART 21 EVALUATION

REPORT

Discovery of Deviation Date: 4/22/14...! Evaluation Due Date: 4/25/14

Evaluation Disposition: No Defect Interim Report Required? N

Evaluation Disposition Complete By;:. . •Date: •/l(6It&(

Evaluation Disposition Is (A) Not Capable: *0 a ,. 70. * -./6Interim Report to Customer & NRC Due Date: N/A

Interim Report Submitted to Customer By: N/A Date:

Report #: N/A

Interim Report Submitted to NRC By: N/A Date:

Report #: N/A

Evaluation Disposition is (B) No Defect:

Evaluation Disposition Notes:

Item was tested upon return and no failures were observed. Destructive failure analysis testing wasperformed and no failures were observed. Failures reported by the customer could not be replicatedthrough bench testing or wimessed manufacturer testing.

Evaluation Disposition is (C) Defect Exists :

Responsible Officer Notification Due Date: N/A

Responsible Officer Notified: N/A

Responsible Officer Notification Complete By: N/A Date:

Initial Notification to NRC Due Date: N/A

Initial Notification to NRC via Fax (301-816-5151) By: N/A Date:

Verification of Receipt of Initial Notification to NRC via Phone(301-816-5100) By: N/A Date:

Written Notification to NRC Due Date: N/A

Written Notification Sent to NRC By: N/A Date:

1 .of 2 QA Form 21.IF, RO

Page 20 of 25United Controls International D] 205 Scientific Drive El Norcross, GA 30092

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UNITED CONTROLS INTERNATIONAL

NCR No.. 5669/5670

NCR Rev.: I

PART 21 EVALUATIONREPORT

CAR Required? N

Notes:

CAR Report#: N/A

Part 21 Evaluation Complete By (QA): ~A)AG \ffi~7~ Date: '51 i~LLP1/1

2 of 2 QA Form 21.1F, RO

Page 21 of 25United Controls International [1 205 Scientific Drive IZ Norcross, GA 30092

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UNITED CONTROLS IHTERNATIONAL

NCR No.: 3905/3909

NCR Rev.: I

Discovery of Deviation Date: 4/22/14 Evaluation Due Date: 4/25/14

Evaluation Disposition: No Defect Interim Report Required? N

.Evaluation Disposition Complete By: Date: .

Evaluation Disposition Is (A) Not Capable: ' 0'j "-- 5f(¢Interim Report to Customer & NRC Due Date: N/A

Interim Report Submitted to Customer By: N/A Date:

Report #: N/A

Interim Report Submitted to NRC By: N/A Date:

Report#: N/A

Evaluation Dlsposition Is (B) No Defect:

Evaluation Disposition Notes:

The fuse modules were returned due to aged components. It was determined that the aged componentscontributed to the failure of the boards.

Evaluation Disposition is (C) Defect Exists

Responsible Officer Notification Due Date: N/A

Responsible Officer Notified: N/A

Responsible Officer Notification Complete By: N/A Date:

Initial Notification to NRC Due Date: N/A

Initial Notification to NRC via Fax (301-816-5151) By: N/A Date:

Verification of Receipt of Initial Notification to NRC via Phone(301-816-5100) By: N/A Date:

Written Notification to NRC Due Date: N/A

Written. Notification Sent to NRC By: Date:

1 of 2 QA Form 21.1F, RO

Page 22 of 25United Controls International D 205 Scientific Drive El Norcross, GA 30092

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PART 21 EVALUATIONREPORT

UINITEf CONTROLS INTERNATIONAL

CAR Required? N

Notes:

IPart 21 Evaluation Complete By (QA):

NCR No.: 3905/3909

NCR Rev.: I

CARReport #: N/A

ki_- t .. Date:

2 of 2 QA Form 21.1F, RO

Page 23 of 25United Controls International E 205 Scientific Drive El Norcross, GA 30092

Page 24: ENGINEERING EVALUATION REPORT · 2014-06-19 · UNITED CONTROLS INTERNATIONAL ENGINEERING EVALUATION REPORT EER-14-94597-01 Revision 2 UCI Evaluation of Customer Returned Orders for

EER-14-94597-01Rev: 2

05/30/14

NCR No.: 6916 PART 21 EVALUATIONNCR Rev.-i REPORT

UNITED CONTROLS INTERNATIONAL

. Discovery of Deviation Date; 4/22/14 Evaluation Due Date: 4/25/14

Evaluation Disposition: No Defect Interim Report Required? N

Evaluation Disposition Complete B Date: "

Evaluation Disposition Is (A) Not Capable: 5 1r, " ' "

Interim Report to Customer & NRC Due Date: N/A

Interim Report Submitted to Customer By: N/A Date:

Report#: N/A

Interim Report Submitted to NRC By: N/A Date:

Report #: NIA

Evaluation Disposition is (B) No Defect:

Evaluation Disposition Notes:

Item was returned at UCI request as it was discovered that the associated hardware was not dedicated.Further testing was completed to dedicate the hardware and no failures of the hardware were discovered.

Evaluation Disposition is (C) Defect Exists:

Responsible Officer Notification Due Date: N/A

Responsible Officer Notified: N/A

Responsible Officer Notification Complete By: N/A Date:

Initial Notification to NRC Due Date: N/A

Initial Notification to NRC via Fax (301-816-5151) By: NIA Date;

Verification of Receipt of Initial Notification to NRC via Phone(301-816-5100) By: N/A Date:

Written Notification to NRC Due Date: N/A

Written Notification Sent to NRC By: N/A Date:

1 of 2 QA Form 21.1F, RD

Page 24 of 25United Controls International [1 205 Scientific Drive E Norcross, GA 30092

Page 25: ENGINEERING EVALUATION REPORT · 2014-06-19 · UNITED CONTROLS INTERNATIONAL ENGINEERING EVALUATION REPORT EER-14-94597-01 Revision 2 UCI Evaluation of Customer Returned Orders for

EER-14-94597-01Rev: 2

05/30/14

UNITED CONTROLS INTERNATIONAL

NCR No.: 6916

NCR Rev.: 1

PART 21 EVALUATIONREPORT

CAR Required? Y

Notes:.

CAR Report #: 52-13

Part 21 Evaluation Complete By (QA): F 1j . Date: -, !a 1

2 of 2 QA Form 21.1F, RO

Page 25 of 25United Controls International ED 205 Scientific Drive El Norcross, GA 30092