05000255/FIN-2008002-07
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Finding | |
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Title | Failure to Control the Release of Radioactive Material (Section 2PS3) |
Description | A self-revealed finding of very low safety significance and associated NCV of 10 CFR 20.1501 was identified for failure to perform an adequate radiological survey to assure compliance with 10 CFR 20.1802, which requires that the licensee control and maintain constant surveillance of licensed material that is in a controlled area or unrestricted areas and that is not in storage. On January 17, 2008, the NRC notified the licensee that radioactive material was identified by another NRC licensed facility when workers arrived following Palisades refueling outage 1R19. That licensee identified six pairs of footwear and other personal items with radioactive contamination levels between 6,000 and 20,000 disintegrations per minute, which had been improperly released from the Palisades site. As immediate corrective actions, the affected materials were confiscated by the other site. Additionally, the licensee identified two earlier occurrences of inappropriate surveys that were performed early in the refueling outage that resulted in the inadvertent release of radioactive material. As corrective actions, the licensee planned to implement new procedure documents, and the issue was entered into the licensees corrective action program as Condition Reports CR-PLP-2007-04338 and CR-PLP-2008-01180. The finding is more than minor because it impacted the program and process attribute of the Public Radiation Safety Cornerstone and it adversely affected the cornerstone objective of ensuring adequate protection of public health and safety from exposure to radioactive material released into the public domain, in that inadequate surveys resulted in the failure to control radioactive material. The finding was determined to be of very low safety significance because it was a radioactive material control finding, it was not a transportation finding, and it did not result in public dose greater than 0.005 rem. The finding was caused by the decision to allow manual release surveys of a large number of workers that alarmed the personal contamination monitor, which overwhelmed the ability of the radiation protection staff to conduct effective monitoring of personnel. Consequently, the cause of this deficiency had a cross-cutting aspect (H.1(a)) in the area of Human Performance related to decision making. Specifically, the licensee failed to make risk-significant decisions using a systematic process, especially when faced with uncertain or unexpected plant conditions, to ensure safety is maintained. (Section 2PS3.1 |
Site: | Palisades |
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Report | IR 05000255/2008002 Section 2PS3 |
Date counted | Mar 31, 2008 (2008Q1) |
Type: | NCV: Green |
cornerstone | Pr Safety |
Identified by: | Self-revealing |
Inspection Procedure: | IP 71122.03 |
Inspectors (proximate) | D Mcneil J Cassidy S Orth J Ellegood S Bakhsh R Walton P Lee J Giessner C Lipa M Learn |
CCA | H.13, Consistent Process |
INPO aspect | DM.1 |
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Finding - Palisades - IR 05000255/2008002 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Finding List (Palisades) @ 2008Q1
Self-Identified List (Palisades)
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