05000298/FIN-2012003-11

Finding

Title

ALARA Program Failed to Prevent Unintended Doses for Refueling Floor Activities, Outage RE26

Description

Inspectors identified a finding of very low safety significance for the failure to follow ALARA planning and control procedures to maintain doses ALARA for refueling floor activities covered under Radiological Work Package 2011-05. Specifically, the licensee failed to follow an ALARA planning and work control procedure by not planning, evaluating, and implementing strategies to minimize dose increases to justify increases in the estimated collective dose. Consequently, there was an overage of 20 person-rem of unintended dose, which exceeded the dose estimate by 80 percent. The original dose estimate was 25 person-rem and actual dose was 45 person-rem. The finding and procedure concerns were documented in the licensees corrective action program as Condition Reports CR-CNS-2012-02551 and CR-CNS-2012-02652. The failure to follow the ALARA planning and controls procedure to prevent unplanned and unintended collective doses was a performance deficiency. This finding is greater than minor because it affected the Occupational Radiation Safety Cornerstone attribute of program and process, in that, failure to implement ALARA procedures adequately caused increased collective radiation dose for the job activity to exceed 5 person-rem and exceeded the planned dose by more than 50 percent. In addition, this type of issue is addressed in Example 6.j of Inspection Manual Chapter 0612, Appendix E, Examples of Minor Issues. Using the Occupational Radiation Safety Significance Determination Process, the inspectors determined that this finding was of very low safety significance because it involved ALARA planning and controls and the licensees latest rolling three-year average does not exceed 240 person-rem. This finding has a cross-cutting aspect in the area of human performance associated with the work control component because the licensee failed to evaluate the impact of work scope changes on human performance and interdepartmental communication and coordination prior to commencing work activities. Specifically, work groups, Health Physics, and the ALARA Planners did not effectively communicate how work scope changes of the radiation work permits would affect the dose estimate of the radiological work package.

11
Site:	Cooper
Report	IR 05000298/2012003 Section 2RS2
Date counted	Jun 30, 2012 (2012Q2)
Type:	Finding: Green
cornerstone	Or Safety
Identified by:	NRC identified
Inspection Procedure:	IP 71124.02
Inspectors (proximate)	G Pick G George L Carson J Josey V Gaddy C Alldredge B Hagar C Henderson
CCA	H.5, Work Management
INPO aspect	WP.1
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v • d • e

Finding - Cooper - IR 05000298/2012003

1(0)2(9)3(16)4(13)5(12)6(0)7(6)8(0)301(1)403(0)404(4)501(0)503(0)801(0)31(0)

IR 05000298/2012003: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

Finding List (Cooper) @ 2012Q2

CCA Matrix: 2012Q2

	Q	CCA	Title
05000298/FIN-2011004-01	2011Q3	H.7	Failure to Place the Essential Service Water System Strainers in (a)(1)
05000298/FIN-2011004-02	2011Q3		Failure to Scope Reactor Building Drain Components and Steam Exclusion Doors that Affect Safety-related Systems in the Maintenance Rule Monitoring Program
05000298/FIN-2011004-03	2011Q3	H.8	Failure to Assess and Manage Risk for Maintenance Near Electrical Towers That Could Impact Initiating Events
05000298/FIN-2011004-04	2011Q3	P.3	Failure to Assess and Manage Risk for Maintenance Near an Operating Reactor Feed Pump That Could Impact Initiating Events
05000298/FIN-2011004-05	2011Q3	H.12	Failure to Follow Procedure Results in Personnel Contamination
05000298/FIN-2011004-06	2011Q3	P.2	Failure to Identify, Correct, and Prevent Recurrence of a Significant Condition Adverse to Quality
05000298/FIN-2011004-07	2011Q3		Inadequate Procedure Results in Inoperable Essential Pump
05000298/FIN-2011005-07	2011Q4	H.14	Failure to Perform Required 10 CFR 50.59 Evaluations for Changes
05000298/FIN-2011005-04	2011Q4		Failure to Provide Complete and Accurate Solid Radwaste Shipment Information in Annual Reports
05000298/FIN-2011202-02	2011Q4		Security
05000298/FIN-2011005-06	2011Q4	P.2	Failure to Correctly Translate Design Requirements into Installed Plant Configuration
05000298/FIN-2011005-05	2011Q4	P.1	Failure to Identify Deficient Performance During a Single-Facility Drill
05000298/FIN-2011005-03	2011Q4	H.12	Failure to Follow Procedures for Dose Rate Alarms Received by Two Individuals
05000298/FIN-2011005-02	2011Q4	H.2	Failure to Maintain Control and Continuous Coverage of a Posted Locked High Radiation Area
05000298/FIN-2011005-01	2011Q4	H.2	Failure to Conspicuously Post a High Radiation Area
05000298/FIN-2012002-08	2012Q1	H.2	Failure to Follow Station Procedure Results in Inadequate Work Instructions
05000298/FIN-2012002-07	2012Q1		Failure to Furnish Evidence of an Activity Affecting Quality
05000298/FIN-2012002-06	2012Q1	H.14	Failure to Follow Radiation Work Permit Requirements
05000298/FIN-2012002-05	2012Q1	H.7	Unevaluated Pre-conditioning for Core Spray Motor-operated Valves prior to Conducting As Found In-service Surveillance Testing
05000298/FIN-2012002-03	2012Q1	H.12	Failure to Appropriately Manage Risk for Maintenance in the Stations Switchyard
05000298/FIN-2012002-02	2012Q1	P.2	Failure to Scope Required Components in the Stations Maintenance Rule Monitoring Program
05000298/FIN-2012002-01	2012Q1	P.2	Failure to Maintain Design Control for Internal Flooding
05000298/FIN-2012002-04	2012Q1		Failure to Maintain Design Control of Standby Liquid Control System
05000298/FIN-2012404-02	2012Q2	H.7	Security
05000298/FIN-2012404-01	2012Q2	H.14	Security
05000298/FIN-2012007-06	2012Q2	P.2	Failure to Incorporate all Design and Technical Data Available into the Operability Determinations for the Standby Liquid Control Tank and Test Tank
05000298/FIN-2012007-05	2012Q2	P.3	Failure to Have an Adequate Procedure for Erecting Flood Barriers
05000298/FIN-2012007-04	2012Q2		Failure to Establish a Preventative MaintenanceProgram for Molded Case Circuit Breakers
05000298/FIN-2012007-03	2012Q2		Failure to Address the Design Bases of the Battery Chargers Following Identification of an Undersized Fused Disconnect Switch Connecting the Swing Battery Chargers to the Direct Current (DC) Buses
05000298/FIN-2012007-02	2012Q2	H.14	Failure to Provide Adequate Resistance Values for the Preventative Maintenance of the Non-Segregated Phase Bus Duct
05000298/FIN-2012007-01	2012Q2	H.2	Failure to Adequately Analyze Seismic Requirements for Service Water instrument Rack
05000298/FIN-2012003-14	2012Q2	H.14	Failure to Use Design-Basis Parameter Values in Design-Related Calculations
05000298/FIN-2012003-13	2012Q2	H.14	Fail to Correct a Condition Adverse to Quality for Determining the Number of Multiply Starts for a Single Diesel Generator Starting Air Accumulator
05000298/FIN-2012003-12	2012Q2	H.14	Failure to Maintain Design Control of the Essential Ventilation System
05000298/FIN-2012003-11	2012Q2	H.5	ALARA Program Failed to Prevent Unintended Doses for Refueling Floor Activities, Outage RE26
05000298/FIN-2012003-10	2012Q2	H.13	Failure to Perform a Radiation and Contamination Survey
05000298/FIN-2012003-09	2012Q2	H.14	Failure to Follow Radiation Work Permit Requirements
05000298/FIN-2012003-08	2012Q2	P.2	Non-conservative Service Water Booster Pump A and D Differential Pressure Operability Limits During In-Service Surveillance Testing
05000298/FIN-2012003-07	2012Q2	H.14	Failure to Evaluate Changes for Adverse Impacts
05000298/FIN-2012003-06	2012Q2	H.8	Design Changes Not Appropriately Approved by the Licensee
05000298/FIN-2012003-05	2012Q2		Failure to Furnish Evidence of an Activity Affecting Quality
05000298/FIN-2012003-04	2012Q2	P.2	Failure to Maintain Design Control of the Standby Liquid Control System and Sumps Credited in the Internal Flooding Analysis
05000298/FIN-2012003-03	2012Q2	H.14	Failure to Recognize the Need for An Evaluation and to Properly Document the Bases for Operability
05000298/FIN-2012003-02	2012Q2	H.14	Failure to Ensure Compliance with the Requirements of Station Troubleshooting Procedure
05000298/FIN-2012003-01	2012Q2	H.7	Failure to Perform Adequate Postmaintenance Testing

Self-Identified List (Cooper)

	Q	Title
05000298/FIN-2011005-08	2011Q4	Licensee-Identified Violation
05000298/FIN-2011005-09	2011Q4	Licensee-Identified Violation
05000298/FIN-2012003-15	2012Q2	Licensee-Identified Violation
05000298/FIN-2012003-16	2012Q2	Licensee-Identified Violation
05000298/FIN-2012404-03	2012Q2	Security
05000298/FIN-2012404-04	2012Q2	Security

[Cooper Findings full list]

05000298/FIN-2012003-11

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