05000331/FIN-2012005-03
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Finding | |
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Title | Failure to Make Surveys to Evaluate the Potential Radiological Hazards in the Torus |
Description | A finding of very low safety significance and associated NCV of 10 CFR 20.1501 was self-revealed on October 16, 2012, for the licensees failure to make surveys to evaluate the potential radiological hazards during work inside the torus. Specifically, ten workers were externally contaminated and nine workers were assigned low level unintended internal radiation doses after installing rigging and fall protection inside the torus proper. The issues were entered into the licensees CAP as CR 01813761. Immediate corrective actions included performance of radiological dose assessments on the individuals involved and performance management coaching of the individuals in accordance with station management protocols. The inspectors determined that failing to effectively maintain radiological control of work activities in the torus proper represented a performance deficiency because it was the result of the licensees failure to meet a regulatory requirement, and the cause was reasonably within the licensees ability to foresee and correct and should have been prevented. The performance deficiency was determined to be more than minor and a finding because if left uncorrected, the performance deficiency had the potential to lead to a more significant safety concern (additional unplanned or more significant radiological exposures). The inspectors applied IMC 0609.04, Initial Characterization of Findings, to this finding. Per Table 3, because the finding was associated with a programmatic weakness in the licensees Occupational Radiation Safety Cornerstone, IMC 0609, Appendix C, Occupational Radiation Safety Significance Determination Process, was used. The inspectors determined that the finding was of very low safety significance (Green) because the finding did not involve As-Low-As-Is-Reasonably- Achievable (ALARA) planning or work controls, there was no overexposure or substantial potential for an overexposure, nor was the licensee\'s ability to assess worker dose compromised. The inspectors determined that the contributing cause that provided the most insight into the performance deficiency was associated with the cross-cutting aspect of Human Performance, having Work Practices components, and involving the licensee defining and effectively communicating expectations regarding procedural compliance and personnel follow procedures. |
Site: | Duane Arnold |
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Report | IR 05000331/2012005 Section 2RS1 |
Date counted | Dec 31, 2012 (2012Q4) |
Type: | NCV: Green |
cornerstone | Or Safety |
Identified by: | Self-revealing |
Inspection Procedure: | IP 71124.01 |
Inspectors (proximate) | R Orlikowski M Phalen D Jones L Haeg J Draper R Murray S Bell R Elliott |
CCA | H.8, Procedure Adherence |
INPO aspect | WP.4 |
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Finding - Duane Arnold - IR 05000331/2012005 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Finding List (Duane Arnold) @ 2012Q4
Self-Identified List (Duane Arnold)
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