05000382/FIN-2014003-01
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Finding | |
|---|---|
| Title | Failure to Control Entry into a High Radiation Area |
| Description | The inspectors reviewed a self-revealing, non-cited violation of Technical Specification 6.12.1 because a worker entered a high radiation area, but was not on a radiation work permit that authorized entry and was not knowledgeable of the dose rates in the area. Specifically, on April 14, 2014, a worker entered shutdown heat exchanger room B, a posted high radiation area during crud burst operations, and received an unanticipated electronic dose rate alarm of 107 millirem per hour. Radiation protection personnel counseled the worker, revoked his access to radiological controlled areas, and documented the occurrence in the corrective action program as Condition Report CR-WF3-2014-01638. The entry into a high radiation area while not on a radiation work permit that allows entry into high radiation areas and without knowledge of the dose rates in the area is a performance deficiency. The performance deficiency is more than minor and a violation of Technical Specification 6.12.1 because it impacted the program and process attribute (exposure control) of the occupational radiation safety cornerstone and adversely affected the cornerstone objective of ensuring adequate protection of worker health and safety from exposure to radiation. Using Inspection Manual Chapter 0609, Appendix C, Occupational Radiation Safety Significance Determination Process, dated August 19, 2008, the inspectors determined the violation has very low safety significance because: (1) it was not as low as is reasonably achievable (ALARA) finding, (2) there was no overexposure, (3) there was no substantial potential for an overexposure, and (4) the ability to assess dose was not compromised. This violation has a cross-cutting aspect in the human performance area, associated with an individuals failure to implement appropriate error reduction tools necessary for avoiding complacency by recognizing and planning for the possibility of mistakes, latent issues, and inherent risk, even while expecting successful outcomes [H.12]. |
| Site: | Waterford  |
|---|---|
| Report | IR 05000382/2014003 Section 2RS1 |
| Date counted | Jun 30, 2014 (2014Q2) |
| Type: | NCV: Green |
| cornerstone | Or Safety |
| Identified by: | NRC identified |
| Inspection Procedure: | IP 71124.01 |
| Inspectors (proximate) | J O'Donnell L Carson M Davis P Jayroe R Latta S Hedger C Speer D You F Ramirez G Guerra G Werner I Anchando J Melfi |
| Violation of: | Technical Specification |
| CCA | H.12, Avoid Complacency |
| INPO aspect | QA.4 |
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Finding - Waterford - IR 05000382/2014003 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Finding List (Waterford) @ 2014Q2
Self-Identified List (Waterford)
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