05000483/FIN-2009003-04
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Finding | |
|---|---|
| Title | Failure to Comply with Radiation Work Permit Requirements |
| Description | The inspectors reviewed a self-revealing, noncited violation of Technical Specification 5.4.1.a, which resulted from a failure to comply with radiation work permit instructions. Specifically, on November 2, 2008, during a change out of the chemical and volume control system reactor coolant Filter FBG06, the technicians failed to follow radiation work permit instructions that required notification of the ALARA specialist if the vent port radiation monitor reading was greater than or equal to 1500 millirem per hour to determine if additional briefing requirements were needed. The licensee entered this item into their corrective action program as Callaway Action Request 200811469. As corrective action, the licensee has modified the briefing procedure and modified the radiation work permits to include a requirement to notify radiation protection supervision to evaluate dose rate readings of the vent port and filter housing. Other corrective actions are being evaluated. Failure to comply with radiation work permit requirements is a performance deficiency. The finding is greater than minor because it is associated with the cornerstone attribute of exposure control and affected the cornerstone objective, in that, the failure to follow radiation work permit requirements increases the potential for increased dose. The finding involved workers unplanned, unintended doses or potential of such a dose (resulting from actions or conditions contrary to the radiation work permit). Using the Occupational Radiation Safety Significance Determination Process, the inspectors determined the finding to have very low safety significance because (1) it was not associated with ALARA planning or work controls, (2) there was no overexposure, (3) there was no substantial potential for an overexposure, and (4) the ability to assess dose was not compromised. Additionally, the finding had a crosscutting aspect in the area of human performance, work practices, because the licensee failed to communicate human error prevention techniques during the prejob briefing and ensure that all personnel understood limits stated in the radiation work permit. In addition, personnel proceeded with the filter change out even though radiation levels were significantly higher than anticipated H.4(a) |
| Site: | Callaway |
|---|---|
| Report | IR 05000483/2009003 Section 2OS1 |
| Date counted | Jun 30, 2009 (2009Q2) |
| Type: | NCV: Green |
| cornerstone | Or Safety |
| Identified by: | Self-revealing |
| Inspection Procedure: | IP 71121.01 |
| Inspectors (proximate) | D Dumbacher P Elkmann D Stearns V Gaddy J Groom |
| CCA | H.12, Avoid Complacency |
| INPO aspect | QA.4 |
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Finding - Callaway - IR 05000483/2009003 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Finding List (Callaway) @ 2009Q2
Self-Identified List (Callaway)
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