IR 05000170/2007201

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NRC Routine, Announced IR 05000170-07-201; Armed Forces Radiobiology Research Institute; 02/22-2007 Through 02/28/2007; Afrri Reactor Facility
ML070730528
Person / Time
Site: Armed Forces Radiobiology Research Institute
Issue date: 03/15/2007
From: Johnny Eads
NRC/NRR/ADRA/DPR/PRTB
To: Lillis-Hearne P
US Dept of the Navy, National Naval Medical Ctr
Voth M, NRR/ADRA/DPR/PRT, 415-1210
References
IR-07-201
Download: ML070730528 (18)


Text

rch 15, 2007

SUBJECT:

NRC ROUTINE, ANNOUNCED INSPECTION REPORT NO. 50-170/2007-201

Dear Colonel Lillis-Hearne:

This letter refers to the inspection conducted on February 22-28, 2007, at your Research Reactor Facility. The inspection included a review of activities authorized for your facility. The enclosed report presents the results of that inspection.

Areas examined during the inspection are identified in the report. Within these areas, the inspection consisted of selective examinations of procedures and representative records, interviews with personnel, and observations of activities in progress. Based on the results of this inspection, no safety concerns or noncompliance with NRC requirements were identified.

However, one inspector followup item was identified which will be revisited in a future inspection. No response to this letter is required.

In accordance with 10 CFR 2.390 of the NRC's "Rules of Practice," a copy of this letter and its enclosure will be made available electronically for public inspection in the NRC Public Document Room or from the NRCs document system (ADAMS), accessible from the NRC Web site at http://www.nrc.gov/reading-rm/adams.html.

Should you have any questions concerning this inspection, please contact Marcus H. Voth at 301-415-1210.

Sincerely,

/RA/

Johnny Eads, Branch Chief Research and Test Reactors Branch B Division of Policy and Rulemaking Office of Nuclear Reactor Regulation Docket No. 50-170 License No. R-84 Enclosure: NRC Inspection Report No. 50-170/2007-201 cc w/enclosure: See next page

Armed Forces Radiobiology Research Docket No. 50-170 cc:

Director, Maryland Office of Planning 301 West Preston Street Baltimore, MD 21201 Montgomery County Executive 101 Monroe Street, 2nd Floor Rockville, MD 20850 Mr. Stephen I. Miller Reactor Facility Director Armed Forces Radiobiology Research Institute 8901 Wisconsin Avenue Bethesda, MD 20889-5603 Environmental Program Manager III Radiological Health Program Air & Radiation Management Adm.

Maryland Dept of the Environment .

1800 Washington Blvd.,Suite 750 Baltimore, MD 21230-1724 Rich McLean, Manager Nuclear Programs Maryland Department of Natural Resources Tawes B-3 Annapolis, MD 21401 Director Air & Radiation Management Adm.

Maryland Dept of the Environment 1800 Washington Blvd., Suite 710 Baltimore, MD 21230

SUBJECT:

NRC ROUTINE, ANNOUNCED INSPECTION REPORT NO. 50-170/2007-201

Dear Colonel Lillis-Hearne:

This letter refers to the inspection conducted on February 22-28, 2007, at your Research Reactor Facility. The inspection included a review of activities authorized for your facility. The enclosed report presents the results of that inspection.

Areas examined during the inspection are identified in the report. Within these areas, the inspection consisted of selective examinations of procedures and representative records, interviews with personnel, and observations of activities in progress. Based on the results of this inspection, no safety concerns or noncompliance with NRC requirements were identified.

However, one inspector followup item was identified which will be revisited in a future inspection. No response to this letter is required.

In accordance with 10 CFR 2.390 of the NRC's "Rules of Practice," a copy of this letter and its enclosure will be made available electronically for public inspection in the NRC Public Document Room or from the NRCs document system (ADAMS), accessible from the NRC Web site at http://www.nrc.gov/reading-rm/adams.html.

Should you have any questions concerning this inspection, please contact Marcus H. Voth at 301-415-1210.

Sincerely, Johnny Eads, Branch Chief Research and Test Reactors Branch B Division of Policy and Rulemaking Office of Nuclear Reactor Regulation Docket No. 50-170 License No. R-84 Enclosure: NRC Inspection Report No. 50-170/2007-201 cc w/enclosure: See next page Distribution PUBLIC PRTB r/f RidsNrrDprPrtb AAdams RidsOgcMailCenter BDavis (cover letter only)(O5-A4)

ACCESSION NO.: ML070730528 TEMPLATE #: NRR-106 OFFICE PRTB:RI PRTB:LA PRTB:BC NAME MVoth:cah EHylton JEads DATE 3/15/2007 3/15/2007 3/15/2007 OFFICIAL RECORD COPY

U. S. NUCLEAR REGULATORY COMMISSION OFFICE OF NUCLEAR REACTOR REGULATION Docket No: 50-170 License No: R-84 Report No: 50-170/2007-201 Licensee: Armed Forces Radiobiology Research Institute Facility: AFRRI Reactor Facility Location: Bethesda, Maryland Dates: February 22-28, 2007 Inspector: Marcus H. Voth Approved by: Johnny Eads, Branch Chief Research and Test Reactors Branch B Division of Policy and Rulemaking Office of Nuclear Reactor Regulation

EXECUTIVE SUMMARY Armed Forces Radiobiology Research Institute AFRRI Research Reactor Facility NRC Inspection Report No.: 50-170/2007-201 The primary focus of this routine, announced inspection was the on-site review of selected aspects and activities since the last NRC inspection of the licensees Class II non-power reactor safety programs including: organization and staffing, operations and maintenance logs and records, procedures, health physics, effluents and environmental monitoring, design changes, committees, audits and reviews, transportation, and follow-up on previous open items.

The licensee's programs were acceptably directed toward the protection of public health and safety. No matters of non-compliance with NRC requirements were identified.

Organization and Staffing

! The organization and staffing were consistent with Technical Specification requirements with the exception of a documented reporting chain between the Radiation Protection Officer and the AFRRI Director, the topic of an inspector follow-up item.

Operations Logs and Records

! The logs and records of operation were consistent with Technical Specification requirements.

Procedures

! Procedural control and implementation satisfied Technical Specification requirements.

Health Physics

! The licensee was conducting an effective health physics program so as to minimize radiation exposure.

Effluents and Environmental Monitoring

! Licensee releases of radioactive gases and liquids to the environment were minimal as measured at the point of release and confirmed by measurements in the environment.

Design Changes

! The licensee's design change program was being implemented as required.

Committees, Audits and Reviews

! Review and oversight functions were executed in accordance with Technical Specification requirements.

Maintenance Logs and Records

! The licensee has implemented a means of tracking maintenance requirements and completes them within the required frequencies.

Transportation

! Regulatory and license requirements were met in the transportation activity reviewed.

Follow-up on Previous Open Items

! Inspector Follow-up Item 50-170/2006-201-01 (IFI) concerning the safety oversight committee structure was closed.

REPORT DETAILS Summary of Plant Status The licensees 1 megawatt (MW) Training Research Isotope Production General Atomics (TRIGA) Mark II research reactor has been operated in support of educational demonstrations, experiments, reactor operator training, and periodic equipment surveillances.

1. Organization and Staffing a. Inspection Scope (Inspection Procedure [IP] 69001)

The inspector reviewed the following to verify compliance with the staffing requirements in Technical Specifications (TS) Sections 6.1 and 6.2:

  • administrative controls
  • management responsibilities and staff qualifications
  • staffing requirements for the safe operation of the facility
  • Armed Forces Radiobiology Research Institute (AFRRI) Reactor Facility organization
  • staffing and staff qualifications
  • management responsibilities as delineated in the TS
  • TS for the AFRRI Reactor Facility, Amendment No. 24, dated June 27, 2001 b. Observations and Findings The inspector compared the AFRRI Reactor Facility organizational structure and the responsibilities of the reactor management and staff to the requirements of TS Sections 6.1 and 6.2. Figure 1 of the TS, Organization of Personnel for Management and Operation of the AFRRI Reactor, shows the AFRRI Radiation Protection Officer (RPO) reporting to the Director of AFRRI. TS 6.1.2 states The Director, AFRRI, shall have license responsibility for the reactor facility.

The inspector found that a recent organizational change had eliminated the reporting line from the RPO to the AFRRI Director.

AFRRI had been made a part of the Uniformed Services University of the Health Sciences (USUHS) headed by the USUHS President; the Director of AFRRI reported to the USUHS President. Radiation protection services for AFRRI had recently been consolidated with those of USUHS. The RPO overseeing the radiation protection program for AFRRI reported to the USUHS Assistant Vice President for Environmental Health and Safety who reported to the USUHS President. While there was no documented chain of command between the RPO and Director, individuals involved acknowledged that should the need exist, communications would follow that path.

TS 6.1.1 allows for flexibility with the words, Organizational changes may occur, based on Institute requirements, and they will be depicted on internal

-2-documents. However, the licensee had not documented an alternative chain of command from the RPO to the AFRRI Director. The licensee was made aware of this matter early in the inspection and began immediate discussions toward resolution. This will be designated an Inspection Follow-up Item (IFI) for consideration at a subsequent time. (IFI 50-170/2007-201-01)

Currently there are only two licensed reactor operators, the Reactor Facility Director (RFD) and the Reactor Operations Supervisor (ROS). Operations are restricted to one day per week for lack of operators. The licensee is currently preparing four staff members to become licensed operators; the inspector verified that the licensee is conducting the appropriate training. One of the trainees is civilian and three are military, subject to rotation after three to four years at AFRRI. TS required staffing requirements were being met.

c. Conclusion The organization and staffing were consistent with TS requirements with the exception of a documented reporting chain between the RPO and Director, which is the topic of an inspector follow-up item.

2. Operations Logs and Records a. Inspection Scope (IP 69001)

The inspector reviewed the following to verify compliance with regulatory and license requirements:

  • Reactor Console Logbooks #128 (October 20, 2005 to November 1, 2006) and #129 (November 2, 2006 to present)
  • Daily Operating Startup Checklist, Procedure 8, Tab B, Rev.

November 22, 2006

  • K-Excess, Procedure 8, Tab D, Rev. January 16, 1992
  • Daily Operating Shutdown Checklist, Procedure 8, Tab I, Rev.

November 22, 2006

  • Daily Safety Checklist, Procedure 8, Tab B
  • Weekly Operational Instrumentation Checklist, Procedure 8, Tab H, Rev.

November 22, 2006 b. Observations and Findings The inspector observed a reactor checkout and reactivity check at five watts utilizing Daily Operating Startup Checklist and K-Excess procedures, respectively. While the operator was thoroughly familiar with the procedure and had committed it to memory, he was methodical in following it and documenting readings. The inspector found procedures to be well written and conducive to the operators needs. The inspector selected at random checklists completed over the past year and found them to be of similar quality to the ones he observed being performed.

-3-The inspector reviewed selected portions of recent console logbook entries including fuel inspection on October 27, 2005 and a startup on November 7, 2005. He also verified that the required staffing was recorded at all times, with the Senior Reactor Operator (SRO) and Health Physicist (HP) on call designated by name in the reactor log, c. Conclusion The logs and records of operation were consistent with TS requirements.

3. Procedures a. Inspection Scope (IP 69001)

The inspector reviewed the following to verify that the licensee was complying with the requirements of TS Section 6.3:

  • AFRRI Procedure Manual
  • Writing and Modifying Procedures, Procedure 0
  • Maintenance Procedures, Procedure 3, Rev. December 1, 1994 b. Observations and Findings The inspector reviewed the licensees system of procedures which addresses each of the TS requirements. While a system for preparing and revising procedures exists, the stable operation has resulted in a mature set of procedures requiring relatively few changes. The inspector verified that revisions were made to procedures as a result of recent facility changes.

c. Conclusions Procedural control and implementation satisfied TS requirements.

4. Health Physics a. Inspection Scope (IP 69001)

To verify compliance with NRC regulations and license conditions, the inspector reviewed selected aspects of:

  • Personnel Exposure Records for 2006
  • Radiation Area Monitor Calibration Records for 2006
  • Reactor Pool Water Analysis Records for 2006
  • Reactor Secondary Water Analysis Records for 2006
  • Continuous Air Monitor Calibration Records for 2006
  • Reactor and LINAC Area Routine survey Records for 2006
  • facility TLD records for 2006
  • radiation warning postings throughout the facility
  • postings for radiation workers throughout the facility

-4-

  • Refresher Training Records for 2006
  • Supervised User Training Records for 2006
  • Principle Investigator/Scientific Investigator Training Records for 2006
  • AFRRI General Employee Briefing Records for 2006 b. Observations and Findings During a tour of the facility the inspector verified that postings for radiation workers were in compliance with the requirements of 10 CFR Part 19, posting of radiation warning signs were in accordance with 10 CFR Part 20, portable and fixed radiation detectors indicated current calibration status, and overall housekeeping was good.

Records of personnel training in radiation safety indicated that training had been administered and individuals were examined at a level commensurate with the individuals access to radiation exposure. Instructional material included protection to the fetus, sources for additional information on the subject, and policies for declared pregnant workers.

Records indicated that radiation sources and personnel exposures throughout the facility were minimal and that As Low As Reasonably Achievable (ALARA)

practices were in effect. Records indicated that devices used to measure radiation were calibrated regularly using state of the art calibration procedures.

c. Conclusions The licensee was conducting an effective health physics program so as to minimize radiation exposure.

5. Effluents and Environmental Monitoring a. Inspection Scope (IP 69001)

The inspector reviewed selected aspects of the following to verify compliance with TS Sections 3.5, 3.8, and 4.5 requirements:

  • Liquid Radioactive Effluent Analysis Records (Waste Tanks) for 2006
  • Gaseous Radioeffluent Reports for 2006
  • Environmental Posted TLD Records for 2006
  • Environmental Sample Analysis Records for 2006 b. Observations and Findings The reactor had not been heavily utilized during the past year so the inspector expected emissions to be minimal. Argon 41, the major gaseous effluent, was determined to be 2.23 Curies for the year 2006 which is 0.0116 percent of the 10 CFR Part 20 limit based on level 2 analysis using the COMPLY computer code.

The resulting annual dose was determined to be 0.071 mrem or 0.71 percent of the ALARA constraint level of 10 mrem per year. Environmental TLD monitors read essentially background levels.

-5-The liquid effluent for 2006 was 42.58 percent of the 10 CFR Part 20 limit but analysis of monthly releases showed that reactor effluents were minimal; the major source was legacy waste from a laboratory cleaned during the year.

c. Conclusions Licensee releases of radioactive gases and liquids to the environment were minimal as measured at the point of release and confirmed by measurements in the environment.

6. Design Changes a. Inspection Scope (IP 69001)

In order to verify that any modifications to the facility were consistent with 10 CFR 50.59, the inspector reviewed selected aspects of:

  • Reactor Facility Modification Records for 2006
  • Facility Modification, Administrative Procedure A3, Rev.

February 26, 2001 b. Observations and Findings Through review of applicable records and interviews with licensee personnel, the inspector determined that no changes requiring prior NRC approval had been initiated and/or completed at the facility since the last NRC operations inspection.

One change was screened, the replacement of an obsolete area radiation monitor with a newer version. The 50.59 screening found the functions of the new device to be equivalent to the obsolete version so a full 50.59 analysis was not required. Minor changes were required to update a procedure, however.

c. Conclusions The licensee's design change program was being implemented as required.

7. Committees, Audits, and Reviews a. Inspection Scope (IP 69001)

The inspector reviewed the following to ensure that the audits and reviews stipulated in TS Section 6.2 were being completed:

  • TS 6.2, Review and Audit - The Reactor and Radiation Facility Safety Committee (RRFSC)
  • Minutes of the RRFSS meetings for 2006

-6-b. Observations and Findings The inspector verified that the TS 6.2 requirements for the RRFSC are being met through a recently modified committee structure discussed in the previous inspection report. See Inspection Report 50-170/2006-201 and discussion in section 10 of this report on IFI 50-170/2006-201-01.

Minutes of meetings indicate that the committee met at the frequency required by TS with a quorum present. The annual audit of reactor facility activities for 2006 was conducted in January of 2007 but the audit report had not yet been provided to the licensee at the time of the inspection.

c. Conclusions Review and oversight functions were executed in accordance with TS requirements.

8. Maintenance Logs and Records a. Inspection Scope (IP 69001)

To verify compliance with TS requirements the inspector reviewed selected aspects of:

  • Annual Maintenance Report for Year 2006, February 15, 2007, with the attached output of Son of TRIGA Tracker
  • Surveillance Procedure S011, Power Coefficient of Reactivity, Rev. dated November 5, 2003
  • Rod Worth Curves Measured December 13-14, 2006
  • Maintenance Procedure M003, Transient Rod Air System (Monthly)

b. Observations and Findings The inspector verified through records that all annual, semi-annual, quarterly and monthly requirements were performed on their respective frequencies. In addition, the inspector verified that the TS surveillance requirement for annual measurement of reactivity was performed per procedure S011; they were done per procedure on March 22, 2006 and November 14, 2006.

c. Conclusions The licensee has implemented a means of tracking maintenance requirements and completes them within the required frequencies.

-7-9. Transportation a. Inspection Scope (IP 86740)

The inspector reviewed the packet of records for the November 27, 2006, shipment of a Pu-239 foil:

  • Bill of Lading
  • Time Advantage Confirmation
  • Shippers Declaration of Dangerous Goods
  • Container Inspection Record
  • FBT Certification of Compliance
  • LANL Authorization Letter
  • Container Loading and Closing Instructions, Type A Myers Drums
  • Shipping Request b. Observations and Findings The licensee reported that the only radioactive material shipment made under the R-84 license since 2004 was done last November. As part of the DOE Off-site Source Recovery project, a 6.8 mCi Pu-239 foil was shipped to the Los Alamos National Laboratory (LANL). The inspector reviewed the documentation for this shipment.

c. Conclusion Regulatory and license requirements were met in the transportation activity reviewed.

10. Follow-up on Previous Open Items a. Inspection Scope (IP 92701)

The inspector reviewed the implementation of changes to the safety review committee structure that were newly instituted at the time of the previous inspection.

b. Observations and Findings Open IFI 50-170/2006-201-01 was created at the previous inspection to verify that the newly formed Radiation Safety Committee (RSC) and Reactor and Radiation Facility Safety Subcommittee (RRFSS) met the intent of the TS requirement for a Reactor and Radiation Facility Safety Committee (RRFSC).

The inspector reviewed this matter as reported in section 7 (above) and determined that the revised structure is functioning effectively and meets the intent of the TS requirement; the IFI was therefore closed.

-8-c. Conclusions Open IFI 50-17-/2006-201-01 concerning the safety oversight committee structure was closed.

11. Exit Meeting The inspector presented the inspection results to licensee management at the conclusion of the inspection on February 28, 2007. The inspector discussed the observations for each area reviewed and the apparent follow-up item. The licensee acknowledged the findings and did not identify as proprietary any of the material provided to or reviewed by the inspector during the routine inspection.

PARTIAL LIST OF PERSONS CONTACTED Licensee W. Adams, CAPT, Radiation Sciences Department Head K. Allen, MAJ, Reactor Operator Trainee K. Baldwin, SFC, Reactor Operator Trainee M. Belson, CPT, Reactor Operator Trainee M. DeSouza, SSG, Reactor Operator Trainee J. Ganz, HM1, Health Physicist, Environmental Health and Safety (EHS)

D. Hamilton, LTC, Radiation Safety Officer, EHS P. Lillis-Hearne, COL, Director, AFRRI S. Miller, Reactor Facility Director J. Pommerville, Asst VP for EHS T. Pellmar, Scientific Director H. Spence, Reactor Operations Supervisor W. D. Tomlinson, Reactor Operator Trainee K. Tracy, SFC, Calibration Technician B. Wampler, Health Physicist, EHS INSPECTION PROCEDURES USED IP 69001 Class II Non-Power Reactors IP 86740 Transportation IP 92701 Follow-up ITEMS OPENED, CLOSED, AND DISCUSSED OPENED:

50-170/2007-201-01 IFI Define a chain of command from the Radiation Protection Officer to the AFRRI Director (Licensee) consistent with Technical Specification 6.1 CLOSED 50-170/2006-201-01 IFI Follow-up to verify the licensee organizes and controls the RRFSS to effectively oversee the facility operations to ensure the public health and safety DISCUSSED:

None LIST OF ACRONYMS USED ADAMS Agencywide Document Access and Management System AFRRI Armed Forces Radiobiology Research Institute ALARA As Low As Reasonably Achievable CFR Code of Federal Regulations

EHS Environmental Health and Safety HP Health Physics IFI Inspector Follow-up Item IP Inspection Procedure LANL Los Alamos National Laboratory MREM Millirem MW megawatt NRC Nuclear Regulatory Commission RFD Reactor Facility Director ROS Reactor Operations Supervisor RPO Radiation Potection Officer RRFSC Reactor and Radiation Facility Safety Committee RRFSS Reactor and Radiation Facility Safety Subcommittee RSC Radiation Safety Committee SRO Senior Reactor Operator TLD Thermoluminescent Dosimeter TS Technical Specifications TRIGA Training Research Isotope Production General Atomics USUHS Unifromed Services University of the Health Sciences