IR 05000272/1988018
| ML18093B308 | |
| Person / Time | |
|---|---|
| Site: | Salem  |
| Issue date: | 11/18/1988 |
| From: | Nimitz R NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION I) |
| To: | |
| Shared Package | |
| ML18093B307 | List: |
| References | |
| 50-272-88-18-MM, 50-311-88-18, NUDOCS 8811290365 | |
| Download: ML18093B308 (27) | |
Text
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U.S. NUCLEAR REGULATORY COMMISSION
REGION I
Meeting Report No Docket No ~272 50-311 License No DPR-70 DPR-75 50-272f88-18 50-311 88-18 Priority Licensee:
. Public Service Electric and Gas Company P. 0. Box 236 Hancocks Bridge, New Jersey 08038 Category Facility Name:
Salem Nuclear Generating Station, Units 1 and 2 Meeting At:
King of Prussia, Pennsylvania Meeting Conducted:
October 20, 1988 Prepared By:
e L 1'. I Jr
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R. L. Nimfii, ~e~adiation Specialist Approved by:
(2 L N ~
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M. M. Stianbaky~C~Facilities Radiation Protection Section c c dat Meeting Summar~: Meeting conducted on October 20, 1988 ( NRC Combined Meeting Report No. So-72/88-18; So-311/88-18 ).
This was an NRC *requested Management Meetin The meeting was held to discuss recent NRC identified weaknesses in the* area of Industrial Safety and Radiological Controls, the. fall of a worker into the Unit 2 Reactor Cavity on October 18, 1988 and the ad.equacy of QA/QC oversight during the outag The meeting was attended by NRC and licensee management and representatives of the Occupational Health and Safety.Administratio The meeting lasted about 3 hour3.472222e-5 days <br />8.333333e-4 hours <br />4.960317e-6 weeks <br />1.1415e-6 months <br /> *
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8811290365 881122 PDR ADOCK 05000272 Q
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Details I. Individuals Attending I.I Public Service Electric and Gas Company.2 NRC LaBruna, Vice President Nuclear Operations Miller, General Manager-Salem Operations Trejo, Radiation Protection and Chemistry Mana~er Mohler, Manager, Radiation Protection and Chemistry Services Preston, *Manager, Licensing and Regulation Eldreth, Nuclear Fire and Safety Manager Stussy, Medical Administrator Catalfumo, Assistant Manager of Operations Training Gueller, Operations Manager, Salem Perkins, Manager, Station QA Leitz, Project Manager Allan, Deputy Regional Administrator
Ebneter, Director Division of Radiation Safety and Safeguards Kane, Director Division of Reactor Projects
.
Wenzinger, Chief Reactor Projects Branch 2 Shanbaky, Chief Faciliti"es Radiation Safety Section Borchardt, Senior Resident Inspector, Salem Nimitz, Senior Radiation Specialist Miller, State Liaison Officer Weadock, Radiation Specialist Loesch, Radiation Specialist 1.3 Others C. Jenkins, Industrial Hygienist, Occupational Safety and Health Administration (OSHA)
R. Sanchez,. Safety Specialist, OSHA 2.0 Purpose of Meeting This.meetin~ was an NRC requested meeting to discuss NRC identified
weaknesses ln the licensee's Industrial Safety and Radiological Controls Programs and the fall of a worker into the Unit 2 Reactor Cavity on October 18, 1988. The particular weakness discussed are documented in NRC Combined Inspection Report No. 50-272/88-18; 50-311/88~18. The adequacy of QA/QC oversight of outage activities was also discusse ~-.~---.
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3.0 Discussion I
The licensee discussed the recent NRC observations in the areas of Industrial Safety and Radiological Controls, the circumstances surrounding the fall of the worker into the cavity and the adequacy of QA/QC oversight of the outag The attachment to this report provides the presentation made by the licensee. The licensee concluded that the recent observations in
.
Industrial Safety were isolated events and that no common root cause for their occurrence was identified. The licensee summarized corrective actions taken in the areas of Industrial Safety Radiological Controls to address identified weaknesse The licensee also summarized his long range plans to enhance the Industrial Safety Program which were ongoing at the time of the observations. The licensee concluded that no reduction in the level of quality had occurre NRC management requested that the licensee review his Industrial Safety Enhancement Program, including the Seven Point Action Plan, relative to the recent observations to ensure that any perceived areas for enhancement identified during the review of the NRC observations are incorporated into the action plan. Licensee management indicated that this would be don NRC management indicated.that licensee performance in the areas of *
Industrial Safety, Radiological Safety, and QA/QC would continue to be monitore *
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ATTACHMENT NRC REGION l/PSE&G MEETING SALEM UNIT 2 OUTAGE OCTOBER 20~ 1988
- AGENDA -
- OPENING STATEMENT - STAN LABRUNAJ VICE PRESIDENT - NUCLEAR OPERATIONS B,
INDUSTRIAL SAFETY PROGRAM - PAUL ELDRETHJ NUCLEAR FIRE & SAFETY MANAGER Ci RADIOLOGICAL PROGRAM - JOHN TREJOJ RAD PRO/CHEMISTRY MANAGER - SALEM D,
QUALITY 'CONTROL PROGRAM - DAVE PERKINSJ MANAGER - STATION QA - SALEM Ea CLOSING STATEMENT - STAN LABRUNAJ
VICE PRESIDENT - NUCLEAR 0P.ERATIONS OTHER PSE&G ATTENDEES: *
LYNN MILLERJ GENERAL MANAGER - SALEM OPERATIONS DAVE MOHLERJ MANAGER - RADIATION PROTECTION/CHEMISTRY SERVICES BRUCE PRESTON~ MANAGER - LICENSING AND REGULATION PEGGY STUSSYJ MEDICAL ADMINISTRATOR
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INDUSTRIAL SAFETY PROGRAM o PRE/OUTAGE SAFETY SUPPORT ACTIVITIES o MANAGEMENT'S EVALUATION OF SAFETY
. -o RECENT LOST-TIME/SERIOUS ACCIDENT CASES o OUTAGE INCIDENCE RATE COMPARISON o INDUSTRIAL SAFETY CONCLUSIONS
PRE/OUTAGE ACTIVITIES o INPO FINDING - *CONTRACTOR SAFETY o OUTAGE MANUAL - SAFETY CONSIDERATIONS o PRE-BID MEETING ~ SAFETY PROGRAM BRIEFING o SAFETY REQUIREMENTS - INCLUDED IN CONTRACT
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PRE/OUTAGE ACTIVITIES o POST AWARD SAFETY MEETING -
MANAGEMENT/SUPERVISION
- SPECIFIC SAFETY REQUIREMENTS
- MEDICAL - FITNESS FOR DUTY PRESENTATION
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- CONTINUAL BEHAVIORAL OBSERVATION o_.24-HOUR SAFETY MANNI~G o FIRST AID - 24-HOUR COVERAGE o TWICE-A-DAY PLANNING MEETINGS -
. SAFETY CONCERNS/ACCIDENTS
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MANAGEMENT EVALUATION OF SAFETY*
o NUCLEAR DEPARTMENT INDUSTRIAL SAFETY BOARD o EMPLOYEE TASK FORCE
- EMPLOYEE SURVEYS
- INPO RECOMMENDATIONS
- - PLANT VISITS..
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- SEVEN-POINT ACTION PLAN MANAGEMENT/SUPERVISORY ACCOUNTABILITY SAFETY PROMOTION/INCENTIVES SAFETY PROBLEM REPORTING SYSTEM ACCIDENT PREVENTION COMMITTEES SAFETY* AWARENESS TRAINING* - OPTIMIZATION OF SAFETY STAFF EQUIPMENT AVAILABILITY AND HOUSEKEEPING
RECENT ACCIDENT CASES o LOST~TIME CASES
- SENIOR DECON TECHNICIAN RECEIVED A LOWER.BACK STRAIN WHILE LIFTING A SECTION OF CABLE TRA IMPROPER LIFTING TECHNIQU PIPEFITTER RECEIVED CONTUSIONS AND ABRASIONS TO LOWER LEG CWHICH LATER DEVELOPED INTO CELLULITUS).. WHEN HE ATTEMPTED TO STEP OVER 2X4 BRACING~
CONGESTED WORK ARE LACK OF CAUTION SIGN
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. RECENT ACCIDENT CASES
- BOILERMAKER <GRINDER) STOOD UP FROM A LOW-BODY POSITION AND STRUCK HIS HARD HAT AGAINST A* BOLT LOCATED IN' THE CONDENSER SHEL GRINDING PARTICLES DISLODGED AND ENTERED EYE UPON IMPACT CAUSING CORNEAL ABRASIONS OF THE LEFT EY IMPROPER WORK PRACTICE PROTECTIVE EQUIPMENT WAS NOT EFFECTIVE FOR WORK. AREA/ JOB ID.*
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- ELECTRICIAN FELL APPROXIMATELY 15 FEET AS HE WAS DESCENDING THE FIXED LADDE ON 24 FAN COIL UNI EMPLOYEE RECEIVED MOLTIPLE CONTUSIONS, LACERATION OF THE NECK AND WAS ADMITTED TO HOSPITAL FOR OBSERVATIO * HAND SLIPPE INADEQUATE LADDER DESIG *--~*-------- --- --- -~*-~ -----
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RECEN.T ACCIDENT CASES o NON LOST-TIME ACCIDENTS
- DECON SPECIALIST FELL APPROXIMATELY 30 FEET INTO THE REACTOR CAVIT EMPLOYEE WAS ATTEMPTING TO WALK AROUND THE CAVITY TO THE STEP-OFF PAD WHEN HE MISTAKENLY TOOK. THE WRONG EXIT ROUTE AND STEPPED THROUGH A SMALL UNGUARDED OPENING BETWEEN THE CRANE BRIDGE AND FUEL TRANSFER MECHANIS. UNPROTECTED OPENING
. INADEQUATE JOB BRIEFING OBSTRUCTED VISION/FULL-FACE* RESPIRATOR
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RECENT ACCIDENT CASES
- EMPLOYEE COLLAPSED ON #21 STEAM GENERATOR CHANNEL HEAD PLATFORM DUE TO APPARENT HEAT EXHAUSTIO EMPLOYEE RECEIVED FIRST AID TREATMENT ON SITE AND WAS TRANSPORTED TO HOSPITAL FOR FURTHER TREATMENT AND OBSERVATIO POOR PERSONAL HEALTH PRACTICES
- HEAT RELATED ILLNESS -~ 22 CASES USE OF DOUBLE PC'S POOR PERSONAL HEALTH PRACTICES INADEQUATE FOOD/FLUID
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, RECENT FLU SYMPTOMS PREVIOUS HEAT INTOLERANCE
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INDUSTRIAL SAFETY STATISTICS OUTAGE/INDUSTRY COMPARISON INCIDEN.CE RATES 'PER 100 FULLTIME EMPLOYEES LOST WORKDAY OUTAGE COMBINED :
TOTAL CASES <INVOLVING GROUP RATE RECORDABLE DAYS AWAY FROM CPSE&G/CONTRACTORS>
CASES.
WORK>
SALEM 1 OUTAGE 10.90 1.00
. SALEM 2 OUTAGE*...
11.00 1.50 HOPE CREEK OUTAG.80 1.90 CONSTRUCTION (1986 NSC>
9.85 3.86 INDUSTRY AVERAGE ELECTRIC SERVICE 4.19 1.13 C1986.NSC/
OUTAGE AND. NON-OUTAGE>
PSE&G (1988 YTD>
4.40
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- 12 INDUSTRIAL SAFETY CONCLUSIONS o COMPARISON OF SAFETY.STATISTICS
- NO CHANGE IN. OSHA RECORDABLES
- HIGHER FIRST AID CASES o ANALYSIS OF ACCIDENTS
~ NO COMMON ROOT CAUSE
RADIOLOGICAL CONCERNS FAILURE TO FOLLOW PROCEDURES ACTIONS: IMMEDIATELY CORRECTED DISCREPANCIES 2. -RE-INSTRUCTED PERSONNEL STRESSED RWP COMPLIANCE.AT OUTAGE MEETINGS DISCIPLINARY ACTIONS TAKEN* PROVIDED ADDITIONAL RESOURCES:
TECHNICAL CONCERNS
"ACTIONS: * EVALUATING PROCEDURAL ADEQUACY TO ADDRESS.
CONCERNS RAISED PERFORMED SPECIAL MEASUREMENTS AND EVALUATIONS PROCEDURE IMPROVEMENTS HOT PARTICLE CONTROLS
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RADIOLOGICAL CONCERNS SUPERVISORY OVERSIGHT AND COMMUNICATIONS ACTIONS: ASSIGNED SPECIFIC CREWS TO SPECIFIC JOBS RE-ESTABLISHED MANAGEMENT NIGHT ORDER LOG RE-ESTABLISHED JOB TURNOVER BOOKS RE-INSTITUTED SUPERVISORY SHIFT PUNCH LIST ADDED SUPERVISORY COVERAGE PROMPTLY INVESTIGATED ALLEGATION
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I SALEM PERSONNEL DOSE UNITIZED PERSON-REM INPO MEDIAN
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PERSON-REM 345 U-2 OUTAGE
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SALEM PERSONNEL CONTAMINATION EVENTS 543 265 INPO
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U-1 OUTAGE (1987)
1988 U-2 OUTAGE (THRU 10/16/88)
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SALEM NUCLEAR GENERATING STATION TOTAL ARf.A CONTAMINATION (UNITS 1 & 2)
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.1988 PERFORMANCE INDICATORS
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RADIOLOGICAL PROTECTION CONCLUSIONS PERFORMANCE OF SALEM'*s* RADIOLOGICA PROTECTION PROGRAM IS STRONG AND CONlINUES TO IMPROV * *
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2~ NO CORRELATION EXISTS BETWEEN INDUSTRIAL SAFETY INCIDENTS AND RADIOLOGICAL SAFETY PERFORMANC.
THE DOSE CONSEQUENCES OF OUR INDUSTRIAL SAFETY INCIDENTS HAVE BEEN MINIMA *:
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QA/QC OUTAGE OVERVIEW o QA/QC COVERAGE OF CONTRACTORS
- MEETING ON PROGRAM
- INTERFACE o MAJOR MODIFICATIONS/DESIGN CHANGES
- CONTROL ROOM -
SI~ <NORTH.ANNA>
~ RTD/BMT - SERVICE WATER
- o. TOTAL DESIGN CHANGE
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QA/QC OUTAGE OVERVIEW o TOTAL INSPECTION ACTIVITIES,
COMPARISON UNIT 2 UNIT 1 WELDING * *1,695 OTHERS 844
% REJECT 2.04 o STOP WORK o NUMBER OF CONTRACTORS o TRAINING 776 2,046* CONCLUSION:
NO: REDUCTION IN QUALITY LEVEL
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