IR 05000528/1990041
| ML17305B063 | |
| Person / Time | |
|---|---|
| Site: | Palo Verde  |
| Issue date: | 09/06/1990 |
| From: | Kirsch D, Miller L NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION V) |
| To: | |
| Shared Package | |
| ML17305B061 | List: |
| References | |
| 50-528-90-41-EC, 50-529-90-41, 50-530-90-41, NUDOCS 9009260148 | |
| Download: ML17305B063 (24) | |
Text
U.S.'NUCLEAR REGULATORY CONtISSION REGION V
Docket Numbers:
50-528, 50-529, 50-530 Inspection Report Numbers:
50-528/90-41, 50-529/90-41, 50-530/90-41 License Numbers:
NPF-41, NPF-51, NPF-74 Licensee:
Arizona Public Service Company P. 0.
Box 53999 Station 9012 Phoenix, Arizona 85072-3999 Facility Name:
Palo Verde Nuclear Generating Station Units 1, 2, and
Enforcement Confer n e:
Au t
1, 1990 Submitted by:
Approved by:
F. Mi er, r., Chief, Operations Section
. F. Kirsc, Chief, Reactor Safety Branch Date Signed te Signed
~Sumar:
Enforcement Conference on A ust 31 1990 Re ort Nos. 50-528 50-529 50-530 90-
Areas Discussed:
The purpose of the Enforcement Conference was to discuss the apparent violations that were summarized in NRC Inspection Report Nos. 50-528/90-36, 50-529/90-36, and 50-530/90-36, dated August 23, 1990, regarding the apparent breakdown of the program to ensure the medical qualification of operators.
9009260i48 900906 PDR ADOCK 05000528 Q
'e PALO VERDE ENFORCEMENT CONFERENCE 1.
Meetin Attendees a.
NRC J.
B.
L. F.
B. H.
A. D.
H. J.
R. P.
Martin, Regional Administrator Miller, Chief, Operations Section Faulkenberry, Deputy Regional Administrator Johnson, Enforcement Officer Wong, Chief, Project Section
Zimmerman, Director, Division of Reactor Safety and Projects b.
T. Bradish, Manager, Compliance K. Davis, Director, Human Resources 2.
Palo Verde Enforcement Conference Details J.
N. Bailey, Vice President, Nuclear Safety and Licensing B. E. Ballard, Sr., Director, guality Assurance W. F.
Conway, Executive Vice President, Nuclear E.
G. Firth, Training Manager J. Levine, Vice President, Nuclear Production R. Fullmer, Manager, equality Audits and Monitoring J. Blanton Su ervisor, Safet and Health Mr. Martin opened the meeting by stating that the meeting was an enforcement conference.regarding an apparent breakdown of the medical qualifications and records program at Palo Verde.
He further stated that the purpose of the conference was to ensure that there was a complete understanding of the facts, and to ensure that the NRC had all the information needed to determine any necessary enforcement action.
Mr. Miller summarized the history of'his problem and the details of Inspe'ction 90-36 (at all three units).
Two apparent violations of the medical qualification requirements for licensed operators were discussed:
The apparent failure of APS to notify the NRC as required when four licensed operators developed medical conditions which caused them to not fully meet the medical qualification requirements for licensed operators.
The apparently incorrect certification on three separate occasions in 1987, 1988, and 1989 that a total of 15 applicants for an operator license met the medical requirements for initial licensing.
Mr. Levine stated that APS had begun a corrective action program which it considered was prompt, comprehensive and effective.
This program included an enhanced program for accurate records, cer tifications, and reviews of program statu Mr. Davis, using the viewgraphs in Attachment (1) stated that, following direction from APS management to review the medical qualifications program, a thorough review had been conducted..
This identified the lack of a formal program to coordinate and integrate the actions of each responsible department, the lack of a tracking program to find problems in the system, and differing interpretations of the medical requirements.
In response to these findings, APS had developed a
new medical qualifications control program.
Mr. Zimmerman questioned why the guality Assurance (gA) Department reviews had not been more thorough than the Human Resources Division review which had initially detailed the problem.
Ms. Fullmer explained that the quality assurance effort which had been performed at the request of APS management had a short term, reactive component and a longer term, programmatic component.
The short term, reactive effort had been to assess the immediate safety impact by performing a guality Monitoring Report.
This less formal and detailed review was considered the most appropriate use of limited guality Assurance Department resources pending a more formal gA audit in October, following the formal response of the Human Resources Division to a corrective action request which gA had issued on this problem.
Mr.
Ballard added that gA had confidence that the Human -Resources Division effort, combined with the cooperation of the Licensing and Training Departments, had sufficient scope to ensure that any safety significant deficiencies had already been identified.
A discussion regarding'the qualifications of the gA auditor was conducted.
The consensus of this discussion was that the auditor had conducted his assignment consistent with the direction he was given, which limited the detai.led review of 'medical records to a 100%
verification that each licensed operator's latest medical exam had been of the required scope.
Mr. Levine noted that a violation identified in Inspection Report 89-43 in November 1989 had not been directly related to the subsequent medical qualifications program breakdown which had been identified.
Rather, that violation occurred when a medical deficiency was reported, albeit later than the 30 day reporting requirement.
Mr. Martin summarized that the most vexing aspect of the potential enforcement action was that APS had been only partially effective in identifying the extent of their problems in spite of repeated indicators from the NRC that problems deserving timely attention remained.
Mr.
Conway agreed that APS could have done better in this regard in this matte NRC ENFORCEMENT CONFERENCE AUGUST 31, 1990 AGENDA OPENING REMARKS OPERATOR MEDICALQUALIFICATION COMMENTS REGARDING INSPECTION REPORT CLOSING RE
OPERATOR MEDICALQUALIFICATION I
DEFICIENCIES A.
INCOMPLETE MEDICALEXAMS B.
DELINQUENTMEDICALEXAMS C.
FAILURE TO NOTIFY NRC OF MEDICALCONDITIONS II CAUSES A.
PROGRAMMATIC B.
TRACKING C.
INTERPRETATION III ACTION TAKEN A.
INITIALACTIONS B.
INCIDENTINVESTIGATION 1. DEVELOPED CORRECI IVE ACTIONS PROGEVdvf MEDICALPROCEDURES TRACKING 2. ALLCORRECTED KD 08/31/9Q
OPERATOR MEDICALQUALIFICATION (CONTINUED)
C.
ADDITIONALACTIONS 1.
QUALITYASSURANCE REVIEWED CURRENT OPERATORS (MEDICALQUALIFICATION)
2. PLANT DIRECTOR LETTER ON OPERATOR ACCOUNTABILITIES.
3.
NRC FORM 396/MEDICALRECORD REVIEW 4.
PRESCRIPTION REVIEW IV CORRECTS'E ACTIONS A.
PROGEV8rIS AND PROCEDURES 1.
OPERATOR QUALIFICATION 2. MEDICAL B.
TRACKING C.
MEDICA4'REGULATORYINTERFACE KD-2 08/31/90
I'I e
COMMENTS REGARDING INSPECTION REPORT I
DETERMINATIONOF SCOPE II USE OF REGULATORY/PROCEDURE STANDARDS III CLARIFICATIONOF IVLQMGER STATEMENTS IV AUDITOR QUALIFICATIONS l(1'8/31/90
PVNGS MEDICALEXAMINATION CRITERIA
MEDICAL EXAMINATION CRITERIA AND STANDARDS PVNGS LICENSED NUCLEAR OPERATORS DUCTION In order to assure the safe.and efficient operation of Palo Verde Nuclear Generating Station (PVNGS), all Licensed Operators must be physically and mentally capable of performing their duties.
This protocol states the minimum ANSI/ANS 3.4-1983 requirements necessary for an examining physician to determine that the physical and mental conditions and general health of an operator are not such as might cause operational errors.
The physician should use his/her best judgement when encountering medical problems not specifically mentioned.
In these cases, the deciding factor should be if the employee could be expected to safely and adequately perform the critical tasks for licensed operators.
edical Exami atio Fre uenc ANSI/ANS 3.4-1983 requires biennial examinations.
PVNGS shall perform an annual examination.
Hea t Re ui ements a d Dis ual Co ditions General Requirements:
1)
The Licensed Operator shall demonstrate stability and capacity for all of the
~
~
following:
A)
Mental Alertness and emotional stability.
B)
Acuity of senses and ability of expression to allow rapid, accurate communication by spoken, written, and other audible, visible, or tactile signals.
C)
Physique, stamina, motor power, range of motion, and dexterity to allow ready access to and safe execution of ass'igned duties.
2)
The I.icensed Operator shall be free of any of the following conditions considered by the Site Physician as significantly predisposing to incapacity for duty:
A)
Mental or physical impairments B)
Any medical, surgical, or other professional treatment.
C)
Any other source or use of treatment, drugs, chemicals, diets, or other agents.
D)
Any condition, habit or practice which might result in sudden or unexpected incapacitation.
3)
Refer to the ANSI/ANS 3.4-1983 for more complete descriptions of the disqualifying conditions.
Also included are the possible conditions under which an operator may still be able to be qualified for licensure.. This may include -nrking in a multi-person facility, working under certain restrictions or waiver c'tinent to the t
medical condition, or receiving a specifically limited approva
.or
'"ensur MANDATORY RE UIREMENTS DIS UALIFYING CONDITION UALI FIED UN VALI FIED ble of Operating Normal, Abnormal, ergency Conditions
~
Physical or corrective devices which restrict mobility
~
Physical"restrictions limiting use of protective clothing and equipment.
~
Potential for sudden or insidious incapacitation Abdomen and Viscera
~ If hernia is present with possible complications, surgical repair is required Cardiovascular
~
Untreated or uncontrolled hyper-tension (over 160/100 mm Hg)
~
Ischemic heart disease
~
Myocardial Infarction
~
Coronary insufficiency or. angina pectoris
~
Heart failure
~
Arrhythmia other than benign extrasystoles
~
Prosthetic valve or artificial pacemaker
~
Peripheral vascular insufficiency
~
Arterial Aneurysm
~
Unacceptable cardiovascular conditions on page
(e.g.
EKG, CZR, etc.)
Ears
~
Greater than 30dB average loss at 500, 1000, 2000 Hz in t'e better ear or an on-site demonstration of hearing ability
NDATORY RE UIREHENTS DIS UALIFYING CONDITION UALIFIED UN UALIFI ED crine, Nutritional, olic
~
Uncontrolled diabetes, ketoacidosis, diabetic coma or insulin shock within the previous two (2) years
~
The requirement for insulin shall disqualify for solo operation
~
Evidence of metabolic or electrolyte imbalance, liver disease, renal dysfunction
~
Greater than 100$ increase of upper limit of normal liver enzymes; retest in four weeks with alcohol abstinence
~
Other conditions requiring the continued or frequent use of steroids (e.g. Addison's Disease, etc.)
Eyes
~
Near and distant visual acuity.>
20/40 in better eye, corrected or uncorrected
. ~
Peripheral vision less than 120
~
Inability to distinguish reds, green, or orange-yellow and any other coding required for safe operation of the facility.
~
Less than 60$ on Titmus vision screener for depth perception Head, Face, Neck, and Scalp
~
Configuration resulting in ineffective use of personal protective equipment Hematopoietic Dysfunction
~
Polycythemia
~
Agranulocytosis
~
Leukemia and Lymphoma
~
Other significant hematopoietic dyscrasia
DATORY RE UIREMENTS D
S UALIFYING CONDITION UALIFIED UN UALIFIED boratory Studies
~
Evidence of ongoing, undiagnosed infection
~
Ongoing, undiagnosed anemia
~
Evidence of renal dysfunction or uncontrolled diabetes
~
Unacceptable lab results on page
~
Unacceptable lymphatic condition on page
Malignant Neoplasms (unless clinical remission is documented)
Medication(s)
~
Medication taken that might be expected to result in, or that the delay of taking, might be expected to result in incapacity (ex: insulin, tranquilizers, antiarehythmics, sedatives, anticoagulants, etc.)
tal/Psychiatric
~
Organic brain syndrome
~
Physiological or mental condition that would cause impaired alertness,
)udgment, or motor 'ability
~
History or threat of suicide attempt
~
History of psychotic disorder
~
Personality disorder that is severe enough to have repeatedly manifested itself by overt acts
~
Alcoholism Drug Dependency
~
Significant mental disorder or phobias Mouth and Throat
~
Incapacity for clear speech
~
Inability to detect odor of products of combustion and tracer or market gases
S U
NG CO D
UA ED UN UALTFIED culoskeletal/Tactile
~
Physical exam shall include:
Run in place for 3 minutes Deep knee bends Deep tendon reflex symmetrical Pupils equal and reactive Able to lift 35 lbs (equivalent to SCBA weight)
Dexterity:
fine pincer grasp present.
Through practical testing, correctly identifies various shapes.
Gait normal.
360'otation of arms present.-
Unacceptable musculoskeletal conditions on page
Neurological Epilepsy
~
Organic brain syndrome History of a disturbance of consciousness within the past five years without satisfactory medical
'explanation
~
Unacceptable neurological conditions on page
Respiratory
~
Frequent severe asthma attacks within the previous two (2) years
~
Tracheostomy'r laryngectomy
~
Incapacitating chronic pulmonary disease
~
Unacceptable respiratory conditions on page '6 Skin
~
Recurrent or severe dermatitis or hypersensitivity to irritants or sensitizes sufficient to interfere with wearing of protective equipment or to be aggravated by decontamination procedures SHOULD THE PHYSICIAN IDENTIFY ANY DISQUALIFYING CONDITION WHICH CANNOT BE COMPENSATED FOR AND A DECLARATION OF INCAPACITATIONIS DEEMED NECESSARY, THE EXAMINATIONSHALL BE ED AND THE MEDICAL FILE VILL BE IMMEDIATELYREFEfNFJ) TO THE S 'lJ:R.'~USE FOR CE WITH PROCEDURE 93GB-OLC09.
Exam Date Physician Signature (print)
I
~
~
PVNGS PHYSICAL EXAM eight (
Shoes)
Veight (Clothed)
Blood Pressure:
record 1st reading.
If reading exceeds 140 systolfc and/or 90 diastolic, repeat at intervals for total of three readings.
!st Readigt 2nd Readin 3rd Readift PULSE At Rest fter xefcise 3 minutes Later 1f glycosuria present, perform fingerstfck glucose level.
TIIIE Orans:
BLOOP Sugar Level:
TIIIE of last meal:
Oate Time BP Readin CofTBnent Vill return in 2 days for the first of 3 BP oheoksl Tes Ilo Other UR1NALYS IS:
Orohlll Blood Blllruhln
.
Protein Ketone PB Olfaotlon Test:
Pass Fall Head/Face/Sca lp:
Bony structures and soft tissues are symnetrfcal and proportionate without evidence of traumaT 0 Yes 0 No Neck:
SuppleT 0 Yes D Ho Trachea midline7 0 Yes 0 No Evidence of lumps, masses or venous distinction7 0 Yes 0 Ho Hose:
Nares patentT 0 Yes 0 Ho S
deviatorT 0 Yes 0 Ho ry nerve intactT 0 Yes 0 Ho Hou Teeth 1ntactT ProstheticsT D Yes D No D Yes 0 Ho Endocrine. Hutr1t1onal, Hetabol fc:
Evidence of exophths1mas, thin/brittle hair, waxy/thickened skin or 3aundfceT D Yes 0 Ho Ears:
Puretone audinmetrfc threshold average better than 30 dBT 0 Yes 0 No For speech, frequencies of 500.
1000, 2000 Hz fn better earT 0 Yes 0 No Hearing afd neededT 0 Yes 0 No 0 Vorn Respiratory:
Pulmonary function test normalT 0 Yes 0 No Lungs clearT 0 Yes 0 Ho Chest X-Ray (VNL)
0 Yes 0 Ho Cardiovascular:
Pulses full and symnetricalT 0 Yes 0 Ho Bruits 0 Yes 0 No Heaves/thrills7 0 Yes 0 No Abdomen:
Tenderness/masses/organomegalyT 0 Yes 0 Ho Umb 1 1 ica 1/1ngu 1na1 hemi a7 0 Yes 0 Ho Muscul oske1eta 1:
Range of mot1on/gait normalT 0 Yes 0 Ho Strength normal/symnetrica17 0 Yes 0 No Evidence of atrophyT 0 Yes 0 Ho Skin:
1ntegrity intactT D Yes D No Evidence of 1nfectfon or chronic/
seasonal dewetftfs or neoplasmsT 0 Yes 0 Ho Evidence of scars or other identifying aerks7 0 Yes 0 Ho Hematopoietic Howe17 D Yes 0 Ho Lymphatic:
Cer vfca1, axi1lary, post-auricular.
pre-auricular or inginual nodes 0 Yes 0 Ho Psychfatr1c:
Oriented to person, time and placeT 0 Yes 0 Ho Behavior a
ro riate7 0 Yes 0 Ho Date Blood Vork Drawn:
Date Blood Vork Result in file:
Date Chest X-Ray Done:
Date CXR Report in file:
Neurological:
Cranial nerves 2-12 intact?
0 Yes 0 Ho Hotor/sensory systems intact7 0 Yes 0 Ho DTR's symnetricalT 0 Yes 0 No Babfnski's sign presentT 0 Yes 0 Ho Laboratory:
CBC w/platelets and indices normalT 0 Yes 0 Ho Urine chemistry nowelT 0 Yes 0 Ho ECG norma17 0 Yes 0 Ho Explain any abnormal findings (if none, state "none")
xnnents/Recomfendat 1ons:
.fer to own HD for evaluatfon of:
xffc ie Reviewed Eapioyee Received Physician Exnmfnatfon ~
i.te:
H.D. Signature:
Print:
J