IR 05000607/2015203

IR 05000607/2015203, on October 19-22, 2015 at the University of California-Davis - NRC Routine Inspection

ML15317A129
Person / Time
Site:	University of California-Davis
Issue date:	11/18/2015
From:	Anthony Mendiola Research and Test Reactors Branch B
To:	Klein B McClellan Nuclear Research Center
References
IR 2015203
Download: ML15317A129 (30)

Text

ber 18, 2015

SUBJECT:

UNIVERSITY OF CALIFORNIA, DAVIS/MCCLELLAN NUCLEAR RESEARCH CENTER - NUCLEAR REGULATORY COMMISSION ROUTINE INSPECTION REPORT NO. 50-607/2015-203

Dear Dr. Klein:

From October 19-22, 2015, the U.S. Nuclear Regulatory Commission (NRC) completed an inspection at the University of California, Davis/McClellan Nuclear Research Center (Inspection Report No. 50-607/2015-203). The enclosed report documents the inspection results, which were discussed on October 22, 2015, with Mr. Walter Steingass, Reactor Supervisor.

The inspection examined activities conducted under your license as they relate to safety and compliance with the Commissions rules and regulations and with the conditions of your license.

The inspector reviewed selected procedures and records, observed activities, and interviewed personnel. Based on the results of this inspection, no findings of significance were identified.

No response to this letter is required.

In accordance with Title 10 of the Code of Federal Regulations, Section 2.390, Public inspections, exemptions, and requests for withholding, a copy of this letter, its enclosure, and your response (if any) will be available electronically for public inspection in the NRC Public Document Room or from the NRCs document system (Agencywide Documents Access and Management System (ADAMS)). ADAMS is accessible from the NRC Web site at http://www.nrc.gov/reading-rm/adams.html (the Public Electronic Reading Room). Should you have any questions concerning this inspection, please contact Craig Bassett at (301) 466-4495, or by electronic mail at Craig.Bassett@nrc.gov.

Sincerely,

/RA/

Anthony J. Mendiola, Chief Research and Test Reactors Oversight Branch Division of Policy and Rulemaking Office of Nuclear Reactor Regulation Docket No. 50-607 License No. R-130 Enclosure:

As stated cc: See next page

University of California-Davis/McClellan MNRC Docket No. 50-607 cc:

Dr. Wesley Frey, Radiation Safety Officer 5335 Price Avenue, Bldg. 258 McClellan AFB, CA 95652-2504 Mr. Walter Steingass, Reactor Supervisor 5335 Price Avenue, Bldg. 258 McClellan AFB, CA 95652-2504 California Energy Commission 1516 Ninth Street, MS-34 Sacramento, CA 95814 Radiological Health Branch California Department of Public Health P.O. Box 997414, MS 7610 Sacramento, CA 95899-7414 Test, Research, and Training Reactor Newsletter University of Florida 202 Nuclear Sciences Center Gainesville, FL 32611

ML15317A129; *concurrence via e-mail NRC-002 OFFICE NRR/DPR/PROB* NRR/DPR/PROB* NRR/DPR/PROB NAME CBassett NParker AMendiola DATE 11/18/2015 11/18/2015 11/18/2015

U. S. NUCLEAR REGULATORY COMMISSION OFFICE OF NUCLEAR REACTOR REGULATION Docket No: 50-607 Report No: 50-607/2015-203 Licensee: University of California, Davis Facility: McClellan Nuclear Research Center Location: McClellan Park Sacramento, California Dates: October 19-22, 2015 Inspector: Craig Bassett Approved by: Anthony J. Mendiola, Chief Research and Test Reactors Oversight Branch Division of Policy and Rulemaking Office of Nuclear Reactor Regulation Enclosure

EXECUTIVE SUMMARY University of California, Davis McClellan Nuclear Research Center Report No. 50-607/2015-203 The primary focus of this routine, announced inspection was the onsite review of selected aspects of the University of California, Davis (the licensees) two Megawatt Class I research reactor safety program, including: (1) organization and staffing, (2) review and audit and design change functions, (3) reactor operations, (4) operator requalification, (5) maintenance and surveillance, (6) fuel handling, (7) experiments, (8) procedures and, and (9) emergency preparedness since the last U.S. Nuclear Regulatory Commission (NRC) inspection of these areas. The licensees program was acceptably directed toward the protection of public health and safety and in compliance with NRC requirements. No violations or deviations were identified.

Organization and Staffing

• The organizational structure and staffing were generally consistent with Technical Specification (TS) requirements.

Review, Audit, and Design Change Functions

• The Nuclear Safety Committee was meeting semiannually, reviewing the topics outlined in the TS, and conducting annual audits of facility operations as required.

• The review, evaluation, and documentation of changes to the facility satisfied NRC requirements.

Reactor Operations

• Reactor operations were conducted in accordance with procedures and the appropriate logs were being maintained.

Operator Requalification

• Operator requalification was conducted as required by the Operator Training and Requalification Program and the program was being maintained up-to-date.

• Medical examinations were being completed biennially for each operator as required.

Maintenance and Surveillance

• The Preventive Maintenance Program was being used to effectively complete maintenance and surveillance activities at the facility in a timely manner.

-2-Fuel Movement

• Fuel movement and handling was conducted in accordance with procedural requirements and fuel inspections were completed annually as required by the TSs.

Experiments

• The licensees program for reviewing and conducting experiments satisfied procedural and TSs requirements.

Procedures

• The procedure review, revision, control, and implementation program satisfied TSs requirements.

Emergency Preparedness

• The emergency preparedness program was conducted in accordance with the Emergency Plan (E-Plan).

• Emergency response equipment was being maintained and alarms were being tested as required.

• The Memoranda of Understanding between the licensee and its various support agencies were being maintained.

• Emergency drills were being conducted annually as required by the E-Plan.

• Emergency preparedness training for operations personnel was being completed.

REPORT DETAILS Summary of Facility Status The University of California, Davis (the licensees) two Megawatt Class I TRIGA Mark-II research reactor continued to be operated in support of neutron radiography, medical isotope production, neutron tomography, and sample/product irradiation. During the inspection the reactor was operated up to eight hours per day at varying power levels up to 1 megawatt to support neutron radiography and sample irradiation.

1. Organization and Staffing a. Inspection Scope (Inspection Procedure (IP) 69006)

The inspector reviewed the following regarding the University of California, Davis/McClellan Nuclear Research Center (UCD/MNRC) organization, staffing, and staff responsibilities to ensure that the requirements of Technical Specification (TS) Section 6.1, were being met:

• Management responsibilities

• Qualifications of facility personnel

• Current UCD/MNRC organizational structure

• Staffing requirements for safe operation of the research reactor facility

• Facility Procedure UCD/MNRC-0004-DOC-13, Technical Specifications for the University of California, Davis/McClellan Nuclear Radiation Center (UCD/MNRC), Revision (Rev.) 13, dated March 28, 2003

• University of California, Davis/McClellan Nuclear Research Center 2013 Annual Report, submitted to the NRC on June 27, 2014

• University of California, Davis/McClellan Nuclear Research Center 2014 Annual Report, submitted to the NRC on June 29, 2015

• American Nuclear Society Standard 15.4-1988, Selection and Training of Personnel for Research Reactor, approved June 9, 1988 b. Observations and Findings The inspector reviewed the organization at the facility. The organization consisted of the UCD/MNRC Director, the Associate Director for Reactor Operations/Reactor Supervisor, Radiography/Facility Manager, Radiation Safety Officer, Health Physics Technician/Security Manager, Electronics Engineer, and two radiographers. It was noted that one radiographer, who was also a licensed Reactor Operator (RO), had left the facility since the last inspection in this area.

The subject of facility staffing was reviewed by the inspector. It was noted that the reactor operations staff currently consisted of five licensed Senior Reactor Operators (SROs). Even though the SROs all had collateral duties to be performed, the inspector concluded that staffing appeared to be adequate given the current level of operation at the facility.

-2-c. Conclusion The licensees organization and staffing were generally in compliance with the requirements specified in TS Section 6. An increase in facility workload will require an increase in staffing.

2. Review and Audit and Design Change Functions a. Inspection Scope (IP 69007)

To verify that the required reviews and audits were being completed by the licensee and to ensure that facility changes were reviewed and approved as required by TS Section 6.2, the inspector reviewed selected aspects of:

• Annual Audits conducted for 2014 and 2015

• Nuclear Safety Committee (NSC) meeting minutes for August 2013 through the present

• UCD/MNRC Facility Modification Notebook containing Facility Modification Log Forms

• Selected Facility Modification Installation Authorization Forms and the associated Facility Modification Checklist Forms processed during 2014 through the present

• Facility Procedure UCD/MNRC-0043-DOC, Facility Modification Procedure

• Facility Procedure UCD/MNRC-0045-DOC, Quality Assurance Program for McClellan Nuclear Research Center (MNRC)

• Annual Reports for University of California, Davis/McClellan Nuclear Research Center, submitted to the NRC in June 2014 and June 2015

• Charter of the Nuclear Safety Committee (NSC) for the University of California, Davis/McClellan Nuclear Research Center (UCD/MNRC),

Rev. 3 b. Observations and Findings (1) Review and Audit Functions Composition of the NSC and qualifications of NSC members were as specified in TS 6.2.1. Minutes of NSC meetings demonstrated that the committee met semiannually as required by TS 6.2.2, and provided the reviews and oversight specified in TS 6.2.3. Through records review, the inspector determined that safety reviews were conducted by the NSC or a designated representative. Topics of those reviews were as required by the TS and provided sufficient guidance, direction, and oversight to ensure acceptable use of the reactor.

-3-The inspector noted that the annual audit for 2014 was conducted on September 2, 2014, by the Chair of the NSC. The audit appeared to be adequate and covered the activities specified in TS 6.2.4, including various aspects of the reactor facility operations and other functions. The most recent facility audit had also been conducted by the Chair of the NSC and was completed on February 27, 2015. The audit also appeared to be adequate. No problems had been noted and no recommendations were made in these audits.

(2) Design Change Functions To satisfy the regulatory requirements stipulated in Title 10 of the Code of Federal Regulations (10 CFR), Section 50.59, Changes, tests, and experiments, the licensee had implemented Facility Procedure UCD/MNRC-0043-DOC, Facility Modification Procedure. The procedure was developed to address activities that affected changes to the facility as described in the Safety Analysis Report, changes to MNRC procedures, and changes to, or development of, tests or experiments not described in the Safety Analysis Report. The procedure adequately incorporated criteria provided by the regulations. The inspector verified that, as required by procedure, all proposed facility modifications were presented to a Modification Review Committee for screening and classification. In addition to that committees screening, the packages were required to be reviewed by the Reactor Supervisor and a health physics representative, and then approved by the Facility Director. Safety significant changes and modifications (designated by the facility as Class I and II changes) were required to be reviewed and approved by the NSC.

The Evaluation of Experiments or Modifications Under the Provisions of 10 CFR 50.59 forms reviewed by the inspector were completed and closed out properly. One completed form showed that a proposed experiment modification was acceptably reviewed in accordance with the procedure. None of the changes or modifications reviewed was determined to constitute a safety question or concern and none required a license or TS amendment.

c. Conclusion The NSC was meeting semiannually, reviewing the topics outlined in the TS, and conducting annual audits of facility programs as required. The facility design change program satisfied NRC requirements.

-4-3. Reactor Operations a. Inspection Scope (IP 69006)

To verify that the licensee was operating the reactor and conducting operations in accordance with TS Section 3, and procedural requirements, the inspector reviewed selected portions of the following:

• Selected Facility Anomaly Reports

• Various UCD/MNRC Startup Checklist Forms for 2014 and to date in 2015

• Selected UCD/MNRC Shutdown Checklist Forms for 2014 and to date in 2015

• Various UCD/MNRC Facility Rounds Log Forms for 2014 and to date in 2015

• Selected UCD/MNRC Operations Log Pages contained in Log Book No.

153 through Log Book No. 157

• Facility Procedure UCD/MNRC-0016-DOC, UCD/MNRC Operating Instructions

• Facility Procedure UCD/MNRC-0073-DOC, UCD/MNRC Reactor Control Room Computer Operating Instructions

• Annual Reports for University of California, Davis/McClellan Nuclear Research Center, submitted to the NRC in June 2014 and June 2015 b. Observations and Findings The inspector reviewed selected UCD/MNRC Startup and Shutdown forms, Rounds Log sheets, and Operations Log entries dating from 2014 through the date of this inspection. The operating logs and checklists were complete and provided an acceptable indication of operational activities. The logs and checklists showed that operational conditions and parameters were consistent with license and TS requirements and indicated that operational limits had not been exceeded.

The logs were also used to record problems with equipment and abnormal events or anomalies. Unplanned shutdowns and inadvertent scrams were also noted in the logs, in addition to being documented in the licensees Monthly Reports and reported in Annual Reports submitted to the NRC.

The inspector observed facility activities on various occasions during the week including routine reactor operations. The operations were conducted in accordance with the applicable procedures and the actions were documented in the required logs. The inspector was also able to observe several reactor startups and reactor shutdowns during the inspection. These activities were also completed according to procedure and the appropriate checklists and logs were filled out as required.

-5-c. Conclusion UCD/MNRC reactor operations were conducted in accordance with procedure and the appropriate logs were being maintained.

4. Operator Requalification a. Inspection Scope (IP 69003)

To verify that the licensee was complying with TS 6.1.4, and the facility Operator Training and Requalification Program, the inspector reviewed selected aspects of:

• Status of active operator licenses

• Selected operator physical examination records for the past 3 years

• Training Schedule for Maintenance of Qualifications for SROs for the 2012-2014 and 2014-2016 requalification cycles

• Operator active duty status documented on MNRC Personnel Reactivity Manipulations and Active Duty Performance Record forms for 2013, 2014, and to date in 2015

• Operator training and lecture attendance records for 2013 through 2015 documented on MNRC Training Attendance Record forms

• Selected records for 2013 through 2015 documented on UCD/MNRC Reactor Facility Annual Operating Test for SROs and Reactor Operators Forms and MNRC Senior RO Requalification Written Examination Forms

• Current Memorandum for the Training Coordinator from B. Klein, UCD/MNRC Director, dated July 1, 2015, specifying those individuals who had completed the Requalification Program and were certified to continue operating the reactor and those who were in training

• Facility Procedure UCD/MNRC-0009-DOC, Selection and Training Plan for Reactor Personnel

• Annual Reports for University of California, Davis/McClellan Nuclear Research Center, submitted to the NRC in June 2014 and June 2015

• American Nuclear Society Standard 15.4-1988, Selection and Training of Personnel for Research Reactors, approved June 9, 1988 b. Observations and Findings As noted above, there were five qualified SROs on staff at the facility. The inspector verified that all operators licenses were current. Also, one person who had become a licensed RO had left the facility to take another job.

The inspector noted that the Requalification Program was being implemented and maintained as required. MNRC Personnel Reactivity Manipulations and Active Duty Performance Records and logs showed that operators were maintaining active duty status as required. A review of the logs and records also

-6-showed that training was being conducted in accordance with the approved requalification and training program. Procedure reviews and examinations had been documented as required. Records of quarterly reactor operations, reactivity manipulations, other operations activities, and Reactor Supervisor activities were being maintained. Records indicating the completion of annual operating tests and supervisory observations were also being maintained as required. Biennial written examinations were being completed by the operators as required as well.

The inspector reviewed medical records for various operators and verified that the operators were receiving the biennial medical examinations required by the program in accordance with American Nuclear Society Standard 15.4-1988.

c. Conclusion Operator requalification was being completed and being maintained up-to-date as required by the Requalification Program. Medical examinations were being completed biennially for each operator as required.

5. Maintenance and Surveillance a. Inspection Scope (IP 69006 and 69010)

To verify that the licensee was meeting the requirements of their Preventive Maintenance Program and complying with TS Section 4, the inspector reviewed selected aspects of:

• Selected UCD/MNRC Operations Log pages from Log Book No. 153 through Log Book No. 157

• Preventive Maintenance Program database maintained on the Control Room computer which included entries denoting equipment history

• McClellan Nuclear Research Center Preventive Maintenance System - Twelve Month Schedule for the period from January 2015 through December 2015

• Selected MNRC Work Order forms documenting various completed and pending maintenance tasks for 2015

• Facility Procedure UCD/MNRC-0007-DOC, Maintenance Procedures

• Facility Procedure UCD/MNRC-0030-DOC, MNRC Tag-Out Procedure

• Annual Reports for University of California, Davis/McClellan Nuclear Research Center, submitted to the NRC in June 2014 and June 2015 b. Observations and Findings The inspector reviewed the Preventive Maintenance Program that the licensee had developed to schedule and track maintenance activities. The program was maintained on an EXCEL database system and was designed to ensure that all maintenance activities were completed as required. It was also used to ensure that post maintenance testing was conducted and that the entire process was

-7-documented appropriately. In addition, the database was also set up to enable the licensee to maintain equipment histories for the various systems, components, and instruments in the program.

Preventive Maintenance Program as well. The program was designed to generate a work schedule for facility personnel. Weekly, monthly, and annual schedules were available as needed. The work schedules listed all the maintenance and surveillance activities that needed to be completed during the specified time interval.

The Preventive Maintenance Program not only produced periodic work schedules, but was designed to generate MNRC Work Orders (MWOs). The MWOs were used to complete and document the maintenance and/or surveillance activities. It was noted that the MWOs were assigned to a lead SRO who was responsible to ensure that the work was performed and the results were recorded on the MWO. The data from each MWO was typically entered into the computerized tracking system by the Radiography Supervisor/Building Manager.

Routine maintenance work and surveillance activities were typically completed on Mondays during the weekly routine scheduled reactor shutdown. Major maintenance and surveillance items were completed during the licensees annual maintenance shutdown which typically lasted for a full week.

The inspector reviewed selected data recorded in the database and on the MWOs for various TS required surveillances. The records indicated that the required tests, checks, verifications, and calibrations had been completed on schedule and in accordance with licensee procedures. The results reviewed by the inspector were found to be within the TS and procedurally prescribed parameters.

c. Conclusion The MNRC Preventive Maintenance Program was being used to effectively complete maintenance and surveillance activities at the facility in a timely manner.

6. Fuel Movement a. Inspection Scope (IP 69009)

To ensure that the licensee was following the requirements of TSs 3.2.4, 4.2.4, and 5.3, the inspector reviewed selected aspects of the following:

• Selected Fuel Inspection Sheets for 2015

• Various UCD/MNRC Fuel Transfer Forms

• Selected UCD/MNRC Present Element Location Forms

• Fuel Handling Checklists for fuel handling in 2014 and to date in 2015

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• Selected entries in the UCD/MNRC Fuel Measurement Notebook

• Various Fuel Movement Sheets developed prior to, and used for, fuel movements

• Selected UCD/MNRC Fuel Element Tracking Information Log Sheets

• Various entries in the UCD/MNRC Fuel Measurement Data Notebook detailing fuel element measurements

• Selected UCD/MNRC Operations Log pages from Log Book No. 153 through Log Book No. 157

• Core Fuel Status and Storage Boards located in the Control Room and in the Reactor Room indicating current fuel element locations

• Facility Procedure UCD/MNRC-0019-OMM 5220, Fuel Handling Tools

• Facility Procedure UCD/MNRC-0011-OMM 5240, Fuel b. Observations and Findings The inspector reviewed the fuel movement process used by the licensee and verified that fuel was moved according to established procedure and in conjunction with the specific fuel movement sheets developed by an SRO for each evolution. The sheets were used not only for fuel movement, which included transferring fuel from the core to storage and from storage to the core, but for fuel inspection as well. The inspector compared the current location of fuel elements in the reactor core with the information maintained on the Fuel Status Boards in the Control Room and the Reactor Room, and on the fuel movement sheets. No problems were noted. The licensees current core was designated as the 30B core.

It was noted that, during the annual shutdown for facility maintenance completed in August 2015, the licensee also completed inspection of those fuel elements specified in the TS. The inspector reviewed selected fuel inspection sheets and noted that the inspections were being completed annually in compliance with TS Section 3.2.4. The inspector verified that fuel handling tools were being properly maintained and were adequately controlled/secured when not in use.

c. Conclusion Fuel movements and inspections were conducted in accordance with TS and procedural requirements.

7. Experiments a. Inspection Scope (IP 69005)

The inspector reviewed selected aspects of the following to verify compliance with TS Sections 3.8, 4.8, and 6.5:

• Listing of current experiments and authorized users

• Most recent UCD/MNRC Irradiation Summary Forms

• Selected UCD/MNRC Experimenter Certification Forms

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• Various UCD/MNRC Experimenter Approval Request Forms

• Most recent reviews conducted by the Experiment Review Board

• Various UCD/MNRC Irradiation Request Forms for 2014 and to date in 2015

• Selected UCD/MNRC Irradiation Tracking Sheets for 2014 and to date in 2015

• Various UCD/MNRC Operations Log pages from Log Book No. 153 through Log Book No. 157

• Selected Facility Use Authorization Forms which had been completed

• Facility Procedure UCD/MNRC-0033-DOC, University of California, Davis/McClellan Nuclear Research Center Research Reactor Facility Experiment Review and Authorization Process

• Facility Procedure UCD/MNRC-0081-DOC, UCD/MNRC Experiment Coordination Checklist

• Annual Reports for University of California, Davis/McClellan Nuclear Research Center, submitted to the NRC in June 2014 and June 2015 b. Observations and Findings The inspector reviewed the experiment review and approval process at the facility. It required that, if an approved experimenter decided to propose a new experiment, that person was required to complete an Experiment Request Form for review. The experimenter was also required to ensure that the proposed experiment would meet the conditions established for one of five approved Facility Use Authorizations. The request was then reviewed by the Experiment Coordinator and the Experiment Review Board (ERB) and approved by the MNRC Facility Director. The Experiment Coordinator also completed an Irradiation Summary Form to further document approval by the Facility Director, the Reactor Supervisor, and the Radiation Safety Officer. If a new or revised Facility Use Authorization was needed, it was also required to be reviewed and approved by the NSC. It was noted that no new Facility Use Authorizations had been approved since 2000. The experiments conducted at the facility had been reviewed and approved as required. It was noted that no new experiments had been reviewed and approved since the last inspection.

The inspector noted that the experiments conducted at the facility were initiated using an approved Facility Use Authorization Number and an Experiment Approval Number. The experiments were then completed under the cognizance of the Reactor Supervisor and the SRO, and in accordance with TS requirements (e.g., reactivity limitations). The results of the experiments were documented on the appropriate Irradiation Request Forms which listed the conditions of the irradiation and the radiological survey results of the material when removed from the reactor. The forms reviewed by the inspector had been completed as required with the appropriate information included.

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The inspector also noted that the ERB had met on October 2, 2015, to discuss proposed changes to an established experiment. The change involved neutron radiography of a new Class I explosive device. The ERB considered the proposed change and the 10 CFR 50.59 form that had been completed and subsequently approved the change because no new safety issues were raised and no change to the TS or license was required.

c. Conclusions The program for reviewing and conducting experiments satisfied TS and procedural requirements.

8. Procedures a. Inspection Scope (IP 69008)

To verify compliance with TS Section 6.4, the inspector reviewed selected portions of the following:

• UCD/MNRC Controlled Document Review and Approval Reference List

• MNRC Document List, including the procedure number, title, individual responsible for reviewing the procedure, and date of the last review

• Facility Procedure UCD/MNRC-0005-DOC, Document Control Plan b. Observations and Findings TS Section 6.4, required that procedures be prepared and approved for the activities listed in that section. The procedures were required to be approved by the UCD/MNRC Director. Changes to the procedures also required the approval of the UCD/MNRC Director and all changes were required to be documented.

The inspector noted that facility procedures had been developed for the activities as required by the TS and had been approved by the Director. The inspector verified that recent changes had also been approved by the Director.

The inspector noted that various members of the facility staff were required to perform periodic reviews of the procedures to assure that they were current. The completion of these reviews continued to be tracked by the Reactor Supervisor.

The inspector determined that biennial reviews of the maintenance procedures and annual reviews of the other types of procedures were generally being completed as required.

c. Conclusion The current procedure review, revision, control, and implementation program satisfied TS requirements.

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9. Emergency Preparedness a. Inspection Scope (IP 69011)

The inspector reviewed selected aspects of the following to verify compliance with the UCD/MNRC-0001-DOC, Emergency Plan for the University of California, Davis - McClellan Nuclear Research Center (UCD/MNRC), Rev. 8, approval by the NSC Chairman dated June 12, 2006:

• Documentation of the 2013 and 2014 emergency drills and critiques

• Memorandum of Understanding (MOU) with the UCD Medical Center, dated May 1, 2006

• Memorandum of Understanding between the County of Sacramento and McClellan Park, dated November 23, 2004, concerning fire protection services

• Memorandum of Understanding between the Sacramento County Sheriffs Department and the licensee, dated December 18, 2000

• Training Schedule for Maintenance of Qualifications for SROs for the 2014-2016 requalification cycle

• Facility Procedure UCD/MNRC-0018-DOC, University of California, Davis/McClellan Nuclear Research Center Emergency Procedures

• Facility Procedure UCD/MNRC-0078-DOC, UCD/MNRC Emergency Procedures for Emergency Response Personnel - Class 0 Emergency - Personnel and Operation Events

• Facility Procedure UCD/MNRC-0079-DOC, UCD/MNRC Emergency Procedures for Emergency Response Personnel - Class I Emergency - Notification of Unusual Events

• Facility Procedure UCD/MNRC-0080-DOC, UCD/MNRC Emergency Procedures for Emergency Response Personnel - Class II Emergency - Alert b. Observations and Findings The inspector reviewed the E-Plan in use at the reactor and verified that it was reviewed and updated biennially as required. Activities associated with the E-Plan (e.g., training, drills, etc.) were reviewed annually by the NSC. The inspector reviewed the UCD/MNRC Emergency Procedures as well. It was noted that the procedures were also typically reviewed annually and revised as needed to ensure effective implementation of the E-Plan.

Through records review and interviews with SRO personnel and other emergency responders, the inspector determined that they were knowledgeable of the proper actions to take in case of an emergency. Training for facility personnel had been conducted and documented acceptably. Training for support organization personnel was provided whenever those organizations schedules would permit.

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The inspector verified that the MOU between the County of Sacramento and McClellan Park remained in effect. The MOU stipulated that the Sacramento Metropolitan Fire District would be available during an emergency and would provide support for the facility. The inspector also verified that the MOU between the UCD/MNRC facility and UCD Medical Center remained in effect. That MOU indicated that the UCD Medical Center would provide the MNRC with needed support in case of any event involving a medical emergency. The licensee also maintained an MOU with the Sacramento County Sheriffs Department. That MOU stipulated that Sheriffs Department officers would provide the MNRC with immediate support in case of any security event at the facility.

Communications capabilities with support groups were acceptable and the various equipment (e.g., telephones and the building public address system)

were in use daily. Portable public address devices were also available for use as needed and were checked semiannually. Emergency call lists had been revised and updated as needed and were available in the control room and in the various emergency cache kits as required. The inspector also verified that emergency equipment, including decontamination material, was available and was being inventoried semiannually as required by the E-Plan.

The documentation of the training and drills conducted during the past 2 years was reviewed. Through drill scenario and record reviews, and personnel interviews, off-site emergency responders were determined to be knowledgeable of the proper actions to take in case of an emergency. Emergency drills had been conducted annually and had included the participation of off-site support groups every other year as required by the E-Plan. The scenarios and critiques written for the drills were well documented. It was noted that no drill had been conducted to date in 2015. The licensee was planning a drill for November.

The inspector attended a meeting of the UCD Campus Radiation Safety Committee. Various issues were discussed and reports were given by members from the Cyclotron group, the High Intensity Light and Laser group, the UCD Medical Center, and the UCD/MNRC. It was noted that, in the event of an emergency at the MNRC, facility staff could request assistance from these groups, especially the UCD Medical Center. There appeared to be a good working relationship between the licensee and these groups.

c. Conclusion The emergency preparedness program was being conducted in accordance with the E-Plan.

10. Follow-up on Previously Identified Items a. Inspection Scope (IP 92701)

The inspector reviewed the licensees actions taken in response to a previously identified inspector follow-up item (IFI).

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b. Observation and Findings IFI 50-607/2006-201-01 (Open) - Follow-up on the licensees actions to update and correct the organizational chart specified in the TS by submitting the appropriate TS change request.

In August 2006, the inspector determined that the licensees TS organizational chart for the UCD/MNRC stipulated that the chain of command included an Operations Manager, who would be in charge of reactor operations and to whom the Reactor Supervisor would report. The chart also included a staff position designated as HP [Health Physics] Supervisor. Since these two positions were no longer part of the facilitys actual organization structure, the inspector questioned the licensee about this. The licensee indicated that a TS change was being prepared, but it was not complete and had not been submitted as of the date of the 2006 inspection.

During this inspection the inspector reviewed this issue with the licensee. It was noted that in 2010, the licensee had completed a TS amendment request which would bring the organizational structure specified in the TS into agreement with actual conditions at the facility. This change had been reviewed and approved by the Chairman of the NSC and the licensee had subsequently submitted it to the NRC. At the time of this inspection, the change was still under review by the NRC. It was noted that the NRC had sent a request for additional information to the licensee. This issue will remain open until the NRC receives the requested information from the licensee and completes its review.

c. Conclusion One IFI identified during a previous inspection was reviewed during this inspection but remains open.

11. Exit Interview The inspection scope and results were summarized on October 22 2015, with members of licensee management. The inspector described the areas inspected and discussed in detail the inspection findings. The licensee acknowledged the findings presented.

Although proprietary material was provided to and reviewed by the inspector during the inspection, none of that information is included in this report.

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PARTIAL LIST OF PERSONS CONTACTED Licensee Personnel H. Bollman Radiography Manager, Building Manager, and SRO T. Essert Electronics Engineer and SRO W. Frey MNRC Radiation Safety Officer and SRO I. Jackson Radiographer D. Reap Health Physics Technician, Security Officer, and SRO W. Steingass Associate Director for Reactor Operations/Reactor Supervisor and SRO R. Walker Radiographer/Mechanic Other Personnel S. Cherry Chair, UC Davis Radiation Safety Committee INSPECTION PROCEDURE USED IP 69003 Class I Research and Test Reactor Operator Licenses, Requalification, and Medical Activities IP 69005 Class I Research and Test Reactor Experiments IP 69006 Class I Research and Test Reactor Organization, Operations, and Maintenance Activities IP 69007 Class I Research and Test Reactor Review and Audit and Design Change Functions IP 69008 Class I Research and Test Reactor Procedures IP 69009 Class I Research and Test Reactor Fuel Movement IP 69010 Class I Research and Test Reactor Surveillance IP 69011 Class I Research and Test Reactor Emergency Preparedness IP 92701 Follow-up on Previously Identified Items ITEMS OPENED, CLOSED, AND DISCUSSED Opened None Closed None Discussed 50-607/2006-201-01 IFI Follow-up on the licensees actions to update and correct the organizational chart specified in the TS by submitting the appropriate TS change request.

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PARTIAL LIST OF ACRONYMS USED 10 CFR Title 10 of the Code of Federal Regulations ADAMS Agencywide Documents Access and Management System ERB Experiment Review Board IFI Inspector Follow-up Item IP Inspection procedure MNRC McClellan Nuclear Research Center MOU Memorandum of Understanding MWO MNRC Work Order NRC U.S. Nuclear Regulatory Commission NSC Nuclear Safety Committee RO Reactor Operator SRO Senior Reactor Operator TS Technical Specifications UCD University of California, Davis UCD/MNRC University of California, Davis/McClellan Nuclear Research Center