ML041180308

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IR 05000083-04-201, on 04/19-22/2004, University of Florida Test Reactor Facility. Deviation Identified
ML041180308
Person / Time
Site: 05000083
Issue date: 05/11/2004
From: Lyons J
NRC/NRR/DRIP/RNRP
To: Vernetson W
Univ of Florida
Bassett C, NRR/DRIP/RNRP, 404-562-4899
References
IR-04-201
Download: ML041180308 (23)


See also: IR 05000083/2004201

Text

May 11, 2004

Dr. William G. Vernetson

Director of Nuclear Facilities

Department of Nuclear and

Radiological Engineering

P. O. Box 11830

University of Florida

Gainesville, FL 32611

SUBJECT: NRC INSPECTION REPORT NO. 50-083/2004-201 AND NOTICE OF DEVIATION

Dear Dr. Vernetson:

This letter refers to the inspection conducted on April 19-22, 2004, at your University of Florida Test 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 concern or

noncompliance of NRC requirements was identified. No response to this letter is required.

In accordance with 10 CFR 2.390 of the NRCs Rules of Practice, a copy of this letter and its enclosure will

be available electronically for public inspection in the NRC Public Document Room or from the Publicly

Available Records (PARS) component of NRCs document system (ADAMS). ADAMS is accessible from

the NRC Web site at (the Public Electronic Reading Room) http://www.nrc.gov/reading-rm/adams.html.

Based on the results of this inspection, the NRC has determined that a deviation from your commitment to

the NRC to issue two overdue Annual Reports was identified. The deviation is cited in the enclosed Notice

of Deviation (Notice) and the circumstances surrounding this deviation is described in the subject inspection

report.

You are required to respond to this letter and should follow the instructions specified in the enclosed Notice

when preparing your response. The NRC will use your response, in part, to determine whether further

enforcement action is necessary to ensure compliance with regulatory requirements.

Should you have any questions concerning this inspection, please contact Craig Bassett at 404-562-4712.

Sincerely,

/RA/

James E. Lyons, Program Director

New, Research and Test Reactors Program

Division of Regulatory Improvement Programs

Office of Nuclear Reactor Regulation

Docket No.50-083

License No. R-56

Enclosures:

1. Notice of Deviation

2. NRC Inspection Report No. 50-083/2004-201

cc w/enclosures: Please see next page

University of Florida

Docket No.50-083

cc:

Dr. Ali Haghighat, Chairman

Nuclear and Radiological Engineering

Department

University of Florida

202 Nuclear Sciences Center

Gainesville, FL 32611

Administrator

Department of Environmental Regulation

Power Plant Siting Section

State of Florida

2600 Blair Stone Road

Tallahassee, FL 32301

State Planning and Development

Clearinghouse

Office of Planning and Budgeting

Executive Office of the Governor

The Capitol Building

Tallahassee, FL 32301

William Passetti, Chief

Bureau of Radiation Control

Department of Health

4052 Bald Cypress Way

Tallahassee, FL 32399-1741

May 11, 2004

Dr. William G. Vernetson

Director of Nuclear Facilities

Department of Nuclear and

Radiological Engineering

P. O. Box 11830

University of Florida

Gainesville, FL 32611

SUBJECT: NRC INSPECTION REPORT NO. 50-083/2004-201 AND NOTICE OF DEVIATION

Dear Dr. Vernetson:

This letter refers to the inspection conducted on April 19-22, 2004, at your University of Florida Test 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 concern or

noncompliance of NRC requirements was identified. No response to this letter is required.

In accordance with 10 CFR 2.390 of the NRCs Rules of Practice, a copy of this letter and its enclosure will

be available electronically for public inspection in the NRC Public Document Room or from the Publicly

Available Records (PARS) component of NRCs document system (ADAMS). ADAMS is accessible from

the NRC Web site at (the Public Electronic Reading Room) http://www.nrc.gov/reading-rm/adams.html.

Based on the results of this inspection, the NRC has determined that a deviation from your commitment to

the NRC to issue two overdue Annual Reports was identified. The deviation is cited in the enclosed Notice

of Deviation (Notice) and the circumstances surrounding this deviation is described in the subject inspection

report.

You are required to respond to this letter and should follow the instructions specified in the enclosed Notice

when preparing your response. The NRC will use your response, in part, to determine whether further

enforcement action is necessary to ensure compliance with regulatory requirements.

Should you have any questions concerning this inspection, please contact Craig Bassett at 404-562-4712.

Sincerely,

/RA/

James E. Lyons, Program Director

New, Research and Test Reactors Program

Division of Regulatory Improvement Programs

Office of Nuclear Reactor Regulation

Docket No.50-083

License No. R-56

Enclosures:

1. Notice of Deviation

2. NRC Inspection Report No. 50-083/2004-201

cc w/enclosures: Please see next page

DISTRIBUTION:

PUBLIC

RNRP\\R&TR r/f

AAdams

CBassett

PDoyle

TDragoun

WEresian

SHolmes

DHughes

EHylton

PIsaac

JLyons

PMadden

MMendonca

Kwitt

PYoung

RidsNrrDrip

DBarss (MS O6-H2)

BDavis (Ltr only O5-A4)

NRR enforcement coordinator (Only for IRs with NOVs, O10-H14)

ACCESSION NO.: ML041180308

TEMPLATE No.: NRR-106

OFFICE

RNRP:RI

RNRP:LA

RNRP:SC

RNRP:PD

NAME

CBassett:rdr

EHylton

PMadden

JLyons

DATE

04/ /2004

05/ 05 /2004

05/ 05 /2004

05/ 07 /2004

C = COVER

E = COVER & ENCLOSURE

N = NO COPY

OFFICIAL RECORD COPY

ENCLOSURE 1

NOTICE OF DEVIATION

University of Florida

Docket No.: 50-083

University of Florida Training Reactor

License No.: R-56

During an NRC inspection conducted on April 19-22, 2004, a deviation from your commitment to

the NRC to issue two overdue Annual Reports was identified. In accordance with the "General

Statement of Policy and Procedure for NRC Enforcement Actions," NUREG-1600, the deviation is

listed below:

During an inspection in January 2003, the licensee made a commitment to the NRC to complete

and issue Annual Reports for the facility for the 1999-2000 and the 2000-2001 reporting periods

that had not been issued as of January 16, 2003.

Contrary to the above, during a review on April 22, 2004, it was noted that the Annual Reports for

the facility for those time periods had not been completed or issued as the licensee had indicated.

Please provide to the U.S. Nuclear Regulatory Commission, ATTN: Document Control Desk,

Washington, DC 20555, with a copy to the responsible inspector, in writing within 30 days of the

date of this Notice, (1) the reason for the deviation, or if contested, the basis for disputing the

deviation, (2) the corrective steps that have been taken and the results achieved, (3) the corrective

steps that will be taken to avoid further deviations, and (4) the date when your corrective action will

be completed. Where good cause is shown, consideration will be given to extending the response

time.

If you contest this enforcement action, you should also provide a copy of your response, with the

basis for your denial, to the Director, Office of Enforcement, United States Nuclear Regulatory

Commission, Washington, D.C. 20555-0001.

Because your response will be made available electronically for public inspection in the NRC Public

Document Room or from the Publicly Available Records (PARS) component of the NRCs

document system (ADAMS), to the extent possible, it should not include any personal privacy,

proprietary, or safeguards information so that it can be made available to the public without

redaction. ADAMS is accessible from the NRC Web site at (the Public Electronic Reading Room)

http://www.nrc.gov/reading-rm/adams.html. If personal privacy or proprietary information is

necessary to provide an acceptable response, then please provide a bracketed copy of your

response that identifies the information that should be protected and a redacted copy of your

response that deletes such information. If you request withholding of such material, you must

specifically identify the portions of your response that you seek to have withheld and provide in

detail the bases for your claim of withholding (e.g., explain why the disclosure of information will

create an unwarranted invasion of personal privacy or provide the information required by 10 CFR 2.730(b) to support a request for withholding confidential commercial or financial information). If

safeguards information is necessary to provide an acceptable response, please provide the level of

protection described in 10 CFR 73.21.

Dated at Rockville, Maryland

this 11th day of May 2004.

U. S. NUCLEAR REGULATORY COMMISSION

OFFICE OF NUCLEAR REACTOR REGULATION

Docket No:

50-083

License No:

R-56

Report No:

50-083/2004-201

Licensee:

University of Florida

Facility:

University of Florida Training Reactor

Location:

Gainesville, FL

Dates:

April 19-22, 2004

Inspector:

Craig Bassett

Approved by:

James E. Lyons, Program Director

New, Research and Test Reactors Program

Division of Regulatory Improvement Programs

Office of Nuclear Reactor Regulation

EXECUTIVE SUMMARY

University of Florida

University of Florida Training Reactor

Inspection Report No.: 50-083/2004-201

The primary focus of this routine, announced inspection was the onsite review of selected aspects

of the licensees Class II research reactor safety programs including: organizational structure and

staffing, review and audit and design change functions, procedures, radiation protection, effluent

and environmental monitoring, transportation of radioactive materials, security, and material control

and accounting since the last NRC inspection of these areas. The licensees programs were

acceptably directed toward the protection of public health and safety, and in compliance with NRC

requirements.

Organizational Structure and Staffing



The operations organizational structure and responsibilities were consistent with Technical Specifications Sections 6.2.1 - 6.2.4 requirements.

Review and Audit and Design Change Functions



The review and audit program was being conducted acceptably by the Reactor Safety Review

Subcommittee as stipulated in Technical Specifications Section 6.2.5.



The design control program was being implemented as required.

Procedures



Facility procedural review, revision, control, and implementation satisfied Technical

Specification requirements.

Radiation Protection Program



Surveys were being completed and documented acceptably to permit evaluation of the

radiation hazards present.



Postings met the regulatory requirements specified in 10 CFR Parts 19 and 20.



Personnel dosimetry was being worn as required and doses were well within the NRCs

regulatory limits.



Radiation monitoring equipment was being maintained and calibrated as required.



The Radiation Protection Program being implemented by the licensee satisfied regulatory

requirements.

-2-

Effluent and Environmental Monitoring



Effluent monitoring satisfied procedural and regulatory requirements and releases were within

the specified regulatory and Technical Specification limits.

Transportation of Radioactive Materials



Transfer of radioactive material from the University of Florida Training Reactor to the State of

Florida (Agreement State) License was completed and documented in accordance with

licensee procedural requirements.

Security



Security facilities, equipment, procedures, and controls satisfied the Physical Security Plan

requirements.

Material Control and Accounting



Special nuclear material was acceptably controlled and tracked as required by 10 CFR Part 70.

REPORT DETAILS

Summary of Plant Status

The licensees one hundred kilowatt modified Argonaut-UTR type research and test reactor

continued to be operated in support of education, operator training, surveillance, contract or service

work, and experiments. During the inspection, the reactor was not operated.

1.

Organizational Structure and Staffing

a. Inspection Scope (Inspection Procedure [IP] 69001)

The inspector reviewed selected aspects of the following regarding the licensees

organization and staffing to ensure that the requirements of Sections 6.2.1 - 6.2.4 of

Technical Specifications (TS), Amendment No. 23, dated December 28, 2001, were being

met:

organizational structure for the University of Florida Training Reactor (UFTR)

current staff qualifications

management responsibilities as outlined in the TS

selected portions of the UFTR Operating Log pages for the past year through the

present

b. Observations and Findings

The operations organizational structure had not functionally changed since the last NRC

inspection (refer to NRC Inspection Report 50-083/2003-201). The operations staff was

comprised of two Senior Reactor Operators (SROs), which included the Facility Director,

and two people in training to become licensed SROs. TS Section 6.2.4 specifies that the

training and qualification criteria contained in the ANSI/ANS (American National Standards

Institute) Standard 15.4-1977, Standards for Selection and Training of Personnel for

Research Reactors, are required to be met by UFTR personnel. The inspector verified that

the education, training, and experience of the operations staff met ANSI/ANS 15.4-1977

requirements. Staffing, during reactor operation, was as required. UFTR staff continued to

receive HP support from the University Radiation Control Officer and his staff. Review of

records verified that management responsibilities were administered as required by the TS

and applicable procedures.

c.

Conclusions

The operations organizational structure and staffing were consistent with TS Section 6.2.

Shift staffing met the minimum requirements for current operations.

2. Review and Audit and Design Change Functions

a. Inspection Scope (IP 69001)

In order to verify that the licensee had established and conducted reviews and audits as

required in TS Section 6.2.5, the inspector reviewed selected aspects of:

Reactor Safety Review Subcommittee (RSRS) meeting minutes from October 2001

through 2004

-2-

safety review and audit records for the past two years and licensee responses to the

reviews and audits

facility design changes and records for the past two years

UFTR Standard Operating Procedure (SOP)-0.1, Operating Document Controls,

Revision (Rev) 3, dated September 2003

UFTR SOP-0.2, Control of Maintenance, Rev 4, dated May 1987

UFTR Form SOP-0.2A, UFTR Work Assignment and Maintenance Log, Rev 4, dated

May 1987

UFTR SOP-0.3, Control of Documentation of UFTR Modifications, Rev 1, dated

October 1999

UFTR Form SOP-0.3A, QA Document Checklist for Modification Packages, Rev 1,

dated October 1999

UFTR SOP-0.4, 10 CFR 50.59 Evaluation and Determination, Rev 2, dated July 2000

UFTR Form SOP-0.4A, 10 CFR 50.59 Evaluation and Determination, Rev 2, dated

July 2000

UFTR Form SOP-0.4B, Supporting Material for 10 CFR 50.59 Determination, Rev 2,

dated July 2000

UFTR SOP-0.5, UFTR Quality Assurance Program, Rev 2, dated July 1991

UFTR Form SOP-0.5B1Procurement Document Package Coversheet, Rev 2, dated

July 1991

UFTR Form SOP-0.5E, Annual QA Audit Checklist, Rev 3, dated February 2003

b. Observations and Findings

(1) Review and Audit Functions

The RSRS committee met 23 times during the period from October 2001 to January

2004. At least one meeting was held each quarter at intervals not to exceed four

months as required by TS Section 6.2.5 (2). The membership also satisfied the charter

requirements stipulated in the TS. Review of the minutes indicated that the committee

provided guidance and direction to ensure suitable oversight of reactor operations. The

RSRS committee minutes and audit records also showed that safety reviews and

individual audits had been completed at the required frequency and submitted to the

Dean of the College of Engineering within three months of completion for the functional

areas specified by TS Section 6.2.5(4). The audits appeared to be comprehensive and

well documented. The inspector noted that the licensee took appropriate corrective

actions in response to the audit findings when appropriate. Committee records

documented that procedure changes were reviewed as required as well.

(2) Design Change Functions

The inspector reviewed the 10 CFR 50.59 evaluations and corresponding design

change packages for selected changes for 2003. From these reviews, the inspector

determined that the evaluations had adequate supporting documentation and

information. Additionally, the inspector found that the 10 CFR 50.59 reviews and

approvals were focused on safety and met TS and UFTR procedure requirements. Post

installation verification testing of systems or equipment that had been changed was

completed and adequately documented. Procedure and drawing changes were

included in the change packages and were consistent with TS and UFTR requirements

for facility changes. None of the changes posed a safety question or required a change

to the TS.

-3-

c.

Conclusions

Audits and reviews were being conducted by the RSRS in accordance with the

requirements specified in TS Section 6.2.5. The licensees design change program was

being implemented as required.

3. Procedures

a. Inspection Scope (IP 69001)

The inspector reviewed selected aspects of the following to ensure that the requirements of

TS Section 6.3 were met:

administrative controls for changing procedures

records of changes and temporary changes

RSRS meeting minutes for 2001 through 2004

UFTR SOP-0.1, Operating Document Controls, Rev 3, dated September 2003

UFTR Form SOP-0.1A, Cover Sheet/Change Request Form, Rev 3, dated September

2003

UFTR SOP-0.5, UFTR Quality Assurance Program, Rev 3, dated February 2003

b. Observations and Findings

Procedures were available for those tasks and items required by TS Section 6.3. The

procedures were adequate to perform the reactor and other operations which they covered.

The inspector reviewed changes and temporary changes to selected procedures. The

licensee implemented changes and temporary changes to procedures, and the associated

review and approval processes, by use of administrative procedures UFTR SOP-0.1 and -

0.5. The changes and temporary changes had been controlled, and approved and reviewed

by the RSRS committee as required.

The inspector reviewed training records and interviewed the staff, and determined that the

training of personnel on procedures and subsequent changes to procedures was effective.

Personnel were also observed performing maintenance activities and a weekly survey in

accordance with applicable procedures. The inspector determined that use of and

adherence to the procedures were acceptable.

c.

Conclusions

The inspector determined that the procedural change, control, and implementation program

was acceptably maintained as required by TS and the applicable procedures.

4. Radiation Protection Program

a. Inspection Scope (IP 69001)

The inspector reviewed the following to verify compliance with 10 CFR Parts 19 and 20 and

TS Sections 3.4.1 and 4.2.4:

-4-

radiation and contamination survey records for 2003 to date

UFTR facility dosimetry records for 2002 through 2003

calibration and periodic check records for radiation monitoring instruments documented

on the applicable forms for 2002 to date

University of Florida Radiation Control Guide last issued February 1997

ALARA Policy as outlined the UFTR ALARA Program, Rev 0, dated December 1993

University of Florida (UFL) Radiation Control Committee meeting minutes for December

2003 and March 2004

4th Quarter ALARA Report of the UFL Radiation Control and Radiological Services

Department for the Radiation Control Committee

UFTR SOP-D.1, UFTR Radiation Protection and Control, Rev 5, dated December

1993 and Temporary Change Notice (TCN) dated October 2001

UFTR Form SOP-D.1A, UFTR Radiation Weekly Survey, Rev 5, dated December

1993

UFTR Form SOP-D.1B, UFTR Swipe Survey Results, Rev 5, dated December 1993

UFTR SOP-D.2, Radiation Work Permit, Rev 10, dated March 1987

UFTR Form SOP-D.2A, Radiation Work Permit, University of Florida Training Reactor,

Rev 10, dated March 1987 and TCN dated January 1999

UFTR SOP-D.3, Primary Equipment Pit Entry, Rev 4, dated October 2001

UFTR SOP-D.4, Removing Irradiated Samples from UFTR Experimental Ports, Rev 7,

dated October 2001

UFTR Quarterly #2 (Q-2 Surveillance), Calibration Check of Area and Stack Radiation

Monitors, Rev 3, dated February 2003

UFTR Quarterly #4 (Q-4 Surveillance), Unrestricted Area Indoor/Outdoor Radiation

Survey, Rev 3, dated February 2003

UFTR Quarterly #5 (Q-5 Surveillance), Restricted Area Radiation Survey, Rev 3, dated

February 2003

UFTR Quarterly #9 (Q-9 Surveillance), Quarterly Calibration of Air Particulate

Detector, Rev 2, dated July 1991

The inspector also toured the facility, conducted a radiation survey of selected areas, and

observed the use of dosimetry and radiation monitoring equipment. Radiological signs and

other postings were observed as well.

-5-

b. Observations and Findings

(1) Surveys

The inspector reviewed weekly radiation and contamination surveys conducted by

reactor staff personnel. These were surveys of facility controlled areas including the

Radiochemistry Laboratory (Lab) and classroom, the NAA (Neutron Activation Analysis)

Lab, the Control Room, and the Reactor Cell from 2003 to date. The inspector also

reviewed quarterly general area radiation surveys of restricted and unrestricted areas

completed by the licensee and UFL Environmental Health and Safety (EH&S)

Department personnel. The results were documented on the appropriate forms and

were evaluated and reviewed as required. No readings or results were noted that

exceeded set action levels but the licensee indicated that corrective action would be

taken if a problem were detected.

During the inspection, the inspector conducted a radiation survey of the Radiochemistry

and NAA Labs and the Reactor Cell and compared the readings detected with those

found by the licensee. The results were comparable and no anomalies were noted.

(2) Postings and Notices

The inspector reviewed the postings at the entrances to various controlled areas

including the Control Room, the Reactor Cell, and the Radiochemistry Lab in the UFTR

facility. The postings were acceptable and indicated the radiation and contamination

hazards present. Other postings also showed the industrial hygiene hazards present in

the areas. The facilitys radioactive material storage areas were noted to be properly

posted. No unmarked radioactive material was detected in the facility. Copies of

current notices to workers required by 10 CFR Part 19 were posted in various locations

throughout the facility, including on a bulletin board in the Control Room.

(3) Dosimetry

The licensee used a National Voluntary Laboratory Accreditation Program- accredited

vendor (Landauer) to process personnel dosimetry. Through direct observation, the

inspector determined that dosimetry was acceptably used by facility personnel.

The inspector determined that the licensee used Optically Stimulated Luminescent

(OSL) dosimeters for whole body monitoring of beta and gamma radiation exposure

with an additional component to measure fast/thermal neutron radiation. The licensee

used thermoluminescent dosimeter (TLD) finger rings for extremity monitoring as

needed. An examination of the OSL and TLD results for the past two years showed that

the highest occupational doses, as well as doses to the public, were within

10 CFR Part 20 limitations. The records showed that the highest annual whole body

exposure received by a single individual for 2002 was 43 millirem (mr) deep dose

equivalent (DDE). The highest annual extremity exposure for that year was 44 mr

shallow dose equivalent (SDE). For 2003, the highest annual whole body exposure

received by a single individual was 4 mr DDE and the highest annual extremity exposure

was 21 mr SDE.

(4) Radiation Monitoring Equipment

-6-

The calibration records of portable survey meters, friskers, fixed radiation detectors, and

air monitoring instruments in use at the facility were reviewed. The records showed that

the calibrations were completed by either reactor staff or campus EH&S Division

personnel. The calibrations were tracked and controlled using a Microsoft Access

database. The inspector confirmed that the frequencies of the calibrations, completed

quarterly or semiannually, satisfied the requirements established in the TS Section 4.2.4

and 10 CFR 20.1501(b). All instruments checked by the inspector had a current

calibration sticker attached. The inspector also verified that the calibration and check

sources geometry and energies matched those used in actual detection or analyses.

(5) Radiation Protection Program

The licensees Radiation Protection Program was established in the University of Florida

Radiation Control Guide dated February 1997 and the UFTR SOPs. The program

required that all personnel who had unescorted access to work in a radiation area or

with radioactive material receive training in radiation protection, policies, procedures,

requirements, and facilities prior to entry. The program was being reviewed annually as

required. The ALARA Policy was also outlined and established in the Radiation Control

Guide, in Section 7 of the TS, and in the UFTR ALARA Program, dated December

1993. The ALARA Policy provided guidance for keeping doses as low as reasonably

achievable and was consistent with the guidance in 10 CFR Part 20.

(6) Radiation Work Permit Program

The inspector reviewed selected Radiation Work Permits (RWPs) that had been written

and used during 2003 as stipulated in UFTR SOP-D.2. It was noted that the controls

specified in the RWPs were acceptable and applicable for the type of work being done.

The RWPs had been initiated, reviewed, and approved as required. Following

completion of the work covered by the various RWPs, they had been terminated as

required.

(7) Radiation Protection Training

The inspector reviewed the radiation worker (rad worker) training given to staff members

and to part-time assistants such as students. Initial training included attending the UFL

EH&S Divisions Radiation Safety Short Course. Refresher training for licensee

personnel was given every two years, basically through the Reactor Operator

Requalification Program.

The initial and refresher training covered the topics specified in 10 CFR Part 19 as

required. Training records showed that personnel were acceptably trained in radiation

protection practices. The training program was acceptable.

(8) Facility Tours

The inspector toured the Control Room, Reactor Cell, and other selected support

laboratories and offices. Control of radioactive material and control of access to

radiation and high radiation areas were acceptable. As noted earlier, the postings and

signs for these areas were appropriate.

c.

Conclusions

-7-

The inspector determined that the Radiation Protection Program being implemented by the

licensee satisfied regulatory and TS requirements because: 1) surveys were being

completed and documented acceptably; 2) postings met regulatory requirements;

3) personnel dosimetry was being worn as required and doses were well within the NRCs

regulatory limits; 4) radiation monitoring equipment was being maintained and calibrated as

required; and, 5) the radiation protection training program was acceptable.

5. Effluent and Environmental Monitoring

a. Inspection Scope (IP 69001)

The inspector reviewed the following to verify compliance with the requirements of

10 CFR Part 20 and TS Sections 3.4.2 - 3.4.6 and 4.2.4:

data on environmental releases and effluent monitoring contained in the licensees

Monthly Utilization and General Activities Reports for 2002 to date

results of the analyses of air samples taken from the Reactor Room and the stack

results of the analyses of liquid samples taken from the primary system, the secondary

system, and the shield tank

UFTR SOP-D.1, UFTR Radiation Protection and Control, Rev 5, dated December

1993

UFTR Form SOP-D.1C, Portable Air Sample Activity and LLD Calculation, Rev 5,

dated December 1993

UFTR Form SOP-D.1D, Liquid Sample Activity and LLD Calculation, Rev 5, dated

December 1993

UFTR SOP-D.7, Circulation, Sampling, Analysis, and Discharge of Holdup Tank

Wastewater, Rev 1, dated April 2002

UFTR Form SOP-D.7A, Liquid Sample Activity and LLD Calculation, Rev 1, dated April

2002

UFTR Form SOP-D.7B, UFTR Waste Water Holdup Tank Release Authorization,

Rev 1, dated April 2002

b. Observation and Findings

The inspector reviewed the calibration records of the area and stack monitoring systems.

These systems had been calibrated quarterly as required by TS Section 4.2.4.

The inspector reviewed the records documenting liquid and airborne releases to the

environment for the past two years. The inspector determined that gaseous releases

continued to be calculated as required by procedure and were adequately documented.

The releases were determined to be within the annual dose constraints of 10 CFR 20.1101

(d), 10 CFR Part 20 Appendix B concentrations, and TS limits. This was documented in the

licensees Monthly Utilization and General Activities Reports issued for information and

review by the RSRS. COMPLY code calculations conducted by the UFL EH&S Division for

the UFTR indicated an effective dose equivalent to the public of 0.4 mr for 2002 and 0.5 mr

for 2003. Observation of the facility by the inspector found no new potential release paths.

Liquid releases were approved by the Facility Director or Reactor Supervisor and the

Radiation Control Officer after analyses indicated that the releases would meet regulatory

requirements for discharge into the sanitary sewer.

-8-

c.

Conclusions

Effluent monitoring satisfied procedural and regulatory requirements and releases were

within the specified regulatory and TS limits.

6. Transportation

a. Inspection Scope (IP 86740)

The inspector reviewed the following to verify compliance with procedural requirements for

transferring licensed material:

records of radioactive material transfers from the reactor license to the State of Florida

materials license for 2002 and to date

UFTR SOP-D.4, Removing Irradiated Samples from UFTR Experimental Ports, Rev 7,

dated October 2001

UFTR Form SOP-D.4A, Record of Sample Irradiation and Disposition, Rev 7, dated

October 2001

UFTR SOP-D.5, UFTR Reactor Waste Transfer, Rev 2, dated June 2002

UFTR Form SOP-D.5A, Radioactive Reactor Waste Transfer Checklist, Rev 2, dated

June 2002

UFTR Form SOP-D.5B, Radioactive Reactor Waste Container Inventory, Rev 2, dated

June 2002

UFTR Form SOP-D.5C, Swipe Samples Analysis Report, Rev 2, dated June 2002

UFTR Form SOP-D.5D, Radioactive Waste Container Radiation Survey, Rev 2, dated

June 2002

UFTR SOP-D.6, Control of UFTR Radioactive Material Transfers, Rev 1, dated April

2000

UFTR Form SOP-D.6A, University of Florida Training Reactor/University of Florida

Radioactive Material Transfer Record, Rev 1, dated April 2000

UFTR Form SOP-D.6B, University of Florida/University of Florida Training Reactor

Radioactive Material Transfer Record, Rev 1, dated April 2000

UFTR Form SOP-D.6C, University of Florida Training Reactor/University of Florida

Activated Foil Transfer Record, Rev 1, dated April 2000

UFTR Form SOP-D.6D, University of Florida Training Reactor/University of Florida

Neutron Radiography Film Cassette Transfer Record, Rev 1, dated April 2000

UFTR Form SOP-D.6E, University of Florida Training Reactor/University of Florida

Rabbit System Sample Package Transfer Record, Rev 1, dated April 2000

b. Observations and Findings

Through records review and discussions with licensee personnel, the inspector determined

that the licensee had transferred radioactive material and solid waste produced by reactor

operations to the University of Floridas State of Florida license (Agreement State License),

License No. 356-1, expiration date February 28, 2005, for possession, shipment, or

disposal. All transfers were recorded on the appropriate and applicable forms. Transfer

documentation was kept on file as required.

c.

Conclusions

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Transfer of radioactive material from the UFTR to the State of Florida (Agreement State)

License was completed and documented in accordance with facility procedural

requirements.

7. Security

a. Inspection Scope (IPS 81401, 81402, 81403, 81431, and 81810)

To verify compliance with the licensees NRC-approved Physical Security Plan (PSP) and to

assure that changes, if any, to the plan had not reduced its overall effectiveness, the

inspector reviewed:

security systems, equipment, and instrumentation

logs, records, and reports concerning security

audits of security and responses to the audits

access, key, and lock control documented in various key logs

Memorandum (Munroe to Vernetson), Authorization to Carry Reactor Cell Key, dated

December 22, 2003

UFTR SOP-F.1, Physical Security Controls, Rev 1, dated May 1984

UFTR Form SOP-F.1A, Security Information Form, Rev 1, dated May 1984

UFTR SOP-F.7, Security Plan Response Procedure Controls, Rev 3, dated April 2002

UFTR SOP-F.8, UFTR Safeguards Reporting Requirements, Rev 1, dated December

1997 and TCN dated October 1999

UFTR Form SOP-8.B, Log of UFTR Safeguards Events, Rev 1, dated December 1997

UFTR Quarterly #8 (Q-8 Surveillance), Log of Safeguards Events, Rev 1, dated

December 1997

UFTR Semiannual #6 (S-6 Surveillance), Key Inventory, Rev 2, dated January 2000

UFTR Semiannual #7 (S-7 Surveillance), Semiannual Check (Replacement) of Security

System Batteries, Rev 2, dated January 2000

UFTR Annual #6 (A-6 Surveillance), Physical Inventory of Locks/Cores, Rev 2, dated

January 2000

b. Observations and Findings

The PSP was the same as the latest revision approved by the NRC, Revision 14, dated

September 25, 1997. The PSP response procedures and various UFTR procedures were

consistent with, and adequately implemented, the PSP. The inspector verified that the PSP

was being reviewed annually as required. It was also noted that the licensee was properly

controlling and protecting the PSP and other safeguards information as required by the

regulations.

Through records review and interviews with licensee personnel, the inspector verified that

there had been no safeguards events at the facility since the last inspection. Also, although

no new fuel had been received by the licensee recently, the PSP contained provisions to

establish and maintain protection of such fuel and other SNM.

The inspector toured the facility and confirmed that the physical protection systems,

equipment, and instrumentation were as required by the PSP. The inspector confirmed that

security checks, tests, verifications, and periodic audits were performed and tracked as

required. Corrective actions were taken when problems with security or the equipment were

noted. Access control was implemented as required by the PSP and licensee procedures.

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Periodic training was provided to both the UFTR staff and the university campus police.

Response rosters were current and posted as required. Communication between the

reactor staff and the university police was acceptable and checked periodically.

The inspector contacted the UFL Police Department. UFL police personnel provided

security for the UFTR as required by the PSP including periodic patrols and initial response

to events at the facility. The inspector interviewed one supervisor and a dispatcher and

determined that they were knowledgeable of the reactor facility and their responsibilities in

case of a security event. The inspector determined that a current response roster was

being maintained at the police dispatch office as required. The inspector also noted a good

working relationship between the UFTR and UFL Police Department staff members.

The inspector also visited the Campus Key Shop. The inspector interviewed a specialist

there and determined that proper control was being maintained over access to facility keys

and the key making process.

c.

Conclusions

Security facilities, equipment, training, and procedures satisfied PSP requirements.

8. Material Control and Accounting

a. Inspection Scope (IP 85102)

To verify compliance with 10 CFR Part 70, the inspector reviewed:

control of Special Nuclear Material (SNM) storage areas

annual fuel inventory results and accountability forms, records, and reports

Nuclear Material Transaction Reports for the time period from October 2001 through

September 2003

Special Nuclear Material (SNM) accountability program

data on SNM handling contained in the licensees Monthly Utilization and General

Activities Reports for 2002 to date

UFTR Operating Log pages for January 2003 through the present

UFTR SOP-C.1, Irradiated Fuel Handling, Rev 4, dated February 1985 and TCN dated

October 1999

UFTR SOP-C.3, Fuel Inventory Procedure, Rev 4, dated August 1997

UFTR Form SOP-C.3A, Fuel Safe Inventory Verification Form, Rev 4, dated August

1997

UFTR Form SOP-C.3B, Storage Pit Inventory Verification Form, Rev 4, dated August

1997

UFTR Form SOP-C.3C, Inventory and Burnup Determination for Material Status

Report, Rev 4, dated August 1997

UFTR Semiannual #3 (S-3 Surveillance), Semiannual Inventory of Special Nuclear

Material, Rev 4, dated August 1997

b. Observations and Findings

The inspector determined that, in accordance with licensee procedure UFTR SOP-C.3, the

licensees material control and accountability program tracked locations and content of

irradiated and unirradiated fuel elements and plates, fission detectors, and other special

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nuclear material (SNM) maintained under the R-56 license. The inspector verified that the

licensee maintained an amount of SNM that was equal to or less than that authorized by the

license. Fuel burn-up related measurements and calculations were found to be acceptable

and properly documented. Fuel inventory and movement forms maintained in the UFTR

Fuel Inventory folder were properly prepared. These transactions of material control and

accountability were cross referenced in the appropriate Operating Log pages.

The records reviewed by the inspector showed that the licensee was maintaining control of

SNM as required and that possession and use of SNM was limited to those purposes

authorized by the license. The records also showed that the licensee was maintaining

control of SNM storage areas as required. The appropriate Nuclear Material Transaction

Reports (DOE/NRC Form 741) and Material Status Reports (DOE/NRC Form 742) had

been completed semiannually and submitted by the licensee to the appropriate regulatory

agencies in a timely manner and as required by 10 CFR 74.13(1). The inspector also

verified that physical inventories were conducted at least annually as required by 10 CFR 70.51(d).

During the inspection, the inspector toured the facility, examined the SNM and fuel storage

areas, and verified that the licensee was using and storing SNM in those areas designated

for such use in the PSP. The inspector also observed an inventory and verified the serial

numbers of four unirradiated fuel plates, observed the containers of fuel samples, and

verified the locations of irradiated fuel elements that were being maintained in storage as

indicated on the applicable licensee records. This demonstrated that the fuel and other

SNM were in the locations specified and that records documenting the storage and

transfers of SNM were accurate.

c.

Conclusions

The licensees program for controlling and tracking SNM as required by 10 CFR Part 70

was being implemented acceptably.

9. Operations

a. Inspection Scope (IP 69001)

The inspector reviewed the following to determine the licensee's actions taken in response

to a self-identified problem:

Letter submitted by the licensee to the NRC dated May 14, 2003, detailing the potential

TS Violation

Reactor Safety Review Subcommittee (RSRS) meeting minutes from 2002 through

2004

selected portions of the UFTR Operating Log pages for the past year through the

present

UFTR SOP-E.4, UFTR Nuclear Instrumentation Calibration Check, Rev 3, dated March

2001 and TCN dated June 2003

UFTR Quarterly #1 (Q-1 Surveillance), Check of Scram Functions, Rev 3, dated

February 2003 and TCN dated December 2003

UFTR Annual #2 (A-2 Surveillance), UFTR Nuclear Instrumentation Calibration Check

and Calorimetric Heat Balance, Rev 3, dated March 2001 and TCN dated September

2002

-12-

b. Observation and Findings

(1) Self-identified Problem

On January 3, 2003, the licensee conducted a quarterly scram check (UFTR Quarterly

  1. 1 (Q-1 Surveillance)). This involved checking and verifying that the Wide Range

Detectors circuit tripped at an 8.5% voltage drop. (The trip set point is set at 8.5% to

preclude a TS violation which requires a trip at 10% loss of high voltage, a Limiting

Safety System Setting). On February 26, 2003, the trip was adjusted in a

nonconservative direction, per UFTR SOP-E.4, UFTR Nuclear Instrumentation

Calibration Check, Step 7.2.17, for the annual surveillance check (UFTR Annual #2, (A-

2 Surveillance)). The procedure did not mention any readjustment of the trip set point

until Step 7.4.20. Due to the procedure or some other problem, adjustment of the trip

set point back to the original conservative 8.5% setting was apparently overlooked and

not changed by personnel performing the surveillance.

On May 2, 2003, during performance of the next required quarterly scram checks (Q-1

Surveillance), it was discovered that the 10% reduction in high voltage power supplied to

the wide range detectors failed to cause a trip as required. The actual setting was

determined to be at over a 19% voltage drop on May 6, 2003.

On May 14, 2003, the licensee submitted a letter to the NRC detailing the potentially

promptly reportable occurrence involving the operation of the reactor with an LSSS less

conservative than specified in the TS. The problem was characterized as a potential

violation of the TS Section 3.2.3 which specifies the reactor control and safety systems

measuring channels and Table 3.1 which specifies that reactor safety system trips at

10% loss of chamber high voltage.

As a result of the problem noted, the licensee readjusted the trip set point so that the

reactor tripped at an 8.5% voltage drop. The need for careful verbatim compliance with

procedures to avoid overlooking required steps was reiterated to all operations staff

members during a training session. Also, UFTR SOP-E.4 was revised to correct Step

7.2.17 and Step 7.4.20 to ensure that the trip setting was changed when the high

voltage on the detector was changed to preclude recurrence of such an event.

(2) Evaluation of Corrective Actions

In reviewing the UFTR Operating Log pages for the time from February 26 through May

2, 2003, the inspector noted that the loss of high voltage trip was never challenged

during reactor operation. It was also noted that the licensee identified the problem and

corrected it during surveillance activities conducted at shutdown conditions. In addition,

it was noted that other trips were available and, in most cases, the loss of high voltage

would have been sufficient to produce a trip, even if 20% loss of high voltage were

required. The inspector also reviewed UFTR SOP-E.4 and found that the procedure

was revised to ensure that the trip setting was readjusted when the high voltage on the

detector was changed.

The licensee was informed that this licensee-identified and corrected violation (involving

operation of the reactor with an LSSS less conservative than specified in the UFTR TS)

is being treated as a Non-Cited Violation (NCV), consistent with Section VII.B.1 of the

NRC Enforcement Policy (NCV 50-083/2004-201-01).

-13-

c.

Conclusions

The licensee took proper corrective actions in response to a self-identified problem

concerning operating the reactor with a non-conservative trip setting for loss of high voltage

to the Wide Range Detectors.

-14-

10. Follow-up on Previous Inspection Items

a. Inspection Scope (IP 69001)

The inspector reviewed the following to determine the licensees actions taken in response

to a previously identified Inspector Follow-up Item:

Reactor Safety Review Subcommittee (RSRS) meeting minutes from 2002 through

2004

the most recently available Annual Reports

b. Observation and Findings

(Closed) IFI 50-083/2003-201-01 - During an NRC inspection in January 2003, the inspector

reviewed the RSRS meeting minutes. The inspector noted that the RSRS had been

informed that the licensee had not submitted the Annual Reports to the NRC for

September 1, 1999 - August 31, 2000 and for September 1, 2000 - August 31, 2001 as

required. When questioned about this issue, the licensee stated that the reports had not

been issued (as of January 16, 2003). The licensee indicated that the reports were being

prepared and made a commitment to issue the 1999-2000 Annual Report by January 24,

2003 and the 2000-2001 Annual Report by February 10, 2003.

During this inspection the issue of completing the Annual Reports was reviewed again. The

licensee indicated that, although a person had been hired to complete the annual reports,

they were not finished as of the date of the inspection. The licensee was informed that

failure to complete the Annual Reports (by the dates indicated above) was an apparent

deviation from a commitment made to the NRC (DEV 50-083/2004-201-02). This issue will

be reviewed during a subsequent inspection.

c.

Conclusions

Appropriate actions were not taken by the licensee concerning a commitment made to the

NRC resulting in a deviation.

11. Exit Meeting Summary

The inspector reviewed the inspection results with members of licensee management at the

conclusion of the inspection on April 22, 2004. The licensee acknowledged the findings

presented and did not identify as proprietary any of the material provided to or reviewed by the

inspector during the inspection except for certain documents pertaining to security.

PARTIAL LIST OF PERSONS CONTACTED

Licensee Personnel

A. Haghighat

Chairman, Nuclear and Radiological Engineering Department

B. Shea

Senior Reactor Operator

W. Vernetson

Facility Director

Other Personnel

D. Munroe

Radiation Control Officer, Radiation Control and Radiological Services

Department, EH&S Division, University of Florida

W. McColskey

Maintenance Specialist, Key Shop, Physical Plant Division, University of Florida

D. Smith

Dispatcher/Communications, University Police Department, University of Florida

M. Welsh

Lieutenant, University Police Department, University of Florida

INSPECTION PROCEDURE (IP) USED

IP 69001

Class II Research and Test Reactors

IP 81401

Plans, Procedures, and Reviews

IP 81402

Reports of Safeguards Events

IP 81403

Receipt of New Fuel at Reactor Facilities

IP 81431

Fixed Site Physical Protection of Special Nuclear Material of Low Strategic

Significance

IP 81810

Protection of Safeguards Information

IP 85102

Material Control and Accounting

IP 86740

Inspection of Transportation Activities

ITEMS OPENED, CLOSED, AND DISCUSSED

Opened

50-083/2004-201-01

NCV

Operation of the reactor with an LSSS less conservative than

specified in the UFTR TS.

50-083/2004-201-02

DEV

Failure fulfill a commitment to the NRC to complete the UFTR

Annual Report for 1999-2000 by January 24, 2003 and the UFTR

Annual Report for 2000-2001 by February 10, 2003.

Closed

50-083/2004-201-01

NCV

Operation of the reactor with an LSSS less conservative than

specified in the UFTR TS.

50-083/2003-201-01

IFI

Follow-up to verify that the licensee issued the 1999-2000 Annual

Report by January 24, 2003 and the 2000-2001 Annual Report by

February 10, 2003.

PARTIAL LIST OF ACRONYMS USED

ANSI

American National Standards Institute

ALARA

As Low As Reasonably Achievable

CFR

Code of Federal Regulations

DEV

Deviation

DDE

Deep dose equivalent

EH&S

Environmental Health and Safety Department

HP

Health Physics

IFI

Inspector Follow-up Item

LLD

Lower Limit of Detection

mr

millirem

NAA

Neutron Activation Analysis

NCV

Non-Cited Violation

NRC

Nuclear Regulatory Commission

OSL

Optically Stimulated Luminescent (dosimeters )

RSRS

Reactor Safety Review Subcommittee

RWP

Radiation Work Permit

PSP

Physical Security Program

SDE

Shallow dose equivalent

SNM

Special Nuclear Material

SOP

Standard Operating Procedure

SRO

Senior Reactor Operator

TS

Technical Specifications

UFTR

University of Florida Test Reactor