ML16342B631

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Insp Repts 50-275/89-25 & 50-323/89-25 on 891025-1102. Violation Noted.Major Areas Inspected:Followup of Open Items,Occupational Exposure During Extended Outages, Followup of Allegations & Facility Tours
ML16342B631
Person / Time
Site: Diablo Canyon  Pacific Gas & Electric icon.png
Issue date: 12/04/1989
From: Cillis M, Tenbrook W, Wenslawski F
NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION V)
To:
Shared Package
ML16341F476 List:
References
50-275-89-25, 50-323-89-25, NUDOCS 9001020199
Download: ML16342B631 (42)


See also: IR 05000275/1989025

Text

U ~

S ~

NUCLEAR REGULATORYCOMMISSION

REGIONY

Report

N os

~

5 0-275/8 9- 2 5 and

50- 3 23/8 9-25

License Nos.DPR-80

and

DPR-82

Licensee:Pacific

Gas

and ElectricCompany

77

Be a 1 e Street

Room 1451

S a n

Fra nci s co,

Ca 1 ifornia

9410 6

Facility Name:

Di a b 1 o Canyon

Power Plant, Units

1 a nd 2

a

Inspection at:

Diablo Canyon Site,

Seven miles north of Avi 1 a Beach,

California

Inspection conducted:October

25 through

November 2,1989,and

telephone calls

of November 7-8,1989

Approved by

is,

e n i o

a i a )on

p e c i a i s

ensaws i,

l e

Fac i 1 itiesRadi ol ogi ca 1 Protection Section

Inspected

by

e n roo,

a i ati o n

p e ci a i st

/2 / -FP

a

e

i

ne

iaae

i gne

ae

i gne

~Su m mar

Areas Ins ected:Rout ine unannounced

inspecti on covering fo 1 1 ow-up of open

i ems,occupa

i ona 1

expo sure dur i ng extended

outages, fo 1 1 ow-up of allegations,

and fac i 1 ity tours.

Inspect ion procedures 30703,9270 1 and 83729 were

addressed

Res u1 ts:The inspectors identified weaknesses

i n response toradi o 1 ogi ca 1

~aarms

in the Fuel Handling Building,resulting in one violation(Section 3.H),

and poor housekeeping

in control

1 ed areas(Sect i on 5).Program strengths

included the construction of anewcontainment

access fac i 1 ity(Secti on 3 ~ B),

the High-Impact Team(HIT)concept

(Sect ion

3 ~ C),and the administration of

dose limits ( S e cti o n

3 ~ E ) .

Two allegations

were evaluated

a nd c 1 o s e d ( S e cti o n

4) ~

DETAILS

Per sons

Contacted

Licensee

Personnel

J.

D

S.

  • W

kJ

  • R.
  • D

AW

~W.

)LJ

AR

  • R.

)\\J

G.

L.

J.

M.

M.

D.

A ~

A.

J.

R.

D. Townsend,

Plant Manager

B. Miklush, Assistant Plant Manager

P.

Powers,

Radiation Protection

Manager

R. Fridley, Operations

Manager

J. Kelly, Regulatory

Compliance

Engineer

Y. Boots,

Chemistry Manager

'Gray, Senior Radiation Protection

Engineer

'.

Taggart, Director, equality Support

(gS)

B.

McLane,

Outage

Manager

G. Crockett, Assistant Plant Manager,

Support Services

A. Hays, Radiation Protection,

General

Foreman

,

P.

Kohout,

ESS Supervisor

Flohaug,

gS Supervisor

E. Gardner,

Senior Chemistry Engineer

S.

Boi les,

Dosimetry Foreman

T. Moretti, Radiat'ion Protection

Foreman

E. Knight, Radiation Protection

Foreman

Bilicska, Acting Radiation Protection

Foreman

L. Anderson,

Security

B. Anderson,

Security

I.

Dame, Training Supervisor

J.

Newell, Acting Training Supervisor

S.

Bard, Shift Supervisor

Arroyo, Security

Contractor

Personnel

R. Tinkel, Bechtel

W. Davis, Bechtel

C.

Kennedy,

Bechtel

R. Doran,

Bechtel

R. Spencer,

Bechtel

J.

Chadwick,

Delphi Group,

Inc.

M. Shackelford, Bartlett Nuclear,

Inc.

NRC

  • P. Narbut, Senior Resident

Inspector

(SRI)

K. Johnston,

Resident

Inspector

~Denotes

those individuals present

at the exit interview conducted

on

November 2,

1989.

In addition discussions

were held with other

members of the licensee's

staff and contractor personnel.

2.

Follow-u

of 0 en Items (92701)

0 en Items 50-275/87-24-01

and 50-323/87-24-01

(Closed)

These

items

concerne

e

ac

o

an exp 1cit pipe repair

an

rep acement criteria in

the licensee

s pipe erosion/corrosion

surveillance

program.

Engineering

Instruction I-67, issued

March 30,

1989, contained specific criteria for

'decisions

to leave eroded or corroded pipe in service until the next

scheduled

outage,

or repair and replace

such pipe.

The methods

used were

consistent with NUMARC guidance for repair and replacement

decisions

per

the licensee's

reply to Generic Letter 89-08.

This item is closed.

0 en Item 50-275/87-30-04

(Closed)

This item involved modifications to

t e

squs

ra waste

sys

em in en

ed to reduce

alarms

on the liquid

radwaste effluent discharge

monitor,

RE-18.

The licensee

had completed

installation of 5 micron filters upstream of RE-18 to capture entrained

radioactive particulate material that could'cause

spurious

RE-18 alarms.

This item is closed.

0 en Item 50-275/88-27-01

(Closed)

This item concerned

heightened

levels

o

isso

ve

oxygen

>n con ensa

e,

and the actions

taken to mitigate this

condition.

Periodic condenser

cleaning

had briefly decreased

condensate

oxygen to 3 ppb in 1989.

Overall levels rose to 5-7 ppb after such

cleaning.

Other actions

included

improved sealing of feedwater

pump

turbine discharge

to the condenser,

increasing

the size of cross-tie

piping in condenser

waterboxes,

and recycling oxygenated

deminerali zer

beds to the condenser

rather than the condensate.

The licensee's

actions

have observably

improved secondary

dissolved

oxygen.

This item is closed.

3.

Occu ational

Ex osure Durin

Extended

Outa

es

(83729)

A.

Audits and

A

raisals

The inspectors

examined audit and surveillance

reports

and checklists

involving radiation protection.

One Audit Report, entitled

"Radiation Protection:

Radioactive Materials Management,"

Audit

89815T,

had been

issued in October,

1989, following the last

inspection,

June,

1989.

No audit findings were issued.

The report

recommended

periodic training of warehouse

personnel

in the handling

of radioactive material

shipments.

The audit scope,and

depth were

satisfactory,

incorporating

document review, plant tours

and

surveillance of work practices.

The inspectors

reviewed

one approved

equality Support Surveillance of

work in-progress

involving radiation protection practices

in the Unit

1 outage.

Several

remaining

Suri~ei 1lances of these

areas

were

scheduled

to be completed later in the outage.

equality Assurance activities pertaining to Radiation Protection

were

satisfactory to the extent of thei r completion during the inspection.

~Chan

ea

The inspectors

noted the construction of a permanent radiological

access facility on the 140

level of the Turbine Building, adjoining

the Unit j. containment

personnel

hatch.

The

new facility provided

easier

access

to radiologically controlled areas

(RCAs) in

containment during outages

by relieving congestion at the containment

access.

The licensee

planned to construct

a similar facility to

support Unit 2 outages after the next fuel cycle, early in 1990.

The

new facili'ty included offices, dosimetry issue station,

an area for

personnel

to don protective clothing prior to entering

RCAs,

a

personnel'fr'isking station,

and an area for monitoring equipment to

be removed

from RCAs.=

In addition, 'the inspectors

noted major changes

in the licensee

s

ALARA program implementing procedures.

These

changes

are described

in paragraph

3.C, below.

The changes

to the licensee'

radiological

access facilities were

beneficial.

No detrimental

or unreviewed

changes

were identified.

Outa

e Plannin

and Pre arations/Maintainin

Occu ational

Ex osures

NRC concerns

involving the licensee's

ALARA program were discussed

in

Inspection

Reports

50-275/89-03 'and 50-323/89-03.

The inspectors

verified that

ALARA implementing procedures

had

been completely

revised to address

the concerns

discussed

in the Inspection

Reports.'he

procedures

contained

the recommendations

of Regulatory Guide

(R.G.') 8.8, "Information Relevant to Engineering That Occupational

Exposures...Mill

Be As

Low As Reasonably

Achievable."

The inspectors

also observed

work practices

and examined job specific

ALARA goals,

exposure

data,

work permits,

work scheduling

documents

and

ALARA 'reviews.

The radiation protection staffing for the outage

was also

examined

and found to be satisfactory.

Contractor radiation

protection personnel

and other contractor radiation workers were

interviewed during the inspection.

All personnel

interviewed were

aware of the

ALARA concept.

The inspector

noted that the

RPM and his staff conducted daily tours

of the plant to identify and correct poor ALARA practices.

The

ALARA procedures

reviewed are

as follows:

o

RCP D-205, "Performing ALARA Review"

o

AP C-200S2,

"Implementation of the

DCPP

ALARA Program.

The review disclosed that

DCPP Management

has

made

a commitment for

" the implementation of a strong

ALARA program.

The licensee's

staff

used historical data

from previous

outages

and information from other

sources

to establish their ALARA goals.

Additionally the licensee

3

0

has established

an

ALARA Management

Incentive Program whereby

personneI

are given awards for meeting or exceeding the

ALARA goals.

The licensee

had established

an

AI ARA goal of 400 Map-rem for this

outage.

As of November 8, 1989, approximately

280 Man-rem of the 400

Man-rem had been

expended.

The

RPM and his staff expressed

some

concern

over the rate at which they were approaching

the established

ALARA goals.

The staff reviewed the exposure

data daily and compared

it to previous refueling outages

to determine

a cause for the rapid

increase.

It was concluded that the critical work where high

exposures

could be expected

had been

scheduled

during the initial

phases

of the outage.

The staff expected that the Man-rem usage

would eventually level off.

The

RPM informed the inspector that

he

and his staff would continue to closely monitor their

Man-rem goals.

The

ALARA group per forms dose tracking by discipline and by job

specific.

The review of this data did not disclose

any abnormal

trends

or conditions.

The

ALARA organization

possessed

the depth in the radiological

protection group that is normally necessary

to maintain

an effective

ALARA program.

A contractor

and two shielding engineers

were

assigned

to implement the program.

Few radiation protection

technic'ians

involved in day-to-day activities were included in the

planning

and preparations

for the outage.

This observation

was

discussed

with the

RPM and at the exit interview.

The

RPM stated

that the inspectors'bservation

would be considered

as

a possible

improvement for, the

ALARA program.

Paragraph

3(c) of Inspection

Ressort

50-275/89-18

and 50-323/89-18

describes

the "High Impact

Team 'HIT).

The HIT Team was led by the

radiological

engineer

responsible

for ALARA.

The HIT Team planned,

prepared,

scheduled

and maintained surveillance

in three major areas

during the refueling outage;

reactor disassembly/reassembly,

refueling preparations/fuel

off-load, and valve maintenance.

This

was

a

new concept which required

approximately 15-20 different

disciplines to work together to ensure all activities with the

selected

work activities are effectively accomplished.

The

inspectors

reviewed the teams'ffectiveness.

The following

observations

were made:

The

Team worked in one office area

located

on the Turbine

Deck of Unit 1.

The Team functioned

as described

in prior

Inspection

Reports.

Shiftly planning meetings

were

conducted to discuss

the status

of work and to resolve

any

problems.

All work was carefully planned.

HIT activities were well documented.

The information was

to be used

as reference

material for future outages.

o

The HIT worked closely with the

ALARA group

and other.

organizations

involved in the refueling outage.

o

t1an-rem exposures

for two of the three jobs were less

than

expected.

Exposures

incurred during valve repair

activities

had been greater

than expected.

The HIT was

developing methods to improve future valve repair work

practices.

The HIT staff informed the inspectors

that they were planning to

expand their involvement during the next scheduled

outage at Unit 2.

The activity in this area fully supported

the licensee's

safety

objectives

and the concept of ALARA.

Trainin

and

uglification of Personnel

The inspectors

examined

the licensee's

General

Employee Training

(GET) program

and the qualifications

and training. program established

for Radiation Protection

Technicians=(RPT)

and 'radiation workers

hired for the outage.

The licensee

used

an acceptance

test to help determine

whether

contractor

RPTs are qualified., RPTs passing

the test are provided-

with approximately

one week of site specific training in radiation

protection.

The inspectors

reviewed selected

RPT resumes

provided

prior to employment

and examinations

upon completion of the training

program.

The

RPTs selected

for the outage

met or exceeded

the the

qualifications prescribed

in ANSI/ANS 3. 1-1978,

"American National

Standard for Selection

and Training of Nuclear

Power Plant

Personnel."

All workers assigned

to work in radiologically controlled areas

were

required to attend the General

Employees Training program

and

Practical

Factors

Training" program.

These

two programs collectively

met the requirements

prescribed

in 10 CFR 19. 12, "Instruction to

Morkers."

Mock-up training was provided to workers involved in steam generator

inspection

and repair activities.

Personnel

attending

the mock-up

training felt that the quality of the training provided to them was

good.

Morkers required to wear respiratory protective

equipment attended

a

training session

on the

use

and control of such equipment.

The

workers must complete

a medical

and fit test before they are

considered qualified to wear respirators.

The inspectors verified

that respirators

had only been

issued to individuals who met the

qualifications.

The licensee's

performance

in this area

appeared

to be adequate

to

accomplish its safety objectives.

External

Ex osure Control

The inspectors

reviewed dosimetry records

and data for workers

who

had

had their administrative

dose limits increased

to 1850

mi llirem

5

or more during the current calendar quarter.

The inspectors verified

Form 69-11579,

"Additional Exposure Authorization," from procedure

RCP G-110,

"Personnel

External

Exposure

Dosimetry and Control," had

been properly reviewed

and approved

by Radiation Protecti'on for each

worker authorized to receive

1850 mi llirem or more durinq the current

quarter.

In some cases,

Dosimetry and Radiation Protection only

approved additional

exposure

to a lower administrative limit than

that requested

by the worker's supervisor,

in order to conserve

the

worker's

dose.

NRC Form 4 was

on file for each worker receiving

authorization for exposure

up to and exceeding

1850 millirem.

The inspectors

obtained current exposure status-to-date

from the

Plant Information Management

System for each worker authorized to

receive

1850 mi llirem or

more during the current quarter,

and

reviewed

a current

report of margin between

dose received

and the

authorized administrative limit for each radiation worker.

The

inspectors verified that the workers'ose

status

was within both

administrative

and regulatory limits.

Doses for several

contractors

involved in steam qenerator

maintenance

were approaching

authorized

administrative limits of 1250 and

1850

mi llirem, with work in the

steam generator

bowls completed.

No exposures

exceeding

1250

millirem were observed for individuals other than steam generator

maintenance

workers,

The licensee's

program for external

exposure

dosimetry

and control

was satisfactory.

The approval of Addition Exposure Authorizations

at lower administrative limits than those

requested

demonstrated

a

conservative

review of worker dose status.

Internal

Ex osure Control

The inspectors

examined

surveys of personnel

contamination

incidents

involving .facial contamination

as recorded

on Procedure

RCP D-600,

Form 69-9392,

"Personnel

Decontamination

and Evaluation Reports."

The inspectors verified that special

whole body counts

had been

promptly performed for each facial contamination incident.

The

inspectors

observed

one report of contamination

on a worker's chin

where radiation protection personnel

did not specifically document

a

recommendation

for a whole body count, but a count was performed

promptly nonetheless.

The inspectors

examined

Special

Mork Permit 264, "Disassemble

and

Check Valve 8948A-D and 8956A-D," and its associated

instructions,

logs

and Airborne Entry Logs.

The inspectors verified that breathing

zone air

samples

were obtained

and documented

on October 28,

1989,

during replacement

of a check valve disc and reassembly

of the valve.

Airborne Entry Logs were also kept throughout work on

SMP 264 for

Maximum Permissible

Concentration

(MPC)-Hour tracking.

The

inspectors, verified that High Efficiency Particulate Air (HEPA)

filter units

had been installed at the job location as engineering

controls for airborne radioactive material.

The inspectors

observed respiratory protection

equipment

issue at the

140'evel

of the containment building.

Issuing personnel

verified

each worker's authorization to wear the particular respirator

required for their job.

Radiation Protection Technicians

were

stationed at the entrance of each level of containment to query

workers

as to their work area

and, if an airborne area, verify that

respirators

had been properly issued to the workers.

The licensee's

program to evaluate

and control internal

exposure

during the outage

was satisfactory.

Control of Radioactive Materials 'and Contamination

Surve

s

and

~on> ton n

Prior to the inspection,

the inspectors

were informed of several

occurrences

related to control of'adioactive effluent.

These

occurrences

had been investigated

by Chemistry

and Radiation

Protection.

The inspectors

reviewed preliminary reports

on pressure

transients

observed

in the Unit j.'aste

gas

decay tanks

on October

7

and 8,

1989,

and the release

of millicurie amounts of fission product

noble gases

in the Auxiliary Building with a release

path to the

environment,

also

on October 7,

1989.

The pressure

drops in the waste

gas

system were minor,

and plant vent

effluent monitor RE-14 did not indicate

any release

of effluent

during the transients.

However, the appearance

of 3

MPC levels of

noble gas at the 100', and 115'ontainment

penetration

areas

shortly

before

one of the pressure

transients

caused

concern

over

a possible

gaseous

radwaste

system

(GRS) leak.

The noble

gas

leakage

was

released

to the environment at the 140'oof area

through

a tear in

the rubber seal

between

the containment wall and the 115'enetration

area ceiling.

The tear

was subsequently

repaired.

The licensee

evaluated

the release

and will include their evaluation in the

semi-annual

effluent release

report.

The licensee's

investigation determined that the gaseous

radwaste

system

was not a credible source for the leakage,

as there were

no

GRS components

in the areas

where airborne activity was detected.

In

addition,

the expected

pressure

behavior of hot reactor coolant

system offgas in the gas

decay tanks

was consistent with gas cooling.

The licensee's

investigation

had tentatively attributed the noble

gas

leakage

to momentary

leakage

from valve packing in the Residual

Heat

Removal

(RHR) system.

The licensee

proposed

airborne

surveys

and

contamination

surveys of RHR valves

and the surrounding

areas

upon

actuation of the

RHR system in Unit 2 to evaluate this explanation.

The inspectors

inquired whether the leakage

from the

RHR valves, if

substantiated,

would indicate

a problem with the valves performing

their safety function.

The Senior Chemical

Engineer stated that

he

would inform Maintenance of the observed

leakage

and its probable

sour'ce.

The Chemistry staff also proposed to obtain accurate

measurements

of waste

gas

temperatures

to confirm that the pressure

7

transients

in the gas

decay tanks are

due to gas coolin~ and not

leakage.

The inspectors

wi 11 follow-up on the licensee

s evaluation

of the cause of the noble gas

leakage

and the

GRS pressure

transients

in a future inspection

(50-275/89-25-01).

The inspectors

examined post-decontamination

surveys of steam

generator

bowls performed in support of maintenance

and testing

during the Unit 1 outage.

The licensee

employed Electric Power

Research

Institute (EPRI)/Mestinghouse

standardized

survey methods

covering ten locations

each in the hot and cold leg channel

heads,

with beta

and beta/gamma

measurements

at each point.

The licensee's

surveys prior to steam generator

maintenance

were

satisfactory.

The pressure

reduction of the gaseous

radwaste

system

during

RCS offgas

and the sources of noble gas

leakage

upon shutdown

both required further evaluation to confirm their root causes.

Res

onse to Alarms

The Senior

Resident

Inspector

informed the inspectors that

he had

received

several

telephone calls 'from workers

who had expressed

serious

concerns that improper actions

were taken in response

to Fuel

Handling Building (FHB) area radiation monitor (ARM) evacuation

alarms which occurred during fuel removal activities during the

period of October

15-18~

1989.

The Resident

Inspector discussed

the

calls with the licensee

s staff,

and further examination

and

inspection

was conducted

during the inspection.

ARM RE-58 is the

spent fuel pool

ARM and

RE-59 is the

new fuel storage

ARM.

The following licensee

records

and documents

were reviewed:

ARth RE-58 Chart Recorder

data for October 15-18,

1989.

Applicable licensee

procedures.

General

Employee Training (GET) related to plant alarm response

and evacuation.

Documents collected

by the licensee for their investigation of

the matter.,

Special

Mork Permit

(SMP) 89-00305-00,

"Fuel Transfer Activities

in Fuel Handling Building," dated October 13,

1989.

Final Safety Analysis Report

(FSAR) Section 11.4.2.3.

The applicable Technical Specifications,

Regulatory Guides,

and

10 CFR 19, were compared to licensee

actions,

and the

FHB was toured.

The matter

was also discussed

with personnel

who were responsible

for

fuel off-loading activities.

10 CFR 19.12, "Instructions to Morkers," states

in part:

1,

ing in or frequenting

any portion of. a

s'e...instructed

in the appropriate

response

le in the event

of- any unusual

occurrence

or

.t may involve exposure

to radiation or

.erial...."

ion (TS) 6.11, "Radiation Protection

Program,"

personnel

radiation protection shall

be prepared

the requirements

of 10 CFR Part 20 and shall

be

iined and adhered

to for all operations

involving

ion exposure."

.nd Programs,"

states

in part:

procedures

shall

be established,

implemented

and

ing the activities referenced below:..."

ble procedures

recommended

in Aapendix

A of

Guide

(RG) 1.33,

Revision 2, 19'l8."

Appendix A, Section 5,

recommends

that abnormal,

=onditions should

be covered

by written

e

6 establish

the license conditions for

59.

The specified alarm setpoint is less

than

or both ARNs.

ACTION statements

30 and

32

ns to be taken

when the alarm/trip setpoint is

r monitor is. inoperable.

re,

Mindow AR PK11-10,

"FHB High Radiation,

es in part that operator action includes

sf the evacuation

horn, checking for actual

and notifying radiation protection personnel.

ining includes provision of the following

your area,

proceed

immediately to Access

rea of known low dose rate,

unless

instructed

adiation Protection Staff,

And inform the

adiation Protection Staff."

signed overall responsibility for refueling

ing licensee

procedures:

l Prerequisites"

ding Sequence"

. g Sequence"

!l<

Operating Instructions"

Additionally, OP B-8D requires that all critical personnel

participating in core unloading

be verified to have

been adequately

trained.

OP

B-BD S-1, sections 5.2.4, 5.2.5,

and 6. 1, state in part:

"If an evacuation

alarm occurs,

CORE ALTERATIONS shall

be

suspended

immediately and all personnel

shall

assemble

in the

main airlock.

The

PPE (Nuclear)

and Refueling

SRO shall

determine

the cause of the alarms

and the Refueling

SRO will

determine

the response

to be taken.

If it is determined that

no

hazards

to personnel

exist, evacuation

need not proceed

any

further..."

"If the Refueling

SRO or Power Production Engineer (Nuclear)

suspects

that continued operation will involve undue risk to

personnel

or equipment or will compromise

the T/S or license

provisions,

operations

wi 11

be suspended

pending resolution.-"

OP B-8D S-2, sections

5.3.5

and 6. 1, state

in part:

"If a Containment

Evacuation

alarm occurs,

CORE ALTERATION shall

be suspended

immediately

and all personnel

in containment shall

assemble

in the majn airlock.

The Power Production

Engineer

(Nuclear)

and Fuel

Loading

SRO shall determine

the cause of the

alarm and the

SRO will determine

the response

to be taken.

If

it is determined that

no hazards

to personnel

exist,

evacuation

need not proceed

any further..."

"At the start of each refueling shift, the Refueling

SRO shall

establish

communication with operators,

observers

and the

control

room and verify that all requirements

of STP IlA are

being met for Mode

6 operation

and core alterations.

A briefi ng

should

be conducted

reviewing containment

evacuation

alarms

and

procedures."

OP B-8G states

in part:

"The fuel handling

SRO should conduct

a tailboard prior to

starting that shift's fuel handling activities to ensure

each

member's

assignments

are

known and general

turnover from

previous shift's progress

are discussed.

The fuel handling

SRO should ensure all members

in the crew are

fami liar with possible

alarms

such

as containment

evacuation

alarm.

He should also assure

himself that each

member

understands

his response

upon activation of possible fuel

handling related alarms."

SMP 89-00305-00

required continuous radiation protection surveillance

during core-off-load operations.

The

SMP also required that

a

portable

ARM be

on the bridge crane during fuel movement.

The following observations

were

made regarding the above:

ARM RE-58 alarmed approximately

113 times between

October 15,

and October 18,

1989.

Of that number, illactually occurred

between

9: G9 a. m.,- PDT, October 17,

1989,

and 6:43 a.m.,

PDT,

October

18,

1989.

Licensee

procedures

noted above included

use of "permissive"

terms

and did not include any requirements

for shift briefings

of personnel

working in the

FHB during fuel removal activities.

Personnel

involved

>n fuel removal within the containment

were

briefed

as indicated in those procedures.

Personnel

involved in

fuel removal activities in the

FHB stated

they had not received

any such briefings.

OP B-8D required only the Nuclear Engineering

and

Operations/Fuel

Handling shift personnel

be adequately

trained

for their par t in fuel handl ing 'per ati ons.

Other personnel

involved in. fuel handling operations,

such

as Instrumentation

and Controls (18C), Radiation Protection

(RP), Maintenance,

and

others,

received

no training pursuant to

OP B-8D.

The inspector

noted that

OP B-8D training consisted of reading core-off-load

procedures.

The public address

(PA) system

was

used several

times

(much less

than illtimes) to inform personnel

regarding the

ARM RE-58

alarms.

No verifications of personnel

evacuation

pursuant to AR PK11-10

were

made.

No unexpected

radiation levels were detected

in excess

of 10

mr/hr, at which RE-59 was. set.

The alarm setpoints of RE-59, of

the

ARM on the

FHB bridge crane,

and

on an air monitor "SPING,"

were never exceeded.

Personnel. working in the

FHB stated to the inspector that:

they were unsure

regardin'g

who was responsible for fuel handling

activities in the

FHB.

personnel

calling the Control

Room after RE-58 alarmed

were

instructed to evacuate until the alarm could be verified.

The

IRC group verified that RE-58 was properly calibrated during

October 15-18,

1989.

The spent fuel pool surface cleaning tool,

or "skimmer," was not in operation during fuel handling

activities,

as it caused

a ripple on the pool surface which

distorted the view of the fuel handling equipment

and fuel

within the pool.

At an undetermined

time during October 17-18

1989, Operations,

RP,

and

I8,C personnel

reached

agreement

to consider

RE-58

inoperable,

and to enter the action statements

of TS 3.3.3. 1.

However, the alarm was not disabled.

RE-58 continued to alarm

11

at

a rate of approximately

8 to 14 times per hour.

Subsequently,

the licensee's

staff decided to evacuate

personnel

from the

FHB if the

ARM alarmed for over

30 seconds.

However,

this action was not communicated

to at least six individuals who

were involved in fuel handling activities.

At least four radiation protection technicians

and two quality

control inspectors

who did not call the Control

Room after RE-58

alarmed were, at various times, instructed either to ignore the

alarm or to evacuate.

The individuals providing such

instructions were, variously, the Shift Foreman,

RP personnel,

and quality control personnel'hese

conflicting instructions

caused

confusion

as to what action to take

when

RE-58 began

alarming frequently on October

17 and 18,

1989, for example:

Two statements

from different individuals indicated that Control

Room personnel

had been contacted

regarding the possibility of

making

a

PA announcement.

Both statements

indicated that

PA

announcements

would not be

made for each

RE-58 alarm, but that

Control

Room personnel

informed them that personnel

should

evacuate

any time the alarm sounded.

RP personnel

stated that RE-58 alarms

appeared

to occur in

upward spikes with a background level

near

6 to 10 mr/hr.

A

comparison in the area of the detector with an ion chamber

survey instrument indicated

a dose rate of approximately 2.5

mr/hr.

The inspector

noted that RE-58 had

a logarithmic scale

meter,

which was difficult to read accurately.

RP personnel

further stated that the

RE-58 alarms could be heard in the Unit

1 penetration

area

on the 115'levation,

that none of the

workers there

responded

to the alarm,

and that

no

PA

announcements

were

made during that time to alert personnel

regarding the alarms.

Again, personnel

contacting the Control

Room were instructed

to evacuate,

while personnel

who ignored

the alarms

were not challenged.

A log entry for 7: 10 a.m.

on

October 18,

1989, stated

in part:

"Continuous alarms are

starting to be ignored completely.

In 3 1/2 shifts

approximately

30 alarms.

No workers paid any attention.

This

seems

to be

a problem."

On the morning of October 18,

1989, the

RP Foreman

informed

Operations that

FHB fuel handling activities were being

suspended

until response

to RE-58 alarms

was resolved.

At that

time,

RE-58 was declared

inoperable

and the licensee

formally

entered

the action statements

of TS 3.3.3. 1 and

TS Table 3.3-6.

The above observations

were discussed

with the licensee's

staff and

at the exit interview.

The inspectors

informed the licensee that

personnel

were confused -as to what action they should

have taken

during RE-58 alarms, that

OP B-86 and

AR PK11-10 were not adhered to,

and that the oth'er procedures

noted

above did not clearly address

responses

to

FHB

ARM alarms.

The licensee

acknowledged

the

observations

and stated that corrective action

had already

been

initiated, which would provide detailed instructions within those

12

procedures.

The licensee further stated that

a Design

Change

Package

(DCP) and Design

Change

Notice

(DCN) had been

issued to correct the

spiking

on RE-58.

Subsequent

discussion with the licensee

on November 8, 1989,

indicated that the

DCP/DCN for RE-58 had not been fully effective in

preventing spiking.

The licensee

stated that they were in the

process

of reviewinq calibration methods for RE-58.

They stated that

they felt that the instrument

was overly sensitive to low levels,

due

to the fact that the instrument is electronically calibrated

on a

logarithmic scale.

The licensee

stated that as further-corrective

action they were preparing

a TS amendment

request to allow the

setpoint to be changed for RE-58.

Failure to adequately instruct personnel

during the period when RE-58

was alarming appears

to be

a violation of 10 CFR 19. 12

(50-275/89-25-02).,

The licensee

acknowledged

the apparent violation

when informed by the inspector.

The findings concerning the RE-58

alarms

indicates

a need for the licensee

to strengthen

his program in

this area.

ations

RV-89-A-0056

An allegation

was received in the Region

V office from a licensee

contractor

whose services

were terminated for cause.

The contractor

alleged:

(1)

No action

was taken

when the alleger

and several

co-workers

passed

through

a portal monitor that alarmed.

This concern

had

been brought to the attention of supervision.

(2)

There

was

a five day delay in obtaining

a termination Mhole Body

Count.

An examination of the worker's concerns

disclosed that

he

had been

working inside

a radiologically controlled area

(RCA).

Upon',exiting

the area for a break the worker 'performed

a whole body survey with a

PCM-1B personnel

frisker.

Radiation protection personnel

at the

RCA

exit point notified the alleger's

supervisor

and Security that the

alleger would not be allowed to return to the

RCA because

of a

fitness for duty question.

Security proceeded

to escort the

individual off-site.

Two security guards

escorted

the individual to the Security Building.

At this point, all personnel

exiting from the protected

area

must

pass

through

a portal radiation monitor and

a security

badge

detection monitor.

The badge detection monitor had been set to alarm

if an individual inadvertently exited the Security Building with

his/her security badge.

13.

The inspectors

interviewed the Security Guards

who escorted

the

contract worker outside the Security Building, the co-workers

named

by the individual and the individual

s super'visors.

The following

information was disclosed:

(1)

An alarm occurred

as

one of the guards

escorted

the individual

completely outside of the Security Building with the guards

security badge

on.

The guard wanted to ensure that the

individual was outside of the licensee's

protected

area

boundaries.

This observation

was confirmed by the second

security guard

and another

guard

on duty at the security

badge

drop-off area.

None of the security guards

heard

a portal

radiation monitor alarm.

(2)

The co-workers

named

by the individual stated that they did not

hear

a portal radiation monitor alarm.

Also, the co-workers did

not exit the protected

area at the

same time that the individual

was escorted

outside the protected

area.

(3)

The individual's supervisor

stated that

he

had not been

informed

of a portal radiation monitor alarm

on the night in question or

on previous exits.

The supervisor stated that he had met the

individual and the security guard

on the outside of the Security

Bui 1 ding.

(4)

After exiting from the protected

area

the individual was

escorted to his automobile.

Consistent with licensee

procedures,

the individual was asked if he would consent to a

search of his car.

The individual refused.

Security responded

by confiscating his Car Pass

and escorting

him to the boundary

of the owner controlled area.

Prior to being released

the

individual was instructed'to

return the next day in order to

complete the termination process

and receive

a whole body count

as required

by licensee

procedures.

(5)

On the following day, October 5,

1989,

the individual'as

delayed at the entrance

to the owner-controlled

area

upon

returning to complete the termination process.

The individual

left the site after waiting approximately

two hours.

(6)

The individual was called

on October 6, 1989,

and was requested

to return to the site to complete the termination process.

The

individual requested

that his return

be delayed unti 1 Honday,

October 9, 1989.

(7)

The individual returned

on October 9,

1989,

received

a whole

body count

and completed

the termination process.

It should

be noted that regulatory requirements

do not specifically

address

the

need for performing

a whole body count upon termination

of employment.

Licensee

procedures

normally require whole body

counts

upon initial., employment,

annually thereafter

or whenever

an

individual is suspected

of inhaling/ingesting radioactive materia],

14

and

as quickly as possible

upon terminati.on of employment.

Licensee

procedures

do not establish

a specific time limit for performing the

termination whole body count.

The inspectors

concluded that any alarms

he'ard

by the individual.were

due to the security guards'ecurity

badges.

The inspectors

also

concluded that the delays prior to the individual's termination whole

body could have

been prevented

and/or reduced if the individual had

waited longer on October 5, l989, or

had agreed to return

on October

6, 1989.

The observations

above

were discussed

with the Radiation

Protection'anager

(RPM) and at the exit interview.

The

RPM informed the

inspectors

that the lessons

learned

from his

own personal

involvement

into this matter

and the inspectors'bservations

would be evaluated

'o determine if any improvements

could be

made.

No violations or

deviations

were identified.

This matter is closed.

RV-89-A-0064

An allegation

was received

by the Region

V office on October 27,

1989,

from two contract workers

who felt that they had

been

discriminated against for raising safety concerns

to their

super vision.

The individuals stated that they had been terminated

for refusing to perform their assigned

duties inside

an

RCA unti 1

some

concerns

they raised were resolved.

The individuals stated that they had recently

been hired as contract.

Electricians to support the refueling outage.

They added that they

had never worked in the nuclear industry before

and felt some of the

experiences

gained

from their initial entry into an

RCA, specifically

the'ontainment

building, did not appear to be consistent with what

they had learned at the licensee's

General

Employees Training class

which they had attended

several

weeks earlier.

The inspectors

informed the Electricians -to try to resolve their.

differences with their supervision

and with the licensee.

On the

discrimination issue,

the individuals were advised to file a

comp'faint with the Oepartment of Labor (DOL) and the licensee's

"Hot

Line" for safety concerns.

Both individuals agreed to try to resol've

their concerns

through the channels

recommended

by the inspectors.

The Electricians

had been assigned

to work with two electrical

engineers

tasked with testing the Gamma-Metrics

system inside the

containment building.

The Electricians'- supervisor

and the

electrical

engineers

briefed the Electricians prior to entry. into the

work area.

An electrical

engineer stated that both individuals

appeared

to be very concerned

about making their first entry into a

controlled area.

The engineer

stated that it took about two to three

hours to convince the individuals to make their first entry.

An examination of the concerns

identified by the Electricians

was

conducted

in parallel with an investigation

conducted

by the

15

Radiation Protection

Manager

(RPN),

and the

Electricians'upervisors.

The Electricians also maintained

a communication link

with the inspectors,

RPN and their supervision during the inspection.

The -concerns

raised

by the Electricians,

the inspection findings and

resolutions to the finding are

as folio>is:

Concern ¹1

Findinli 81

Resoluti on

Concern ¹2

~Fl nd I Il

Resolution

Concern ¹3

~Findin

The Special

Work Permit

(SWP) was

a month old and the

dose rates reflected

on the

SMP were not the

same

as

they were led to believe during the pre-work

briefings.

This concern

was partially substantiated

in that the

SMP was issued

approximately

one month earlier.

However,

the SMP's expiration date

was listed as

Oecember

31, 1989; therefore, it was still current at

the time of the inspection.

The

SMP also authorized

work to be performed in the refueling cavity as well

as the Gamma-Netrics

work assigned

to the

Electricians.

The high refuel>ng cavity dose rates

described

on the

SMP were mistaken

by the electricians

f'r the

dose rates

involved in the Gamma-Netrics

work.

The Electricians also obtained

dose rates

from a

co-worker rather than from radiation protection.

The

co-worker's

dose rate information was inconsistent

with that described

in pre-work briefings.

The

RPN stated that the

SMP would be modified to

separate

the Gamma-Netrics

work and the refueling

cavity work.

The

RPN encouraged

the Electricians to

contact himself or his staff if they had any questions

pertaining to radiation safety.

The electrical

engineer

had difficulty locating the

work area.

Also, they did not have the proper tools

upon arriving at the work area.

This concern'as

substantiated.

The engineer stated

that

he got confused

and took a wrong turn.

The delay

was minimal.

The engineer stated after starting the

job they ran into an unexpected

interference

which

required

a special tool.

Hone required.

There

was

some confusion

as to what dosimetry

was

required for the work.

This concern

was substantiated.

The dosimetry

requirements

for the Gamma-Netrics

and the reactor

cavity work (see

concern

1 above)

were not the

same.

This was reflected

on the

SMP.

However, the radiation

protection technician issuing the dosimetry

became

16

Resolution

Concern ¹5

~Findin

Resolution

Concern ¹6

~Findin

Resolution

Concern ¹7

confused for a moment until he was reminded of the

differences

by a worker,who was

a little more familiar

with requirements

prescribed

on the

SWP.

The

RPM directed his staff to be more observant of

SWP requirements

and assigned

the Gamma-Metrics

and

refueling cavity work to separate

SWPs

(See item ¹1

above).

The Electricians

observed

some horse play between

an

individual who had partially removed

'nti-contamination clothing and

a worker fully dressed

in anti-contamination clothing.

No undressing

procedures

were posted.

This incident was witnessed

by another individual.

The

RPM discussed

the concern with the Electricians

and his staff.

The

RPM requested

his staff assigned

to the exit point to be more observant.

The

RPM

commended

the Electricians for reporting the

observation,

stating that with 1600 entries

per day

some improper conduct is missed

by his staff.

Undressing

procedures

were posted at the exit point.

One of'he Electricians

dropped his Thermoluminescent

Dosimeter

(TLD) in a contaminated

area.

It was

re-assembled

and reported to a radiation protection

technician

(RPT) who returned it to the electrician in

a rude manner without surveying the

TLD.

This concern could not be substantiated.

The

RPM did discuss

the concern,with his staff

requesting that they be more sensitive to concerns

expressed

by workers.

The engineer elected

not to request

the presence

of

(}uality Control (gC) to witness

a test although the

work package stipulated that

gC witness the test.

The

engineer

stated that gC's presence

was unnecessary

since

he felt the test would fail.

~Findin

Resolution

This concern

was substantiated.

The engineer

had discussed

his intentions with gC

prior to performing the test

and agreed that it would

not be consistent with the

ALARA concept for

gC to

witness

a test which would be likely to fail.

The

test subsequently

failed.

The inspectors verified

that the work had not proceeded

beyond the procedural

gC "hold point."

17

Concern ¹8

A tool crib attendant

located inside the containment

building informed one of the Electricians that it was

difficult to read the tool number/size.

The

electrician expressed

this item as

an

ALARA concern.

This concern

was substantiated.

Discussions

were

held with two tool crib attendants

.

Each stated that

the lighting was marginally acceptable.

~Findin

Resolution

Several

additional strings of lighting were installed

in the tool crib.

Further discussions

with all involved personnel

disclosed that the

Electricians

were given the opportunity to discuss their concerns

with a radiation protection representative

prior to their dismissal.

The Electricians'upervision

informed the inspector that his staff

had asked the Electricians to talk to the Radiation Protection

Foreman

on shift.

The Electricians

agreed.

However,

as they were

walking to the Radiation Protection

Foreman's office, the

Electricians

decided

not to discuss their concerns with the Radiation

Protection

Foreman.

The Electricians'upervisor

dismissed

the

Electricians

upon learning that they were not willing to discuss

their concerns.

The Electricians

subsequently

held

a meeting with their supervision

and the

RPH during the inspection period.

They were able to resolve

their concerns

and returned to work before the end of the inspection

period.

The above observations

were discussed

with the

RPH and at the exit

interview.

The

RPM and management

attending

the exit interview

stated that many of the electrician's

concerns

were valid and were

considered

to be unacceptable

work practices.

The

RPH added that

appropriate

action will be taken to further evaluate

and correct the

weaknesses

that were identified.

The inspector

concluded that

no violations or deviations

had

occurred.

This matter is closed.

5.

~F~iil~iit

~

T~

Units

1 and

2 were toured extensively during the inspection.

Independent

radiation measurements

were

made using

NRC ion chamber

survey instrument

Model R0-2, Serial ¹022906,

due for calibration

on March 16,

1990.

The

inspectors

observed

the following:

Radiation monitoring equipment

was in current calibration.

a.

Work practices

were consistent with the

ALARA concept.

All personnel

observed

on tour were wearing proper dosimetry.

C.

18

d.

Posting

and labeling practice were consistent with 10 CFR 19. 11 and

20.203.

e.

During a tour conducted

on October 25, 1989, cleanliness

in

.radiologically controlled areas of the Unit 1 Auxiliary and Spent

Fuel Buildings was very poor.

Items lying unattended

in contaminated

areas

included plastic

and oily paper refuse,

used leather

and rubber

gloves,

various chemicals,

face shields

and welders

face shields,

and

tool s.

f.

Various electrical cords, ventilation

ducts

and tygon tubing drain

lines traversing both non-contaminated

and contaminated

areas

were

not secured

in a manner to prevent contamination of the non-

contaminated

areas.

Drain lines

used for draining contaminated

liquids were not consistently identified as containing radioactive

material.

g.

Two fire exits were blocked off.

h.

-Sparks resulting from welding were not adequately

monitored by an

assigned fire watch,

The assigned fire watch was performizg

a

grinding oper ation while the welding was in progress,

and was out-

of-view of the welding.

i.

A worker was wearing

a plastic face shield in the "up" position while

working on

a contaminated

RHR valve.

A Radiation Protection

Technician observing the operation

took no action to instruct the

worker to properly don the face shield unti 1 it was brought to his

attention

by the inspectors.

j.

Lighting was extremely poor in the Unit 1 primary sample

room and

completely absent

in the boric acid evaporation

room.

k.

Several

liquid effluent drain line/vent lines connected

to

polyethylene bottles were. found to be crimped.

Some of the

drain/vent lines serviced

contaminated

systems.

l.

An electrical

cord was coiled in a stairway leading to the 1-2

RHR

pump

room.

The cord created

a serious tripping hazard.

The

inspectors

noted that ample

room was available

to store the cord

without creating the tripping hazard.

The above observations

were immediately brought to the attention of the

licensee's

staff.

The inspectors verified that the licensee

took

immediate action to address

the inspectors'bservations,

with the

exception of observations

made near the completion of the inspection

period.

The inspectors

brought the above observations

to the licensee's

attention

during the exit interview.

The need for maintaining plant cleanliness

and

being sensitive

to similar observations

during tours conducted

by the

plant staff was emphasized.

The licensee's

performance

in this area

was

adequate

to meet regulatory

and procedural

requirements.

19

6.

Exit Inter view (30703)

The inspectors

met with the licensee

representatives

denoted

in paragraph

one at the conclusion of the inspection

on November 2,

1989.

The scope

and findings of the inspection

were summarized.

The licensee

was- informed

of the apparent violation, discussed

in paragraph

3.H,

and of the

. observations

made during facility tours,

discussed

in paragraph

5, above.

20