ML18057B185

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Insp Rept 50-255/91-11 on 910625-27.Violations Noted.Major Areas Inspected:Allegations Re Inadequate Implementation of Radiation Protection & Training Programs & Utilization of Unqualified Contract Radiation Protection Technicians
ML18057B185
Person / Time
Site: Palisades Entergy icon.png
Issue date: 07/19/1991
From: Caniano R, Markley A
NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION III)
To:
Shared Package
ML18057B183 List:
References
50-255-91-11, NUDOCS 9108010170
Download: ML18057B185 (6)


See also: IR 05000255/1991011

Text

U.S. NUCLEAR REGULATORY COMMISSION

REGION III

Report No. 50-255/91011(DRSS)

Docket No. 50-255

Licensee: Consumers Power Company

27780 Blue Star Memorial Highway

Covert, MI

49043

Facility Name:

Palisades Nuclear Generating Plant

Inspection At:

Palisades Site, Covert, Michigan

Inspection Conducted:

June 25-27, 1991

&P / c~~~- --1~

~: Markley, Radfu'i~n Specia 1 ist

Inspector:

~~

Approved By:

  • Caniano, Chief,

ological Controls and

mergency Preparedness Section

Inspection Summary

License No. DPR-20

/-117-7'/

Date

7--/f'-V

Date

Ins ection on June 25-27, 1991 (Re ort No. 50-255/91011(DRSS))

Areas Inspecte : Specia , unannounce

rnspect1on to review a legations

concerning inadequate implementation of the radiation protection and training

programs.

The allegations related to the utilization of unqualified contract

radiation protection technicians, failure to perform surveys during the

reactor head set evolution, and a deliberate hot particle exposure.

Results:

One violation was identified pertaining to a contract health physics

technician performing duties prior to completing qualification requirements.

The concern regarding the deliberate hot particle exposure with no

documentation and a lack of management response was partially substantiated

in that a deliberate hot particle exposure did occur and the event was not

doc-umen-ted. =The con-cern regarding th=e =fa=; lure to perform -and~ Clocument surveys

to identify an 8 R/hour hot spot during the reactor head set evolution was not

substantiated. However, a concern was identified regarding the timeliness of

review and dissemination of radiological information associated with the

reactor head set evolution (Section 2) *

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DETAILS

1.

Persons Contacted

  • A. Clark, General Health Physicist
  • P. Donnelly, Director, Plant Safety and Licensing

J. Fontaine, Senior Health Physicist

  • K. Haas, Radiological Services Manager
  • R. Henry, Radiation Protection Supervisor

R. Hill, Radiological Services Technician

    • L. Kenaga, Health Physics Superintendent

G. List, Refueling Engineering Supervisor

  • D. Malone, ALARA Supervisor
  • M. Mennucci, Senior Health Physicist
  • T. Neal, Radioactive Materials Administrator
  • T. Palmisano, Administrative and Planning Manager
  • J. Petro, Quality Assurance
  • P. Rigozzi, Training Supervisor
  • D. Rogers, Training Administrator
  • G. Slade, Plant General Manager
  • R. Roton, Resident Inspector
  • E. Schweibinz, Senior Project Engineer

The inspectors also interviewed other licensee and contractor personnel

during the course of the inspection.

  • Denotes those present at the exit meeting on June 27, 1991.
    • Contacted by telephone on July 2, 1991.

2.

Allegation Follow-up (IP 99024)

Discussed below are several specific allegations relating to the inadequate

implementation of the radiation protection and training programs which

were evaluated during this inspection. The evaluation consisted of record

and procedure reviews and interviews with licensee personnel.

(Closed) Allegation (AMS No. RIII-91-A-0036)

Concern:

Contracted health physics technicians performed duties and

functions prior to having completed their qualification requirements.

Discussion:

The inspectors reviewed the Palisades Steam Generator

Replacement Project Radiological Plan and licensee procedures to

determine the nature of the contract health physics technician (HPT)

training and qualification requirements. The entrance examination was

determined to be administrative in nature and was used for initial

screening and knowledge level evaluation. The Palisades Steam Generator

Replacement Project (SGRP) Radiological Plan Section III.D.2 states that

Qualification training will consist of three phases:

Formal classroom

procedure training, on-the-job training (OJT) and informal continuing

training throughout the project.Section III.D.2.a. requires that

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senior HPTs must pass the procedure qualification exam with a score of

at least 80 percent and junior HPTs must score at least 70 percent.

Section III.D.2.a also allows waivers for the procedure exam to be

granted for contract HPTs who have been incumbent within the last twelve

months.

Waived technicians must receive training on procedure changes

which may have occurred during the past twelve months and may impact

radiation protection (RP) functions.

Procedure HP 1.1, Sections 3.6

and 4.2, and Attachment 14, Item F require that radiation safety

technicians shall successfully complete required classroom training

prior to performing On-the-Job tasks and complete procedure training

before being permitted to work independently.

The inspectors reviewed the training records and examinations to

identify contract radiation protection (RP) personnel who had failed

entrance and procedure qualification exams.

As a result of problems

associated with examination grading and discussed in Inspection Report

50-255/90028(DRSS) and Enforcement Conference Report 50-255/90035(DRSS),

a new answer key was developed and the procedure qualification

examinations were regraded. This resulted in thirteen procedure

qualification examination failures. These individuals had initially

passed the procedure qualification exam that was given during the

normal training sequence.

Each individual had passed the on-the-job

training portion of their qualification. However, the passing of the

procedure qualification examination was a prerequisite to independent

performance of duties and functions.

The licensee identified all

thirteen individuals as being restricted from performance of duties

and functions until the procedure qualification examination could be

passed.

The two individuals who were named in the allegation had been

incumbent as HPTs within the last twelve months and were waived from

retaking the procedure examination.

The waiving of the two individuals

appears to have been performed in accordance with the licensee's

procedures.

The inspectors evaluated the number of times each individual was given

the opportunity to take entrance and procedural qualification exams.

With respect to the procedure qualification exam, the inspectors found

no evidence to indicate that any individual had taken this exam more

than two times.

In all cases evaluated, each individual passed the

second procedure qualification exam.

One individual was identified as

unable to pass the entrance exam.

This individual had been incumbent

as an HPT within the last twelve months. This individual's performance

was evaluated by licensee management, determined to be acceptable and

was waived-from the entrance examination. The performance nf all

individuals who had failed either the entrance or procedure qualification

examinations was evaluated by licensee management.

These reviews were

completed on November 5, 1990 with no problems noted.

The inspectors reviewed radiation and contamination surveys, radiation

occurrence reports, and radiation work permits for indications of

independent performance of duties and functions. These records were

compared to the list of individuals whose duties were restricted until

the procedure qualification examination was passed.

The inspectors

identified three sets of radiological surveys, air sampling and

3

'*

evaluations that were performed by an individual who was on the restricted

duty list. This individual had not been previously identified in the

allegation. The restricted time frame for this individual was from

October 11-18, 1990.

The surveys were performed on October 11, 1990 for

the removal of the end bells of the spent fuel heat exchanger (Radiation

Work Permit (RWP) No. 90-1039), October 13, 1990 for cleaning and

rebuilding of the control rod drive mechanisms (RWP No. 90-1020), and

October 16, 1990 for overhaul and decontamination of the control rod

drive mechanisms (RWP No. 90-1020).

No evidence was found or identified

by the licensee that indicated that this individual had received direct

supervision in the performance of the aforementioned tasks.

Finding: This allegation was partially substantiated.

No evidence was

found to indicate that individuals were given multiple opportunities to

pass the procedure qualification examination.

Each technician who was

identified as having failed the procedure qualification exam either

passed the exam on their second attempt or were waived in accordance

with the licensee's procedures.

One individual was identified as

unable to pass the entrance examination.

However, since this examination

was administrative in nature and was not a part of the qualification

program, there is no regulatory basis or requirement for utilizing or

passing this exam.

One individual was identified who performed duties and functions as an

HPT during the period in which his qualification had been suspended

because of procedure qualification exam failure. The performance of

duties and functions by contract HPTs prior to completion of qualifi-

cation requirements is a violation {Violation No. 255/91011-01).

The

corrective actions that were specified in Enforcement Conference Report

50-255/90035(DRSS) appear adequate to prevent recurrence of this type

of event.

{Open) Allegation (AMS No. RIII-91-A-0041, Item 1)

Concern:

Deliberate hot particle exposure occurred with no

documentation and a lack of management response.

Discussion:

The planned scope of this inspection involving this concern

was limited to determining whether the licensee's corrective action

program required identification, determination of root cause and

implementation of corrective actions to preclude recurrence of a

potential license violation. Administrative Procedure 3.03, Corrective

Action, Section 5.1 and 5.1.b require-that an £vent Report shall be

issued for conditions that may be reportable to the NRC or other

regulatory agencies, including potential violations of license

requirements.

The procedural requirements were then cross checked

with radiation incident reports, radiological deficiency reports,

deviation reports and event reports from September 1990 to date to

determine whether the licensee had documented the deliberate hot

particle exposure.

As of the end of the inspection, the licensee had

not documented this incident in a corrective action document.

4

During the course of this inspection, the licensee provided an

unrequested written summary regarding the alleged deliberate hot

particle exposure. This information acknowledged that on

November 15, 1990, a contract senior HPT had deliberately taped a hot

particle (180,000 dpm) that was contained within a plastic planchet

which was within a plastic bag onto the back of a contract health

physics operations supervisor.

The licensee indicated that dose

assessments were performed.

The licensee's assessment determined

since the particle was low in activity, was sealed in a planchet and

plastic bag and was on the outside of the individuals.'s clothing their

was no radiological consequences surrounding the event and exposure to

the individual was below any regulatory limit.

The licensee's summary

also indicated that the licensee had desired to terminate the contract

senior HPT's employment for poor performance.

However, the individual

was officially released from employment to reduce staff.

Finding: This concern was partially substantiated in that a deliberate

placement of radioactive material on the back of an individual occurred.

It does not appear, however, that this event resulted in an exposure to

the individual in excess of any regulatory limit. Since the placement

of the hot particle on a person is not an authorized licensed activity,

it appears that the licensee was under an obligation to document this

incident in a corrective action document yet failed to do so. Additional

inspection efforts will be forthcoming to further review this issu~ and

also to review the adequacy of management's response to the event. This

allegation therefore will remain open (AMS No. RIII-91-A-0041)

(Closed) Allegation (AMS No. RIII-91-A-0041, Item 2)

Concern:

Failure to perform and document surveys to identify an 8

R/hour hot spot in the reactor flange area during the reactor head

set evolution in January 1991.

Discussion: The inspectors reviewed radiological surveys associated

with the reactor head set, cavity decontamination and cavity seal

removal evolutions.

In addition, radiation protection logs were

reviewed and interviews were conducted with licensee personnel involved

with these activities. Copies of surveys were obtained from the Document

Control Facility. The licensee provided the following chronology of

events. At 10:30 AM on January 30, 1991, the reactor head was set on

the flange and the guide pins were removed.

At 11:00 AM on January 30,

1991, a cavity after-head-placement/pre-decon survey was documented that

identified 8 R/hr and 1 R/hr hot spots in the flange/seal area of the

reactor cavity. General equipment movement and placement of the upper

guide structure lift rig to the southeast corner of the cavity occurred

during the time period from 11:00 AM until after midnight on January 31,

1991.

Cavity decontamination commenced until a cavity post decon survey

was documented at 7:00 AM on January 31, 1991. This survey did not

identify any unusually high dose rates or contamination levels.

The

8 R/hr hot spot appears to have been removed during the reactor cavity

decontamination efforts .

5

A radiation work permit (RWP) No. 91-1327 was written to perform reactor

cavity seal removal at 11:00 AM on January 31, 1991.

RWP No. 91-1327

reflected the radiological conditions that existed prior to cavity

decontamination.

Further reviews of this RWP indicated that it was

revised in the field to reflect post decontamination radiological

conditions prior to job performance.

The inspectors also reviewed

personnel dosimetry results, both whole body and extremity, associated

with these activities.

No unusually high exposures were identified.

Finding: This concern was not substantiated. The 8 R/hr hot spot

appears to have been removed during the reactor cavity decontamination.

Documented surveys identify both the finding and elimination of the

8 R/hr hot spot as well as a 1 R/hr hot spot.

However, improvements

may be warranted in the timeliness of review and dissemination of

radiological information.

Four hours had elapsed between the post

decontamination survey and the generation of an RWP that required

this updated information to specify radiological safety requirements.

This delay would cause more concern had the radiological conditions

deteriorated rather than improved.

During the course of the inspection

the licensee indicated that this matter will be reviewed to determine

what appropriate actions may be necessary to improve on the timeliness

of reviewing and disseminating radiological information.

(Open Item

No. 255/91011-02)

One violation and two open items were identified.

3.

. Exit Interview (IP 83750)

The inspectors met with licensee representatives (denoted in Section 1)

at the conclusion of the inspection on June 27, 1991, to discuss the

scope and findings of the inspection.

During the exit interview, the inspectors discussed the likely

informational content of the inspection report with regard to documents

or processes reviewed by the inspectors during the inspection.

Licensee

representatives did not identify any such documents or processes as

proprietary. The following items were specifically discussed with the

licensee.

a.

The need for additional inspection and review of the deliberate hot

particle exposure event by NRC.

b.

The apparent violation associated with a contract HPT performing

duties prior to completing qualification requirements.

c.

Inspector concerns regarding the timeliness of review and

dissemination of radiological survey information.

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