ML20046D049

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Notice of Deviation from Insp on 930621-25.Deviation Noted: Actions Committed to by Licensee to Strengthen Respiratory Protection Program Were Either Late Being Completed or Still Incomplete as of 930625,as Evidenced by Listed Examples
ML20046D049
Person / Time
Site: 07000734
Issue date: 07/26/1993
From:
NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION V)
To:
Shared Package
ML20046D040 List:
References
70-0734-93-03, 70-734-93-3, NUDOCS 9308160075
Download: ML20046D049 (2)


Text

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NOTICE OF DEVIATION Docket NO.70-734 General Atomics (GA)

License NO. SNM-696 q

P. O. Box 85608 San Diego, California 92186-9784 During an inspection conducted on June 21-25, 1993, a deviation to commitments e

described in your response to inspection report 92-07, dated November 20, 1992, was identified.

In accordance with the " General Statement of Policy and Procedure for NRC Enforcement Action", 10 CFR Part 2, Appendix C, the' deviation is listed below:

4 General Atomics' letter dated November 20, 1992, lists the following actions to be taken to strengthen the licensee's respiratory protection j

i All the actions below were to be in place by. December 23, i

program.

1992, except the database (i.e., Itein 4, below) which was to be operational by February 1,1993.

GA's Health Physics procedure HP-182, " General Atomics Respiratory 1.

Protection Program" was to be issued to become the " Top Level" i

procedure for the site respiratory protection program.

Procedure HP-182 will require that Emergency Services procedures 2.

that deal with respiratory protection be reviewed and approved by the Manager, Health Physics (HPM) or designee.

q With the restructuring of the respiratory protection program and 3.

closer contact with the groups involved, GA will shift all groups to a quantitative fit test method.

4.

The training, medical examination, fit test, and qualification records for the three groups involved (i.e._ Health Physics, Industrial Safety / Industrial Hygiene, and Emergency Services) will i

be integrated into a database set up and maintained by Health The database will be set up such that each group will-Physics.

have their own entry forms and reports which will have password access control required for data modification.

Contrary to the above, the actions committed to by the licensee to strengthen their respiratory protection program were either late being completed or still incomplete as of June 25, 1993, as evidenced by the following examples:

1.

GA's procedure HP-182 was issued four months late on March 23, 1993.

2.

Procedure HP-182 required Emergency Services procedures involving respiratory protection to be reviewed and approved by the HPM or However, as of June 25, 1993, Emergency Services' designee.

respiratory protection related procedures had not been reviewed or approved by the HPM or designee.

3.

Procedure HP-182, allowed for both qualitative and quantitative fit testing methods to be used without providing any specific 9300160075 930726

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guidance as to the circumstances under which each fit test method l

was appropriate.

4.

The qualific d respirator user integrated database was incomplete.

Specifically, each group did not have their own entry form and reports, immediate access was not available for the groups that required the information, and' access control to prevent inadvertent data modification had not been established.

.i i

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

Document Control Desk, Washington, D.C. 20555, with a copy to the Regional Administrator, Region V, in writing within 30 days of-the date of this Notice, the reason (s) for the-deviation, the corrective steps which have been taken and the results achieved, the corrective steps which will be taken to avoid

i further deviations, and the date when your corrective actions will be compl eted. Where good cause is shown, consideration will be given to ~

l extending the response time.

Dated at Walnut Creek, California this 2( S day of G

,1993.

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