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- ME MEMORANDUM FOR: Stewart D. Ebneter Regional Administrator, Region II FROM:
Robert M. Bernero, Director Office of Nuclear Material Safety and Safeguards
SUBJECT:
FINAL REGION 11 NATIONAL PROGRAM REVIEW REPORT By memorandum dated May 6,1988, from Carl J. Paperiello, then Acting Deputy Director, NMSS, the NMSS National Program Review (NPR) draf t report, covering FY 1989 for Region II was transmitted to the Region for coments. Region II comments were transmitted back to Headquarters by memorandum from you, dated May 26, 1989, and have been incorporated in the report.
The final NPR report is enclosed for Region II information. Since the NMSS team approach was effective during this year's visit to the Regions, NHSS plans to continue this approach next year.
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RobertM.Bernero,*hirector
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REPORT OF NMSS 1989 NATIONAL PROGRAM REVIEW AT NRC REGION II, FEBRUARY 28 - March 1, 1989 1.
BACKGROUND AND PURPOSE This report provides the results of the Office of Nuclear Material Safety and Safeguards (NMSS) review of its programs that were under the responsibility of NRC Region 11 for 1988. The National Program Review Manual dated December 11, 1987 outlines the concept and plan for the National Program Review (NPR) process, and was the L is for the review. The NMSS Headquarters team participating in this review included individuals from each of the program areas under review. The composition of the team is shown in Attachment 1.
The principal regional activities related to NHSS programs are primarily under the responsibility of the Region II Division of Radiation Safety and Safeguards (DRSS). A copy of the DRSS organizational chart is shown in.
The Region II responses to an information questionnaire is shown in Attachment 3.
The NPR is based not only on the visit to the Region, but on the collective regional / headquarters interfaces throughout the year. These interfaces include the review of selected licensing casework and inspection reports, the accompaniment of region based inspectors, the review of casework and inspection statistics and resource utilization, technical assistance and coordination actions including conference calls, and the information questionnaire. The NPR process is intended to provide a review of the effectiveness of both the Region and headquarters activities insofar as they relate to Region II's activities, and to identify suggestions for improving the effectiveness of the joint efforts of NMSS and Region II. The NPR review emphasizes both numerical goals for licensing and inspection activities and the quality of licensing and inspection efforts, on the basis that both of these elements contribute to assuring the safety of operations involving NRC licensed activities.
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s This report is organized so as to present an integrated summary of Region II 1
activities in each of the following areas:
1.
Background and Purpose 2.
Licensing 3.
Inspection 4.
Training 5.
Initiatives 6.
Interfaces of Region II and NMSS 7.
Resource Utilization 8.
Recommendations and Suggestions 2.
LICENSING a.
Materials Safety Region II currently regulates approximately 1000 byproduct material licensees.
In FY88, Region II completed 654 material licensing actions against an operating plan goal of 610 (107 percent).
Reviewers and Section Chiefs are aware of the licensing goals for the fiscal year, and the Section Chief has a system for tracking case completions versus budget and timeliness of pending actions.
Although the actual completions are less than budgeted at this time for FY89, Region II has completed more licensing cases than it received (219 versus 216) during the same period.
Region II exceeds the revised goals for timeliness.
At the time of the review, there was one amendment over 180 days and 2 renewals over 360 days, but these are cases that have an acceptable basis for their age.
The current material licensing shortfall appears to be due to the shortage created by the detail of a Senior License Reviewer to Headquarters and a low number of case receipts.
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Region II has two full time license reviewers that handle most of the licensing j
workload.
During late 1988 and early 1989, the region initiated a program to cross train two inspectors to serve as backups to the full time reviewers.
A radiation specialist has been transferred from the EPRB Branch to compensate for the potential inspection shortfall created by this action.
This approach is not only appropriate to provide coverage in the event that one of.the reviewers is not available, but represents an improvement in the coordination effectiveness of licensing and inspection.
Headquarters staff reviewed about 20 percent of completed licensing actions.
These actions were in accordance with standard review plans and other guidance documents.
Region II staff has sought guidance via telephone or Technical Assistance Requests on matters that are technically complex or may have policy implications.
b.
Safeguards The Region II staff maintains all pertinent Regional Guidance Documents, Standard Review Plans, and Regional Office Instructions related to 10 CFR 70.32 reviews for the technical guidance of license case reviews.
The 10 CFR 70.32 case reviews were performed in a sound and technical manner.
Region II achieved an outstanding case turnaround of 26 days in FY88 and are averaging a 27 day turnaround in FY89.
Region II completed 28 case reviews in FY88 versus 30 receipts.
It should be noted that case receipts were lower than the 43 projected for the year.
Region II has completed 11 case reviews in FY89 versus 9 receipts to date.
Presently, there is no case backlog.
It is anticipated that the case receipts will again be lower than projected (43).
Region II has streamlined their case review procedures and consequently has no backlog.
c.
Low-Level Waste There is currently no low-level waste licensing casework in Region II.
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INSPECTION i
a.
Materials In FY88, Region II completed 372 materials inspections compared to a goal of 350.
Through February 24, 1989, the Region had completed 103 inspections.
This rate is somewhat below the prorated Operating Plan target of 153 for this time period.
Inspection completions were above the budgeted effort until January,1989, when two inspectors began cross-training in licensing.
The Region recently requested a revision to its operatino plar. target for inspections.
The Region believes that its revised goal will allow them to increase inspection frequencies for licensees that have received escalated enforcement actions and those licensees identified as having weaknesses in their programs.
They intend to use the available FTE for reactive inspections, incident followup, and continued technical support of the State of Georgia at RSI, Inc.
At the present time Region II has few inspections in the overdue category, and is generally completing inspections on or before the next inspection due date.
The incumbent materials inspection and facilities radiation protection Section Chiefs were recently appointed to these job assignments.
The initial impact of this action has been some uncertainty in job functions for staff as these managers adjust to their new roles, but the long-term impact is expected to be positive.
Each Section Chief did accompany their inspectors at least once during FY88.
Region II averaged 29.4 days from inspection to transmittal of inspection documentation versus a goal of 30 days.
The Region has established a tracking system for inspection completions versus budget, overdue inspections, and j
timeliness of inspection reports.
The system for tracking inspection completions and overdues is consistent with that used in other regions.
The status of accomplishments is routed to the Branch Chief on a monthly basis.
A review of selected inspection documents indicated that there were no significant problems in the areas of technical adequacy, accuracy, or 1
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quality.
An accompaniment of two Region II materials inspectors revealed a professional, thorough inspection effort with consicerable time devoted to education of licensees.
One particularly difficult case the Region is working on has required continued negotiations with a community hospital in Puerto Rico.
The dearth of highly-trained hospital personnel coupled with language barriers has made resolution of this case, which involves multiple items of Severity Level IV non-compliance, difficult.
The Region has demonstrated imagination, patience, and foresight in dealing with this licensee.
Until recently, the Region did not have an internal review performed in the area of quality of inspection reports.
The Section Chief has now initiated a program to assure continued quality by providing training sessions on the items that should be included in the report, reviewing of reports, and returning reports if necessary, and holding weekly se: tion meetings to discuss desired quality of reports and consistency in approach.
Region II has incorporated the revised inspection frequencies for medical licensees as directed in Temporary Instruction 2800/16.
TI 2800/16 also provided for Regions to hold workshops with medical licensees.
Region II conducted a workshop in Puerto Rico in January 1989 which was very well received, and is planning to hold a second workshop with medical licensees in West Virginia.
Inspections conducted in Puerto Rico at license'es where a representative had attended the workshop indicate that these licensees are already incorporating the letssons from the workshop into their programs.
Region II has implemented Temporary Instruction 2800/15, Performance Evaluation Factors, in accordance with their memorandum of October 14, 1988.
PEF sheets are included in the inspection field notes, and are reviewed by the Section Chief.
The Region has assigned a point system for thresholds when further action should be taken on a PEF evaluation.
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9 The Regional management has a good feeling for the need and uses of the program.
Prior to the implementation of PEF's, Region II had examined trends in performance and issued " warning" letters on several occasions.
A retrospective analysis by the Region showed that the PEF program would have led to very similar actions on those cases.
The interim report on PEF's indicated that 49 licensees had been evaluated, with four cases of follow-up action.
This rate of identification of potential degraded performance is comparable to other Regions.
b.
Fuel Cycle The inspection program for FY88 was completed by the Region II staff.
The current inspection program for FY89 is meeting or exceeding the current Operating Plan.
The pending resignation of the Resident Fuel Facility Inspector will significantly impact the program schedule.
Initial planning to provide alternate coverage has been made.
The branches within DRSS share the responsibility for conducting the inspection program.
Project management in the Materials Control and Accountability Section of the Nuclear Material Safety and Safeguards Program Branch has effectively coordinated the inspection program.
Quarterly status reports for each licensee provide management with the status of the inspection program.
Commendable features of the report are sections on Upcoming Significant Activities and Staff Assessment on Licensee Performance.
Additional administrative resources have been used during the past year to create and maintain official fuel facility files.
Additional inspection resources are available for fuel facility inspections this year.
The additional resources are being used, in part, to conduct special ALARA inspections of selected licensees (Westinghouse and GE).
The first such inspection has been conducted, but the inspection report has not 6
The Regional management has a good feeling for the need and uses of the program.
Prior to the implementation of PEF's, Region II had examined trends in performance and issued " warning" letters on several occasions. A retrospective analysis by the Region showed that the PEF program would have led to very similar actions on those cases. The interim report on PEF's indicated that 49 licensees had been evaluated, with four cases of follow-up action. This rate of identification of potential degraded performance is comparable to other Regions.
b.
Fuel Cycle The inspection program for FY88 was completed by the Region II staff. The current inspection program for FY89 is meeting or exceeding the current Operating Plan. The pending resignation of the Resident Fuel Facility Inspector will significantly impact the program schedule.
Initial planning to provide alternate coverage has been made.
The branches within DRSS share the responsibility for conducting the inspection program.
Project management in the Materials Control and Accountability Section of the Nuclear Material Safety and Safeguards Program Branch has effectively coordinated the inspection program. Quarterly status reports for each licensee provide managenent with the status of the inspection program.
Commendable features of the report are sections on Upcoming Significant Activities and Staff Assessment on Licensee Performance.
Additional administrative resources have been used during the past year to create and maintain official fuel facility files.
Additional inspection resources are available for fuel facility inspections this year.
The additional resources are being used, in part, to conduct special ALARA inspections of selected licensees (Westinghouse and GE). The first such inspection has been conducted, but the inspection report has not i
9 yet been issued. Hence the benefits and the additional inspection costs to these selected licensees cannot be evaluated.
It would be useful if the rationale for this increased use of inspection resources could be provided in the Region II operating plan or in the project management documents.
Inspection procedure deficiencies in MC 2600 identified by Region II in the previous program review were again identified. The NMSS staff has been increased and plans to address this problem in the current year.
The overall inspection program remains at an aggressive and effective level.
Enforcement actions and management meetings continue to be effective in obtaining improved performance by NFS and B&W-NNFD.
Cooperation between the respective staffs of Region II and NMSS in such matters as licensing reviews, inspections, and workshop planning is a commendable reflection on the Region II inspectors, supervisors, and managers.
c.
Transportation Transportation module 86740 was used during 126 of the 372 materials inspections conducted during FY88. An average of one hour per inspection was used to perform this module.
All of the six major fuel facilities in Region II were inspected at least once during FY88 against module 86740, with an average of six hours per inspection.
The inspection reports of these inspections have been reviewed and found to be of good quality. An accompaniment of two inspectors to a Fuel Fabrication facility in December,1988 indicated that the inspectors adequately covered the requirement of module 86740.
During FY88 the transportation inspection module was inspected at all operating power reactor units in Region II. This involved 32 units, with an average of 3-4 hours per inspection.
Three research reactors were 8
additionally inspected against module 86740 with an average of 7.5 hours5.787037e-5 days <br />0.00139 hours <br />8.267196e-6 weeks <br />1.9025e-6 months <br /> per inspection. All of the Region II inspection reports and NOV correspondence relating to the above inspections have been reviewed by heaoquarters and found to be of generally very good quality.
Region II has been involved with only a few escalated enforcement actions involving Transportation violations by its licensees.
Non-escalated enforcement involving Severity Levels IV and V appear commensurate with what is normally experienced in these program areas. All of the inspectors who were interviewed during the regional visit were aware of, and generally had received a copy of, the recently revised 10 CFR Part 2 Enforcement Policy.
1 d.
Low-Level Waste During FY88, Region II entered only one staff-hour, over three inspections of materials facilities, to Inspection Procedure 84850. As noted in previous reviews, the 766 data is not indicative of 10 CFR Part 61 inspection coverage of materials licensees due to inspectors crediting their time to other inspection procedures.
t During FY88, the Region conducted nine inspections of the six fuel cycle facilities during which Inspection Procedure 84850 was used.
Inspectors recorded an average of four hours per inspection against this procedure. No violations were identified under 84850. An interview with a Regional inspector indicated that inspectors are being accompanied on at least an annual basis.
Field notes are not used in the conduct of these inspections. A review of four inspection reports indicated excellent coverage of 10 CFR Part 61 low-level waste requirements.
During FY88, the Region conducted 40 inspections of 18 reactor facilities during which Inspection Procedure 84722 was addressed. All operating reactors were inspected at least once, and the average time expended for this procedure was approximately four hours. A total of three violations were recorded, all Severity Level IV.
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With respect to the Core Inspection Program (CIP), the transportation and solid radwaste activities are now being covered in CIP's 83750 and 84750.
Some 10 CFR 61 waste generator requirements are contained in each procedure.
It was noted that the former FRPS Section Chief has recently directed his inspectors to concurrently inspect the solid radwaste aspects of 84750 during any inspection of transportation activities using CIP 83750. Region II supervision has not yet formed any strong ideas or observations on the impact the CIP is having on the amount of effort given to transportation or LLW inspections.
The Region inspected the Barnwell LLW disposal facility during FY88. A total of five hours direct time was spent at the facility with no violations reported.
The field notes for this inspection were reviewed and found to contain adequate information. This inspection was coordinated with the State cf South Carolina.
A joint inspection involving Headquarters and the Region is planned for September, 1989.
Region II routinely transmits violation reports received from the State of South Carolina regarding shipments by NRC licensees to the Barnwell facility.
The Region II state agreements liaison officer has effectively and promptly transmitted such reports to the relevant regions for their follow-up.
e.
Safeguards Region 11 met its inspection goals established in its FY88 Operating Plan and l
as required by Manual Chapter.2681. Region II completed 12 Category I physical security inspections of the 12 scheduled in FY88 and is performing j
the FY89 physical security program on schedule as outlined by Mr. Burnett's memorandum of August 15, 1988.
In FY88, Region II completed 18 Category I and 16 Category III MC&A inspections in accordance with their FY88 Operating i
Plan and MC 2681. With the MC&A consolidation to Headquarters, the Region has been forced to prioritize their FY89 inspections and reduce the number of staff on the team inspections. The MC&A program is considered to be on schedule in FY89.
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i The inspection reports were completed in a timely manner and were technically sound.
The Region maintains an internal tracking system to ensure that a 30 day turnaround on inspection reports is maintained. An accompaniment of a Region II inspector at the B&W NNFD facility in January,1988 and NFS in January,1989 indicated that the inspections were performed in a thorough, comprehensive, professional, and technically competent manner.
Region II MC&A inspectors participated in five team inspections in FY88 and one thus far in FY89. Each of these inspections was performed in a thorough, comprehensive, professional and technically competent manner.
It should be noted that the Region II MC&A staff have been extremely helpful in the MC&A consolidation program.
The Regional staff has provided needed information and support and are willing to continue to provide assistance as requested by Headquarters.
f.
Safeguards Transportation i
Region II has performed safeguards transportation inspections according to the FY88 Operating Plan. Transportation activities at three Hampton Road facilities never materialized and consequently, these import inspections could not be performed. The same level of inspection activity is projected in FY89.
The inspection reports were technically complete, consistent with NRC policy and guidance, and submitted in a timely manner. One route survey was conducted in FY88 at the request of Headquarters and one is scheduled for FY89.
4.
TRAINING l
Region II inspectors were qualified under the older training qualification 1
requirements, and most of the inspectors have completed the required training in the revised Manual Chapter 1245. The Region hopes to provide additional training in accordance with course scheduling and availability.
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The Region has initiated cross training between inspectors and reviewers.
This program is based upon a license reviewer qualifications outline developed by Region II.
Training in chemical safety and criticality safety continue as identified needs for some of the Region II staff.
Fuel facility inspectors are being given chemical safety and fire protection training. The EP inspectors identified the need for fire safety training. As an alternative, fire safety l
could be removed from the current procedure and placed in a procedure to be followed by a fire safety inspector. This has merit, especially with the addition to the NMSS staff of a fire safety engineer who can support the regional inspection effort. The Region intends to use fire protection inspectors within the Region to perform inspections where detailed fire protection expertise is required.
Region II physical security inspectors and supervisors are attending the Physical Protection System Vulnerabilities Workshops at Sandia Laboratories.
Additionally, one MC&A inspector is also receiving this training in preparation of being transferred to the physical security section.
The Region is providing necessary training to the MC&A inspectors in order that they may be transferred to new positions within the Region.
(Training funds from Headquarters have been allotted to Region II to assist in this training program. )
1 All Region II inspectors who are assigned to inspect transportation activities have completed the H-308 transportation course within the last two years. Most I
recently, Regica II had three individuals attending the TTC course in October, 1988.
In addit'on, Region II provided staff support to assist NMSS in giving this course ard is to be comended for this assistance.
Region II management indicated a need for additional 10 CFR Part 61 training, i
primarily for staff who have joined the Region since the rule's promulgation in 1983.
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5.
INITIATIVES The cross-training of materials inspectors to do materials licensing work is a significant initiative in Region 11.
Currently two individuals are authorized to sign materials licenses. Two other staff members are row in the process of qualifying for all types of materials licensing actions. Cases that will help the apprentices complete their training modules are selected from incoming actions. Their work is reviewed by authorized signatories and initialed by the Section Chief.
The directive from the former FRPS Section Chief to inspect the solid radwaste activities of CIP 84750 concurrently with inspection of packages and transportation under CIP 84750 showed good judgment on use of inspectors time during an inspection.
Region II has implemented a practice of having its physical security inspectors perform some independent measurements and inspections of safety aspects during their safeguards inspections of spent fuel shipments. A short training program and procedure was developed by the Nuclear Materials Inspection Section for use by the physical security inspectors.
New, portable instrumentation is also being procured for their use in these inspections. This program represents a utilization of an opportunity to inspect shipments enroute as part of an existing effort in safeguards inspections.
Region II is to be conrnended for its pre-licensing efforts associated with the All Chemical Isotope Enrichment, Inc. (AlChemIE) plan to operate centrifuge equipment to enrich common elements for medical, industrial, and research The Region expended 163 manhours in FY88 on this effort, although purposes.
the effort was not anticipated by Headquarters and Region II was not provided with any FTE in their budget.
In FY89 the Region has already expended 141 hours0.00163 days <br />0.0392 hours <br />2.331349e-4 weeks <br />5.36505e-5 months <br /> in its pre-licensing efforts. NMSS has programmed 240 inspection hours for this effort. At the present rate of use, Region II will exceed its allocation of FTE.
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6.
INTERFACES OF REGION II AND NMSS Region II indicated that the interactions between NMSS and the Region were generally outstanding.
The increased inclusion of the Region in preparation and commenting on draft documents was appreciated. The region indicated that it would like to see even more communication at the staff level.
In the safeguards area, the Region suggested that a monthly conference call would be useful, and that additional safeguards workshops would be appropriate.
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RESOURCE UTILIZATION J
The following table shows FTE allocations and expenditures for the review period.
Region II has no program support funds in the hMSS mission areas.
FY89 FY88 ANNUAL BUDGET EXPENDED PROGRAM ACTIVITY BUDGET EXPENDED BUDGET OCT-JAN. OCT-JAN.
t Fuel Facility Licensing 0
0.13 Event Evaluation 0
0.05 0.8 0.3 0.3 100 Materials Licensing 4.0 3.5 87 3.2 1.1 1.3 118 Materials Inspection 5.3 4.6 87 6.1 2.0 1.6 80 Fuel Facility Insp.
6.2 5.3 86 6.2 2.1 2.0 95 SG Fuel Facility Lic.
0.9 0.4 44 1.0 0.3 0.2 67 SG Fuel Facility Insp.
4.6 5.3 115 4.6 1.5 1.9 127 SG Transportation Insp.
0.4 0.013 3
0.4 0.1 0
0 LLW Inspection 0.012 0.3 0.1 0
NMS Section Supv.
~T3 TR IF I9 G
G T65 NMTS Section Supv.
0.3 0.65 217 0.3 0.1 0.3 300 TOTAL 23.2 21.6 93 24.8 8.2 8.2 100 NOTE:
FY88 expenditures from Regional input provided in response to FYP/ Green Book update in 12/88.
LLW inspection resources are included in materials, fuel facility, uranium recovery and transportation inspections.
Region II currently regulates about 1000 byproduct materials licensees.
l In FY88, Region 11 completed 654 material licensing actions against an Operating Plan goal of 610(107 percent) with less than budgeted resources. They completed 372 material inspections compared to a goal of 350 (106 percent) with less than budgeted resources. However, in FY89, actual completions for both licensing reviews and inspections were lagging behind projected completions through February 24, 1989. Region 11 subsequently submitted a request to amend its FY89 Operating Plan with ample justification and an explanation of its intended areas of reprogramming.
The shortfall in the number of inspections is attributable to a lack of inspections actually due for completion during the period. Also, the Region 15
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projects that the number of inspections schedulea to be performed during FY89 is 325 compared to the current Operating Plan goal of 383.
Resource expenditures for materials inspections are lower than projected.
The material licensing shortfall is due to the shortage of one full-time license reviewer.
The license reviewer position was unfilled at the time of the review due to an Office of Personnel imposed hiring freeze. Resource expenditures exceed projections due to FTE being redirected from the material inspection effort to assist in the licensing review effort. The Region has also proposed a permanent transfer of an individual from the reactor program to the material licensing effort. Completions are slightly behind projections, tiut exceed receipts, and are starting to increase with the added staff resources.
Region 11 fuel facility safety inspections are being completed on schedule within allocated resources.
In FY88, Region 11 completed 28 fuel cycle safeguards licensing actions versus an Operating Plan goal of 43. Receipts were lower than expected.
Region II resource expenditures for safeguards fuel facility licensing activities have been slightly under expended for the first four months of FY89. Although resource expenditures are slightly lower than projected, casework is being completed in a timely manner.
The inventory at the end of January 1989 was zero.
The resource expenditures for safeguards fuel facility inspections are higher than projected and should meet requirements at year end. Through January,1989, Region II had completed one transportation inspection versus a projected completion of two with less than budgeted resources.
i Operating Plan commitments for Safeguards and Transportation are being met.
In areas where there appears to be a slight deficiency in resource expenditures, Region II has assured Headquarters that the goals stated in the Operating Plan will be accomplished by year end.
In sumary, resource expenditures for the safeguards and transportation program overall are in line with projections.
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8.
RECOMMENDATIONS AND SUGGESTIONS Region II should assure that inspection effort at materials licensees related to low-level waste disposal is recorded in the 766 system to take credit for such efforts.
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Region Il should consider sending the assisting regions a copy of inspection reports signed by Region 11 for the Navy Master Materials license.
This would enhance coordination of the overall inspection effort, since the final Region II report is based upon a draft received from the assisting region.
(Since the program review, Region II has implemented such a procedure).
i NMSS should revise the Inspection Manual to augment Manual Chapter 2510 to better document the practices and experiences of Regions II and IV with master l
materials licenses. Region II agreed it would begin by suggesting changes l
to the Manual Chapter.
Following the initial Region II draf t, NMSS will coordinate the Manual Chapter revision.
The NMSS Domestic Safeguards and Regional Oversight Branch should remind licensees that all 10 CFR 70.32 licensing work should be directed to the Region, rather than to Headquarters, as was directed by the Safeguards Regionalization Field Policy dated December 18, 1984.
NMSS/SGTR should consider providing a refresher course for the Sandia Workshop in two or three years.
In addition, NMSS/LLWM should consider working with the Region to provide training on 10 CFR 61 as requested.
j Region II recommended that chey be invited to meetings involving the Category I licensee security plans and be provided the opportunity to participate with their input to decisions involving plan changes to the Category I security plans.
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4 1989 Region II Program Review - Team Members Atlanta, GA February 28 - March 1,1989 Glen Sjoblom, Division of Industrial and Medical Nuclear Safety, Team Leader Norman McElroy, Division of Industrial and Medical Nuclear Safety George Bidinger, Division of Industrial and Medical Nuclear Safety George Pangburn, Division of Low-Level Waste Management and Decommissioning Pete McLaughlin, Program Management, Policy Development and Analysis Staff Liz Jacobs-Baynard, Program Management, Policy Development and Analysis Staff Al Grella, Division of Safeguards and Transportation William Floyd, Division of Safeguards and Transportation Leroy Person, Division of Low Level Waste Management and Decommissioning l
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REGION II NMSS AUDIT FOR 1989 l
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QUESTION:
NMSS program, and specify the approximate p individual spends on the following activities:
cycle inspection, materials inspection, safeguards activities. fuel cycle l ANSWER-of the amount of time spent on each of the spec j
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Gra,ag Series strect Overhead Overtfres s
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68-15 1348 (I) t5%
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thsality Inspectlen Specialist Clay. E.
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2. QUESTION: Provide a summary of actual expenditures and accomplishments as compar to operating plan / budgeted expenditures and accomplishments. ANSWER: The memorandum from M. Ernst to James M. Taylor dated 1/19/89 provides a comparison between actual and budgeted expenditures and accomplishments for Fiscal Year 1988. Thus far in FY 89 in MC&A licensing, one case was carried forward from FY88 and seven cases have been received. with an average age of 13 days. All eight have been completed Fuel facility licensing comments have been provided to NMSS on all renewals. Fuel facility inspections are on schedule in accordance with DRSS Operating Plan, which is in accordance with MC 2600. A program to substitute for Resident coverage at NNFO has been initiated. provides at least every-other week inspection at NNFD, with emphasis onThi criticality and radiological controls. A similar program will be initiated at NFS when the Resident terminates. Nuclear Material inspections are somewhat below projections at this point. This results from the diversion of two inspectors to support licensing (and reach full qualification as license reviewers). Licensing completions are also currently slightly below projection, but are increasing. license reviewer and has located an candidateThe Region has acti inside the NRC and one outside the NRC. The selection of the candidate from inside the NRC has been delayed by NRC headquarters. a radiation specialist from NRR programs to NMS.As a result, Region II is trans
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Monthly Inspection Status Report For Morith Ending @ *e.1 N x = number.of inspections performed + attempti bumulative)= 11C o = number of inspections perfor1ned (cumulative} ~~T3"I- = d% I I I 1 1 I I j i I .i I I P ~ l I I I I I i ( l I ( I l { I 1 + j f I i I ( no I' 1 i I l ji l j I l I r I / I j j I / I e I i i / I i t i /l i f g 4 l ~/ -~ i )N i / I / I f t / /' ? / ? / e 1 / } J l 2 I i / h f / / l t l / l/ i --J I I / i i I / i I q / f { / }% 1 J l i / I I I / i f I ( / I I ^ l / I t l / I_._. / 4 I 150 t / 6 ~ f r f I / /- / 1 4 / 1F-tA% t t * / / 'F }g /#* s5F-x s i 7 t t /F /; e W. // 6 C g II M ' i 6 f/ / n "I / ' i 8 'V / f e f Al / 50 e II (I i /I 4 6 4 - i e e - v g Jr . > i- -- i 1 1 i r r i - ~ 8 3 ._. ~ '- i . g i .....; _f _ _ J - e'+ _ yp g.at - - 4,,._.4 t i e *.
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FEB 9 1989 MEMORANDUM FOR: Robert A. Erickson, Chief. Safeguards Branch, Division of Reactor Inspection and Safeguards NRR Donald J. Kasun, Acting Chief. Domestic Safeguards and Regional Oversight Branch, Division of Safeguards and Transportation, NMSS FROM: Douglas M. Collins, Acting Director, Division of Radiation Safety and Safeguards
SUBJECT:
REGION II SAFEGUARDS LICENSING CASEWORK STATUS Enclosed is the safeguards Itcensing casework status for the period. ending January 31, 1989. If your staff has any questions concerning the status report, they should contact Jerry Ennis (FTS 242-5787). .l6 t f I l Douglas M. Collins
Enclosure:
Safeguards Licensing Casework Status cc w/ enc 1: P. Starcher, NRR L. Suarez, 255 C. Buracker, NRR W. Floyd, NMSS E. Jacobs-Baynard, NMSS bec w/ enc 1: W. Rankin . W Cline 3 LE McAlpine D. McGuire J. Ennis J. Hunter J. Kirby Safeguards Branch Reading File }b g m .1,ne RII R RII u,,e 2/9/89 2A/09 2/ /89 2/3 /89 2/ /89 \\\\ qQ_ x 1
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3 3. QUESTION: Are there any changes needed in the estimate of workload projection (licensing actions and inspections conducted) for the current fiscal year? If so, please provide your suggested changes. Are there any foreseeable barriers to completing inspection modules in accordance with Manual Chapters 2600 and 28007 ANSWER: The only area that may not be completed is the resident inspection procedures. Augmented coverage will be provided by the Region at NNFD and NFS as a result of the termination of the resident, but all resident procedures may not be completed. There will be a reduction in the number of previously planned MC&A inspections to provide time for retraining of MCLA inspectors, but a minimum program will be conducted. The majority of MC&A inspections in FY89 will be of the team variety to provided NMSS an opportunity to accompany the Region II inspectors and receive additional training. This has been conceptually discussed with the Director, Division of Safeguards and Transportation. There are currently two physical security areas that may have workload projection changes. If B&W and NFS were to suomit plan changes made under the provisions of 10 CFR 70.32 to the Region, licensing FTE should remain essentially as is. rather than Headquarters, If these 70.32 changes are submitted to headquarters, then the projected number of licensing cases that will be processed by the Region may be reduced. AlchemIE represents an uncertain quantity. NMS$ has worked closely with tha Region in establishing FTE to conduct inspections of this licensen. The number of hours actually needed to accomplish the verification inspections will need to be reviewed as we gain experience in this area. With the transfer of resources to NMS, the rate of completion of inspections should improve. In addition when the two NMS radiation specialist complete the qualification criteria for license reviewers and assume review duties the amount of backlog /pending licensing actions should decrease. in the nuclear material safety area. Table 3.A. (enclosed) shows recommen s
TABLE 3.A Proposed Changes to NMSS Workload Projections for Licensing Actions and Inspections INSPECTIONS H Projected Workload - 10/1/88 = 360 Inspections Completed (10/1/88-2/24/88) = 103 Inspections Remaining FY 89 (Due List) u/., 204 = Estimated Reactives and 241 Inspections = 5 Estimated FY 89 Inspections 31Y = (MC 2800 Inspection Frequencies and Number of Licenses in Re appropriate number of routine inspections per year is - 300]gion II indicate an RECOMMENDED INSPECTION WORKLOAD PROJECTION BE CHANGED TO 315 MC 2800 Inspection Procedures will be completed for all required licenses in FY 89 LICENSING l Projected Workload - 10/1/88 = Licensing Actions Completed 2/24/89 650 220 = Estimated Actions for Remaining Fy 89 = 380 Estimated FY 89 Licensing Actions IDD = [ Average Number of Licensing Actions for FY 86-88 was - 600] RECOMMENDED THE WORKLOAD PRGJECTION FOR LICENSING ACTIO 1 l
=. 4. QUESTION: i Are Regional administrative support functions performed in a timely manner? Are changes needed in the manner in which these support functions are performed? If so, please be prepared to discuss the changes needed which would result in optimal administrative support for the program. ANSWER: until recently, administrative support functions have been performed in a timely manner.
- However, recent Regional personnel losses in administrative support have an impact on the turnaround time for inspection reports, acknowledgement letters, licensing actions, and licensing deficiency letters.
The Region has requested authorizat' ion to recruit five administrative support personnel from outside the agency, without success thus far. In addition, the Office Assistant for Emergency Preparedness and Radiological Protection has submitted her letter of resignation. This position is posted. Within the HMSS Branch, actions have been taken to improve tin administrative process. A Branch Administrative Aide has been placed in direct support of the NMS section. Although the Administrative Aide is a Branch asset, her time is almost exclusively spent in support of PMS activities. In order to make efficient use of her time, her priorities, schedules, and work assignments are handled by the NMS Section Chief. The i NMSS Branch Secretary also provides general support to both nuclear materials safety and safeguards activities within the NMSS Branch. This support includes such activities as special typing for escalated enforcement cases, correction on priority reports, and typing on backlogged / overdue cases. In addition the Safeguards Assistant and Materials Licensing Assistant provide support to management by issuing tracking reports (on both licensing and inspection caseload), monitoring open item reports / overdue reports, and providing supporting data and information to the inspection and licensing staff. 1 i i
1 5. QUESTION: i l please provide your comments on tne programs for interaction of Headquarters with your Region. Please include your comments on the usefulness of the conference calls, licensing workshops, executive management seminars, inscection accompaniments, telephone calls on case reviews, tecnnical assistance provided on a day-to-day basis, standard review plans, guides, etc. Include in your comments your suggestions and recommendations for modifications, changes, improvements, etc. in the interaction programs. ANSWER: In general, communications between Region II and NMSS are outstanding at all levels. Telephone calls on fuel facility licensing reviews are working well which relates to technical information requests and policy / program issues. Of particular note is the recent joint meeting (NMSS and Region II) with Nuclear Fuel Services on license renewal. This type of interaction should be continued. Providing advanced copies of program develocment documents and periodic conference calls are extremely useful in providing information and clarifying guidance to and among tne Regions. If anything, these activities should be expanded. The NMSS licensing /iospection workshop held in January 1989, was a productive meeting and resulted in a better understanding of goals / objectives. Participation by the military broad licensees (USAF and USN) was beneficial and should be encouraged in the future. The management seminars have also been helpful from a planning perspective. 1 Participation by headquarters and Regional representatives at PIP meetings { has resulted in both parties having a clear understanding of issues and sends a unified message to the licensee. e e e
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6. QUESTION: i Summarize Regional initiatives to improve the quality of inspections and license reviews, particularly those aimed toward problems at licensed facilities, or those aimed at preventing safety their transi,ortation activities in a safe manner. licensees performing ANSWER: The Region imposed by Order, a performance improvement program at 1 Hospital Metropolitano. Regional mana met recently with I hospital managtment to review progress. gement The Region held, in conjunction with NMSS, a workshop for Medical Licensees in Puerto Rico, where there have been a substantial number of safety issued identified recently. This workshop was well attended. Program improvements resulting from this workshop i have already been noted. The Region plans a workshop for Medical Licensees in West Virginia area in May 1989. In addition regional representatives will be making presentation on NRC's nuclear medicine regulatory program at the Southeast meeting of America Association of Physicist in Medicine in Memphis, Tennessee (late March 1989) and the Mid-Eastern Chapter i of the Society Nuclear Medicine (Charlottesville, VA, April 1989). The Region is cross-qualifying two inspectors as license reviewers. The Region is following closely the NNFD PIPS in the areas of criticality control and radiological controls. Regional management meets approximately quarterly with licensee management to review progress in these areas. MC&A team inspections were conducted at five Region II fuel facilities to provide cross-training of inspectors into other areas and to promote communication with headouarters. These inspections have provided an integrated evaluation of MC&A programs and have resulted in cross 4 training of MC&A personnel. A taas inspection was conducted at General Electric to assess the licensee's readiness to implement the Facility Attachment prepared by the IAEA. This inspection _resulted in an_ improved.. understanding of_. safeguards requirements prescr-iW.4nternst40neh agreementy
l MC&A team inspections will be continued in FY89.
The region played a key role in developing safeguards requirements and inspection procedures fon-the44Mt-ever, privateiymperated s'as -- centrifuge facility. - --- ---@ : : t-
The Region assisted in the development, implementation and evaluation of the pilot force-on-force exercise at B&W Navy, which resulted in a methodology for more realistic testing of physical security methods. The Region is conducting Team ALARA inspections at fuel facilities, based on co.1cepts developed during Team ALARA insoections at power reactors. These inspections will result better understanding of ALARA issues and approaches.in the licensee's n The Region is observing fuel facility emergency drills. These observations have resulted in changes in methods of drill conduct, resulting in true tests of plans and procedures to determine where improvements are necessary. t - - - - - ~ - se G
) 7. QUESTION: Summarize the total number of inspections of Transportation activities at MC 2800 licensed program facilities (Procedure 87640) including average staf f-hours per inspection and a brief summary of the most typically i observed violations. Summarize (Regions II and V) referrals to other regions of state identified violations on shipments Dy NRC licensees to commercial burial sites. Summarize the status of completion of inspections of Transportation activities at 2600 (#18740) and 2500 (#86740 and #86721) program facilities. Please provide any early observations on the impact of Core Inspection Procedure #83750 on Transportation activities at 2500 Program facilities. the inspection of l ANSWER: i i
TABLE OF CONTENTS FOR DISCUSSION TOPICS A Trends in timeliness for licensing casework and inspections; how delays are identified and corrected in licensing process. 8 Supervisory participation and feedback in licensing casework and inspection activities and involvement with inspector accompaniments and training. C Training program for reviewers and inspectors D Inspection performance on allegations, incidents, decommissioning, and medical misadministrations E Procedures for license application resubmissions, deficiency letters, abandonment letters, telephone deficiencies, expired licenses, returned mail. F Regional initiatives G Interface with licensees; proposed seminars / workshops ete; dealing with problem licensees H Perfonnance Evaluation Factors Resource Utilization
REGION 11 OPEN ITEMS
SUMMARY
ITEMS PRIOR TO 1987 1 ,o. LEGEND soo ~ REGION 11 i ___ DRS vs " ...... D R S S _ __. D R P a 4.o n. O LA. o ~ m 2 N 3 N z N soo '-.s-.. N u-N N - s.._ N ~. " - _ _ ~ o e/22/es 7/te/no e/is/no e/mo/no is/os/es 12/14/es 02/om/es 7/e/no e/om/ne e/7/ee so/2a/no 11/se/se s/1e/ne w us m u V gr ,y ,,g ,N g
SUMMARY
STATUS OF REGION 11 INSPECTION REPORTS (MONTHLY MOVING AVG) so LEGEND ,A. / .................................................................................../.......\\..i......... REGION 11 (IND) .S o \\ __ DRs / ', ~ \\ DRSS 40 .......................................................................................................\\ DRP \\ ,;,W NRC MC (IND) \\ N
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Accompaniments by Edward McAlpine i l Dates Location Inspectors { 11/18-20/87 B&W NNFD Bates, Clay, Jones Todd, Seymour 3/16-18/88 GE Bates, Clay, Jones Todd, Seymour i 4/27-29/88 NFS Bates, Clay, Jones Todd,'Seymour 6/22-24/88 W Bates, Clay, Jones Seymour 7/19-22/88 B&W NNFD Troup, Kasnicki Lee 9/28-30/88 GE Bates, Clay, Jones Todd, Seymour 12/26-29/88 W Jones, Seymour 9 e .,--,w
Accompaniments by William Cline Da tes Location (s) Inspector (s) 3/3-4/88 Metropolitano Hospital Edward Kline San Juan, Puerto Rico 8/9-10/88 Wise Hospital Mark Elliott Wise, Virginia Big Stone Gap Hospital Mark Elliott Big Stone Gap, Virginia 3/22-23/88 Chem Nuclear Commissioner Carr Barwell, South Carolina HQ 9/20-23/88 Maryview Hospital Edward Kline Portsmouth, Virigina B&W - NNFD Dave Thompson Lynchburg, Virginia 'HQ Applied Radiant Energy HQ Lynchburg, Virginia i Thomas Memorial Hospital Sandra Waldron Charleston, West Virginia 12/8-9/88 U. 5. Navy License Review Robert Brown Capital City, Virginia 1/21-23/89 Nuclear Medicine Workshop Robert Brown San Juan, Puerto Rico Edward Kline 2/8-10/89 Metropolitano Hospital Edward Kline San Juan, Puerto Rico Mayaguez Medical Center Robert Brown Mayaguez, Puerto Rico
. = e e i Accompaniments by Chuck Hosey Dates Facility Inspector-2/3-4/88 NFS Roy Weddington 1/25-28 B&W Navy Betty Revsin 1 o ? l i l 1 ) 1 l 1 I 4 4 9 1
Accompaniments by D. M. Collins Date Location (s) Inspector ( s) 12/13/88 University of West Virginia Lee Franklin Enforcement Conference 9/7/88 . B&W - NNFD George Kuzo PIP Meeting June 1988. RSI Support to Georgia, State of Georgia 5/5/88 B&W - NNFD George Kuzo PIP Meeting 'L 1 j e 4 h e
Accompaniments by J. B. Kahle Dates Facility Inspector 3/17-18/88 NFS HQ State of Tennessee 6/21-23/88 NFS HQ-State of Tennessee 9/21-22/88 NFS HQ State of Tennessee 1/19/89 GE Hector Bermudez + i l 1 I 1 e
r Accompaniments by Thomas Decker Date Location I_nspector 2/9/89 Westinghouse George Kuzo l i +
a Accompaniments by J. P. Potter Date location (s) In spector( s) U.S. Army Corps of Engineers Lee Franklin Marietta, Georgia U.S. Geological Survey Robert Brown Doraville, Georgia Tampa VA Hospital Edward Kline Tampa, Florida Miami VA Hospital Edward Kline Miami, Florida USDA Agriculture Miami, Florida Edward Kline., QC Laboratories Edward Kline Hollywood, Florida Inspection. Testing Surveys Mark Elliott Chattanooga, Tennessee TVA Mark Elliott Chattanooga, Tennessee \\ U.S. Naval Hospital Sandra Waldron Drug Screening Laboratory i Jacksonville, Florida e .m -}}