ML20059C779
| ML20059C779 | |
| Person / Time | |
|---|---|
| Site: | Peach Bottom |
| Issue date: | 12/20/1993 |
| From: | Bores R, Eckert L NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION I) |
| To: | |
| Shared Package | |
| ML20059C760 | List: |
| References | |
| 50-277-93-27-EC, 50-278-93-27, NUDOCS 9401060083 | |
| Download: ML20059C779 (24) | |
See also: IR 05000277/1993027
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U. S. NUCLEAR REGULATORY COMMISSION
REGION I
l
,
Enforcement Conference Report No.
50-277/93-27. 50-278/93-27
Docket Nos.
50-277. 50-278
,
1
License Nos.
Licensee:
Philadelphia Electric Company (PECo)
Nuclear Gmup Headquaners
Corresoondence Control Desk
,
P. O. Box 195
Wayne. Pennsylvania 19087-0195
{
Facility Name:
Peach Bottom Atomic Power Station (PBAPS)
+
Enforcement Conference At:
King of Pmssia. Pennsylvania
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Conference Conducted:
December 10.1993
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Prepared By:
A
7
C/IC[93
L.Mken,# adiation Specialist
. Date
!
R
Facilities Radiation Protection Section
4
Appmved By:
l
4M#43
Dr. R. Boh, Chief
Date
Facilities Radiation Protection Section
Conference Summary: A closed Enforcement Confemnce was held to discuss the safety
significance of three events pertaining to entry into controlled areas without satisfying all
radiological safety requirements during the period of October 27-29,1993. Although no
overexposure occurred, three apparent violations of regulatory mquirements were identified.
During the conference, the licensee's evaluation of the three apparent violations was
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,
discussed, along with the immediate and long-term corrective actions, and the licensee's
'
perception of the appmpriateness of the apparent violations relative to criteria outlined in the
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NRC Enforcement Policy. The conference was attended by licensee management and staff
and by NRC management and staff.
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9401060083 931222 '.
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ADDCK 05000277.
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DETAILS
1.0
Licensee and NRC Personnel in Attendance
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Attachment 1 to this conference repon identifies licensee and NRC personnel in attendance.
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2.0
Purpose of Conference
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The purpose of the conference was to discuss the safety significance of three events
penaining to entry into controlled areas without satisfying all radiological safety
requirements. The events occurred during the period October 27-29,1993. Details of these
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events are described in NRC Region I Combined Inspection Report Nos. 50-227/93-27, and
50-278/93-27. Also discussed during the conference were the licensee's evaluation of three
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apparent violations identified during the inspection, the licensee's investigation of these
events, the immediate and long-term corrective actions, and the perception of the
!
appropriateness of the violations relative to criteria outlined in the NRC's Enforcement
,
Policy (10 CFR Pan 2, Appendix C). The conference was closed to the public.
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3.0
NRC Comments
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NRC management opened the conference by identifying the purpose of the conference,
describing the enforcement process, and presenting a summary of the event and the apparent
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violations. Attachment 2 to this conference report provides the conference agenda.
4.0
Licensee Comments
!
5
Licensee representatives provided: a description of the events, immediate and long-tenn
corrective actions, a summary of the internal evaluation of the events; and a brief overview
1
on their perspective concerning radiation worker practice discrepancies over the last two
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refueling outages. Attachment 3 to this conference report is a copy of the licensee's
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presentation.
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5.0
NRC Summary
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NRC management closed the conference by informing the licensee that the infonnation
provided would be used by NRC in determining an appropriate course of action. The .
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licensee was also infonned that NRC's decision in this regard would be communicated in
writing at a later date.
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A*ITACIIMENT 1
Licensee Attendees:
t
G. Edwartis
Plant Manager
G. Gellrich
Senior Manager Operations
' D. Goodell
System Manager, Engineering
G. Haney
Plant Equipment Operator
M. Kray
Licensing Manager
R. Moore
Manager, Radiation Protection
T. Niessen
Director, Engineering
G. Rainey
Vice President, PBAPS
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R. Simpson
Engineer, PBAPS Engineering
D. Smith
Senior Vice President, PECo
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A. Wasong
Manager, Experience Assessment
NRC Attendees
C. Anderson
Reactor Projects Section Chief 2B, DRP
P. Bonnet
Resident Inspector, PBAPS, DRP
R. Bores
Facilities Radiation Protection Section Chief, DRSS
L. Ecken
Radiation Specialist, DRSS
R. Fernandes
Reactor Engineer, DRP
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D. Holody, Jr.
Enforcement Officer, ORA
J.Joyner
Facilities Radiological Safety and Safeguards Branch Chief, DRSS
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L. Nicholson
Acting Project Director, NRR
!
W. Schmidt
. Senior Resident Inspector, PBAPS, DRP
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S. Shankman
Deputy Dimctor, DRSS
K. Smith
Regional Counsel, ORA
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E. Wenzinger
Reactor Projects Branch Chief, Branch 2, DRP
Other Attendecs:
.r
H. Abendroth
Atlantic City Electric Site Representative
K. Buddenbohn
Delmarva Power
J. Carey, Jr.
Public Service Eectric & Gas
S. Miangi
Nuclear Engineer, Pennsylvania Bureau of Radiation Protection
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Agenda
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Peach Bottom Atomic Power Station
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Enforcement Conference
December 10,1993
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introductory Remarks -
D. M. Smith
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Senior Vice President, Nuclear-
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G. R. Rainey,
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Vice President, Peach Bottom
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Discussion of Events -
R. M. Moore, Manager,
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Radiation Protection
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Performance Assessment -
G. D. Edwards,
Plant Manager
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Regulatory Considerations -
A. J. Wasong, Manager
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Experience Assessment
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Closing Remarks -
D. M. Smith,
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Senior Vice President, Nuclear
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EVENT
1
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Operator entry into a High Radiation
Area without an alarming dosimeter
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.
October 27,1993
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Operator
entered
area
for
approximately
2
minutes to open three valves
s
HP Technician observed the operator leaving the
area
,
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The HP Technician
questioned the: operator
regarding HP coverage
.
Operator
was
familiar with
the
radiological
conditions in the area
,
.
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Dose rate in area was60-120 mrem /br
Dose
received
by
the
Operator
was
approximately Smrem
Operator perceived radiological consequences as
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minimal
Operator failed to follow the Radiation Work
Permit instructions
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HP Technician initiated an investigation
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Causal Factors
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Operator-
rationalized
that
radiological
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consequences were minimal
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Perceived consequences for improper behavior
not considered significant
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EVENT 2
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System Manager entry into a posted
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High Radiation Area without an
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alarm.ina dos.imeter
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October 28,1993
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System Manager was notified of a service water
leak
,
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.
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System Manager observed a large leak and
,
immediately reacted by climbing a scaffolding to
stop the leak
The leak created a situation that the System
-
Manager thought required immediate corrective
actions
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System
Manager
was
familiar
with
the
.
-
radiological conditions in the area
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The
System
Manager was
in the
area for
approximately 2 minutes
Dose
rate
in the scaffold
area
was 40-60
mrem /hr
.
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EVENT 2
,.
_ System Manager entry into a posted
-
High Radiation Area without an
,
_ alarming dosimeter
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Dose received by the System Manager was
approximately Smrem
,
System Manager failed to follow the Radiation
Work
Permit instructions
and proper safety
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practices for climbing
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Operations ~ self
identified
the
situation
and
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initiated an investigation
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EVENT 2
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Causal Factors
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The System Manager became focused
on stopping the leak
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EVENT 3
1
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Enaineer entry into a posted
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Respiratory Protection Required Area
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without authorization
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October 29,1993
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Engineer was assigned to photograph valves and-
,
inspect insulation in the drywell
..
Engineer
discussed
the
job
with -the
Technicians
Valve insulation was recently removed in one of
the areas needing inspection
HP Technicians instructed the Engineer not to
enter the posted Respiratory Protection Area
until survey results were known
Engineer
attempted
to
contact
the
.HP
Technician while in the area
,
HP Technician was busy at the control point
.
Engineer felt sufficient time had elapsed since
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the
insulation
was
removed,
to
dilute
any
airborne activity
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EVENT 3
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Ena_ineer entry into a posted
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Respiratory Protection Required Area
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without authorization
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Engineer
failed
to
follow
Technician
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instructions and rad postings by entering the
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area for approximately 1 minute to obtain a.
picture of valve
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Roving HP Technician noticed Engineer in the
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posted area
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-
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Control
Point
Technician
removed
the
Engineer from the area
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Air sample taken prior to the Engineer's entry
showed subsequently that respiratory protection,
was not required
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HP Technician initiated an event investigation
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Engineer rationalized that sufficie~nt time had
elapsed to dilute any airborne contaminants
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immediate Corrective Actions
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NRC promptly notified
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Formal investigations initiated
Individuals removed from controlled areas
Individuals
received
appropriate
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disciplinary action
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Rad Protection Program initiatives
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- * =
-a*-- * - *
i
..
!l208.!
@#2l!
'
0-
-
-
1988
1989
1990
1991
1992
1993
i
DATA AS OF 12/06/93
l
l
perhisto
I
!
- .
I
4
4
~
RESPIRATOR USE 1988
993
Thousands
20
[I8]!
m
.
,
,
15 -- -e e:~ ~
~ ~ ~ ~ - - ~ ~ ~
- - - -~e:~m ----- - -
=
=
23:
!!!:
. .
I-
'
1......
.uun
10 m
-=wmi-
-ar
mi
- * i9..5 + +"m =-=la-:wi+
- u
-
- j
- - .::
- ;.
$
$
!!sih!Eiy
- *
5
!!i
re
&
,
1988
1989
1990
1991
1992
1993
.
.
.
..
.
. ... . . . . .
. . . . - .
..
. . . . . . .
..
.
. .
_ _ _ _ _
.
.
-
.
.
,
.
.
.
..
.
'
1993 Rad Protection
<
Program In.t. tives
i
ia
.
P
t
,
Strengthened HP Management Team
Increased supervisory oversight
l
I
Technician NRRPT certification
.l
1
1
Increased
rad
worker
awareness
and
)
enforcement
J
.
--
~
.
d
'
..
.
l
PERSONNEL
'
PERFORMANCE
Previous improvement initiatives concentrated
on program enhancements
Improvement
occurred
but
programmatic
solutions cannot resolve all issues
t
As programmatic issues decreased personnel
performance issues became more evident
,
Continued improvement requires emphasis on
resolving personnel performance issues
1
4
i
4
, ,
,
MANAGEMENT
'
ACTION
.
b
Step Up Plan developed
>
a
P
f
Clear performance expectations established
?
Increased
performance
monitoring
by
supervision instituted
Emphasis on personal accountability
.
More reinforcement of good performance
.
Greater
consequences
associated with
poor
performance
.
i
i
r
-
,
.*
,
,
l
l
'
..
,
!
!
Regulatory
'
Considerations
5
>
I
h
!
l
i
!
!
!
i
,
Mitigating factors for individuals
,
~
Mitigating factors for licensee
!
,
&
f
l
l
!
-
i
>
i
i
I
.
_
. .
.
__
-
.
.
'
'
MITIGATING
.
FACTORS FOR
INDIVIDUALS
i
L
Non-supervisory, Non-Licensed Personnel
No history of non-compliance with radiological
requirements
Cooperated fully with investigations
Minimal personal benefit
No malicious intent involved
.
Perceived radiological consequences were low
Actual safety significance was minimal
Individuals
accepted
responsibility
for
their
actions and communicated lessons learned to
peers
)
Appropriate disciplinary action taken
-
l
I
..
.
-
,
l
MITIGATING
FACTORS FOR
LICENSEE
!
,
Licensee Identified
Events promptly reported to NRC
Investigation and Corrective Action initiated by
licensee
s
Root Cause Analysis was comprehensive
Appropriate radiological control existed
')
Worker training was adequate
2
Short time between events limited opportunity
l
to prevent recurrence
Low radiological safety significance
Appropriate remedial action taken
Plan to improve personnel performance was
under development when events occurred
,
i
l
'
.