ML20092M515

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Revised Audit & Review Plan for Id State Univ Agn Nuclear Reactor for Period 920204
ML20092M515
Person / Time
Site: Idaho State University
Issue date: 02/04/1992
From: Crawford K
IDAHO STATE UNIV., POCATELLO, ID
To:
Shared Package
ML20092M458 List:
References
PROC-920204, NUDOCS 9202270338
Download: ML20092M515 (17)


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1 AUDIT AND REVIEW PLAN EOR THE IDAHO STATE UNIVERSITY l AGN NUCLEAR REACTOR Nuclear Engineering Laboratory Idaho State University Pocatello, Idaho 83209 K, C. Crawford Reactor Supervisor I

Revised 4 February 1992-9202270338 920218 PDR ADOCK 05000284 G PDR t

I. Purpose This document sets forth the requirements for the Audit and Review Program for the Idaho State University's AGN Research Nuclear Reactor (R-110). The audit and review program is established to provide a method for the independent audit and review of the safety aspects of reactor facility operations to advise facility management. The purpose of the audit and review program is to ensure that all facility do umentation is completely and properly maintained to satisfy R-110 licensing conditions.

II. Regulatory Requirements Audit Audits and reviews are functions explicitly assigned to the Reactor Safety Committee or subcommittee (s) thereofin the R-110 Technical Specifications (TS). Audits shallinclude an examination of the following pursuant to TS 6.4.3:

(1) reactor operating records (defined in TS 6.10) annually, (2) operator requalification procedures biennially, (3) changes in equipment or deviations from procedures, (4) emergency proculures biennially, and (5) facility security procedures biennially.

Review The TS does not specify a review frequency for items 1-7 in the list below. These reviews will be performed on an as needed basis. Item 8, however, is required to be reviewed on a biennial schedule not to exceed 30 months. Review topics outlined in TS 6.4.2 include the following:

(1) all new experiments utilizing the reactor facility (2) all proposed changes to the facility license by amendment, and to the Technical Specifications.

(3) audit reports (4) significant operating abnormalities or deviations from normal and expected performance of facility equipment that affect nuclear safety (5) approvals of all determinations of whether a proposed change, test or experiment would constitute a change in the Technical specifications or an unreviewed safety question as defined in 10CFR50.59.

(6) reportable occurrences and the reports filed with the NRC for said occurrences (7) all standard operating procedures and changes thereto (8) all standard procedures, the facility emergency plan, and the facility security plan.

III. Guidelines Audit l

The audit process is described in the ANSI /ANS standards. Audits are selective examinations of the i

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- _ _ _ . _ ~ _ . _ . _ _ _ _ _ _ _ _ _ _ . _ _ . _ _ . . _ _ . . _ . - _ _ _

s operating records. ANSI /ANS 15.1 (6.2.4) and ANSI /ANS 15.18 (3.5.4.) both suggest and TS 6A3-requires that in no case shall the individualimmediately responsible for the area audit that area - Audit -

4 reports should be submitted directly to_the Facility director as the Level I representative of_ facility management, and to the audit group members within three months after the audit has been completed.

Sebjects of examinations include operating records, logs, and other documents involving the following:

(1) Emergency Plan (2) Physical Security Plan -

(3) Operator Requalification Plan (4) Radiation Safety Program (5) Standard Operating Procedures.

Review The review process is further described in the ANSI /ANS standards. Reviews are program-wide examinations.to assess overall. compliance with_the Code of Federal Regulations, NRC Regulatory Guides, ANSI /ANS Standards, Technical Specifications, NUREG's, and other documents.fANSI/ANS 15.1 (6.2.3(8))and ANSI /ANS 15.18 (3.5.3(h))both suggest that audit reports be included in the review .

process. - Review reports should be submitted directly to the Facility Director as the Level I representative of facility management, and to the review group members in a timely. manner after the review has been completed. These plans, programs, and procedures to be reviewed include the following: *

(1) Emergency Plan (2) Physical Security Plan (3) Operator Requalification Plan (4) Radiation Safety Program (5) Standard Operating Procedures ,

IV. Responsibility Since responsibility for audit and review program lies solely with the Reactor _ Safety Committee (TS 6.1.6,6.4.2, and 6.4.3) a subcommittee thereof shall be established to conduct and. report activities associated with this plan. Audit and Review subcommittec(s) shall be composed of at least three persons (ANS!!ANS 15.1 (6.2.1)). Members and alternatives shall be appointed by and report to the Facility Director as Leve1 1 management. Members shall be appointed from the Reactor Safety Committee and shall collectively represent a broad spectrum of expertise in the appropriate _ reactor technology. No subcommittee member shall be assigned to audit in an area for which the mem_ber has .

_ pri nci pa l responsibility. Qualified and approved alternates may serve in the absence _ of regular.

members.

Audit and review activities shall be initiated by the Chairman of the RSC at the regularly scheduled RSC meeting prior to'the scheduled activity by assigning a. member of the subcommittee the responsibility _

of completing the identified task. A suggested schedule for performance of these activities is contained-in the appendix.

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. s V. Criteria for Assessment The auditor or reviewer must have criteria (bases) to judge when an item is in compliance. For audits, an item is not in compliance if a procedure is incomplete either through failure to initiate a procedure or failure to appropriately complete the procedure. For reviews, an item is not incompliance if the plan, procedures, or other reports do not document the regulatory requirements or guidelines.

VI. Audit and Review Materials Audit Audit Reports shall be filed on a form NEL-029 (see appendix) and shall be submitted to the Facility Director in a timely manner. The following outline is provided to assist the auditor in selecting the proper audit materials, The bases (plans, procedures, and programs) are to be used to compare records for compliance.

Emergency Plan Bases Emergency Plan Emergency Procedures (SOP Ch. 8, and Police Dispatcher's Procedures)

Records Emergency Drill Planning and Evaluation Memos Emergency Procedures Training (attendance list, NEL-032)

Emergency Procedures Training for Support Agencies (attendance list)

Radiation Safety Program Bases Idaho State University Radiological Health Procedures Standard Operating Procedures (Ch. 7)

Records Personnel Exposure Records Irradiation Request (radioactive materials transfer / release), NEL-027 Radiation Safety Training (attendance list, NEL-032)

Laboratory Surveys Monitor and Detector Calibrations i

Requahfication Plan Bases Operator Requalification Plan Standard Operating Procedures (Ch.10)

Records Operator License Files License Medical Exam, Form 396 and Physicians Form Operator Training, NEL-025 Annual RSC Chairman's Review Memo lecture Attendance, NEL-032 Security Plan Bases Security Plan Standard Operating Procedures (Ch. 9)

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Records Safeguard Events Log Security Training (attendance list, NEL-032)

Standard Operating Procedures Bases Standard Operating Procedures (except Ch. 7-10)

Records Operations Img Preliminary and Termination Checks Maintenance Log Procedures Log Experiments Log Review Review Reports shall be filed on a form NEL-034 (see appendix) and shall be submitted to the Facility Director in a timely manner The following outline is provided to assist the auditor in selecting the proper audit materials. The bases (license conditions, technical specifications, regulations, guidelines, standards, etc.) are to be used to compare plans, programs, and procedures for compliance.

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._ _______.________-_-_-_________________________.____m_..____-__m___. __.____.__.____Q

Dnergency Plan 11ases 10CFR50.54 and Part 50, Appendix E NUREG-0849 Regulatory Gt:ide 2.6 ANS!/ANS 15.16 Records Emergency Plan Emergency Procedures (SOP Ch. 8, and Police / Fire /llospital Procedures)

Radiation Sqfety Program {

3ases 10CFR20 Technical specifications 3.7,4.3.3, and 5.4 ANSI /ANS 15.11 Records j Idaho State University Radiological licalth Procedures Standard Operating Pixedures (Ch. 7)

Requaltlication Plan liases 10CFR19.12 10CFR55.41,43,53, and 59 Technical Specifications 6.3,6.4, and 6.5.2 Regulatory Guides 8.13, 8.27, and 8.29 ANSI /ANS 15.4 Records Operator Requalification Plan Standard Operating Procedures (Ch.10)

Security Plan ,

llases 10CFR50.54(p), and Parts 70 and 73 NUREG 1304 Regulatory Guides (5.12 and 5.65)

ANSI /ANS 15.14

Records Security Plan Standard Operating Procedures (Ch. 9)

Standard Operating Procedures Bases 10CFR20, 50, and 55 R Il0 Technical Specifications R 110 License University Broad Nrm License Records S andard Operating Procedures (except Ch. 710)

Yll. Correction of items Not in Compliante Management of the reactor facill'y will assess items listed not in compliance, if the item requires action, the appropriate procedure shall be determined. For example, if an entry is missing on a procedure, information concerning the item shall be acquired and the item shall be corrected with an initialed and dated entry on the procedure. If an item constitutes a reportable occurrence, then the item shall be reported pursuant to TS 6.9.2. If a procedure or plan requires modineation, facility staff will draft the modlSed document for review by the RSC at the next meeting. Other situations will be corrected appropriately.

VIII. l' allure to Begin Audit or Review Audits and reviews are required to be performed on a regular schedule established in the TS as suggested in the appendix. Failure to satisfy the frequency requirements of the TS is based on the intervals between the last day of the last audit or review and the Drst day of the next audit or review, the time required for the function is neglected.

IX. Records Program tracking shall be maintained in the Audit and Review Log. When an Audit Report NEL-029 or Review Report NEL-034 is submitted by a subcommittee member to the facility Director, the report shall be placed into the Audit and Review Log. Filing of the report shall be logged in the Biennial Audit and Review Program Checklist, NEL-035 (see appendix). These records shall be maintained in the Facility for at least three years before being Died in the archives.

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APPLNDIX A. Suggested Schedule

1. Audits l
a. May, every year (1) Standard Operating Procedures (operations records)

(2) Changes in equipment or deviations from procedures

b. November, even years (1) Radiation Safety Program (2) Requalification Plan
c. November, odd years (1) Emergency Plan I (2) Security Plan
2. Reviews
a. February, even years (1) Emeri;cncy Plan (2) Security Plan
b. February, odd years (1) Standard ,qerating Procedures
c. November, even years (1) Requalification Plan (2) Radiation Safety Program l

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, Annual Audit nemun of Reactor Operations Records n.sc ame.

Audit Perio,t llegin End Date Conducted: )

Ikgin End Auditor:

Print Name Audit

Subject:

(1) Emergency Plan (3) Rad. Safety Program (5) Standard Operating (2) Requalification Plan (4) Security Plan Procedures llases:

Records: _

Results:

Minimum required (TS 6.4.3) List and Comment on Area Audited (1) Records maintained in the proper location:

(2) Entries legible:

(3) Entries complete:

(4) Conformance to technical specifications:

(5) Dc0ciencies corrected:

Comments and Recommendations (attach additional sheets if necessary):

l Auditor: Date Cc,mpleted:

Form approved by Reactor Safety Committee:

Reacter Administrator: Date: _

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lilennial Revico of n= mm Facilit3 Plam, Proceduns, and Programs nc arre .i Review Period:

11egin IInd Date Conducted:

Begin lind Reviewer:

Print Name i Review

Subject:

(1) IImergency Plan (3) Rad Safety Program (5) Standard Operating (2) Requalification Plan (4) Security Plan Procedures llases: ._

Records:

i Comments and Recommendations (attach additional sheets if necessary):

Reviewer: Date Completed:

Form approved by Reactor Safety Committee:

Reutor Administrator:. Date:

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I Form NElE9 RSC Approval:

RI: QUALIFICATION / TRAINING f "CTURE Topic Instructor __

Name Date Maintenance Log entries covered in training session:

Log Entry Date Log Entry Date M

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REQUALIFICATION LECTURE PROGRAM Topic Instructor Name Date Maintenance Log entries covered in training session:

Log Entry Date Log Entry Date Updated Procedures covered in training session:

Procedure Approval Date Procedure Approval Date Form approved by Reactor Safety Committee:

Reactor Administrator: Date:

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IDAllO STATE UNIVERSITY NUCLEAR ENGINEERING LABORATORY REQUALIFICATION PROGRAM PROGRESS CHECKLIST Operator _ License No.

License Effective Date _/_/_ License Expiration Date _/_/_

Training period (2 years): Beginning _/_/_ Ending _/_/_

l..ecture Program Date Instructor Licensee

1. Nuclear Reactor Theory _/_/_
2. Radiation Control and Safety _/_/_
3. Governing Regulations / /
4. Reactor Design / /
5. Reactor Control and Safety Systems / /
6. Reactor Operating Characteristics _/_/_
7. Normal, Abnormal, and Emer. Op. Procedures _/_/_
8. Technical Specincations and License Conditions _/_i_

On the Job Training SHIFT DUTY Date llours Date Hours Date liours Total 1

Qtr. I_/_/_ _/_/_ _ /_/_

2 _/_/_ _/_/_ _ /_/_

3 _/_/_ / / _ /_/_

4 _/_/_ / / _/_/_

5_/_/_ _/_/_ _/_/_

6 _/_/_ / / -/ /

7 _/_/_ / / _/_/_

8 _/_/_ / / / /

Additional entries may be inserted between the lines.

Form approved by Reactor Safety Committeet Reactor Administrator: Date:

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RSC Appem6124 On the Job Training (cont.)

Prestart Check completed: / / Examiner:

Startup completed: / / Examiner:

Termination completed: _ /_/_ Examiner:

liuluallpas (satisfactory / unsatisfactory)

Written Year One Date Administered _/_/_ Evaluation Year Two Date Administered _/_/_ Evaluation Console Date Examiner Evaluation

1. Prestart Check _ _ _/ /
2. Reactor Startup _ _ _

/ / _.

3. Power Operation _ _ _/ /
4. Termination / /

Operator Reinstatement Failure to complete quarterly shift duties requires certification for operation by the Reactor Supervisor. This is accomplished by serving 6 hours6.944444e-5 days <br />0.00167 hours <br />9.920635e-6 weeks <br />2.283e-6 months <br /> of supervised shift duty.

Quarter Date Supervisor Quarter Date Supervisor Quarter Date Supervisor An unsatisfactory grade in the evaluations requires certification for operation by the Reactor Supervisor. This is accomplished through additional training.

Topic Date Supervisor Topic Date Supervisor Topic Date Supervisor Medical Examination Completion Date: _/_/_

Form approsed by Reactor Safety Committee:

Reactor Administrator: Date:

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Reactor Safety Committee-Charter I. Membership and organization The Reactor Safety Committee is one of the University's regularly constituted standing committees. Appointments to the Committee are made through the office of the Academic Vice President for Research.

The Committee shall be composed of at least five members knowledgeable in fields that relate to nuclear reactor safety. The Committee shall consist of the Reactor Administrator, who shall be the Chairman, the Reactor Supervisor, the Radiation Safety Officer and at least two other members not directly involved in reactor operations _but knowledgeable in-fields:related to nuclear reactor safety.

one member of the Committee other than the Chairman will be appointed by the Chairman to sorve as Secretary of the Committee.

All significant deliberations and all actions of the Committee shall by reported in the minutes by the Secretary in suf ficient detail for an independent reviewer to understand the nature and consequenc's of Committee actions. The Secretary will assure that minutes of each Committee meeting are made and copies distributed to all members after the meeting.

II. Duties and Responsibilities

1. Review and approve safety aspects associated with the use of the reactor facility; in conformance with NRC and University regulations;
2. Review and approve all proposed experiments and procedures as required, and changes thereto, and modifications to the reactor and its associated components;
3. Determine whether proposed experiments, or modifications involve unreviewed safety questions, procedures as defined-in 10CRF 50, Part 50.59 (c), and are in accordance with the-written Technical specifications;
4. Conduct periodic audits of procedures, reactor operations and maintenance, equipment performance, and records;
5. Review all reported abnormal occurrences and violations of the Technical Specifications; evaluate the cause of such events and the corrective action taken, and recommend measures - to prevent recurrence;
6. Reports cof findings and recommendations concerning the above stated items 1-5, whether performed by individual Committee members, or by appointed subcommittees, and to be made to the Reactor Administrator.

III. Meeting The-Committee shall-meet on call of the Chairman and shall meet at least once in each calendar quarter.

o IV. Quorum A quorum for conducting the business of the committee shall consist of a simple majority of its memboral provide that this majority includes the Reactor Administrator, the Reactor Supervisor and the Radiation Safety Officer, or their designates.

V. Parliamentary Rules l Robert's Rules of Order shall be followed in conducting all meetings of the Committee.  !

VI. Order of Business  !

The of ficial agenda, together with copies of all proposals for significant committee actions (e.g. new experiments, proposed 1 amendments to licenses or technical specifications, etc.), as distributed prior to the meeting, shall constitute the principal business at each meeting. The regular order shall bet (1) Roll call; (2) Action on the minutes of the preceding meetings (3) Report by the Reactor Administratori.

(4) Report by the Reactor Supervisorf (5) Report by the Radiation Safety officart (6) Reports by other individuals or subcommitteest (7) Approval of experiments, procedures etc,;

(8) Review of communications, audit of records and reactor operations, logs and miscellaneous matters.

VIII. Records Documentation of the activities of the Committee shall be maintained. The documentation shall include the names and qualifications of the members, the agenda and approved minutes of all Committee meetings, Committee actions, and copies of all correspondence and reports to or from the committee. One complete-file should be prepared and-transmitted annually to the-University Archives. The original file shall be maintained by the Chairman.

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< o c onior iteactor Operator i

~l h e Idaho Etate University College of Engineering invites arptications for a staff opuning for a conior reactor

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! cperator.

1 Applicants muut possess a bachelor's degroo in nuclear onyineering or a related discipline and rnus t qualify for a Itactu l a t or y Commission Senior floactor Operator's lluclear l

j 1iconse within six months of assuming the position. The succensful applicant should have a knowledge of federal i

' tegulations related to reactor operations, and be capable of contaibuting to the college's teaching and research

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i activities. Candidates must be oligible to hold security clearancen. Iteview of applicationn will commence af ter 11 arch

1, 1992; the search will remain open until the position is
filled.

1 Idaho State University is a small, dynamic institution

' locat ed in a region of great natural beauty. The proximity of l

the Idaho llational Engincoring Laboratory and other industries

! provide unu:sua l opportunities for professional development. accredited

! 'l h o College of Engineering offers an A.D.E.T

! undergraduate program in Engincoring, the M.S. in Hoasurements

' & Controls along with the H.S. and Ph.D. in 11uclear Science &

Engineering. Please submit applications including: resume; the names, addresses, and phone numbers of three referencos; j and proof of: legal authority to work permanently in the U.S.

to Chairman, Sito Search & Screen Committee, ISU, P.O. Box 8060, Pocatello, ID 83209. Idaho State University is an affirmative action employer.

I FAX as . censary send to th a c l e a r fl o w s T a b l o i d fluclear Ventures POB 2022, Irmo, SC 29063 (803) 781-4636 Idaho ralls newspaper Idaho State Journal 30 undergraduate 11 uke engineering programs  ;

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