ML20127D041

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Insp Rept 50-285/92-32 on 921214-18.Violations Noted.Major Areas Inspected:Audits & Appraisals,Solid Radwaste Mgt, Training & Qualifications of Personnel,Radwaste Classification,& Transportation Activities
ML20127D041
Person / Time
Site: Fort Calhoun Omaha Public Power District icon.png
Issue date: 01/11/1993
From: Spitzberg B
NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION IV)
To:
Shared Package
ML20127D018 List:
References
50-285-92-32, NUDOCS 9301150070
Download: ML20127D041 (17)


See also: IR 05000285/1992032

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APPENDIX B

U.S. NUCLEAR REGULATORY COMMISSION

REGION IV

inspention Report:

50-285/92-32

Operating License:

DPR-40

Licensee: Omaha Public Power District

444 South 16th Street Mall

Mail Stop 8E/EP4

Omaha, Nebraska 68102-2247

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Facility Name:

fort Calhoun Station

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inspection At:

Fort Calhoun Station, Washington County, Nebraska

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Inspection Conducted:

December 14-18, 1992

Inspector:

A. D. Gaines, Radiation Specialist

Facilities Inspection Programs Section

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Facilities luspection Programs Section

In_spection Summary

Ar_e_as inspected:

Routine, announced inspection of the solid radioactive waste

management and transportation of radioactive materials programs including

audits and appraisals; changes; training and qualifications of personnel;

solid radioactive waste management; radioactive waste classification, waste

characterization, and shipping requirements; transportation activities; and

internal exposure controls as they pertained to Unreso'ved item 285/9219-01.

Results:

Excellent audits s d surveillances were performed by qualified

individuals (L'>r t ior 1.1).

Audits and surveil .nces identified pertinent findings and corrective

actions for the fir aings were timely (Section 1.1).

There had been no major changes in facilities, equipment, programs, or

procedures (Section 2,1).

The radioactive waste operations department had an adequate, well

qualified staff to meet staffing requirements (Section 3.1).

9301150070 930111

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ADOCK 05000285

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An excellent training program for radwaste personnel was in place

(Section 3.1).

Good implementing procedurts for the radioactive waste management

program were maintained (Section 4.1).

An excellent job of identifying and shipping radioactive waste for

burial in 1992 was performed (Section 4.1).

The low-level radioactive waste disposal program was conducted in

accordance with the requirements (Section 5.1).

Excellent implementing procedures that addressed waste classification

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and characterization, selection of packages, preparation of packages,

and delivery of the completed packages to the carrier were maintained

(Section 6.1).

Individuals responsible for transportation of radioactive waste

activities were knowledgeable of the regulatory requirements and burial

site license conditions (Section 6.1).

The review and handling of the uptake incident was excellent

(Section 7.1).

The final root cause analysis was very good and helped the licensee to

self identify the weaknesses that occurred (Section 7.1).

Corrective actions to the uptake incident were prompt and comprehensive

(Section 7.1).

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The licensee did an excellent job of confronting the transuranic issue

(Section 7.1).

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The violations that occurred do not indicate a programmatic breakdown of

the radiation protection program (Section 7.1).

Summary of Inspection Findings:

Failure to revise a radiation work permit when radiological conditions

changed (Section 7.1).

Failure to perform beta radiation dose rate measurements (Section 7.1).

Failure to count samples for gross alpha activity (Section 7.1).

Failure to review survey data for adequacy (Section 7.1).

Failure to start an air sample at the beginning of work likely to cause

airborne activity (Section 7.1)

Failure to post an Airborne Radioactivity Area (Section 7.1).

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Failure to use engineering controls to the extent practicable to limit

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airborne concentration limits (Section 7.1)

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Unresolved Item 50-285/9219-01 was closed (Section 7.1).

Inspectior. Followup Item 50-285/9207-01 was closed (Section 8.1).

Inspection Followup Item 50-285/9207-02 was closed (Section 8.2).

Inspection followup Item 50-285/9207-03 was closed (Section 8.3).

Inspection Followup Item 50-285/9207-04 was closed (Section 8.4).

Inspection Followup Item 50-285/9207-05 was closed (Section 8.5)..

Inspection Followup Item 50-285/9207-06 was closed (Section 8.6).

Attachment:

Attachment - Persons Contacted and Exit Meeting

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DETAILS

1 AUDITS AND APPRAISALS (86750)

The inspector reviewed the quality assurance audit and surveillance programs

regarding the solid radioactive waste and transportation of radioactive

materials programs to determine agreement with commitments in Chapters 12 of

the Updated Safety Analysis Report and compliance with the requirements in

Technical Specification 5.5.2.8.

1.1 Discussion

The inspector reviewed Quality Assurance Audit 63 and the qualifications of

the quality assurance auditors who performed the audit and surveillances of

the solid radioactive waste and transportation programs. Audit and

surveillance reports of quality assurance activities performed since the last

NRC inspection of the solid radioactive waste and transportation programs in

July 1991 were reviewed for scope, thoroughness of program evaluation, and

timely followup of identified deficiencies.

Quality Assurance Audit 63 was

performed in November 1991 in accordance with quality assurance procedures and

schedules. The audit was performed by qualified auditors, who were

knowledgeable in the solid radioactive waste and transportation programs, and

their applicable requirements for nuclear power facilities. The inspector

noted that the audit identified pertinent findings and that prompt corrective

actions were taken to correct the findings. The audit of the solid

radioactive waste and transportation programs was of good quality and

satisfactory to evaluate the licensee's performance in implementing the solid

radicactive waste and transportation programs.

The inspector reviewed the quality assurance surveillances performed during

the period July 1991 through Ncvember 1992 in the areas related to the

performance of the solid radioactive waste and transportation programs. The

quality assurance surveillances were of excellent quality and satisfactory to

evaluate the licensee's performance and provide periodic management oversight.

1.2 Conclusion

Excellent audits and surveillances were performed by qualified individuals.

The audits and surveillances identified pertinent findings and corrective

actions for the findings were timely.

2 CHANGES (86750)

The inspector reviewed the organization, management controls, staffing, and

the assignment of solid radioactive waste and transportation program

responsibilities for changes and to determine agreement with commitments in

Chapter 12 of the Updated Safety Analysis Report and compliance with the

requirements in Technical Specification 5.2.

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2.1 Discussion

The inspector noted that there had been no major changes since the last

inspection in facilities, equipment, programs, and procedures that would have

adversely affected the solid radioactive waste management and transportatien

of radioactive materials programs. The inspector noted that the position of

Supervisor Radwaste Operations was filled, temporarily, by the Radwaste

Operations Coordinator.

The individual who had held the position of

Supervisor Radwaste Operations was no longer employed by the licensee.

The

licensee stated that they hoped to fill the vacancy in the near future.

2.1 Conclusion

There had been no major changes in facilities, equipment, programs, or

procedures.

The position of Supervisor Radwaste Operations was temporarily

filled by the Radwaste Operations Coordinator with no apparent adverse affects

on operation of the program.

3 TRAINING AND QUALIFICATIONS (86750)

The inspector reviewed the training and qualification programs for personnel

responsible for implementing the solid radioactive waste and transportation of

radioactive materials programs to determine agreement with commitments in

Chapter 12 of the Updated Safety Analysis Report and compliance with the

requirements in lechnical Specification 5.3 and the licensee's response to NRC

Bulletin 79-19.

3.1

Discussion

The inspector reviewed individual staff computerized training records and

qualification cards for selected individuals. The licensee's training records

indicated that a vendor radwaste training course was conducted December 1992.

Members of the radioactive waste department, quality control, and the training

department attended the vendor training.

The training included Department of

Transportation regulations,10 CFR Part 61 and 20.311, mixed waste, and

site-specific requirements for low-level waste burial sites.

It was

determined that the radioactive waste operations department had a qualified

staff to perform radioactive waste activities.

3.2 Conclusion

The radioactive waste operations department had a qualified staff to meet

staffing requirements.

The licensee had maintained an excellent training

program for radwaste personnel.

4 SOLID RADI0 ACTIVE WASTE MANAGEMENT (86750)

The inspector reviewed the licensee's solid radioactive waste management

program to determine . compliance with the requirements of Technical Specifications 2.9.2 and 3.12.2 and 10 CFR Part 61 and agreement with

commitments in Chapter 11 of the Updated Safety Analysis Report.

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4.1 Discussion

The inspector reviewed selected radioactive waste procedures that implemented

the licensee's solid radioactive waste management program.

The inspector-

noted that the procedures were adequate for the processing and disposal of

low-level radioactive waste and met the requirements of the licensee's

Technical Specifications.

The inspector reviewed the licensee's records for low-level radioactive waste

shipped since 1988.

The following tabulation shows the total volume and curie

content of the low-level radioactive waste shipped for the period 1988 through

December 11, 1992.

Year

Volume - Cubic Feet

Curie Content

1988

1,722.4

17.5

1989

6,195.0

8.8

1990

4,310.1

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1,334.5

19.7

1992

2,181.5

440.5

In 1992 approximately 439.4 curies of-the curie content that was shipped was

from the licensee's shipments of spent resins and resin filters. The licensee

did a very good. job of identifying and shipping for burial the majority of

radioactive waste on site before January 1, 1993, to preclude the

uncertainties of future burials and interim onsite storage.

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4.2 Conclusion

The licensee had good implementing procedures for the radioactive waste

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management program.

The licensee performed an excellent job of identifying

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and shipping radioactive waste for burial in 1992.

5 RADI0 ACTIVE WASTE CLASSIF? CATION, WASTE CHARACTERIZATION, AND SHIPPING

REQUIREMENTS (86750).

The inspector reviewed the licensee's program for disposal of low-level-

radioactive waste including shipping manifests, waste classification, waste

. form and characterization, shipment labeling, tracking of- waste shipments, and

burial facility license conditions to determine compliance with the

requirements of 10 CFR 20.311, 61.55. and 61.56.

5.1 Discussion

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The inspector reviewed the licensee's radioactive waste procedures and found

the licensee's program for classification and characterization of radioactive

-waste to meet the requirements of 10 CFR Part 61.. The licensee-and a

contractor laboratory performed radiochemical analyses on samples of various

radwaste types to meet the requirements in 10 CFR 61.55 and 61.56.

The test

sample analyses results were used for determination of radwaste classification

and isotopic composition of the radwaste sources.

The licensee performed

isotopic analysis on each batch of radioactive waste packaged for shipment and'

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burial and employed correlation factors for characterization of isotopes not

directly identified.

The inspector reviewed selected radioactive waste shipment manifests and

shipping papers that accompanied the licensee's shipments of radioactive

waste.

The inspector determined that the completed manifests complied with

the requirements of 10 CFR 20.311,

5.2 Conclusion

The licensee's low-level radioactive waste disposal program was conducted in

accordance with the requirements of 10 CFR 20.311, 61.55, and 61.56.

6 TRANSPORTATION ACTIVITIES (86750)

The inspector reviewed the licensee's transportation program for shipment of

radioactive saterials and radioactive waste to determine compliance with the

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requirements of 10 CFR Parts 20, 61, and 71, and 49 CFR Parts 172-189.

6.1 Discussion

6.1.1

Quality Assurance Program

The licensee has maintained an approved Quality Assurance program in

accordance with 10 CFR Part 71, Subpart H, for the transportation of

radioactive materials (Approval 0256, Revision 3).

The approval expires

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July 31, 1994.

6.1.2 Procurement and Selection of Packages

The licensee used strong-tight containers for the shipment of radioactive

waste. Of the 81 shipments made to date in 1992, 31 were laundry shipments in

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steel containers.

Most of the other shipments were in sea and/or land

containers which contained uncompacted waste that was shipped to a vendor who

segregated and repackaged the radioactive waste.

The licensee was on the

user's list for all NRC and Department of Transportationscertified packages

used.

The licensee maintained current documentation on the manufacturer's

design testing, maintenance, and the NRC Certificate of Compliance for all

radioactive material packages used by the licensee.

6.1.3 Preparation of Packages for Shipment

The inspector verified that the licensee had procedures and checklists for the

preparation of radwaste shipments. These procedures provided for visual

inspection of the package prior to filling the container, instructions for

closing and sealing the container, marking and labeling requirements, and

determination of compliance with radiation and contamination limits. The

licensee routinely used a checklist to assure that procedures were followed

and that packages were prepared properly for shipment in accordance with NRC,

Department of Transportation, state, and burial site requirements.

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Discussions with licensee personnel indicated that the individuals involved in

the transportation of radioactive waste and/or materials possessed a working

knowledge of the licensee's procedures and NRC and Department of

Transportation regulations pertaining to the preparation of packages for

shipment.

6.1.4 Delivery of Completed Packages to Carriers

The inspector verified that the licensee's procedures included the required

NRC and Department of Transportation regulations. A review of selected

records and shipping papers for radioactive waste shipments indicated that the

licensee h4 prepared appropriate manifests and shipping papers in accordance

with approved procedures and that the shipping papers included the necessary

information to comply with regulatory requirements. The licensee only used

exclusive use carriers for all radioactive waste shipments and assured that

the following items were in accordance with NRC and Department of

Transportation regulations and station procedures:

radiation levels were

within required limits, transport vehicles were placarded properly, surface

contamination on packages did not exceed requirement levels, and blocks and/or

braces were in place to prevent damage or shifting of the load during transit.

6.1.5 Reccrds, Reports, and Notifications

The inspector reviewed selected records of 15 radioactive waste shipments made

by the licensee during 1992.

The licensee's shipments were adequately

documented to meet NRC and Department of Transportation regulations.

The

licensee maintained records of all radioactive waste and/or materials

shipments as required. The records included all shipping documentation,

radiation surveys, and required notification data.

6.2 Conclusion

The licensee maintained excellent implementing procedures that addressed waste

classification and characterization, selection of packages, preparation of

packages, and delivery of the completed packages to the carrier.

Individuals

responsible for transportation of radioactive waste activities were

knowledgeable of the regulatory requirements and burial site license

conditions. The licensee's shipments of radioactive waste and/or materials had

met applicable transportation requirements.

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INTERNAL EXPOSURE CONTROL (83750)

The inspector reviewed the details concerning a licensee-identified internal

exposure intake to determine compliance with 10 CFR 20.103 requirements.

7.1 Discussion

7.1.1

Intake Incident

On April 16, 1992, during the change-out of the Reactor Letdown Filters CH-17A

and B, a radiation protection technician received an intake of airborne

radioactive material.

The radiation protection technician who received the

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intake of radioactive material was originally stationed outside Room 11 where

the reactor system letdown filters were being replaced.

His function was to

escort the scaled drums containing the used filters to a storage area.

Respiratory protection equipment was not required for this function.

Both

filter assemblies were changed out successfully, and the drums containing the

used filters were transported to storage escorted by the radiation protection

technician.

The radiation protection technician returned to Room 11 expecting

to see the maintenance personnel exiting the area.

Since the maintenance personnel were not in the process of exiting Room 11,

the radiation protection technician proceeded into Room llA to see if

assistance was needed since the process of changing out the tilters was

physically demanding and was compounded by the protective clothirl and

respiratory protection equipment requirements. When the radiation protection

technician reached the boundary of the highly contaminated area, he observed

two of the maintenance personnel in obvious physical stress and still dressed

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in protective clothing and waaring respirators.

The radiation protection

technician immediately began helping undress the stressed maintenance workers.

The highly contaminated clothing was removed, placed in a bag, and left near

the highly contaminated area boundary. The radiation protection technician

escorted the stressed workers to an area where they could rest and recover,

and he returned to Room 11 to see if further assistance was needed. The

radiation protection technician ther, assisted a second radiation protection

technician inside the highly contaminated area in transferring the highly

contaminated protective clothing across the highly contaminated area boundary.

The assisting radiation protection technician had not been required by the

radiation work permit to vere respiratory protection equipment in conjunction

with his original work assr nment. According to interviews with the two

radiation protecti.

tc+ ajans involved, the intake of radioactive material

by the assisting technician probably took place during the process of placirg

a bag of highly contaminated clothing into a clean bag for transport.

At that

time, a localized airborne radioactivity area was generated allowing the

inhalation of radioactive material by the technician not wearing respiratory

protection equipment.

The event was discovered when the radiation protect'on technician attempted to

exit the radiation controlled area and caused the personnel contamination

monitor to alarm. The radiation protection technician was placed on an

exclusion from the radiation controlled area, and in vivo and in vitro

bioassay sampling and measurements were initiated.

The radiation protection

technician showed possible internal contamination from whole-body counts and

positive nasal smears. Respirator cartridges and air sampler filters were

retained for analysis. Air sample activity was subsequently verified to be

higher than expected because of airborne alpha contamination.

7.1.2

Licensee's Exposure Determination

On April 16, 1992, the licensee started their initial investigation of- the

event.

Four urine samples and one fetal sample from the affected radiation

protection technician, one air sampler filter, and two respirator cartridges

were sent to a contractor laboratory for analyses.

Based on the initial gamma

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isotopic analysis results of the four urine samples, the licensee requested a

transuranic analysis on one of the urine samples. The initial gamma isotopic

results of the urine samples were used for preliminary dose calculations as

documented in Radiological Occurrence Report 92-030.

This report assigned

45.52 MPC-hours to the radiation protection technician as a result of his

intake of radioactive material.

Upon receipt of the results from the initial gross alpha, gross beta, and

gamma isotopic analyses of the air sampler filter, the two respirator

cartridges, and the fecal sample, the licensee requested that a transuranic

analysis of the air sampler filter be performed. The tra'scranic analysis of

the first urine sample showed a positive plutonium-238 result. On July 17,

1992, initial dose calculations were performed by the licensee using the

transuranic analysis results from the radiation protection technician's urine

sample. These dose calculations indicated a possible exposure in excess of

the 520 MPC-hour limit specified in 10 CFR 20.103.

The licensee met with the

NRC resident inspectors and informed them of the preliminary results from the

dose calculations and provided the resident inspectors with a copy of the

Radiological Occurrence Report 92-030 which contained the preliminary analysis

of the incident. The exposed radiation protection technician was also

informed of the analytical results of the bioassay samples and the preliminery

analysis of the event and associated dose commitment.

On July 31, 1992, the licensee informed the NRC Region IV office of the event

and the licensee's plans for a followup investigation. Arrangements were made

by the licensee with a consultant to assist in performing the MPC-hour

calculations. Additional results from the urine samples were received from

the contractor laboratory on August 7,1992, and dose calculations based on

these transuranic analytical results indicated a possible intake of

radioactive material in excess of 1800 MPC-hours. However, the consultant's

calculated MPC-hours, based primarily on the radiation protection technician's

whole-body count data, projected an MPC-hour exposure value of approximately

363 MPC-hours.

On August 20, 1992, the licensee informed the NRC Region IV office of the

projected internal exposure of 363 MPC-hours.

A second consultant was

contracted by the licensee to assist in the investigation and dose assessment.

The second consultant had submitted a draft report which indicated a

calculated upper bounds dose of 514 MPC-hours for the transuranics,1 MPC-hour

for cobalt-58 and cobalt-60, and 2 MPC-hours for the remaining activation and

fission product contribution to the total dose. Therefore, the preliminary

upper bounds dose was estimated at 517 MPC-nours.

However, the second

consultant also indicated that the most probable intake dose result would be

close to the 363 MPC-hours calculated by the first consultant and that the

value was probably conrervative.

7.1.3

NRC Assessment of the Licensee's Exposure Determination

At the time of the August 31 through September 4, 1992, NRC inspection, the

licensee had not completed their investigation of this incident and had not

made a final assignment of the internal exposure to the radiation protection

technician. The licensee had therefore, not determined whether this individual

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had exceeded the 520 MPC-hour internal exposure limit specified in

10 CFR 20.103.

This issue was documented as an Unresolved Item in Inspection

Report 50-285/92-19 pending completion of the final MPC-hour evaluation and an

NRC review of radiological controls associated with the event. (Unresolved item

285/9219-01).

Subsequently, the licensee submitted Licensee Event Report 92-29 dated.

November 6, 1992, which documented the April 16, 1992, event.

In the Licensee

Event Report, the licensee stated that they were assigning the value of

366 MPC-hours to the individual, even though the internal dosimetry experts

were in agreement that the actual exposure was less.

The 366 MPC-hours

assigned to the individual is less than NRC's regulatory limit of

520 MPC-hours per quarter and appeared to be a conservative estimate. Just

prior to the exit meeting, the licensee had another internal dosimetry expert

review the data. This review determined that the intake may have been as low

as 19 MPC-hours.

The licensee indicated to the inspector that they would

review these findings and, if they were found to be valid, they would revise

the individuals intake results accordingly.

7.1.4

Licensee's Root Cause Analysis

The licensee had performed a root cause analysis for the uptake incident and

had their quality assurance group review the root cause analysis and the

supporting documents. The quality assurance review revealed several

nondocumented noncompliances, one of which appeared to be a repeat of a

violation identified in NRC Inspection Report 50-285/92-07.

The review also

indicated that the root cause analysis was incomplete in that it had not

addressed issues outside of the identified transuranic uptake.- Because of the-

review, the licensee performed a second in-depth root cause analysis of the

incident.

The inspector reviewed the Root Cause Analysis Report and the incident. This

second root cause-analysis was excellent and helped the licensee to self

identify ten apparent violations of procedures. The inspector did not

identify any further violations during the review of the incident and Root-

Cause Analysis Report. Through discussions with licensee personnel and an

in-depth review of the ten apparent violations that the licensee noted, .the

inspector determined that two of the apparent violations were not valid.

Also, the licensee had identified two apparent procedural violations that the

inspector determined were more appropriately cited as'one violation under

10 CFR Part 20.

Therefore, the inspector noted that there were seven licensee

identified violations, six of which were- procedural violations, and one

violation associated with 10 CFR Part 20.

All procedural violations stemmed

from. Technical Specification 5.8.1.

Technical Specification 5.8.1 states, in part, that written procedures and

administrative policies shall be established, implemented, and maintained that

meet or exceed the minimum requirements of Sections 5.1 and 5.3 of

ANSI N18.7972 and Appendix A of Regulatory Guide 1.33.

Regulatory Guide 1.33, Appendix A, Section 7.e(l) states, in part, that access

control'to radiation ar.eas by a radiation work permit system should be covered

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by written procedures.

Radiation Protection Procedure RP-201,

Section 7.6.2.A(2), states, in part, that a radiation work permit should be

revised when radiological conditions change requiring additional controls.

The licensee identified that on April 16, 1992, radiological conditions had

changed during the change-out of the letdown purification filters, and the

contract radiation protection technician did not stop the job and have the

radiation work permit revised.

Specifically, the letdown filters were found

to be drier than usual and caused more of an airborne radioactivity problem

than was anticipated.

Therefore, this was identified as a violation of

Technical Specification 5.8.1 (285/9232-01).

Regulatory Guide 1.33, Appendix A, Section 7.e(2) states, in part, that

radiation surveys should be covered by written procedures.

Radiation

Protection Procedure RP-202, Section 7.1.1.B(1)(a), states, in part, that beta

radiation dose rates shall initially be measured at contact when internal

surfaces of primary or radwaste systems are accessible and worked on. The

licensee identified that on April 16, 1992, when the letdown purification

filters of the Chemical and Volume Control System were changed out, beta

radiation dose rates were not measured.

Therefore, this was identified as a

violation of Technical Specification 5.8.1 (285/9232-02).

Regulatory Guide 1.33, Appendix A, Section 7 e(2) states, in part, that

radiation surveys hould be covered by written procedures.

Radiation

Protection Procedure RP-202, Section 7.1.2.C(1), states, in part, that loose

surface contamination samples taken d.ging breach of primary systems are to be

counted for gross alpha activity.

The licensee identified that the loose

surface contamination samples taken on April 16, 1992, during the breach of

the Chemical and Volume Control System to change the letdown filters, were not

counted for gross alpha activity.

Therefore, this was identified as a

violation of Technical Specification 5.8.1 (285/9232-03).

Regulatory Guide 1.33, Appendix A, Section 7.e(2) states, in part, that

radiation surveys should be covered by written procedures.

Radiation

Protection Procedure RP-202, Section 7.5.2 states, in part, that the

Radiological Operation Coordinator, or his designee, shall review all surveys.

Section 7.5.4.A, staten in part, that the review shall address the adequacy

of survey data with respect to the reason for performing the surve.

The

licensee identified that reviews of the surveys performed on April 16, 1992,

in support of the letdown filter change-out, did not address the adequacy of

the survey data.

Specifically, the reviews did not detect that beta dose

rates and alpha counts should have been performed and were not.

Therefore,

this was identified as a violation of Technical Specification 5.8.1

(285/9232-04).

Regulatory Guide 1.33, Appendix A, Section 7.e(5) states, in part, that

respiratory protection should be covered by written procedures.

Radiation

Protection Procedure RP-203, Section 7.1.2.A and B, states, in part, that job

coverage air samples shall be taken as directed by the Radiation Work Permit

at the start of work likely to cause airborne activity, such as disassembly of

highly contaminated components and during work requiring respiratory

protection. .The licensee identified that on April 16, 1992, an air sample was

not taken at the start of work in Room 11 to support Radiation Work

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Permit 92-025 work which required respiratory-protection. -Specifically, one

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of the letdown filters had already been changed out before the air sample in

Room 11 was started.

Therefore, this was identified as a violation of

Technical Specification 5.8.1 (285/9232-05). The inspector noted that the

licensee had started air samples in the corridor outside' Room 11 and in an

area above Room-11 where other individuals were working before the first

filter was changed out.

The inspector determined that this violation was a

repeat violation of Violation 285/9207-04 which was for failure to perform an

air sample on a job that required respiratory protection.

The inspector noted

that the individual, who on April 16, 1992, failed to start the air sample

before the work began in Room 11, had attended a March 1992 briefing which

went over the violations that were documented in NRC Inspection Report

50-285/92-07. The briefing stressed the need to comply with the procedures

that were violated.

Regulatory Guide 1.33, Appendix A, Section 7.e(5) states, in part, that

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respiratory protection should be covered by writtJn procedures.

Radiation

Protection Procedure RP-204, Section 7.2.7, states, in part, that the licensee

post Airborne Radioactivity Areas where the concentration of airborne

radioactive materials exceed 25 percent of 1 MPC.

The licensee identified

that on April 16, 1992, Room 11 where the letdown filters were changed out was

not posted as an Airborne Radioactivity Area.

Past job evolutions indicated

that the concentration of the airborne radioactive materials in Room 11

exceeded 25 percent of 1 MPC when the filters w e changed and the

concentration exceeded 25 percent of 1 MPC on A7.il 16, 1992.

Therefore, this

was identified as a violation of Technical Specification 5.8.1 (285/9232-06).

10 CFR 20.103(b)(1) requires that the licensee, as a precautionary procedure,

use process or other engineering controls, to the extent practicable, to limit

concentrations of radioactive materials in air to levels below'those which

delimit an airborne radioactivity area as defined in 10-CFR 20.203(d)(1)(ii).

10 CFR 20.203(d)(1)(ii) states, in part, that an airborne radioactivity area

is any room, enclosure, or operating area in which airborne radioactive

material composed wholly or partly of licensed material exists in

concentrations which, averaged over the number of hours in any week during

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which individuals are in the area, exceed 25 percent of the amounts specified

in Appendix B, Table I, Column 1-of Part 20. Discussions with the licensee

indicated that the Radiation-Protection Supervisor had requested that a high

efficiency particulate air' filter-unit be used during the letdown filter-

change in-Room 11. The licensee stated that it would have-been-practicable to -

. use a filter, but_ the high efficiency particulate ' air filter was not.used and

this decision was not forwarded to the Radiation Protection Supervisor who.had

requested it be used.

The concentration of airborne radioactive material in

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Room 11 exceeded 25 percent of the amounts specified-in Appendix B, Table -1,

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Column 1 of Part 20.

Therefore, the licensee identified that- on April 16,

1992., engineering controls were not used to the extent: practicable to limit

concentrations of radioactive materials in air to levels below those.which

delimit an airborne radioactivity area as defined in 10 CFR 20.203(d)(1)(ii).

Therefore, this was identified as a violation of 10 CFR 20.103(b)(1)

(285/9232-07).

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A review of the incident and the Root Cause Analysis Report, combined with

interviews of individuals that were involved with the incident, indicated that

what occurred was not indicative of a programmatic breakdown of the radiation

protection program. However, the inspector indicated his concern to the

licensee because of the number of procedural violations that occurred.

The inspectors noted that the licensee's Root Cause Analysis Report contained

comprehensive corrective actions, and that the licensee had promptly proceeded

with implementation of corrective actions identified in the Root Cause

Analysis Report.

As part of their immediate corrective actions, the licensee

had completed a records review of all air sample data to determine if any

similar events had occurred.

The licensee determined that there were no

similar incidents where personnel had encountered airborne alpha contamination

without having respiratory protective equipment.

The licensee noted that an

entry underneath the reactor vessel hud taken place during the July 1992 loss

of coolant accident in which long-lived alpha contamination was later

identified. The licensee determined that the proper respiratory equipment Sad

been assigned based on expected conditions. After reviewing the license n

documentation, the inspector agreed that the conditions that ultimately were

found to have been encountered were n(

expected and that the licensee's

selection of respiratory protective equi, ment was proper at the time.

Therefore, the respirator selection for the job was not in violation of

10 CFR 20.103(3)(c).

Since the licensee has assigned the individual a conservative internal

exposure and a thorough review of the radiological controls associated with

the event has been completed, Unresolved Item 285/9219-01 is considered

closed.

7.2 Conclusion

The licensee's investigation and assessment of the uptake was excellent.

The

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final root cause analysis was very good and helped the licensee to

self-identify several violations that occurred.

The licensee's corrective

actions to the uptake incident were prompt and comprehensive. The licensee

did an excellent job of confronting the transuranic issue.

The violations

that occurred do not appear to indicate a-programmatic breakdown of the

radiation protection program.

8 FOLLOWUP (92701)

8.1

(Closed) Inspection Followup Item (285/9207-01):

Ensuring That Radiation

Work Permit Reauirements Are Complied With

This inspection followup item was identified in NRC Inspection

Report 50-285/92-07 and involved the failure of a radiation protection

technician to ensure that radiation work permit requirements were complied

with.

Specifically, the technician instructed personnel to work without

respiratory protection, even though the radiation work permit required

respiratory protection.

The inspector reviewed the licensee's corrective

actions and randomly selected radiation work permits that required respiratory

protection.

The inspector noted that respiratory protection had been used on

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the radiation work permits that required the use of respiratory protection.

The inspector determined that the licensee's corrective actions for this item

were satisfactory to close this item.

8.2

(Closed) Inspection Followup Item (285/9207-02):

Documentation of

Personnel Contaminations

This inspection followup item was identified in NRC Inspection

Report 50-285/92-07 and. involved the failure to document personnel skin and/or

clothing contamination events on Form FC-RP-207-1.

The inspector reviewed the

licensee's corrective actions and randomly selected personnel contamination

reports for review.

The inspector noted that the personnel contamination

events that were reviewed had been documented on Form FC-RP-207-1. The

inspector determined that the licensee's corrective actions for this item were

satisfactory to close this item.

8.3

(Closed) Inspection Followup Item (285/9207-03):

Documentation of

Respiratory Protection Equipment Selection

This inspection followup item was identified in NRC Inspection

Report 50-285/92-07 and involved the failure to attach a respiratory

protection equipment selection Form FC-RP-201-6 to a radiation work permit

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which required respiratory protection.

The inspector reviewed the licensee's

corrective-actions and randomly selected radiation work permits that required

respiratory protection.

The inspector noted that the radiation work permits

that were reviewed had Form FC-RP-201-6 attached. The inspector determined

that the licensee's corrective actions for this item were satisfactory to

close this item.

8.4

(Closed) Inspection Followup' Item (285/9207-04):

Air Sampling =

This i,nspection followup item was identified in NRC Inspection

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Report 50-285/92-07- and involved the failure to perform an air sample on a job

with radiation work permit required respiratory protection.

The inspector-

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determined that the licensee's immediate corrective actions for this item were

not sufficient in that there was a similar occurrence. This item is being

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closed, and followup of the licensee's-corrective actions will be tracked-

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under 285/9232-05.

8.5 (Closed) Inspection Followup Item (285/9207-05):

Performance of

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Whole-Body Counts for Facial Contamination

This inspection followup item was identified in NRC Inspection

Report 50-85/92-07 and involved the failure to perform a _whole-body count for

an individual who had exhibited skin contamination in the area of the mouth

and nose.

The inspector reviewed the licensee's corrective actions and-

randomly selected personnel contamination reports that involved facial

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contaminations for review. -The inspector noted that for'the contamination

reports that were reviewed, the licensee had performed whole-body counts on

individuals who had exhibited skin __ contamination in:the area of the mouth and

nose. The inspector determined that the licensee's corrective actions for

this item were satisfactory to close this item.

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8.6 (Closed) Inspection followup item (285/9207-06);

Calibration of

Airborne Radiation Monitori

This inspection followup item was identified in NRC Inspection

Report 50-285/92-07 and involved the failure to calibrate an airborne monitor

at the proper frequency. The inspector reviewed the licensee's corrective

actions and randomly selected airborne monitors while touring the

radiologically controlled area to-verify if the instruments had been

calibrated at the proper frequencies.- The inspector noted that the

instruments that were reviewed had been calibrated'at the proper frequencies.

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The inspector determined that the licensee's corrective actions for this item

were satisfactory to close this item.

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ATTACHMENT

1 PERSONS CONTACTED

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1.1

Licensee Personnel

  • R. L. Andrews, Division Manager, Nuclear Services
  • S. K. Gambhir, Division Manager, Production Engineering

8. H. Blome, Supervisor, Corporate Quality Assurance

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M. A. Breuer, Technician,_ Radioactive Waste Operations

  • J. W. Chase, Acting Plant Manager
  • G. M. Cook, Supervisor Station Licensing
  • A. G. Christensen, Supervisor, Radiation Protection Operations

F. F. Franco, Manager, Radiological Services

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  • W. G. Gates, Vice President, Nuclear Operations
  • J. K. Gasper, Manager, Nuclear Training

S. W. Gebers, Health Physicist, Radiological Services

R. G. Haug, Supervisor, Chemistry / Radiation Protection Training

  • R. L. Jaworski, Manager, Station Engineering

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C. J. King, Technician, Radiation Protection Operations

  • L. T. Kusek, Manager, Nuclear Safety Review
  • D. L. Lovett, Supervisor, Radiation Protection

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  • J. M. Mattice, Acting Supervisor, Radioactive Waste Operations
  • W. W. Orr, Manager, Quality Assurance / Quality Control

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T. L. Patterson, Plant Manager

  • R. L. Phelps, Manager, Design Engineering
  • H. J. Sefick, Manager, Security Services
  • R. W. Short, Manager, Nuclear Licensing

L. D. Sills, Senior Quality Assurance Auditor

  • C. F. Simmons, Station Licensing Engineer

K. E. Steele, Acting Supervisor, Radiological Health and Engineering

1.2 NRC Personnel

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  • R. P. Mullikin, Senior Resident Inspector
  • Indicates those present at the exit meeting on December 18, 1992.

2 EXIT MEETING-

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An exit meeting was conducted on December 18, 1992.

During this meeting, the

inspector reviewed the scope and findings of the report. The licensee stated

- that in January 1993, they were going to have an outside technical expert

audit their Radiation-Protection Program for indications of programmatic

problems. _The licensee did not identify as proprietary, any of the materials

provided to, or reviewed by the inspector during the inspection,

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