ML20203A949

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Insp Repts 50-072/86-01 & 50-407/86-01 on 860609-12.Major Areas Inspected:Mgt Controls & Organization,Emergency Preparedness & Physical Security.Eleven Violations & Two Deviations Identified
ML20203A949
Person / Time
Site: 05000072, University of Utah
Issue date: 07/14/1986
From: Chaney H, Murray B
NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION IV)
To:
Shared Package
ML20203A937 List:
References
50-072-86-01, 50-407-86-01, 50-407-86-1, 50-72-86-1, NUDOCS 8607170368
Download: ML20203A949 (19)


See also: IR 05000072/1986001

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APPENDIX

U.S. NUCLEAR REGULATORY COMMISSION
REGION IV

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NRC Inspection Report: 50-72/86-01 Licenses: R-25

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50-407/86-01 R-126

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Dockets: 50-72

j 50-407

Licensee: University of Utah (UofU)

Salt Lake City, Utah 84112

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Facility Name: TRIGA and AGN-201 Reactor Facility

Inspection At: University of Utah, Salt Lake City, Utah

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Inspection Conducted: June 9-12, 1986

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1nspectar: 0] 1b h)/)1/${//

H. D. Chaney, Radiation Specialist, r Facilities

]flYfhh

Da'te

/) Radiological Protection Section

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Approved: // / //db(///

B. Murray, Chief, Facil/ ties Radiological Ddte

N/b '

! Protection Section

Inspection Summary

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Inspection Conducted June 9-12, 1986 (Report 50-72/86-01 and 50-407/86-01)

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Areas Inspected
Routine, unannounced inspection of the licensee's program for

i the operation of the AGN-201 and TRIGA reactors including: ' management controls

and organization, reactor operations, surveillances, experiments, radiation

i protection, emergency preparedness, physical security, radiological

environmental monitoring, and operator requalification training.

1 Results: Within the areas inspected, 11 apparent violations and 2 apparent

deviations were identified.

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DETAILS

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1. Persons Contacted

UofU

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  • R. E. Turley, Reactor Administrator

! *C. Bryner, Associate Dean for Facilities, College of Engineering

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_G. M. Sar.dquist, Reactor Supervisor

*W. D. Shepherd, Director of Public Safety
  • K. C. Crawford, Senior Reactor Operator (SRO)

! *K. J. Schtager, Radiation Safety Officer (RS0)

i D. W. Hoeppner, Chairman, Department of Mechanical and Industrial

Engineering

i D. R. Gunnell, Associate Administrator, University of Utah Hospital '

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K. M. McKnight, uofU Police Officer

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G. S. Pregman, UofU Police Officer

R. J. Hoffman, Health Physicist, Radiological Health Department (RHD)

D. Steinman, Mechanical Machine Shop Foreman

T. Sandquist, Student

C. M. Fejer, Radiation Safety Analyst

Others

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) *B. Murray, Chief, Facilities Radiation Protection Section, NRC

! R. E. Carter, NRC Office of Nuclear Reactor Regulation (NRR),

ic Project Manager

!- J. L. Bateman, Captain, Salt Lake City Fire Department, Station 15

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  • Denotes those present at the exit interview on June 12, 1986.

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l The NRC inspector also interviewed several other licensee employees and

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personnel associated with the VofU, such as police department dispatchers,

l students, Salt Lake City Fire Department personnel, plant maintenance, and

i radiological health.

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I 2. Licensee Action on Previously Identified Inspection Findings

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i (0 pen) Violation (50-72/8301-01): Failure to Perform Technical

i Specification (TS) Surveillances - This item was identified in NRC

l Inspection Report 50-72/83-01 and involved the licensee's failure to

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perform certain required annual reactor surveillances on the AGN-201 '

reactor. The Reactor Safety Committee (RSC) has identified that one of

the control instruments for monitoring reactor power is malfunctioning and

replacement parts are difficult to obtain. Since this instrument's

operation is necessary for reactor start-up, there has been no reactor

j op'eration for the last 3 1/2 years. As a result, the NRC inspectors

I could not verify that the licensee had implemented the required

i surveillance tests. This item is considered open pending repair of the

j control instrumentation and return of the reactor to full operating

j status.

CONTAINS

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(0 pen) Open Item (50-407/8301-01): Reactor Facility Operating Manual

Update - This item was identified in NRC Inspection Report' 50-407/83-01 -

and involved out-of-date information in the operating manual concerning-

assignment of responsibilities and emergency phone numbers. The Reactor

Operations Manual was last updated and reviewed by the RSC on March 1,

1984. During this inspection, it was noted that information in the manual

. does not include current information concerning assigned responsibilies '

for management of the reactor facility,- membership on the RSC (handwritt'en

corrections had been made to some names), and the phone numbers of some

key licensee personnel and the NRC Regional Office were in error. This

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item is considered open pending implementation of a program that will

ensure the Reactor Facility Operating Manual is updated at a frequency

commensurate with changes in management assignments and facility changes.

3. Inspector Observation

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The following are observations the NRC inspectors discussed with the

licensee during the exit meeting on June 12, 1986. These observations are

neither violations nor unresolved items. These items were recommended for

licensee consideration for program improvement, but they have no specific

regulatory requirement.

a. Records Storage - The licensee's records storage facilities at the

Nuclear Engineering Laboratory (NEL) do not provide sufficient

protection from damage by fire for records required to be kept for

the life of the facility. (See paragraph 6)

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b. Documentation of Operations - NEL logs and RSC minutes do not provide

sufficient detail of the proposed switch-over to a computer based

reactor operating console for the TRIGA reactor. (See paragraph 6)

c. Housekeeping - The AGN-201 and TRIGA control rooms are not maintained

in an orderly fashion with regard to trash and combustible materials.

(See paragraph 6)

d. Technical Specifications - Obsolete reactor Technical Specifications

l were located at the TRIGA reactor operating console. (See

paragraph 8)

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e. 10 CFR Part 19.12 Training - The RHD heJ r - *' ablished minimum

performance criteria for written exami;ai aan ven in

10 CFR Part 19.12 training. (See paragraph 9)

f. RHD Involvement - The UofU RHD did not maintain coordination and

oversight of radiological activities taking place in the NEL. Also,

NEL supervision does not routinely communicate (outside of RSC

meetings) with the RHD regarding the radiological aspects of planned

maintenance and nonroutine reactor operations. (See paragraph 14) '

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g. NRC Information Notices and Generic Communications - The RHD does

not routinely receive NRC Information Notices or applicable NEL

correspondence that is sent to the UofU. (See paragraph-14)

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h. Neutron Surveys'- Neutron radiation levels have not been established

regarding operation of the AGN-201 and TRIGA reactors. -(See

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paragraph 14)-

1. Radiological Controls - Poor radiological controls existed involving

the handling of potentially radioactive materials. (See paragraph 14)-

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j. Portable Instrumentation - The licensee does not maintain

information on the calibration program for the portable radiation

dose rate monitoring instruments loaned to the NEL or a program for

the identification of instruments that are out of calibration. (See

paragraph 14)

l k. Emergency Drill - During the June 12, 1986, NEL emergency response

j drill, several problems were noted. (See paragraph 16)

4. Management Organization and Controls

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The licensee's management organization and controls were inspected to

determine compliance with AGN-201 TS 6.1, and TRIGA TS 6.1, 6.2, 6.5.1,

6.5.3, and 6.5.4; and the commitments contained in the Safety Evaluation

Report (NUREG-1096).

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The licensee's organization and assignment of responsibilities are contained

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, in the NEL Operations Manual. The NRC inspectors compared the existing

organization to the requirements in the AGN-201 and TRIGA TS. The

membership and procedures for the RSC were reviewed. The-NRC inspectors

noted that the Reactor Administrator had changed twice since the last NRC

inspection (April 22, 1983). The current Reactor Administrator assumed

this position in September 1985 and it was noted that he had also held the

position prior to 1983. The reactor supervisor was noted to have been on

sabbatical leave during the period of January through' June 12, 1986. The

RSC had approved on December 12, 1986, the assignment of the Senior

Reactor Operator as Acting Reactor Supervisor.

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The NRC inspectors also reviewed the support given to the NEL by the

Director of-Public Safety /VofU Police Chief and the RHD. The NRC inspectors

noted a lack of involvement and technical support in day-to-day activities l

at the NEL by the RHD. Furthermore, it was apparent that lack of reactor-

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management oversight and involvement in NEL activities resulted in problems

. with the Physical Security Plan (PSP) and the radiation protection program.

The~NRC inspectors noted that the numerous apparent violations identified

in this report are an indication of a breakdown in management controls-

regarding operations at the NEL.

No violations or deviations were identified.

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5. Reviews and Audits

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The NRC inspectors inspected the licensee's review and audit programs to

determine compliance with the requirements of AGN-201 TS 6.4.2 and 6.4.3,

and TRIGA TS 6.5.4 and 6.5.5; and the commitments of the Section 13.4 of

the safety evaluation report (SER).

The NRC inspectors determined that the RSC conducted operational and

record reviews as required by the TS. Minutes of RSC meetings for the

period January 1983 through March 1986 were reviewed as were operational

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logs, experiment approval forms, changes to operating procedures, and

verification of the biennial review of the Emergency Plan (EP) and PSP.

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The AGN-201 TS 6.4.3, states, in part, that " Audits of facility activities

shall be performed under the cognizance of the RSC . . . These audits

shall examine the operating records and encompass . . The Facility

Security Plan and implementing procedures, at least every.two years."

In discussions with licensee representatives and the review of records,

the NRC inspectors determined on June 11, 1986, that formal audits

regarding implementation of the PSP had not been conducted. The failure

to conduct required audits is an apparent violation of TS 6.4.3

(50-72/8601-01).

No deviations were identified.

$ 6. Logs and Records

The NRC inspectors reviewed logs and records to determine compliance with

the requirements of AGN-201 TS 6.4.5, 6.7, and 6.10, and TRIGA TS 4.3.5,

6.5.6, and 6.9.

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The NRC inspectors reviewed reactor operations for the AGN-201 and TRIGA

for the period January 1, 1983, through June 9, 1986, regarding

maintenance, fuel configurations, personnel exposure and dosimetry logs,

! experiment records, startup checklists, and instrument response check

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logs. The NRC inspectors determined that the maintenance history records

j for the TRIGA reactor were not documented in sufficient detail to provide

a clear description / understanding of previous maintenance activities.

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l This was especially evident regarcMng the maintenance work involving the

upper core support grid work performed during December 1985 and

January 1986 Also, the NRC inspectors discussed with the licensee the

need to update the history ~and current status concerning the proposed

implementation of a computerized operations console for the TRIGA reactor,

and to ensure that the NRR Project Manager is kept up-to-date on the

planned modifications.

The licensee maintains required facility records and logs in binders or

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' loose leaf files in the TRIGA reactor control room (Room 1001-D) of the

Merrill Engineering Building, (see Figure 4.1 of the SER for detailed

layout of the NEL). The NRC inspectors determined that these important

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records are not provided adequate protection from fire or water damage.

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Room 1001-D does not contain smoke or fire alarms; however, Room 1001-D

] does have an overhead water sprinkler-fire suppression system. The

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system, if activated, would douse many of the logs and records.with water.

'Some files (about 50 percent) were noted to be kept in a metal file

cabinet. The NRC inspectors determined that the metal cabinet was not

fire / heat rated. The NRC inspectors also noted that the TRIGA control

room contained a large amount of combustibles and that general

housekeeping conditions needed to be improved. The AGN-201 reactor

console was covered with miscellaneous equipment and periodicals.

f No violations or deviationc were noted.

7. Procedures

The NRC inspectors reviewed procedures to determine compliance with

AGN-201 TS 6.4.2 and 6.6, and TRIGA TS 6.6.4 and 6.8; and the commitments-

of Section 4.7 of the SER.

The following procedures were reviewed:

NEL Operations Manual, RSC Approval dated March 1, 1984

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Procedure for Adding Water to the Reactor Tank (no date or approval)

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TRIGA Preliminary Check Sheet (no date or approval)

UofU TRIGA Reactor Monthly Inspections, RSC Approved February 1981

Approach to Critical Procedure (no date or approval)

Biennial Control Rod Check, RSC Approved February 120, 1981

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Procedure for the Biennial Fuel Rcd Inspection, RSC Approved

February 20, 1981

Procedure for Changing Filters in the Water Demineralizer Circuit,

RSC Approved February 20, 1981-

The NRC inspectors noted that the above procedures have not been reviewed

since February 20, 1981, and some procedures reference old TS that do not

agree with the latest TS. The TRIGA TS issued with the renewal of license

R-126, dated April 17, 1985, requires a biennial review of all standard-

procedures, whereas before no periodic caview was required. It was noted

that RSC members occasionally perform random reviews of completed i

procedures.

TRIGA TS 6.8, " Operating Procedures," requires, in part, that " Operating

procedures shall be in'effect for the following items: . . . (6)

performing preventive maintenance and calibration tests on the reactor and

associated equipment."

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AGN-201, TS 6.6, " Procedures," requires, in part, that "There shall be

written procedures that cover the following activities:

d. Preventive or corrective maintenance which could affect the

{ safety of the reactor.

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e. Surveillance, testing, and calibration of instruments,

q components, and systems as specified in Section 4.0 of the

Technical Specifications. (Technical Specification 4.4.a,

I , applies to installed and portable radiation monitoring and

control systems)."

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The NRC inspectors determined on June 12, 1986, that the licensee had

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performed maintenance on the TRIGA reactor core support components

involving remcval of stuck fuel elements (caused by chemical corrosion due

to a leak of chemicals from the SCRAM magnet), cleaning the upper core

support grid by machining, enlargement of the grid fuel element openings i

by drilling, and the re-anodizing of the support grid. This work was

performed by Vofu personnel and non-university personnel, during the

period of December 15, 1985, through January 25, 1986. This work was

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originally initiated by the reactor supervisor in December 1985, and

completed after January 15, 1986, by the senior reactor operator. The

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work on the core support grid resulted in several radiological control

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problems. However, the licensee did not develop any maintenance or

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radiological control procedures concerning the work activities. The RSC

meeting minutes indicated that they (RSC) were not aware of the work until

af ter it was completed on or about January 28, 1986. The failure to

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develop the necessary maintenance procedures is an apparent violation of

TRIGA TS 6.8 (50-407/8601-02).

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The NRC inspectors also noted that the licensee calibrates area radiation

monitors with a source that has an undetermined' radiation output and in

geometries that vary depending on who is performing the calibrations. The

1.icensee's records concerning calibration of the airborne radiation

monitor ventilation system indicated that during the period of

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January 1983 through May 1986, the type of source changed from Cesium-137 ,

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to Europium-152 and that readings for the Europium source varied by as

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much as 200 percent on several occasions. The licensee had not developed

procedures, other than the monthly inspection checklist, for calibration -

of the AGN-201 or TRIGA area radiation monitors. The licensee also could

not provide information on the calibration program or the sources used to

calibrate several of the portable instruments in use in the NEL.

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The failure to establish written calibration procedures for radiation

. monitoring equipment is an apparent violation-of AGN-201 TS 6.6.e

(50-72/8601-03).

No deviations were identified.

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8. Reactor Operations

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The NRC inspectors reviewed operation of the AGN-201 and TRIGA reactor;

for the period April 1,1983, through June 11, 1986.

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a. AGN-201

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The AGN-201 reactor has been placed in long term shutdown since

February 18, 1985, when during annual rod drop checks a

malfunctioning power range instrument was identified. This

instrument cannot be readily repaired because of the unavailability

of reple.ocent parts. The NRC inspectors determined that the

licensee nad not operated the AGN-201 since the last inspection of

this facility in April 1983. The licensee maintains a surveillance

program over the reactor facilities and critical components.

b. TRIGA

The NRC inspectors reviewed the operations history to determine

compliance with the following requirements.

l License Condition 2.c.(1), - Maximum Power Levels

TS 2.1 - Fuel Element Temperature

TS 2.2 - Safety System Settings

TS 3.2 - Reactivity Limitations

TS 3.3.1 - SCRAM Times

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TS 3.3.2 - Reactor Control System

TS 3.3.3 - Reactor Safety System

TS 3.5 - Ventilation System

TS'3.8 - Primary Coolant Conditions

TS 5.1 - Reactor Fuel

TS 5.2 - Reactor-Core

TS 5.3 - Control Elements

TS 5.4 - Radiation Monitoring System

TS 5.5 - Fuel Storage i

TS 5.7 - Reactor Pool Water System

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The NRC inspectors determined that the TRIGA reactor was routinely

operated approximately 290 hours0.00336 days <br />0.0806 hours <br />4.794974e-4 weeks <br />1.10345e-4 months <br /> a year for the last 3 years for the

purpose of laboratory teaching, system tests, power measurements, and

sample irradiations. The sample irradiations involved routine experiments

and production of Gold-198 implant seeds for veterinary medicine

application, and activation of ore samples. The licensee's records

indicated that approximately 14 inadvertent SCRAMS occurred during both

1984 and 1985. The licensee initiated startup of the TRIGA reactor on

June 12, 1986, but sufficient time was not available to complete the- '

reactor startup and operation.

i As referenced in paragraph 7 of this report, the licensee had performed

i the biennial rod and fuel element inspections on the TRIGA during

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December 1985, through January 1986. The NRC inspectors noted in the

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. maintenance log entries that some fuel elements were difficult to remove

from the core support structure. The licensee identified in the log that

due to a leaking SCRAM magnet housing, lubricants leaked into the reactor

pool water and caused a corrosion buildup to form between the upper grid

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plate and fuel element similar to a weld. The information in the log

indicated that seven elements were particularly difficult to remove and

they requirad a back and forth twisting motion with a fuel handling tool

in order to remove these elements. The licensee stated that the stuck

fuel elements were visually inspected for damage after removal and no

damage was identified. The NRC inspectors noted that certain evaluations

of this maintenance activity (machining, plating, and retesting of

components) were not adequately documented in the log. The NRC inspectors

emphasized to the licensee the need to fully document all aspects of the

work and perform an evaluation on the effects, if any, on the core grid

structure following the modifications and re-anodizing.

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The SER and TRIGA TS referenced the installation and use of a high

efficiency particulate air (HEPA) filter located in the NEL reactor

building ventilation system. This ventilation system is considered an

engineered safety feature in the SER. This system is designed, according

to Section 6.1 of the SER and TS 3.5 and 5.6(2), to control and filter

airborne radioactivity discharge from the reactor facility. The NRC

inspectors determined on June 10, 1986, that the primary HEPA filter in the

exhaust ventilation leg of the system, as referenced in Figure 6.1 of the

SER, would not be able to perfo.rm its intended function. The filter was

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not sealed to its mounting opening which would result in bypass leakage,

installed so that the flow of air was in the wrong direction through the

i] filter (manufacturer's flow requirement), and in the wrong orientation to

prevent sagging of the filter pleats. The licensee could not locate any

documents that would verify that the installation had ever been in place

tested to demonstrate that the system could perform its intended purpose.

The above conditions are an apparent deviation to good engineering

practices and industry standards (50-407/8601-04).

The NRC inspectors reviewed facility design changes and modifications to

determine compliance with 10 CFR Part 50.59. The licensea reported to the

NRC in the VofU TRIGA reactor Annual Operating Report for the period

July 1, 1984, through June 30, 1985, an RSC approved modification to the

TRIGA water tank recirculation system. This modification involved the

addition of a 20 kilo-watt heat exchanger. The modification was noted to

involve the hard piping of a water supply line from the recirculation

system to the Merrill Engineering Building potable water supply and the

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connect son of the recirculation system to a local sanitary drain system in

the NEL. The NRC inspectors noted that the connection to the potable

water supply involved a two valve isolation, one plastic and one metal,

but none of the operating procedures call for verifying these valves are

shut or that their capability to isolate the potable water supply from the
reactor water tank recirculation system is periodically verified. The two

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systems (potable water and sanitary system interfaces) had not been

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surveyed to determine the presence of radioactive contamination. The NRC

inspectors determined on June 11, 1986, that the licensee had not

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evaluated the interface of these two systems with the reactor water tank

recirculation system as an unreviewed safety question since the release.of

radioactive effluents via these two pathways were not discussed in the

SER, Section 11.2.2 Liquid Wastes, 12.3 Radiation Sources, or 12.6.2

Liquid Effluents. The failure to perform a proper safety analysis is an

apparent violation of the requirements of 10 CFR Part 50.59.

(50-407/8601-05).

During a review of reference material maintained at the TRIGA reactor

console, the NRC inspectors noted that an obsolete copy of.the TS'was the

only copy of this document readily available for operator use.-

9. Qualifications and Training

Personnel qualifications and training were reviewed to determine

compliance with the requirements of AGN-201 TS 6.2 and 6.3, and TRIGA

TS 6.3, 6.4, Appendix A, and 6.5.2; 10 CFR Part 19.12 and.10 CFR Part 55,

Appendix A; the recommendations of NRC Regulatory Guides 8.13, 8.27, and

8.29, and industry standard ANSI /ANS-15.4-1977.

The NRC inspectors reviewed qualifications and training records for

personnel that support the NEL such as radiation. control, emergency

resp,nse, and students granted access to the NEL for work with radioactive

materials or the reactors. Lesson plans and attendance rosters for

police Jnd firemen that may have to respond to an emergency at the NEL were

inspected. The inspectors noted that the licensee conducts annual

familiariz3 tion tours of the NEL facility for support personnel.

The NRC insptctors determined that the RHD and the NEL both provided

radiological training for personnel that require entry into the restricted

areas of the NCL. The RHD training program addressed the NEL in addition

to other VofU attivities involving radioactive materials. The NRC

inspectors discussed with the RSO their concern that the radiation

protection trainin] course examination given to personnel was not being

used as a feedback nechanism for determining weaknesses in the training

program and/or personnel trained. This concern ~ arose from the review of

examination results which indicated that a student, which works in the NEL

and has been involved with operation of the TRIGA reactor, had received a

score of about 45 percent; however, there was no indication of remedial

training or counsel being given and the student was noted to be working at

the NEL during this inspection.  :

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The NEL staff consists of a Reactor Supervisor (senior reactor operator

(SRO)) licensed on the AGN-201 and TRIGA), one TRIGA SRO, and four TRIGA

licensed reactor operators (RO). The Reactor Supervisor is the only

individual licensed on the AGN-201.

The NRC inspectors reviewed the TRIGA reactor requalification training for

compliance with the program approved by the NRC on April 12, 1984. The

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requalification program states, in part, that training will include

planned lectures to cover the following areas:

Nuclear Theory

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Radiation Control and Safety

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Technical Specification and Reactor License

Reactor Operating Characteristics

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Reactor Control and Safety Systems

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Emergency Operating Normal and Abnormal Procedures

! Changes, Modifications, or Malfunctions Occurring to Reactor Systems

or Operational Procedures

l Applicable Portions of Title 10, Chapter I, Code of Federal Regulations

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Operational Characteristics, Use, and Storage Locations of Existing

and New Radiation Safety Equipment

The requalification program also requires that annual evaluations of each

operator's knowledge and performance will be conducted by written examina-

tion, console performance examination, and an oral examination. Further-

more, the requalification program requires that a record will be maintained

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for each individual and will contain the following information:

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Current copy of either the individual's reactor operator or senior

reactor operator license.

Copies of all written examinations administered to the individual and

the correct answers given to the individual during the

requalification period.

The annual evaluations of the individual documented in a memorandum

for record.

The summary of additional training received by the individual

documented in a memorandum for record and any additional documentation.

The NRC inspectors determined on June 12, 1986, that the licensee's

i records for licensed reactor operators (which were all kept in one

unorganized file folder) did not contain current copies of the operators'

J

licenses, or annual evaluations for the operators. The NRC inspectors also

determined that the licensee had not provided formal classroom lectures or

prepared lesson plans for the purported informal lectures given to operators.

The failure to implement the TRIGA operator requalification program is an

apparent violation of 10 CFR Part 55, Appendix A (50-407/86-06).

i No deviations were identified.

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10. Technical Specification Surveillances Requirements

The NRC inspectors reviewed surveillance results to determine compliance

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with AGN-201 TS 4.0 and TRIGA TS 4.0. The NRC inspectors reviewed

representative logs, records, and documentation for the period

January 1983 through June 1986.
a. AGN-201

The reactor has been shutdown, except for one attempted startup in

February 1985. TS 4.0 does not require surveillances to be performed

on the reactor if it is maintained in a shutdown condition. .The

licensee is performing radiation monitor response checks in

accordance with TS 4,4 and routine facility inspections. .

i b. TRIGA

.

TS 4.1 " General" states: "Any additions, modifications, or

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mair.tenance to the ventilation system, the core and its associated

support structure, the pool or its penetrations, the pool coolant

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system, the control element drive mechanism, or the reactor safety

system shall be made and tested in accordance with the specifications

to which the systems were originally designed and fabricated or to

specifications approved by the Reactor Safety Committee. A system

shall not be considered operable until_after it has been successfully

tested."

i- The NRC inspectors determined on June 11, 1986, that written

documentation was not available to verify that the testing

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requirements in TS 4.1 were completed following maintenance performed

j on the upper core structure (see paragraphs 7, 8, and 14 of this

i report) in January 1986. The failure to verify testing requirements

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is an apparent violation of TS 4.1 (50-407/86-07).

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The licensee's records indicated that other surveillance requirements

were completed.

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l No deviations were identified.

j 11. Experiments

I

! The licensee's program for the control and conduct of reactor experiments ,

was inspected to determine compliance with the requirements of AGN-201 l

j TS 3.3 and 6.4.2(c), and TRIGA TS 1.2, 3.2, 3.6, and 6.5.4(1); and the

recommendations of RG 2.2 and 2.4, and industry standard

ANS-15.6/N401-1974.

i

The NRC inspectors reviewed the licensee's records of experiments

!

conducted in the TRIGA reactor (the AGN-201 has not been used since the

last inspection in this area). The TRIGA has been primarily used for the

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irradiation of ore samples, biological tissue, and the production of

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Gold-198 seeds for veterinary applications. The licensee's review of

experiments and procedures were inspected, and it was noted that the RSC

and the reactor supervisor reviewed all new experiments.

No violations or deviations were identified.

12. Reactor Fuel Handling

The licensee's program and procedures for the handling and storage of fuel

were inspected to-determine compliance with the requirements of AGN-201

TS 5.2, and TRIGA TS 4.4 and 5.5.

The NRC inspectors reviewed biennial TRIGA fuel element inspection

records, fuel inventory records, and core configuration records. The NRC

inspectors noted that the fuel handling tools were kept outside the TRIGA

reactor room.

No violations or deviations were identified.

13. Transportation of Radioactive Materials

1

The licensee's program for the transportation of radioactive

materials (RAM) was inspected to determine compliance with AGN-201 and

TRIGA reactor license condition requirements, and the requirements of

10 CFR Part 71 and 49 CFR Parts 170 through 189.  !

The licensee had reported in both the TRIGA and the AGN-201 annual reports

that no radioactive wastes have been generated as the result of reactor

operations. Most of the licensee's wastes are generated as the result of

experiments and transferred to the state of Utah byproduct materials

license for disposal.

License condition 2. A for the TRIGA reactor establishes the location of

the TRIGA reactor facility as on the campus of the UofU. License

condition 2.B.(1) authorizes the licensee to possess, use, and operate the

facility at the designated location in Salt Lake City, Utah,_in accordance

with the procedures and limitations set forth in the license. License

condition 2.C states, in part, that "This license shall be deemed to

contain and is subject to the conditions specified in Parts 20, 30,

50, . . . of 10 CFR. Chapter I . . 10 CFR Part 30.34(c) requires, in

part, that "Each person licensed by the Commission pursuant to the

regulations in this part . . . shall confine his possession and use of the

byproduct material to the locations and purposes authorized in the

license." The NRC inspectors determined on June 11, 1986, that the

licensee had on several occasions in the past (June 1983, January 1984, '

and January 1986) transferred radioactive TRIGA components (core support

grid plates and heavy water tanks) to unlicensed . locations off-campus for

maintenance work such as welding and anodizing. The transfer of

radioactive material to an unauthorized location is' considered an apparent

violation of license condition 2. A (50-407/8601-08).

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i 10 CFR Part 30.34(c) requires, in part, that " Preparation for shipment and

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transport of byproduct material shall be in accordance with the provisions

of Part 71 of this Chapter." 10 CFR Part 71.5(a) requires, in part, that

' "Each licensee who transports licensed material outside of the confines of

i its plant or other place of use . . . shall comply with the applicable

j requirements of the regulation appropriate to the mode of transport of DOT

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in 49 CFR Parts 170 through 189." 49 CFR Part 171.2(a) requires, in part,

! that "No person may offer or accept a hazardous material for

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transportation in commerce unless that material is properly classed,

described, packaged, marked, labeled, and in condition for shipment as

required . . . by this subchapter." 49 CFR Part 171.2(b) requires, in

part, that "No person may transport a hazardous material in commerce  !

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unless that material is handled and transported in accordance with this

subchapter . .

"

49 CFR Part 172.200(a) requires, in part, that "each-

, person who offers a hazardous material for transportation shall describe

'

the hazardous material on the shipping paper in the manner required by

this subpart." 49 CFR Part 172.203(d) requires, in part, that "The

4

description for a shipment of radioactive material must include . . . The

j name of each radionuclide in the . . material . . The activity

contained in each package . . ." 49 CFR Part 172.403(a) requires, in

part, that radioactive material packages must be labeled as provided for

in this section. During discussions with licensee personnel, the NRC

, inspectors determined on June 11, 1986, that a SRO transported the

j radioactive TRIGA upper core support grid plate from the UofU to a metal

l plating shop in Salt Lake City, Utah, on or. about January 25, 1986, and

j left it there for anodizing. The SRO knew that the plate was radioactive

4;

and that contact dose rates from the plate were in the range of

10 to 50 millirem per hour (mr/hr). Discussions revealed that the SRO had

'

used his own automobile to transport the plate, but had not prepared

shipping papers for the shipment, packaged the plate, or labeled the plate

1 to comply with regulatory requirements. The SRO could not provide any

j survey records of the plate taken prior to transport, which is required by

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49 CFR Part 173.475(1). The failure to identify, package, and label the

radioactive core support grid is an apparent violation of the requirements

of NRC and DOT regulations (50-407/8601-09).

No deviations were identified. t

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14. Radiation Protection

t

The licensee's radiation protection program was inspected to determine

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compliance with the requirements of the AGN-201 TS 3.3(c), 3.4, 4.4, and

i and 6.1.9, and TRIGA TS 3.7, 4.3.3, 4.3.4, and 5.4, and 10 CFR Parts 19

j and 20; and the recommendations of industry standard ANSI /ANS-15.11-1977.

i

j The NRC inspectors reviewed monthly radiation and contamination survey

records for 1984, 1985, and 1986 regarding surveys performed by both.the

VofU RHD and NEL personnel. Radiation exposure records for NEL personnel

j were also reviewed.

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The licensee's TRIGA reactor license renewal application in response to

NRC question number 48, which asked the licensee to describe the personnel

monitoring program, states, in part, that a radiation history and record

would be created for all personnel issued dosimetry. The RHD could not

provide a radiation exposure history file for two R0s that had been

routinely provided dosimetry at the NEL and had operated the TRIGA

reactor. This is an apparent deviation of a commitment to the NRC

regarding creation of personnel exposure history and records

(50-407/8601-10).

The NRC inspectors further discussed with the licensee the apparent lack

of control over personnel dosimetry at the NEL in that NEL access logs

show that several individuals used the same temporary (loaner badge)

badge during January, February, March, and April of 1986. During

January 1986, two loaner badges were each used by up to four different

individuals. The licensee stated that each individual also used a self

reading pocket dosimeter (SRD) on each entry, and that each person's

approximate dose could be computed from these entries. The NRC inspectors

informed the licensee that the SRDs used by the licensee appeared to be

surplus government SRDs (which are surplus when they can no longer meet

RG 8.4 equivalent performance criteria), and since the-licensee had not

evaluated the SRDs performance as recommended by RG 8.4, the SRD results

would be questionable.

The NRC inspectors also performed independent fixed and loose surface

contamination and direct radiation dose rate surveys of the NEL facility

and adjacent areas. The licensee was notified on June 11, 1986, by the

NRC inspectors, that elevated radiation and loose surface contamination

levels were identified by the NRC inspectors during surveys of the NEL

(restricted area) and the adjacent (unrestricted area) Mechanical

Engineering Department Machine Shop (MEMS) both located in the Merrill

Engineering Building. The elevated levels had not been previously

identified by the licensee during routine and special surveys. The NRC

inspectors also noted that the licensee had not initiated radiological

surveys of the Merrill Engineering Building potable water system or the

sanitary sewer outfall that services the TRIGA reactor pool water

recirculating system. The TRIGA reactor pool water system is also

discussed in paragraph 8 of this report.

10 CFR Part 20.201(a) states, in part, that "As used in the

regulations . . . " survey" means an evaluation of the radiation hazards

incident to the . . . use, release, disposal, or presence of radioactive

materials or other sources of radiation under a specific set of

conditions. When appropriate, such evaluation includes a physical survey

of the location of materials and equipment, and. measurements of levels of

radiation or concentrations of radioactive material present."

Part 20.201(b) requires, in part, that "Each licensee shall make or cause

to be made such surveys as (1) may be necessary for the licensee to comply

with the regulations . . . (2) are reasonable under the circumstances to

evaluate the extent of radiation hazards that may be present." During

independent NRC surveys of Room 1001-E (AGN-201 and TRIGA reactor

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location), on June 9 and 12, the NRC inspectors identified radioactive

components laying adjacent to the AGN-201 reactor that produced general

area radiation dose rates of apprcximately 22 mr/hr at 18 inches, and up

to 230 mr/hr on contact, and loose surface radioactivity levels of 3,000

disintegration per minute (dpm)/100cm 2beta gamma contamination on a

rubber floor mat above the TRIGA reactor. Discussions with the licensee

determined that the components had been received and stored in Room 1001-E

since about October 1985. On June 11, 1986, during an independent

surveying of the MEMS (Room 1003), it was determined that RAM was present

on the floor and several of the machines (two vertical milling machines

and one radial arm drilling machine). Survey results indicated that

surface contamination levels ranged from several hundred dom /100 cm 2

to

100,000 dpm/100 cm . Contact radiation levels of about 1.0 mrad /hr were

2

also identified. The licensee stated that the MEMS was used during

January 15, 16, 23, and 24, 1986, to machine and drill the TRIGA reactor

upper core support grid. The licensee stated that the MEMS had been

surveyed following the January work and no racloactivity was detected.

The general lack of knowledge on the part of the RHD and NEL personnel

concerning the presence of contamination within the MEMS indicate that a

serious breakdown in radiological controls at the NEL.

Routine monthly surveys performed by both NEL and the RHD routinely

identified direct radiation levels within the NEL as less than 0.02 mr/hr

and less than 1000 dpm loose surface contamination. The licensee could

not provide survey records concerning radiological conditions during

the core grid work or post work surveys of the MEMS. Also, the licensee

was not able to provide any documentation concerning radiological controls

in effect in the MEMS during the core grid maintenance work. MEMS

personnel that performed the milling and drilling stated that they were

not informed that the equipment they were working on was radioactive and

that no special controls were established. The NRC inspectors also noted

there was a lack of NEL management control and coordination involving the

above referenced work, in that the RHD was not involved in establishing

radiological controls for the core grid maintenance activities.

The RHD initiated surveys and decontamination of the MEMS in the afternoon

of June 11, 1986. In the late afternoon of June 11, 1986, licensee

representatives stated that the MEMS had been decontaminated to background

levels. The NRC inspectors performed a follow-up survey and determined

that previously identified contamination still existed in tne MEMS.

Following further decontamination by the RHD, the RSO provided the NRC

inspectors a report on the contamination evaluation and cleanup of the

MEMS, dated June 12, 1986, which summarized the RHD' efforts since being

informed of the problem on June 11, 1986. The report and discussions with

the licensee indicated that the MEMS had been decontaminated to background

levels. The NRC inspectors again performed a survey for fixed and loose

surface contamination and determined that one piece of equipment

previously identified by the NRC to +.he licensee on June 11, 1986, had

never been decontaminated and still showed loose surface contamination

level of approximately 4,500 dpm/100 cm2 and the presence of general

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radioactivity levels of 30,000 dpm/100 cm 2 on the machine's surfaces. The

failure to perform adequate surveys is an apparent violation of 10 CFR

Part 20.201 (50-407/8601-11).

The NRC inspectors noted that the routi'e surveys of the NEL conducted by

RHD personnel were of such insufficient detail, and con;ained mistakes as

to location of areas actually surveyed, that. they provided no practical

radiological control use. Furthermore, the NRC inspectors noted that the

NEL surveys for October and November 19f 5 appeared to be the same survey

with only a date change en a machine mare copy of the October survey.

The licensee's survey program had not inc1Lded an evaluation of neutron

radiation levels with the reactors operating at full power. The NRC

inspectors stated that neutron radiation levels are not usually considered

to be a problem at AGN-201 and 100kw TRIGA facilities; however, actual

surveys should be performed to establish that no significant neutron

radiation levels exist.

Discussions with the RSO disclosed that the RHD is not on a routine

distribution of NRC literature and relevant documents received by the

Uofu.

The NRC inspectors noted that a SR0 did not use protective clothing

(gloves) during handling of potentially radioactively contaminated

material that had been in contact with TRIGA reactor pool water.

Several portable radiation survey meters, supplied by the Nevada Office of

the Department of Energy, are used as auxiliary radiation monitoring

instrumentaticn to the permanently installed instruments. The NRC

inspectors noted that at least two gamma scintillation meters and two

beta / gamma ion chamber dose rate meters were available for use at the NEL.

The NRC inspectors brought to the attention of the licensee that one of

the beta / gamma dose rate meters stored with ready-to-use instruments was

out of calibration by approximately 2 years (last calibrated May 19,

1983).

15. Radiological Environmental Monitoring

The licensee's radiological environmental monitoring and protection

program was inspected to determine compliance with the requirements of

TRIGA TS 3.4 and 3.7, and 10 CFR Part 20.106; and the commitments

contained in Section 12.7 of the SER.

The NRC inspectors reviewed the licensee's reports concerning effluent

releases and observed environment monitoring equipment at the NEL. The

licensee's environmental monitoring program is primarily conducted by'the

Environmental Protection Agency in conjunction with routine environmental

monitoring the Uofu.

No violations or deviations were identified.

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16. Emergency Planning and Preparedness

The NRC inspectors reviewed the implementation of the UofU Emergency

Plan (EP) for the AGN-201 and TRIGA reactors; the requirements of 10 CFR

Parts 50.54(q) and (r); the commitments contained in Section 13.3 of the

SER; and the recommendations of RG 2.6 and industry standard

ANSI /ANS-15.16-1982.

The NRC inspectors reviewed assignment of responsibilities, emergency

facilities and equipment (first aid and medical facilities, communications,

rescue and fire, radiation and contamination protection equipment). The

NRC inspectors verified that the inventories of emergency equipment and

supplies agreed with the EP. The NRC inspectors discussed with the Salt

Lake City Fire Department and the UofU Medical Center their roles in the

event of a reactor accident or fire at the NEL. The NRC inspectors also

observed an emergency drill on June 12, 1986, designed to verify response

capabilities of organizations and personnel. The drill involved

participation from the Salt Lake City Fire Department and Hazardous -

Material Control Unit, UofU Police Department, the NEL staff, and the RHD.

The NRC inspectors discussed the following observations:

No one was designated as the emergency response director; all parties

performed independently.

The drill scenario was never made clear to participants and did not

cause a sufficient degree of realism to be shown by participants.

The NRC inspectors recommended the use of the reactor accident

scenarios in the SER.

The drill critique should be documented with assignments of corrective

actions provided to all participants.

The NRC inspectors noted that the licensee had provided annual

indoctrination training on NEL activities and facilities for fire

department, police and medical emergency service personnel.

No violations or deviations were identified.

17. Physical Security

The material discussed here contains Safeguards Information as defined by

10 CFR Part 73.21 and is reported in Attachment to this report.

18. Nuclear Materials Safeguards

The NRC inspectors reviewed the nuclear materials safeguards program to

determine compliance with AGN-201 and TRIGA license conditions 2.B.(2).

The inspectors reviewed accountability procedures and practices, records,

and material status reports for the period 1983 through 1986.

No violations or deviations were identified. '

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19. Reports and Notifications

The NRC inspectors reviewed reports and notifications to determine

compliance with AGN-201 TS 6.9.1 and 6.9.2 and TRIGA TS 6.10.

No violations or deviations were identified.

20. Exit Interview

The NRC inspectors met with the licensee's representatives identified in

paragraph 1 of this report at the conclusion of the inspection on June 12,

1986. The NRC inspectors summarized the scope and the results of the

inspection. The NRC inspectors emphasized that the numerous apparent

violations indicated a serious breakdown of management controls. The

licensee stated that a survey was performed on June 11, 1986, at the

offsite facility where the core grid support was anodized in January 1986

and no radioactive material was identified.

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