ML20214J919

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Insp Rept 50-160/87-04 on 870422-23.Deviation Noted:Failure to Implement Corrective Action Commitment Re Procedure for Notifying of Events,Including Responsible Individual & Agencies Needing Notification for Each Type of Emergency
ML20214J919
Person / Time
Site: Neely Research Reactor
Issue date: 05/13/1987
From: Decker T, Sartor W
NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION II)
To:
Shared Package
ML20214J875 List:
References
50-160-87-04, 50-160-87-4, NUDOCS 8705280251
Download: ML20214J919 (5)


See also: IR 05000160/1987004

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oq'o NUCLEAR REGULATORY COMMISSION

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Report No.: 50-160/87-04

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Licensee: Georgia Institute of Technology

225 North Avenue

Atlanta, GA 30332

Docket No.: 50-160 License No.: R-97

Facility Name: Georgia Institute of Technology Research Reactor (GTRR)

Inspection Conducted:

Inspector:

W. M. Sartor

I//Z/67

Date 51gned~

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Approved by: [f/I

T.R. Decker, Section Chief

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Date Signed

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Division of Radiation Safety and Safeguards

SUMMARY

Scope: This routine, unannounced inspection of the emergency preparedness

program involved evaluation of corrective actions taken by the licensee in

response to the deficiencies and improvement items identified during the

i October 28-November 1,1985, Emergency Preparedness- Appraisal.

Results: No violations were identified. One deviation 'was ' identified -

involving the licensee's failure to implement a corrective action comitment

regarding development of a required notification procedure (Paragraph 3.e).,

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REPORT DETAILS

1. Persons Contacted

Licensee Employees

R. A. Karam, Nealy Nuclear Research Center Director

R. M. Boyd, Radiological Safety Officer

2. Exit Interview (30703B)

The inspection scope and findings were summarized on April 23, 1987, with

Dr. Ratib A. Karam, the Director of the Nealy Nuclear Research Center

(NNRC). The inspector described the areas inspected and discussed in

detail the inspection findings. The licensee acknowledged the deviation

identified (paragraph 3.e). The licensee did not identify as proprietary

any of the materials provided to ro reviewed by the inspector during this

inspection.

3. Followup Inpsection on Licensee Actions Taken in Response to Emergency

Preparedness Appraisal Findings (82745)

On October 28-November 1,1985, NRC conducted an Emergency Preparedness

Appraisal of the Georgia Tech Research Reactor (GTRR) facility. During

the appraisal 4 deficiencies and 12 improvement items were identified.

The licensee responded to the inspection findings on January 22, 1986,

stating corrective actions taken or planned in response to the Appraisal

findings. The bracketed letters and numbers for each of the follwoing

paragraphs correspond to the inspection findings as listed in Appendix A

(Deficiencies) or Appendix B (Improvement Items) of the Appraisal

(Inspection Report No. 50-160/85-4).

a. [A1] (Closed) Deficiency (50-160/85-04-04): The Emergency Plan was

inconsistent in that a classification of Site Area Emergency was

defined in Section 4.0; however, respective Emergency Action Levels

(EALs) was not identified in Table I, and response to this

classification was not discussed in Section 7.0. The Emergency Plan

was revised and Table 1 included Site Area EALs and Section 7.8

discussed responses to a Site Area emergency classification.

b. [A2] (Closed) Deficiency (50-160/85-04-08): No emergency

implementing procedure was in place describing personnel monitoring

at the assembly area and segregation and decontamination of

contaminated personnel. The licensee established Emergency Procedure

Part IX titled, " Procedure for Personnel Monitoring," which corrected

this deficiency.

c. [A3] (Closed) Deficiency (50-160/85-04-12): Emergency response

training should be given to all likely onsite and offsite emergency

response personnel. Licensee's increased training effort was

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reflected in the memorandum documenting the NNRC fire fighting

emergency drill that was held on September 2,1986. The drill

provided training for NNRC personnel as well as participants from the

Georgia Tech Police, the Atlanta Fire Department, and Grady Memorial

Hospital.

d. [A4] (Closed) Deficiency (50-160/85-04-13): Emergency Plan,

Section 10.2 required that drills be conducted biannually rather than

annually as specified in 10 CFR 50, Appendix E, Section IV.F. The

Emergency Plan was revised to require annual drills,

e. [B1] (Closed) Improvement Item (50-160/85-04-01): Developing a

procedure describing notification methods including the title of the

person responsible, the agencies which must be notified for each

class of emergency, the time period during which notification must

take place and the information to be provided. This finding was

closed as an Improvement Item; however, based on the licensee's

failure to implement the commitment defined below, the finding was

elevated to a deviation. In the January 22, 1986, response to

Inspection Report 50-160/85-04, the licensee committed to develop a

procedure within six months to incorporate this improvement item. As

of this inspection, approximately 15 months after having made the

committment, the licensee acknowledged that the procedure was not yet

developed. The licensee was informed that failure to implement the

commitment constituted a deviation (50-160/87-04-01).

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f. [82](0 pen)ImprovementItem(50-160/85-04-02). Performing quarterly

updates of the emergency organization roster and the results

documented. In their January 22, 1986, response to the Appraisal,

the licensee proposed updating the roster annually or when personnel

changes occur. Although the requirement to update the emergency

roster when personnel changes occur is more restrictive than

presently required by Section 8.5 of the Emergency Plan, the licensee

should follow the approved Emergency Plan until the Plan is formally

changed. The licensee's implementation of Section 8.5 as contained

in the Emergency Plan will be reviewed during a future inspection.

g. [B3] (Closed) Improvement Item (50-160/85-04-03): Providing backup

means for internal communication at the ECC. The licensee stated

that walkie talkies do not perform adequately and that word of mouth

and the public address system with access in the hallway outside the

ECC remain as the backup means for internal communication,

h. [B4] (Closed) Improvement Item (50-160/85-04-05): Placing copies of

the Emergency Plan and Procedures in the ECC. The licensee provided

the copy of the Emergency Plan and Procedures that had been

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established for the ECC to the inspector for review. The copy was

current and complete.

1. [B5](Closed)ImprovementItem(50-160/85-04-06): Posting evacuation

routes with maps showing the location of the assembly area throughout

the facility. Old evacuation routes should be removed. The licensee

had removed the old maps and posted new evacuation route maps

throughout the building.

J. [B6] (Closed) Improvement Item (50-160/85-04-07): Including a

description of accountability methods and the title of the

responsible person in the procedures. Emergency Procedure IX

provides for the assembly of personnel in the parking lot under the

direction of the Emergency Director.

k. [B7] (Closed) Improvement Item (50-160/85-04-09). Removing outdated

emergency procedures frca doors, bulletin beards, and fire alarms.

Posting current directions with emergency notification rosters in

appropriate locations. The inspector did not observe any outdated

procedures posted during this inspection. Updated rosters were posted

in key locations.

1. [B8] (0 pen) Improvement Item (50-160/85-04-10): Developing methods

and plans for keeping track of personnel dose during emergencies and

making them available in the ECC. The supply cabinet in the ECC

contained both TLD chips and self reading dosimeters for keeping

track of personnel dose during emergencies. It was noted, however,

that no procedure was available for assuring implementation of the

subject item and use of the devices. The procedure for implementing

the use of these devices will be reviewed during a future inspection,

m. [B9] (Closed) Improvement Item (50-160/85-04-12): Establishing a

formal documentation system for emergency organization training and

retraining. Attendance records were maintained for the drill with

the names of personnel attending and the training conducted,

n. [B10](Closed)ImprovementItem(50-160/85-04-14): Documenting drill

critiques and providing for incorporation of lessons learned into

plan or procedures. This was done for the September 2,1986, NNRC

fire fighting Emergency Drill.

o. [B11] (Closed) Improvement Item (50-160/85-04-15): Developing a

procedure for update and revision of the Emergency Plan. )

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Section 10.4 of the Emergency Plan was revised to provide for this,

p. [B12] (0 pen) Improvement Item (50-160/85-04-16): Developing a

document control and distribution system for the Emergency Plan which

includes dating the Plan and Procedures, and providing copies to

applicable personnel and agencies. The licensee established a

distribution system for the Emergency Plan and Procedures, however,

the procedures remain undated. This was discussed with the licensee

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and will be reviewed during a future inspection.

4. Followup-Inspection on Open Item 77-04-05 (Closed)

The inspector reviewed the files and applicable Health Physics Procedures

to determine the status of deficiency item 50-160/77-04-05, HP Procedures

not approved by the Nuclear Safeguards Comittee at prescribed frequency.

This previous item is closed based on the Nuclear Safeguards Conmittee

being tasked with the responsibility for maintaining the health and safety

standards of the Georgia Tech Research Reactor and associated facilities.

The Conmittee meets quarterly to accomplish this task which includes

approving changes to HP procedures.

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