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Category:REPORTABLE OCCURRENCE REPORT (SEE ALSO AO LER)
MONTHYEARML20134C3421997-01-27027 January 1997 Special Rept:On 970110,improper Stack Monitor Calibr Occurred.Caused by Use of Flawed Procedure.Revised Q-2 Surveillance Data Sheet ML20116D9851996-07-24024 July 1996 14 Day Rept:On 960710,non-conservative Setting for Safety Channel 2 High Voltage Sensing Circuit Occurred.Caused by Failures in Safety Channel 2 High Sensing Circuit.Performed Successful Check of Sensing Circuit Loss of Voltage Setting ML20116D9921996-07-12012 July 1996 Ro:On 960711,Safety Channel 2 High Voltage Sensing Circuit Failed.Allowed Reactor to Sit Over Weekend & Planned to Restart ML20107L7481996-04-25025 April 1996 Ro:On 960404,failures in Safety Channel 2 High Voltage Sensing Circuits Resulted in Safety 2 Trip.Stated Resistors Replaced & Safety Channel 2 High Voltage Power Supply Temporarily Replaced W/Exact Duplicate on 960412 ML20107L7601996-04-0505 April 1996 Ro:On 960404,spurious Safety Channel 2 Loss of High Voltage Trip Occurred.Caused by Previously Undetected Matl Failure. Repairs Should Be Completed by 960410 & Restart Approved Subject to Successful post-repair Checks ML20086D1041995-06-30030 June 1995 Ro:On 950609,failure of Primary Coolant Return Line Flow Sensor to Initiate Trip Occurred.Flow Sensors Checked After Debris Removal & as of 950626 Problem Considered Resolved ML20091L2891995-06-12012 June 1995 Ro:On 950609,primary Coolant Flow Line Return Sensor Failed. Caused by Debris in Line.Line Repaired ML20082D0221995-04-0303 April 1995 Ro:On 950309-13,leakage of Coolant HX Occurred After Primary Coolant Resistivity Increase Noted.Primary & Secondary Flow Secured & Shell Side of HX Drained.No Leakage Collected.Hx Returned to Primary Sys & Placed in Operation ML20099H7641992-08-10010 August 1992 Ro:On 920727,temp Recorder Point 2 Noted to Be Reading Downscale,Indicating Failure in Circuit Monitoring Water Temp at Exit of South Ctr Fuel Box 2.Caused by Blockage in Fuel Box.Planned Maint Underway.Event Not Reportable ML20086H8081991-12-0303 December 1991 Final Ro:On 911119,safety Channel 2 Meter Flickered & Dropped Out Hard Downscale (Pegged).Caused by Intermitten Fault in Fine Adjust Potentiometer of Circuit. Poteniometer Replaced & Amplifier Card Reseated ML20086G2631991-11-27027 November 1991 Ro:Unscheduled Reactor Trip Occurred While Measuring Temp Coefficient of Reactivity.Caused by Secondary Cooling Water Dropping Below 8 Gpm Min Required by Limiting Safety Sys Setting.Cooling Water Logic Placed in City Water Mode ML20086H8151991-11-20020 November 1991 Ro:On 911120,unscheduled Shutdown Conducted Due to Failure of Safety Channel 2 Circuit on 911119.Possibly Caused by Problem in Safety Channel 2 Meter Circuit.Permission to Restart Not Yet Sought ML20086G2681991-11-19019 November 1991 Ro:Reactor Tripped on Loss of Secondary Cooling Flow on City Water & Gate Valve on City Water Flow Partially Closed to Allow Operation at Higher Temp.All Safety & Control Sys Functioned Properly.Detailed Rept Will Be Submitted ML20085H4911991-10-16016 October 1991 Ro:On 911003,failure to Perform Required Surveillance of Limiting Safety Sys Setting of Loss of Secondary Coolant Pump Power Discovered.Trip Check on Loss of Pump Power Incorporated Into Q-1 Quarterly Scram Checks ML20085H5071991-10-0303 October 1991 Ro:Possibility That Tests for Operability on Loss of Secondary Coolant Well Pump Power May Not Meet Tech Spec Surveillance Requirement 3.2.2(2) Discovered.Minutes of 911007 Executive Committee Meeting Encl ML20058F4281990-10-29029 October 1990 Ro:On 901002,three Reactor Startups Occurred W/O Performing Daily Checkout or Control Blade Interlock Checks Following Previous Shutdown ML20058F3481990-10-25025 October 1990 Ro:On 901025,three Reactor Startups Performed W/O Daily Checkout Being Performed within Required Time Interval,Per SOP SOP-A.2, Reactor Startup ML20248F1081989-09-29029 September 1989 Ro:On 890915 & 18,reactor Trips Occurred When Safety Channel 1 High Voltage Power Supply Dropped to 90% or Less of Rated Voltage.Caused by Instabilities in 15-volt Dc Power Supply. Trip Relays Replaced & Bistable Adjusted ML20244D5981989-03-31031 March 1989 Final Rept Re Higher than Expected High Streaming Radiation Levels Present at Vertical Ports During Full Power Operation.Caused by Inadequate Survey of Rabbit Shield on 870120.Extra Shielding Installed on Rabbit Sys Shield ML20244A7401989-03-31031 March 1989 Ro:On 890317,reactor Trip W/High Primary Coolant Temp Indication Occurred.Caused by Failure of Specific Temp Recorder Sys Due to Dust/Corrosion Buildup on Slide Wire Causing Excessive Resistance.Buildup Cleaned Off ML20235W6951989-02-21021 February 1989 Ro:On 890221,potential Failure to Rept Significant Change in Level 1 Administration Existed,Per Tech Spec 6.6.3. Evaluation Determined No Significant Administration Oversi Oversights Involved ML20206J7841988-11-14014 November 1988 Ro:On 881104,unscheduled Reactor Shutdown Occurred Due to Failure of Temp Recorder to Indicate Properly.Caused by Failure of Microswitch.Microswitch & Vacuum Tube Replaced & Calibr Check Performed ML20150B6821988-06-23023 June 1988 Ro:On 880610,clutch Current Indication Lamp for Control Blade safety-2 Burned Out at Full Power,Dropping Control Blade from 56% Withdrawn to Fully Inserted Position.Clutch Replaced & Lamp Replacement Frequency Increased ML20196A3661988-06-23023 June 1988 Ro:On 880610,control Blade Safety 2 Clutch Indicating Lamp Burned Out.Burned Out Clutch Current Indicating Bulb Replaced to Include Necessary Control Blade Drive & Drop Time Checks ML20195H8791988-06-0909 June 1988 Final Ro:On 880409,recurrence of Safety Channel 1 Circuit to Provide Proper Power Indication Occurred After Return to Normal Operations on 880401 Following Previous Failures on 880315 & 16.Caution Memo Issued to Operators ML20151W3711988-04-25025 April 1988 Ro:On 880321,0401 & 09,safety Channel 1 Failed to Bottom Meter Stop.Cause Not Yet Identified.New Program Developed to Isolate & Correct Cause of Failure ML20151B3681988-03-28028 March 1988 Reportable Occurrence:On 880314,safety Channel 1 Circuit Failed to Provide Proper Power Indication for Several Seconds on Two Occasions.Caused by Capacitor Failure. Capacitor Replaced W/Substitute of Different Mfg ML20148E8161988-03-15015 March 1988 Ro:On 880315,failure of Safety Channel 1 Circuit Occurred. Failed Component Replacement Has Restored Safety Channel 1 to Normal ML20209G7221987-04-13013 April 1987 Ro:On 870401,reactor Experienced Safety Channel 1 Trip. Caused by Operator Error.Rapid Recovery Restart Performed by Operator.Memorandum Issued Placing Restrictions on Automatic Operation & Limiting Removal of Regulating Blade ML20207J0321986-12-19019 December 1986 Ro:On 861211,actuation of Evacuation Alarm & Evacuation Alarm/Core Vent Sys Interlocks Occurred While Stack Count Rate Approx 300 Cps,In Potential Violation of Tech Specs. Cause Not Given.Vent Will Be Secured at 10 Cps During Drill ML20132B4241985-09-17017 September 1985 Ro:On 850904,one Control Blade Failed to Drop Fully Into Core on Demand from 64% Withdrawn Position.Probably Caused by Bearings Supporting Blade/Shaft Coupling or Magnesium Shroud housing-to-blade Clearance ML20132B4521985-09-0404 September 1985 Ro:On 850904,one Reactor Control Blade Failed to Drop on Demand from 64% Removed Position.Probably Caused by Binding in Clutch S-3 Possibly Due to Moisture or Other Effect Reducing Clearance 1997-01-27
[Table view] Category:TEXT-SAFETY REPORT
MONTHYEARML20207C0881998-12-31031 December 1998 Rev 11 to Uftr SAR, Consisting of Change Page 12-20 ML20217M6581998-03-27027 March 1998 Updated Proposal Submitted to NRC to Meet 10CFR50.64 Requirements for Updating Scheduling of Uftr Conversion from Heu to LEU Fuel ML20203C4551997-12-0303 December 1997 Safety Evaluation Supporting Amend 22 to License R-56 ML20216A8791997-08-31031 August 1997 Univ of Fl Training Reactor Annual Progress Rept for 960901-970813 ML20148G3561997-05-29029 May 1997 Univ of Fl Training Reactor Operator Requalification & Recertification Training Program Plan,Jul 1997-June 1999 ML20134C3421997-01-27027 January 1997 Special Rept:On 970110,improper Stack Monitor Calibr Occurred.Caused by Use of Flawed Procedure.Revised Q-2 Surveillance Data Sheet ML20137C1481996-12-31031 December 1996 195-96 Annual Progress Rept, Replacing Pages IV-6,IV-11 & IV-12 ML20128N4671996-10-10010 October 1996 Safety Evaluation Supporting Amend 21 to License R-56 ML20135D0081996-08-31031 August 1996 Univ of Fl Training Reactor Annual Progress Rept for 950901-960831 ML20116J5791996-08-0909 August 1996 Annual Progress Rept of Univ of Florida Training Reactor 940901-950831 ML20116D9851996-07-24024 July 1996 14 Day Rept:On 960710,non-conservative Setting for Safety Channel 2 High Voltage Sensing Circuit Occurred.Caused by Failures in Safety Channel 2 High Sensing Circuit.Performed Successful Check of Sensing Circuit Loss of Voltage Setting ML20116D9921996-07-12012 July 1996 Ro:On 960711,Safety Channel 2 High Voltage Sensing Circuit Failed.Allowed Reactor to Sit Over Weekend & Planned to Restart ML20107L7481996-04-25025 April 1996 Ro:On 960404,failures in Safety Channel 2 High Voltage Sensing Circuits Resulted in Safety 2 Trip.Stated Resistors Replaced & Safety Channel 2 High Voltage Power Supply Temporarily Replaced W/Exact Duplicate on 960412 ML20107L7601996-04-0505 April 1996 Ro:On 960404,spurious Safety Channel 2 Loss of High Voltage Trip Occurred.Caused by Previously Undetected Matl Failure. Repairs Should Be Completed by 960410 & Restart Approved Subject to Successful post-repair Checks ML20101L3491996-03-27027 March 1996 Updated Proposal Submitted to NRC to Meet 10CFR50.64 Requirements for Updating Scheduling of Uftr Conversion from HEU to LEU Fuel ML20086D1041995-06-30030 June 1995 Ro:On 950609,failure of Primary Coolant Return Line Flow Sensor to Initiate Trip Occurred.Flow Sensors Checked After Debris Removal & as of 950626 Problem Considered Resolved ML20091L2891995-06-12012 June 1995 Ro:On 950609,primary Coolant Flow Line Return Sensor Failed. Caused by Debris in Line.Line Repaired ML20082D0221995-04-0303 April 1995 Ro:On 950309-13,leakage of Coolant HX Occurred After Primary Coolant Resistivity Increase Noted.Primary & Secondary Flow Secured & Shell Side of HX Drained.No Leakage Collected.Hx Returned to Primary Sys & Placed in Operation ML20115B5881994-08-31031 August 1994 Annual Progress Rept of Univ of Fl Training Reactor for Sept 1993 - Aug 1994 ML20072P7141993-08-31031 August 1993 Annual Progress Rept of Univ of Fl Training Reactor for Sept 1992 - Aug 1993 ML20044G8351993-05-28028 May 1993 Revised, Operator Requalification & Recertification Training Program Plan of Univ of Florida Training Reactor, Jul 1993 Through June 1995. ML20069D0971992-08-31031 August 1992 Annual Progress Rept of Univ of Fl Training Reactor for Period 900901-910831 ML20099H7641992-08-10010 August 1992 Ro:On 920727,temp Recorder Point 2 Noted to Be Reading Downscale,Indicating Failure in Circuit Monitoring Water Temp at Exit of South Ctr Fuel Box 2.Caused by Blockage in Fuel Box.Planned Maint Underway.Event Not Reportable ML20094S4071992-04-30030 April 1992 Rev 7 to SAR Section 5.2 Re Secondary Cooling sys,9.2.3 Re Demineralized Water Makeup sys,9.2.4 Re Purification Sys & 9.2.5 Re Potable & Sanitary Water Sys ML20091C0451992-03-26026 March 1992 Updated Proposal Submitted to NRC to Meet 10CFR50.64 Requirements for Updating Scheduling of Univ of Florida Training Reactor Conversion from HEU to LEU Fuel ML20087A0521991-12-29029 December 1991 Rev 1 to Operator Requalification & Recertification Training Program Plan of Univ of Florida Training Reactor, Jul 1991 Through June 1993 ML20086H8081991-12-0303 December 1991 Final Ro:On 911119,safety Channel 2 Meter Flickered & Dropped Out Hard Downscale (Pegged).Caused by Intermitten Fault in Fine Adjust Potentiometer of Circuit. Poteniometer Replaced & Amplifier Card Reseated ML20086G2631991-11-27027 November 1991 Ro:Unscheduled Reactor Trip Occurred While Measuring Temp Coefficient of Reactivity.Caused by Secondary Cooling Water Dropping Below 8 Gpm Min Required by Limiting Safety Sys Setting.Cooling Water Logic Placed in City Water Mode ML20086H8151991-11-20020 November 1991 Ro:On 911120,unscheduled Shutdown Conducted Due to Failure of Safety Channel 2 Circuit on 911119.Possibly Caused by Problem in Safety Channel 2 Meter Circuit.Permission to Restart Not Yet Sought ML20086G2681991-11-19019 November 1991 Ro:Reactor Tripped on Loss of Secondary Cooling Flow on City Water & Gate Valve on City Water Flow Partially Closed to Allow Operation at Higher Temp.All Safety & Control Sys Functioned Properly.Detailed Rept Will Be Submitted ML20085H4911991-10-16016 October 1991 Ro:On 911003,failure to Perform Required Surveillance of Limiting Safety Sys Setting of Loss of Secondary Coolant Pump Power Discovered.Trip Check on Loss of Pump Power Incorporated Into Q-1 Quarterly Scram Checks ML20085H5071991-10-0303 October 1991 Ro:Possibility That Tests for Operability on Loss of Secondary Coolant Well Pump Power May Not Meet Tech Spec Surveillance Requirement 3.2.2(2) Discovered.Minutes of 911007 Executive Committee Meeting Encl ML20105B3751991-08-31031 August 1991 Annual Progress Rept of Univ of Florida Training Reactor, Sept 1990 - Aug 1991 ML20070T4061991-03-27027 March 1991 Updated Proposal Submitted to NRC to Meet 10CFR50.64 Requirements for Updating Scheduling of Univ of Florida Test Reactor Conversion from High Enriched U to Low Enriched U ML20058F4281990-10-29029 October 1990 Ro:On 901002,three Reactor Startups Occurred W/O Performing Daily Checkout or Control Blade Interlock Checks Following Previous Shutdown ML20058F3481990-10-25025 October 1990 Ro:On 901025,three Reactor Startups Performed W/O Daily Checkout Being Performed within Required Time Interval,Per SOP SOP-A.2, Reactor Startup ML20072S3761990-08-31031 August 1990 Annual Progress Rept of Univ of Florida Training Reactor, for Sept 1989 - Aug 1990 ML20248F1081989-09-29029 September 1989 Ro:On 890915 & 18,reactor Trips Occurred When Safety Channel 1 High Voltage Power Supply Dropped to 90% or Less of Rated Voltage.Caused by Instabilities in 15-volt Dc Power Supply. Trip Relays Replaced & Bistable Adjusted ML20006D5491989-08-31031 August 1989 Annual Progress Rept of Univ of Florida Training Reactor, Sept 1988 - Aug 1989. W/900207 Ltr ML20244A7401989-03-31031 March 1989 Ro:On 890317,reactor Trip W/High Primary Coolant Temp Indication Occurred.Caused by Failure of Specific Temp Recorder Sys Due to Dust/Corrosion Buildup on Slide Wire Causing Excessive Resistance.Buildup Cleaned Off ML20244D5981989-03-31031 March 1989 Final Rept Re Higher than Expected High Streaming Radiation Levels Present at Vertical Ports During Full Power Operation.Caused by Inadequate Survey of Rabbit Shield on 870120.Extra Shielding Installed on Rabbit Sys Shield ML20235W6951989-02-21021 February 1989 Ro:On 890221,potential Failure to Rept Significant Change in Level 1 Administration Existed,Per Tech Spec 6.6.3. Evaluation Determined No Significant Administration Oversi Oversights Involved ML20206J7841988-11-14014 November 1988 Ro:On 881104,unscheduled Reactor Shutdown Occurred Due to Failure of Temp Recorder to Indicate Properly.Caused by Failure of Microswitch.Microswitch & Vacuum Tube Replaced & Calibr Check Performed ML20196C0821988-08-31031 August 1988 Annual Progress Rept of Univ of Florida Training Reactor, Sept 1987 - Aug 1988 ML20196A3661988-06-23023 June 1988 Ro:On 880610,control Blade Safety 2 Clutch Indicating Lamp Burned Out.Burned Out Clutch Current Indicating Bulb Replaced to Include Necessary Control Blade Drive & Drop Time Checks ML20150B6821988-06-23023 June 1988 Ro:On 880610,clutch Current Indication Lamp for Control Blade safety-2 Burned Out at Full Power,Dropping Control Blade from 56% Withdrawn to Fully Inserted Position.Clutch Replaced & Lamp Replacement Frequency Increased ML20195H8791988-06-0909 June 1988 Final Ro:On 880409,recurrence of Safety Channel 1 Circuit to Provide Proper Power Indication Occurred After Return to Normal Operations on 880401 Following Previous Failures on 880315 & 16.Caution Memo Issued to Operators ML20151W8931988-04-27027 April 1988 Safety Evaluation Supporting Amend 17 to License R-56 ML20151W3711988-04-25025 April 1988 Ro:On 880321,0401 & 09,safety Channel 1 Failed to Bottom Meter Stop.Cause Not Yet Identified.New Program Developed to Isolate & Correct Cause of Failure ML20151B3681988-03-28028 March 1988 Reportable Occurrence:On 880314,safety Channel 1 Circuit Failed to Provide Proper Power Indication for Several Seconds on Two Occasions.Caused by Capacitor Failure. Capacitor Replaced W/Substitute of Different Mfg 1998-03-27
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NUCLEAR ENGINEERING SCIENCES DEPARTMENT Nuclear Reactor Facility University of Florida E%^l82ll%" 39 APR 6 A9:51 Phone (904)3921429 Telsa64330 March 31,1989 Final 14 Day Report:
Failure to Post Part of Restricted Area As a Radiation Area U.S. Nuclear Regulatory Commission Region II 101 Marietta Street, N.W.
Suite 2900 Atlanta, Georgia 30323 Attention: Malcolm L Ernst Acting Regienal Administrator, Region II Re: University of Florida Training Reactor Facility License: R-56, Docket No. 50-83 Gentlemen:
Pursuant to the reporting requirements of paragraph 6.6.2(3)(g) of the UFTR Technical Specifications, a description of a potential violation of NRC regulations is described in this 14-day report to include NRC notification, occurrence scenario, evaluation of consequences, corrective action and current status. The potential promptly reportable occurrence involved the failure to post part of a restricted type area as a radiation area.
NRC Notification The Executive Committee of the Reactor Safety Review Subcommittee (RSRS) reviewed this occurrence on March 20,1989 and concluded that it is a potential license violation as defined in UFTR Technical Specifications, Section 6.6.2, and requires a special report per UFTR Technical Specifications, Section 6.6.2(3)(g). The RSRS Executive Committee also concurred with management evaluation of the occurrence. The RSRS then instructed NRC notification as per Section 6.6.2 of the UFTR Tech Specs. This notification was carried out by both telephone to Mr. Paul Frederickson and a following telecopy to NRC Region II on March 21,1989 after initial attempts at telephone communications were unsuccessful on March 20,1989, due to problems with the Region II telephone system.
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. i U.S. Nuclear Regulatory Commission March 31,1989 Initial Event Scenario As a result of a routine NRC inspection on February 27-March 3,1989 in the area of radiation safety and control, a commitment was made by UFTR management to post the area of the vertical experimental ports because of the relatively high streaming radiation level (close to being a high radiation area) present at the vertical ports during full power operation. This streaming field was well known to the UFTR operations staff and the small area was avoided during reactor operations. Nevertheless, the NRC inspector recommended posting (completed prior to the inspector's departure on March 2) and better surveys of the facility in the future.
As a follow-up to this inspection, it was decided to perform detailed radiation surveys in the cell and upgrade the posting of any existing hot areas or hot spots to assure the adequacy of existing surveys. Various localized areas around the reactor cell, especially on the sides away from the control room, are known to have 5-30 mR/hr radiation fields associated with them. The existence of such levels is known which is why most visitor groups do not tour out into the reactor cell area for extended periods of time when the reactor is at full power or even in the power range. Several of the hotter areas were posted prior to the inspect.'s visit. At any power level below 10-20 kw, most of these radiation levels become insignificant, even for long term visits to the cell.
This follow-up detailed survey was begun on March 17,1989 as a concurrent activity with an irradiation begun at 1038 hrs. During the survey performed by P.M. Whaley after some time at full power, a streaming collimated beam about 1-inch across was discovered to be coming through the rabbit system shield on the west side of the reactor. Though a thin beam, the radiation level was noted to be approximately 45 mR/hr at the face of the raboit shield using the 740F-2418 Ionization Chamber (a true gamma dose indicator). Since the cell is posted as a radiation area and this entire back area of the cell is avoided at power for visitors other than those classified as radiation workers, this level is not, in itself, thought to be a violation. After review of the records,it has been concluded that this situation had probably existed since the new shielding arrangement was installed on January 20,1987 to provide a better, less leaking shield for the rabbit system where it penetrates the west face of the reactor structure. Upon discovery of the higher than expected radiation level at the west face, the level at the door inside the cell was surveyed to be about 18 mR/hr., also in a thin though spreading beam. Immediately upon determining this level at the inside of the door, additional portable shielding was placed in front of the beam to eliminate the collimated beam. As a follow up, the ionization chamber was also used to survey in the west reactor lot looking for the collimated beam emanating from the rabbit system shield.
A small spot on the outside of the door (not allowed, by technical specifications, to be used for entry / exit during reactor operations at any power level) registered about 14.5 mR/hr with values in the 4-8 mR/hr range at the door inside a 9-12 inch circle. With distance from the door, measurements with the ionization chamber showed radiation levels dropped off rapidly so the level at 45 inches on the direct beam were down to about 0.5 mR/hr.
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U.S. Nuclear Regulatory Commission March 31,1989
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With the portable shielding removed and the area properly posted, a detailed survey at the back reactor cell door showed that the area in the back lot at which the radiation level is at or above 0.5 mR/hr extends to about 45 inches from the door and is roughly cone-shaped at about 4-feet above ground level. The cone is about 10 inches wide at the door and not much different at the outer edge.
Corrective Action - Prompt Immediately upon discovery of this streaming (collimated beam) field emanating from the rabbit system shield, an extra piece of portable shielding was placed at the west rabbit shield face to eliminate the collimated beam and reduce radiation levels in the area of the end of the rabbit shield below 5 mR/hr and eliminate levels that would require posting outside the back door. Although temporary, the addition of sufficient shielding to provide permanent corrective action for this collimated beam was expected to be a relatively simple matter. In addition, a sign was posted to prevent anyone from removing the extra shielding.
A permanent though still portable arrangement of shielding was installed at the west side of the rabbit shield on March 23,1989. Again an official notice has been posted warning that the extra shielding is not to be removed without checking with the Facility Director.
Removal of the shielding will also necessitate a new radiation survey of the area involved.
A complete detailed survey of the entire west side of the reactor room to include the entire equipment door area was completed on March 23, 1989 showing resolution of the occurrence with all levels external to the cell at the door surface below 2 mR/hr at full power and dropping rapidly with distance from the wall to below 0.1 mR/hr.
Corrective Action - Follow-un Analysis indicates the root cause of this occurrence is an inadequate survey performed on the new rabbit system shield on January 20,1987. This inadequacy was probably abetted by the expectation that a single-piece monolithic shield should be better than a multipiece pile of shield pieces as had been used previously. What was not accounted for was the reduction in effective shielding thickness along the direct path of the rabbit exit line from the west side of the UFTR.
In addition, it is felt that quarterly radiation surveys of the restricted areas were not designed to locate such collimated beams. This quarterly survey has been used more to assure unchanging conditions versus finding hot spots which are expected to be taken care of by surveys performed at the time when shielding is changed as required by UFTR SOP-E.1, " Alterations to Reactor Shielding and Graphite Configurations." Therefore, as committed to the NRC Inspector and to the UFTR Safety Review Subcommittee Executive Committee on March 20 and to the full RSRS at its meeting on March 21,1989, the Radiation Control Technique used to conduct quarterly radiation surveys is under revision to assure that adequate surveys are conducted, both to assure conditions are not changing and to assure the location, identification, mitigation and/or posting of radiation areas and hazards as necessary. Finally, all UFTR-associated personnel are receiving oral instructions 3
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i U.S. Nuclear Regulatory Commission March 31,1989 in.the proper performance of radiation surveys;in addition, a formal class with a practical exercise will be conducted in this area using the new radiation control technique as a basis prior to performance of the next quarterly radiation survey due in April,1989 with a one month delay allowed to May,1989 per UFTR Technical Specifications.
Consequences Since the west reactor lot is a semi-restricted access area, the occurrence basically involves a failure to post a small area that would properly be labeled a " Radiation Area." The lot itself is locked most of the time, required so after normal work hours. Those using the lot for parking do not, because of the location, use the area where the radiation area was located. Since this area is in a location that is not normally accessed by those using the back lot and since anyone standing there would have to do so in a small area for an extended period to receive even a measurable dose to the whole body, the consequences i of this failure to post the area outside the door are considered to be negligible. In addition, the area that would have been classified a " Radiation Area," has a slope away from the building for control of water runoff making it even less likely anyone would have spent considerable time in the area. The area is not one where cars are parked due to several concrete abutments left over from an old cooling tower plus about a 6 inch drop from the concrete and to the dirt / gravel surface of the lot. Visitors to the facility would also never have occasion to be in this area. Service personnel using the lot typically are involved with the Nuclear Sciences Center building power room or the diesel generator room, both at the far end of the lot. Whenever those personnel have work assignments involving the UFTR, they clock in with the reactor staff for guidance and/or clearances. Therefore, it is very unlikely for anyone to have received a significant or even measurable dose from this location.
This occurrence is nevertheless considered reportable as a failure to post adequate notices due to failure to conduct adequate surveys of the rabbit system shielding. Mitigating conditions for the occurrence would be the fact that we did discover it and correct the problem, that the area involved that would have required posting is small, uncomfortable to stand in and sees little activity as it is in a part of the larger restricted-type fenced west reactor lot. Since additional portable shielding was moved into place immediately and a
" permanent" portable shield was installed within a few days prior to further power running, this occurrence is not considered to have affected the health and safety of personnel or the safe operation of the UFTR.
Further mitigating circumstances from the point of view of assessing possible doses would be that the UFTR, over the last 2-1/2 reporting years from January,1987 through February, 1989, has had a total energy generation of only 63.536 megawatt-hours with only 598.976 hours0.0113 days <br />0.271 hours <br />0.00161 weeks <br />3.71368e-4 months <br /> at full power over the 30 months which averages to less than 5 hours5.787037e-5 days <br />0.00139 hours <br />8.267196e-6 weeks <br />1.9025e-6 months <br /> per week at full power. This means the small radiation area also only existed for about 5 hours5.787037e-5 days <br />0.00139 hours <br />8.267196e-6 weeks <br />1.9025e-6 months <br /> per week on average.
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U.S. Nuclear Regulatory Commission March 31,1989 Current Status / Conclusions Upon discovery of this radiation field, we have undertaken a vigorous and timely program to evaluate, define and correct the problem. At the same time we were somewhat delayed from completing surveys due to the need to implement corrective action to recover from a reactor trip which occurred on the day the survey was in progress that indicated the existence of the collimated beam at the back door of the reactor cell. We have now completed all the prompt actions necessary to assure compliance. We will complete the major revision of the R idiation Control Technique #31 " Instructions for Performing UFl R Environmental Monitoring" to include the addition of more detailed instructions to assure the curveys will locate hot spots and beams in a timely manner prior to its next quarterly use. In addition, we will conduct extensive training in the proper use of this procedure and the conduct of the surveys it requires.
If further information is needed, please advise.
Sincerely, Mw.-
William G. Vernetson Director of Nuclear Facilities CC: Reactor Safety Review Subcommittee P.M. Whaley
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