ML20343A282

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Follow-up Report to October 20, 2020 Incident Reported Under 10 CFR 70 Appendix a Section (C) (NRC Event No. 54962); Framatome Inc. Richland Facility; License No. SNM-1227; Docket No. 70-1257
ML20343A282
Person / Time
Site: Framatome ANP Richland
Issue date: 12/08/2020
From: Travis Tate
Framatome
To:
Document Control Desk, Office of Nuclear Material Safety and Safeguards
References
NRC Event No. 54962, TJT:20:028
Download: ML20343A282 (6)


Text

framatome December 8, 2020 T JT:20:028 U.S. Nuclear Regulatory Commission Director, Office of Nuclear Material Safety and Safeguards Attn: Document Control Desk (03-H8)

One White Flint North 11555 Rockville Pike Rockville , Maryland 20852-2738

Subject:

Follow-up Report to October 20, 2020 Incident Reported Under 10 CFR 70 Appendix A section (c) (NRC Event No. 54962); Framatome Inc. Richland Facility; License No. SNM-1227; Docket No. 70-1257 On October 21, 2020, the Framatome Inc. Richland facility reported an event per the requirements of 10 CFR 70 Appendix A section (c) because an industrial injury required reporting to the Washington State Department of Labor and Industry.

The initial report (NRC Event Report number 54962) was made consistent with the requirements of 10 CFR 70 Appendix A section (c) which requires the reporting of any event or situation, related to health and safety for which notification to other government agencies has been or will be made.

Attached to this letter is a 60-day follow-up report is being submitted in accordance with 10CFR 70.74 (b) .

If you have questions about this incident or Framatome's associated response, please contact me on (509) 375-8550.

Very truly yours, T. J. Tate , Manager Environmental, Health, Safety, & Licensing cc: U.S. Nuclear Regulatory Commission, Region II Attn: Eric Michel , Chief Fuel Facility Branch 2 Marquis One Tower, 23 T85 245 Peachtree Center Avenue N.E. , Suite 1200 Atlanta , GA 30303-8931

USNRC TJT:20:028 December 8, 2020 Page 2 U.S. Nuclear Regulatory Commission, Office of Nuclear Material Safety and Safeguards 11545 Rockville Pike Attn: Osiris Siurano-Perez Mailstop : TWFN-4A60 Rockville, Ml 20852-273

USNRC T JT:20:028 December 8, 2020 Page 3 60-Day Follow up Report Caller Identification This condition was reported to the NRC Operations Center by Calvin Manning, Framatome Manager of Licensing and Compliance, on October 21, 2020 at 1014 EDT (509-375-8237).

Date, Time, and Exact Location of Incident The reportable condition occurred on October 20, 2020 at approximately 1130 hours0.0131 days <br />0.314 hours <br />0.00187 weeks <br />4.29965e-4 months <br /> local time in the sites carpenter's shop. This shop is not in a radiological control area.

Incident Description A carpenter working in a clean (non-radiation) area injured his hand and required medical treatment.

There were not radiological or chemical hazards involved in this event.

Other than to the injured employee, there were not health and safety consequences to the workers, the public, or the environment due to this industrial accident.

The sequence of occurrences leading to the event are as follows:

10/20/2020 carpenter's work assignment for the day was to cut and assemble 51/2" blocks for shipping containers. Two hundred and sixty of these blocks were required.

10/20/2020, morning carpenter cuts multiple thick blocks from 2"x6" boards.

10/20/2020, 1120-1130: carpenter begins using the table saw to trim the thick blocks to 51/2" cuts by removing approximately 1/8" strips. A push stick was not used because there was no need to be inside the guard to make the cut.

10/20/2020, approximately 1130: While cutting one of these blocks, a kickback event occurred.

A block that had already been cut was caught by the blade and thrown back into the carpenter, before landing approximately 12-15 feet away. The slick floor (slick concrete covered in saw dust may have contributed to the carpenter losing his balance and falling forward. The kickback event caused the guard to lift high enough to expose the blade. The carpenter's right hand came in contact with the blade severely injuring it.

Carpenter contacted his supervisor who summoned first responders who provided care until medical personnel arrived and transported the injured carpenter to an off-site medical care facility.

All remaining structures, systems, equipment, components and activities of personnel relied on to prevent potential accidents or to mitigate their consequences were and remain available and reliable to perform their function.

USNRC TJT:20:028 December 8, 2020 Page 4 No external conditions affected this event.

The status of this event is "terminated".

This industrial accident did not require any declared emergency class. The current status of site is normal operations.

Notifications related to this event included the Washington State Department of Labor and Industry and the U.S. NRC.

There was not any press release made due to this event.

Safety Significance of the Incident Although serious for the individual who was injured, the safety impact of this injury to the plant is low. No radiological emergency condition or radiological or chemical releases resulted from this incident.

Incident Response Actions A number of actions were taken in direct response to this incident, as follows:

  • EHS&L issued a Stop Work Order.
  • A careful review of the event timeline was conducted.
  • Appropriate internal and regulatory notifications were made.
  • An apparent cause analysis (ACA) was initiated.

Interim and Near-Term Corrective Actions The table saw was locked out and tagged out pending investigation.

Other similar equipment was inspected for adequate safety devices and guarding.

In-person safety stand down with crafts on this incident.

Incident Cause(s)

The cause of this incident is that the table saw's anti-kickback device was not adequate.

The kick-back event occurred because the distance between the blade and the anti-kickback device was equal to or slightly greater than the width of the block; which resulted in the anti-kickback device not having sufficient "bite" on the material being cut to prevent a kickback.

The saw did not come with a riving knife, a guard that moves along the blade, when it was purchased in 1997. A more modern anti-kickback device was not installed on the table saw because it was not recognized by the employees working on the equipment nor management that this safety feature was available and would have provided proper protection to the worker.

Actions to Prevent Recurrence

USNRC TJT:20:028 December 8, 2020 Page 5 Replace the table saw in the carpenter shop with a modern table saw with anti-kickback features including a riving knife.

Evaluate the use of blade stopping technology or light curtain.

Evaluate qualifications and training for carpenters.

Complete a detailed extent of condition review on similar equipment.

Complete a compliance review to assure this type of equipment meets current Washington state safety requirements, as per the Washington Administrative Code.

USNRC T JT:20:028 December 8, 2020 Page 6 be:

T. J. Tate R. J. Land C. D. Manning C. S. Dreyer S. C Powers S. D. Wright