ML24261B239

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University of Utah U.S. NRC Routine Inspection Report 05000407/2024201 and Notice of Violation
ML24261B239
Person / Time
Site: University of Utah
Issue date: 01/21/2025
From: Tony Brown
NRC/NRR/DANU/UNPO
To: Allison A
Univ of Utah
References
IR 2024201
Download: ML24261B239 (1)


See also: IR 05000407/2024201

Text

UNITED STATES

NUCLEAR REGULATORY COMMISSION

WASHINGTON, D.C. 20555-0001

Mr. Andrew Allison, Reactor Supervisor

and Interim Facility Director

Utah Nuclear Engineering Program

Joseph Merrill Engineering Building

110 Central Campus Drive, Room 2000

Salt Lake City, UT 84112

SUBJECT:

UNIVERSITY OF UTAH - U.S. NUCLEAR REGULATORY COMMISSION

ROUTINE INSPECTION REPORT NO. 05000407/2024201 AND NOTICE OF

VIOLATION

Dear Mr. Allison:

From July 8-11, 2024, the U.S. Nuclear Regulatory Commission (NRC) staff conducted an

inspection at your University of Utah TRIGA Nuclear Reactor Facility. The enclosed report

documents the inspection results which were discussed on July 11, 2024, with you, Dr. Glenn

Sjoden, Director, Utah Nuclear Engineering Program, Dr. Tong Qiu, Chair, Department of Civil &

Environmental Engineering, and Edward Goodell, Senior Reactor Operator. The results of the

inspection were discussed further with you on September 4, 2024.

The inspection examined activities conducted under your license as they relate to safety and

compliance with the Commissions rules and regulations and with the conditions of your license.

The inspectors reviewed selected procedures and records, observed various activities, and

interviewed personnel.

Based on the results of this inspection, the NRC has determined that one Severity Level IV

violation of NRC requirements has occurred. The violation was evaluated in accordance with the

NRC Enforcement Policy. The current enforcement policy is included on the NRCs website at

(https://www.nrc.gov/about-nrc/regulatory/enforcement/enforce-pol.html). The violation is cited

in the enclosed Notice of Violation (Notice) and the circumstances surrounding it are described

in detail in the subject inspection report. The violation is being cited in the notice because it

constitutes a failure to meet regulatory requirements that has more than minor safety

significance and the licensee failed to identify the violation.

In accordance with Title 10 of the Code of Federal Regulations Section 2.390, Public

inspections, exemptions, requests for withholding, a copy of this letter, its enclosures, and your

response (if any) will be available electronically for public inspection in the NRC Public

Document Room or from the NRCs document system (Agencywide Documents Access and

Management System (ADAMS)). ADAMS is accessible from the NRC website at

http://www.nrc.gov/reading-rm/adams.html (the Public Electronic Reading Room).

January 21, 2025

A. Allison

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Should you have any questions concerning this inspection, please contact Craig Bassett at

(240) 535-1842, or via email at Craig.Bassett@nrc.gov.

Sincerely,

Tony Brown, Chief

Non-Power Production and Utilization Facility

Oversight Branch

Division of Advanced Reactors and Non-Power

Production and Utilization Facilities

Office of Nuclear Reactor Regulation

Docket No. 50-407

License No. R-126

Enclosures:

As stated

cc: GovDelivery Subscribers

Signed by Brown, Tony

on 01/21/25

ML24261B239

NRC-002

OFFICE

NRR/DANU/UNPO/RI

NRR/DANU/UNPO/RI

NRR/DANU/UNPO/LA

NRR/DANU/UNPO/BC

NAME

CBassett

JBraisted

NParker

TBrown

DATE

09/17/2024

09/17/2024

09/18/2024

01/21/2025

Enclosure 1

NOTICE OF VIOLATION

University of Utah

Docket No. 50-407

University of Utah TRIGA Reactor

License No. R-126

During a U.S. Nuclear Regulatory Commission (NRC) inspection conducted from July 8-11,

2024, a violation of NRC requirements was identified. In accordance with the NRC Enforcement

Policy, the violation is listed below:

Title 10 of the Code of Federal Regulations (10 CFR) 50.59, Changes, tests and

experiments, paragraph (c)(1)(i) states, in part, that a licensee may make changes in

the facility as described in the final safety analysis report (as updated) without obtaining

a license amendment pursuant to Sec. 50.90 only if [a]n amendment to the technical

specifications incorporated in the license is not required.

Contrary to the above, on September 21, 2023, the licensee made a change to the

facility as described in the final safety analysis report (as updated) without obtaining a

license amendment when the change in the facility involved a change to a parameter

associated with the function of a system as specified in the technical specifications

incorporated in the license. Specifically, the licensee made a change to the reactor tank

water level monitor by lowering the water level to about ten feet below the top of the

tank.

Technical specification 4.3 (1) which requires a monthly channel check of the reactor

tank water level monitor (float switch alarm). The objective of the channel check is to

assure that the water level monitoring system is operating and to verify appropriate

settings. This system is designed to indicate loss of coolant (water) by alarming (and

automatically notifying the licensee) when water level decreases more than 15.5 inches

from the top of the tank. Because the water level in the tank was lower than the alarm

setpoint, the alarm was always activated (outside of the surveillance) and would mask

any actual loss of coolant. Since the water level monitor cannot perform its design

function at the lowered level, the monitoring system settings were not appropriate.

Consequently, the inspectors determined that the 50.59 evaluation was inadequate and

a change to the technical specifications was required.

This has been determined to be a Severity Level IV violation (section 6.1).

Pursuant to the provisions of Title 10 of the Code of Federal Regulations (10 CFR) Section

2.201, Notice of violation, the University of Utah is hereby required to submit a written

statement or explanation to the U.S. Nuclear Regulatory Commission, ATTN: Document Control

Desk, Washington, DC 20555-0001, within 30 days of the date of the letter transmitting this

Notice of Violation (Notice). This reply should be clearly marked as a Reply to a Notice of

Violation, and should include: (1) the reason for the violation, or, if contested, the basis for

disputing the violation or severity level, (2) the corrective steps that have been taken and the

results achieved, (3) the corrective steps that will be taken, and (4) the date when full

compliance will be achieved. Your response may reference or include previous docketed

correspondence if the correspondence adequately addresses the required response. If an

adequate reply is not received within the time specified in this Notice, an Order or a Demand for

Information may be issued as to why the license should not be modified, suspended, or

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revoked, or why such other action as may be proper should not be taken. Where good cause is

shown, consideration will be given to extending the response time.

If you contest this enforcement action, you should also provide a copy of your response, with

the basis for your denial, to the Director, Office of Enforcement, United States Nuclear

Regulatory Commission, Washington, DC 20555-0001.

Because your response will be made available electronically for public inspection in the NRC

Public Document Room or from the NRCs document system (Agencywide Documents Access

and Management System), accessible from the NRC website at https://www.nrc.gov/reading-

rm/adams.html, to the extent possible, it should not include any personal privacy, proprietary, or

safeguards information so that it can be made available to the public without redaction. If

personal privacy or proprietary information is necessary to provide an acceptable response,

then please provide a bracketed copy of your response that identifies the information that

should be protected and a redacted copy of your response that deletes such information. If you

request withholding of such material, you must specifically identify the portions of your response

that you seek to have withheld and provide in detail the bases for your claim of withholding (e.g.,

explain why the disclosure of information will create an unwarranted invasion of personal

privacy or provide the information required by 10 CFR 2.390(b) to support a request for

withholding confidential commercial or financial information). If safeguards information is

necessary to provide an acceptable response, please provide the level of protection described

in 10 CFR 73.21, Protection of Safeguards Information: Performance Requirements.

In accordance with 10 CFR 19.11, Posting of notices to workers, you may be required to post

this Notice within two working days of receipt.

Dated this 21st day of January 2025.

Enclosure 2

U.S. NUCLEAR REGULATORY COMMISSION

OFFICE OF NUCLEAR REACTOR REGULATION

Docket No.:

50-407

License No.:

R-126

Report No.:

05000407/2024201

Licensee:

University of Utah

Facility:

University of Utah TRIGA Reactor

Location:

Salt Lake City, Utah

Dates:

July 8-11, 2024

Inspector:

Craig Bassett

Accompanied by:

Jonathan Braisted, RTR Inspector Trainee

Approved by:

Tony Brown, Chief

Non-Power Production and Utilization Facility

Oversight Branch

Division of Advanced Reactors and Non-Power

Production and Utilization Facilities

Office of Nuclear Reactor Regulation

Enclosure 2

EXECUTIVE SUMMARY

University of Utah

University of Utah TRIGA Nuclear Reactor Facility

Inspection Report No. 05000407/2024201

The primary focus of this routine announced inspection was the onsite review of selected

aspects of the University of Utah (the licensees) 100-kilowatt Class II research reactor safety

program, including: (1) organization and staffing; (2) procedures; (3) health physics; (4) design

changes; (5) committees, audits and reviews; (6) emergency planning; and (7) transportation

activities. The U.S. Nuclear Regulatory Commission (NRC) staff determined that the licensees

program was acceptably directed toward the protection of public health and safety and in

compliance with the NRCs requirements.

Organization and Staffing

The licensees organizational structure complied with requirements outlined in the technical

specifications (TSs).

Procedures

The facility procedural review, revision, control, and implementation satisfied the TS

requirements.

Health Physics

The radiation safety program was conducted in compliance with Title 10 of the Code of

Federal Regulations (10 CFR) Part 20, Standards for Protection against Radiation,

requirements, TSs, and licensee procedures.

Design Changes

Changes made at the facility during the past 2 years were completed in accordance

with 10 CFR 50.59, Changes, tests and experiments, and applicable licensee procedures

with one exception that was determined to be a violation of NRC requirements.

Committees, Audits and Reviews

The Reactor Safety Committee (RSC) met and conducted audits and reviews in accordance

with the requirements specified in TS section 6.2.

Emergency Planning

The emergency preparedness program was conducted in accordance with the Emergency

Plan (E-Plan) and implementing procedures.

Transportation Activities

The licensee transferred radioactive waste material to the campus Radiation Safety (Rad

Safety) Office for disposal as needed and the Rad Safety Office handled any shipments of

radioactive material from the facility.

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REPORT DETAILS

Summary of the Facility Status

The University of Utah continued to operate the 100-kilowatt Training, Research, Isotope,

General Atomics (TRIGA) Mark I research reactor (UUTR) as needed for sample irradiation,

reactor operator training, educational demonstrations, preventive maintenance, and operational

surveillance testing required by the TSs. During this inspection, the reactor was not operated

due to planned maintenance to repair a reactor tank leak.

1.

Organization and Staffing

a.

Inspection Scope (Inspection Procedure (IP) 69001, Section 02.01)

The inspectors reviewed the following regarding the licensees organization and

staffing to ensure that the requirements of TS section 6.1, were met:

current facility TSs

qualifications and responsibilities of the facility personnel

UUTR Annual Operating Reports for the periods of July 1, 2021, through

June 30, 2022, and July 1, 2022, through June 30, 2023, submitted to the NRC

on July 29, 2022, and June 30, 2023, respectively

American National Standards Institute/American Nuclear Society

(ANSI/ANS)-15.4-2007, Selection and Training of Personnel for Research

Reactors

b.

Observations and Findings

Through discussions with licensee representatives, the inspectors confirmed that

there were no changes to management responsibilities or the organizational

structure since the last NRC inspection of this area conducted in July 2022 (NRC

Inspection Report No. 50-407/2022-201). The inspectors noted that the previous

Director for the Utah Nuclear Engineering Program (designated by the licensee

as the reactor administration Level 2) took another position at the university since

the last inspection and another individual was assigned as the Facility Director.

The inspectors noted that the licensee notified the NRC staff of this change as

required by the TS via letter dated October 6, 2023 (ML23313A09), and that the

person met the requirements of ANSI/ANS-15.4-2007.

c.

Conclusion

The inspectors determined that the organizational structure was consistent with

the TS requirements.

2.

Procedures

a.

Inspection Scope (IP 69001, Section 02.03)

The inspectors reviewed the selected aspects of the following to verify that the

licensee complied with the requirements of TS section 6.4:

records and logs of procedure changes and implementation

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various administrative and radiation protection procedures

RSC meeting minutes from March 2022 to the present

b.

Observations and Findings

The inspectors noted that the licensee conducted operations in accordance with

approved procedures and the procedures were available for tasks and items

required by the TSs. The inspectors confirmed that substantive changes to the

procedures were reviewed and approved by the RSC. The inspectors found that

reactor personnel also made use of the procedures maintained by the Rad

Safety Office which were contained in the Radiological Procedures and Records

[RPR] manual. Those procedures were reviewed and approved by the Rad

Safety Committee.

c.

Conclusion

The inspectors determined that the procedural review, revision, control, and

implementation has satisfied TS requirements.

3.

Health Physics

a.

Inspection Scope (IP 69001, Section 02.07)

To verify compliance with TS sections 3.4, 3.7, 4.3, 4.7, 5.4, 6.3, and 6.7, as well

as 10 CFR Part 19, Notices, Instructions and Reports to Workers: Inspection

and Investigations, and 10 CFR Part 20 requirements, the inspectors reviewed

the following selected aspects of:

radiological signs and postings in various areas of the facility

RSC meeting minutes from March 2022 to the present

various facility and Rad Safety Office RPR procedures and forms

personnel dosimetry records for 2022, 2023, and to date in 2024

environmental dosimetry records for 2022, 2023, and to date in 2024

selected radiation and contamination surveys conducted by licensee and Rad

Safety Office personnel for the past 2 years

Assessment of Radiation Dose from Air Emissions of Radioactive Material,

Calendar Year 2023, which was completed by Rad Safety Office personnel

UUTR annual operating reports for the last two reporting periods

calibration records

b.

Observations and Findings

(1)

Surveys, Postings and Notices

The inspectors noted that the results of radiation and contamination

surveys were documented, reviewed, and evaluated, as required by

facility procedures, and corrective actions were taken when radiation

readings or contamination results exceeded set action levels.

During tours of the facility, the inspectors confirmed that the caution

signs, postings, and controls established for the controlled areas were in

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place as required by 10 CFR Part 20, Subpart J, Precautionary

Procedures. The inspectors also found that copies of NRC Form 3,

Notice to Employees, were posted at the facility as required by

10 CFR 19.11 and were the current version.

(2)

Dosimetry and Radiation Monitoring Equipment Use and Calibration

The inspectors verified that the licensee used thermoluminescent

dosimeters (TLDs) for whole body radiation monitoring and finger ring

TLDs for monitoring radiation exposure of the extremities. The inspectors

confirmed that individual dosimetry results for the past 2 years since the

last inspection of this area showed all occupational doses were within

regulatory limits.

The inspectors confirmed that calibration frequencies met the

requirements established in the TSs. The inspectors noted that the

monitoring equipment was used in accordance with the procedural

guidelines.

(3)

Radiation Protection Program and ALARA Policy

The inspectors confirmed that the licensees Radiation Protection

Program and the as low as is reasonably achievable (ALARA) Policy

were established through various University of Utah campus documents

including: (1) the Rad Safety Office RPRs, (2) The University of Utah

Radiation Safety Policy Manual; and, (3) The University of Utah

Radiation Protection Program. The inspectors also confirmed that the

Radiation Protection Program was reviewed annually. The inspectors

found that the ALARA Policy provided guidance for keeping doses as low

as possible and was consistent with the requirements in 10 CFR Part 20.

(4)

Radiation Worker Training

The inspectors noted that all university personnel who worked in radiation

areas or handled radioactive material, including licensee staff, were

required to receive training in radiation protection. The inspectors

confirmed that the reactor staff members completed the required training

and were then issued a dosimeter. The inspectors noted that the

personnel training program satisfied requirements in 10 CFR 19.12,

Instruction to workers, and that the content and periodicity of the training

were in accordance with the regulations.

(5)

Environmental and Effluent Monitoring

The inspectors confirmed that gaseous releases continued to be

monitored as required. The inspectors noted that the doses resulting from

the releases were calculated by the Rad Safety Office according to

established procedures, using the Environmental Protection Agency

COMPLY code. The dose rate to the public was well below the dose

constraint of 10 millirem per year specified in 10 CFR 20.1101, Radiation

protection programs, paragraph (d). The inspectors found that the

concentrations of airborne gaseous releases were also calculated by the

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Rad Safety Office. The inspectors confirmed that the concentrations of

gaseous releases were well within those stipulated in 10 CFR Part 20,

Appendix B, Table 2, and TS limits. The results were documented in the

facility annual reports, as required by the TSs.

The inspectors found that there were no liquid releases from the facility to

the sanitary sewer within the past 2 years since the last inspection of this

area and no solid waste was transferred from the facility to the campus

Rad Safety Office during that period.

The inspectors confirmed that onsite and off-site gamma radiation

monitoring was completed using environmental TLDs in accordance with

university procedures. The inspectors found that the data indicated no

measurable doses above any regulatory limits in the areas surrounding

the UUTR facility. These results were also reported in the facilitys annual

reports.

c.

Conclusion

The inspectors determined that the Radiation Protection Program, as

implemented by the licensee, satisfied the regulatory requirements.

4.

Design Changes

a.

Inspection Scope (IP 69001, Section 02.08)

The inspectors reviewed the following to verify compliance with 10 CFR 50.59

and TS section 6.2:

RSC meeting minutes from March 2022 to the present

Utah Nuclear Engineering Program (UNEP) Job-Aid 002 R1, 10 CFR 50.59

Screening

UNEP Job-Aid 003 R1, 10 CFR 50.59 Evaluation

UNEP Procedure AP-001 R1, Guidelines for 10 CFR 50.59 Evaluations

various forms designated as form UNEP-022 R4, Maintenance Log which

were used in conjunction with the design change process

UUTR Annual Operating Reports for the last two reporting periods

b.

Observations and Findings

The inspectors noted that various 10 CFR 50.59 reviews were conducted since

the last inspection. The inspectors identified one violation of NRC requirements

as described below.

Section 50.59, Changes, test and experiments, paragraph (c)(1)(i) states, in

part, that a licensee may make changes in the facility as described in the final

safety analysis report (as updated) without obtaining a license amendment

pursuant to Sec. 50.90 only if [a]n amendment to the technical specifications

incorporated in the license is not required.

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Contrary to the above, on September 21, 2023, the licensee made a change to

the facility as described in the final safety analysis report (as updated) without

obtaining a license amendment when the change in the facility required an

amendment to the TSs incorporated in the license.

Specifically, on September 18, 2023, the licensee observed that the water level

in its aluminum reactor tank was abnormally low and determined that it had an

active leak in its tank. To facilitate tank repairs, the licensee approved further

lowering the water level in the reactor tank based upon the results of a 10 CFR

50.59 evaluation. This evaluation determined that a license amendment was not

required. Subsequently, the licensee partially defueled the core and lowered the

water level to about ten feet below the top of the tank, leaving about twelve feet

of water above the core. The normal water level is six to ten inches below the top

of the tank. The licensees TS surveillance requirements may be deferred during

reactor shutdown, except for TSs 4.3 (1) and (5). TS 4.3 (1) which requires a

monthly channel check of the reactor tank water level monitor (float switch

alarm). The objective of the channel check is to assure that the water level

monitoring system is operating and to verify appropriate settings. This system is

designed to indicate loss of coolant (water) by alarming (and automatically

notifying the licensee) when water level decreases more than 15.5 inches from

the top of the tank.

During the July 2024 inspection, the NRC inspectors observed that the licensee

continued to perform the surveillance after lowering the water level, but they did

not change the setpoint at which the water level monitor would alarm. Because

the water level in the tank was lower than the alarm setpoint, the alarm was

always activated (outside of the surveillance) and would mask any actual loss of

coolant. Since the water level monitor cannot perform its design function at the

lowered level, the inspectors concluded that the monitoring system settings were

not appropriate. Consequently, the inspectors determined that the 50.59

evaluation was inadequate and a change to the TSs was required. Therefore, the

licensee needed to obtain a license amendment prior to lowering the water level

in its tank. The licensee was informed that failure to obtain a license amendment

prior to implementing a change in the facility that required an amendment to the

TSs incorporated in the license was a violation of 10 CFR 50.59(c)(1)(i) (VIO 05000407/2024201-01).

c.

Conclusion

The inspectors concluded that changes made at the facility during the

past 2 years were completed in accordance with 10 CFR 50.59 and applicable

licensee procedures with one exception that resulted in a violation of NRC

requirements.

5.

Committees, Audits and Reviews

a.

Inspection Scope (IP 69001, Section 02.09)

The inspectors reviewed the following to ensure that the review and audit

requirements in TS section 6.2 were met:

RSC meeting minutes from March 2022 to the present

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radiation safety and ALARA reviews and audits completed during the

past 2 years and licensee responses to the reviews and audits

UUTR annual operating reports for the last two reporting periods

b.

Observations and Findings

The inspectors found that the RSC met at least annually as required by the TSs.

The inspectors confirmed that all required audits of reactor facility activities and

reviews of programs, procedures, equipment, and proposed tests or experiments

were completed and documented. The inspectors noted that the audits and the

associated findings were detailed, and the licensee responded and took

corrective actions when needed. Additionally, the annual reviews of the Radiation

Protection Program and the E-Plan were conducted and documented.

c.

Conclusion

The inspectors determined that the RSC met at the required frequency and that

audits and reviews were conducted as required and in accordance TS section 6.2.

6.

Emergency Planning

a.

Inspection Scope (IP 69001, Section 02.10)

To verify that the licensee complied with the University of Utah, Utah Nuclear

Engineering Program (UNEP) Emergency Plan for NRC License R-126: TRIGA

Nuclear Reactor, Revision 8, dated July 20, 2011, the inspectors reviewed the

following selected aspects of:

selected emergency (implementing) procedures

emergency response supplies, equipment, and instrumentation

documentation of emergency drills and critiques for calendar years 2022,

2023, and 2024

UNEP Annual Emergency Training Attendance Record forms and related

records for staff and support personnel for calendar years 2022 and 2023

various UNEP forms including UNEP-015R4, Emergency Kit Check;

UNEP-021R28, UNEP Emergency Call List; and, UNEP-037, Radiological

Emergency Classification Checklist

letter of agreement with Gold Cross Services, Inc., dated October 22, 2021, for

ambulance transport

b.

Observations and Findings

The inspectors noted that the RSC audited the E-Plan annually, and the last

audit was completed on September 28, 2023. Implementing procedures were

reviewed and revised as needed.

The inspectors found that semiannual inventories of the various first aid kits and

other equipment were conducted and that the supplies, instrumentation, and

equipment were maintained as required in the E-Plan. The inspectors confirmed

that training for the reactor staff and the off-site support personnel was

- 8 -

conducted and documented. The inspectors also noted that the UNEP

Emergency Call List was up to date with the current revision dated

February 12, 2024.

The inspectors confirmed that emergency drills were conducted annually, and

critiques were held following each drill documenting strengths and areas for

improvement. The inspectors found drills to be challenging and the critiques

appropriate. The inspectors also reviewed the agreement between the licensee

and a local company to provide transportation services for a person or persons

injured at the facility and verified that it was maintained. The inspectors also

noted that communications capabilities with the various support groups were in

place and were tested periodically.

c.

Conclusion

The inspectors determined that the emergency preparedness program was

implemented as required by the E-Plan.

7.

Transportation Activities

a.

Inspection Scope (IP 86740)

The inspectors reviewed selected aspects of:

RPR Procedures including No. 13, Radioisotope Acquisition and

Disposition; No. 14, Shipment of Limited Quantity of Radioisotopes; and

No. 55, Transportation of Radioactive Materials

various forms including form RPR 13A, Radioisotope Package Arrival

Report; form RPR 13B, Radioisotope Receipt and Verification; and, form

RPR 13C, Radioisotope Disposition Record

b.

Observations and Findings

The inspectors noted that the shipping records indicated that UUTR radioactive

waste designated for disposal was transferred from the reactor facility to the

University of Utahs broad scope license, Utah Department of Environmental

Quality, License No. 1800001, in accordance with Rad Safety Office

requirements. The inspectors found that this shipping process was followed.

The inspectors noted that none of the licensee personnel has the current training

required to ship radioactive material as required by the Department of

Transportation. Therefore, in any instance involving the shipment of radioactive

material, the paperwork and shipments would be completed by qualified Rad

Safety Office personnel.

c.

Conclusion

The inspectors determined that the licensee transferred radioactive waste

material to the campus Rad Safety Office as needed and the Rad Safety Office

handled any shipments of radioactive material from the facility.

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8.

Follow-up on Previous Items

a.

Inspection Scope (IP 92702)

The inspectors reviewed the following licensees actions taken in response to

previously identified items.

b.

Observation and Findings

(1)

Inspector Follow-up Item (IFI) 50-407/2019-202-01 - (Open) - Follow-up

on the licensees actions to complete the revision of the E-Plan and have

it reviewed and approved by the RSC.

10 CFR 50.34, Contents of Applications, Technical Information, requires

in Section (b)(6)(v) that each application for an operating license shall

include a final safety analysis report. The final safety analysis shall

include . . . plans for coping with emergencies . . .

The University of Utah, Utah Nuclear Engineering Program (UNEP)

Emergency Plan, dated June 2011, requires in Section 10.4, Emergency

Plan Review and Update, requires that the RS (Reactor Supervisor)

shall periodically revise and update the Emergency Plan . . . and the RSC

(Reactor Safety Committee) shall review and approve the overall UNEP

Emergency Plan to ensure that the Plan is adequate and current, and

shall specifically review and approve any revisions to the Emergency Plan

that affect implementation procedures.

In August 2019, an inspector noted that the RSC did not complete a

biennial review of the E-Plan. This was because a revision of the E-Plan

to incorporate suggested changes was not finished. The licensee

indicated that the revision was in progress and would be ready for review

by the December meeting of the RSC. The licensee was informed that the

revision of the E-Plan, and review and approval by the RSC, would be

designated as an IFI. During subsequent inspections it was noted that the

E-Plan was still being revised and, because of the ongoing revisions, the

RSC had not reviewed the plan.

During this inspection, the inspectors reviewed the issue and found that

the E-Plan was revised various times since 2019 and a review by the

RSC was still pending. Because there have been numerous changes in

the Facility Director and Reactor Supervisor positions since the issue was

first noted, the licensee has not followed this issue properly and no review

by the RSC has occurred as required. This issue is noted as a violation of

an administrative requirement in the Emergency Plan and does not

adversely affect the public health and safety. This failure to comply with

the University of Utah Emergency Plan, Section 10.4 constitutes a minor

violation that is not subject to enforcement action in accordance with the

NRC Enforcement Policy. However, this issue remains open.

(2)

IFI 05000407/2021201-02 - (Open) - Follow-up on the licensees actions

to revise procedure UNEP-002R4, Biennial Fuel/Tank/Control

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Rod/Reflector Element Inspection, to include maintenance actions

needed during control rod inspection.

In 2021, the inspector reviewed the circumstances surrounding a Special

Report issued by the licensee, dated April 2, 2020, documenting a

component malfunction.

On March 30, 2020, facility personnel completed the routine monthly

inspection of various reactor components and systems and initiated a

standard reactor startup and termination checklist to test all systems. The

licensee staff noted that the safety rod did not drop as expected.

Troubleshooting showed that the safety rod was not responding as

required and the Reactor Supervisor (RS) terminated the operation. The

safety rod was disassembled, and rust and calcium deposits were noted

and subsequently removed. Following these corrective actions, the safety

rod was inspected, reassembled, and reinstalled in the core. Testing and

calibration of the safety rod indicated that the malfunction was resolved,

and the rod functioned properly.

The licensee submitted a letter to the NRC concerning the component

malfunction in which the licensee indicated that the procedure involving

the inspection of the control rods, UNEP-002R4, Biennial Fuel/Tank/

Control Rod/Reflector Element Inspection, would be revised to include

checking for debris, binding, rubbing, or misalignment of the control rod

drives that might prevent the control rods from dropping. The licensee

was informed that the issue would be considered an IFI. During an

inspection in July 2023, this issue was reviewed, and the inspector found

that no action was taken on the procedure to that point.

During this inspection, the inspectors found that, since the inspection in

2020, changes occurred in the RS position at the facility and operators

who were aware of the situation. Consequently, the current RS and

operators have not completed the revision to the procedure. This issue

remains open.

(3)

IFI 05000407/2023201-02 - (Open) - Follow-up on the reactor tank repair

and the complete stoppage of tank water loss due to leakage.

The inspector reviewed the circumstances surrounding the notification

made by the licensee on March 31, 2023, to the NRC regarding a reactor

pool leak at the UUTR. The UUTR staff personnel noted the reactor tank

developed a leak of approximately 24 gallons per day (gals/day). The

licensee noted that there was no indication of leakage to the environment

and the leakage did not reach or exceed any reporting criteria. However, a

few days later the licensee noted that the leak rate increased to about

50 gallons a day. Water samples taken when the leak rate increased

continued to show there were no activity levels that reached any reporting

criteria or above any regulatory limit.

The licensee determined the most probable leak site would be a

degraded weld presumably toward the bottom of the circumference of the

tank (the point of highest pressure). To resolve the leak problem, the

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licensee hired a contractor to apply two-part epoxy sealant material to the

weld areas around the bottom three sections of the tank. During an

inspection in July 2023, the inspector observed the repair work on the

tank. At the completion of the inspection, the inspector noted that leak

appeared to have stopped but that the success of the repair project would

need to be evaluated further during a future inspection. The licensee was

informed that the issue of the reactor tank repair and the complete

stoppage of tank water loss due to leakage would be considered an IFI.

During this inspection the inspectors noted that the original problem with

a leak at a weld seam was resolved. However, following approximately

one month, a new leak developed, and the licensee is currently taking

action to repair the reactor tank a second time. This will involve removing

the reactor fuel from the tank and draining the tank so that an epoxy

coating can be applied to the entire interior surface of the tank. As a

result, this IFI will remain open.

(4)

URI 05000407/2023201-03 - (Closed) - Follow-up on the possible impact

the tank leak may have had on the facility and/or the surrounding.

environment and any potential violations that may have occurred as a

result.

As a result of the tank leak mentioned above, the NRC determined that

an Unresolved Item (URI) was warranted to follow up on the possible

impact the tank leak may have had on the facility and/or the surrounding

environment and any potential violations that may have occurred as a

result (URI 05000407/2023201-03).

During this inspection the inspectors discussed the reactor tank leak with

personnel from the Rad Safety Office and reviewed the extensive

documentation of sampling that they conducted following the initial

reactor tank leak. The inspectors noted that Rad Safety personnel

sampled numerous locations around the reactor facility and down-stream

from the reactor. None of the samples indicated radioisotopes in

concentrations that would be reportable to the NRC. Also, the sampling

showed that the concentration of tritium in the water in the area was

below the levels considered safe for drinking by the Environmental

Protection Agency (EPA). The sampling is continuing. The Rad Safety

Office is also coordinating their efforts with the State of Utah EPA and

keeping that office informed of all their findings. Based upon the findings

during this inspection discussed above, this issue is closed.

c.

Conclusion

The inspectors determined that one URI was closed and three IFIs remain open.

9.

Exit Meeting Summary

The inspection scope and results were summarized on July 11, 2024, with university

management and facility staff. The inspectors discussed the findings for each area

reviewed. The licensee did not identify any of the material provided to or reviewed by the

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inspectors as proprietary. The inspectors presented the re-exit meeting inspection

results through a video conference call on September 4, 2024, to Mr. Andrew Allison.

Attachment

PARTIAL LIST OF PERSONS CONTACTED

Licensee Personnel

A. Allison

Reactor Supervisor and Interim Facility Director

T. Goodell

Senior Reactor Operator

G. Sjoden

Director, Utah Nuclear Engineering Program

Other Personnel

M. Beitollahi

Health Physicist and Adjunct Associate Professor, Radiation Safety Office,

Environmental Health and Safety Department, University of Utah

J. Cunningham

Specialist, Hazardous Materials Team, Station No. 14, Salt Lake City Fire

Department

F. Monette

Radiation Safety Officer and Director of Environmental Health and Safety

Department, University of Utah

C. Olson

Health Physicist, Radiation Safety Office, Environmental Health and Safety

Department, University of Utah

T. Qiu

Chair, Department of Civil & Environmental Engineering, University of Utah

INSPECTION PROCEDURE (IP) USED

IP 69001:

Class II Non-Power Reactors

IP 86740:

Inspection of Transportation Activities

IP 92702

Follow-up on Previously Identified Items

ITEMS OPENED, CLOSED, AND DISCUSSED

Opened

05000407/2024201-01 VIO Failure to obtain a license amendment for a required change to

technical specifications incorporated in the license.

Closed

05000407/2023201-03 URI Follow-up on the possible impact the tank leak may have had on

the facility and/or the surrounding environment.

Discussed

50-407/2019-202-01

IFI

Follow-up on the licensees actions to complete the revision of the

Emergency Plan and have it reviewed and approved by the RSC.05000407/2021201-02 IFI

Follow-up on the licensees actions to revise procedure UNEP-

002R4, Biennial Fuel/Tank/Control Rod/Reflector Element

Inspection, to include maintenance actions needed during control

rod inspection.05000407/2023201-02 IFI

Follow-up on the reactor tank repair and the complete stoppage

of tank water loss due to leakage.