ML25153A669

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Texas A&M University System - NRC Inspection Report 05000128/2024201, Disputed Cited Violation Revised
ML25153A669
Person / Time
Site: 05000128
(R-083)
Issue date: 06/05/2025
From: Jeremy Bowen
NRC/NRR/DANU/UNPO
To: Joel Jenkins
Texas A&M Univ
References
EAF-NRR-25-0065
Download: ML25153A669 (10)


See also: IR 05000128/2024201

Text

EAF-NRR-25-0065

Mr. Jere Jenkins, Director

Texas Engineering Experiment Station

Texas A&M University System

Nuclear Science Center

1095 Nuclear Science Road, MS 3575

College Station, TX 77843

SUBJECT:

TEXAS ENGINEERING EXPERIMENT STATION/TEXAS A&M UNIVERSITY SYSTEM

- U.S. NUCLEAR REGULATORY COMMISSION INSPECTION REPORT

NO. 05000128/2024201, DISPUTED CITED VIOLATION REVISED

Dear Mr. Jenkins:

This letter responds to your letter dated February 25, 2025 (Agencywide Documents Access and

Management System (ADAMS) Accession No. ML25057A001). In your letter you provided written

responses to the January 29, 2025, U.S. Nuclear Regulatory Commission (NRC) Inspection

Report No. 05000128/2024201 (ML25014A182) disputing some aspects of Notice of Violation

(NOV)050001282024201-01, which was associated with the failure to perform audits within the

frequency required by the technical specifications. On March 19, 2025 (ML25070A156), the NRC

acknowledged receipt of your letters.

The NRC conducted a detailed review of your responses and the applicable regulatory

requirements consistent with Part I, section 2.8 of the NRC Enforcement Manual. The review

included NRC staff who were not involved in the original inspection effort. The details of the

NRCs evaluation are contained in the enclosure.

After consideration of the basis for your dispute of some aspects of the violation, the NRC

concluded that the original enforcement problem should be separated into its constituent

violations and those violations will be modified to change the cited violation criteria, violation

duration, and the significance, as described in the enclosure. The NRC will reissue Inspection

Report No. 05000128/2024201 to document the revised violations.

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

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

response if you choose to provide one, will be made available electronically for public inspection in

the NRC Public Document Room or from the Publicly Available Records component of NRCs

document system ADAMS. ADAMS is accessible from the NRC website at

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

June 5, 2025

J. Jenkins

2

To the extent possible, your response should not include any personal privacy or proprietary

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

Should you have any questions concerning this letter, please contact Jared Nadel at

301-415-2157, or via email to Jared.Nadel@nrc.gov.

Sincerely,

Jeremy S. Bowen, Director

Division of Advanced Reactors and Non-Power

Production and Utilization Facilities

Office of Nuclear Reactor Regulation

Docket No. 50-128

License No. R-83

Enclosure:

As stated

cc w/enclosure: GovDelivery Subscribers

Signed by Bowen, Jeremy

on 06/05/25

J. Jenkins

3

SUBJECT:

TEXAS ENGINEERING EXPERIMENT STATION/TEXAS A&M UNIVERSITY SYSTEM

- U.S. NUCLEAR REGULATORY COMMISSION INSPECTION REPORT

NO. 05000128/2024201, DISPUTED CITED VIOLATION REVISED DATED: June 05,

2025

DISTRIBUTION:

EBrothman, NRR

CSmith, NRR

DAird, NRR

PMcKenna, NRR

RFelts, NRR

TBrown, NRR

JNadel, NRR

JBowen, NRR

JGreives, NRR

DBetancourt, RIII

KLambert, RIII

GEdwards, RIII

CStPeters, RIII

SBakhsh, RIII

JPeralta, OE

ESanchezSantiago, RIII

DBradley, OE

ADAMS ACCESSION NO.: ML25153A669

NRC-002

OFFICE

NRR/DANU/UNPO

NRR/DANU/LA

NRR/DANU/BC

OE/EB

NRR/DANU/DD

NAME

JNadel

NParker

TBrown

DBradley

JBowen

DATE

6/02/2025

6/03/2025

6/04/2025

6/04/25

6/05/2025

OFFICIAL RECORD COPY

Enclosure

U.S. Nuclear Regulatory Commission

Evaluation of Licensee Response to a Notice of Violation

Restatement of Original Enforcement Problem

On January 29, 2025, the U.S. Nuclear Regulatory Commission (NRC) issued Inspection

Report No. 05000128/2024201 and Notice of Violation (NOV) to Texas Engineering Experiment

Station/Texas A&M University System (TEES) Nuclear Science Center (NSC) ADAMS

Accession No. ML25014A182. An enforcement problem consisting of four related violations, NOV

2024201-01, was documented in the inspection report:

NOV 2024201-01

Violation: [Technical specification] (TS) 6.2.4, RSB Audit Function, states, in part, The audit

function shall include selective (but comprehensive) examination of operating records, logs, and

other documents. Audits shall include but are not limited to the following:

TS 6.2.4(1.) states, Facility operations, including radiation protection, for conformance to the

Technical Specifications, applicable license conditions, and standard operating procedures: at

least once per calendar year (interval between audits not to exceed 15 months). TS 6.2.4(2.)

states, The results of action taken to correct those deficiencies that may occur in the reactor

facility equipment systems, structures, or methods of operations that affect reactor safety: at

least once per calendar year (interval between audits not to exceed 15 months). TS 6.2.4(5.)

states, The reactor facility security plan and implementing procedures: at least once every

other calendar year (interval between audits not to exceed 30 months).

Contrary to TS 6.2.4(1.) and TS 6.2.4(2.), the inspectors identified that the licensee failed to

perform an audit to include facility operations and an audit to include the results of action taken

to correct those deficiencies that may occur in the reactor facility equipment systems,

structures, or methods of operations that affect reactor safety at least once per calendar year.

Specifically, the licensee performed an audit, that included TS 6.2.4(1.) and TS 6.2.4(2.), on

August 28, 2022, and performed the subsequent audit on April 2, 2024, which exceeded the

allowable 15-month frequency.

Contrary to TS 6.2.4(5.), the inspectors identified that the licensee failed to perform an audit to

include the reactor facility security plan and implementing procedures at least once every other

calendar year. Specifically, the licensee performed an audit, that included TS 6.2.4(5.), on

June 28, 2022, and had not performed a subsequent audit, which exceeded the 30-month

requirement.

TS 6.2.5, Audit of ALARA Program, states, in part, The Chair of the RSB or designated

alternate (excluding anyone whose normal job function is within the NSC) shall conduct an audit

of the reactor facility ALARA program annually.

Contrary to TS 6.2.5, the inspectors identified that the licensee failed to conduct an audit of the

reactor facility as low as is reasonably achievable (ALARA) program annually. Specifically, the

licensee performed an audit, that included TS 6.2.5, on June 28, 2022, and performed the

subsequent audit on April 3, 2024, which exceeded the annual requirement.

2

Separation of Original Enforcement Problem

For simplicity of treatment, the original enforcement problem has been separated into its constituent

violations as shown below:

Violation A

TS 6.2.4, RSB Audit Function, states, in part, The audit function shall include selective (but

comprehensive) examination of operating records, logs, and other documents. Audits shall include

but are not limited to the following:

TS 6.2.4(5.) states, The reactor facility security plan and implementing procedures: at least once

every other calendar year (interval between audits not to exceed 30 months).

Contrary to TS 6.2.4(5.), the inspectors identified that the licensee failed to perform an audit to

include the reactor facility security plan and implementing procedures at least once every other

calendar year. Specifically, the licensee performed an audit, that included TS 6.2.4(5.), on

June 28, 2022, and had not performed a subsequent audit, which exceeded the 30-month

requirement.

Violation B

TS 6.2.4, RSB Audit Function, states, in part, The audit function shall include selective (but

comprehensive) examination of operating records, logs, and other documents. Audits shall include

but are not limited to the following:

TS 6.2.4(1.) states, Facility operations, including radiation protection, for conformance to the

Technical Specifications, applicable license conditions, and standard operating procedures: at least

once per calendar year (interval between audits not to exceed 15 months). TS 6.2.4(2.) states, The

results of action taken to correct those deficiencies that may occur in the reactor facility equipment

systems, structures, or methods of operations that affect reactor safety: at least once per calendar

year (interval between audits not to exceed 15 months).

Contrary to TS 6.2.4(1.) and TS 6.2.4(2.), the inspectors identified that the licensee failed to perform

an audit to include facility operations and an audit to include the results of action taken to correct

those deficiencies that may occur in the reactor facility equipment systems, structures, or methods of

operations that affect reactor safety at least once per calendar year. Specifically, the licensee

performed an audit, that included TS 6.2.4(1.) and TS 6.2.4(2.), on August 28, 2022, and performed

the subsequent audit on April 2, 2024, which exceeded the allowable 15-month frequency.

Violation C

TS 6.2.5, Audit of ALARA Program, states, in part, The Chair of the RSB or designated alternate

(excluding anyone whose normal job function is within the NSC) shall conduct an audit of the reactor

facility ALARA program annually.

Contrary to TS 6.2.5, the inspectors identified that the licensee failed to conduct an audit of the

reactor facility as low as is reasonably achievable (ALARA) program annually. Specifically, the

licensee performed an audit, that included TS 6.2.5, on June 28, 2022, and performed the

subsequent audit on April 3, 2024, which exceeded the annual requirement.

3

Licensee Contentions and NRC Evaluation

In a letter dated February 25, 2025 (ML25057A001), TEES/NSC disputed NOV 2024201-01 in

Inspection Report No. 05000128/2024201. The TEES/NSC letter included three specific

contentions which are documented and addressed below:

Licensee Contention 1:

While we acknowledge the non-conformance related to the late 2023 audit, we take issue with the

statement in the letter in paragraph three (3) that states, the licensee failed to identify the

violation. We did self-identify and report that problem to the inspectors before they began their

work for the week, and we also described the steps that were taken to mitigate the problem.

NRC Contention 1 Evaluation:

The NRC agrees with this contention. The statement that the licensee failed to identify the violation

was made in error. The licensee failed to identify statement was used by the inspectors as the

NRC Enforcement Policy criterion to disposition the violation as a cited violation and not a non-cited

violation (NCV). The NRC Enforcement Policy, section 2.3.2.b contains four criteria that must be

met for the NRC to disposition Severity Level IV violations as NCVs for licensees without an NRC

reviewed corrective action program. In this case, the section 2.3.2.b NCV criteria not met was

2.3.2.b.3, the violation is not repetitive as a result of inadequate corrective action. Specifically, for

Violation A only, the licensee has failed to correct this deficiency since it was first acknowledged

during a December 2023 NRC security inspection. Inspectors documented an Inspector Follow up

Item for the missed security audit in Inspection Report No. 05000128/2023202, which was released

on April 11, 2024. At the time of the December 2024 inspection, the required security plan and

implementing procedures audit still had not been performed, therefore credit could not be given for

non-repetitive and adequate corrective action in accordance with section 2.3.2.b of the NRC

Enforcement Policy. Therefore, Violation A will be updated to cite the correct enforcement criteria

for disposition of the violation as a cited violation. Furthermore, due to the separate treatment of the

constituent violations in the original enforcement problem, the above discussion does not apply to

Violation B. The missed audit associated with Violation B was only missed once and it was

subsequently performed. Therefore, Violation B will be changed to a minor violation. Violation C is

addressed in licensee contention three below.

Licensee Contention 2:

We note here that the dates described in the NOV for the security plan audit do not match the facts,

e.g., the NOV describes different datesby one calendar yearthan the inspection report dates of

the last conducted audit and expiration of the 30-month requirement.

NRC Contention 2 Evaluation:

The NRC agrees with this contention. The contrary to statement in the NOV associated with

the TS 6.2.4(5.) requirement to perform a security plan and implementing procedures audit at

least once every other calendar year not to exceed 30 months, contained a typo. The date of

the last security plan audit in the contrary to statement was listed as June 28, 2022. This date

does not match the date provided in the description section, which was listed as June 2021.

The NRC review found that the correct date of the last performed security plan audit, as

described in prior NRC security Inspection Report No. 05000128/2023202, is June 10, 2021.

However, this typo, by itself, does not result in any changes to the cited violation enforcement

or severity level associated with Violation A. Violation A will be updated with the correct date of

the last security plan audit.

4

Licensee Contention 3:

Paragraphs seven and eight of page one of the NOV describe a failure on the part of the Facility to

conduct an audit of the ALARA Program as required by TS 6.2.5. Given that there is no separate

ALARA program at the Facilityit is contained in Section 8 of the Radiation Safety Programthe

audits of the ALARA program have been conducted during the Radiation Safety Program audit as

required by TS 6.2.4.1. Those audits were performed by Tracy Tipping of the NETL at the

University of Texas on 28 June 2022 (as noted in the NOV), 22 August 2023, and 30 August 2024.

All those reports were shared with the inspectors during the December 2024 audit. We do not

agree to this being included as part of the NOV as a missed audit.

NRC Contention 3 Evaluation:

The NRC review could not confirm or deny if the inspectors reviewed the two audits performed by

the representative of the Nuclear Engineering and Teaching and Research Lab (NETL) at the

University of Texas during the December 2024 inspection. Therefore, they were specifically

requested to be provided for purposes of this review. Two audits, performed by the NETL

representative on the dates discussed above were provided on April 7, 2025, and reviewed by NRC

staff. The review found that the documents were titled Health Physics Records Review and the

dates and author information match what was provided in your response letter. The audits did not

indicate that they were performed to fulfill any TS requirement. Furthermore, the documents

indicated that the reviews were performed by the NETL representative at the request of the TEES

Radiation Safety Officer (RSO). These aspects, combined with the lack of a formal ALARA program

at the facility as described in your response, likely contributed to the confusion. The NRC review

has determined that, considering this new information, the original violation for failure to perform

ALARA audits in accordance with TS 6.2.5 requirements should be rescinded. However, TS 6.2.5

also specifically requires that the audit be performed by the Reactor Safety Board (RSB) chair or

designated alternate. The NRC review could find no indication that NETL representative was

specifically designated by the RSB chair to perform the reviews in 2023 or 2024. In fact, as

described in the reviews themselves, the NETL representative was requested to perform the review

by the RSO, not the RSB chair. Therefore, Violation C is being modified to a minor violation against

TS 6.2.5 for not having the RSB chair or designated alternate perform the ALARA program reviews.

5

NRC Conclusion and Revised Violations

As a result of the evaluation above, the NRC will be revising the constituent violations in

the original enforcement problem as described below:

Revised Violation A:

Failure to conduct audits as required by the TSs

Severity

Report Section

Severity Level IV

NOV 2024201-01

Open

69001.09

A Severity Level IV NOV of TS 6.2.4(5.) was identified for the licensees failure to perform

security plan audits within the required frequency.

Description: Technical specification 6.2.4 and TS 6.2.5 require the licensee to perform various

audits. During an NRC security inspection performed December 11-14, 2023, it was noted that

the security plan and implementing procedures audit required by TS 6.2.4(5.) was not

performed since June 10, 2021, and was due December 10, 2023. It was also noted that the

audit was scheduled for December 2023, but the auditor changed plans to conduct the audit in

January 2024. During this December 2024 inspection, the inspectors confirmed no audit was

conducted in January 2024 and still was not conducted in calendar year 2024. Subsequently,

inspectors were informed that the audit was completed in April 2025.

Corrective Actions: The inspectors confirmed that the licensee placed the issue in their

spreadsheet tracking all issues that need to be completed. The licensee informed the

inspectors that an individual that works for the NSC and is not immediately responsible for the

area would perform the audit in calendar year 2025. Subsequently, the audit was completed in

April 2025, and it will be reviewed by the inspector during a future inspection.

Analysis: The violation was evaluated in accordance with the NRC Enforcement Policy. The

violation is cited as a NOV because it constitutes a failure to meet regulatory requirements that

has a more than minor safety significance and the licensee failed to correct the violation within

a reasonable period of time.

Enforcement:

Severity: The violations is categorized at Severity Level IV in accordance with section 6.9.d of

the NRC Enforcement Policy.

Violation: TS 6.2.4, RSB Audit Function, states, in part, The audit function shall include

selective (but comprehensive) examination of operating records, logs, and other documents.

Audits shall include but are not limited to the following:

TS 6.2.4(5.) states, The reactor facility security plan and implementing procedures: at least

once every other calendar year (interval between audits not to exceed 30 months).

Contrary to TS 6.2.4(5.), the licensee failed to perform an audit to include the reactor facility

security plan and implementing procedures at least once every other calendar year.

Specifically, the licensee performed an audit, that included TS 6.2.4(5.), on June 28, 2021, and

did not perform a subsequent audit until April 22, 2025, which exceeds the 30-month

requirement.

6

Enforcement Action: This violation is being cited as a Notice of Violation, consistent with

sections 2.3.2 and 2.3.3 of the NRC Enforcement Policy.

This closes Inspector Follow Up Item 05000128/2023202-01.

Revised Violation B:

Minor Violation

69001.09

Minor Violation: Technical specification 6.2.4, RSB Audit Function, states, in part, The audit

function shall include selective (but comprehensive) examination of operating records, logs,

and other documents. Audits shall include but are not limited to the following:

TS 6.2.4(1.) states, Facility operations, including radiation protection, for conformance to the

Technical Specifications, applicable license conditions, and standard operating procedures:

at least once per calendar year (interval between audits not to exceed 15 months).

TS 6.2.4(2.) states, The results of action taken to correct those deficiencies that may occur in

the reactor facility equipment systems, structures, or methods of operations that affect reactor

safety: at least once per calendar year (interval between audits not to exceed 15 months).

Contrary to TS 6.2.4(1.) and TS 6.2.4(2.), the licensee failed to perform an audit to include

facility operations and an audit to include the results of action taken to correct those

deficiencies that may occur in the reactor facility equipment systems, structures, or methods

of operations that affect reactor safety at least once per calendar year. Specifically, the

licensee performed an audit, that included TS 6.2.4(1.) and TS 6.2.4(2.), on August 28, 2022,

and performed the subsequent audit on April 2, 2024, which exceeded the allowable

15-month frequency.

Screening: The missed 2023 audits were identified by the licensee, were not repetitive, and

were corrected on April 2, 2024. As a result, the inspectors determined that failure to meet

the requirements of TS 6.2.4(1.) and 6.2.4.(2.) constitutes a violation of minor significance in

accordance with section 2.0 of the NRC Enforcement Policy. This minor violation was

corrected by the licensee and this issue is closed.

Enforcement: The failure to comply with TS 6.2.4 constitutes a minor violation that is not

subject to enforcement action in accordance with the NRC Enforcement Policy.

Revised Violation C:

Minor Violation

69001.09

Minor Violation: Technical Specification 6.2.5, Audit of ALARA Program, states, in part, The

Chair of the RSB or designated alternate (excluding anyone whose normal job function is

within the NSC) shall conduct an audit of the reactor facility ALARA program annually.

Contrary to TS 6.2.5, the 2023 and 2024 ALARA program audits were not performed by the

chair of the RSB or a designated alternate. Specifically, the Health Physics Records

Review(s) were performed by a representative of the NETL at the University of Texas on

August 22, 2023, and August 30, 2024, and both reviews state that the NETL representative

was requested to perform the review by the TEES RSO, not the RSB chair.

7

Screening: Since the required audits were still performed and inspectors identified no

significant deficiencies with the audits themselves, it was determined that the failure to meet

the requirements of TS 6.2.5 constitutes a violation of minor significance in accordance with

section 2.0 of the NRC Enforcement Policy. The licensee will determine appropriate

corrective actions prior to the 2025 ALARA program audit.

Enforcement: The failure to comply with TS 6.2.5 constitutes a minor violation that is not

subject to enforcement action in accordance with the NRC Enforcement Policy.