View source for 05000285/FIN-2010004-06

{{finding
| title = Failure to Follow Radiation Work Permit Requirements
| docket = 05000285
| inspection report = IR 05000285/2010004
| finding integer = 06
| quarter = 2010Q3
| IR section = 2RS1
| finding type = NCV
| significance = Green
| cornerstone = Or Safety
| violation of = None
| identified by = Self-Revealing
| Inspection procedure = IP 71124.01
| Inspector = L Ricketson, J Kirkland, D Stearns, G George, J Clark, D Graves, I Anchondo, W Schaup, T Buchanan, R Hickok, N Greene, J Wingebach
| CCA = H.12
| INPO aspect = QA.4
| description = The inspectors reviewed a self-revealing, noncited violation of Technical Specification 5.8.1, for failure to follow radiation work permit requirements. On November 13, 2009, two individuals became contaminated while cleaning the gasket seating surface on the endbell of the letdown heat exchanger because they did not use face shields as required by the radiation work permit. The licensee immediately restricted the two individuals from entry into the radiologically controlled area, conducted a coaching session with the individuals involved and placed this issue into the corrective action program as Condition Report 2009-5688.
The failure to follow the instructions listed on a radiation work permit was a performance deficiency. The finding was more than minor because it was associated with the Occupational Radiation Safety Cornerstone attribute (exposure control) of program and process and affected the cornerstone objective, in that, the failure to follow radiation work permit instructions increased personnel dose. Using the Occupational Radiation Safety Significance Determination Process, the inspectors determined the finding to have very low safety significance because: (1) it was not associated with ALARA planning or work controls, (2) there was no overexposure, (3) there was no substantial potential for an overexposure, and (4) the ability to assess dose was not compromised. The finding has a human performance crosscutting aspect associated with work practices, human error prevention techniques, because the individuals failed to use self and peer checking to ensure they were signed onto the appropriate task for the work to be performed [H.4(a)](Section 2RS01).
}}