ML17264A872

Responds to NRC 970325 Ltr Re Violations Noted in Insp Rept 50-244/97-01 on 970105-970223.Corrective Actions:Held Meetings on 970211-12 W/Available Members of Nuclear Operations Group to Discuss Radiological Work Practices

ML17264A872
Person / Time
Site:	Ginna
Issue date:	04/29/1997
From:	MECREDY R C ROCHESTER GAS & ELECTRIC CORP.
To:	VISSING G NRC (Affiliation Not Assigned), NRC OFFICE OF INFORMATION RESOURCES MANAGEMENT (IRM)
References
50-244-97-01, 50-244-97-1, NUDOCS 9705070042
Download: ML17264A872 (22)

See also: IR 05000244/1997001

Text

JAN-11-198887:14U.S.NRCGINNA3155246937P.82ANDROQIESItR64SAhQElFCTRICCORPORAIION~8PFASTAVEMIFROCIIESIER,PIY.MiQP4%1ARFAOAF/66662250808ERTC.MECREDYVicelresdenlNvdceroperol~U.S.NuclearRegulatoryCommissionDocumentControlDeskAttn:GuyS.VissingProjectDirectorateI-lWashington,D.C.20555April29,1997Subject:ReplytoaNoticeofViolationNRCInspectionR'eport50-244/97-01,datedMarch25,1997R.E.GinnaNuclearPowerPlantDocketNo.50-244DearMr.Vissing:RochesterGasandElectric(RG&E)providesthisreplytotheNoticeofViolation(VIO50-244/97-01-02)submittedasanenclosuretoaleerfromLawrenceT.Doerflein,USNRC,toRobertC.Mecredy,RG&E,datedMarch25,1997.AsaresultofaninspectionconductedfromJanuary5toFebruary23,1997,thefollowingviolationofNRCrequirementswasidentified.InaccordancewiththeEnforcementPolicy(NUREG-1600),theviolationislisted'elow:"10CFR50,AppendixB,CriterionXVI,"CorrectiveAction,"requiresinpartthatmeasuresbeestablishedtoassurethatconditionsadversetoquality,suchas.deficicnciesand.deviationsarepromptlyidentifiedandcorrected.Contrary'totheabove,thelicenseefailedtocorrectproblemsregardingcontamination'oundarycontrolandpoorradiologicalworkpracticesnotedinNRCInspectionReportNos.50-244/94-29and50-244/96-11,andRG&EACTIONReportNo.96-0902datedSeptember27,1996,asevidencedbythefollowing:February9,1997,maintenancetoolswereremovedfromadesignatedcontaminationareaontheA-SafetyInjectionpump.Severalragsandawirebrushthathadbeenusedinsideanareawithloosesmearablesurfacecontaminationwereallowedtostraddleacrosstheboundarymarkerlineandextendintoanuncontaminatedarea.Theseitemswerenotsurveyedpriortobeingremovedfromthecontaminatedarea.Otherwrenchesandtoolsthathadbeenusedinsideacontaminatedareawereremovedandplacedonacleansurfacewithouthavingbeenbaggedorsurveyedforcontaminationbeforehand.

JAN-11-198887:14U.S.NRCGINNA3155246937P.83Page22)February17,1997,aleakfromafittingonthetransmitterofaflowinstrument(FI-116)wasdrippingfrominsideacontaminatedareaontoacleanfioorsurfacethatwasdesignatedasuncontaminated.Atowelhadbeenplacedonthefioorwascollectingtheleakage(sic),butthetowelwassaturatedwiththeradioactivefiuid.Vfaterwasfiowingawayfromthetoweltoalowpointinthefloor,formingapuddle,andcontaminatingpreviouslycleanfioorareasupto2700dpm/100cm'.NocoHecuoadevicewasinplacethatcouldpreventthespreadofcontaminatedwatertouncontaminatedareas.Theradiologicalprotectiontechnicianondutyatthetimewasaotawareofthiscondition.BACKGROUND1.InspectionReport94-29NRCInspectionReport94-29dealtwithreviewofaccessibleareasoftheplanttoverifythathighradiationdoorswerelocked,andradiologicalpostingswerepostedasrequired.Somevariabilityintheuseofcontaminationbouadarydemarcationtape(radtape)wasnoted.Insomeareas,radtapewasusedonthefioortodefinethecontaminationareaboundarymarkerline,andinotherareasthiswasnotused.Forexample,foroneareaacontaminationropebarricadeandpostingwereusedwithoutafloorradtapeboundarymarkerline.Theinspectoralsonotedanextensioncordandahoserunningfromacleangaeaintoa,contaminatedareawithoutacleardefinitionofthecleanorcontaminatedportionofthecordandhose.Boththecordandhosehadbeenpulledlooseduringtheworkevolutionandtheoriginalpositionofthecordandhosecouldnotbedetermined.RGErEreestablishedaclearcontaminationboundarymarkerlineandstatedthattheuseofradtapewouldbereevaluated.NRCInspectionReport96-11AsreportedinNRCInspectionReport96-11,NRCinspectorsobservedaworkareawithsomeworkpartiallyconductedinsidearoped-offcontaminationarea.Theinspectornotedthatseveralequipmentservicelinesandpowercordswerenotsecuredwithinthccontaminationarea.Significantamountsoftape,grindingdust,andmiscellaneousdebrisgeneratedfromweldingandgrindingworkhadMeatothefloorandwereaccumulatingoutsidethecontaminationareaboundary.Thestep-offpadforexitingthecontaminationareawasnotsecurelyattachedtothefloor.Severalbucketsthat

Page3wereusedtocollectcontaminatedfluidswerenotlabeledproperly.NRCinspectoralsonotedadditionalcontanunationboundarycontrolconcerns,whereloosebagsandpaperswithinthecontaminationareawereallowedtocollectonthefloorandextendacrosstheboundarymarkerline.Cordsandtestleadswerenotsecuredtothcfioortopreventthemfromcanyingcontaminationoutofthearea.WhennotifiedbytheNRCinspectorofthiscondition,RG&Epersonnelimmediatelycleanedupthedebrisinandoutsideofthecontaminationareaandsecuredtheservicelinestothefloortopreventtheinfrombeingmovedacrosstheboundarymarkerline.Radiologicalsurveysweretakenandnospreadofcontaminationwasdetected.However,RG&Eagreedthatmanagementexpectationsforpropercontaminationboundarycontrolshadnotbeenmet.Sitepersonnelworkingintheseareasweresubsequentlycounseled.3.'CTIONReport964902ACTIONReport96-0902dealtwithcontaminatedtools/equipmentfoundinunrestrictedareatoolstorageareas.ThesetoolswerefoundasaresultoftheannualRadiationProtection(RP)surveysoftheseareas.(1)Thereasonsfortheviolation,or,ifcontested,thebasisfordisputingtheviolation;RG&Eacceptstheviolation.Weagreethatproblemsregardingcontaminationboundarycontrol*andpoorradiologicalworkpracticeshavenotbeenprogrammaticallycorrected.(a)SafetyInjectionPumpTheareaaroundthesafetyinjectionspumpsisverycongested.Contaminatedsurfaceareaboundariesaredenotedbyradtape.Theinitialworkplannedfortheareawastoinspectand,ifnecessary,tightensomeleakingSwagelokfittings.Typically,thesmallcontaminationcontrolareaestablishedforthisworkscopeisadequate.Basedoninspectionoftheleakingfittings,theworkscopewasexpandedtoincludetubingreplacement.DiscussionsoccurredbetweentheworkersandRadiationProtection(RP)technicianrelativetotheexpandedworkscope,buttherewasnodecisiontoenlargethecontamnationcontrolareaboundarytobetteroptimizetheworkenvironment.Enlargingtheworkareawouldhavebetteraccouunodatedtheexpandedworkscopeandeliminatedtheneedto

JAN-11-198887:16U.S.NRCGINNA3155246937P.85Page4transferhandtoolsandotheritemsinandoutofthecontaminatedareathathadpreviouslybeenestablished.TherewasalackofalertnessonthepartoftheworkersandRPtechnicianthatthecontaminationareaboundaryshouldhavebeenenlargedformoreeffectivecontaminationcontrol.ThetoolremovedfromthecontaminatedareawasusedtotightenaSwageloknutthathadbeenpreviouslysmearedandwasfreeofloosecontamination.Athoughfullcompliancetocontaminatedareaboundarycontrolwaslacking,smearingthenutwasapositivestepwhichisrepresentativeofongoingeffortsattheworkareatohelpminimizethespreadofcontamination.Therags,wirebrush,andwrenchshouldhavebeenbaggedpriortoremovalfromthecontaminatedarea.Acontributingfactorwasthesmallcontaminatedareaboundary.Anenlargedboundarywouldhaveeliminatedtheneedtotransfertheseitemsinandoutofthecontaminatedarea.Thus,baggingpriortofinalremovalwouldhavebeenaccomplishedasastandard,acceptableworkpractice,ifthecontaminatedareahadbeenproperlyenlarged.(b)LeakfromHowTransmitterFI-116Itisnotknownwhoplacedtheabsorbenttowelunderthetransmitter,norhowlongthetowelhadbeentherebeforetheNRCinspectoridentifiedtheproblem,RG&Eacknowledgesthatanabsorbenttowelisnotanappropriatemethodforcontainingcontaminatedliquid.Thisisanunacceptableworkpractice.Acatchcontainmentorbucketshouldhavebeenused.Asbackgroundforhowthissituationdeveloped,aMaintenanceWorkOrderhadpreviouslyidentifiedaboronbuilduponaSwagelokfittingtoPl-116.ThispromptedRPtoprovidecontaminationboundarycontrolstotheimmediateareaadjacenttoFl-116.Initiallydescribedasadryboronbuildup,'heleakprogressedtothcpointofasteadydrip.Itcouldnotbeascertainedatwhatstageinleakdevelopmenttheabsorbenttowelwasplacedunderthetransmitter.(c)ContaminatedAreaBoundaryControlRG&Eacknowledgesthatcorrectiveactionsforpreviouslyidentifiedpoorradiologicalworkpracticesandinadequatecontaminationboundarycontrolswerenoteffective.Therehavebeenadditionalincidentsintheseareas.Theprogrammaticrequirementsneedtobestronglyreinforced.Theseincidentsaretheresultoflapsesinperformanceandfailuretoadheretotheestablishedmanagementexpectationsandstandards.

JAN-11-198887:17U.S.NRCGINNA3155246937P.86Page5clearandTherefore,asdiscussedindetailundercorrectiveactionsthefo'0becuswl011additionalmanaeandunambiguousexpectationsforboundarydemarcat'iousancontrol,'nmanagementcoachingandcounscliag,heightenedawarenessofthancedtraining,enforcingconsistencyinapplicationofness0csestandards,reinforcementofindividualaccountabilityandresponsibility,andmonitoringtoensurecontinuingcompliance.Thecorrectivestepsthathavebeentakenandtheresultsachieved:(a)OnFebruary11/12,1997,meetingswereheldwithallavailablemembersoftheNuclearOperationsGroup.ThesemeetingsprovidedanopportunityforthePlantManagertodiscussradiologicalworkadherencetopracticesandcontaminationboundarycontrol.Theimimportaaceofacrencetoproceduresandtheseriousnessoflapsesinacceptablepracticescoacerniagcontaminationboundarycontrolwaspersonallyconveyedbyplantmanagement.(b}Attherequestof'aintenanceSupervisiontheGinnStat'irmationrmcrpalysicistmctwithmembersofappropriateshopstooutlineconcernswithimpropercontaminationboundarycontrolandtoreviewstationrequirementsandmanagementexpectations.Separatemeetingswereheldwitheachofthefollowiagshops:MechanicalMaintenanceElectricalMaintenanceInstrumentandControl(E&C)I&CSpecialProjects.(c)AletterwasissuedbythePlantManager'ndSuperintendtstallppersonnel,datedMarch20,1997,regardingmanagementemhasizedthaexpectationsforcontaminationboundarycontrol.ThiIisetterempsizethatallpersonnelareaccountableforobeyingestablishedradiologicalboundarieswhenenteringtherestricted.Ifurthemhasizedtriarea.terthepasthatifinstructionsarenotclearorfullyunderstoodthplannedworkshouldnotbeinitiated,andthatitistheworker'senresponsibiitytoensurethatallinstructionsareunderstood.Theletterfurtherstatedthatanyincidentofunacceptableradiologicalworkpracticewillresultinameetingwithsupervisiou,andfurtherdisciplinaryactionmay=benecessary.

JAN-11-198887:17U.S.NRCGINNA3155246937P.87Page6(3)Thecorrectivestepsthatwillbetakentoavoidfurtherviolations.TheRadiationProtection(RP)Grouphasbeenassignedresponsibilitytocoordinateimplementionofallcorrectiveactionsdiscussedbelow.()rocedureswillbereviewed,andrevisedasappropriate,toprovide(a)Procedurclearandunambiguousmanagementdirection.Anychangeswillclearlystateacceptablepracticesforcontaminationboundarycontrol.Inaddition,anychangeswillincludecleardefinitionsofthevarioustypesofacceptablecontaminationboundarymarkers.(b)ContaminationboundarycontrolissueswillbediscussedatregularlyscheduledshopmeetingsbyMaintenanceSupervision,toreinforceitsimportance.Periodically,RPpersonnelwillberequestedtoattendthesemeetingstoprovideclarificationandfosterincreasedcommunicationsbetweengroups.(c)RPSupervisionhasdirectedtheRPstaffandRPtechni'dstrongcoachingtoradiologicalworkers.Thisisbeingdonetoensurecontamina'Ppersonnelareeffectiveinassistingworkersinmaintainingffeectiveminationboundarycontrol.Vfhenpracticable,assignedRPpersonnelarcexpectedtobeiutheworkareawhenworkactivitesareoccurringwithincontaminatedareas,toensuremanagementexpectationsarebeingmet.rainingWorkRequestshavebeeninitiatedtoprovideenhanced(d)Tra'rainingincontaminatedareasituations.(e)ARootCauseAnalysisisbeingperformedtoidentifyotherfactorsthathavecontributedtopoorradiologicalworkpracticesinthepast.Correctiveactions,ifneeded,willaddressthesefactors,toassistineveopingotherappropriatemeanstostrengthentheprogrammaticrequirementsandtoincreasecompliancewiththeserequirements.'AsajointeffortbetweenMaintenance,RP,andNuclearTraining,"ProjectBoundary"hasbeenestablished.Majorattributesofthisprojectinclude:CommunicationofmanagementexpectationsBoundaryControlpoliciesthatareeasytouseTrainingforALLgroupsoarevisionstoboundarycontrolpolicies

JAN-11-198887:18U.S.HRCGthNA3155246937P.88Page7ReinforcingandrewardinggoodbehaviorsRevisingTrainingprogramsTraincontractors(whoworkduringoutages)tothesamelevelasRGBworkersVerifyadequacyoftheseactionsagainstpredeterminedindicators(g)AnindependenteffectivenessReviewwiHbeconductedtoverifytheadequacyoftheabovelistedcorrectiveactions.ThisreviewwillbecompletedbyOctober,1997.C(4)Thedatewhenfullcompliancewillbeachieved:PullcompliancehasbeenachievedasofMarch20,1997,whenshorttermcorrectiveactions,includingheightenedawarenessandrestatementofmanagementexpectations,werecompleted.Purtherlongtermenhancements,asdiscussedincorrectiveactions(a)through(g)above,willresultinamoreeffectiveprogram.Veryyyours,RobertC.Mecredyxc:GuyS.Vissing(MailStop14C7)ProjectDirectorateI-1Washington,D.C.20555U.S.NuclearRegulatoryCommissionRegionI475AllendaleRoadKingofPrussia,PA19046GinnaSeniorResidentInspectorTOTALP.88

CATEGORY.11REGULATORYINFORMATIONDISTRIBUTIONSYSTEM(RIDS)IyACCESSIONNBR:9705070042DOC.DATE:97/04/29NOTARIZED:NODOCKETFACIL:50-244RobertEmmetGinnaNuclearPlant,Unit1,RochesterG05000244AUTH~NAMEAUTHORAFFILIATIONECREDY,R~C~RochesterGas&ElectricCorp.RECIP~NAMERECIPIENTAFFILIATIONVISSINGFG~SUBJECT:RespondstoNRC9703251trreviolationsnotedininsprept50-244/97-01on970105-970223~Correctiveactions:heldmeetingson97021l-l2w/availablemembersofNuclearOperationsGrouptodiscussradiologicalworkpractices~DISTRIBUTIONCODE:IE01DCOPIESRECEIVED:LTR3ENCLQSIZE:TITLE:General(50Dkt)-InspRept/NoticeofViolationResponseNOTES:LicenseExpdateinaccordancewith1OCFR2,2.109(9/19/72)05000244RECIPIENTIDCODE/NAMEPD1-1PDINTERNAL:AEOD/SPD/RABDEDRONRR/DISP/PIPBNRR/DRPM/PECBNUD0CS-ABSTRACTOGC/HDS3ERNAL:LITCOBRYCE,JHNRCPDRCOPIESLTTRENCLRECIPIENTIDCODE/NAMEVISSING,G~AEODTTC~FCETE~NRR/DRCH/HHFBNRR/DRPM/PERBOEDIRRGN1FILE01NOACNUDOCSFULLTEXTCOPIESLTTRENCLNOTETOALL"RIDS"RECIPZENTS:PLEASEHELPUSTOREDUCEWASTE.TOHAVEYOURNAMEORORGANIZATIONREMOVEDFROMDISTRIBUTIONLISTSORREDUCETHENUMBEROFCOPIESRECEIVEDBYYOUORYOURORGANIZATION,CONTACTTHEDOCUMENTCONTROIDESK(DCD)ONEXTENSION415-2083TOTALNUMBEROFCOPIESREQUIRED:LTTR18ENCLR'

ANDyROCHESTERGASANDElECTRICCORPORATIOhf~89EASTAVENU~ROHESTER,Ar.YIdod9.cr'C'PEACOD!7ID5I52.'KROB"RTC.NtECREDYVicePresidentNvcfeoroperationsApril29,1997U.S.NuclearRegulatoryCommissionDocumentControlDeskAttn:GuyS.VissingProjectDirectorateI-1Washington,D.C.20555Subject:ReplytoaNoticeofViolationNRCInspectionReport50-244/97-01,datedMarch25,1997R.E.GinnaNuclearPowerPlantDocketNo.50-244DearMr.Vissing:RochesterGasandElectric(RG&E)providesthisreplytotheNoticeofViolation(VIO50-244/97-01-02)submittedasanenclosuretoaletterfromLawrenceT.Doerflein,USNRC,toRobertC.Mecredy,RG&E,datedMarch25,1997.AsaresultofaninspectionconductedfromJanuary5toFebruary23,1997,thefollowingviolationofNRCrequirementswasidentified.InaccordancewiththeEnforcementPolicy(NUREG-1600),theviolationislistedbelow:"10CFR50,AppendixB,CriterionXVI,"CorrectiveAction,"requiresinpartthatmeasuresbeestablishedtoassurethatconditionsadversetoquality,suchasdeficienciesanddeviationsarepromptlyidentifiedandcorrected.Contrarytotheabove,thelicenseefailedtocorrectproblemsregardingcontaminationboundarycontrolandpoorradiologicalworkpracticesnotedinNRCInspectionReportNos.50-244/94-29and50-244/96-11,andRG&EACTIONReportNo.96-0902datedSeptember27,1996,asevidencedbythefollowing:February9,1997,maintenancetoolswereremovedfromadesignatedcontaminationareaontheA-SafetyInjectionpump.Severalragsandawirebrushthathadbeenusedinsideanareawithloosesmearablesurfacecontaminationwereallowedtostraddleacrosstheboundarymarkerlineandextendintoan-uncontaminatedarea.Theseitemswerenotsurveyedpriortobeingremovedfromthecontaminatedarea.Otherwrenchesandtoolsthathadbeenusedinsideacontaminatedareawereremovedandplacedonacleansurfacewithouthavingbeenbaggedorsurveyedforcontaminationbeforehand.9705070042970429PDRADOCK050002448PDRg[llllllllllllllllllllltlllllllll

Page22)February17,1997,aleakfromafittingonthetransmitterofaflowinstrument(FI-116)wasdrippingfrominsideacontaminatedareaontoaclean;floorsurfacethatwasdesignatedasuncontaminated.Atowelhadbeenplacedonthefloorwascollectingtheleakage(sic),butthetowelwassaturatedwiththeradioactivefluid.Waterwasflowingawayfromthetoweltoalowpointinthefloor,formingapuddle,andcontaminatingpreviouslycleanfloorareasupto2700dpm/100cm'.Nocollectiondevicewasinplacethatcouldpreventthespreadofcontaminatedwatertouncontaminatedareas.Theradiologicalprotectiontechnicianondutyatthetimewasnotawareofthiscondition.BACKGROUNDInspectionReport94-29NRCInspectionReport94-29dealtwithreviewofaccessibleareasoftheplanttoverifythathighradiationdoorswerelocked,andradiologicalpostingswerepostedasrequired.Somevariabilityintheuseofcontaminationboundarydemarcationtape(radtape)wasnoted.Insomeareas,radtapewasusedonthefloortodefinethecontaminationareaboundarymarkerline,andinotherareasthis'wasnotused.Forexample,foroneareaacontaminationropebarricadeandpostingwereusedwithoutafloorradtapeboundarymarkerline.Theinspectoralsonotedanextensioncordandahoserunningfromacleanareaintoacontaminatedareawithoutacleardefinitionofthecleanorcontaminatedportionofthecordandhose.Boththecordandhosehadbeenpulledlooseduringtheworkevolutionandtheoriginalpositionofthecordandhosecouldnotbedetermined.RG&Ereestablishedaclearcontaminationboundarymarkerlineandstatedthattheuseofradtapewouldbereevaluated.2.NRCInspectionReport96-11AsreportedinNRCInspectionReport96-11,NRCinspectorsobservedaworkareawithsomeworkpartiallyconductedinsidearoped-offcontaminationarea.Theinspectornotedthatseveralequipmentservicelinesandpowercordswerenotsecuredwithinthecontaminationarea.Significantamountsoftape,grindingdust,andmiscellaneousdebrisgeneratedfromweldingandgrindingworkhadfallentothefloorandwereaccumulatingoutsidethecontaminationareaboundary.Thestep-offpadforexitingthecontaminationareawasnotsecurelyattachedtothefloor.Severalbucketsthat

Page3wereusedtocollectcontaminatedfluidswerenotlabeledproperly.NRCinspectoralsonotedadditionalcontaminationboundarycontrolconcerns,whereloosebagsandpaperswithinthecontaminationareawereallowedtocollectonthefloorandextendacrosstheboundarymarkerline.Cordsandtestleadswerenotsecuredtothefloortopreventthemfromcarryingcontaminationoutofthearea.WhennotifiedbytheNRCinspectorofthiscondition,RG&Epersonnelimmediatelycleanedupthedebrisinandoutsideofthecontaminationareaandsecuredtheservicelinestothefloortopreventthemfrombeingmovedacrosstheboundarymarkerline.Radiologicalsurveysweretakenandnospreadofcontaminationwasdetected.However,RG&Eagreedthatmanagementexpectationsforpropercontaminationboundarycontrolshadnotbeenmet.Sitepersonnelworkingintheseareaswere,subsequentlycounseled.ACTIONReport96-0902ACTIONReport96-0902dealtwithcontaminatedtools/equipmentfoundinunrestrictedareat'oolstorageareas.ThesetoolswerefoundasaresultoftheannualRadiationProtection(RP)surveysoftheseareas.(1)Thereasonsfortheviolation,or,ifcontested,thebasisfordisputingtheviolation:RG&Eacceptstheviolation.Weagreethatproblemsregardingcontaminationboundarycontrolandpoorradiologicalworkpracticeshavenotbeenprogrammaticallycorrected.(a)SafetyInjectionPumpTheareaaroundthesafetyinjectionspumpsisverycongested.Contaminatedsurfaceareaboundariesaredenotedbyradtape.Theinitialworkplannedfor~theareawastoinspectand,ifnecessary,tightensomeleakingSwagelokfittings.Typically,thesmallcontaminationcontrolareaestablishedforthisworkscopeisadequate.Basedoninspectionoftheleakingfittings,theworkscopewasexpandedtoincludetubingreplacement.DiscussionsoccurredbetweentheworkersandRadiationProtection(RP)technicianrelativetotheexpandedworkscope,buttherewasnodecisiontoenlargethecontaminationcontrolareaboundarytobetteroptimizetheworkenvironment.Enlargingtheworkareawouldhavebetteraccommodatedtheexpandedworkscopeandeliminatedtheneedto

Page4transferhandtoolsandotheritemsinandoutofthecontaminatedareathathadpreviouslybeenestablished.TherewasalackofalertnessonthepartoftheworkersandRPtechnicianthatthecontaminationareaboundaryshouldhavebeenenlargedformoreeffectivecontaminationcontrol.ThetoolremovedfromthecontaminatedareawasusedtotightenaSwageloknutthathadbeenpreviouslysmearedandwasfreeofloosecontamination.Athoughfullcompliancetocontaminatedareaboundarycontrolwaslacking,smearingthenutwasapositivestepwhichisrepresentativeofongoingeffortsattheworkareatohelpminimizethespreadofcontamination.Therags,wirebrush,andwrenchshouldhavebeenbaggedpriortoremovalfromthecontaminatedarea.Acontributingfactorwasthesmallcontaminatedareaboundary.Anenlargedboundarywouldhaveeliminatedtheneedtotransfertheseitemsinandoutofthecontaminate'darea.Thus,baggingpriortofinalremovalwouldhavebeenaccomplishedasastandard,acceptableworkpractice,ifthecontaminatedareahadbeenproperlyenlarged.LeakfromFlowTransmitterFI-116Itisnotknownwhoplacedtheabsorbenttowelunderthetransmitter,norhowlongthetowelhadbeentherebeforetheNRCinspectoridentifiedtheproblem.RG&Eacknowledgesthatanabsorbenttowelisnotanappropriatemethodforcontainingcontaminatedliquid.Thisisanunacceptableworkpractice.Acatchcontainmentorbucketshouldhavebeenused.Asbackgroundforhowthissituationdeveloped,aMaintenanceWorkOrderhadpreviouslyidentifiedaboronbuilduponaSwagelokfittingtoFI-116.ThispromptedRPtoprovidecontaminationboundarycontrolstotheimmediateareaadjacenttoFI-116.Initiallydescribedasadryboronbuildup,theleakprogressedtothepointofasteadydrip.Itcouldnotbeascertainedatwhatstageinleakdevelopmenttheabsorbenttowelwasplacedunderthetransmitter.ContaminatedAreaBoundaryControlRG&Eacknowledgesthatcorrectiveactionsforpreviouslyidentifiedpoorradiological,workpracticesandinadequatecontaminationboundarycontrolswerenoteffective.Therehavebeenadditionalincidentsintheseareas.Theprogrammaticrequirementsneedtobestronglyreinforced.Theseincidentsaretheresultoflapsesinperformanceandfailuretoadheretotheestablishedmanagementexpectationsandstandards.

Page5Therefore,asdiscussedindetailundercorrectiveactions,thefocuswillbeonclearandunambiguousexpectationsforboundarydemarcationsandcontrol,additionalmanagementcoachingandcounseling,heightenedawarenessoftheseexpectations,enhancedtraining,enforcingconsistencyinapplicationofstandards,reinforcementofindividualaccountabilityandresponsibility,andmonitoringto-ensurecontinuingcompliance.Thecorrectivestepsthathavebeentakenandtheresultsachieved:(a)OnFebruary11/12,1997,meetingswereheldwithallavailablemembersoftheNuclearOperationsGroup.ThesemeetingsprovidedanopportunityforthePlantManagertodiscussradiologicalworkpracticesandcontaminationboundarycontrol.Theimportanceofadherencetoproceduresandtheseriousnessoflapsesinacceptablepracticesconcerningcontaminationboundarycontrolwaspersonallyconveyedbyplantmanagement.(b)AttherequestofMaintenanceSupervision,theGinnaStationPrincipalHealthPhysicistmetwithmembersofappropriateshopstooutlineconcernswithimpropercontaminationboundarycontrolandtoreviewstationrequirementsandmanagementexpectations.Separatemeetingswereheldwitheachofthefollowingshops:MechanicalMaintenanceElectricalMaintenanceInstrumentandControl(I&C)ISAACSpecialProjects(c)AletterwasissuedbythePlantManagerandSuperintendentstoallplantpersonnel,datedMarch20,1997,regardingmanagementexpectationsforcontaminationboundarycontrol.Thisletteremphasizedthatallpersonnelareaccountableforobeyingestablishedradiologicalboundarieswhenenteringtherestrictedarea.Itfurtheremphasizedthatifinstructionsarenotclearorfullyunderstood,thentheplannedworkshouldnotbeinitiated,andthatitistheworker'sresponsibilitytoensurethatallinstructionsareunderstood.Theletterfurtherstatedthatanyincidentofunacceptableradiologicalworkpracticewillresultinameetingwithsupervision,andfurtherdisciplinaryactionmaybenecessary.

Page6(3)Thecorrectivestepsthatwillbetakentoavoidfurtherviolations:TheRadiationProtection(RP)Grouphasbeenassignedresponsibilitytocoordinateimplementionofallcorrectiveactionsdiscussedbelow.(a)Procedureswillbereviewed,andrevisedasappropriate,toprovide'learandunambiguousmanagementdirection.Anychangeswillclearlystateacceptablepracticesforcontaminationboundarycontrol.Inaddition,anychangeswillincludecleardefinitionsofthevarioustypesofacceptablecontaminationboundarymarkers.(b)ContaminationboundarycontrolissueswillbediscussedatregularlyscheduledshopmeetingsbyMaintenanceSupervision,toreinforceitsimportance.Periodically,RPpersonnelwillberequestedtoattendthesemeetingstoprovideclarificationandfosterincreasedcommunicationsbetweengroups.(c)RPSupervisionhasdirectedtheRPstaffandRPtechnicianstoprovidestrongcoachingtoradiologicalworkers.ThisisbeingdonetoensureRPpersonnelareeffectiveinassistingworkersinmaintainingeffectivecontaminationboundarycontrol.Whenpracticable,assignedRPpersonnelareexpectedtobeintheworkareawhenworkactivitesareoccurringwithincontaminatedareas,toensuremanagementexpectationsarebeingmet.(d)TrainingWorkRequestshavebeeninitiatedtoprovideenhancedtrainingincontaminatedareasituations.(e)ARootCauseAnalysisisbeingperformedtoidentifyotherfactorsthathavecontributedtopoorradiologicalworkpracticesinthepast.Correctiveactions,ifneeded,willaddressthesefactors,toassistindevelopingotherappropriatemeanstostrengthentheprogrammaticrequirementsandtoincreasecompliancewiththeserequirements.I(f)AsajointeffortbetweenMaintenance,RP,andNuclearTraining,"ProjectBoundary"hasbeenestablished.Majorattributesofthisprojectinclude:CommunicationofmanagementexpectationsBoundaryControlpolicies,thatareeasytouseTrainingforALLgroupsonrevisionstoboundarycontrolpolicies

Page7ReinforcingandrewardinggoodbehaviorsRevisingTrainingprogramsTraincontractors(whoworkduringoutages)tothesamelevelasRGB'orkersVerifyadequacyoftheseactionsagainstpredeterminedindicators(g)AnindependentEQectivenessReviewwillbeconductedtoverifytheadequacyoftheabovelistedcorrectiveactions.ThisreviewwillbecompletedbyOctober,1997.(4)Thedatewhenfullcompliancewillbeachieved:FullcompliancehasbeenachievedasofMarch20,1997,whenshorttermcorrectiveactions,includingheightenedawarenessandrest'atementofmanagementexpectations,werecompleted.Furtherlongtermenhancements,asdiscussedincorrectiveactions(a)through(g)above,willresultinamoree6ectiveprogram.Verylyyours,RobertC.MecredyXC:GuyS.Vissing(MailStop14C7)ProjectDirectorateI-1Washington,D.C.20555U.S.NuclearRegulatoryCommissionRegionI475AllendaleRoadKingofPrussia,PA19046'hGinnaSeniorResidentInspector