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NUCLEAR REGULATORY COMMISSION
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                                                      NUCLEAR REGULATORY COMMISSION
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                                                                    475 ALLENDALE ROAD
.
                                                          KING oF PRUsslA, PENNSYLVANIA 19406-1415
475 ALLENDALE ROAD
                \*****                                                                                                            i
KING oF PRUsslA, PENNSYLVANIA 19406-1415
                                                                                                                                  !
i
                                                                    September 2,1998
September 2,1998
l
l
l
l                      EA 98-280
EA 98-280
                        Mr. Charles H. Cruse                                                                                       !
Mr. Charles H. Cruse
                        Vice President - Nuclear Energy                                                                           !
Vice President - Nuclear Energy
                        Baltimore Gas and Electric Company (BGE)
Baltimore Gas and Electric Company (BGE)
        *
Calvert Cliffs Nuclear Power Plant
                        Calvert Cliffs Nuclear Power Plant
i                      1650 Calvert Cliffs Parkway                          -
                                                                                                                        -
                        Lusby, Maryland 20657-4702
                                                                -
                                                                                                                    .
                        SUBJECT:            NOTICE OF VlOLATION AND PROPOSED IMPOSITION OF ClVil                              '
                                            PENAL.TY - $55,000                                                                    ,
            *
l                                          (NRC Inspection Report Nos. 50-317/98-05 and 50-318/98-05)                      -
                                                                                                                                  I
                        Deer Mr. Cruse:
l                      This letter refers to the NRC inspection conducted at the Calvert Cliffs Nuclear Power Plant               I
i
i
1650 Calvert Cliffs Parkway
*
-
-
Lusby, Maryland 20657-4702
-
.
SUBJECT:
NOTICE OF VlOLATION AND PROPOSED IMPOSITION OF ClVil
'
'
                      during the period April 20-24, May 11-14, and May 19-20,1998, the findings of which were                    l
PENAL.TY - $55,000
                      provided to you during exit meetings on . April 24, May 14, and May 20,1998. The inspection                !
*
                      report was sent to you on June 2,1998. During the inspection, several apparent violations
,
l
l
                      were identified related to the failure to properly implement your radiological control procedures
(NRC Inspection Report Nos. 50-317/98-05 and 50-318/98-05)
                      for activities in the reactor annulus on, April 9,1998. On June 18,1998, a Predecisional,
-
                        Enforcement Conference was conducted with you and members of your staff, to discuss the
Deer Mr. Cruse:
                      violations, their causes, and your corrective actions.
l
                      Based on the information developed during the inspection, and the information provided during
This letter refers to the NRC inspection conducted at the Calvert Cliffs Nuclear Power Plant
l                     the enforcement conference, three violations of NRC requirements are being cited and are                   ,
i
!                     descr; bed in the enclosed Notice of Violation and Proposed imposition of Civil Penalty (Notice).           !
during the period April 20-24, May 11-14, and May 19-20,1998, the findings of which were
                      The violations, which involved multiple failures to adhere to your radiological control
'
l                     procedures during replacement of nuclear instrumentation (NI) detectors in the reactor annulus,
provided to you during exit meetings on . April 24, May 14, and May 20,1998. The inspection
                      included: (1) the failure of workers to wear alarming dosimetry when entering the reactor                   1
!
                      annulus; (2) the failure of radiation protection personnel to stop work when unexpected alarms             I
report was sent to you on June 2,1998. During the inspection, several apparent violations
l                     and radiological conditions were encountered; and (3) the failure to properly determine worker             I
l
                      stay times for work in a high radiation area.
were identified related to the failure to properly implement your radiological control procedures
                      The violations are associated with two instances, both of which occurred on April 9,1998,
for activities in the reactor annulus on, April 9,1998. On June 18,1998, a Predecisional,
j                     wherein personnel failed to follow radiological control procedures for personnel monitoring.
Enforcement Conference was conducted with you and members of your staff, to discuss the
l                     In the first instance, in the early morning hours of April 9,1998, six workers entered the
violations, their causes, and your corrective actions.
l                     reactor vessel cavity to prepare for removal of insulation and replacement of the Ni detectors.
Based on the information developed during the inspection, and the information provided during
!                     Four of these workers then entered the reactor annulus, a high radiation area (HRA) with
l
                      accessible radiation dose rates that ranged from 2000 mR/hr to 6000 mR/hr. However, the
the enforcement conference, three violations of NRC requirements are being cited and are
                      individuals were not wearing alarming dosimetry as required by the special work permit (SWP).
,
                      Although radiation safety personnel were required to physically verify that the workers were
!
                      wearing the required dosimetry prior to entering the HRA, these checks were not adequately         I
descr; bed in the enclosed Notice of Violation and Proposed imposition of Civil Penalty (Notice).
The violations, which involved multiple failures to adhere to your radiological control
l
procedures during replacement of nuclear instrumentation (NI) detectors in the reactor annulus,
included: (1) the failure of workers to wear alarming dosimetry when entering the reactor
1
annulus; (2) the failure of radiation protection personnel to stop work when unexpected alarms
l
and radiological conditions were encountered; and (3) the failure to properly determine worker
stay times for work in a high radiation area.
The violations are associated with two instances, both of which occurred on April 9,1998,
j
wherein personnel failed to follow radiological control procedures for personnel monitoring.
l
In the first instance, in the early morning hours of April 9,1998, six workers entered the
l
reactor vessel cavity to prepare for removal of insulation and replacement of the Ni detectors.
!
Four of these workers then entered the reactor annulus, a high radiation area (HRA) with
accessible radiation dose rates that ranged from 2000 mR/hr to 6000 mR/hr. However, the
individuals were not wearing alarming dosimetry as required by the special work permit (SWP).
Although radiation safety personnel were required to physically verify that the workers were
wearing the required dosimetry prior to entering the HRA, these checks were not adequately
I
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                      PDR     ADOCK 05000317
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          . . _ . . _     .,     _ _ _ _ _ . .       _ . . -                                     .._ _ .
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. . _ . . _
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                            _       _                 _ _           _                       ._.     ._. _ _   _ _ _ _
_
        .
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      .
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    .=
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      .
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                      ,
._.
                        Baltimore Gas and Electric Company               2
._. _ _
                        performed. The alarming dosimeters were apparently prepared for use by the lead radiation
_ _ _ _
                        safety technician (RST); however, the dosimeters were not provided to the workers and use
.
                        of the dosimeters was not discussed at the pre-job briefing.
.
                        In the second instance, later that morning, an instrumentation and controls (l&C) technician
.=
                        entered the reactor annulus to attempt to relatch a detector well. Although the I&C technician
Baltimore Gas and Electric Company
                        was provided with alarming teledosimetry as required by the SWP, the dose and dose rate
2
                        alarms for three of the five detectors were not set properly in accordance with applicable
.
                        procedures. The three incorrectly set detectors alarmed almost immediately when the worker
,
                        entered the annulus area and continued to alarm until the worker left the area approximately
performed. The alarming dosimeters were apparently prepared for use by the lead radiation
                        nine minutes later. However, the RST assigned to monitor the teledosimetry data did not react
safety technician (RST); however, the dosimeters were not provided to the workers and use
                  -
of the dosimeters was not discussed at the pre-job briefing.
                        to the alarms nor stop the work, as required, when unexpected alarms occurred as he was                 -
In the second instance, later that morning, an instrumentation and controls (l&C) technician
                        apparently focused on the observation of only one of the correctly set detectors. Furthermore,
entered the reactor annulus to attempt to relatch a detector well. Although the I&C technician
                        although one of the detectors encountired dose rates in excess of the SWP limit, the RST,'
was provided with alarming teledosimetry as required by the SWP, the dose and dose rate
                        who was in voice contact with the l&C technician, did not instruct the I&C technician to exit         *
alarms for three of the five detectors were not set properly in accordance with applicable
                        the area, as required, when unexpected radiological conditions are encountered. As a result,
procedures. The three incorrectly set detectors alarmed almost immediately when the worker
                    -
entered the annulus area and continued to alarm until the worker left the area approximately
                        the l&C technician received an unplanned exposure of approximately 760 mR to the left thigh
nine minutes later. However, the RST assigned to monitor the teledosimetry data did not react
                        which was in excess of the SWP dose limit of 600 mR. In addition to the failures to wear the
to the alarms nor stop the work, as required, when unexpected alarms occurred as he was
l                       proper dosimetry and to properly monitor personnel exposure, the stay time:s for both HRA
-
                        entries were calculated incorrectly, resulting in non-conservative estimates of the time
-
apparently focused on the observation of only one of the correctly set detectors. Furthermore,
although one of the detectors encountired dose rates in excess of the SWP limit, the RST,'
who was in voice contact with the l&C technician, did not instruct the I&C technician to exit
*
the area, as required, when unexpected radiological conditions are encountered. As a result,
the l&C technician received an unplanned exposure of approximately 760 mR to the left thigh
-
which was in excess of the SWP dose limit of 600 mR. In addition to the failures to wear the
l
proper dosimetry and to properly monitor personnel exposure, the stay time:s for both HRA
entries were calculated incorrectly, resulting in non-conservative estimates of the time
available for the workers to remain in the HRA.
.
The failure to adhere to radiological control procedures for monitoring and controlling personnel
exposure resulted in one worker receiving an unplanned exposure in excess of the SWP limit,
and also created the potential for additional workers to receive unplanned exposures. Multiple
barriers for control of personnel exposure failed or were ineffective, including procedural
*
controls, training, and management oversight These failures represent a significant lack of
'
attention toward control of radiological activities, in particular the control of personnel
exposure. Therefore, the violations in this Notice are of significant concern and are classified
in the aggregate as a Severity Levellli problem in accordance with the " General Statement of
Policy and Procedure for NRC Enforcement Actions " (Enforcement Policy), NUREG-1600.
The NRC is particularly concerned that these failures involve recurrence of the some of the
same fundamental problems in your radiological protection program that caused a serious
event in April 1997, in which you failed to implement appropriate radiological contro!s during
diving operations in the Unit 2 spent fuel pool. A $176,000 civil penalty was previously
issued to you for the related violations that were categorized at Severity Level ll. A Severity
Level lli NOV without a civil penalty was also issued for your failure to establish adequate
controls for airborne radioactivity for work in the reactor cavity in May 1997. Although a civil
penalty could have been considered for the Severity Level 111 problem, discretion was exercised
not to propose a civil penalty because the violations related to the cavity event occurred
approximately one month after the diver event and appeared to be the result of the same
fundamental performance deficiencies. During the April 9,1998, entries to the annulus,
,
i
deficiencies similar to those identified during the 1997 events were identified, including
ineffective pre-job briefings, failure of radiation protection personnel to provide adequate
monitoring of personnel exposure, and ineffective management oversight. As you explained
j
at the conference, your corrective actions following the diver event were focused on improving
!
the preparation and planning of radiological control activities. However, you failed to
,-
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A'
%
.
.
                        available for the workers to remain in the HRA.
I
                        The failure to adhere to radiological control procedures for monitoring and controlling personnel
                        exposure resulted in one worker receiving an unplanned exposure in excess of the SWP limit,
                        and also created the potential for additional workers to receive unplanned exposures. Multiple
          *
                        barriers for control of personnel exposure failed or were ineffective, including procedural
                                                                                                                            '
                        controls, training, and management oversight These failures represent a significant lack of
                        attention toward control of radiological activities, in particular the control of personnel
                        exposure. Therefore, the violations in this Notice are of significant concern and are classified
                        in the aggregate as a Severity Levellli problem in accordance with the " General Statement of
                        Policy and Procedure for NRC Enforcement Actions " (Enforcement Policy), NUREG-1600.
                        The NRC is particularly concerned that these failures involve recurrence of the some of the
                        same fundamental problems in your radiological protection program that caused a serious
                        event in April 1997, in which you failed to implement appropriate radiological contro!s during
                        diving operations in the Unit 2 spent fuel pool. A $176,000 civil penalty was previously
                        issued to you for the related violations that were categorized at Severity Level ll. A Severity
                        Level lli NOV without a civil penalty was also issued for your failure to establish adequate
                        controls for airborne radioactivity for work in the reactor cavity in May 1997. Although a civil
                        penalty could have been considered for the Severity Level 111 problem, discretion was exercised
                        not to propose a civil penalty because the violations related to the cavity event occurred
                        approximately one month after the diver event and appeared to be the result of the same
,                      fundamental performance deficiencies. During the April 9,1998, entries to the annulus,
i                      deficiencies similar to those identified during the 1997 events were identified, including
                        ineffective pre-job briefings, failure of radiation protection personnel to provide adequate
                        monitoring of personnel exposure, and ineffective management oversight. As you explained
j                      at the conference, your corrective actions following the diver event were focused on improving
  !
                        the preparation and planning of radiological control activities. However, you failed to
  ,-
  d
A'        %
                                                                                                                          .
  I
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              .,.   .                   -e- - . <, .                             - ~
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                                                                                          .          .- .
  .
.
.
.                 Baltimore Gas and Electric Company               3
.- .
                  recognize that behavioral changes were needed, and you did not follow through with the
.
                  implementation of those necessary controls. Although you established and communicated
.
                  your expectations for the safe conduct of work in radiologically controlled areas, it appears           ;
Baltimore Gas and Electric Company
                  that the plant staff, including radiation safety personnel, had not fully embraced or internalized     '
3
                  these standards.
.
                                                                                                                          l
recognize that behavioral changes were needed, and you did not follow through with the
                                                                                                                          l
implementation of those necessary controls. Although you established and communicated
                  in accordance with the Enforcement Policy, a base civil penalty in the amount of $55,000is
your expectations for the safe conduct of work in radiologically controlled areas, it appears
                considered for a Severity Level Ill problem. Since Calvert Cliffs has been the subject of
that the plant staff, including radiation safety personnel, had not fully embraced or internalized
                  escalated enforcement actions within the last 2 years', the NRC woul normally consider
'
                  whether credit was warranted for /denti// cation and Corrective Action in accordance with the
these standards.
                  civil penalty assessment process in Section VI.B.2 of the Enforcement Policy. Although
l
                another RST technician recognized the alarms upon completion of work in the annulus area,
l
              ~
in accordance with the Enforcement Policy, a base civil penalty in the amount of $55,000is
                the unplanned exposure to the l&C technician occurred due to the failure of the assigned RST             I
considered for a Severity Level Ill problem. Since Calvert Cliffs has been the subject of
                to respond to the conditions that were clearly indica'ted by the alarms and teledosimetry data.         l
escalated enforcement actions within the last 2 years', the NRC woul normally consider
                Following the identification of the unplanned exposure, you took appropriate actions to stop           *
whether credit was warranted for /denti// cation and Corrective Action in accordance with the
                work in the Unit 1 reactor annulus and perform an investigation of the event and assessment
civil penalty assessment process in Section VI.B.2 of the Enforcement Policy. Although
                of your radiological control activities. As a result of this investigation, you identified the failure
another RST technician recognized the alarms upon completion of work in the annulus area,
                to wear alarming dosimetry in the early morning hours of April 9,1998, and the incorrect stay
the unplanned exposure to the l&C technician occurred due to the failure of the assigned RST
                time calculations. Your corrective actions which include: (1) providing increased management
~
                involvement and supervisory oversight of pre-job planning, pre-job briefing, and actual work
to respond to the conditions that were clearly indica'ted by the alarms and teledosimetry data.
                activities; (2) plans to update the Radiation Protection improvement Plan (RPIP) with lessons
Following the identification of the unplanned exposure, you took appropriate actions to stop
                learned from these events; and (3) plans to standardize radiation protection work practices and
*
                improve procedures for work in the RCA appear to be comprehensive.                                 .
work in the Unit 1 reactor annulus and perform an investigation of the event and assessment
                Notwithstanding these actions, your performance in the last year in the area of radiological
of your radiological control activities. As a result of this investigation, you identified the failure
                controls has been particularly poor as evidenced by the diver event in April 1997, the failure
to wear alarming dosimetry in the early morning hours of April 9,1998, and the incorrect stay
    .
time calculations. Your corrective actions which include: (1) providing increased management
                to establish adequate controls for airborne radioactivity f'or work in the reactor cavity in May
involvement and supervisory oversight of pre-job planning, pre-job briefing, and actual work
                  1997, and the events associated with replacement of Ni detectors in the reactor annulus in
activities; (2) plans to update the Radiation Protection improvement Plan (RPIP) with lessons
                April 1998. These three cases each had similar root causes and demonstrate a lack of regard
learned from these events; and (3) plans to standardize radiation protection work practices and
                for the importance of radiation protection by a number of your personnel. The implementation
improve procedures for work in the RCA appear to be comprehensive.
                of your corrective actions for the 1997 events, which included an assessment of all aspects
.
                of your radiation safety program and which should have precluded the 1998 violations, were
Notwithstanding these actions, your performance in the last year in the area of radiological
                ineffective. Therefore, I have decided, in light of your previous performance and your failure
controls has been particularly poor as evidenced by the diver event in April 1997, the failure
                to preclude recurrence of these violations, to propose a civil penalty at the base amount in
to establish adequate controls for airborne radioactivity f'or work in the reactor cavity in May
                accordance with Section Vll.A.1(c) and (d) of the Enforcement Policy.
.
                Accordingly, to emphasize the importance of appropriate management oversight and control
1997, and the events associated with replacement of Ni detectors in the reactor annulus in
                of radiation protection activities and the need for ensuring that your corrective actions are
April 1998. These three cases each had similar root causes and demonstrate a lack of regard
                effectively implemented,I have been authorized, after consultation with the Director, Office
for the importance of radiation protection by a number of your personnel. The implementation
                of Enforcement, and the Deputy Executive Director for Regulatory Effectiveness, to issue the
of your corrective actions for the 1997 events, which included an assessment of all aspects
                enclosed Notice of Violation and Proposed imposition of Civil Penalty (Notice) in the amount
of your radiation safety program and which should have precluded the 1998 violations, were
                of $55,000 for the violations.
ineffective. Therefore, I have decided, in light of your previous performance and your failure
                          'e.g., A Notice of Violation and Proposed imposition of Civil Penalties in the amount
to preclude recurrence of these violations, to propose a civil penalty at the base amount in
                of $176,000 was issued on August 11,1997 (EA 97-192) and a Notice of Violation without
accordance with Section Vll.A.1(c) and (d) of the Enforcement Policy.
                a civil penalty was issued on March 20,1998 (EA 98-106). Both of these actions involved
Accordingly, to emphasize the importance of appropriate management oversight and control
                deficient radiological controls during the 1997 Unit 2 refueling outage.
of radiation protection activities and the need for ensuring that your corrective actions are
    ... . - . .         . . . . - . - . - . . . _ . . . . . ..
effectively implemented,I have been authorized, after consultation with the Director, Office
of Enforcement, and the Deputy Executive Director for Regulatory Effectiveness, to issue the
enclosed Notice of Violation and Proposed imposition of Civil Penalty (Notice) in the amount
of $55,000 for the violations.
'e.g., A Notice of Violation and Proposed imposition of Civil Penalties in the amount
of $176,000 was issued on August 11,1997 (EA 97-192) and a Notice of Violation without
a civil penalty was issued on March 20,1998 (EA 98-106). Both of these actions involved
deficient radiological controls during the 1997 Unit 2 refueling outage.
... . - . .
. . . . - . - . - . . . _ . . . . .
..


  _ __ _. ._ _ _ _ - . .. _ __ _ _ _ _ _ . . _ - . _ . . _ _ _ _ _ _ . _ _ _ _ . . _ _ _ _
_ __ _. ._ _ _ _ - . .. _ __ _ _ _ _ _ . . _ - . _ . . _ _ _ _ _ _ . _ _ _ _ . . _ _ _ _
    .                                                                                                                                                                    ;
;
    .                                                                                                                                                                     !
.
    -
!
                                Baltimore Gas and Electric Company                                               4
.
                                You are required to respond to this letter and should follow the instructions specified in the
Baltimore Gas and Electric Company
                                enclosed Notice when preparing your response. As noted above, your corrective actions do
4
                                appear to be comprehensive. However, you had previously described corrective actions that
-
                                were thought to be comprehensive. In light of this being your third radiation protection
You are required to respond to this letter and should follow the instructions specified in the
                                incident within a year, your response should address why you have confidence that your
enclosed Notice when preparing your response. As noted above, your corrective actions do
                                corrective actions this time will effectively preclude similar events in the future. Failure to
appear to be comprehensive. However, you had previously described corrective actions that
                                achieve effective lasting corrective action may result in more significant enforcement action.
were thought to be comprehensive. In light of this being your third radiation protection
                              The NRC will use your response, in part, to determine whether further enforcement action is
incident within a year, your response should address why you have confidence that your
                                necessary to ensure compliance with regulatory requirements.
corrective actions this time will effectively preclude similar events in the future. Failure to
                                In accordance with 10 CFR 2.790 of the NRC's " Rules of Practice," a copy of this letter, its
achieve effective lasting corrective action may result in more significant enforcement action.
                                enclosure, and your response will be placed in the NRC Public Document Room (PDR).
The NRC will use your response, in part, to determine whether further enforcement action is
                                                  '
necessary to ensure compliance with regulatory requirements.
                                                                                                                                          *
In accordance with 10 CFR 2.790 of the NRC's " Rules of Practice," a copy of this letter, its
                                                                                                              Sincerely,
enclosure, and your response will be placed in the NRC Public Document Room (PDR).
                                                                                                                                                                    *
'
                                                                                                                                                                          ,
*
                                                                              *
Sincerely,
                                                                                                                                                          .
*
                                                                                                                ube     J. iller                     M
,
                                                                                                              Regional Administrator
*
                              Docket / License Nos: 50-317/DPR-53
.
                  .
ube
                                                                                50-318/DPR-69                     .                                                 ,
J.
                              Enclosure: Notice of Violation and Proposed imposition of
iller
                                                                . Civil Penalty                                                                         .
M
                                                                                                                      .                                                 y
Regional Administrator
                                                                                                                                                                          i
Docket / License Nos: 50-317/DPR-53
50-318/DPR-69
.
.
,
Enclosure: Notice of Violation and Proposed imposition of
. Civil Penalty
.
.
y
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                                                                                                                                                            ..
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. - . . . . . _ . _ . . . . _ . . . _ _ _ .
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      .   . .   - . -       -     -       _.               . .- . .           . _ - ..         . . .       ~. .           .. . _ _ . . . . -         .- - . -. - . . . . .     .
.
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!                                                                                                                                                                                     :
!
    -
Baltimore Gas and Electric Company
                        Baltimore Gas and Electric Company                                                   5                                                                       )
5
                                                                                        ,
)
                                                                                                                                                                  -
-
                                                                                                                                                                                      )
,
                        cc w/ encl:                                                                                                                                                   ,
-
                        T. Pritchett, Director, Nuclear Regulatory Matters (CCNPP)
)
cc w/ encl:
,
.
.
T. Pritchett, Director, Nuclear Regulatory Matters (CCNPP)
)
i
R. McLean, Administrator, Nuclear Evaluations
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                        R. McLean, Administrator, Nuclear Evaluations                                                                                                                )
                                                                                                                                                                                      i
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J. Walter, Engineering Division, Public Service Commission of Maryland
'
'
                        J. Walter, Engineering Division, Public Service Commission of Maryland
l
l                        K. Burger, Esquire, Maryland People's Counsel
K. Burger, Esquire, Maryland People's Counsel
R. Ochs, Maryland Safe Energy Coalition
'
'
                        R. Ochs, Maryland Safe Energy Coalition
State of Maryland (2)
                        State of Maryland (2)
.
                                                                              .
.
                                                                                                                                                        .
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                                                                                                                                                                                  e
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Latest revision as of 06:51, 24 May 2025

Discusses Insp Repts 50-317/98-05 & 50-318/98-05 on 980420-24,0511-14 & 0519-2 & Forwards NOV & Proposed Imposition of Civil Penalty in Amount of $55,000
ML20196G721
Person / Time
Site: Calvert Cliffs  Constellation icon.png
Issue date: 09/02/1998
From: Miller H
NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION I)
To: Cruse C
BALTIMORE GAS & ELECTRIC CO.
Shared Package
ML20196G727 List:
References
50-317-98-05, 50-317-98-5, 50-318-98-05, 50-318-98-5, EA-98-280, NUDOCS 9812080063
Download: ML20196G721 (5)


See also: IR 05000317/1998005

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UNrrED STATES

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NUCLEAR REGULATORY COMMISSION

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475 ALLENDALE ROAD

KING oF PRUsslA, PENNSYLVANIA 19406-1415

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September 2,1998

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EA 98-280

Mr. Charles H. Cruse

Vice President - Nuclear Energy

Baltimore Gas and Electric Company (BGE)

Calvert Cliffs Nuclear Power Plant

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1650 Calvert Cliffs Parkway

-

-

Lusby, Maryland 20657-4702

-

.

SUBJECT:

NOTICE OF VlOLATION AND PROPOSED IMPOSITION OF ClVil

'

PENAL.TY - $55,000

,

l

(NRC Inspection Report Nos. 50-317/98-05 and 50-318/98-05)

-

Deer Mr. Cruse:

l

This letter refers to the NRC inspection conducted at the Calvert Cliffs Nuclear Power Plant

i

during the period April 20-24, May 11-14, and May 19-20,1998, the findings of which were

'

provided to you during exit meetings on . April 24, May 14, and May 20,1998. The inspection

!

report was sent to you on June 2,1998. During the inspection, several apparent violations

l

were identified related to the failure to properly implement your radiological control procedures

for activities in the reactor annulus on, April 9,1998. On June 18,1998, a Predecisional,

Enforcement Conference was conducted with you and members of your staff, to discuss the

violations, their causes, and your corrective actions.

Based on the information developed during the inspection, and the information provided during

l

the enforcement conference, three violations of NRC requirements are being cited and are

,

!

descr; bed in the enclosed Notice of Violation and Proposed imposition of Civil Penalty (Notice).

The violations, which involved multiple failures to adhere to your radiological control

l

procedures during replacement of nuclear instrumentation (NI) detectors in the reactor annulus,

included: (1) the failure of workers to wear alarming dosimetry when entering the reactor

1

annulus; (2) the failure of radiation protection personnel to stop work when unexpected alarms

l

and radiological conditions were encountered; and (3) the failure to properly determine worker

stay times for work in a high radiation area.

The violations are associated with two instances, both of which occurred on April 9,1998,

j

wherein personnel failed to follow radiological control procedures for personnel monitoring.

l

In the first instance, in the early morning hours of April 9,1998, six workers entered the

l

reactor vessel cavity to prepare for removal of insulation and replacement of the Ni detectors.

!

Four of these workers then entered the reactor annulus, a high radiation area (HRA) with

accessible radiation dose rates that ranged from 2000 mR/hr to 6000 mR/hr. However, the

individuals were not wearing alarming dosimetry as required by the special work permit (SWP).

Although radiation safety personnel were required to physically verify that the workers were

wearing the required dosimetry prior to entering the HRA, these checks were not adequately

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Baltimore Gas and Electric Company

2

.

,

performed. The alarming dosimeters were apparently prepared for use by the lead radiation

safety technician (RST); however, the dosimeters were not provided to the workers and use

of the dosimeters was not discussed at the pre-job briefing.

In the second instance, later that morning, an instrumentation and controls (l&C) technician

entered the reactor annulus to attempt to relatch a detector well. Although the I&C technician

was provided with alarming teledosimetry as required by the SWP, the dose and dose rate

alarms for three of the five detectors were not set properly in accordance with applicable

procedures. The three incorrectly set detectors alarmed almost immediately when the worker

entered the annulus area and continued to alarm until the worker left the area approximately

nine minutes later. However, the RST assigned to monitor the teledosimetry data did not react

to the alarms nor stop the work, as required, when unexpected alarms occurred as he was

-

-

apparently focused on the observation of only one of the correctly set detectors. Furthermore,

although one of the detectors encountired dose rates in excess of the SWP limit, the RST,'

who was in voice contact with the l&C technician, did not instruct the I&C technician to exit

the area, as required, when unexpected radiological conditions are encountered. As a result,

the l&C technician received an unplanned exposure of approximately 760 mR to the left thigh

-

which was in excess of the SWP dose limit of 600 mR. In addition to the failures to wear the

l

proper dosimetry and to properly monitor personnel exposure, the stay time:s for both HRA

entries were calculated incorrectly, resulting in non-conservative estimates of the time

available for the workers to remain in the HRA.

.

The failure to adhere to radiological control procedures for monitoring and controlling personnel

exposure resulted in one worker receiving an unplanned exposure in excess of the SWP limit,

and also created the potential for additional workers to receive unplanned exposures. Multiple

barriers for control of personnel exposure failed or were ineffective, including procedural

controls, training, and management oversight These failures represent a significant lack of

'

attention toward control of radiological activities, in particular the control of personnel

exposure. Therefore, the violations in this Notice are of significant concern and are classified

in the aggregate as a Severity Levellli problem in accordance with the " General Statement of

Policy and Procedure for NRC Enforcement Actions " (Enforcement Policy), NUREG-1600.

The NRC is particularly concerned that these failures involve recurrence of the some of the

same fundamental problems in your radiological protection program that caused a serious

event in April 1997, in which you failed to implement appropriate radiological contro!s during

diving operations in the Unit 2 spent fuel pool. A $176,000 civil penalty was previously

issued to you for the related violations that were categorized at Severity Level ll. A Severity

Level lli NOV without a civil penalty was also issued for your failure to establish adequate

controls for airborne radioactivity for work in the reactor cavity in May 1997. Although a civil

penalty could have been considered for the Severity Level 111 problem, discretion was exercised

not to propose a civil penalty because the violations related to the cavity event occurred

approximately one month after the diver event and appeared to be the result of the same

fundamental performance deficiencies. During the April 9,1998, entries to the annulus,

,

i

deficiencies similar to those identified during the 1997 events were identified, including

ineffective pre-job briefings, failure of radiation protection personnel to provide adequate

monitoring of personnel exposure, and ineffective management oversight. As you explained

j

at the conference, your corrective actions following the diver event were focused on improving

!

the preparation and planning of radiological control activities. However, you failed to

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Baltimore Gas and Electric Company

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recognize that behavioral changes were needed, and you did not follow through with the

implementation of those necessary controls. Although you established and communicated

your expectations for the safe conduct of work in radiologically controlled areas, it appears

that the plant staff, including radiation safety personnel, had not fully embraced or internalized

'

these standards.

l

l

in accordance with the Enforcement Policy, a base civil penalty in the amount of $55,000is

considered for a Severity Level Ill problem. Since Calvert Cliffs has been the subject of

escalated enforcement actions within the last 2 years', the NRC woul normally consider

whether credit was warranted for /denti// cation and Corrective Action in accordance with the

civil penalty assessment process in Section VI.B.2 of the Enforcement Policy. Although

another RST technician recognized the alarms upon completion of work in the annulus area,

the unplanned exposure to the l&C technician occurred due to the failure of the assigned RST

~

to respond to the conditions that were clearly indica'ted by the alarms and teledosimetry data.

Following the identification of the unplanned exposure, you took appropriate actions to stop

work in the Unit 1 reactor annulus and perform an investigation of the event and assessment

of your radiological control activities. As a result of this investigation, you identified the failure

to wear alarming dosimetry in the early morning hours of April 9,1998, and the incorrect stay

time calculations. Your corrective actions which include: (1) providing increased management

involvement and supervisory oversight of pre-job planning, pre-job briefing, and actual work

activities; (2) plans to update the Radiation Protection improvement Plan (RPIP) with lessons

learned from these events; and (3) plans to standardize radiation protection work practices and

improve procedures for work in the RCA appear to be comprehensive.

.

Notwithstanding these actions, your performance in the last year in the area of radiological

controls has been particularly poor as evidenced by the diver event in April 1997, the failure

to establish adequate controls for airborne radioactivity f'or work in the reactor cavity in May

.

1997, and the events associated with replacement of Ni detectors in the reactor annulus in

April 1998. These three cases each had similar root causes and demonstrate a lack of regard

for the importance of radiation protection by a number of your personnel. The implementation

of your corrective actions for the 1997 events, which included an assessment of all aspects

of your radiation safety program and which should have precluded the 1998 violations, were

ineffective. Therefore, I have decided, in light of your previous performance and your failure

to preclude recurrence of these violations, to propose a civil penalty at the base amount in

accordance with Section Vll.A.1(c) and (d) of the Enforcement Policy.

Accordingly, to emphasize the importance of appropriate management oversight and control

of radiation protection activities and the need for ensuring that your corrective actions are

effectively implemented,I have been authorized, after consultation with the Director, Office

of Enforcement, and the Deputy Executive Director for Regulatory Effectiveness, to issue the

enclosed Notice of Violation and Proposed imposition of Civil Penalty (Notice) in the amount

of $55,000 for the violations.

'e.g., A Notice of Violation and Proposed imposition of Civil Penalties in the amount

of $176,000 was issued on August 11,1997 (EA 97-192) and a Notice of Violation without

a civil penalty was issued on March 20,1998 (EA 98-106). Both of these actions involved

deficient radiological controls during the 1997 Unit 2 refueling outage.

... . - . .

. . . . - . - . - . . . _ . . . . .

..

_ __ _. ._ _ _ _ - . .. _ __ _ _ _ _ _ . . _ - . _ . . _ _ _ _ _ _ . _ _ _ _ . . _ _ _ _

.

!

.

Baltimore Gas and Electric Company

4

-

You are required to respond to this letter and should follow the instructions specified in the

enclosed Notice when preparing your response. As noted above, your corrective actions do

appear to be comprehensive. However, you had previously described corrective actions that

were thought to be comprehensive. In light of this being your third radiation protection

incident within a year, your response should address why you have confidence that your

corrective actions this time will effectively preclude similar events in the future. Failure to

achieve effective lasting corrective action may result in more significant enforcement action.

The NRC will use your response, in part, to determine whether further enforcement action is

necessary to ensure compliance with regulatory requirements.

In accordance with 10 CFR 2.790 of the NRC's " Rules of Practice," a copy of this letter, its

enclosure, and your response will be placed in the NRC Public Document Room (PDR).

'

Sincerely,

,

.

ube

J.

iller

M

Regional Administrator

Docket / License Nos: 50-317/DPR-53

50-318/DPR-69

.

.

,

Enclosure: Notice of Violation and Proposed imposition of

. Civil Penalty

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T. Pritchett, Director, Nuclear Regulatory Matters (CCNPP)

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R. Ochs, Maryland Safe Energy Coalition

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