ML24047A140

Attachment 1 to RCP 901.1 Reciprocity Applicant Inspection Evaluation Checklist 02-01-2024

ML24047A140
Person / Time
Issue date:	02/01/2024
From:	Huda Akhavannik NRC/NMSS/DMSST
To:
References
Download: ML24047A140 (1)

Text

Reciprocity Applicant Inspection Evaluation& Processing Checklist

Licensee Name:

License Type:

NRC / AS License Number / Issuing Entity:

Application Type: Initial Renewal Fee Paid: Yes No

Notes from License Verification by Issuing Entity :

Request at least the following:

• License expiration date and amendment number on the current license?

• When was the licensee last inspected? Were there violations identified on the inspection? If so, what were the violations and were they corrected?

• Are there any unresolved allegations against the licensee?

• Have there been any recent or on-going events associated with the licensee?

Reciprocity Applicant Inspection Evaluation& Processing Checklist Determination of Risk Score - Risk Score = (Consequence x Likelihood)

Step 1 - Determine Potential Consequence Licensee Program 10 CFR Part 37 Proximity to General Public Consequence Score Code (select the highest from all three categories)

Priority 1 or 2 Cat 1 Quantity Work in areas accessible to general High (5) public Priority 3 Cat 2 Quantity Fixed facilities with ability to limit Medium (3) access Priority 4 or 5 Cat 3 or below Remote areas or areas with established Low (1) access controls

Step 2 - Determine Likelihood Licensee NMP Likelihood Score Inspection Scope of Work Other factors Oversight (select the History (Issuing (CT or Issuing highest)

Entity and CT) Entity)

Serious Activity, Repair or

• Reactive Last Inspection Violations in Modification involving inspection based years recent inspection Source or shield (e.g., on on - going event (for example a exchange, recovery,

• Review of an High (5)

Severity Level I, etc.) allegation, as it II, or II) relates to the work being conducted under reciprocity Minor (Severity

• Repair or

• New or unique Last Inspection Level IV or Modification not technology ars 5 NOVs) intended to involve

• Extended duration years source (i.e., length of

• Work creating work/storage or Medium (3) airborne activity number of visits in

• Radiography a calendar year)

• Source removal in shield Clear Inspection Activities that do not Last Inspection <

directly affect sources of 3 years any size or directly affect sources (e.g., in-field use of portable Low (1) moisture density gauges, support for materials licensees decommissioning activities)

Risk Score = Step 1 x Step 2 = _____________

Reciprocity Applicant Inspection Evaluation& Processing Checklist

RISK SCORE PRIORITY MATRIX Consequences Score Low (1) Medium (3) High (5)

Low (5)* Medium (15)

• High (25) -

High (5) Inspection not Inspect Inspect required Likelihood Very Low (3)* Low (9)* Medium Risk (15)

• Score Medium (3) Inspection not Inspection not Inspect Warranted required Very Low (1)* Very Low (3)* Low (5)*

Low (1) Inspection not Inspection not Inspection not Warranted Warranted required

• Supervisor discretion may be indicated for abnormal work or other considerations leading to a determination to inspect low or very low risk score licensees. Additionally, supervisor discretion may be applied to remove a licensee from inspection due to staffing / resource availability.

Is the licensee a candidate for inspection based upon Risk Score or Supervisor Discretion?

Yes No

Risk Score = ______________________

Inspection Evaluation Notes:

Oncea licensee has been inspected by CT under reciprocity in the calendar year, each new jobsite will be evaluated for a significant change in typical scope of work or material use. For similar job types, inspections will only be performed on a licensee once per calendar year.

CT Reciprocity Issued: Yes No

CT Reciprocity Inspection Required: Yes No

CT Reciprocity License Number (WBL):

Application Processor: Signature:

Approved By: Signature:

(SRCP or designee):

Reciprocity Applicant Inspection Evaluation& Processing Checklist