Information Notice 2016-13, Uranium Accumulation in Fuel Cycle Facility Ventilation and Scrubber Systems: Difference between revisions

From kanterella
Jump to navigation Jump to search
(Created page by program invented by StriderTol)
(Created page by program invented by StriderTol)
Line 14: Line 14:
| page count = 6
| page count = 6
}}
}}
{{#Wiki_filter:ML16252A171 UNITED STATES NUCLEAR REGULATORY COMMISSION OFFICE OF NUCLEAR MATERIAL SAFETY AND SAFEGUARDS OFFICE OF NUCLEAR REACTOR REGULATION WASHINGTON, DC  20555 September 28, 2016
{{#Wiki_filter:UNITED STATES


NRC INFORMATION NOTICE 2016-13: URANIUM ACCUMULATION IN FUEL
NUCLEAR REGULATORY COMMISSION


CYCLE FACILITY VENTILATION AND SCRUBBER SYSTEMS
OFFICE OF NUCLEAR MATERIAL SAFETY AND SAFEGUARDS
 
OFFICE OF NUCLEAR REACTOR REGULATION
 
WASHINGTON, DC 20555 September 28, 2016 NRC INFORMATION NOTICE 2016-13:                                    URANIUM ACCUMULATION IN FUEL
 
CYCLE FACILITY VENTILATION AND
 
SCRUBBER SYSTEMS


==ADDRESSEES==
==ADDRESSEES==
All holders of and applicants for a fuel facility license under Title 10 of the
All holders of and applicants for a fuel facility license under Title 10 of the Code of Federal
 
Regulations (10 CFR) Part 70, Domestic Licensing of Special Nuclear Material and


Code of Federal
10 CFR Part 70, Subpart H, Additional Requirements for Certain Licensees Authorized To


Regulations (10 CFR) Part 70, "Domestic Licensing of Special Nuclear Material" and 10 CFR Part 70, Subpart H, "Additional Requirements for Certain Licensees Authorized To
Possess a Critical Mass of Special Nuclear Material.


Possess a Critical Mass of Special Nuclear Material."
All holders of and applicants for a construction permit or operating license for a production
All holders of and applicants for a construction permit or operating license for a production


facility, including facilities dedicated to the production of medical radioisotopes such as
facility, including facilities dedicated to the production of medical radioisotopes such as


molybdenum-99, under 10 CFR Part 50, "Domestic Licensing of Production and Utilization
molybdenum-99, under 10 CFR Part 50, Domestic Licensing of Production and Utilization


Facilities," except those who have permanently ceased operations.
Facilities, except those who have permanently ceased operations.


==PURPOSE==
==PURPOSE==
The U.S. Nuclear Regulatory Commission (NRC) is is
The U.S. Nuclear Regulatory Commission (NRC) is issuing this information notice (IN) to inform
 
addressees about the potential for uranium accumulation in off-gas ventilation and scrubber


suing this information notice (IN) to inform addressees about the potential for uranium accumulation in off-gas ventilation and scrubber
systems and some potential causal factors that could contribute to this type of event. Over time, uranium can build up in areas that are difficult to inspect and clean. As a result, a criticality


systems and some potential causal factors that could contribute to this type of event.  Over time, uranium can build up in areas that are difficult to inspect and clean.  As a result, a criticality
safety evaluation (CSE) mass limit could be exceeded and challenge controls designed to meet


safety evaluation (CSE) mass limit could be exceeded and challenge controls designed to meet the performance requirements of 10 CFR 70.61(b) and 10 CFR 70.61(d) and the double
the performance requirements of 10 CFR 70.61(b) and 10 CFR 70.61(d) and the double


contingency principle
contingency principle1.


1.
The NRC requests recipients to review the information contained in this IN for applicability to


The NRC requests recipients to review the information contained in this IN for applicability to their facilities and to consider actions, as approp
their facilities and to consider actions, as appropriate, to avoid similar issues. Any suggestions


riate, to avoid similar issues.  Any suggestions contained in this IN are not NRC requirements; therefore, no specific action or written response
contained in this IN are not NRC requirements; therefore, no specific action or written response


is required.
is required.


1 As described in 10 CFR 70.4, "Definitions", the double contingency principle means that process designs should incorporate sufficient factors of safety to require at least two unlikely, independent, and concurrent changes in process conditions before a criticality accident is possible.
1 As described in 10 CFR 70.4, Definitions, the double contingency principle means that process designs should
 
incorporate sufficient factors of safety to require at least two unlikely, independent, and concurrent changes in
 
process conditions before a criticality accident is possible.
 
ML16252A171


==DESCRIPTION OF CIRCUMSTANCES==
==DESCRIPTION OF CIRCUMSTANCES==
During the most recent planned annual wet scrubber system cleanout at a low-enriched fuel fabrication facility, personnel noticed an abnormal amount of material buildup in the inlet transition region and associated ductwork (i.e., elbow). Over the course of the 2-day
During the most recent planned annual wet scrubber system cleanout at a low-enriched fuel
 
fabrication facility, personnel noticed an abnormal amount of material buildup in the inlet
 
transition region and associated ductwork (i.e., elbow). Over the course of the 2-day


maintenance evolution, approximately 197 kilograms of material were removed from the
maintenance evolution, approximately 197 kilograms of material were removed from the


scrubber transition region. The transition region is considered an unfavorable geometry from a criticality perspective. Because facility personnel assumed that this material had a low uranium concentration, operators attempted to break up and wash away the material to facilitate its removal. Facility personnel did not sample the material to confirm the uranium concentration before conducting any activities that could have disturbed the as-found condition. After the
scrubber transition region. The transition region is considered an unfavorable geometry from a
 
criticality perspective. Because facility personnel assumed that this material had a low uranium
 
concentration, operators attempted to break up and wash away the material to facilitate its
 
removal. Facility personnel did not sample the material to confirm the uranium concentration
 
before conducting any activities that could have disturbed the as-found condition. After the


material was removed, grab samples of the material were taken to analyze for uranium
material was removed, grab samples of the material were taken to analyze for uranium
Line 68: Line 97:
concentration.
concentration.


The grab sample results indicated that the uranium concentrations ranged from 34 weight percent (wt %) - 55 wt% which corresponded to approximately 87 kilograms of uranium.  As
The grab sample results indicated that the uranium concentrations ranged from 34 weight


such, the CSE mass limit of 29 kilograms was exceeded by a factor of 3.  After the cleanout activities were completed, the scrubber was restarted. The scrubber operated for 6 weeks and
percent (wt %) - 55 wt% which corresponded to approximately 87 kilograms of uranium. As


then facility personnel shut it down to perform another cleanout of the inlet transition region and elbow.  Facility personnel removed about 24 kilograms of material, which corresponded to approximately 5 kilograms of uranium. The scrubber was restarted following the 6 week
such, the CSE mass limit of 29 kilograms was exceeded by a factor of 3. After the cleanout


cleanout. Approximately 1 week later, while discussing extent of condition, the licensee decided
activities were completed, the scrubber was restarted. The scrubber operated for 6 weeks and
 
then facility personnel shut it down to perform another cleanout of the inlet transition region and
 
elbow. Facility personnel removed about 24 kilograms of material, which corresponded to
 
approximately 5 kilograms of uranium. The scrubber was restarted following the 6 week
 
cleanout. Approximately 1 week later, while discussing extent of condition, the licensee decided


to shut down the scrubber again and thoroughly inspect the entire scrubber to ensure that the
to shut down the scrubber again and thoroughly inspect the entire scrubber to ensure that the


scrubber was free of uranium accumulation. An additional 184 kilograms of material was
scrubber was free of uranium accumulation. An additional 184 kilograms of material was


removed from the scrubber body, and about 71 kilogr
removed from the scrubber body, and about 71 kilograms of material was removed from the


ams of material was removed from the packing material. The scrubber was shut down and the licensee commenced extent of condition and root cause evaluations and implemented several short-term corrective actions.
packing material. The scrubber was shut down and the licensee commenced extent of
 
condition and root cause evaluations and implemented several short-term corrective actions.


==BACKGROUND==
==BACKGROUND==
The scrubber in question was put into service in 2002. This scrubber combined two ventilation systems. In 2009, an additional feed stream was rerouted to the scrubber in question. This
The scrubber in question was put into service in 2002. This scrubber combined two ventilation
 
systems. In 2009, an additional feed stream was rerouted to the scrubber in question. This


particular scrubber operates as a cross-flow horizontal packed-bed scrubber that uses a
particular scrubber operates as a cross-flow horizontal packed-bed scrubber that uses a
Line 91: Line 132:
recirculating scrubbing liquid to absorb soluble gas molecules and knock down suspended
recirculating scrubbing liquid to absorb soluble gas molecules and knock down suspended


solids, including uranium-bearing particles vented from several processes. The scrubber was
solids, including uranium-bearing particles vented from several processes. The scrubber was


originally designed to scrub mostly acidic off-gas; however, many of the current feed streams
originally designed to scrub mostly acidic off-gas; however, many of the current feed streams
Line 99: Line 140:
From 2002 through 2009, facility personnel removed and inspected the scrubber inlet transition
From 2002 through 2009, facility personnel removed and inspected the scrubber inlet transition


region and elbow on three different occasions and noticed material buildup. Information on the
region and elbow on three different occasions and noticed material buildup. Information on the
 
volume, weight, and wt% of the material was not accurately and consistently recorded. For the
 
next 7 years leading up to the event, the annual scrubber cleanout did not involve removing the


volume, weight, and wt% of the material was not accurately and consistently recorded.  For the next 7 years leading up to the event, the annual scrubber cleanout did not involve removing the inlet elbow and all the packing for inspection and cleaning. Instead, the elbow and transition
inlet elbow and all the packing for inspection and cleaning. Instead, the elbow and transition


region sections were periodically pressure-washed through a cleanout port.
region sections were periodically pressure-washed through a cleanout port.
Line 107: Line 152:
About 1 month before the most recent annual scrubber maintenance, the elbow and transition
About 1 month before the most recent annual scrubber maintenance, the elbow and transition


region were pressure-washed with a new sprayer that allowed cleaning of the upper surface of the scrubber. As described above, during the cleaning, operators observed that a large piece of accumulated material was dislodged from the upper surface of the transition region. During the
region were pressure-washed with a new sprayer that allowed cleaning of the upper surface of
 
the scrubber. As described above, during the cleaning, operators observed that a large piece of
 
accumulated material was dislodged from the upper surface of the transition region. During the


annual scrubber maintenance, the inlet transition region and elbow were removed and cleaned.
annual scrubber maintenance, the inlet transition region and elbow were removed and cleaned.


The material was weighed and sampled to reveal 87 kilograms of uranium, which exceeded the CSE mass limit of 29 kilograms of uranium. As part of the extent of condition, facility personnel inspected scrubber and ventilation system components that had been permanently removed
The material was weighed and sampled to reveal 87 kilograms of uranium, which exceeded the CSE mass limit of 29 kilograms of uranium. As part of the extent of condition, facility personnel
 
inspected scrubber and ventilation system components that had been permanently removed


from service for years, and discovered some accumulation of uranium-bearing material.
from service for years, and discovered some accumulation of uranium-bearing material.


==DISCUSSION==
==DISCUSSION==
Any event that involves exceeding a criticality parameter limit established by the CSE and results in not meeting the double contingency principle is a criticality safety concern.  In this
Any event that involves exceeding a criticality parameter limit established by the CSE and


case, the mass limit was exceeded by a factor of
results in not meeting the double contingency principle is a criticality safety concern. In this


3; moderation was available from the scrubber spray nozzles and the pressure-washing; and the scrubber packing, elbow, and transition region
case, the mass limit was exceeded by a factor of 3; moderation was available from the scrubber


sections are all unfavorable geometries. As a result, the safety margin available to preclude an
spray nozzles and the pressure-washing; and the scrubber packing, elbow, and transition region
 
sections are all unfavorable geometries. As a result, the safety margin available to preclude an


inadvertent criticality was significantly degraded.
inadvertent criticality was significantly degraded.


The long-term accumulation of uranium in equipment with an unfavorable geometry, particularly in process ventilation and scrubber systems, has been a recurring issue throughout the nuclear
The long-term accumulation of uranium in equipment with an unfavorable geometry, particularly


fuel industry
in process ventilation and scrubber systems, has been a recurring issue throughout the nuclear


2. The amount of material that can be transported into process ventilation can be underestimated.  Therefore, licensees are encouraged to verify the assumptions regarding the rate and mechanisms of accumulation.  Furthermore, during process changes, licensees are encouraged to consider process conditions that can affect accumulation and the possible
fuel industry2. The amount of material that can be transported into process ventilation can be


creation of chemical hazards when off-gas from different process areas is combined. Frequent inspection and cleanout may be necessary when the accumulation rate is poorly understood or
underestimated. Therefore, licensees are encouraged to verify the assumptions regarding the


controlled.  The same rigor can be applied to the analysis and control of process areas even if
rate and mechanisms of accumulation. Furthermore, during process changes, licensees are


they are considered auxiliary to the main process or are perceived to have low risk. Otherwise, areas perceived to be low risk may become safety-significant.
encouraged to consider process conditions that can affect accumulation and the possible
 
creation of chemical hazards when off-gas from different process areas is combined. Frequent
 
inspection and cleanout may be necessary when the accumulation rate is poorly understood or
 
controlled. The same rigor can be applied to the analysis and control of process areas even if
 
they are considered auxiliary to the main process or are perceived to have low risk. Otherwise, areas perceived to be low risk may become safety-significant.


Several causal factors appear to have contributed to the occurrence of the event described in
Several causal factors appear to have contributed to the occurrence of the event described in


this IN. The following are some of the contributing causes that the NRC staff considers important to understand in helping to prevent similar events from occurring in the future:  
this IN. The following are some of the contributing causes that the NRC staff considers
 
important to understand in helping to prevent similar events from occurring in the future:
    *    Administrative Items Relied On for Safety (IROFS). There are IROFS in certain criticality


* Administrative Items Relied On for Safety (IROFS).  There are IROFS in certain criticality accident sequences that involve implementing a particular operating or maintenance procedure. It is important that these procedures provide the necessary details, clear
accident sequences that involve implementing a particular operating or maintenance
 
procedure. It is important that these procedures provide the necessary details, clear


instructions, and acceptance criteria to ensure that the intended function is reliable and
instructions, and acceptance criteria to ensure that the intended function is reliable and


available. Additionally, procedures implementing visual inspections are encouraged to
available. Additionally, procedures implementing visual inspections are encouraged to


contain specific pass/fail criteria, and the particular process equipment be designed so that personnel can perform an adequate inspection. In this event, the annual visual inspection and cleanout through the scrubber cleanout port was ineffective at identifying
contain specific pass/fail criteria, and the particular process equipment be designed so
 
that personnel can perform an adequate inspection. In this event, the annual visual
 
inspection and cleanout through the scrubber cleanout port was ineffective at identifying


and removing the accumulated uranium-bearing material.
and removing the accumulated uranium-bearing material.


* Configuration Management. A series of plant modifications to various systems, spread
*   Configuration Management. A series of plant modifications to various systems, spread
 
out over several years, can have a collective and unintended effect on the overall
 
integrated system. Sufficient management measures need to be in place to ensure that
 
the configuration of facility processes continues to be managed effectively. In this event, a series of modifications were made to several different systems that unintentionally
 
resulted in accumulating more uranium-bearing material in the scrubber than expected.
 
2 See IN 2004-14 (Agencywide Documents Access and Management System (ADAMS) Accession
 
No. ML041760122), IN 2005-22 (ADAMS Accession No. ML051890406), and IN 2010-16 (ADAMS Accession
 
No. ML100540070).
 
* Challenge Assumptions. Safety analyses and evaluations may include engineering and


out over several years, can have a collective and unintended effect on the overall integrated system.  Sufficient management measures need to be in place to ensure that
scientific assumptions. Incorrect assumptions can lead to non-conservatisms, inadequate evaluation of risks, and could improperly render certain events or accident


the configuration of facility processes continues to be managed effectively. In this event, a series of modifications were made to several different systems that unintentionally resulted in accumulating more uranium-bearing material in the scrubber than expected.
sequences not credible. Licensees are encouraged to use information gained from


2 See IN 2004-14 (Agencywide Documents Access and Management System (ADAMS) Accession No. ML041760122), IN 2005-22 (ADAMS Accession No. ML051890406), and IN 2010-16 (ADAMS Accession No. ML100540070).
system performance measurements and operating experience in order to verify and


* Challenge Assumptions.  Safety analyses and evaluations may include engineering and scientific assumptions. Incorrect assumptions can lead to non-conservatisms, inadequate evaluation of risks, and could improperly render certain events or accident sequences not credible.
validate these assumptions. In this event, there was data and operating experience to


Licensees are encouraged to use information gained from system performance measurements and operating experience in order to verify and validate these assumptions.  In this event, there was data and operating experience to suggest that the assumed low uranium concentration in the scrubber could have been
suggest that the assumed low uranium concentration in the scrubber could have been


challenged and its validity questioned during revisions and peer reviews of the CSEs.
challenged and its validity questioned during revisions and peer reviews of the CSEs.


* Conservative Decisionmaking. After an abnormal or unexpected condition is identified, facility personnel are encouraged to ensure that the as-found condition and causes are sufficiently understood in responding to the event and before deciding to return to normal operations. In this event, a large amount of deposited material was removed. However, while the material was appropriately collected into safe-volume containers as though it
* Conservative Decisionmaking. After an abnormal or unexpected condition is identified, facility personnel are encouraged to ensure that the as-found condition and causes are
 
sufficiently understood in responding to the event and before deciding to return to normal
 
operations. In this event, a large amount of deposited material was removed. However, while the material was appropriately collected into safe-volume containers as though it


had a high uranium content, facility personnel assumed that the uranium concentration
had a high uranium content, facility personnel assumed that the uranium concentration
Line 172: Line 262:
was low, decided to wash the material away, and did not report the event.
was low, decided to wash the material away, and did not report the event.


* Nuclear Safety Culture. Complex industrial facilities that process special nuclear material are confronted with criticality, chemical, and radiological hazards. In order to provide a safe environment for the workers and surrounding public stakeholders, facility personnel are encouraged to follow many guiding principles, including, but not limited to, maintaining a questioning attitude, avoiding complacency, and constantly examining
* Nuclear Safety Culture. Complex industrial facilities that process special nuclear
 
material are confronted with criticality, chemical, and radiological hazards. In order to


engineering processes and procedures. In this event, some of the scrubber operators
provide a safe environment for the workers and surrounding public stakeholders, facility
 
personnel are encouraged to follow many guiding principles, including, but not limited to, maintaining a questioning attitude, avoiding complacency, and constantly examining
 
engineering processes and procedures. In this event, some of the scrubber operators


and process engineers were unaware of the uranium mass limits, and the criticality
and process engineers were unaware of the uranium mass limits, and the criticality


safety engineers were not adequately involved in the ventilation modifications, scrubber inspection and maintenance, and initial response to the discovery of unexpected
safety engineers were not adequately involved in the ventilation modifications, scrubber
 
inspection and maintenance, and initial response to the discovery of unexpected


material.
material.


==CONTACT==
==CONTACT==
This IN requires no specific action or written response. Please direct any questions about this
This IN requires no specific action or written response. Please direct any questions about this


matter to the technical contact listed below.
matter to the technical contact listed below.


/RA/       /RA/ Craig G. Erlanger, Director     Louise Lund, Director Division of Fuel Cycle Safety, Safeguards,   Division of Policy and Rulemaking   and Environmental Review    Office of Nuclear Reactor Regulation
/RA/                                                 /RA/
Craig G. Erlanger, Director                         Louise Lund, Director
 
Division of Fuel Cycle Safety, Safeguards,           Division of Policy and Rulemaking


Office of Nuclear Material Safety
and Environmental Review                          Office of Nuclear Reactor Regulation


===Office of Nuclear Material Safety===
and Safeguards
and Safeguards


Technical Contact Stephen Vaughn, NMSS/FCSE
Technical Contact     Stephen Vaughn, NMSS/FCSE


301-415-3640  
301-415-3640
                      E-mail: Stephen.Vaughn@nrc.gov


E-mail: Stephen.Vaughn@nrc.gov
Note: NRC generic communications may be found on the NRC public Web site, at


Note:  NRC generic communications may be found on the NRC public Web site, at http://www.nrc.gov, under NRC Library/Document Collections.
http://www.nrc.gov, under NRC Library/Document Collections.


==CONTACT==
==CONTACT==
This IN requires no specific action or written response. Please direct any questions about this matter to the technical contact listed below.
This IN requires no specific action or written response. Please direct any questions about this
 
matter to the technical contact listed below.


Craig G. Erlanger, Director     Louise Lund, Director
Craig G. Erlanger, Director                           Louise Lund, Director


Division of Fuel Cycle Safety, Safeguards,   Division of Policy and Rulemaking   and Environmental Review    Office of Nuclear Reactor Regulation
Division of Fuel Cycle Safety, Safeguards,           Division of Policy and Rulemaking


Office of Nuclear Material Safety
and Environmental Review                            Office of Nuclear Reactor Regulation


===Office of Nuclear Material Safety===
and Safeguards
and Safeguards


Technical Contact Stephen Vaughn, NMSS/FCSE
Technical Contact       Stephen Vaughn, NMSS/FCSE
 
301-415-3640
                        E-mail: Stephen.Vaughn@nrc.gov
 
Note: NRC generic communications may be found on the NRC public Web site, at
 
http://www.nrc.gov, under NRC Library/Document Collections.
 
ADAMS Accession Number: ML16252A171                                          *concurred via e-mail
 
OFFICE    NMSS/FCSE/PORS        NMSS/FCSE/PORS


301-415-3640
* R-II/DFFI    *NMSS/MSTR/MSEB
E-mail:  Stephen.Vaughn@nrc.gov


Note:  NRC generic communications may be found on the NRC public Web site, at http://www.nrc.gov, under NRC Library/Document Collections.
* QTE


ADAMS Accession Number:  ML16252A171  *concurred via e-mailOFFICE NMSS/FCSE/PORS NMSS/FCSE/PORS* R-II/DFFI*NMSS/MSTR/MSEB* QTENAME SVaughn MKotzalas CEvans AMcIntosh CHsu DATE 09/14/2016 09/14/2016 09/15/2016 09/19/2016 09/19/2016 OFFICE
NAME          SVaughn             MKotzalas             CEvans           AMcIntosh             CHsu


* NRR/DPR/PRLB *NRR/DPR/PGCB
DATE          09/14/2016            09/14/2016          09/15/2016          09/19/2016          09/19/2016 OFFICE


/BC*NRR/DPR/PGCB/L
* NRR/DPR/PRLB      *NRR/DPR/PGCB/BC     *NRR/DPR/PGCB/LA        NRR/DPR/D          NMSS/FCSE/D


A NRR/DPR/D NMSS/FCSE
NAME          AAdams                SStuchell              ELee              LLund              CErlanger


/D NAME AAdams SStuchell ELee LLund CErlanger DATE 09/22/2016 09/22/2016 09/23/2016 09/27/2016 09/28/2016 OFFICIAL RECORD COPY}}
DATE         09/22/2016           09/22/2016           09/23/2016         09/27/2016           09/28/2016 OFFICIAL RECORD COPY}}


{{Information notice-Nav}}
{{Information notice-Nav}}

Revision as of 14:25, 30 October 2019

Uranium Accumulation in Fuel Cycle Facility Ventilation and Scrubber Systems
ML16252A171
Person / Time
Issue date: 09/28/2016
From: Craig Erlanger, Louise Lund
Division of Fuel Cycle Safety, Safeguards, and Environmental Review, Division of Policy and Rulemaking
To:
Vaughn S
References
IN-16-013
Download: ML16252A171 (6)


UNITED STATES

NUCLEAR REGULATORY COMMISSION

OFFICE OF NUCLEAR MATERIAL SAFETY AND SAFEGUARDS

OFFICE OF NUCLEAR REACTOR REGULATION

WASHINGTON, DC 20555 September 28, 2016 NRC INFORMATION NOTICE 2016-13: URANIUM ACCUMULATION IN FUEL

CYCLE FACILITY VENTILATION AND

SCRUBBER SYSTEMS

ADDRESSEES

All holders of and applicants for a fuel facility license under Title 10 of the Code of Federal

Regulations (10 CFR) Part 70, Domestic Licensing of Special Nuclear Material and

10 CFR Part 70, Subpart H, Additional Requirements for Certain Licensees Authorized To

Possess a Critical Mass of Special Nuclear Material.

All holders of and applicants for a construction permit or operating license for a production

facility, including facilities dedicated to the production of medical radioisotopes such as

molybdenum-99, under 10 CFR Part 50, Domestic Licensing of Production and Utilization

Facilities, except those who have permanently ceased operations.

PURPOSE

The U.S. Nuclear Regulatory Commission (NRC) is issuing this information notice (IN) to inform

addressees about the potential for uranium accumulation in off-gas ventilation and scrubber

systems and some potential causal factors that could contribute to this type of event. Over time, uranium can build up in areas that are difficult to inspect and clean. As a result, a criticality

safety evaluation (CSE) mass limit could be exceeded and challenge controls designed to meet

the performance requirements of 10 CFR 70.61(b) and 10 CFR 70.61(d) and the double

contingency principle1.

The NRC requests recipients to review the information contained in this IN for applicability to

their facilities and to consider actions, as appropriate, to avoid similar issues. Any suggestions

contained in this IN are not NRC requirements; therefore, no specific action or written response

is required.

1 As described in 10 CFR 70.4, Definitions, the double contingency principle means that process designs should

incorporate sufficient factors of safety to require at least two unlikely, independent, and concurrent changes in

process conditions before a criticality accident is possible.

ML16252A171

DESCRIPTION OF CIRCUMSTANCES

During the most recent planned annual wet scrubber system cleanout at a low-enriched fuel

fabrication facility, personnel noticed an abnormal amount of material buildup in the inlet

transition region and associated ductwork (i.e., elbow). Over the course of the 2-day

maintenance evolution, approximately 197 kilograms of material were removed from the

scrubber transition region. The transition region is considered an unfavorable geometry from a

criticality perspective. Because facility personnel assumed that this material had a low uranium

concentration, operators attempted to break up and wash away the material to facilitate its

removal. Facility personnel did not sample the material to confirm the uranium concentration

before conducting any activities that could have disturbed the as-found condition. After the

material was removed, grab samples of the material were taken to analyze for uranium

concentration.

The grab sample results indicated that the uranium concentrations ranged from 34 weight

percent (wt %) - 55 wt% which corresponded to approximately 87 kilograms of uranium. As

such, the CSE mass limit of 29 kilograms was exceeded by a factor of 3. After the cleanout

activities were completed, the scrubber was restarted. The scrubber operated for 6 weeks and

then facility personnel shut it down to perform another cleanout of the inlet transition region and

elbow. Facility personnel removed about 24 kilograms of material, which corresponded to

approximately 5 kilograms of uranium. The scrubber was restarted following the 6 week

cleanout. Approximately 1 week later, while discussing extent of condition, the licensee decided

to shut down the scrubber again and thoroughly inspect the entire scrubber to ensure that the

scrubber was free of uranium accumulation. An additional 184 kilograms of material was

removed from the scrubber body, and about 71 kilograms of material was removed from the

packing material. The scrubber was shut down and the licensee commenced extent of

condition and root cause evaluations and implemented several short-term corrective actions.

BACKGROUND

The scrubber in question was put into service in 2002. This scrubber combined two ventilation

systems. In 2009, an additional feed stream was rerouted to the scrubber in question. This

particular scrubber operates as a cross-flow horizontal packed-bed scrubber that uses a

recirculating scrubbing liquid to absorb soluble gas molecules and knock down suspended

solids, including uranium-bearing particles vented from several processes. The scrubber was

originally designed to scrub mostly acidic off-gas; however, many of the current feed streams

contain ammoniated off-gas.

From 2002 through 2009, facility personnel removed and inspected the scrubber inlet transition

region and elbow on three different occasions and noticed material buildup. Information on the

volume, weight, and wt% of the material was not accurately and consistently recorded. For the

next 7 years leading up to the event, the annual scrubber cleanout did not involve removing the

inlet elbow and all the packing for inspection and cleaning. Instead, the elbow and transition

region sections were periodically pressure-washed through a cleanout port.

About 1 month before the most recent annual scrubber maintenance, the elbow and transition

region were pressure-washed with a new sprayer that allowed cleaning of the upper surface of

the scrubber. As described above, during the cleaning, operators observed that a large piece of

accumulated material was dislodged from the upper surface of the transition region. During the

annual scrubber maintenance, the inlet transition region and elbow were removed and cleaned.

The material was weighed and sampled to reveal 87 kilograms of uranium, which exceeded the CSE mass limit of 29 kilograms of uranium. As part of the extent of condition, facility personnel

inspected scrubber and ventilation system components that had been permanently removed

from service for years, and discovered some accumulation of uranium-bearing material.

DISCUSSION

Any event that involves exceeding a criticality parameter limit established by the CSE and

results in not meeting the double contingency principle is a criticality safety concern. In this

case, the mass limit was exceeded by a factor of 3; moderation was available from the scrubber

spray nozzles and the pressure-washing; and the scrubber packing, elbow, and transition region

sections are all unfavorable geometries. As a result, the safety margin available to preclude an

inadvertent criticality was significantly degraded.

The long-term accumulation of uranium in equipment with an unfavorable geometry, particularly

in process ventilation and scrubber systems, has been a recurring issue throughout the nuclear

fuel industry2. The amount of material that can be transported into process ventilation can be

underestimated. Therefore, licensees are encouraged to verify the assumptions regarding the

rate and mechanisms of accumulation. Furthermore, during process changes, licensees are

encouraged to consider process conditions that can affect accumulation and the possible

creation of chemical hazards when off-gas from different process areas is combined. Frequent

inspection and cleanout may be necessary when the accumulation rate is poorly understood or

controlled. The same rigor can be applied to the analysis and control of process areas even if

they are considered auxiliary to the main process or are perceived to have low risk. Otherwise, areas perceived to be low risk may become safety-significant.

Several causal factors appear to have contributed to the occurrence of the event described in

this IN. The following are some of the contributing causes that the NRC staff considers

important to understand in helping to prevent similar events from occurring in the future:

  • Administrative Items Relied On for Safety (IROFS). There are IROFS in certain criticality

accident sequences that involve implementing a particular operating or maintenance

procedure. It is important that these procedures provide the necessary details, clear

instructions, and acceptance criteria to ensure that the intended function is reliable and

available. Additionally, procedures implementing visual inspections are encouraged to

contain specific pass/fail criteria, and the particular process equipment be designed so

that personnel can perform an adequate inspection. In this event, the annual visual

inspection and cleanout through the scrubber cleanout port was ineffective at identifying

and removing the accumulated uranium-bearing material.

  • Configuration Management. A series of plant modifications to various systems, spread

out over several years, can have a collective and unintended effect on the overall

integrated system. Sufficient management measures need to be in place to ensure that

the configuration of facility processes continues to be managed effectively. In this event, a series of modifications were made to several different systems that unintentionally

resulted in accumulating more uranium-bearing material in the scrubber than expected.

2 See IN 2004-14 (Agencywide Documents Access and Management System (ADAMS) Accession

No. ML041760122), IN 2005-22 (ADAMS Accession No. ML051890406), and IN 2010-16 (ADAMS Accession

No. ML100540070).

  • Challenge Assumptions. Safety analyses and evaluations may include engineering and

scientific assumptions. Incorrect assumptions can lead to non-conservatisms, inadequate evaluation of risks, and could improperly render certain events or accident

sequences not credible. Licensees are encouraged to use information gained from

system performance measurements and operating experience in order to verify and

validate these assumptions. In this event, there was data and operating experience to

suggest that the assumed low uranium concentration in the scrubber could have been

challenged and its validity questioned during revisions and peer reviews of the CSEs.

  • Conservative Decisionmaking. After an abnormal or unexpected condition is identified, facility personnel are encouraged to ensure that the as-found condition and causes are

sufficiently understood in responding to the event and before deciding to return to normal

operations. In this event, a large amount of deposited material was removed. However, while the material was appropriately collected into safe-volume containers as though it

had a high uranium content, facility personnel assumed that the uranium concentration

was low, decided to wash the material away, and did not report the event.

  • Nuclear Safety Culture. Complex industrial facilities that process special nuclear

material are confronted with criticality, chemical, and radiological hazards. In order to

provide a safe environment for the workers and surrounding public stakeholders, facility

personnel are encouraged to follow many guiding principles, including, but not limited to, maintaining a questioning attitude, avoiding complacency, and constantly examining

engineering processes and procedures. In this event, some of the scrubber operators

and process engineers were unaware of the uranium mass limits, and the criticality

safety engineers were not adequately involved in the ventilation modifications, scrubber

inspection and maintenance, and initial response to the discovery of unexpected

material.

CONTACT

This IN requires no specific action or written response. Please direct any questions about this

matter to the technical contact listed below.

/RA/ /RA/

Craig G. Erlanger, Director Louise Lund, Director

Division of Fuel Cycle Safety, Safeguards, Division of Policy and Rulemaking

and Environmental Review Office of Nuclear Reactor Regulation

Office of Nuclear Material Safety

and Safeguards

Technical Contact Stephen Vaughn, NMSS/FCSE

301-415-3640

E-mail: Stephen.Vaughn@nrc.gov

Note: NRC generic communications may be found on the NRC public Web site, at

http://www.nrc.gov, under NRC Library/Document Collections.

CONTACT

This IN requires no specific action or written response. Please direct any questions about this

matter to the technical contact listed below.

Craig G. Erlanger, Director Louise Lund, Director

Division of Fuel Cycle Safety, Safeguards, Division of Policy and Rulemaking

and Environmental Review Office of Nuclear Reactor Regulation

Office of Nuclear Material Safety

and Safeguards

Technical Contact Stephen Vaughn, NMSS/FCSE

301-415-3640

E-mail: Stephen.Vaughn@nrc.gov

Note: NRC generic communications may be found on the NRC public Web site, at

http://www.nrc.gov, under NRC Library/Document Collections.

ADAMS Accession Number: ML16252A171 *concurred via e-mail

OFFICE NMSS/FCSE/PORS NMSS/FCSE/PORS

  • R-II/DFFI *NMSS/MSTR/MSEB
  • QTE

NAME SVaughn MKotzalas CEvans AMcIntosh CHsu

DATE 09/14/2016 09/14/2016 09/15/2016 09/19/2016 09/19/2016 OFFICE

  • NRR/DPR/PRLB *NRR/DPR/PGCB/BC *NRR/DPR/PGCB/LA NRR/DPR/D NMSS/FCSE/D

NAME AAdams SStuchell ELee LLund CErlanger

DATE 09/22/2016 09/22/2016 09/23/2016 09/27/2016 09/28/2016 OFFICIAL RECORD COPY