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{{Adams | |||
| number = ML20138C470 | |||
| issue date = 03/19/1986 | |||
| title = Insp Repts 50-327/86-04 & 50-328/86-04 on 860121-30 & 0212-13.Violations Noted:Failure to Comply W/License Conditions for Radwaste Disposal Site & Failure to Maintain Respirator Issuance Records & Perform Adequate Evaluations | |||
| author name = Hosey C, Weddington R | |||
| author affiliation = NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION II) | |||
| addressee name = | |||
| addressee affiliation = | |||
| docket = 05000327, 05000328 | |||
| license number = | |||
| contact person = | |||
| document report number = 50-327-86-04, 50-327-86-4, 50-328-86-04, 50-328-86-4, NUDOCS 8604020505 | |||
| package number = ML20138C434 | |||
| document type = INSPECTION REPORT, NRC-GENERATED, INSPECTION REPORT, UTILITY, TEXT-INSPECTION & AUDIT & I&E CIRCULARS | |||
| page count = 19 | |||
}} | |||
See also: [[see also::IR 05000327/1986004]] | |||
=Text= | |||
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p Kfrog UNITED STATES | |||
Do | |||
4'8 NUCLEAR REGULATORY COMMISSION | |||
> | |||
['' E, REGION 11 | |||
g ,. j 101 MARIETTA STREET, N.W. | |||
* '* ATLANTA. GEORGI A 30323 | |||
k, ,o | |||
***** | |||
MAR 2 ? 1986 | |||
Report Nos.: 50-327/86-04 and 50-328/86-04 | |||
;. | |||
Licensee: Tennessee Valley Authority | |||
A | |||
500A Chestnut Street | |||
Chattanooga, TN 37401 | |||
Docket Nos.: 50-327 and 50-338 License Nos.: DPR-77 and DPR-79 | |||
Facility Name: Sequoyah 1 and 2 | |||
Inspection Conducted: January 21.-30 and February 12-13, 1986 | |||
Inspector: VC <N | |||
R. E. W6ddington / | |||
ftv Nf5 | |||
Date Signed | |||
Approved by: 9 3//7/f4 | |||
C. M. Hosey, Set-tion Chief, . | |||
Date Signed | |||
Division of Radiation Safety and Safeguards | |||
SUMMARY | |||
Scope: This special, unannounced inspection involved 66 inspector-hours onsite | |||
in tN areas of radiation protection items described in the Sequoyah Nuclear | |||
Performance Plan; nonroutine event followup; allegation followup; licensee | |||
actions on previous enforcement matters and inspector identified items; | |||
transportation; external exposure control; internal exposure control; control of | |||
radioactive material; and review of dosimetry activities at the licensee's Muscle | |||
. Shoals, AL facility. | |||
Results: Four violations were identified: (1) failu~re to comply with license | |||
conditions of a radioactive waste disposal site, - (2) failure to perform an | |||
MPC-hour assessment, (3) failure to maintain respirator issuance records and (4) | |||
three examples of failures to perform adequate evaluations. | |||
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REPORT DETAILS | |||
1. Persons Contacted | |||
Licensee Employee | |||
, | |||
*P. R. Wallace, Plant Manager | |||
*D. E. Crawley, Health Physics Supervisor | |||
*C. E. Kent, Chief, Policy and Technical Assistance Staff | |||
*G. B. Kirk, Compliance Supervisor | |||
i *W. G. Williams, Chemistry Unit Supervisor | |||
*R. C. Pirchell, Mechanical Engineer | |||
*R. L. Casteel, Licensing Engineer | |||
*J. E. Wills, Licensing Engineer | |||
*T. T. Gilbert,' ISI Unit Supervisor | |||
*J. T. Traffanstedt, P.lanning | |||
"C. L. Wilson, Nuclear Engineer | |||
*R. M. Sexton, QA Evaluator | |||
*C. G. Hudson, Project Engineer | |||
*M. A. Palmer, Dosimetry Unit Supervisor | |||
*S. P. Holdefer, Health Physics Assistant Supervisor | |||
*J. S. Steigelman, Health Physics Assistant Supervisor | |||
J. L. Lobdell, Supervisor, Dosimetry Section | |||
D. Colvett, Dosimetry Section | |||
J. Leamon, ALARA Coordinator- | |||
.T. Dills, Health Physics Assistant Supervisor | |||
J. M. Qualls, Stipping Coordinator, Operations | |||
T. Black, Health Physics Training Officer | |||
Other licensee employees contacted included six technicians and office | |||
personnel. | |||
! NRC Resident Inspectors | |||
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K. Jenison, Senior Resident Inspector | |||
L. Watson, Resident Inspector | |||
* Attended exit interview | |||
2. Exit Interview | |||
, | |||
The inspection scope and findings were summarized on January 30, 1986, with | |||
l those persons indicated in Paragraph 1 above. The following issues were | |||
discussed in detail: (1) an apparent violation for failure to perform an | |||
MPC-hour assessment (Paragraph 5.c); (2) an apparent violation for failure | |||
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to maintain respirator . issuance records (Paragraph 9.a); (3) an apparent | |||
violation for failure to. perform adequate surveys to release material from | |||
the regulated area (Paragraph 7); (4) an apparent violation for failure to | |||
perform adequate exposure evaluations for lost dosimeter rezero sheets | |||
(Paragraph 8.c); (5) an apparent violation for failure to comply with | |||
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license conditions of a radioactive waste disposal site (Paragraph 5.b); (6) | |||
an apparent violation for failure to perform adequate evaluations of lens of | |||
the eye exposure due to noble gas (Paragraph 8.b); (7) an Unresolved Item * | |||
concerning potential exposures in excess of regulatory limits due - to | |||
inadequate evaluations of lens of the eye exposures (Paragraph 8.b); and | |||
staffing and technical expertise in the Dosimetry Section (Paragraph 4.h). | |||
The licensee acknowledged the -inspection findings and stated there may be | |||
technical disagreements in regard to the appropriateness of using bioassay | |||
data to determine MPC-hours exposures. The licensee did not identify as | |||
, proprietary any of the materials provided to or reviewed by the inspector | |||
during this inspection. | |||
3. Licensee Action of Previous Enforcement Matters (92702) | |||
(Closed) Violation (50-327/85-20-01 and 50-328/85-20-01), Failure of | |||
personnel to wear dosimetry devices as prescribed in procedures. The | |||
inspector reviewed the licensee's responses of July 19 and October 30, 1985, | |||
and verified that the corrective actions specified in the response had been | |||
taken, except for an illustration in the General Employee Handbook on proper | |||
placement of personnel dosimetry. A licensee representative stated that | |||
they had decided to use the illustration as a poster in the plant and had | |||
inadvertently omitted it from the Employee Handbook. The inspector verified | |||
that posters illustrating proper placement of dosimetry were displayed in | |||
strategic locations in the olant. A licensee representative stated a letter | |||
would be sent to Region II to correct the previous response. | |||
(Closed) Violation (50-327/85-20-02 and 50-328/85-20-02), Failure to label | |||
containers of radioactive material. T .e inspector reviewed the licensee's | |||
response dated July 19, 1985, and verified that the corrective action | |||
specified in the response had been taken. | |||
(Closed) Violation (50-327/85-20-03 and 50-328/85-20-03), Failure to | |||
adequately establish 10 CFR Part 61 radioactive waste classification scaling | |||
; factors. The inspector reviewed the licensee's response dated July 19, | |||
; 1985, and verified that the corrective action specified in the response had | |||
been taken. | |||
(Closed) Violation (50-327/85-26-03 and 50-328/85-26-03), Failure to perform | |||
adequate personnel contamination surveys. The inspector reviewed the | |||
licensee's responses of October 7,1985, and January 3,1986, and verified | |||
that the corrective active specified in the. response had been taken. | |||
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*An unresolved item is a matter about. which more information is required to | |||
j determine whether it is acceptable or may involve a violation or deviation. | |||
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4. Sequoyah Nuclear Performance Plan | |||
Volume 2, Part III, Section 4.8, of the Sequoyah Nuclear Performance Plan | |||
documents the licensee's review and evaluation in the area of health physics | |||
as a part of the readiness review conducted by the licensee for restart of | |||
the Sequoyah Nuclear Plant units. Within the Sequoyah Performance Plan, the | |||
licensee committed to several actions in order to improve performance in the | |||
health physics area 'and to minimize employee exposures. The inspector | |||
reviewed the implementation of the plan's health physics items as discussed | |||
below, | |||
a. Implementation of a contamination area control program to minimize | |||
contaminated areas in nonoutage periods. . | |||
l | |||
The inspector reviewed records of biweekly contamination area reduction | |||
meetings attended by the Assistant Plant Manager 'or Operations, the | |||
Health Physics Supervisor and management representatives of crafts and | |||
maintenance work groups. The purpose of the meetings was to review | |||
trending data on contaminated areas and designate areas to be | |||
decontaminated. A monthly report on contaminated areas was also | |||
generated and distributed to appropriate plant personnel. The | |||
inspector-determined that the program had been effective in reducing | |||
the number of contaminated areas and that appropriate resources were | |||
being dedicated to the program. Since the licensee has been in outage, | |||
there have not been any biweekly plant management meetings .on | |||
contaminated areas since August.1985. Licensee representatives stated ' | |||
that the biweekly meetings would resume after unit restart. | |||
b. Use of a New Decontamination Facility | |||
The inspector toured the new decontamination facility. An ultrasonic | |||
and freon decontamination units had been installed and were | |||
operational. An electropolishing unit was in the process of being | |||
installed. The inspector verified that the licensee had prepared | |||
radiation protection procedures and radiation work permits (RWPs) for | |||
the operations performed in the facility and that operations personnel | |||
assigned to the facility had received training on the operation of the | |||
equipment. | |||
c. More Effective Use of Computers in Radiological Program Management | |||
The licensee has implemented a computer based health physics | |||
performance and trending system. The inspector reviewed selected ALARA. | |||
reports and determined that the computer generated data provide | |||
management with an effective means of evaluating performance. Licensee | |||
representatives stated that computerized historical trending of | |||
radiological conditions is also being developed for specific areas and | |||
RWPs. | |||
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d. Inventory and Tracking of Radiation Shielding Materials | |||
The licensee had established a centralized storage facility for | |||
shielding material and had implemented an inventory and tracking | |||
system. The inspector toured the storage facility and determined that | |||
an adequate supply of shielding was on hand. Through discussions with | |||
licensee representatives the inspector determined that use of shielding | |||
was evaluated during pre-job ALARA reviews. | |||
e. Reduced Utilization of Contract Personnel | |||
During the most recent outage, the licensee's health physics staff was | |||
augmented by health physics technicians from TVA's Watts Bar Nuclear | |||
Plant, resulting in only sixteen con +ractor technicians being brought | |||
in from outside. Licensee representatives stated they are planning to | |||
establish an overage pool of health physics technicians at Sequoyah and | |||
Watts Bar ~ that can be' shared during outages after Watts Bar is | |||
licensed. | |||
To support routine and outage operations, the licensee has designated | |||
five health physics technician crews. Twenty-three fully qualified and | |||
seventeen junior technicians comprised four crews which worked twelve ~ | |||
hour rotating shifts. A fifth crew consisting of five fully qualified | |||
technicians were assigned to the weekday shift. .The inspector | |||
determined that the staffing level was adequate to support routine and | |||
outage operations. | |||
During the most recent outage, the licensee augmented their dosimetry | |||
section with five contractor dosimetry technicians. The staffing of | |||
the dosimetry section was noted to be inadequate during the inspection | |||
and is discussed in more detail in Paragraph 4.h. | |||
f. Health Physics Technician Assignment to the Maintenance Section | |||
The health physics technician was assigned to the maintenance section | |||
in August 1985. Licensee representatives stated the technician | |||
attended all the regular maintenance planning meetings and served | |||
principally as a liaison between the maintenance and health physics | |||
sections for development of radiation work permits and coordinating job | |||
coverage. Training classes were also being developed for maintenance | |||
personnel, such as good radiological control practices and ALARA. | |||
g. Health Physics Training Officer | |||
The Health Physics Training Officer is a former health physics | |||
operations supervisor. The Training Officer was responsible for | |||
ensuring that the technicians in the health physics department met | |||
their training requirements. The inspector reviewed the records system | |||
used to follow selected technicians and determined that their training | |||
status was being adequately monitored. The inspector discussed with | |||
the training officer several of his other responsibilities, including | |||
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preparation of oral examination boards for technician qualification and | |||
development of special training classes. The Training Officer also | |||
stated that he was enrolled in TVA's teachers certification course. | |||
h. Onsite Dosimetry Processing | |||
The licensee stated in their Performance Plan that TVA's dosimetry | |||
program was decentralized in the Spring of 1985 and, as a result of | |||
this move, Sequoyah now has onsite the technical expertise to provide | |||
24 hours a day, seven days a week coverage for TLD processing and data | |||
handling. It was noted during the inspection that the extent of the | |||
decentralization has been to set up TLD readers and ca:ibrators at . | |||
Sequoyah. Raw data from the TLD reader is sent electronically to TVA's | |||
2 Dosimetry Sectio.n in Muscle Shoals, AL, where the data is evaluated and | |||
individual exposures determined and then sent electronically back to | |||
Sequoyah. Official exposure files were still maintained at Muscle | |||
Shoals with no duplicate files at Sequoyah. Muscle Shoals also issues | |||
all employee termination letters,10 CFR 20.407 exposure reports 'and | |||
other official exposure reports. Since the Muscle Shoals office is not | |||
s staffed for backshift ~ and weekend coverage, personnel qualified to | |||
, | |||
perform technical evaluations of unusual dosimetry results or to detect | |||
problems would not always be available. It was also noted during the | |||
inspection that Sequoyah did not receive any increase in personnel when | |||
they were given additional dosimetry responsibility. The licensee does | |||
4 | |||
not have the in-house technical expertise to independently manage a | |||
dosimetry program at Sequoyah. The dosimetry section has only one | |||
fully qualified dosimetry technician, who functions as a shift | |||
coordinator (i.e., lead technician on day shift). The remaining eight | |||
personnel in the section are junior' technicians who have completed | |||
training within the past year. The supervisor of the dosimetry section | |||
is a recently promoted dosimetry technician. The licensee has a | |||
professional position of dosimetry engineer, but it is currently | |||
vacant. Licensee actions to increase the technical expertise and | |||
, experience level in the dosimetry section was identified as an | |||
inspector followu;2 ttem (50-327, 328/86-04-05). | |||
No violations or deviations were identified. | |||
5. Nonroutine Event Followup (93702) | |||
a. High Airborne Radioactivity Event of July 29, 1985 | |||
1 The licensee reported the circumstances of the event in licensee | |||
Reportable Occurrence Reports SQR0-50-327/85031, August 27, 1985, and | |||
SQRO-50-327/85031, Revision 1, September 10, 1985. The event concerned | |||
high airborne radioactivity in the Auxiliary Building, which was caused | |||
by a leak from a sample line connection from the Volume Control Tank in | |||
the Unit I pipe chase. Airborne radioactivity levels in the pipe chase | |||
were determined to be 50 times a Maximum Permissible Concentration | |||
(MPC) as defined in 10 CFR 20, Appendix B for particulates, 646 times | |||
MPC for noble ' gas and 1.3 times MPC for iodine. The levels present in | |||
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the Auxiliary Building were 28 to 44 times MPC for noble gas. | |||
Initially the licensee believed than an unmonitored radioactive release | |||
was taking place due to high air samples taken in the unrestricted area | |||
outside the building. The licensee verified the Auxiliary Building was | |||
under negative pressure and the Auxiliary Building gas treatment system | |||
was operating. The air samples were recounted at the licensee's | |||
training center and no radioactivity was detectable. The licensee | |||
concluded that the initial sample counts .had not been correct due to | |||
high background radiation levels in the facility counting room. Eleven | |||
personnel were contaminate'd during this event, with the highest being a | |||
worker that had 100,000 disintegrations per minute on his face. No | |||
internal contamination was discovered 'on any of the subsequent whole | |||
body counts performed on the personnel involved. By review of licensee | |||
health physics logs, survey records and discussion with licensee | |||
representatives, the inspector determined that the actions taken by the | |||
licensee to maintain radiological controls during this event were | |||
consistent with regulatory requirements. | |||
No violations or deviations were identified. | |||
b. Transportation Event of September 27, 1985 | |||
By letter dated October 3, 1985, the licensee was informed by the South | |||
Carolina Department of Health and Environmental Control that their | |||
radioactive waste shipment number 0985-119 was found, upon arrival at | |||
the Chem-Nuclear operated burial site near Barnwell, SC, to be in | |||
noncompliance with the disposal site's state license. The shipment | |||
consisted of dewatered resins packaged in a high integrity container | |||
(HIC) within a USA 6568-A shipping cask. License Condition 164 of South | |||
. Carolina Radioactive Material License No. 97, ' issued to Chem-Nuclear | |||
Systems, Inc., required that the licensee shall not receive shipments | |||
of radioactive materials unless ~ appropriate lifting devices of | |||
sufficient length have been provided and securely attached to | |||
containers and palletized shipments within a cask. Upon removing the | |||
lid from the cask, the disposal site operator found that the HIC | |||
rigging gear was not accessible in that the rigging gear was wedged in | |||
the space between the HIC and inner cask wall by internal bracing | |||
material. A radiation level of 9 rems per hour (9 R/hr) was noted on | |||
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top of the HIC. The disposal site elected not to receive the shipment | |||
to preclude unnecessary radiation exposure while attempting to retrieve | |||
the lifting cables. The shipment was sent' back to the licensee. The | |||
State of South Carolina assessed the licensee a civil penalty of One | |||
Thousand Dollars (51,000), which the licensee paid. Licensee | |||
representatives stated that when their shipping coordinator was | |||
performing his preshipment inspections, he became concerned that the | |||
HIC might shift within the cask during transport. He directed that | |||
. wooden wedges be placed in the approximately three inch space between | |||
I the HIC and cask inner wall. The workers who performed this task | |||
inadvertently wedged the rigging gear ~ into the space between the | |||
containers. In their October 23, 1985, letter to the State of South | |||
Carolina, the licensee stated that their shipping procedures had been | |||
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< changed to require a final inspection prior to shipment to verify that | |||
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lif ting devices are free 'and ' accessible. The inspector stated that | |||
: Lilure . of the licensee to ensure that the HIC rigging gear was | |||
accessible for unloading was an apparent violation of 10 CFR 30.41(c), | |||
which required that before transferring byproduct material. to a | |||
specific licensee of an Agreement State, the licensee transferring the | |||
material shall verify that the transferee's licensee authorizes the | |||
receipt of the type, form, and quantity of byproduct material to be | |||
transferred (50-327, 328/86-04-01). | |||
c. Internal Contamination Event of December 11, 1985 | |||
At approximately 1700 hours on December 11, 1985, three workers exited | |||
Unit 1 lower containment af *er performing work under RWP 02-1-85116, | |||
, | |||
time sheet number 156, General Clean-up and Equipment Removal. One of | |||
the workers discovered contamination on his person as he was performing | |||
a whole body frisk and summoned health physics. Health physics | |||
personnel- successfully decontaminated the worker. The highest | |||
contamination discovered was 4000 disintegrations per minute (dpm) on | |||
his mustache and 4200 dpm on a nasal smear. The other two workers were | |||
not contaminated. The worker received a whole body count at 1804 hours | |||
on December 11, 1985, and nine subsequent whole body counts over the | |||
period until December 18, 1985. Six urine samples were also collected | |||
during the period December 12 to 18,1985, and one fecal sample was | |||
collected on December 12, 1985. The highest activity detected on the | |||
whole body counts was on December 12, 1985, which was equivalent to | |||
15.67 percent of a maximum permissible organ burden (MP08) for | |||
Cobalt-60. The urine and fecal analysis also showed small quantities | |||
of various radionuclides. Based on the bioassay data, the licensee | |||
calculated that the worker had received a dose commitment of 71 | |||
millirem to his lower large intestine. | |||
! The licensee investigated the cause of the event. The worker had | |||
entered the lower containment to bag used flexible hose from a porta' | |||
high efficiency (HEPA) filter system so that they could be removed. | |||
The ends of the hoses were covered and taped to contain the | |||
contamination in the hose. The worker at some point-in the work cut up | |||
some of the hoses in order to get them into the bags. He apparently | |||
did not realize that cutting into the hoses changed the understood | |||
scope'of work for which the RWP was approved. The licensee identified | |||
that they would have senior health physics technicians at the | |||
containment accesses during outages to better ensure that workers and | |||
health physics communicate the intended scope of work and limitations | |||
of the RWP. A memorandum was also sent to health ~ physics operations | |||
personnel discussing the event and requiring that any work invol.ving | |||
HEPA filter hoses require the use of respiratory protection. | |||
During review of the above event, the inspector questioned the licensee | |||
as to their evaluation of the regulatory significance of the worker's | |||
; exposure. Licensee representatives later informed the inspector, in | |||
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response to his request, that the worker's exposure had been equivalent | |||
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to approximately 78 MPC-Hours. Licensee representatives stated that, | |||
for significant exposures, internal dose calculations were performed | |||
and maintained with the individual's exposure records. No | |||
. determination was made that the exposure was within the intake limits | |||
of 10 CFR 20.103(a). | |||
10 CFR 20.103(a)(3) required that for purposes of determining- | |||
compliance with the requirements of 10 CFR 20.103, the licensee shall | |||
use suitable measurements of concentrations of radioactive materials in | |||
2 air for detecting and evaluating airborne radioactivity in restricted | |||
areas and in addition, as appropriate, shall use measurements of | |||
radioactivity in the body, measurements of radioactivity excreted from | |||
the body, or any combination of such measurements as' may be necessary | |||
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for timely detection and assessment of individual intakes of | |||
radioactivity by exposed individuals. Failure of the licensee to use | |||
measurements of radioactivity in the body ano excreted from-the body of | |||
the worker involved in the December 11, 1985, event in order to | |||
determine compliance- with the requirements of 10 CFR 20.103 was | |||
' | |||
identified as an apparent violation of 10 CFR'20.103(a)(3) (50-327, | |||
328/86-04-02). | |||
d. Contamination Outside Condensate Demineralizer Waste Evaporator (CDW5) | |||
Building | |||
On January 14, 1986, a licensee employee reported to health physics | |||
that he observed seepage from the exterior wall of the CDWE Building. | |||
Health physics personnel investigated and . determined that the seepage | |||
was moist crystallized boron. Radiation surveys showed a radiation | |||
level at near contact with the wall of 69 millirem / hour and less than | |||
5 millirem / hour at 18 inches from the wall. Health physics personnel | |||
then posted the immediate area around the outside wall of the building | |||
as a radiation area and a contamination zone. Initial soil samples | |||
from the ground 'near the base of the wall showed a maximum | |||
radioactivity concentration of 2.2E-2 microcuries per gram. A grid | |||
survey of the area around the wall was then marked off. Licensee | |||
representatives stated that 6 inch deep core samples would be taken | |||
every 12 inches along the grid and that any area would be excavated and | |||
placed in drums if the core sample indicated any detectable | |||
radioactivity. | |||
The inspector determined the area where the leak occurred was outside | |||
; the licensee's regulated area. A regulated area is defined in licensee | |||
* | |||
' procedure Radiological Control Instruction-1, Radiological Hygiene | |||
; Program, Paragraph III.A as an area within the plant site where access | |||
is controlled for purposes of protection of individuals from exposure | |||
to radiation and radioactive materials. This is the same definition as | |||
is given in 10 CFR 20.3(a)(14) for a " Restricted Area," | |||
10 CFR 20.105(b)(1) required that the licensee limit radiation levels | |||
in unrestricted areas such that no individual, if he were continuously | |||
present in the area, could receive a dose in excess of two millirems in | |||
any one hour. Through discussions with -licensee representatives, the | |||
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inspector determined that the area outside the CDWE Building was inside | |||
the licensee's " power block," Dosimetry devices were required to be | |||
-worn inside the '' power block." The inspector questioned several public | |||
safety officers at the security access portal and they all stated that | |||
personnel are checked for dosimetry before entry is allowed inside the | |||
" power block." During tours outside of the regulated area and within | |||
the " power block," the inspector observed that all personnel were | |||
wearing dosimetry devices. It was therefore determined that since no | |||
unmonitored personnel were likely to have been present in the vicinity | |||
of the leak outside the CDWE Building, the ~ radiation level that was | |||
present was not in violation of the requirements of | |||
10 CFR 20.105(b)(1). | |||
The licensee conducted an investigation to determine the source of the | |||
leak. It was determined that there hcA been frequent standing water in | |||
the CDWE Building due to seal failures en the pump on the recirculati.on | |||
line from the waste evaporator vessel. Licensee representatives stated | |||
that, if the recirculation line were isolated when the pump seal | |||
failed, the highly borated water in the vessel would solidify and | |||
recovery operations would be difficult. For this reason, they stated, | |||
it was preferable to allow the contents of the vessel to drain onto the | |||
floor. After the borated water crystallized, workers were sent into | |||
the area to shovel the waste into 55 gallon drums. The inspector | |||
reviewed selected RWPs for the CDWE Building and determined that | |||
personnel exposures in_this area, due mostly to clean-up work, had been | |||
approximately 23.9 man-rem. Licensee representatives stated that | |||
engineering evaluations were in progress to determine solutions to this | |||
problem. The inspector learned from discussions with licensee | |||
representatives that the CDWE had not been designed to process primary | |||
system- liquid waste and that the boron concentration in the. liquid | |||
waste apparently exceeded the specifications of the pump. The | |||
inspector also' learned that the ventilation from the CDWE Building feeds | |||
into the Auxiliary Building ventilation system. When there is an | |||
Auxiliary Building isolation, dampers close on the CDWE Building | |||
ventilation exhaust, often resulting in buildup ~f o airborne | |||
radioactivity in the area. The CDWE Building is therefore outside of | |||
the secondary containment boundary. These design and operational | |||
4 | |||
problems are being examined by the NRC Resident Inspectors and will be | |||
discussed in Inspection Report No. 50-327, 328/86-15. | |||
The licensee could not determine how long the leak had been present on | |||
the outside of the CDWE Building. Licensee representatives stated that | |||
they do not periodically perform routine radiation surveys outside of | |||
regulated areas within the plant site. During discussions with the | |||
inspector, the licensee stated that they were in the process of | |||
developing a routine survey program for areas outside ~the regulated | |||
area. The inspector stated that the program would be reviewed during | |||
subsequent inspections and was identified as an Inspector Follow-up | |||
Item (50-327, 328/86-04-07). | |||
l | |||
l | |||
. - - ~ .. . . . .. | |||
o. | |||
' | |||
. | |||
11 | |||
The-inspector discussed the reportability of the event with licensee | |||
representatives. They. stated that the.only reporting requirement that | |||
they could identify which might be applicable to this event was that | |||
specified in - 10 CFR 20.403(b)(4), which required twenty-four hour | |||
i notification for any event involving licensed material possessed by the | |||
* | |||
licensee that may have caused or threatens to cause damage to property | |||
in excess of S2,000. However, they . stated that they believed the | |||
definition of " property" to mean property that is outside the site | |||
, | |||
boundary. The inspector informed the . licensee that their | |||
interpretation was not correct. At the time of the inspection, the | |||
' | |||
licensee had not completed an engineering and cost evaluation of the | |||
damage. This area will be reviewed during subsequent inspections. | |||
5 6. Allegations, Discussions and Findings | |||
. | |||
4 a. Allegation (RII-85-A-0202) | |||
Unqualified personnel have been hired into the Health Physics Dosimetry | |||
Section. Personnel who read dosimeters on the 690' elevation are not | |||
i trained health physics personnel, but are clerks who have been placed | |||
^ | |||
in the position of monitoring and reading dosimeters and TLD badges, | |||
' | |||
Discussion and Finding | |||
l The inspector determined that approximately a year ago when the | |||
licensee imphmented the " power block" concept, workers were given the | |||
l responsibility of picking up and replacing their own dosimetry devices | |||
at the badge rack just outside the security access portal. During the | |||
period June through December ~1985, the~ licensee employed six personnel | |||
3 | |||
who were assigned to the badge rack. Their assigned duty was to assist | |||
workers in picking up the dosimetry that was assigned to them from the | |||
' | |||
correct slot and checking to see if it was replaced in the correct slot | |||
.by the worker. The licensee believed that this added assistance would | |||
* | |||
help workers become accustomed to the new procedures and would give t | |||
management confidence that workers were not wearing someone else's | |||
dosimetry. The six badge rack monitors did not have any responsibility | |||
for reading TLD or pocket dosimeters and were not involved in | |||
accounting for personnel exposures. The inspector determined that | |||
these personnel had not received any specialized health physic's | |||
training, however, considering the scope of their duties, no training | |||
in health physics was required. | |||
This allegation was not substantiated, | |||
i | |||
b. Allegation (RII-86-A-0008) | |||
l- | |||
' | |||
Radioactive material is stor.ad in numerous locations around the plant | |||
site, the implication being the number of such storage areas is | |||
excessive. | |||
: | |||
! | |||
l | |||
' | |||
-- . . _ _ .-.-.__.__,__ ____~ ._- | |||
. | |||
1 | |||
' | |||
. | |||
12 | |||
Discussion and Finding | |||
During tours of the facility, including selected outside areas, the | |||
inspector noted that the number of storage areas had been reduced since | |||
previous inspections. All radioactive material storage areas observed | |||
where controlled in accordance with 10 CFR 20.203. | |||
This allegacion was not substantiated. | |||
7. Control of Radioactive Material (83726) | |||
10 CFR 20.201(b) required the performance of surveys that are necessary to | |||
demonstrate compliance with 10 CFR Part 20 and are reasonable under the | |||
circumstances. 10 CFR 20.301 required that no licensee shall dispose of | |||
licensed material except by certain specified means. | |||
The inspector observed radiological surveys being performed at the regulated | |||
area boundary on the 690 elevation of the Service Building to release | |||
material and equipment for unrestricted use. The licensee had established | |||
at the regulated area exit a release survey station consisting of a table, a | |||
scaler counter for counting smears and a portable beta gamma survey | |||
instrument with a pancake GM probe for performing direct radiation surveys. | |||
The release survey station was attended by a health physics engineering | |||
aide, who was a person the licensee had trained to the specific portions of | |||
the licensee's health physics technician qualification program which related | |||
to the performance of unconditional release radiological surveys. The | |||
inspector observed workers place material and equipment contained in sealed | |||
yellow polyethylene bags on the table at the release station. The | |||
engineering aide did not question the worker presenting the equipment for | |||
survey as to what the equipment was, where it had been or where the worker | |||
intended to take it so that he could adequately evaluate the scope of the | |||
release survey that needed to be performed. The surveys that were performed | |||
were essentially only spot checks for smearable contamination and direct | |||
radiation. Areas of higher contamination potential, such as connectors on | |||
cable sets, were not surveyed and equipment with potentially internally | |||
contaminated areas were released without evaluation. Failure to perform | |||
adequate radiological surveys to release material for unrestricted use was | |||
identified as an apparent violation of 10 CFR 20.201(b) (50-327, | |||
328/86-04-04). | |||
8. External Exposure Control (83724) | |||
a. Radiation Work Permits | |||
Licensee representatives stated that as result of a TVA, Division of | |||
Quality Assurance Audit finding identified in October 1985, they are | |||
completely revising their radiation work permit (RWP) system and the | |||
method used to track MPC-hours and ncble gas dose assessments. The RWP | |||
that is currently in use at Sequoyah contains a description of the job, | |||
general work instructions, such as to obey all radiological procedures | |||
l or frisk when leaving the area, and signature spaces for approving | |||
._. | |||
_. | |||
, | |||
- | |||
. | |||
13 | |||
officials. The RWP Time Sheet cover page indicates the applicable | |||
protective requirements (protective clothing, special dosimetry, | |||
respiratory protection), special work instructions, survey data and | |||
high radiation area controls. T.he remainder of the time sheet is used | |||
as a log of personnel entries into the RWP area. A health physics | |||
technician is normally the only approving authority for the RWP time | |||
sheet. When a particular job is complete, or at the end of the | |||
calendar year, the RWP Time Sheet is terminated and sent to the ALARA | |||
section. RWP Time Sheet log entries are entered into the ALARA | |||
computer, which assigns individual MPC-hours and skin dose due to noble | |||
gas. The skin dose exposure data is then sent to the dosimetry section | |||
where individual exposure files are updated. MPC-hours are updated on | |||
a separate printout by the ALARA section wh'ich goes to the -health | |||
physics lab and control points. The TVA QA audit identified that | |||
permitting RWP Time Sheets to be active for up to a year caused | |||
Sequoyah to be in noncompliance with 10 CFR 20.401(a), which required | |||
that exposure records be for periods of time not exceeding one calendar | |||
quarter. The system also had caused some worker termination exposure | |||
reports to be in error'since there was no mechanism to identify a | |||
worker had outstanding noble gas skin dose from a time sheet that was | |||
still active at the time the termination report was issued. Although | |||
not discussed in the QA audit report, the time- sheet system also did | |||
not allow worker skin dose and MPC-hour exposures to be known in | |||
sufficient time to be taken into consideration when determining how | |||
much exposure the worker could subsequently receive. Licensee | |||
representatives stated that their new RWP system would include all of | |||
the protective requirements on the sheet that is reviewed by the | |||
approving officials and that the time sheet would serve only as an | |||
entry log. Separate forms to track individual entries into areas where | |||
MPC-hour or noble gas skin dose assignment is required were being | |||
developed. The licensee. expects to have their new RWP system in place | |||
by May 1, 1986. Review of the revised RWP system was identified as an | |||
Inspector Follow-up Item (50-327, 328/86-04-06). | |||
b. Lens of the Eye Exposure Due to Noble Gas | |||
The licensee identified by means of a Significant Corrective Action | |||
Repu.t (NCO-CAR-85-004-RWB) initiated by the health physics staff at | |||
TVA's Watts Bar Nuclear Plant in mid-1985 that the algorithms used to | |||
evaluate the readings obtained from the Panasonic TLD by the Dosimetry | |||
and Offsite Support Staff at Muscle Shoals, Alabama were not consistent | |||
with regulatory requirements. 10 CFR 20.401(a) requires that | |||
individual radiation exposure records be maintained on Form NRC-5, or | |||
equivalent, and in accordance with the instructions contained on the | |||
form. Item 5 of Form NRC 5 states that, unless the lenses of the eyes | |||
are protected by eye shields having a tissue equivalent thickness of at | |||
least 700 mg/cm 2 , the eye dose should be determined through a tissue | |||
equivalent absorber having a thickness of 300 mg/cm 2 or less. When TVA | |||
began use of the Panasonic TLD, the algorithms used to eval ~u ate the | |||
readings were developed internally in lieu of using the ones available | |||
through the TLD vendor. The Watts Bar CAR identified that only the TLD | |||
. - | |||
. | |||
14 | |||
elements under the 7 mg/cm 2 and 1,000 mg/cm2 shields were being | |||
evaluated to determine worker exposures. The TLD also had two other | |||
elements under 300 mg/cm 2 shields, but there were no algorithms to | |||
routinely evaluate lens of the eye exposure as indicated by the | |||
readings obtained from these two elements. In response to the CAR, the | |||
licensee developed algorithms to correct this deficiency. They also | |||
reviewed individual exposure histories.to determine if any significant | |||
adjustments in documented exposures were warranted and concluded that | |||
none we.re necessary. | |||
The licensee occasionally had to make containment entries when the | |||
reactor was at power. Noble gas concentrations' in containment during | |||
these entries have been as high as 50' to .100 times a maximum | |||
permissible concentration (MPC) as defined in 10 CFR 20. Appendix B. | |||
The licensee had determined that the TLD element under the 7 mg/cm 2 | |||
shield could not accurately measure the worker's skin exposure due to | |||
beta radiation and therefore developed a calculational technique based | |||
on the noble gas concentration in containment and the workers stay | |||
, time. The inspector reviewed an internal licensee memorandum which | |||
stated that whole body dose, including lens of the eye dose, could | |||
accurately be measured by the TLD element under the 1000 mg/cm2 shield | |||
and therefore no calculational assessment was necessary. Since workers | |||
entering containment were not required to wear eye protection, the | |||
licensee's conclusion was not consistent with the instruction on Form | |||
NRC 5. No assessments of lens of the eye exposure due to noble gas | |||
were therefore being made. After the' licensee changed their algorithms | |||
to consider the value from the TLD element under the 300 mg/cm 2 shield, | |||
no evaluation was performed to determine if that element accurately | |||
measured lens of the eye dose or if a calculational assessment was | |||
necessary similar to that perforaed to assess skin dose. Failure to | |||
perform an adequate evaluation to determine that lens of the eye | |||
exposures were with the quarterly exposure limits specified in | |||
10 CFR 20.101(a) was identified as an additional example of an apparent | |||
violation of 10 CFR 20.201(b) (50-327, 328/86-04-04). | |||
Failure to adequately evaluate lens of the eye exposure had the | |||
potential of causing workers who had high whole body and skin exposures | |||
to exceed the NRC quarterly whole body exposure limit if a sufficient | |||
portion of the radiation assessed as a skin dose also penetrated to a | |||
depth in excess of 300 mg/cm2 , but less than 1000 mg/cm2 . This issue | |||
was designated as an Unresolved Item during the inspection. The | |||
licensee informed Region II on February 7, 1986, that they had | |||
determined that no exposure in excess of regulatory limits had occurred | |||
based on their review of personnel exposure histories. | |||
On February 12-13, 1986, an onsite inspection was conducted of the | |||
licensee's Dosimetry Section in Muscle Shoals, AL, to independently | |||
verify the licensee's conclusion. | |||
' | |||
Through discussions with licensee dosimetry section personnel and | |||
review of selected procedures and records, the inspector evaluated the | |||
, | |||
- _ | |||
_ . _ _ . , . , _ _ ..,__,__,,_.--.._,m , _ _ - . ~ ,_ _.--_, -,_,.r | |||
, - - . . - .. . . | |||
.. | |||
. | |||
- | |||
l | |||
, | |||
15 | |||
1- | |||
, | |||
' | |||
method by which raw TLD readings were converted to dose. Raw readings | |||
from the four TLD elements were first . adjusted by multiplying each | |||
l value by the TLD element and TLD reader calibration factors. A | |||
< | |||
background . radiation' value was also subtracted. The adjusted readings | |||
were then compared to a predetermined response matrix. The response | |||
1 matrix was a set of ratios used to' predict the value on any given | |||
. element based on the type of radiation the TLD had been exposed to. | |||
The basic response matrix had ratios for gamma, soft beta and hard beta | |||
radiations. The ratios in the response matrix were determined by | |||
dividing the value that would be on each of the elements by the skin | |||
dose. The adjusted element values on the TLD being read were then | |||
compared to the predicted values for each. element for each type of | |||
radiation in the basic response matrix. The actual and predicted | |||
element values were then tested for " convergence," which was defined as | |||
the ratio of the predicted and actual values. A convergency flag would | |||
" | |||
appear if the predicted and average values differed by more than thirty | |||
percent and the dose involved exceeded 50 millirem. If a convergence | |||
flag appeared, the adjusted TLD element values were compared to an - | |||
expanded response matrix which included low and high energy photon | |||
radiation. The. expanded comparison also considered that the TLD may | |||
! have been exposed to more than one type of : radiation. The actual TLD | |||
element readings were compared to modified response matrix lines which | |||
combined the matrix ratios for more than one type of radiation. | |||
Successive trial fits were attempted until -the matrix which best fit | |||
the actual values was discovered. The values from this response matrix | |||
4 were then used to calculate dose from the skin dose indicated by the | |||
actual TLD values. | |||
The Panasonic TLD system had been put in place at Sequoyah in January | |||
1985. At that time, the dose calculation system described above | |||
calculated two dose values; dose to the skin (DS) from TLD element 1 | |||
, | |||
and whole body dose (DC) from TLD element 4. Eye dose due to noble gas | |||
' | |||
would have been indicated by a high response on TLD elements 2 and/or 3 | |||
: from high energy beta or low energy photon radiations. However, the | |||
!- value on these two TLD elements were not considered in determining | |||
L dose. After the Watts Bar CAR was written, the licensee added a new | |||
i dose to the lens of the eye (DL) field to the dose calculation line of | |||
l the computer printout. This change was made in October 1985. After | |||
: this date, the whole body dose was taken as the higher of DC or DL. | |||
Licensee representatives stated that during this period, any | |||
significant lens of the eye dose as indicated by TLD elements 2 or 3 | |||
would have produced a convergency flag, causing a more careful review | |||
, of that particular reading. The licensee wrote a test computer program | |||
l to determine how many convergency flags involving significant dose may | |||
have been produced during this time period. The program searched the | |||
, data base for all cases where the value on element 3 had been 50 | |||
, | |||
percent higher tha.' element 4 and the dose recorded on element 3 was | |||
, greater than 40 m. ilirem. Fourteen such cases were identified. This- | |||
, -result indicated that there were only a limited number of cases in | |||
, | |||
! | |||
- | |||
. _ _ ._ . _ _ | |||
' | |||
. | |||
16 | |||
* | |||
which dose the lens of eye may have been limiting in determining whole | |||
body dose. | |||
The second computer test the licensee conducted was to increase all the | |||
whole body doses recorded in the data base during the' period September | |||
1983, to June 1985, by 25 percent of the skin dose and then printout | |||
all- totals greater than 3 Rem (i .e. , 0.25 DS+DC > 3R). The basis for | |||
adding one quarter of the skin dose to DC was that, for high energy | |||
betas, 25 percent of the skin dose would penetrate to a depth in excess | |||
of 300 mg/cm2 and a convergence flag may not have been produced. In | |||
actual practice, it was not likely that the exposure would have been | |||
entirely due to high energy beta radiation. However, assuming the | |||
worst case, no exposures in excess of 3 Rem were identified as' result | |||
of this test. | |||
The inspector reviewed quarterly exposure records' of all personnel who | |||
had been badged at Sequoyah during the period January through September | |||
1985. The inspector selected the names of two individuals from the- | |||
printouts in order to review in detail how their quarterly exposure had | |||
been determined. The first individual had an exposure at the end of | |||
the.second quarter of 1985 of 5695 millirem DS and 240 millirem DC. | |||
The second individual had a third quarter 1985 exposure of 2950 | |||
millirem DS and 2541 millirem DC. The inspector reviewed for each | |||
individual each TLD reading and how it had been evaluated and any. skin | |||
dose assessment due to noble gas. The inspector determined that at | |||
most the assigned whole. body dose would not have increased'more than 2 | |||
millirem due to the readings recorded on TLD elements 2 and 3. Based | |||
. on the above, the inspector concluded that failure to evaluate the | |||
values on TLD elements 2 and 3.for lens of the eye exposure had not | |||
caused any worker to exceed the NRC whole body quarterly exposure | |||
limit. The inspector informed the licensee on February 28,-1986, that | |||
the Unresolved Item was closed. | |||
c. Dosimeter Rezero Sheets | |||
During the onsite inspection of Sequoyah's dosimetry section, the | |||
inspector reviewed how the licensee's daily dose printout is | |||
formulated. The daily dose printout is used to monitor the exposure | |||
status of each monitored employee and is used as the reference document | |||
for individual exposure planning, such as computing stay times. The | |||
printout column indicating the individual's current total quarterly | |||
whole bcdy exposure is the summation of his TLD readings during the | |||
period and pocket dosimeter data for periods which the TLD had not yet. | |||
been read. The source for the pocket dosimeter data was the dosimeter | |||
rezero sheet. | |||
! | |||
Dosimeter rezero sheets were issued from the dosimetry office. Each | |||
form was assigned a control number which was recorded in a log book. | |||
At the beginning of each shift, a technician took a new rezero sheet to | |||
the health physics lab and each active control point and picked up the | |||
one that had been used the previous shift. The dosimetry data from the - | |||
, -. .. _ | |||
_ | |||
.. | |||
' | |||
. | |||
17 | |||
rezero sheets was then entered into the computer data base that.was | |||
used to generate the daily dose printout. Upon review of the rezero | |||
sheet issuance log, the inspector observed that several control numbers | |||
had not been checked in the space indicating that the rezero sheet had | |||
i been processed. Licensee representatives stated that there had been | |||
occasions when the technician exchanging the rezero sheets could not | |||
locate the rezero sheet that had been in use the previous shift. A | |||
reasonable search was then conducted in the area and there had been | |||
times when 'the rezero sheet could not be found. The inspector stated | |||
that the same type of investigation as is performed when a dosimeter or | |||
TLD is lost should be' performed to assess what exposure data had been | |||
lost. Each dosimeter sheet had spaces to record the readings of nine | |||
dosimeters. Workers were required to have their dosimeters rezerced | |||
' | |||
when it reached 50% of its full scale. The rezero sheet was also used | |||
for high range dosimeters in addition to the 0-200 millirem dosimeters | |||
issued to each monitored individual, so the lost dosimeter data could | |||
be.on the order of several hundred millirem. It was determined that 2 | |||
rezero sheets in 1986 and 9 in 1985 had been lost. Failure of the | |||
licensee to evaluate the dose recorded on lost dosimeter rezero sheets | |||
was identified as an additional example of an apparent violation of | |||
* | |||
10 CFR 20.201(b) in th'ta evaluations as were necessary to determine | |||
. | |||
compliance with the quarterly whole body exposure limits specified in | |||
j 10 CFR 20.101 had not been performed (50-327, 328/86-04-04). | |||
> | |||
1 | |||
9. Internal Exposure Control (83725) | |||
! a. Respiratory Protection | |||
4 | |||
10 CFR 20.103(c)(2)' required that the licensee may make allowance for | |||
use of respiratory protective equipment in estimating exposures of | |||
individuals to radioactive material in air provided that the licensee | |||
maintains and implements a respi ratory protection program that | |||
. includes, as a minimum, written procedures regarding supervision and | |||
training of personnel and issuance records. | |||
While reviewing the circumstances surrounding the internal exposure | |||
, | |||
event of December 11, 1985, described in Paragraph 5.c, the inspector | |||
- | |||
reviewed certain aspects of the licensee's re spiratory protection | |||
program. Licensee representatives stated that respiratory protection | |||
' | |||
devices are issued from the -respirator room and at health physics | |||
control points during outages. A health physics technician verifies | |||
that the worker requesting a respirator is trained and medically | |||
qualified to use a respirator before it is issued to him. Licensee | |||
' | |||
representatives stated that no records are maintained which show that | |||
an individual was issued a respirator and no licensee procedure | |||
required maintenance of such records. Through review of selected | |||
: MPC-hour assignment records and discussions with licensee | |||
representatives, the inspector determined the licensee made allowance | |||
for use of respiratory protective equipment in estimating exposures of | |||
individuals to radioactive material in air. Failure of the licensee to | |||
, | |||
maintain written procedures regarding respirator issuance records was | |||
. | |||
r..- - . _ - - _ . , . , . . , . - . _ _ . , , _ . . - _ _ , - , . , . . . . _ . _ , . _ , . y,,.m_.--,,._~ .-,,,,--,,m., ,.._-....-..,..-_.,,._..s._..,y,_ , | |||
.. | |||
O | |||
18 | |||
identified as an apparent violation of 10 CFR 20.103(c)(2) (50-327, | |||
328/86-04-03). | |||
b. Respirator Filter Retesting | |||
The licensee had been shipping respirator filters offsite for retesting | |||
since November 1984. The licer see has the capability of performing | |||
onsite testing of respirator t ilters using corn oil. The inspector | |||
informed the licensee that it was-acceptable to use a corn oil test to | |||
verify the integrity of the filter. | |||
10. Inspector Follow-up Items (92701B) | |||
(Closed) 50-327, 328/85-23-05, Overstated exposure estimates. When workers | |||
were terminating employment at the licensee's facility, an exposure estimate | |||
would often be requested from the _ dosimetry section Dosimetry personnel | |||
gave the worker a form which indicated his total exposure as shown on | |||
licensee records. Since the worker's current quarter TLD was not likely to | |||
have been processed, the form stated that the exposure information was an | |||
estimate. The Resident Inspector noted that the exposure totals included | |||
exposures, i f any , received at other non-TVA facilities. The inspector | |||
determined that since the exposure values were conservative and the form | |||
clearly indicated the information was an estimate,' the licensee's practice | |||
was not contrary to any regulatory requirements. | |||
(Closed) 50-327, 328/85-47-04, Internal exposure event of December 12, 1985. | |||
Findings related to this event are discussed in report Paragraph 5.c. | |||
11. Enforcement Conference | |||
An Enforcement Conference was conducted telephonically on March 14, 1986, to | |||
discuss the transportation violation and civil penalty issued by the State | |||
of South Carolina for the September 27, 1985, event involving | |||
inaccessibility of. cask rigging gear. The following persons were present | |||
during the discussion: | |||
a. Tennessee Valley Authority | |||
J. Domer', Assistant Manager of Licensing | |||
L. Nobles, Operations and Engineering Superintendent- | |||
G. Kirk, Compliance Supervisor | |||
J. Qualls, Radwaste Supervisor | |||
D. Kelley, Chemical Engineer, Radwaste Operations | |||
B. Alsup, Project 1 Licensing Manager | |||
E. Whitaker, Licensing Engineer | |||
J. Anthony, Operations Group Manager | |||
.. | |||
* | |||
. | |||
19 > | |||
b. Nuclear Regulatory Commiss' ion | |||
D. Verrelli, Chief, Reactor Projects Branch 1 | |||
D. Collins,. Chief, Emergency Preparedness and Radiological Protection | |||
Branch - | |||
G. Jenkins, Chief, Enforcement and Investigation Coordination Staff | |||
C. Hosey, Chief, Facilities Radiation Protection Section | |||
W. Cline, Deputy Chief, Reactor Projects Branch 1 | |||
L. Trocine, Enforcement Specialist | |||
Licensee representatives discussed the circumstances of the event, their | |||
initial corrective action and long term corrective actions. | |||
NRC representatives emphasized the sensitivity of transportation problems | |||
and discussed the NRC enforcement policy in this area. | |||
1 | |||
. | |||
. - _ - | |||
}} |
Revision as of 18:12, 27 October 2020
ML20138C470 | |
Person / Time | |
---|---|
Site: | Sequoyah |
Issue date: | 03/19/1986 |
From: | Hosey C, Weddington R NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION II) |
To: | |
Shared Package | |
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50-327-86-04, 50-327-86-4, 50-328-86-04, 50-328-86-4, NUDOCS 8604020505 | |
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See also: IR 05000327/1986004
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p Kfrog UNITED STATES
Do
4'8 NUCLEAR REGULATORY COMMISSION
>
[ E, REGION 11
g ,. j 101 MARIETTA STREET, N.W.
- '* ATLANTA. GEORGI A 30323
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MAR 2 ? 1986
Report Nos.: 50-327/86-04 and 50-328/86-04
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Licensee: Tennessee Valley Authority
A
500A Chestnut Street
Chattanooga, TN 37401
Docket Nos.: 50-327 and 50-338 License Nos.: DPR-77 and DPR-79
Facility Name: Sequoyah 1 and 2
Inspection Conducted: January 21.-30 and February 12-13, 1986
Inspector: VC <N
R. E. W6ddington /
ftv Nf5
Date Signed
Approved by: 9 3//7/f4
C. M. Hosey, Set-tion Chief, .
Date Signed
Division of Radiation Safety and Safeguards
SUMMARY
Scope: This special, unannounced inspection involved 66 inspector-hours onsite
in tN areas of radiation protection items described in the Sequoyah Nuclear
Performance Plan; nonroutine event followup; allegation followup; licensee
actions on previous enforcement matters and inspector identified items;
transportation; external exposure control; internal exposure control; control of
radioactive material; and review of dosimetry activities at the licensee's Muscle
. Shoals, AL facility.
Results: Four violations were identified: (1) failu~re to comply with license
conditions of a radioactive waste disposal site, - (2) failure to perform an
MPC-hour assessment, (3) failure to maintain respirator issuance records and (4)
three examples of failures to perform adequate evaluations.
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REPORT DETAILS
1. Persons Contacted
Licensee Employee
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- P. R. Wallace, Plant Manager
- D. E. Crawley, Health Physics Supervisor
- C. E. Kent, Chief, Policy and Technical Assistance Staff
- G. B. Kirk, Compliance Supervisor
i *W. G. Williams, Chemistry Unit Supervisor
- R. C. Pirchell, Mechanical Engineer
- R. L. Casteel, Licensing Engineer
- J. E. Wills, Licensing Engineer
- T. T. Gilbert,' ISI Unit Supervisor
- J. T. Traffanstedt, P.lanning
"C. L. Wilson, Nuclear Engineer
- R. M. Sexton, QA Evaluator
- C. G. Hudson, Project Engineer
- M. A. Palmer, Dosimetry Unit Supervisor
- S. P. Holdefer, Health Physics Assistant Supervisor
- J. S. Steigelman, Health Physics Assistant Supervisor
J. L. Lobdell, Supervisor, Dosimetry Section
D. Colvett, Dosimetry Section
J. Leamon, ALARA Coordinator-
.T. Dills, Health Physics Assistant Supervisor
J. M. Qualls, Stipping Coordinator, Operations
T. Black, Health Physics Training Officer
Other licensee employees contacted included six technicians and office
personnel.
! NRC Resident Inspectors
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K. Jenison, Senior Resident Inspector
L. Watson, Resident Inspector
- Attended exit interview
2. Exit Interview
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The inspection scope and findings were summarized on January 30, 1986, with
l those persons indicated in Paragraph 1 above. The following issues were
discussed in detail: (1) an apparent violation for failure to perform an
MPC-hour assessment (Paragraph 5.c); (2) an apparent violation for failure
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to maintain respirator . issuance records (Paragraph 9.a); (3) an apparent
violation for failure to. perform adequate surveys to release material from
the regulated area (Paragraph 7); (4) an apparent violation for failure to
perform adequate exposure evaluations for lost dosimeter rezero sheets
(Paragraph 8.c); (5) an apparent violation for failure to comply with
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license conditions of a radioactive waste disposal site (Paragraph 5.b); (6)
an apparent violation for failure to perform adequate evaluations of lens of
the eye exposure due to noble gas (Paragraph 8.b); (7) an Unresolved Item *
concerning potential exposures in excess of regulatory limits due - to
inadequate evaluations of lens of the eye exposures (Paragraph 8.b); and
staffing and technical expertise in the Dosimetry Section (Paragraph 4.h).
The licensee acknowledged the -inspection findings and stated there may be
technical disagreements in regard to the appropriateness of using bioassay
data to determine MPC-hours exposures. The licensee did not identify as
, proprietary any of the materials provided to or reviewed by the inspector
during this inspection.
3. Licensee Action of Previous Enforcement Matters (92702)
(Closed) Violation (50-327/85-20-01 and 50-328/85-20-01), Failure of
personnel to wear dosimetry devices as prescribed in procedures. The
inspector reviewed the licensee's responses of July 19 and October 30, 1985,
and verified that the corrective actions specified in the response had been
taken, except for an illustration in the General Employee Handbook on proper
placement of personnel dosimetry. A licensee representative stated that
they had decided to use the illustration as a poster in the plant and had
inadvertently omitted it from the Employee Handbook. The inspector verified
that posters illustrating proper placement of dosimetry were displayed in
strategic locations in the olant. A licensee representative stated a letter
would be sent to Region II to correct the previous response.
(Closed) Violation (50-327/85-20-02 and 50-328/85-20-02), Failure to label
containers of radioactive material. T .e inspector reviewed the licensee's
response dated July 19, 1985, and verified that the corrective action
specified in the response had been taken.
(Closed) Violation (50-327/85-20-03 and 50-328/85-20-03), Failure to
adequately establish 10 CFR Part 61 radioactive waste classification scaling
- factors. The inspector reviewed the licensee's response dated July 19,
- 1985, and verified that the corrective action specified in the response had
been taken.
(Closed) Violation (50-327/85-26-03 and 50-328/85-26-03), Failure to perform
adequate personnel contamination surveys. The inspector reviewed the
licensee's responses of October 7,1985, and January 3,1986, and verified
that the corrective active specified in the. response had been taken.
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- An unresolved item is a matter about. which more information is required to
j determine whether it is acceptable or may involve a violation or deviation.
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4. Sequoyah Nuclear Performance Plan
Volume 2, Part III, Section 4.8, of the Sequoyah Nuclear Performance Plan
documents the licensee's review and evaluation in the area of health physics
as a part of the readiness review conducted by the licensee for restart of
the Sequoyah Nuclear Plant units. Within the Sequoyah Performance Plan, the
licensee committed to several actions in order to improve performance in the
health physics area 'and to minimize employee exposures. The inspector
reviewed the implementation of the plan's health physics items as discussed
below,
a. Implementation of a contamination area control program to minimize
contaminated areas in nonoutage periods. .
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The inspector reviewed records of biweekly contamination area reduction
meetings attended by the Assistant Plant Manager 'or Operations, the
Health Physics Supervisor and management representatives of crafts and
maintenance work groups. The purpose of the meetings was to review
trending data on contaminated areas and designate areas to be
decontaminated. A monthly report on contaminated areas was also
generated and distributed to appropriate plant personnel. The
inspector-determined that the program had been effective in reducing
the number of contaminated areas and that appropriate resources were
being dedicated to the program. Since the licensee has been in outage,
there have not been any biweekly plant management meetings .on
contaminated areas since August.1985. Licensee representatives stated '
that the biweekly meetings would resume after unit restart.
b. Use of a New Decontamination Facility
The inspector toured the new decontamination facility. An ultrasonic
and freon decontamination units had been installed and were
operational. An electropolishing unit was in the process of being
installed. The inspector verified that the licensee had prepared
radiation protection procedures and radiation work permits (RWPs) for
the operations performed in the facility and that operations personnel
assigned to the facility had received training on the operation of the
equipment.
c. More Effective Use of Computers in Radiological Program Management
The licensee has implemented a computer based health physics
performance and trending system. The inspector reviewed selected ALARA.
reports and determined that the computer generated data provide
management with an effective means of evaluating performance. Licensee
representatives stated that computerized historical trending of
radiological conditions is also being developed for specific areas and
RWPs.
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d. Inventory and Tracking of Radiation Shielding Materials
The licensee had established a centralized storage facility for
shielding material and had implemented an inventory and tracking
system. The inspector toured the storage facility and determined that
an adequate supply of shielding was on hand. Through discussions with
licensee representatives the inspector determined that use of shielding
was evaluated during pre-job ALARA reviews.
e. Reduced Utilization of Contract Personnel
During the most recent outage, the licensee's health physics staff was
augmented by health physics technicians from TVA's Watts Bar Nuclear
Plant, resulting in only sixteen con +ractor technicians being brought
in from outside. Licensee representatives stated they are planning to
establish an overage pool of health physics technicians at Sequoyah and
Watts Bar ~ that can be' shared during outages after Watts Bar is
licensed.
To support routine and outage operations, the licensee has designated
five health physics technician crews. Twenty-three fully qualified and
seventeen junior technicians comprised four crews which worked twelve ~
hour rotating shifts. A fifth crew consisting of five fully qualified
technicians were assigned to the weekday shift. .The inspector
determined that the staffing level was adequate to support routine and
outage operations.
During the most recent outage, the licensee augmented their dosimetry
section with five contractor dosimetry technicians. The staffing of
the dosimetry section was noted to be inadequate during the inspection
and is discussed in more detail in Paragraph 4.h.
f. Health Physics Technician Assignment to the Maintenance Section
The health physics technician was assigned to the maintenance section
in August 1985. Licensee representatives stated the technician
attended all the regular maintenance planning meetings and served
principally as a liaison between the maintenance and health physics
sections for development of radiation work permits and coordinating job
coverage. Training classes were also being developed for maintenance
personnel, such as good radiological control practices and ALARA.
g. Health Physics Training Officer
The Health Physics Training Officer is a former health physics
operations supervisor. The Training Officer was responsible for
ensuring that the technicians in the health physics department met
their training requirements. The inspector reviewed the records system
used to follow selected technicians and determined that their training
status was being adequately monitored. The inspector discussed with
the training officer several of his other responsibilities, including
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preparation of oral examination boards for technician qualification and
development of special training classes. The Training Officer also
stated that he was enrolled in TVA's teachers certification course.
h. Onsite Dosimetry Processing
The licensee stated in their Performance Plan that TVA's dosimetry
program was decentralized in the Spring of 1985 and, as a result of
this move, Sequoyah now has onsite the technical expertise to provide
24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br /> a day, seven days a week coverage for TLD processing and data
handling. It was noted during the inspection that the extent of the
decentralization has been to set up TLD readers and ca:ibrators at .
Sequoyah. Raw data from the TLD reader is sent electronically to TVA's
2 Dosimetry Sectio.n in Muscle Shoals, AL, where the data is evaluated and
individual exposures determined and then sent electronically back to
Sequoyah. Official exposure files were still maintained at Muscle
Shoals with no duplicate files at Sequoyah. Muscle Shoals also issues
all employee termination letters,10 CFR 20.407 exposure reports 'and
other official exposure reports. Since the Muscle Shoals office is not
s staffed for backshift ~ and weekend coverage, personnel qualified to
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perform technical evaluations of unusual dosimetry results or to detect
problems would not always be available. It was also noted during the
inspection that Sequoyah did not receive any increase in personnel when
they were given additional dosimetry responsibility. The licensee does
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not have the in-house technical expertise to independently manage a
dosimetry program at Sequoyah. The dosimetry section has only one
fully qualified dosimetry technician, who functions as a shift
coordinator (i.e., lead technician on day shift). The remaining eight
personnel in the section are junior' technicians who have completed
training within the past year. The supervisor of the dosimetry section
is a recently promoted dosimetry technician. The licensee has a
professional position of dosimetry engineer, but it is currently
vacant. Licensee actions to increase the technical expertise and
, experience level in the dosimetry section was identified as an
inspector followu;2 ttem (50-327, 328/86-04-05).
No violations or deviations were identified.
5. Nonroutine Event Followup (93702)
a. High Airborne Radioactivity Event of July 29, 1985
1 The licensee reported the circumstances of the event in licensee
Reportable Occurrence Reports SQR0-50-327/85031, August 27, 1985, and
SQRO-50-327/85031, Revision 1, September 10, 1985. The event concerned
high airborne radioactivity in the Auxiliary Building, which was caused
by a leak from a sample line connection from the Volume Control Tank in
the Unit I pipe chase. Airborne radioactivity levels in the pipe chase
were determined to be 50 times a Maximum Permissible Concentration
(MPC) as defined in 10 CFR 20, Appendix B for particulates, 646 times
MPC for noble ' gas and 1.3 times MPC for iodine. The levels present in
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the Auxiliary Building were 28 to 44 times MPC for noble gas.
Initially the licensee believed than an unmonitored radioactive release
was taking place due to high air samples taken in the unrestricted area
outside the building. The licensee verified the Auxiliary Building was
under negative pressure and the Auxiliary Building gas treatment system
was operating. The air samples were recounted at the licensee's
training center and no radioactivity was detectable. The licensee
concluded that the initial sample counts .had not been correct due to
high background radiation levels in the facility counting room. Eleven
personnel were contaminate'd during this event, with the highest being a
worker that had 100,000 disintegrations per minute on his face. No
internal contamination was discovered 'on any of the subsequent whole
body counts performed on the personnel involved. By review of licensee
health physics logs, survey records and discussion with licensee
representatives, the inspector determined that the actions taken by the
licensee to maintain radiological controls during this event were
consistent with regulatory requirements.
No violations or deviations were identified.
b. Transportation Event of September 27, 1985
By letter dated October 3, 1985, the licensee was informed by the South
Carolina Department of Health and Environmental Control that their
radioactive waste shipment number 0985-119 was found, upon arrival at
the Chem-Nuclear operated burial site near Barnwell, SC, to be in
noncompliance with the disposal site's state license. The shipment
consisted of dewatered resins packaged in a high integrity container
(HIC) within a USA 6568-A shipping cask. License Condition 164 of South
. Carolina Radioactive Material License No. 97, ' issued to Chem-Nuclear
Systems, Inc., required that the licensee shall not receive shipments
of radioactive materials unless ~ appropriate lifting devices of
sufficient length have been provided and securely attached to
containers and palletized shipments within a cask. Upon removing the
lid from the cask, the disposal site operator found that the HIC
rigging gear was not accessible in that the rigging gear was wedged in
the space between the HIC and inner cask wall by internal bracing
material. A radiation level of 9 rems per hour (9 R/hr) was noted on
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top of the HIC. The disposal site elected not to receive the shipment
to preclude unnecessary radiation exposure while attempting to retrieve
the lifting cables. The shipment was sent' back to the licensee. The
State of South Carolina assessed the licensee a civil penalty of One
Thousand Dollars (51,000), which the licensee paid. Licensee
representatives stated that when their shipping coordinator was
performing his preshipment inspections, he became concerned that the
HIC might shift within the cask during transport. He directed that
. wooden wedges be placed in the approximately three inch space between
I the HIC and cask inner wall. The workers who performed this task
inadvertently wedged the rigging gear ~ into the space between the
containers. In their October 23, 1985, letter to the State of South
Carolina, the licensee stated that their shipping procedures had been
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< changed to require a final inspection prior to shipment to verify that
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lif ting devices are free 'and ' accessible. The inspector stated that
- Lilure . of the licensee to ensure that the HIC rigging gear was
accessible for unloading was an apparent violation of 10 CFR 30.41(c),
which required that before transferring byproduct material. to a
specific licensee of an Agreement State, the licensee transferring the
material shall verify that the transferee's licensee authorizes the
receipt of the type, form, and quantity of byproduct material to be
transferred (50-327, 328/86-04-01).
c. Internal Contamination Event of December 11, 1985
At approximately 1700 hours0.0197 days <br />0.472 hours <br />0.00281 weeks <br />6.4685e-4 months <br /> on December 11, 1985, three workers exited
Unit 1 lower containment af *er performing work under RWP 02-1-85116,
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time sheet number 156, General Clean-up and Equipment Removal. One of
the workers discovered contamination on his person as he was performing
a whole body frisk and summoned health physics. Health physics
personnel- successfully decontaminated the worker. The highest
contamination discovered was 4000 disintegrations per minute (dpm) on
his mustache and 4200 dpm on a nasal smear. The other two workers were
not contaminated. The worker received a whole body count at 1804 hours0.0209 days <br />0.501 hours <br />0.00298 weeks <br />6.86422e-4 months <br />
on December 11, 1985, and nine subsequent whole body counts over the
period until December 18, 1985. Six urine samples were also collected
during the period December 12 to 18,1985, and one fecal sample was
collected on December 12, 1985. The highest activity detected on the
whole body counts was on December 12, 1985, which was equivalent to
15.67 percent of a maximum permissible organ burden (MP08) for
Cobalt-60. The urine and fecal analysis also showed small quantities
of various radionuclides. Based on the bioassay data, the licensee
calculated that the worker had received a dose commitment of 71
millirem to his lower large intestine.
! The licensee investigated the cause of the event. The worker had
entered the lower containment to bag used flexible hose from a porta'
high efficiency (HEPA) filter system so that they could be removed.
The ends of the hoses were covered and taped to contain the
contamination in the hose. The worker at some point-in the work cut up
some of the hoses in order to get them into the bags. He apparently
did not realize that cutting into the hoses changed the understood
scope'of work for which the RWP was approved. The licensee identified
that they would have senior health physics technicians at the
containment accesses during outages to better ensure that workers and
health physics communicate the intended scope of work and limitations
of the RWP. A memorandum was also sent to health ~ physics operations
personnel discussing the event and requiring that any work invol.ving
HEPA filter hoses require the use of respiratory protection.
During review of the above event, the inspector questioned the licensee
as to their evaluation of the regulatory significance of the worker's
- exposure. Licensee representatives later informed the inspector, in
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response to his request, that the worker's exposure had been equivalent
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to approximately 78 MPC-Hours. Licensee representatives stated that,
for significant exposures, internal dose calculations were performed
and maintained with the individual's exposure records. No
. determination was made that the exposure was within the intake limits
of 10 CFR 20.103(a).
10 CFR 20.103(a)(3) required that for purposes of determining-
compliance with the requirements of 10 CFR 20.103, the licensee shall
use suitable measurements of concentrations of radioactive materials in
2 air for detecting and evaluating airborne radioactivity in restricted
areas and in addition, as appropriate, shall use measurements of
radioactivity in the body, measurements of radioactivity excreted from
the body, or any combination of such measurements as' may be necessary
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for timely detection and assessment of individual intakes of
radioactivity by exposed individuals. Failure of the licensee to use
measurements of radioactivity in the body ano excreted from-the body of
the worker involved in the December 11, 1985, event in order to
determine compliance- with the requirements of 10 CFR 20.103 was
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identified as an apparent violation of 10 CFR'20.103(a)(3) (50-327,
328/86-04-02).
d. Contamination Outside Condensate Demineralizer Waste Evaporator (CDW5)
Building
On January 14, 1986, a licensee employee reported to health physics
that he observed seepage from the exterior wall of the CDWE Building.
Health physics personnel investigated and . determined that the seepage
was moist crystallized boron. Radiation surveys showed a radiation
level at near contact with the wall of 69 millirem / hour and less than
5 millirem / hour at 18 inches from the wall. Health physics personnel
then posted the immediate area around the outside wall of the building
as a radiation area and a contamination zone. Initial soil samples
from the ground 'near the base of the wall showed a maximum
radioactivity concentration of 2.2E-2 microcuries per gram. A grid
survey of the area around the wall was then marked off. Licensee
representatives stated that 6 inch deep core samples would be taken
every 12 inches along the grid and that any area would be excavated and
placed in drums if the core sample indicated any detectable
radioactivity.
The inspector determined the area where the leak occurred was outside
- the licensee's regulated area. A regulated area is defined in licensee
' procedure Radiological Control Instruction-1, Radiological Hygiene
- Program, Paragraph III.A as an area within the plant site where access
is controlled for purposes of protection of individuals from exposure
to radiation and radioactive materials. This is the same definition as
is given in 10 CFR 20.3(a)(14) for a " Restricted Area,"
10 CFR 20.105(b)(1) required that the licensee limit radiation levels
in unrestricted areas such that no individual, if he were continuously
present in the area, could receive a dose in excess of two millirems in
any one hour. Through discussions with -licensee representatives, the
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inspector determined that the area outside the CDWE Building was inside
the licensee's " power block," Dosimetry devices were required to be
-worn inside the power block." The inspector questioned several public
safety officers at the security access portal and they all stated that
personnel are checked for dosimetry before entry is allowed inside the
" power block." During tours outside of the regulated area and within
the " power block," the inspector observed that all personnel were
wearing dosimetry devices. It was therefore determined that since no
unmonitored personnel were likely to have been present in the vicinity
of the leak outside the CDWE Building, the ~ radiation level that was
present was not in violation of the requirements of
The licensee conducted an investigation to determine the source of the
leak. It was determined that there hcA been frequent standing water in
the CDWE Building due to seal failures en the pump on the recirculati.on
line from the waste evaporator vessel. Licensee representatives stated
that, if the recirculation line were isolated when the pump seal
failed, the highly borated water in the vessel would solidify and
recovery operations would be difficult. For this reason, they stated,
it was preferable to allow the contents of the vessel to drain onto the
floor. After the borated water crystallized, workers were sent into
the area to shovel the waste into 55 gallon drums. The inspector
reviewed selected RWPs for the CDWE Building and determined that
personnel exposures in_this area, due mostly to clean-up work, had been
approximately 23.9 man-rem. Licensee representatives stated that
engineering evaluations were in progress to determine solutions to this
problem. The inspector learned from discussions with licensee
representatives that the CDWE had not been designed to process primary
system- liquid waste and that the boron concentration in the. liquid
waste apparently exceeded the specifications of the pump. The
inspector also' learned that the ventilation from the CDWE Building feeds
into the Auxiliary Building ventilation system. When there is an
Auxiliary Building isolation, dampers close on the CDWE Building
ventilation exhaust, often resulting in buildup ~f o airborne
radioactivity in the area. The CDWE Building is therefore outside of
the secondary containment boundary. These design and operational
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problems are being examined by the NRC Resident Inspectors and will be
discussed in Inspection Report No. 50-327, 328/86-15.
The licensee could not determine how long the leak had been present on
the outside of the CDWE Building. Licensee representatives stated that
they do not periodically perform routine radiation surveys outside of
regulated areas within the plant site. During discussions with the
inspector, the licensee stated that they were in the process of
developing a routine survey program for areas outside ~the regulated
area. The inspector stated that the program would be reviewed during
subsequent inspections and was identified as an Inspector Follow-up
Item (50-327, 328/86-04-07).
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The-inspector discussed the reportability of the event with licensee
representatives. They. stated that the.only reporting requirement that
they could identify which might be applicable to this event was that
specified in - 10 CFR 20.403(b)(4), which required twenty-four hour
i notification for any event involving licensed material possessed by the
licensee that may have caused or threatens to cause damage to property
in excess of S2,000. However, they . stated that they believed the
definition of " property" to mean property that is outside the site
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boundary. The inspector informed the . licensee that their
interpretation was not correct. At the time of the inspection, the
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licensee had not completed an engineering and cost evaluation of the
damage. This area will be reviewed during subsequent inspections.
5 6. Allegations, Discussions and Findings
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4 a. Allegation (RII-85-A-0202)
Unqualified personnel have been hired into the Health Physics Dosimetry
Section. Personnel who read dosimeters on the 690' elevation are not
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in the position of monitoring and reading dosimeters and TLD badges,
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Discussion and Finding
l The inspector determined that approximately a year ago when the
licensee imphmented the " power block" concept, workers were given the
l responsibility of picking up and replacing their own dosimetry devices
at the badge rack just outside the security access portal. During the
period June through December ~1985, the~ licensee employed six personnel
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who were assigned to the badge rack. Their assigned duty was to assist
workers in picking up the dosimetry that was assigned to them from the
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correct slot and checking to see if it was replaced in the correct slot
.by the worker. The licensee believed that this added assistance would
help workers become accustomed to the new procedures and would give t
management confidence that workers were not wearing someone else's
dosimetry. The six badge rack monitors did not have any responsibility
for reading TLD or pocket dosimeters and were not involved in
accounting for personnel exposures. The inspector determined that
these personnel had not received any specialized health physic's
training, however, considering the scope of their duties, no training
in health physics was required.
This allegation was not substantiated,
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b. Allegation (RII-86-A-0008)
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Radioactive material is stor.ad in numerous locations around the plant
site, the implication being the number of such storage areas is
excessive.
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Discussion and Finding
During tours of the facility, including selected outside areas, the
inspector noted that the number of storage areas had been reduced since
previous inspections. All radioactive material storage areas observed
where controlled in accordance with 10 CFR 20.203.
This allegacion was not substantiated.
7. Control of Radioactive Material (83726)
10 CFR 20.201(b) required the performance of surveys that are necessary to
demonstrate compliance with 10 CFR Part 20 and are reasonable under the
circumstances. 10 CFR 20.301 required that no licensee shall dispose of
licensed material except by certain specified means.
The inspector observed radiological surveys being performed at the regulated
area boundary on the 690 elevation of the Service Building to release
material and equipment for unrestricted use. The licensee had established
at the regulated area exit a release survey station consisting of a table, a
scaler counter for counting smears and a portable beta gamma survey
instrument with a pancake GM probe for performing direct radiation surveys.
The release survey station was attended by a health physics engineering
aide, who was a person the licensee had trained to the specific portions of
the licensee's health physics technician qualification program which related
to the performance of unconditional release radiological surveys. The
inspector observed workers place material and equipment contained in sealed
yellow polyethylene bags on the table at the release station. The
engineering aide did not question the worker presenting the equipment for
survey as to what the equipment was, where it had been or where the worker
intended to take it so that he could adequately evaluate the scope of the
release survey that needed to be performed. The surveys that were performed
were essentially only spot checks for smearable contamination and direct
radiation. Areas of higher contamination potential, such as connectors on
cable sets, were not surveyed and equipment with potentially internally
contaminated areas were released without evaluation. Failure to perform
adequate radiological surveys to release material for unrestricted use was
identified as an apparent violation of 10 CFR 20.201(b) (50-327,
328/86-04-04).
8. External Exposure Control (83724)
a. Radiation Work Permits
Licensee representatives stated that as result of a TVA, Division of
Quality Assurance Audit finding identified in October 1985, they are
completely revising their radiation work permit (RWP) system and the
method used to track MPC-hours and ncble gas dose assessments. The RWP
that is currently in use at Sequoyah contains a description of the job,
general work instructions, such as to obey all radiological procedures
l or frisk when leaving the area, and signature spaces for approving
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officials. The RWP Time Sheet cover page indicates the applicable
protective requirements (protective clothing, special dosimetry,
respiratory protection), special work instructions, survey data and
high radiation area controls. T.he remainder of the time sheet is used
as a log of personnel entries into the RWP area. A health physics
technician is normally the only approving authority for the RWP time
sheet. When a particular job is complete, or at the end of the
calendar year, the RWP Time Sheet is terminated and sent to the ALARA
section. RWP Time Sheet log entries are entered into the ALARA
computer, which assigns individual MPC-hours and skin dose due to noble
gas. The skin dose exposure data is then sent to the dosimetry section
where individual exposure files are updated. MPC-hours are updated on
a separate printout by the ALARA section wh'ich goes to the -health
physics lab and control points. The TVA QA audit identified that
permitting RWP Time Sheets to be active for up to a year caused
Sequoyah to be in noncompliance with 10 CFR 20.401(a), which required
that exposure records be for periods of time not exceeding one calendar
quarter. The system also had caused some worker termination exposure
reports to be in error'since there was no mechanism to identify a
worker had outstanding noble gas skin dose from a time sheet that was
still active at the time the termination report was issued. Although
not discussed in the QA audit report, the time- sheet system also did
not allow worker skin dose and MPC-hour exposures to be known in
sufficient time to be taken into consideration when determining how
much exposure the worker could subsequently receive. Licensee
representatives stated that their new RWP system would include all of
the protective requirements on the sheet that is reviewed by the
approving officials and that the time sheet would serve only as an
entry log. Separate forms to track individual entries into areas where
MPC-hour or noble gas skin dose assignment is required were being
developed. The licensee. expects to have their new RWP system in place
by May 1, 1986. Review of the revised RWP system was identified as an
Inspector Follow-up Item (50-327, 328/86-04-06).
b. Lens of the Eye Exposure Due to Noble Gas
The licensee identified by means of a Significant Corrective Action
Repu.t (NCO-CAR-85-004-RWB) initiated by the health physics staff at
TVA's Watts Bar Nuclear Plant in mid-1985 that the algorithms used to
evaluate the readings obtained from the Panasonic TLD by the Dosimetry
and Offsite Support Staff at Muscle Shoals, Alabama were not consistent
with regulatory requirements. 10 CFR 20.401(a) requires that
individual radiation exposure records be maintained on Form NRC-5, or
equivalent, and in accordance with the instructions contained on the
form. Item 5 of Form NRC 5 states that, unless the lenses of the eyes
are protected by eye shields having a tissue equivalent thickness of at
least 700 mg/cm 2 , the eye dose should be determined through a tissue
equivalent absorber having a thickness of 300 mg/cm 2 or less. When TVA
began use of the Panasonic TLD, the algorithms used to eval ~u ate the
readings were developed internally in lieu of using the ones available
through the TLD vendor. The Watts Bar CAR identified that only the TLD
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elements under the 7 mg/cm 2 and 1,000 mg/cm2 shields were being
evaluated to determine worker exposures. The TLD also had two other
elements under 300 mg/cm 2 shields, but there were no algorithms to
routinely evaluate lens of the eye exposure as indicated by the
readings obtained from these two elements. In response to the CAR, the
licensee developed algorithms to correct this deficiency. They also
reviewed individual exposure histories.to determine if any significant
adjustments in documented exposures were warranted and concluded that
none we.re necessary.
The licensee occasionally had to make containment entries when the
reactor was at power. Noble gas concentrations' in containment during
these entries have been as high as 50' to .100 times a maximum
permissible concentration (MPC) as defined in 10 CFR 20. Appendix B.
The licensee had determined that the TLD element under the 7 mg/cm 2
shield could not accurately measure the worker's skin exposure due to
beta radiation and therefore developed a calculational technique based
on the noble gas concentration in containment and the workers stay
, time. The inspector reviewed an internal licensee memorandum which
stated that whole body dose, including lens of the eye dose, could
accurately be measured by the TLD element under the 1000 mg/cm2 shield
and therefore no calculational assessment was necessary. Since workers
entering containment were not required to wear eye protection, the
licensee's conclusion was not consistent with the instruction on Form
NRC 5. No assessments of lens of the eye exposure due to noble gas
were therefore being made. After the' licensee changed their algorithms
to consider the value from the TLD element under the 300 mg/cm 2 shield,
no evaluation was performed to determine if that element accurately
measured lens of the eye dose or if a calculational assessment was
necessary similar to that perforaed to assess skin dose. Failure to
perform an adequate evaluation to determine that lens of the eye
exposures were with the quarterly exposure limits specified in
10 CFR 20.101(a) was identified as an additional example of an apparent
violation of 10 CFR 20.201(b) (50-327, 328/86-04-04).
Failure to adequately evaluate lens of the eye exposure had the
potential of causing workers who had high whole body and skin exposures
to exceed the NRC quarterly whole body exposure limit if a sufficient
portion of the radiation assessed as a skin dose also penetrated to a
depth in excess of 300 mg/cm2 , but less than 1000 mg/cm2 . This issue
was designated as an Unresolved Item during the inspection. The
licensee informed Region II on February 7, 1986, that they had
determined that no exposure in excess of regulatory limits had occurred
based on their review of personnel exposure histories.
On February 12-13, 1986, an onsite inspection was conducted of the
licensee's Dosimetry Section in Muscle Shoals, AL, to independently
verify the licensee's conclusion.
'
Through discussions with licensee dosimetry section personnel and
review of selected procedures and records, the inspector evaluated the
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method by which raw TLD readings were converted to dose. Raw readings
from the four TLD elements were first . adjusted by multiplying each
l value by the TLD element and TLD reader calibration factors. A
<
background . radiation' value was also subtracted. The adjusted readings
were then compared to a predetermined response matrix. The response
1 matrix was a set of ratios used to' predict the value on any given
. element based on the type of radiation the TLD had been exposed to.
The basic response matrix had ratios for gamma, soft beta and hard beta
radiations. The ratios in the response matrix were determined by
dividing the value that would be on each of the elements by the skin
dose. The adjusted element values on the TLD being read were then
compared to the predicted values for each. element for each type of
radiation in the basic response matrix. The actual and predicted
element values were then tested for " convergence," which was defined as
the ratio of the predicted and actual values. A convergency flag would
"
appear if the predicted and average values differed by more than thirty
percent and the dose involved exceeded 50 millirem. If a convergence
flag appeared, the adjusted TLD element values were compared to an -
expanded response matrix which included low and high energy photon
radiation. The. expanded comparison also considered that the TLD may
! have been exposed to more than one type of : radiation. The actual TLD
element readings were compared to modified response matrix lines which
combined the matrix ratios for more than one type of radiation.
Successive trial fits were attempted until -the matrix which best fit
the actual values was discovered. The values from this response matrix
4 were then used to calculate dose from the skin dose indicated by the
actual TLD values.
The Panasonic TLD system had been put in place at Sequoyah in January
1985. At that time, the dose calculation system described above
calculated two dose values; dose to the skin (DS) from TLD element 1
,
and whole body dose (DC) from TLD element 4. Eye dose due to noble gas
'
would have been indicated by a high response on TLD elements 2 and/or 3
- from high energy beta or low energy photon radiations. However, the
!- value on these two TLD elements were not considered in determining
L dose. After the Watts Bar CAR was written, the licensee added a new
i dose to the lens of the eye (DL) field to the dose calculation line of
l the computer printout. This change was made in October 1985. After
- this date, the whole body dose was taken as the higher of DC or DL.
Licensee representatives stated that during this period, any
significant lens of the eye dose as indicated by TLD elements 2 or 3
would have produced a convergency flag, causing a more careful review
, of that particular reading. The licensee wrote a test computer program
l to determine how many convergency flags involving significant dose may
have been produced during this time period. The program searched the
, data base for all cases where the value on element 3 had been 50
,
percent higher tha.' element 4 and the dose recorded on element 3 was
, greater than 40 m. ilirem. Fourteen such cases were identified. This-
, -result indicated that there were only a limited number of cases in
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which dose the lens of eye may have been limiting in determining whole
body dose.
The second computer test the licensee conducted was to increase all the
whole body doses recorded in the data base during the' period September
1983, to June 1985, by 25 percent of the skin dose and then printout
all- totals greater than 3 Rem (i .e. , 0.25 DS+DC > 3R). The basis for
adding one quarter of the skin dose to DC was that, for high energy
betas, 25 percent of the skin dose would penetrate to a depth in excess
of 300 mg/cm2 and a convergence flag may not have been produced. In
actual practice, it was not likely that the exposure would have been
entirely due to high energy beta radiation. However, assuming the
worst case, no exposures in excess of 3 Rem were identified as' result
of this test.
The inspector reviewed quarterly exposure records' of all personnel who
had been badged at Sequoyah during the period January through September
1985. The inspector selected the names of two individuals from the-
printouts in order to review in detail how their quarterly exposure had
been determined. The first individual had an exposure at the end of
the.second quarter of 1985 of 5695 millirem DS and 240 millirem DC.
The second individual had a third quarter 1985 exposure of 2950
millirem DS and 2541 millirem DC. The inspector reviewed for each
individual each TLD reading and how it had been evaluated and any. skin
dose assessment due to noble gas. The inspector determined that at
most the assigned whole. body dose would not have increased'more than 2
millirem due to the readings recorded on TLD elements 2 and 3. Based
. on the above, the inspector concluded that failure to evaluate the
values on TLD elements 2 and 3.for lens of the eye exposure had not
caused any worker to exceed the NRC whole body quarterly exposure
limit. The inspector informed the licensee on February 28,-1986, that
the Unresolved Item was closed.
c. Dosimeter Rezero Sheets
During the onsite inspection of Sequoyah's dosimetry section, the
inspector reviewed how the licensee's daily dose printout is
formulated. The daily dose printout is used to monitor the exposure
status of each monitored employee and is used as the reference document
for individual exposure planning, such as computing stay times. The
printout column indicating the individual's current total quarterly
whole bcdy exposure is the summation of his TLD readings during the
period and pocket dosimeter data for periods which the TLD had not yet.
been read. The source for the pocket dosimeter data was the dosimeter
rezero sheet.
!
Dosimeter rezero sheets were issued from the dosimetry office. Each
form was assigned a control number which was recorded in a log book.
At the beginning of each shift, a technician took a new rezero sheet to
the health physics lab and each active control point and picked up the
one that had been used the previous shift. The dosimetry data from the -
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rezero sheets was then entered into the computer data base that.was
used to generate the daily dose printout. Upon review of the rezero
sheet issuance log, the inspector observed that several control numbers
had not been checked in the space indicating that the rezero sheet had
i been processed. Licensee representatives stated that there had been
occasions when the technician exchanging the rezero sheets could not
locate the rezero sheet that had been in use the previous shift. A
reasonable search was then conducted in the area and there had been
times when 'the rezero sheet could not be found. The inspector stated
that the same type of investigation as is performed when a dosimeter or
TLD is lost should be' performed to assess what exposure data had been
lost. Each dosimeter sheet had spaces to record the readings of nine
dosimeters. Workers were required to have their dosimeters rezerced
'
when it reached 50% of its full scale. The rezero sheet was also used
for high range dosimeters in addition to the 0-200 millirem dosimeters
issued to each monitored individual, so the lost dosimeter data could
be.on the order of several hundred millirem. It was determined that 2
rezero sheets in 1986 and 9 in 1985 had been lost. Failure of the
licensee to evaluate the dose recorded on lost dosimeter rezero sheets
was identified as an additional example of an apparent violation of
10 CFR 20.201(b) in th'ta evaluations as were necessary to determine
.
compliance with the quarterly whole body exposure limits specified in
j 10 CFR 20.101 had not been performed (50-327, 328/86-04-04).
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9. Internal Exposure Control (83725)
! a. Respiratory Protection
4
10 CFR 20.103(c)(2)' required that the licensee may make allowance for
use of respiratory protective equipment in estimating exposures of
individuals to radioactive material in air provided that the licensee
maintains and implements a respi ratory protection program that
. includes, as a minimum, written procedures regarding supervision and
training of personnel and issuance records.
While reviewing the circumstances surrounding the internal exposure
,
event of December 11, 1985, described in Paragraph 5.c, the inspector
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reviewed certain aspects of the licensee's re spiratory protection
program. Licensee representatives stated that respiratory protection
'
devices are issued from the -respirator room and at health physics
control points during outages. A health physics technician verifies
that the worker requesting a respirator is trained and medically
qualified to use a respirator before it is issued to him. Licensee
'
representatives stated that no records are maintained which show that
an individual was issued a respirator and no licensee procedure
required maintenance of such records. Through review of selected
- MPC-hour assignment records and discussions with licensee
representatives, the inspector determined the licensee made allowance
for use of respiratory protective equipment in estimating exposures of
individuals to radioactive material in air. Failure of the licensee to
,
maintain written procedures regarding respirator issuance records was
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r..- - . _ - - _ . , . , . . , . - . _ _ . , , _ . . - _ _ , - , . , . . . . _ . _ , . _ , . y,,.m_.--,,._~ .-,,,,--,,m., ,.._-....-..,..-_.,,._..s._..,y,_ ,
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identified as an apparent violation of 10 CFR 20.103(c)(2) (50-327,
328/86-04-03).
b. Respirator Filter Retesting
The licensee had been shipping respirator filters offsite for retesting
since November 1984. The licer see has the capability of performing
onsite testing of respirator t ilters using corn oil. The inspector
informed the licensee that it was-acceptable to use a corn oil test to
verify the integrity of the filter.
10. Inspector Follow-up Items (92701B)
(Closed) 50-327, 328/85-23-05, Overstated exposure estimates. When workers
were terminating employment at the licensee's facility, an exposure estimate
would often be requested from the _ dosimetry section Dosimetry personnel
gave the worker a form which indicated his total exposure as shown on
licensee records. Since the worker's current quarter TLD was not likely to
have been processed, the form stated that the exposure information was an
estimate. The Resident Inspector noted that the exposure totals included
exposures, i f any , received at other non-TVA facilities. The inspector
determined that since the exposure values were conservative and the form
clearly indicated the information was an estimate,' the licensee's practice
was not contrary to any regulatory requirements.
(Closed) 50-327, 328/85-47-04, Internal exposure event of December 12, 1985.
Findings related to this event are discussed in report Paragraph 5.c.
11. Enforcement Conference
An Enforcement Conference was conducted telephonically on March 14, 1986, to
discuss the transportation violation and civil penalty issued by the State
of South Carolina for the September 27, 1985, event involving
inaccessibility of. cask rigging gear. The following persons were present
during the discussion:
a. Tennessee Valley Authority
J. Domer', Assistant Manager of Licensing
L. Nobles, Operations and Engineering Superintendent-
G. Kirk, Compliance Supervisor
J. Qualls, Radwaste Supervisor
D. Kelley, Chemical Engineer, Radwaste Operations
B. Alsup, Project 1 Licensing Manager
E. Whitaker, Licensing Engineer
J. Anthony, Operations Group Manager
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b. Nuclear Regulatory Commiss' ion
D. Verrelli, Chief, Reactor Projects Branch 1
D. Collins,. Chief, Emergency Preparedness and Radiological Protection
Branch -
G. Jenkins, Chief, Enforcement and Investigation Coordination Staff
C. Hosey, Chief, Facilities Radiation Protection Section
W. Cline, Deputy Chief, Reactor Projects Branch 1
L. Trocine, Enforcement Specialist
Licensee representatives discussed the circumstances of the event, their
initial corrective action and long term corrective actions.
NRC representatives emphasized the sensitivity of transportation problems
and discussed the NRC enforcement policy in this area.
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