IR 05000338/1989015: Difference between revisions

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{{Adams
{{Adams
| number = ML20247K623
| number = ML20245D351
| issue date = 07/25/1989
| issue date = 06/02/1989
| title = Ack Receipt of Re Violations Noted in Insp Repts 50-338/89-15 & 50-339/89-15
| title = Insp Repts 50-338/89-15 & 50-339/89-15 on 890501-05. Violation Noted.Major Areas Inspected:Radiation Protection Program,Including Review of Areas of External & Internal Exposure Control & Program to Maintain Doses ALARA
| author name = Collins D
| author name = Gloersen W, Potter J, Shortridge R
| author affiliation = NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION II)
| author affiliation = NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION II)
| addressee name = Cartwright W
| addressee name =  
| addressee affiliation = VIRGINIA POWER (VIRGINIA ELECTRIC & POWER CO.)
| addressee affiliation =  
| docket = 05000338, 05000339
| docket = 05000338, 05000339
| license number =  
| license number =  
| contact person =  
| contact person =  
| document report number = NUDOCS 8908010013
| document report number = 50-338-89-15, 50-339-89-15, NUDOCS 8906270080
| title reference date = 07-14-1989
| package number = ML20245D341
| document type = CORRESPONDENCE-LETTERS, NRC TO UTILITY, OUTGOING CORRESPONDENCE
| document type = INSPECTION REPORT, NRC-GENERATED, INSPECTION REPORT, UTILITY, TEXT-INSPECTION & AUDIT & I&E CIRCULARS
| page count = 1
| page count = 19
}}
}}


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UNITED STATES m:  /+#g; .. ' i--.
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    ,    REGION 11
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i M,  j  101 MARIETTA STREET, ?  E    ATLANTA, GEORGI A 30323
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f JUNi5 Igg Repo.rt Nos a . 50-338/89-15 and 50-339/89-15'
Licensee: Virginia Electric and Power Compan . Glen Allen, VA 23060
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Doc'ket'Nos.: 50-338 and 50-339'      Licer.se Nos.: NPF-4 and'NPF-7 T  Facility Name: North' Anna 1 and:2
  . Inspection Conducted: May 1-5, 1989
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Inspectors      h-6 M    $31/6'l W. B. Gloersdn ' V      Date Signed b<AhAnbdD R. B 05 rtr'  "
r/si/91 Date igned Approved by:
J.7. - Potter, Chief
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Date Signed racilities and Radiation Protection Section Emergency Preparedness and Radiological Protection Branch Division of Radiation Safety and Safeguards SUMMARY Scope:
This routine, unann'ounced inspection cf the licensee's radiation ~ protection program consisted of a review'in the areas of external and internal exposure control; control of radioactive material and contamination, surveys, and monitoring; and the program to maintain. doses as low as reasonably achievable
  .(ALARA). The inspection also involved observations of health physics job coverage during the dual unit outag Results:
  'In the ' areas inspected, one violation (with two examples) was identified for ifailure to make an adequate survey (Paragraph 3.b.). Of particular concern was the apparent lack of timely implementation of the corrective action for the violation 'which occurred on April 9, 198 In general, the licensee's .
radiation protection program appeared to be functioning as necessary to protect the health and safety of the occupational radiation workers. However, it appears that the station's 1989 annual collective dose will significantly exceed its 1989 projected collective dose. Contributing factors to the high collective dose included (1) extended simultaneous dual unit outages; (2) large core snubber removal; and (3) removal and replacement of steam generator tube plugs. As of April 30, 1989, the station's collective dose was approximately
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8906270080 8906'15 PDR ADOCK 05000338
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b;  824 person-rem which represented appropriately 83 percent of the 1989 budgeted collective dose (994 person-rem).
 
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REPORT DETAILS
' Persons Contacted Licensee Employees J. Atkins, Health Physics Trainee
* Bowling, Assistant Station Manager, Nuclear Safety and Licensing E. Dreyer, Supervisor, Technical Services, Health Physics
*R. Driscoll, Manager, Quality Assurance R. Enfinger, Assistant Station Manager, Operations and Maintenance R. Irwin, Supervisor, Operations, Health Physics T. Johnson, ALARA Coordinator, Health Physics
*P. Kemp, Supervisor, Licensing
*J. Leberstein, Licensing Specialist, Licensing N. Nicholson, Staff Health Physicist J. O'Connell, Shift Supervisor, Health Physics T. Peters, Assistant Supervisor, Dose Control and Bioassay, Health Physics
'A. Stafford, Superintendent, Health Physics
*W. Thornton, Director, Health Physics and Chemistry, Corporate
*F. Wolking, Senior Staff Health Physicist, Corporate Other licensee employees contacted during this inspection included craftsmen, engineers, operators, mechanics, and technician Nuclear Regulatory Commission
*J. Munro, Resident inspector
* Attended exit interview Organization and Management Controls (83750)
 
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L Organization The liransee is required by Technical Specification (TS) 6.2 to implement the plant organization specified in TS Figures 6.2-1. The responsibilities, authority and other management controls were i
further outlined in Chapters 12 and 13 of the Final Safety Analysis
!  Report (FSAR). TS 6.2 also specified the members of the Station Nuclear Safety and Operating Committee (SNSOC) and outlined its l  function and authorit Regulatory Guide 8.8 specified certain
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functions and responsibilities to be assigned to the Radiation  !
l  Protection Manager and radiation protection responsibilities to be assigned to line managemen The inspector reviewed the licensee's station health physics (HP)
organization. No significant changes to the organization had taken place since the last inspection other than the permanent assignment b    -  -_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
 
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to the position of HP Supervisor (Radiological Engineering). There appeared to be adequate management support to implement essential  y elements of the radiation protection program.as necessar Menagement Controls The inspectors reviewed.various reports, including Radiation Problem Reports, Personnel Contamination Events Station Deviation Reports, and thermoluminescent (TLD) vs. self-reading dosimeter (SRD)
discrepancy reports, which wculd provide information on program quality. The licensee's Radiation Problem Reports (RPRs) were used to identify and document safety and radiological problems noted by HP personnel in the p' ant. One RPR dealt with an administrative overexposure which is discussed further in Paragraph 3.b. Most of the other problems identified in these RPRs were concerned with compliance of personnel with various procedural or radiation work-permit (RWP) requirements. A few of the RPRs identified problems  .
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with advanced radiation workers collecting air samples in accordance with RWP requirements. The inspectors observed that the licensee did not have a system to track and identify trends in the RPR The inspectors also made the same observation regarding Personnel  ;
Contamination Events (PCEs) and TLD vs. SRD discrepancie Additionally, the inspectors noted that the licensee collected information on maintenance rework activities; however, there was no system in place to identify or trend the rework activities that involved significant dos The licensee agreed to review and consider developing a system to track and identify trends in the areas of RPRs, PCEs, TLD vs. SRD discrepancy reports, and maintenance rework activities. The inspectors indicated that his area of tracking and trending would be reviewed in a subsequent inspection and would be tracked by the NRC as an Inspector Follow-up Item (IFI)
  (50-338/89-15-01). External Exposure Control and Personnel Dosimetry (83750) Personnel Dosimetry 10 CFR 20.202 requires each licensee to supply appropriate personnel monitoring equipment to specific individuals and requires the use of such equipment. During a previous radiation protection inspection (50-338/89-05 and 50-339/89-05), the practice of wearing paper coveralls over the plastic bag containing an individual's SRD, which was normally -orn attached to a loop on the outside of the cloth protective clothes (PCs), was identified. This practice would inhibit individuals from checking SRDs frequently in order to keep their exposures as low as reasonably achievable (ALARA). During this  ;
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inspection, it was observed that the licensee had begun the practice
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of wearing the plastic bag containing the SRD outside the paper coveralls by piercing a small hole in the paper coverall so that the  !
tie-ons on the plastic bag could be easily inserted through the hole  I and attached to the loop on the outside of the cloth PC During  !
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tours of the Unit 1 containment,'the inspectors observed that three individuals did not have their SRDs outside of their paper suits
; while entering Unit I containment. The licensee was made aware of
'this proble The ' inspectors also reviewed TLD vs. SRD correlation error reports for 1989. HP procedure HP-5.1.30, Dosimetry Processing and Dose Determination, dated December 22, 1988, described the correlation error reporting methods. The correlation error reporting criteria were as follows: (1) if either the TLD or SRD total exceed 100 millirem (mrem) and the correlation error exceeds 30 percent (%)
(% correlation error = [(TLD-SRD)/TLD] x 100%), then a correlation report would be generated; and (2) if either the TLD or SRD total exceeded 300 mrem and the correlation error exceeded 30%, then the individual would not be allowed to re-enter the radiologically controlled area -(RCA) until either the correlation error is resolved or until authorized by the HP Superintendent. The inspectors did not observe any " criterion 2" type correlation errors. The inspectors noted that during the month of April 1989, over 100 correlation error reports were generated. In or,e case, the TLD dose was approximately 47% greater than the SRD dose (191 mrem vs. 130 mrem). After it was determined that the TLD tested satisfactorily, the TLD dose was assigned t the individual. During the correlation error report review, the inspectors observed that the reports were stored in a cardboard box in no apparent chronological order. There was no attempt made to track the number or trend the type of correlation errors. These reports were usually discarded at the end of each quarte For further information regarding the tracking and trending of these reports, the reader should refer to the Paragraph 2.b. of this repor The inspectors reviewed the quarterly collective TLD and SRD dose correlation from first quarter 1988 through first quarter 1989. During that time period, the SRD collective dose ranged from 24% to 4% greater than the TLD collective dos The inspectors also reviewed personnel doses for calendar year 1989 and noted that as of May 2, 1989, three individuals had accumulated over three rem. All three individuals were maintenance contractor The highest individual doce as of May 2,1989, was 3.862 rem. None of these individuals exceeded 3 rems for the first quarter 1989. It was determined that the licensee satisfied the requirements of 10 CFR 20.101(b) which allows the licensee to permit an individual in a restricted area to receive a total occupational dose to the whole body greater than 1.25 rems per calendar quarter, provided that the provisions in 10 CFR 20.101(b)(1), (2), and (3) are me Control of High Radiation Areas 10 LFR 20.201(b) states that each licensee shall make or cause to be made such surveys as (1) may be necessary for the licensee to comply with regulations in this part, and (2) are reasonable under the
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l circumstances to evaluate the extent of radiation hazards that may be presen .The inspectors reviewed licensee investigation documentation for two events that resulted in personnel receiving an inadvertent dose in excess of the administrative control values to radiation. Both of I
these events were identified by the license On April 9,1989, a crew of mechanics were assigned to replace the packing in two valves (2-RC-81 and 2-RC-101) located in different areas in the Unit 2 "C" loop room. RWP-89-1786 indicated radiation levels of 300 t' 600 mR/hr general area (12 inches) and a 2,000 mR/hr hot spot on contact with valve 2-RC-81. In addition, a full set of protective clothing was required with full face respirator, TLD and SRDs affixed on the workers' head, hands and elbows. Contamination levels were up to 78, 30 dpm/100 cm2 and the workers were required to wear wet suits to protect against hot particle absorptio One mechanic unbolted the packing gland on 2-RC-101 in approximately eight minutes and received 30 mrem on his " head SRD." The same mechanic unbolted the packing gland on 2-RC-81 in approximately eight minutes and received 65 mrem to the head dosimeter. Only the head dosimeter was monitored by the ^HP technician because all other dosimetry was worn under the wet suits. Based on these operations, the HP technician calculated stay times for the other workers at approximately 12 minutes. A second mechanic removed the packing from both valves in 10 minutes and picked up less radiation than the first worke The HP technician then allowed two mechanics to install the packing on both valves at the same time. The licensee's report stated that this diluted the HP technician's coverage of work on valve 2-RC-8 The mechanic, in repairing 2-RC-81, had to lie down on the grating to properly install the packing, whereas the two mechanics that previously worked the valve remained in the squatting position during  4 the repai The final worker, who received the unplanned exposure, was tasked with final assembly of the packing gland and torquing of the packing nuts in accordance with approved procedures. To gain the required position, this mechanic also laid on the grating with his right elbow near the plane of highest radiation. The Virginia Electric and Power quarterly whole body exposure control point of 750 mrem was exceeded when the mechanic received 545 mrem for this job. The individual had received 300 mrem prior to the operation which, when added to this operation, resulted in 845 mrem for the quarter. In discussions with the inspectors, licensee representatives stated that the exact time spent by the mechanic in the area was not determined but difficulties were experienced in installation of the split ring on the gland and in installation of the strongback during repacking and torquin _ ._ _ _ _ ___ _ - - _ _ _ _ _ _ _ - _ - _ _ _ - _ _ . - _ _ _ _ _ _ _ _ _ - _ _ _ _ _ _ _
 
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[  Licensee representatives identified in the investigation the following points:
  (1) The HP contractor technician did not fully understand the administrative controls on exposure imposed by the license (2) Zone coverage of jobs with high potential for unplanned exposure
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should not be encouraged by workers and that HP technicians should not direct their attention away from the worker in these circumstance (3) The source term was not fully understood as related to the workers body configuration with respect to the jo (4) The HP covering the job did not have sufficient dosimetry to comfortably cover the job and did not halt work to obtain needed equipmen Licensee representatives concluded as a result of the investigation that the focus of the workers was on completing the job quickly, that the HP contract technician was not prepared to cover the job, covered too much work at once, and did not devote enough attention to the job. In addition, the pre-job survey did not precisely determine the dose-rete According to the licensee, the root cause of the event was lack of understanding the source term. The short term corrective action was to discuss the administrative exposure limits and emphasize closer control on work activities with the technician. Long term corrective action stated that administrative control values will be discussed with all contract HP technician The inspectors were not able to obtain training material from the licensee that verified that the long term corrective action had been performe The inspectors, in interviews with a licensee HP supervisor, determined that only the HP personnel involved in the event had received any type of briefing regarding corrective actions, not all contract personnel as stated in the deviation report. During the inspection, the inspectors informed licensee management that the corrective actions did not address all problems identified during the event and that, as a result, the corrective action identified was not adequate to prevent recurrence, nor was the long term corrective actian completed as stated. The inspector informed the licensee that t'iis would be considered as a licensee-identified violation (LIV) but would not be cited. Upon evaluation at Region II, this event was reclassified as the first example of an apparent violation of 10 CFR 20.201(b) and TS 6.8.1 (50-338, 339/89-15-02).
 
The second unplanned exposure occurred on May 1, 1989, and involved a maintenance foreman who received 1,640 mrem to his left thigh during the repair of the fuel transfer cart in the Unit 1
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L  . transfer canal. Day: and night shift crews of mechanics made several entries on RWP-89-2-2074 to replace bushings on eight of the sixteen wheels on theLtransfer cart. The 'RWP listed general area dose rates-vas 200.to 14,000 mR/hr. and a contact, hot spot reading of 80 R/h .
^  Contamination levels were listed as up' to.1,000,000 dpm/100 cme and the' area was considered a hot particle area:so disposable coveralls (paper suits)'were required. Full. face respirators and.multibadging was also required.- An entry to repair the transfer cart at 0300 hours ' on. May 1,1989, was planned and a preshift briefine was
  , conducte During the briefing, the HP technicians and workers discussed a~ 200.R/hr. hot spot and general. area radiation levels.of .
  -20 to. 25 R/hr at. one foot. During this and previous entries, a teledose system was used. The worker wore en electronic integrating
  ' dosimeter that sent a readout signal to a receiver / monitor at a remote location from the job sit Head set communications between the workers and personnel at the monitor were planne The HP ~ contract. technician and crew ertered the area and the HP technician took_ surveys when the mechanic was in position to repair the transfer car The technician identified highly localized, non-uniform dose rates and made the worker reorient his body to the job as dose rates to the head were unacceptable. The HP technician resurveyed around the perimeter of the worker's body and noted that dose rates were acceptable. Since the cable was not long enough fnr the headset / monitor connection, headset communication between the worker - (251 foot (ft) elevation) and teledose/ monitor (292 ft elevation) was not possibic. Hence, the headset was placed at the 262.ft elevation. The HP technician left the transfer canal and proceeded' to. the 262 ft elevation to don the headset 'for communicating with the 292 ft. elevation. During transit to the 262 ft elevation, the teledose/ monitor received an alar The'HP technician that had not yet reached the ~ 262 ft elevation was dispatched to remove the worker from the transfer cart work are The licensee estimated thtt approximately 40 seconds had elapsed when the HP technician left the job site and returned to retrieve the worker. The licensee established that, during this time, the worker shifted the position of his body to the job causing the teledose to receive an alarm at a . 275 mrem set poin However, the foreman, during an informal mockup later to determine his position to the source, stated that when he shifted his position just before the teledose alarmed, he still maintained the original orientation to the
      .I jo The HP contract technician returned to the transfer canal job site for a follow-up survey and located an 800 R/hr hot spot contact reading in the fuel basket. The teledose units were source checked and verified operable before and after the job and two follow-up surveys were conducted to verify the 800 R/hr reading. The first follow-up survey did not identify the source but the second survey di l
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The licensee's evaluation of the' event identified the following as contributing factors:
(1) Poor job planning
 
  (a) Poor communications between maintenance and HP led to poor understanding of jou site activities and radiological condition (b) Inadequate survey of the fuel transfer cart and fuel basket because of incomplete understanding of the exact job sit A survey for the transfer canal blank flange elevation was i used for the RWP (c) No craft procedure was available for the high dose, high radiological risk environmen (d) No evaluation of the worker's position relative to the source was made during the planning stage. In this case of ren *;niform, highly localized doses, an evaluation of right-handed versus left-handed orientations would have had a significant ALARA impac (e) Poor work practices compromised the integrity of mechanical component Shif t turnover ~ between maintenance crews information appeared to be poorly documente (2) Delayed worker response to the alarming teledose unit. The worker did not immediately step away from the job site when the teledose alarme (3) Poor communication system between the HP technicians and the worker (4) Schedu1?79 constraints to cor.plete the job in a timely fashio The licensee made recommendations to prevent recurrence in the investigative report; however the inspectors noted that the report was not clear in identifying details for all contributing factors listed. The inspectors noted that the licensee had not identified short term or long term corrective actions and that the investigative report had no, been finalized at the time of the inspectio The inspectors informed licensee representatives and licensee management during the exit interview that the second unplanned exposure, where the mechanic received a dose of 1,640 mrem to his lef; thigh, was considered to have safety significance and had the potenti;l for an exposure above regulatory limits. Also, it was apparent that the quick recovery of the individual from the work area when the teledose alarmed resulted in not exceeding a regulatory dose limit.
 
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l During the inspection, the inspectors identified the following L
similarities in both events to licensee representatives and informed the licensee that' adequate and timely corrective action may have I
prevented the second administrative overexposure event:
1 (1) Radiation surveys performed for the RWP and by the contract L
health physics technicians during the job were inadequate to
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identify the extent of the radiation hazards present.
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M 2 Virginia Electric' and Power. Company-
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(2) Poor communications identified in both events.
 
1 (3) Attention of the HP technician covering the job was not always directed at the job / worke (4) On both jobs, a change in the individual's orientation to the source was considered a facto (5) Inadequate dosimetry in the first event and inadequate response by the worker to dosimetry in the second event. The inspectors noted that for both jobs disposable coveralls or wet suits covered dosimetry that should have been exposed and visible to
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the worker or HP technician covering the jo This was l previously pointed out to the licensee in inspection report
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50-338, 339/89-05, i
The inspectors informed licensee management that failure of HP personnel to perform a radiation survey sufficient to identify the extent of the radiation hazard present was the second example of an apparelt violation of 10 CFR 20.201(b) and TS 6.8.1 (50-338, 339/89-15-02).
 
c. Radiation Work Permits The inspectors observed work being performed under the control of RWPs and verified that the applicable requirements of the RWPs were met, d, Control of Radiation Areas During tours of RCAs, the inspectors reviewed the licensee's posting i and control of radiation, airborne radioactivity, contaminated and i radioactive material areas. The inspectors performed independent !
radiological surveys throughout the RCA of the plant and verified that the radiation levels were consistent with area posting The
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inspectors identified a reading of 90 mR/hr. at 12 inches from the )
Evaporator Demineralized, lower level of the Auxiliary Building. HP .
department personnel verified the reading. Since the demineralized I was in operation, HP conservatively posted the area as a high radiation area.
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'4 -Internal Exposure Control and Assessment (83750) Engineering Controls 10 CFR 20.103(b) requires the licensee to use process or other engineering controls to the extent practical to limit concentrations of radioactive material in air to levels below those specified in 10 CFR Part 20, Appendix B. Table 1, Column During tours of. the Auxiliary Building and the Unit 1 Containment, the inspector observed various engineering controls to limit the concentration of airborne radioactive material. These included the use of ventilation systems equipped with high efficiency particulate air (HEPA) filters and containment enclosures. The licensee used tent enclosures and vendor supplied sealed chambers to decontaminate various tools and items of equipment and to perform maintenance on some contaminated item Internal Assessment The licensee's whole body counting equipment consisted of two Nuclear Data " bed" geometry systems (ND100 and ND6620) which were located in
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the dose control and bioassay field office located outside of the protected area. The inspectors reviewed selected whole body count results for calendar year 1989, and observed that no administrative limits had been exceeded. The licensee's administrative limit, as defined in HP-5.2 B.11, Bioassay Data Evaluation and Follow-up, dated October 1, 1985, is a body burden of 5% of the maximum permissible body burden (MPBB). The inspectors also reviewed selected airborne radioactivity area entry logs for calendar year 1989, and noted that on March 13, 1989, 15 individuals were apparently exposed to greater than 2 MPC-brs in one day while working on lifting the Unit 2 upper internals. However, no individual during that time period had been exposed to 10 MPC-hrs in any seven days. The MPC-hr assignments were based on calculations derived from an air sample collected in the area of the 291 ft level on the refueling floor and not in the breathing air zone. The licensee recognized this problem, collected additional air samples, obtained whole body counts on all individuals involved with the upper internals lift, and discussed with technicians the proper technique in collecting a breathing zone air sample. The additional air samples that were collected were below 10% of MPC except for one nir sample which was 38% of MPC, As
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mentioned earlier, all whole body counts of the individuals were less than the minimum detectable activity of the counting syste Additionally, the inspectors reviewed Deviation Report #B7-1073 which described an event involving a greater than 40 MPC-hours inhalation of Co-58 and Co-60. The report provided a description of the incident, description of the location and circumstances, chronology of events, cause of the incident, radiological evaluation, and the corrective actions. The event occurred on September 17, 1987, when a
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ATTN: Mr. W. R. Cartwright. Vice President, Nuclear Operations 5000 Dominion Boulevard Glen Allen, VA 23060
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Gentlemen:
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SUBJECT:. NRC INSPECTION REPORT NOS. 50-338/89-15 AND 50-339/89-15 Thank you for~your. response of July: 14, 1989, to o'ur Notice of Violation, issued onLJune 15,-1989, concerning activities conducted at your North Anna -
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i    contract Senior HP Technician was inttructed to survey the intake of the Process Vent' Filter (1-GW-FL-18) housing, located.on the 274 ft level .of: the Auxiliary Building for a- radiation hot spot causing Approximately 700 mR/hr. contact dose rate. . The technician's goal
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was to locate. and possibly remove .the radioactive material causing the hot-spot. Based 'on survey results, it was assumed that the hot spot was a point source, possibly a.small piece of; resi The technician was able to localize a spot.inside the housing reading 800 mR/hr-(contact) using a closed window on an R0-2. To reach the      .
    . spot.and. read the mater.with a flashlight, the technician had to' lean inside the filter housing. The technician attempted to wipe away the materia 12 causing the hot spot with masslinn. Upon finding that the=
masslinn cloth,was covered with fine black dust. reading 1200 -(open)
and:150 (closed) mR/hr on an R0-2, the techt.ician suspected an-intake
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of radioactive: material. The technician frisked his nose and mouth area. and observed 200 ' counts above backgroun A whole' body count was subsequently performed and an intake of 255 nanocuries (nCi)
C0-58 and 66.6 nCi Co-60 was confirmed. The technician was barred from entering the RCA,. scheduled for daily whole body counts, and      .
requested to supply a urine sample. Based on a 96 hour retention period after- the intake, the technician was assigned the following bioassay.results:
0.71%  MPBB 6.74%  maximum permissible organ burden (MP0B)-
41.38  MPC-hours The activity was eliminated from the body with an average effective L    halflife of 3.7 day On September 25, 1987, whole body count I    results indicated less than 5% MP0 On October 1,1987, the
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technician's whole body count result showed less- than 1% MP0B. The presence of Co-58 and'Co-60 was confirmed by gamma isotopic analysis
    - of the mass 11n. Mn-54 and Nb-59 were also present; however, the quantities present were less than 3% of the total. The Co-58/Co-60 ratio as determined by the whole body count results agreed favorably with the gamma isotopic results. The urinalysis results generally
    ' agreed with the whole body count result The inspectors reviewed the licensee's evaluation of the event and the corrective' actions taken to assure against recurrence as required by 10 CFR 20.103(b)(2).        The corrective actions included-incorporation of the lessons learned from the event into the site specific training for contract HP technicians. Some of the lessons learned included recognizing a non-routine task for which a special RWP is necessary, recognizing a situation where the creation of airborne activity is likely and respiratory protection will always be required, and emphasizing to contract HP supervisory personnel the need~ to request special RWP's for non-routine tasks. The HP technician and his immediate supervisor were formally counseled with regard' to appropriate use of RWPs and procedure complianc The
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I corrective actions- and evaluation appeared adequate to meet the requirements of 10 CFR 20.103(b)(2).
 
No violations or deviations were identified,  i
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5. Control of Radioactive Material and Contamination, Surveys, and j
Monitorings(83750)
. Area and Personnel Contamination The licensee maintains approximately 105,000 square feet (ft2),
excluding containment, as radiologically controlled. In 1988, nine percent or approximately 9,800 fte was contaminated. Since the beginning of the outage, the contaminated area of the plant had increased to approximately 15,000 f Licensee representatives stated that most of the increase in contaminated area was due to laydown and storage areas for outage related equipment.
 
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The inspectors reviewed Personnel Contamination Events (PCEs) for-1989 and the current refueling outage. Licensee representatives stated that the goal for 1989 was less than 400 PCEs. Through May 2, 1989, the licensee documented 281 PCE As a measure to reduce the number of PCEs, the licensee has recently instituted a program to prohibit anyone from entering the RCA who had an instance of contamination on the skin or clothing until the individual attended a one-on-one coaching session with the Plant Manager or Superintendent of H The inspectors noted during the PCE review that the root causes of !
many of the PCEs were not always listed or were not defined sufficiently to trend performance in this are Licensee representatives stated that HP was responsible for documenting PCEs, but the reports were forwarded to the Human Performance Evaluation Section (HPES) for evaluation. Licensee representatives were not knowledgeable of any adverse trends regarding PCEs other than the number of PCEs to date. When interviewed, HPES personnel stated that no provisions had been made to evaluate adverse trends. The inspectors discussed with licensee management the decline of the previous trending program and stated that important performance information was not available. In the past, the licensee tracked and trended PCEs to the extent that details, such as, the number of PCEs involving the various types of poor radiological work practices and contamination events that occurred in clean areas of the RCA were identified, As a result, corrective actions were developed for the identified adverse trends. Licensee management stated that they would review the reestablishment of trending PCEs (see Paragraph 2.b).
 
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b. - Monitorin The inspectors observed that HP technicians were involved in the cleanup and close out of Unit 2 prior to returning the unit-to-powe The inspectors interviewed HP personnel to determine the extent of HP involvement in responsibilities for cleanliness (housekeeping) of the Most' of the approximately'six to eight HP technicians
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RC interviewed stated. that they spent significant amounts of time in cleaning up-areas. The technicians indicat'ed _that they were being held responsible for overall housekeeping in the RCA. An HP representative stated that when areas became too cluttered with tools and waste during the job that a hold was placed on tk operation until.the area'was cleaned. However, this practice be ,e a frequent
. occurrence and pressures to complete work on schedule from management resulted in decreasing - the holds placed on jobs / ares. The HP representative indicated that HP technicians were :too involved in housekeeping and that_ job coverage was being diluted. As an example, the forema'n stated that one of his technicians spent two hours on job coverage-and_ ten hours on housekeeping in one shift. The inspectors asked security to provide an -access _ tape of selected mechanicel maintenance foremen entering containment during the outage as an
  ~ indicator of their involvement with the problem of cleanup during and after operations. The inspectors reviewed the data and noted out of the six maintenance foremen listed, only two had been in either -
Unit 1 or Unit 2 containment during the outage (approximately 30-40 days). Based on the inspectors review of the data and interviews with HP personnel, the inspectors discussed with licensee management the potential for diluting HP technician radiological coverage of work ' in progres The inspectors stated that no events were yet identified that had resulted in inadequate radiological coverage due to. housekeeping responsibilities. Licensee management stated that they were aware of HP being under pressure due to the outage, but were not aware of problems in the area of housekeepin Radiation Detection and Survey Instrumentation During area " tours, the inspectors observed the use of survey instruments by HP personne The inspectors examined calibration stickers.on radiat;cn protection instruments in use and at various areas throughout the plan Instrument use appeared to be in accordance with standard practice and all instruments examined had been calibrate . Program for Maintaining Exposure As Low As Reasonably Achievable (ALARA)
(83750)
10 CFR 20.1(c) states that persons engaged in activities under licenses issued by the NRC should make every reasonable effort to maintain radiation exposures ALAR The recommended elements of an ALARA program are contained in Regulatory Guides 8.8, Information Relevant to Ensuring that Occupational Radiation Exposure at Nuclear Stations will be ALARA;
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L, F and 8.10, Operatingi Philosophy for. Maintaining Occupational Radiation l; Exposures ALAR Goals and Objectives During )this' inspection, Unit'l was in day 70 of its outage whi'e
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Unit 2 was in the last week of its , outage. .. The estimated 1989-
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collective -dose. goal for the station was set at 994. ;erson-rem or k  497 person-rem: per reactor. ' As of - April 30, 1989, the station' collective dose was 824 person-rem.- The inspectors reviewed the estimated and actual collective dose data for Loth Unit 1 and Unit 2 refueling outages., The total estimated collective dose for the z  Unit 1 outage was set at 569 person-rem while the estimate for Unit 2 was set'at 678 person-rem. As of May 4, 1989, the actual collective
!  - dose for the-Unit.1 outage was'159 person-rem and 628 person-rem for Unit 2. . It should be noted that the station's -annual goal was o  estimated.to be exceeded by 253 person-rem (1,247 person-rem [ station
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outage estimate]. - 994 person-rem [ station goal]) due- to additional scope and unplanned work. - - Some of the additional scope included -
in-service inspections, steam generator tube' plug removal and replacement, replacement of Unit 2 reactor head, and ' removal and
  ; replacement of small bore snubber ALARA Suggestion Program
  .The inspectors . observed that ALARA suggestions were encouraged and-
;  . solicited from all plant: employees. The licensee provides cash
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  - incentives on a quarterly basis to the individual who submits 'the best ALARA suggestion that is adopted for action. Based on a
!  selective review of ALARA suggestions for the last several years, it was quite apparent that the. licensee's ALARA suggestion program was effective in soliciting suggestion The following provides a sumary from 1983 to 1989 of ALARA suggestions received and accepted:
ALARA Suggestions
  . Year  Received Accepted 1983  55  34 1984  55  7 1985  23  5 1986  40  15 t-  1987  32  12 1988  75  24
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1989(to4/13/89) 19  4 The inspectors observed that, for the years 1983 to 1987, there were approximately 20 ALARA suggestions that are still incomplete. It should be pointed out that many of those suggestions required engineering reviews and/or significant resources to complete. The-licensee was actively tracking the incomplete ALARA suggestions via the Monthly Station ALARA Committee Meeting Minutes and had
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.  ' established a goal for 1989 to eliminate.the 1983 through 1987 ALARA suggestion backlo '
c.- High Dose Jobs
    .The inspectors reviewed the estimated and actual collective dose data for the various jobs with the potential for .high dose for both
    ' Units 1 and 2. The inspector. discussed these jobs with'the Site L  .ALARA Coordinator. . Additionally, the inspectors compared the averag collective dose for the outage high-dose jobs listed in Table ~3-3.of NUREG/CR-4254, Occupational Dose Reduction and ALARA at Nuclear Power
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Plants:. . Study on High-Dose' Jobs, Radwaste. Handling and ' ALARA .
Incentives, with currently available Unit 2 outage data. . . Some' of the job. categories could not -be compared directly- since the licensee
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classified some jobs- differently. The .following ' table lists the job
    ' title and average collective dose for Westinghouse Pressurized-Water
    . Reactors:as- summarized in NUREG/CR-4254 and compares them to the-licensee's. actual collective dose used for the 1989 Unit 2 refueling outage:
Table 1 CollectiveDose.-(man-rem)
    ' Job Title  NUREG/CR-4254 North Anna (U2/1989)
1. Snubber, Hanger, and Anchor Bolt Inspection and Repai '2. Steam Generator Edd Current Testing  50  65 3.-Reactor Disassembly /
Assembly  48  30-
    -4. Steam Generator Tube Plugging-  47  13
    .5. In-Service Inspection  46  55 6. Plant Decontamination  45  13 (as of 5/3/89)
7. Primary Valve Maintenance and Repair  30  46 8. Scaffold Installation /
Removal  30  8 (as of 5/3/89)
9. Reactor Coolant Pump Seal Replacement  17  4
'. ,  10. Steam Generator Manway Removal / Replacement 16  3 11. Secondary Side Steam Generator Inspection /
Repair  11  11 12. Fuel Shuffle / Sipping and Inspection  9  3
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13. Operations--Surveillance, Routines, and Valve Lineups  7 16 (as of 5/3/89)
14. Cavity Decontamination 6 8 15. Radwaste System Repair, Operation, and Maintenance 5 5 (as of 5/3/89)
1.6 Residual Heat Removal System Repair and Maintenance  3 2 The following high-dose jobs performed by the licensee on Unit 2 were not included in the jobs listed in Table 1: '(1) Design Change Package - Large Bore Snubber Removal (82 man-rem [ actual]) and (2)
Removal of Steam Generator Tube Plugs-(93 man-rem [ actual]).
The licensee was actively tracking the collective doses for all jobs and had the capability to track which jobs were over the projected amount The licensee also tracked collective dose by department (Health Physics, Maintenance, Operations, Nuclear Site Services, Instrumentation / Chemistry, Power Engineering, and Quality Assurance / Quality Control). The jobs which contributed to precluding the. licensee from meeting its goal included: eddy current testing activities; replacement of Unit 2 reactor head; removal / replacement of small. bore snubbers; and steam generator tube mechanical plug remova The inspectors also reviewed the licensee's criteria for pre-job and post-job ALARA reviews. These criteria were specified in HP-5.4.30, ALARA Pre-job and Post-job Reviews, April 9,1987. The pre-job review criteria were as follows:
  (a) less than 1 man-rem: normal RWP preparation (b) greater than or equal to 1 man-rem: pre-job ALARA review performed under ALARA Coordinator prior to RWP issue (c) greater than or equal to 10 man-rem: above requirements and approval by station ALARA Committee (d) greater than or equal to 50 man-rem: above requirements and approval by both Station Manager and ALARA Coordinating Committee The post-job review criteria were as follows:
  (a) less than 1 man-rem: normal job close out process (b) Perform a post-job review and in addition meet with cognizant job supervisor when:
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  (1) greater than or equal to 1 man-rem and exceeded projected man-rem by 125%
  (2) greater than or equal to 10 man-rem (3) * RWP required two or more RWP ALARA evaluations (4) * As ALARA Coordinator deems necessary In addition, (5). greater than or equal to 25 man-rem: The station ALARA Coordinator shall (1) prepare brief job summary and post-job critique with responsible job supervisor and (2)
schedule Station ALARA Committee (SAC) review and approval of post-job review and critique report. . The SAC shall (1)
review post-job summary ano critique; (2) review applicable ALARA evaluation documents; (3) make comments and recommendations as required;.and (4) obtain approval by SAC Chai rma It was apparent that the licensee had a very good program established for performing the necessary review of jobs involving significant dose. - During this inspection, it was observed that only one post-job review (replace flange gasket on Unit 2-RC-R0-2) had been complete Approximately 20 jobs requiring post-job reviews were remaining. It should be noted that the station was in a dual unit outage and, tFtrefore, approximately twice the number of post-job reviews would be required. The inspectors noted the potential backlog problem, and indicated to the licensee that this area would be reviewed during subsequent inspection No violations or deviations were identifie . Exit Interview The inspectors met with licensee representatives (denoted in Paragraph 1)
at the conclusion of the inspection on May 5,198 The inspectors summa.ized the scope and findings of the inspection, including the violation and.IFI. The inspectors also discussed the likely informational content of the inspection report with regard to documents or processes reviewed by the inspectors during the inspection. The licensee did not identify any such documents or processes as proprietary. Dissenting comments were not received from the license During the exit interview, an apparent LIV dealing with an inadequate survey resulting in unplanned dose to a worker was discussed. Based upon careful consideration and evaluation of the adequacy and timeliness of the l licensee's corrective action for failure to make an adequate survey to prevent recurrence of an event similar to the first event in which an individual exceeded the station's quarterly whole body dose control value,
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1 facility. . We have evaluated your response and found 'that- it meets the requirements' of 10 CFR. 2.201.. We will examine the implementation of your
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  . corrective actions during future inspection We appreciate.your cooperation .in this matte
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it was determined that the LIV would be considered as another example of an apparent violation of 10 CFR 20.201(b). NRC management considered the corrective action for the first example of exceeding the administrative control value to be neither timely nor comprehensive. Licensee management was notified of this decision by telephone on May 16,1989 (Paragraph 3.b.).
Item Number  Description and Reference 50-338/89-15-01  IFI - Develop system to track and identify trends in the areas of: RPRs, PCEs, TLD/SRD discrepancies, and maintenance rework activities (Paragraph 2.b).
 
50-338, 339/89-15-02  VIO - Failure to perform adequate radiation surveys necessary to prevent individuals from receiving an exposure to radiation above the station administrative control value (two examples) (Paragraph 3.b).


Sincerely, OriginalSigWed By D.M.Comespp Douglas'M. Collins, Chie '
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Emergency Preparedness and
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Radiological Protection. Branch-Division of Radiation Safety and Safeguards-cc: G. E. Kane, Station Manage . F. Saunders, Manager - Nuclear Programs and Licensing Commonwealth of Virginia bec: NRC Resident Inspector Document Control Desk
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R11  RI . S  RI WGloersen J o ter  P edrickson 7/2/89 7Ag89  767/89 j@S !S8c! $$0kjS      t*
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Revision as of 21:31, 24 January 2022

Insp Repts 50-338/89-15 & 50-339/89-15 on 890501-05. Violation Noted.Major Areas Inspected:Radiation Protection Program,Including Review of Areas of External & Internal Exposure Control & Program to Maintain Doses ALARA
ML20245D351
Person / Time
Site: North Anna  Dominion icon.png
Issue date: 06/02/1989
From: Gloersen W, Potter J, Shortridge R
NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION II)
To:
Shared Package
ML20245D341 List:
References
50-338-89-15, 50-339-89-15, NUDOCS 8906270080
Download: ML20245D351 (19)


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UNITED STATES m: /+#g; .. ' i--.

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g NUCLEAR REGULATORY COMMISSION

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, REGION 11

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i M, j 101 MARIETTA STREET, ? E ATLANTA, GEORGI A 30323

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f JUNi5 Igg Repo.rt Nos a . 50-338/89-15 and 50-339/89-15'

Licensee: Virginia Electric and Power Compan . Glen Allen, VA 23060

Doc'ket'Nos.: 50-338 and 50-339' Licer.se Nos.: NPF-4 and'NPF-7 T Facility Name: North' Anna 1 and:2

. Inspection Conducted: May 1-5, 1989

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Inspectors h-6 M $31/6'l W. B. Gloersdn ' V Date Signed b<AhAnbdD R. B 05 rtr' "

r/si/91 Date igned Approved by:

J.7. - Potter, Chief

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Date Signed racilities and Radiation Protection Section Emergency Preparedness and Radiological Protection Branch Division of Radiation Safety and Safeguards SUMMARY Scope:

This routine, unann'ounced inspection cf the licensee's radiation ~ protection program consisted of a review'in the areas of external and internal exposure control; control of radioactive material and contamination, surveys, and monitoring; and the program to maintain. doses as low as reasonably achievable

.(ALARA). The inspection also involved observations of health physics job coverage during the dual unit outag Results:

'In the ' areas inspected, one violation (with two examples) was identified for ifailure to make an adequate survey (Paragraph 3.b.). Of particular concern was the apparent lack of timely implementation of the corrective action for the violation 'which occurred on April 9, 198 In general, the licensee's .

radiation protection program appeared to be functioning as necessary to protect the health and safety of the occupational radiation workers. However, it appears that the station's 1989 annual collective dose will significantly exceed its 1989 projected collective dose. Contributing factors to the high collective dose included (1) extended simultaneous dual unit outages; (2) large core snubber removal; and (3) removal and replacement of steam generator tube plugs. As of April 30, 1989, the station's collective dose was approximately

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8906270080 8906'15 PDR ADOCK 05000338

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b; 824 person-rem which represented appropriately 83 percent of the 1989 budgeted collective dose (994 person-rem).

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REPORT DETAILS

' Persons Contacted Licensee Employees J. Atkins, Health Physics Trainee

  • Bowling, Assistant Station Manager, Nuclear Safety and Licensing E. Dreyer, Supervisor, Technical Services, Health Physics
  • R. Driscoll, Manager, Quality Assurance R. Enfinger, Assistant Station Manager, Operations and Maintenance R. Irwin, Supervisor, Operations, Health Physics T. Johnson, ALARA Coordinator, Health Physics
  • P. Kemp, Supervisor, Licensing
  • J. Leberstein, Licensing Specialist, Licensing N. Nicholson, Staff Health Physicist J. O'Connell, Shift Supervisor, Health Physics T. Peters, Assistant Supervisor, Dose Control and Bioassay, Health Physics

'A. Stafford, Superintendent, Health Physics

  • W. Thornton, Director, Health Physics and Chemistry, Corporate
  • F. Wolking, Senior Staff Health Physicist, Corporate Other licensee employees contacted during this inspection included craftsmen, engineers, operators, mechanics, and technician Nuclear Regulatory Commission
  • J. Munro, Resident inspector
  • Attended exit interview Organization and Management Controls (83750)

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L Organization The liransee is required by Technical Specification (TS) 6.2 to implement the plant organization specified in TS Figures 6.2-1. The responsibilities, authority and other management controls were i

further outlined in Chapters 12 and 13 of the Final Safety Analysis

! Report (FSAR). TS 6.2 also specified the members of the Station Nuclear Safety and Operating Committee (SNSOC) and outlined its l function and authorit Regulatory Guide 8.8 specified certain

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functions and responsibilities to be assigned to the Radiation  !

l Protection Manager and radiation protection responsibilities to be assigned to line managemen The inspector reviewed the licensee's station health physics (HP)

organization. No significant changes to the organization had taken place since the last inspection other than the permanent assignment b - -_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

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to the position of HP Supervisor (Radiological Engineering). There appeared to be adequate management support to implement essential y elements of the radiation protection program.as necessar Menagement Controls The inspectors reviewed.various reports, including Radiation Problem Reports, Personnel Contamination Events Station Deviation Reports, and thermoluminescent (TLD) vs. self-reading dosimeter (SRD)

discrepancy reports, which wculd provide information on program quality. The licensee's Radiation Problem Reports (RPRs) were used to identify and document safety and radiological problems noted by HP personnel in the p' ant. One RPR dealt with an administrative overexposure which is discussed further in Paragraph 3.b. Most of the other problems identified in these RPRs were concerned with compliance of personnel with various procedural or radiation work-permit (RWP) requirements. A few of the RPRs identified problems .

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with advanced radiation workers collecting air samples in accordance with RWP requirements. The inspectors observed that the licensee did not have a system to track and identify trends in the RPR The inspectors also made the same observation regarding Personnel  ;

Contamination Events (PCEs) and TLD vs. SRD discrepancie Additionally, the inspectors noted that the licensee collected information on maintenance rework activities; however, there was no system in place to identify or trend the rework activities that involved significant dos The licensee agreed to review and consider developing a system to track and identify trends in the areas of RPRs, PCEs, TLD vs. SRD discrepancy reports, and maintenance rework activities. The inspectors indicated that his area of tracking and trending would be reviewed in a subsequent inspection and would be tracked by the NRC as an Inspector Follow-up Item (IFI)

(50-338/89-15-01). External Exposure Control and Personnel Dosimetry (83750) Personnel Dosimetry 10 CFR 20.202 requires each licensee to supply appropriate personnel monitoring equipment to specific individuals and requires the use of such equipment. During a previous radiation protection inspection (50-338/89-05 and 50-339/89-05), the practice of wearing paper coveralls over the plastic bag containing an individual's SRD, which was normally -orn attached to a loop on the outside of the cloth protective clothes (PCs), was identified. This practice would inhibit individuals from checking SRDs frequently in order to keep their exposures as low as reasonably achievable (ALARA). During this  ;

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inspection, it was observed that the licensee had begun the practice

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of wearing the plastic bag containing the SRD outside the paper coveralls by piercing a small hole in the paper coverall so that the  !

tie-ons on the plastic bag could be easily inserted through the hole I and attached to the loop on the outside of the cloth PC During  !

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tours of the Unit 1 containment,'the inspectors observed that three individuals did not have their SRDs outside of their paper suits

while entering Unit I containment. The licensee was made aware of

'this proble The ' inspectors also reviewed TLD vs. SRD correlation error reports for 1989. HP procedure HP-5.1.30, Dosimetry Processing and Dose Determination, dated December 22, 1988, described the correlation error reporting methods. The correlation error reporting criteria were as follows: (1) if either the TLD or SRD total exceed 100 millirem (mrem) and the correlation error exceeds 30 percent (%)

(% correlation error = [(TLD-SRD)/TLD] x 100%), then a correlation report would be generated; and (2) if either the TLD or SRD total exceeded 300 mrem and the correlation error exceeded 30%, then the individual would not be allowed to re-enter the radiologically controlled area -(RCA) until either the correlation error is resolved or until authorized by the HP Superintendent. The inspectors did not observe any " criterion 2" type correlation errors. The inspectors noted that during the month of April 1989, over 100 correlation error reports were generated. In or,e case, the TLD dose was approximately 47% greater than the SRD dose (191 mrem vs. 130 mrem). After it was determined that the TLD tested satisfactorily, the TLD dose was assigned t the individual. During the correlation error report review, the inspectors observed that the reports were stored in a cardboard box in no apparent chronological order. There was no attempt made to track the number or trend the type of correlation errors. These reports were usually discarded at the end of each quarte For further information regarding the tracking and trending of these reports, the reader should refer to the Paragraph 2.b. of this repor The inspectors reviewed the quarterly collective TLD and SRD dose correlation from first quarter 1988 through first quarter 1989. During that time period, the SRD collective dose ranged from 24% to 4% greater than the TLD collective dos The inspectors also reviewed personnel doses for calendar year 1989 and noted that as of May 2, 1989, three individuals had accumulated over three rem. All three individuals were maintenance contractor The highest individual doce as of May 2,1989, was 3.862 rem. None of these individuals exceeded 3 rems for the first quarter 1989. It was determined that the licensee satisfied the requirements of 10 CFR 20.101(b) which allows the licensee to permit an individual in a restricted area to receive a total occupational dose to the whole body greater than 1.25 rems per calendar quarter, provided that the provisions in 10 CFR 20.101(b)(1), (2), and (3) are me Control of High Radiation Areas 10 LFR 20.201(b) states that each licensee shall make or cause to be made such surveys as (1) may be necessary for the licensee to comply with regulations in this part, and (2) are reasonable under the

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l circumstances to evaluate the extent of radiation hazards that may be presen .The inspectors reviewed licensee investigation documentation for two events that resulted in personnel receiving an inadvertent dose in excess of the administrative control values to radiation. Both of I

these events were identified by the license On April 9,1989, a crew of mechanics were assigned to replace the packing in two valves (2-RC-81 and 2-RC-101) located in different areas in the Unit 2 "C" loop room. RWP-89-1786 indicated radiation levels of 300 t' 600 mR/hr general area (12 inches) and a 2,000 mR/hr hot spot on contact with valve 2-RC-81. In addition, a full set of protective clothing was required with full face respirator, TLD and SRDs affixed on the workers' head, hands and elbows. Contamination levels were up to 78, 30 dpm/100 cm2 and the workers were required to wear wet suits to protect against hot particle absorptio One mechanic unbolted the packing gland on 2-RC-101 in approximately eight minutes and received 30 mrem on his " head SRD." The same mechanic unbolted the packing gland on 2-RC-81 in approximately eight minutes and received 65 mrem to the head dosimeter. Only the head dosimeter was monitored by the ^HP technician because all other dosimetry was worn under the wet suits. Based on these operations, the HP technician calculated stay times for the other workers at approximately 12 minutes. A second mechanic removed the packing from both valves in 10 minutes and picked up less radiation than the first worke The HP technician then allowed two mechanics to install the packing on both valves at the same time. The licensee's report stated that this diluted the HP technician's coverage of work on valve 2-RC-8 The mechanic, in repairing 2-RC-81, had to lie down on the grating to properly install the packing, whereas the two mechanics that previously worked the valve remained in the squatting position during 4 the repai The final worker, who received the unplanned exposure, was tasked with final assembly of the packing gland and torquing of the packing nuts in accordance with approved procedures. To gain the required position, this mechanic also laid on the grating with his right elbow near the plane of highest radiation. The Virginia Electric and Power quarterly whole body exposure control point of 750 mrem was exceeded when the mechanic received 545 mrem for this job. The individual had received 300 mrem prior to the operation which, when added to this operation, resulted in 845 mrem for the quarter. In discussions with the inspectors, licensee representatives stated that the exact time spent by the mechanic in the area was not determined but difficulties were experienced in installation of the split ring on the gland and in installation of the strongback during repacking and torquin _ ._ _ _ _ ___ _ - - _ _ _ _ _ _ _ - _ - _ _ _ - _ _ . - _ _ _ _ _ _ _ _ _ - _ _ _ _ _ _ _

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[ Licensee representatives identified in the investigation the following points:

(1) The HP contractor technician did not fully understand the administrative controls on exposure imposed by the license (2) Zone coverage of jobs with high potential for unplanned exposure

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should not be encouraged by workers and that HP technicians should not direct their attention away from the worker in these circumstance (3) The source term was not fully understood as related to the workers body configuration with respect to the jo (4) The HP covering the job did not have sufficient dosimetry to comfortably cover the job and did not halt work to obtain needed equipmen Licensee representatives concluded as a result of the investigation that the focus of the workers was on completing the job quickly, that the HP contract technician was not prepared to cover the job, covered too much work at once, and did not devote enough attention to the job. In addition, the pre-job survey did not precisely determine the dose-rete According to the licensee, the root cause of the event was lack of understanding the source term. The short term corrective action was to discuss the administrative exposure limits and emphasize closer control on work activities with the technician. Long term corrective action stated that administrative control values will be discussed with all contract HP technician The inspectors were not able to obtain training material from the licensee that verified that the long term corrective action had been performe The inspectors, in interviews with a licensee HP supervisor, determined that only the HP personnel involved in the event had received any type of briefing regarding corrective actions, not all contract personnel as stated in the deviation report. During the inspection, the inspectors informed licensee management that the corrective actions did not address all problems identified during the event and that, as a result, the corrective action identified was not adequate to prevent recurrence, nor was the long term corrective actian completed as stated. The inspector informed the licensee that t'iis would be considered as a licensee-identified violation (LIV) but would not be cited. Upon evaluation at Region II, this event was reclassified as the first example of an apparent violation of 10 CFR 20.201(b) and TS 6.8.1 (50-338, 339/89-15-02).

The second unplanned exposure occurred on May 1, 1989, and involved a maintenance foreman who received 1,640 mrem to his left thigh during the repair of the fuel transfer cart in the Unit 1

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L . transfer canal. Day: and night shift crews of mechanics made several entries on RWP-89-2-2074 to replace bushings on eight of the sixteen wheels on theLtransfer cart. The 'RWP listed general area dose rates-vas 200.to 14,000 mR/hr. and a contact, hot spot reading of 80 R/h .

^ Contamination levels were listed as up' to.1,000,000 dpm/100 cme and the' area was considered a hot particle area:so disposable coveralls (paper suits)'were required. Full. face respirators and.multibadging was also required.- An entry to repair the transfer cart at 0300 hours0.00347 days <br />0.0833 hours <br />4.960317e-4 weeks <br />1.1415e-4 months <br /> ' on. May 1,1989, was planned and a preshift briefine was

, conducte During the briefing, the HP technicians and workers discussed a~ 200.R/hr. hot spot and general. area radiation levels.of .

-20 to. 25 R/hr at. one foot. During this and previous entries, a teledose system was used. The worker wore en electronic integrating

' dosimeter that sent a readout signal to a receiver / monitor at a remote location from the job sit Head set communications between the workers and personnel at the monitor were planne The HP ~ contract. technician and crew ertered the area and the HP technician took_ surveys when the mechanic was in position to repair the transfer car The technician identified highly localized, non-uniform dose rates and made the worker reorient his body to the job as dose rates to the head were unacceptable. The HP technician resurveyed around the perimeter of the worker's body and noted that dose rates were acceptable. Since the cable was not long enough fnr the headset / monitor connection, headset communication between the worker - (251 foot (ft) elevation) and teledose/ monitor (292 ft elevation) was not possibic. Hence, the headset was placed at the 262.ft elevation. The HP technician left the transfer canal and proceeded' to. the 262 ft elevation to don the headset 'for communicating with the 292 ft. elevation. During transit to the 262 ft elevation, the teledose/ monitor received an alar The'HP technician that had not yet reached the ~ 262 ft elevation was dispatched to remove the worker from the transfer cart work are The licensee estimated thtt approximately 40 seconds had elapsed when the HP technician left the job site and returned to retrieve the worker. The licensee established that, during this time, the worker shifted the position of his body to the job causing the teledose to receive an alarm at a . 275 mrem set poin However, the foreman, during an informal mockup later to determine his position to the source, stated that when he shifted his position just before the teledose alarmed, he still maintained the original orientation to the

.I jo The HP contract technician returned to the transfer canal job site for a follow-up survey and located an 800 R/hr hot spot contact reading in the fuel basket. The teledose units were source checked and verified operable before and after the job and two follow-up surveys were conducted to verify the 800 R/hr reading. The first follow-up survey did not identify the source but the second survey di l

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The licensee's evaluation of the' event identified the following as contributing factors:

l (1) Poor job planning

(a) Poor communications between maintenance and HP led to poor understanding of jou site activities and radiological condition (b) Inadequate survey of the fuel transfer cart and fuel basket because of incomplete understanding of the exact job sit A survey for the transfer canal blank flange elevation was i used for the RWP (c) No craft procedure was available for the high dose, high radiological risk environmen (d) No evaluation of the worker's position relative to the source was made during the planning stage. In this case of ren *;niform, highly localized doses, an evaluation of right-handed versus left-handed orientations would have had a significant ALARA impac (e) Poor work practices compromised the integrity of mechanical component Shif t turnover ~ between maintenance crews information appeared to be poorly documente (2) Delayed worker response to the alarming teledose unit. The worker did not immediately step away from the job site when the teledose alarme (3) Poor communication system between the HP technicians and the worker (4) Schedu1?79 constraints to cor.plete the job in a timely fashio The licensee made recommendations to prevent recurrence in the investigative report; however the inspectors noted that the report was not clear in identifying details for all contributing factors listed. The inspectors noted that the licensee had not identified short term or long term corrective actions and that the investigative report had no, been finalized at the time of the inspectio The inspectors informed licensee representatives and licensee management during the exit interview that the second unplanned exposure, where the mechanic received a dose of 1,640 mrem to his lef; thigh, was considered to have safety significance and had the potenti;l for an exposure above regulatory limits. Also, it was apparent that the quick recovery of the individual from the work area when the teledose alarmed resulted in not exceeding a regulatory dose limit.

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similarities in both events to licensee representatives and informed the licensee that' adequate and timely corrective action may have I

prevented the second administrative overexposure event:

1 (1) Radiation surveys performed for the RWP and by the contract L

health physics technicians during the job were inadequate to

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identify the extent of the radiation hazards present.

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(2) Poor communications identified in both events.

1 (3) Attention of the HP technician covering the job was not always directed at the job / worke (4) On both jobs, a change in the individual's orientation to the source was considered a facto (5) Inadequate dosimetry in the first event and inadequate response by the worker to dosimetry in the second event. The inspectors noted that for both jobs disposable coveralls or wet suits covered dosimetry that should have been exposed and visible to

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the worker or HP technician covering the jo This was l previously pointed out to the licensee in inspection report

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The inspectors informed licensee management that failure of HP personnel to perform a radiation survey sufficient to identify the extent of the radiation hazard present was the second example of an apparelt violation of 10 CFR 20.201(b) and TS 6.8.1 (50-338, 339/89-15-02).

c. Radiation Work Permits The inspectors observed work being performed under the control of RWPs and verified that the applicable requirements of the RWPs were met, d, Control of Radiation Areas During tours of RCAs, the inspectors reviewed the licensee's posting i and control of radiation, airborne radioactivity, contaminated and i radioactive material areas. The inspectors performed independent !

radiological surveys throughout the RCA of the plant and verified that the radiation levels were consistent with area posting The

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inspectors identified a reading of 90 mR/hr. at 12 inches from the )

Evaporator Demineralized, lower level of the Auxiliary Building. HP .

department personnel verified the reading. Since the demineralized I was in operation, HP conservatively posted the area as a high radiation area.

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'4 -Internal Exposure Control and Assessment (83750) Engineering Controls 10 CFR 20.103(b) requires the licensee to use process or other engineering controls to the extent practical to limit concentrations of radioactive material in air to levels below those specified in 10 CFR Part 20, Appendix B. Table 1, Column During tours of. the Auxiliary Building and the Unit 1 Containment, the inspector observed various engineering controls to limit the concentration of airborne radioactive material. These included the use of ventilation systems equipped with high efficiency particulate air (HEPA) filters and containment enclosures. The licensee used tent enclosures and vendor supplied sealed chambers to decontaminate various tools and items of equipment and to perform maintenance on some contaminated item Internal Assessment The licensee's whole body counting equipment consisted of two Nuclear Data " bed" geometry systems (ND100 and ND6620) which were located in

the dose control and bioassay field office located outside of the protected area. The inspectors reviewed selected whole body count results for calendar year 1989, and observed that no administrative limits had been exceeded. The licensee's administrative limit, as defined in HP-5.2 B.11, Bioassay Data Evaluation and Follow-up, dated October 1, 1985, is a body burden of 5% of the maximum permissible body burden (MPBB). The inspectors also reviewed selected airborne radioactivity area entry logs for calendar year 1989, and noted that on March 13, 1989, 15 individuals were apparently exposed to greater than 2 MPC-brs in one day while working on lifting the Unit 2 upper internals. However, no individual during that time period had been exposed to 10 MPC-hrs in any seven days. The MPC-hr assignments were based on calculations derived from an air sample collected in the area of the 291 ft level on the refueling floor and not in the breathing air zone. The licensee recognized this problem, collected additional air samples, obtained whole body counts on all individuals involved with the upper internals lift, and discussed with technicians the proper technique in collecting a breathing zone air sample. The additional air samples that were collected were below 10% of MPC except for one nir sample which was 38% of MPC, As

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mentioned earlier, all whole body counts of the individuals were less than the minimum detectable activity of the counting syste Additionally, the inspectors reviewed Deviation Report #B7-1073 which described an event involving a greater than 40 MPC-hours inhalation of Co-58 and Co-60. The report provided a description of the incident, description of the location and circumstances, chronology of events, cause of the incident, radiological evaluation, and the corrective actions. The event occurred on September 17, 1987, when a

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i contract Senior HP Technician was inttructed to survey the intake of the Process Vent' Filter (1-GW-FL-18) housing, located.on the 274 ft level .of: the Auxiliary Building for a- radiation hot spot causing Approximately 700 mR/hr. contact dose rate. . The technician's goal

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was to locate. and possibly remove .the radioactive material causing the hot-spot. Based 'on survey results, it was assumed that the hot spot was a point source, possibly a.small piece of; resi The technician was able to localize a spot.inside the housing reading 800 mR/hr-(contact) using a closed window on an R0-2. To reach the .

. spot.and. read the mater.with a flashlight, the technician had to' lean inside the filter housing. The technician attempted to wipe away the materia 12 causing the hot spot with masslinn. Upon finding that the=

masslinn cloth,was covered with fine black dust. reading 1200 -(open)

and:150 (closed) mR/hr on an R0-2, the techt.ician suspected an-intake

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of radioactive: material. The technician frisked his nose and mouth area. and observed 200 ' counts above backgroun A whole' body count was subsequently performed and an intake of 255 nanocuries (nCi)

C0-58 and 66.6 nCi Co-60 was confirmed. The technician was barred from entering the RCA,. scheduled for daily whole body counts, and .

requested to supply a urine sample. Based on a 96 hour0.00111 days <br />0.0267 hours <br />1.587302e-4 weeks <br />3.6528e-5 months <br /> retention period after- the intake, the technician was assigned the following bioassay.results:

0.71% MPBB 6.74% maximum permissible organ burden (MP0B)-

41.38 MPC-hours The activity was eliminated from the body with an average effective L halflife of 3.7 day On September 25, 1987, whole body count I results indicated less than 5% MP0 On October 1,1987, the

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technician's whole body count result showed less- than 1% MP0B. The presence of Co-58 and'Co-60 was confirmed by gamma isotopic analysis

- of the mass 11n. Mn-54 and Nb-59 were also present; however, the quantities present were less than 3% of the total. The Co-58/Co-60 ratio as determined by the whole body count results agreed favorably with the gamma isotopic results. The urinalysis results generally

' agreed with the whole body count result The inspectors reviewed the licensee's evaluation of the event and the corrective' actions taken to assure against recurrence as required by 10 CFR 20.103(b)(2). The corrective actions included-incorporation of the lessons learned from the event into the site specific training for contract HP technicians. Some of the lessons learned included recognizing a non-routine task for which a special RWP is necessary, recognizing a situation where the creation of airborne activity is likely and respiratory protection will always be required, and emphasizing to contract HP supervisory personnel the need~ to request special RWP's for non-routine tasks. The HP technician and his immediate supervisor were formally counseled with regard' to appropriate use of RWPs and procedure complianc The

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I corrective actions- and evaluation appeared adequate to meet the requirements of 10 CFR 20.103(b)(2).

No violations or deviations were identified, i

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5. Control of Radioactive Material and Contamination, Surveys, and j

Monitorings(83750)

. Area and Personnel Contamination The licensee maintains approximately 105,000 square feet (ft2),

excluding containment, as radiologically controlled. In 1988, nine percent or approximately 9,800 fte was contaminated. Since the beginning of the outage, the contaminated area of the plant had increased to approximately 15,000 f Licensee representatives stated that most of the increase in contaminated area was due to laydown and storage areas for outage related equipment.

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The inspectors reviewed Personnel Contamination Events (PCEs) for-1989 and the current refueling outage. Licensee representatives stated that the goal for 1989 was less than 400 PCEs. Through May 2, 1989, the licensee documented 281 PCE As a measure to reduce the number of PCEs, the licensee has recently instituted a program to prohibit anyone from entering the RCA who had an instance of contamination on the skin or clothing until the individual attended a one-on-one coaching session with the Plant Manager or Superintendent of H The inspectors noted during the PCE review that the root causes of !

many of the PCEs were not always listed or were not defined sufficiently to trend performance in this are Licensee representatives stated that HP was responsible for documenting PCEs, but the reports were forwarded to the Human Performance Evaluation Section (HPES) for evaluation. Licensee representatives were not knowledgeable of any adverse trends regarding PCEs other than the number of PCEs to date. When interviewed, HPES personnel stated that no provisions had been made to evaluate adverse trends. The inspectors discussed with licensee management the decline of the previous trending program and stated that important performance information was not available. In the past, the licensee tracked and trended PCEs to the extent that details, such as, the number of PCEs involving the various types of poor radiological work practices and contamination events that occurred in clean areas of the RCA were identified, As a result, corrective actions were developed for the identified adverse trends. Licensee management stated that they would review the reestablishment of trending PCEs (see Paragraph 2.b).

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b. - Monitorin The inspectors observed that HP technicians were involved in the cleanup and close out of Unit 2 prior to returning the unit-to-powe The inspectors interviewed HP personnel to determine the extent of HP involvement in responsibilities for cleanliness (housekeeping) of the Most' of the approximately'six to eight HP technicians

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RC interviewed stated. that they spent significant amounts of time in cleaning up-areas. The technicians indicat'ed _that they were being held responsible for overall housekeeping in the RCA. An HP representative stated that when areas became too cluttered with tools and waste during the job that a hold was placed on tk operation until.the area'was cleaned. However, this practice be ,e a frequent

. occurrence and pressures to complete work on schedule from management resulted in decreasing - the holds placed on jobs / ares. The HP representative indicated that HP technicians were :too involved in housekeeping and that_ job coverage was being diluted. As an example, the forema'n stated that one of his technicians spent two hours on job coverage-and_ ten hours on housekeeping in one shift. The inspectors asked security to provide an -access _ tape of selected mechanicel maintenance foremen entering containment during the outage as an

~ indicator of their involvement with the problem of cleanup during and after operations. The inspectors reviewed the data and noted out of the six maintenance foremen listed, only two had been in either -

Unit 1 or Unit 2 containment during the outage (approximately 30-40 days). Based on the inspectors review of the data and interviews with HP personnel, the inspectors discussed with licensee management the potential for diluting HP technician radiological coverage of work ' in progres The inspectors stated that no events were yet identified that had resulted in inadequate radiological coverage due to. housekeeping responsibilities. Licensee management stated that they were aware of HP being under pressure due to the outage, but were not aware of problems in the area of housekeepin Radiation Detection and Survey Instrumentation During area " tours, the inspectors observed the use of survey instruments by HP personne The inspectors examined calibration stickers.on radiat;cn protection instruments in use and at various areas throughout the plan Instrument use appeared to be in accordance with standard practice and all instruments examined had been calibrate . Program for Maintaining Exposure As Low As Reasonably Achievable (ALARA)

(83750)

10 CFR 20.1(c) states that persons engaged in activities under licenses issued by the NRC should make every reasonable effort to maintain radiation exposures ALAR The recommended elements of an ALARA program are contained in Regulatory Guides 8.8, Information Relevant to Ensuring that Occupational Radiation Exposure at Nuclear Stations will be ALARA;

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L, F and 8.10, Operatingi Philosophy for. Maintaining Occupational Radiation l; Exposures ALAR Goals and Objectives During )this' inspection, Unit'l was in day 70 of its outage whi'e

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Unit 2 was in the last week of its , outage. .. The estimated 1989-

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collective -dose. goal for the station was set at 994. ;erson-rem or k 497 person-rem: per reactor. ' As of - April 30, 1989, the station' collective dose was 824 person-rem.- The inspectors reviewed the estimated and actual collective dose data for Loth Unit 1 and Unit 2 refueling outages., The total estimated collective dose for the z Unit 1 outage was set at 569 person-rem while the estimate for Unit 2 was set'at 678 person-rem. As of May 4, 1989, the actual collective

! - dose for the-Unit.1 outage was'159 person-rem and 628 person-rem for Unit 2. . It should be noted that the station's -annual goal was o estimated.to be exceeded by 253 person-rem (1,247 person-rem [ station

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outage estimate]. - 994 person-rem [ station goal]) due- to additional scope and unplanned work. - - Some of the additional scope included -

in-service inspections, steam generator tube' plug removal and replacement, replacement of Unit 2 reactor head, and ' removal and

replacement of small bore snubber ALARA Suggestion Program

.The inspectors . observed that ALARA suggestions were encouraged and-

. solicited from all plant
employees. The licensee provides cash

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- incentives on a quarterly basis to the individual who submits 'the best ALARA suggestion that is adopted for action. Based on a

! selective review of ALARA suggestions for the last several years, it was quite apparent that the. licensee's ALARA suggestion program was effective in soliciting suggestion The following provides a sumary from 1983 to 1989 of ALARA suggestions received and accepted:

ALARA Suggestions

. Year Received Accepted 1983 55 34 1984 55 7 1985 23 5 1986 40 15 t- 1987 32 12 1988 75 24

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1989(to4/13/89) 19 4 The inspectors observed that, for the years 1983 to 1987, there were approximately 20 ALARA suggestions that are still incomplete. It should be pointed out that many of those suggestions required engineering reviews and/or significant resources to complete. The-licensee was actively tracking the incomplete ALARA suggestions via the Monthly Station ALARA Committee Meeting Minutes and had

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c.- High Dose Jobs

.The inspectors reviewed the estimated and actual collective dose data for the various jobs with the potential for .high dose for both

' Units 1 and 2. The inspector. discussed these jobs with'the Site L .ALARA Coordinator. . Additionally, the inspectors compared the averag collective dose for the outage high-dose jobs listed in Table ~3-3.of NUREG/CR-4254, Occupational Dose Reduction and ALARA at Nuclear Power

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Plants:. . Study on High-Dose' Jobs, Radwaste. Handling and ' ALARA .

Incentives, with currently available Unit 2 outage data. . . Some' of the job. categories could not -be compared directly- since the licensee

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classified some jobs- differently. The .following ' table lists the job

' title and average collective dose for Westinghouse Pressurized-Water

. Reactors:as- summarized in NUREG/CR-4254 and compares them to the-licensee's. actual collective dose used for the 1989 Unit 2 refueling outage:

Table 1 CollectiveDose.-(man-rem)

' Job Title NUREG/CR-4254 North Anna (U2/1989)

1. Snubber, Hanger, and Anchor Bolt Inspection and Repai '2. Steam Generator Edd Current Testing 50 65 3.-Reactor Disassembly /

Assembly 48 30-

-4. Steam Generator Tube Plugging- 47 13

.5. In-Service Inspection 46 55 6. Plant Decontamination 45 13 (as of 5/3/89)

7. Primary Valve Maintenance and Repair 30 46 8. Scaffold Installation /

Removal 30 8 (as of 5/3/89)

9. Reactor Coolant Pump Seal Replacement 17 4

'. , 10. Steam Generator Manway Removal / Replacement 16 3 11. Secondary Side Steam Generator Inspection /

Repair 11 11 12. Fuel Shuffle / Sipping and Inspection 9 3

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13. Operations--Surveillance, Routines, and Valve Lineups 7 16 (as of 5/3/89)

14. Cavity Decontamination 6 8 15. Radwaste System Repair, Operation, and Maintenance 5 5 (as of 5/3/89)

1.6 Residual Heat Removal System Repair and Maintenance 3 2 The following high-dose jobs performed by the licensee on Unit 2 were not included in the jobs listed in Table 1: '(1) Design Change Package - Large Bore Snubber Removal (82 man-rem [ actual]) and (2)

Removal of Steam Generator Tube Plugs-(93 man-rem [ actual]).

The licensee was actively tracking the collective doses for all jobs and had the capability to track which jobs were over the projected amount The licensee also tracked collective dose by department (Health Physics, Maintenance, Operations, Nuclear Site Services, Instrumentation / Chemistry, Power Engineering, and Quality Assurance / Quality Control). The jobs which contributed to precluding the. licensee from meeting its goal included: eddy current testing activities; replacement of Unit 2 reactor head; removal / replacement of small. bore snubbers; and steam generator tube mechanical plug remova The inspectors also reviewed the licensee's criteria for pre-job and post-job ALARA reviews. These criteria were specified in HP-5.4.30, ALARA Pre-job and Post-job Reviews, April 9,1987. The pre-job review criteria were as follows:

(a) less than 1 man-rem: normal RWP preparation (b) greater than or equal to 1 man-rem: pre-job ALARA review performed under ALARA Coordinator prior to RWP issue (c) greater than or equal to 10 man-rem: above requirements and approval by station ALARA Committee (d) greater than or equal to 50 man-rem: above requirements and approval by both Station Manager and ALARA Coordinating Committee The post-job review criteria were as follows:

(a) less than 1 man-rem: normal job close out process (b) Perform a post-job review and in addition meet with cognizant job supervisor when:

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(1) greater than or equal to 1 man-rem and exceeded projected man-rem by 125%

(2) greater than or equal to 10 man-rem (3) * RWP required two or more RWP ALARA evaluations (4) * As ALARA Coordinator deems necessary In addition, (5). greater than or equal to 25 man-rem: The station ALARA Coordinator shall (1) prepare brief job summary and post-job critique with responsible job supervisor and (2)

schedule Station ALARA Committee (SAC) review and approval of post-job review and critique report. . The SAC shall (1)

review post-job summary ano critique; (2) review applicable ALARA evaluation documents; (3) make comments and recommendations as required;.and (4) obtain approval by SAC Chai rma It was apparent that the licensee had a very good program established for performing the necessary review of jobs involving significant dose. - During this inspection, it was observed that only one post-job review (replace flange gasket on Unit 2-RC-R0-2) had been complete Approximately 20 jobs requiring post-job reviews were remaining. It should be noted that the station was in a dual unit outage and, tFtrefore, approximately twice the number of post-job reviews would be required. The inspectors noted the potential backlog problem, and indicated to the licensee that this area would be reviewed during subsequent inspection No violations or deviations were identifie . Exit Interview The inspectors met with licensee representatives (denoted in Paragraph 1)

at the conclusion of the inspection on May 5,198 The inspectors summa.ized the scope and findings of the inspection, including the violation and.IFI. The inspectors also discussed the likely informational content of the inspection report with regard to documents or processes reviewed by the inspectors during the inspection. The licensee did not identify any such documents or processes as proprietary. Dissenting comments were not received from the license During the exit interview, an apparent LIV dealing with an inadequate survey resulting in unplanned dose to a worker was discussed. Based upon careful consideration and evaluation of the adequacy and timeliness of the l licensee's corrective action for failure to make an adequate survey to prevent recurrence of an event similar to the first event in which an individual exceeded the station's quarterly whole body dose control value,

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it was determined that the LIV would be considered as another example of an apparent violation of 10 CFR 20.201(b). NRC management considered the corrective action for the first example of exceeding the administrative control value to be neither timely nor comprehensive. Licensee management was notified of this decision by telephone on May 16,1989 (Paragraph 3.b.).

Item Number Description and Reference 50-338/89-15-01 IFI - Develop system to track and identify trends in the areas of: RPRs, PCEs, TLD/SRD discrepancies, and maintenance rework activities (Paragraph 2.b).

50-338, 339/89-15-02 VIO - Failure to perform adequate radiation surveys necessary to prevent individuals from receiving an exposure to radiation above the station administrative control value (two examples) (Paragraph 3.b).

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