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See also: [[see also::IR 05000293/1987029]]
See also: [[followed by::IR 05000293/1987029]]


=Text=
=Text=
{{#Wiki_filter:_
{{#Wiki_filter:_
                                                                                        o1
o1
                                                                                      '
'
  .                                                                                           ,
.
                                                                                              1
,
  -                                                                                           1
1
                                                            NOV 17 1987                       )
1
                                                                                              i
-
                                                                                              i
NOV 17 1987
    Docket No. 50-293                                                                       ,
)
    Boston Edison Company'M/C Nuclear                                                        :
i
    ATTN:  Ralph G. Bird                                                                    ;
i
            Senior Vice President - Nuclear
Docket No. 50-293
    800 Boylston Street
    Boston, Massachusetts 02199
                                                                                              ;
    Gentlemen:
i                                                                                            i
    Subject: Inspection 50-293/87-29                                                        j
,
,
    This refers to your letter dated September 23, 1987, in response to our letter           1
Boston Edison Company'M/C Nuclear
    dated Augur.t 24, 1987.
:
    Thank you for informing us of the corrective and preventive actions documented
ATTN:
    in your letter. These actions will be examined during a future inspection of
Ralph G. Bird
    your licensed program.
;
l    Your cooperation with us is appreciated.
Senior Vice President - Nuclear
                                                Sincerely,
800 Boylston Street
Boston, Massachusetts 02199
;
Gentlemen:
i
i
Subject: Inspection 50-293/87-29
j
This refers to your letter dated September 23, 1987, in response to our letter
1
1
                                                  Odginal Signed By:
,
                                                  Ronald R. Bellamy                         j
dated Augur.t 24, 1987.
                                                Thomas T. Martin, Director
Thank you for informing us of the corrective and preventive actions documented
l    871123036687g7
in your letter. These actions will be examined during a future inspection of
            ADOCK O       293                  Division of Radiation Safety
your licensed program.
                                                                                              !
l
Your cooperation with us is appreciated.
Sincerely,
1
Odginal Signed By:
Ronald R. Bellamy
j
l
871123036687g7
Thomas T. Martin, Director
!
293
PDR
ADOCK O
PDR
Division of Radiation Safety
'
G
.and Safeguards
cc:
K. P. Roberts, Station Manger
Paul Levy, Chairman, Department of Public Utilities
Chairman, Board of Selectmen
J. D. Keyes, Boston Edison Regulatory Affairs
E. D. Robinson, Nuclear Information Manager
R. N. Swanson, Nuclear Engineering Department Manager
The Honorable E. J. Markey
Plymouth Civil Defense Director
Senator Edward P. Kirby
The Honorable Peter V. Forman
'
'
      PDR                PDR
;
      G                                          .and Safeguards
Sharon Pollard, Secretary of Energy Resources
    cc:
l
    K. P. Roberts, Station Manger
Rachel Shimshak, MASSPIRG
    Paul Levy, Chairman, Department of Public Utilities
g (-
    Chairman, Board of Selectmen
,
    J. D. Keyes, Boston Edison Regulatory Affairs
Public'DocumentRoom(PDR)
    E. D. Robinson, Nuclear Information Manager
Local Public Document Room (LPDR)
    R. N. Swanson, Nuclear Engineering Department Manager
Nuclear Safety. Information Center (NSIC)
    The Honorable E. J. Markey
NRC Resident Inspector
    Plymouth Civil Defense Director
.
    Senator Edward P. Kirby
.
    The Honorable Peter V. Forman                                '
;
;    Sharon Pollard, Secretary of Energy Resources
Commonwealth of Massachusetts (2)
l   Rachel Shimshak, MASSPIRG                                                   g (-       ,
0FFICIAL RECORD COPY
    Public'DocumentRoom(PDR)
(
    Local Public Document Room (LPDR)
-
    Nuclear Safety. Information Center (NSIC)
    NRC Resident Inspector             .
                                                                                .
;   Commonwealth of Massachusetts (2)
                                    0FFICIAL RECORD COPY
(                                                                                           -


      - _- __ _
- _- __ _
                                                                                              ,
,
                                                                                              !
!
    .
.
                                                                                                1
1
  '
'
                Boston Edison Company                     2
Boston Edison Company
                                                                        NOV 17 1967
2
                  M/C Nuclear                                                               l
NOV 17 1967
                                                                                              l
M/C Nuclear
                bcc:                                                                         !
l
                                                                                              '
l
                Region I Docket Room (with concurrences)
bcc:
                Management Assistant, DRMA
!
                Section Chief, DRP
'
                R. Wessman, PM, NRR                                                           ,
Region I Docket Room (with concurrences)
                Robert J. Bores, DRSS                                                         !
Management Assistant, DRMA
                                                                                              !
Section Chief, DRP
                                                                                              l
R. Wessman, PM, NRR
                                                                                              1
,
                                                                                              l
Robert J. Bores, DRSS
                                                                                              !
!
                                                                                                l
!
l
1
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!
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,
,
                                                                                              i
i
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                                                                                                l
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                                                  W
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,                RI:DRSS         RI:DRSS g     RI:DRSS         RI. SS
RI:DRSS
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                  Nimitz         ShanbaKy     Bellamy       Mar n
Nimitz
                  10/S/87         10// 2/87     14/ gv87       10   /87
ShanbaKy
                  Rd                           0FFICIAL RECORD COPY           r1 87-29
Bellamy
l-                                                                             10/8/87
Mar n
10/S/87
10// 2/87
14/ gv87
10
/87
Rd
0FFICIAL RECORD COPY
r1 87-29
l-
10/8/87
1
1
w-___--_-___-__-__________________-__________     _                                   _ _ _
w-___--_-___-__-__________________-__________
_
_ _ _


                                                                                                          !
!
      .       ..
J
    *
.
        _.                                                                   .
..
                                                                                                          Ji
*
  .
_.
                                                                            S)
.
                                                          BOSTON EDISON
i
                                                            Executiw Offices                             ;
S)
                                                            800 Boyis'en Street                           1
.
                                                      Boston, Massachusetts 02199
BOSTON EDISON
                                                                                                        f
Executiw Offices
                                                                                                          1
;
                    Ralph G. Bird
800 Boyis'en Street
                    Senior Vice President - Nuclear                                                     I'
1
                                                                                  September 23,1987
Boston, Massachusetts 02199
                                                                                                          l
f
                                                                                  BECo Ltr. #87- 154     !
1
                    U.S. Nuclear Regulatory Commission
Ralph G. Bird
                    Attention: Document Control Desk
I
                    Hashington, DC 20555
Senior Vice President - Nuclear
                                                                                  License No. DPR-35
'
                                                                                  Docket No. 50-293
September 23,1987
                    Subject: NRC Inspection Report 50-293/87-29
l
                    Dear Sir:
BECo Ltr. #87- 154
                    Attaciled is Boston Edison Company's response to the Notice of Violation
!
                    contained in the subject insoection report.
U.S. Nuclear Regulatory Commission
                    Please contact me directly .. you have any questions on this response.
Attention: Document Control Desk
                                                                                            '
Hashington, DC 20555
                                                                                    l -,fmi-
License No. DPR-35
                                                                                          '
Docket No. 50-293
                                                                                                ,
Subject: NRC Inspection Report 50-293/87-29
                                                                                  R.f df'r$
Dear Sir:
                    EPL/la
Attaciled is Boston Edison Company's response to the Notice of Violation
                                                                                                          1
contained in the subject insoection report.
                    Attachment
Please contact me directly .. you have any questions on this response.
                    Regional Administrator, Region I
l -,fmi-
                                                                                                          i
'
                    O.S. Nuclear Regulatory Commission
,
                    631 Park Avenue
'
                    King of Prussia, PA 19406
R.f df'r$
                    Director, Office of Inspection                                                       !
EPL/la
                    and Enforcement
1
                    U.S. Nuclear Regulatory Commission                                                 -(
Attachment
                                                                                                          ;
Regional Administrator, Region I
                    Hashington, DC 20555
O.S. Nuclear Regulatory Commission
                                                                                                          1
i
                  'Sr. Resident. Inspector                                                               i
631 Park Avenue
                                                                                                          <
King of Prussia, PA 19406
                                        ~
Director, Office of Inspection
                giooto28 7
!
              <
and Enforcement
                                          ff                                                              .
U.S. Nuclear Regulatory Commission
                                                                                                      --
-(
--          -
Hashington, DC 20555
                                          _         _         _ _ _ . . ___
;
1
'Sr. Resident. Inspector
i
<
giooto28 7
~
ff
<
.
--
-
_
_
_ _ _ . . ___
--


    .,-
. , -
  .
.
                                            ATTACHMENT 1
ATTACHMENT 1
              Boston Edison Company                           Docket No. 50-293
Boston Edison Company
              Pilgrim Nuclear Power Station                   License No. OPR-35
Docket No. 50-293
        Notice of Violation
Pilgrim Nuclear Power Station
        Technical Specification 6.11 requires that procedures for personnel radiation
License No. OPR-35
Notice of Violation
Technical Specification 6.11 requires that procedures for personnel radiation
l
l
        protection be prepared and adhered to for all operations involving personnel
protection be prepared and adhered to for all operations involving personnel
        radiation exposure. Radiation Protection Procedure 6.1-022 requires in part
radiation exposure.
Radiation Protection Procedure 6.1-022 requires in part
in section VIA and VIIJ.7, that individuals follow the instructions of
I
radiation work permits.
Contrary to the above, at about 10:10 p.m. on, July 16, 1987 a reactor operator
was found inside the Reactor Water Clean-up Pump Heat Exchanger Cubicle, a
posted, locked High Radiation Area, without the radiation survey meter
required to be used by the applicable radiation work permit (RHP No. 87E-4).
The individual had signed the RWP indicating his understanding of the RWP's
requirements.
Resoonse
1.
Discussion:
Boston Edison Company agrees with the facts as stated in the Notice of
Violation.
On July 16, 1987 a licensed reactor operator entered the Reactor Water
Clean-up Heat Exchanger (RHCU Hx) room to perform valving operations.
The
1
operator had properly signed the Radiation Hork Permit (RHP) briefing
I
I
        in section VIA and VIIJ.7, that individuals follow the instructions of
sheet which specified that a radiation survey meter was required. Upon
        radiation work permits.
questioning by the NRC Inspector the operator realized he did not have the
        Contrary to the above, at about 10:10 p.m. on, July 16, 1987 a reactor operator
required survey meter and immediately exited the room.
        was found inside the Reactor Water Clean-up Pump Heat Exchanger Cubicle, a
j
        posted, locked High Radiation Area, without the radiation survey meter
s
        required to be used by the applicable radiation work permit (RHP No. 87E-4).
The operator was logged in on the RHP from 2140 hrs to 2210 hours.
        The individual had signed the RWP indicating his understanding of the RWP's
His
        requirements.
!
        Resoonse
actual time in the RHCU Hx room was approximately 10-15 minutes based on
        1.  Discussion:
'
            Boston Edison Company agrees with the facts as stated in the Notice of
interviews with him. He received a radiation exposure of 5 millirem while
            Violation.
l
            On July 16, 1987 a licensed reactor operator entered the Reactor Water
in the room based on his pocket dosimetry reading.
            Clean-up Heat Exchanger (RHCU Hx) room to perform valving operations. The          1
No other high
            operator had properly signed the Radiation Hork Permit (RHP) briefing              I
!
            sheet which specified that a radiation survey meter was required. Upon
radiation areas had been entered by the operator that day prior to the
            questioning by the NRC Inspector the operator realized he did not have the
;
            required survey meter and immediately exited the room.                           j
event.
                                                                                                s
RWP No. 87E-4 is an extended RHP issued for the duration of one year.
            The operator was logged in on the RHP from 2140 hrs to 2210 hours. His
!
            actual time in the RHCU Hx room was approximately 10-15 minutes based on           !
This RWP allows authorized operations personnel access to radiation areas
                                                                                                '
for inspection, surveillance and equipment operation. Operations
            interviews with him. He received a radiation exposure of 5 millirem while           l
personnel authorized to use extended RHP's are responsible for briefing
            in the room based on his pocket dosimetry reading. No other high                   !
themselves on the radiological conditions and requirements associated with
            radiation areas had been entered by the operator that day prior to the             ;
the specific area to be entered.
            event.
This self briefing is allowed based on
            RWP No. 87E-4 is an extended RHP issued for the duration of one year.               !
training and certification of knowledge in plant systems, equipment
            This RWP allows authorized operations personnel access to radiation areas
locations and radiological protection requirements.
            for inspection, surveillance and equipment operation. Operations
!
            personnel authorized to use extended RHP's are responsible for briefing
:
            themselves on the radiological conditions and requirements associated with
Page 1 of 3
            the specific area to be entered. This self briefing is allowed based on
l
            training and certification of knowledge in plant systems, equipment
-
            locations and radiological protection requirements.
-
                                                                                                !
--------_______J
                                                                                                :
                                            Page 1 of 3
l                                                         -             -     --------_______J


                              _ _ _ _ - _ _ _ -     _ _ - _ _ _       -
_ _ _ _ - _ _ _ -
        ,     ,
_ _ - _ _ _
                                                                                                    i
-
      ..
i
          4
,
    ,~                                         ATTACHMENT:1-(Cont.)
,
                                                                                                    i
..
                2.   Cause:
4
                    The cause for the failure to follow the RWP requirement was.a personnel
,~
                    error by the involved reactor operator. The operator had been issued a
ATTACHMENT:1-(Cont.)
                    portable ~ radiation survey instrument that can be attached at-the waist.
i
                    Follow-up interviews with the individual confirmed that he stores the
2.
                    meter in his locker while not at work and normally dons the survey meter
Cause:
                    prior to reporting to the. control room to receive his work assignment.
The cause for the failure to follow the RWP requirement was.a personnel
                    .The operator stated that he simply' forgot to don his survey. meter on that.
error by the involved reactor operator.
                    occasion.
The operator had been issued a
                    This instance demonstrated his complacency in the use of the survey
portable ~ radiation survey instrument that can be attached at-the waist.
                    instrument. If the operator had been in the habit of using the survey         j
Follow-up interviews with the individual confirmed that he stores the
meter in his locker while not at work and normally dons the survey meter
prior to reporting to the. control room to receive his work assignment.
.The operator stated that he simply' forgot to don his survey. meter on that.
occasion.
This instance demonstrated his complacency in the use of the survey
instrument.
If the operator had been in the habit of using the survey
j
l
l
                    instrument in accordance with its intended. purpose, he either would not
instrument in accordance with its intended. purpose, he either would not
                    have entered the room or would have realized he did not have the
have entered the room or would have realized he did not have the
                    instrument almost immediately upon entering the' room. The operator-
instrument almost immediately upon entering the' room.
                    described this complacency as resulting from his familiarity with .the
The operator-
                    radiological conditions of the room and his knowledge that the RWCU system
described this complacency as resulting from his familiarity with .the
                    was not in use at that time.
radiological conditions of the room and his knowledge that the RWCU system
was not in use at that time.
.
.
                    The operator acknowledged full responsibility for his error and stated         '
The operator acknowledged full responsibility for his error and stated
)                   that the procedures were clear on this requirement and that he had been
'
                    specifically trained on the purpose and use of the survey meter.
)
that the procedures were clear on this requirement and that he had been
-
specifically trained on the purpose and use of the survey meter.
3.
Immediate Corrective Actions Taken:
)
The operator immediately exited the RNCU Hx ' room when questioned by the
'NRC Inspector and when he realized that he did not have a radiation survey
meter. At 2300 hours, the radiation protection supervisor discussed the
event with the individual and reinstructed him on the'use of extended
RWP's. A Radiological Occurrence Report was initiated at that time to-
document the event.
4.
Corrective Actions Taken to Avoid Future Violations:
The Nuclear Watch Engineer and the Operations Section Manager discussed
the event with the involved i.ndividual who was given a written reprimand.
s
During discussion of the incident, the individual demonstrated that he
l
understood the severity of the infraction and the need to follow all
;
station procedures.
1
The Operations Section Manager briefed the Operations personnel on the
significance of the event and the need to follow radiological protection
I
a
requiremn'ts.
This issue was also addressed in the operations night order
l
(instruction) log on 7/18/87'. Additionally, this event.was described in.a
<
memo to all operations personnel.
The memo stressed that operations
personnel have been provided with a survey instrument to alert them to
l
abnormal radiological conditions and to assist them in maintaining their
i
radiation exposures _ALARA. . It was also stressed that BECo will not
j
tolerate complacency regarding an employee's Health Physics
i
responsibilities, nor any other responsibilities,
i
i
i
Page 2 of 3
'!
i
-
-
                3.  Immediate Corrective Actions Taken:                                            )
b_
                    The operator immediately exited the RNCU Hx ' room when questioned by the
_
                  'NRC Inspector and when he realized that he did not have a radiation survey
j
                    meter. At 2300 hours, the radiation protection supervisor discussed the
                    event with the individual and reinstructed him on the'use of extended
                    RWP's. A Radiological Occurrence Report was initiated at that time to-
                    document the event.
                4.  Corrective Actions Taken to Avoid Future Violations:
                    The Nuclear Watch Engineer and the Operations Section Manager discussed
                    the event with the involved i.ndividual who was given a written reprimand.      s
                    During discussion of the incident, the individual demonstrated that he          l
                    understood the severity of the infraction and the need to follow all            ;
                    station procedures.                                                            1
                    The Operations Section Manager briefed the Operations personnel on the          a
                    significance of the event and the need to follow radiological protection        I
                    requiremn'ts. This issue was also addressed in the operations night order        l
                    (instruction) log on 7/18/87'. Additionally, this event.was described in.a      <
                    memo to all operations personnel. The memo stressed that operations
                    personnel have been provided with a survey instrument to alert them to          l
                    abnormal radiological conditions and to assist them in maintaining their        i
                    radiation exposures _ALARA. . It was also stressed that BECo will not          j
                    tolerate complacency regarding an employee's Health Physics                      i
                    responsibilities, nor any other responsibilities,                              i
                                                                                                    i
                                                                                                    i
                                                          Page 2 of 3                            '!
                                                                                                    i
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-
                            - _ .
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                                                                                          s
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    -
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  '
ATTACHMENT 1 (Cont.)
                                          ATTACHMENT 1 (Cont.)                             1
1
                                                                                          1
-
              To further address this issue, general guidance has been provided to the   i
'
              individuals who participate in the Management Monitor Watch Program to
1
              instruct observers to look for signs of complacency in activities that are
To further address this issue, general guidance has been provided to the
              repetitive or where a high degree of familiarity exists. The Management     !
i
              Monitor Watch Program is a process by which work activities are routinely   3
individuals who participate in the Management Monitor Watch Program to
              observed to assess performance.                                             l
instruct observers to look for signs of complacency in activities that are
                                                                                          {
repetitive or where a high degree of familiarity exists. The Management
              This event is an isolated instance of non-compliance by one individual, A   {
!
Monitor Watch Program is a process by which work activities are routinely
3
observed to assess performance.
l
{
This event is an isolated instance of non-compliance by one individual, A
{
review of the event indicates that adequate procedural controls are in
i
'
place for extended RWP's, and the requirement to carry a survey meter was
!
clearly indicated on the RWP briefing sheet.
The disciplinary action, in
!
combination with the instructional and directive communications, are
believed sufficient to preclude further instances of non-conformance by
'
'
              review of the event indicates that adequate procedural controls are in      i
the involved individual. Other operations personnel authorized to use
              place for extended RWP's, and the requirement to carry a survey meter was  !
extended RWP's have becn briefed on the event and the importance of
              clearly indicated on the RWP briefing sheet. The disciplinary action, in   !
i
              combination with the instructional and directive communications, are
following radiological protection requirements.
In addition, the planned
i
observations of work activities in accordance with the established
f
monitoring program will provide early identification of complacency if it
'
'
              believed sufficient to preclude further instances of non-conformance by
develops.
              the involved individual. Other operations personnel authorized to use
l
              extended RWP's have becn briefed on the event and the importance of        i
!
              following radiological protection requirements. In addition, the planned    i
5.
              observations of work activities in accordance with the established          f
Date of Full Compliance-
              monitoring program will provide early identification of complacency if it    '
i
              develops.
Full compliance with the requirements of RWP 87E-4 was achieved on 7/16/87
                                                                                            l
at 2210 hours when the operator exited the RWCU Hx room.
                                                                                            !
l
            5. Date of Full Compliance-                                                     i
l
              Full compliance with the requirements of RWP 87E-4 was achieved on 7/16/87
l
              at 2210 hours when the operator exited the RWCU Hx room.
i
                                                                                            l
Page 3 of 3
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L
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                                              Page 3 of 3
L                                                                                           ;
}}
}}

Revision as of 01:12, 3 December 2024

Ack Receipt of 870923 Response to Violations Noted in Insp Rept 50-293/87-29 & NRC .Corrective Actions Will Be Examined During Future Insp
ML20236R577
Person / Time
Site: Pilgrim
Issue date: 11/17/1987
From: Martin T
NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION I)
To: Bird R
BOSTON EDISON CO.
References
NUDOCS 8711230366
Download: ML20236R577 (2)


See also: IR 05000293/1987029

Text

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'

.

,

1

1

-

NOV 17 1987

)

i

i

Docket No. 50-293

,

Boston Edison Company'M/C Nuclear

ATTN:

Ralph G. Bird

Senior Vice President - Nuclear

800 Boylston Street

Boston, Massachusetts 02199

Gentlemen:

i

i

Subject: Inspection 50-293/87-29

j

This refers to your letter dated September 23, 1987, in response to our letter

1

,

dated Augur.t 24, 1987.

Thank you for informing us of the corrective and preventive actions documented

in your letter. These actions will be examined during a future inspection of

your licensed program.

l

Your cooperation with us is appreciated.

Sincerely,

1

Odginal Signed By:

Ronald R. Bellamy

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l

871123036687g7

Thomas T. Martin, Director

!

293

PDR

ADOCK O

PDR

Division of Radiation Safety

'

G

.and Safeguards

cc:

K. P. Roberts, Station Manger

Paul Levy, Chairman, Department of Public Utilities

Chairman, Board of Selectmen

J. D. Keyes, Boston Edison Regulatory Affairs

E. D. Robinson, Nuclear Information Manager

R. N. Swanson, Nuclear Engineering Department Manager

The Honorable E. J. Markey

Plymouth Civil Defense Director

Senator Edward P. Kirby

The Honorable Peter V. Forman

'

Sharon Pollard, Secretary of Energy Resources

l

Rachel Shimshak, MASSPIRG

g (-

,

Public'DocumentRoom(PDR)

Local Public Document Room (LPDR)

Nuclear Safety. Information Center (NSIC)

NRC Resident Inspector

.

.

Commonwealth of Massachusetts (2)

0FFICIAL RECORD COPY

(

-

- _- __ _

,

!

.

1

'

Boston Edison Company

2

NOV 17 1967

M/C Nuclear

l

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bcc:

!

'

Region I Docket Room (with concurrences)

Management Assistant, DRMA

Section Chief, DRP

R. Wessman, PM, NRR

,

Robert J. Bores, DRSS

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Nimitz

ShanbaKy

Bellamy

Mar n

10/S/87

10// 2/87

14/ gv87

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/87

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0FFICIAL RECORD COPY

r1 87-29

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10/8/87

1

w-___--_-___-__-__________________-__________

_

_ _ _

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.

..

_.

.

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.

BOSTON EDISON

Executiw Offices

800 Boyis'en Street

1

Boston, Massachusetts 02199

f

1

Ralph G. Bird

I

Senior Vice President - Nuclear

'

September 23,1987

l

BECo Ltr. #87- 154

!

U.S. Nuclear Regulatory Commission

Attention: Document Control Desk

Hashington, DC 20555

License No. DPR-35

Docket No. 50-293

Subject: NRC Inspection Report 50-293/87-29

Dear Sir:

Attaciled is Boston Edison Company's response to the Notice of Violation

contained in the subject insoection report.

Please contact me directly .. you have any questions on this response.

l -,fmi-

'

,

'

R.f df'r$

EPL/la

1

Attachment

Regional Administrator, Region I

O.S. Nuclear Regulatory Commission

i

631 Park Avenue

King of Prussia, PA 19406

Director, Office of Inspection

!

and Enforcement

U.S. Nuclear Regulatory Commission

-(

Hashington, DC 20555

1

'Sr. Resident. Inspector

i

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giooto28 7

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.

--

-

_

_

_ _ _ . . ___

--

. , -

.

ATTACHMENT 1

Boston Edison Company

Docket No. 50-293

Pilgrim Nuclear Power Station

License No. OPR-35

Notice of Violation

Technical Specification 6.11 requires that procedures for personnel radiation

l

protection be prepared and adhered to for all operations involving personnel

radiation exposure.

Radiation Protection Procedure 6.1-022 requires in part

in section VIA and VIIJ.7, that individuals follow the instructions of

I

radiation work permits.

Contrary to the above, at about 10:10 p.m. on, July 16, 1987 a reactor operator

was found inside the Reactor Water Clean-up Pump Heat Exchanger Cubicle, a

posted, locked High Radiation Area, without the radiation survey meter

required to be used by the applicable radiation work permit (RHP No. 87E-4).

The individual had signed the RWP indicating his understanding of the RWP's

requirements.

Resoonse

1.

Discussion:

Boston Edison Company agrees with the facts as stated in the Notice of

Violation.

On July 16, 1987 a licensed reactor operator entered the Reactor Water

Clean-up Heat Exchanger (RHCU Hx) room to perform valving operations.

The

1

operator had properly signed the Radiation Hork Permit (RHP) briefing

I

sheet which specified that a radiation survey meter was required. Upon

questioning by the NRC Inspector the operator realized he did not have the

required survey meter and immediately exited the room.

j

s

The operator was logged in on the RHP from 2140 hrs to 2210 hours0.0256 days <br />0.614 hours <br />0.00365 weeks <br />8.40905e-4 months <br />.

His

!

actual time in the RHCU Hx room was approximately 10-15 minutes based on

'

interviews with him. He received a radiation exposure of 5 millirem while

l

in the room based on his pocket dosimetry reading.

No other high

!

radiation areas had been entered by the operator that day prior to the

event.

RWP No. 87E-4 is an extended RHP issued for the duration of one year.

!

This RWP allows authorized operations personnel access to radiation areas

for inspection, surveillance and equipment operation. Operations

personnel authorized to use extended RHP's are responsible for briefing

themselves on the radiological conditions and requirements associated with

the specific area to be entered.

This self briefing is allowed based on

training and certification of knowledge in plant systems, equipment

locations and radiological protection requirements.

!

Page 1 of 3

l

-

-


_______J

_ _ _ _ - _ _ _ -

_ _ - _ _ _

-

i

,

,

..

4

,~

ATTACHMENT:1-(Cont.)

i

2.

Cause:

The cause for the failure to follow the RWP requirement was.a personnel

error by the involved reactor operator.

The operator had been issued a

portable ~ radiation survey instrument that can be attached at-the waist.

Follow-up interviews with the individual confirmed that he stores the

meter in his locker while not at work and normally dons the survey meter

prior to reporting to the. control room to receive his work assignment.

.The operator stated that he simply' forgot to don his survey. meter on that.

occasion.

This instance demonstrated his complacency in the use of the survey

instrument.

If the operator had been in the habit of using the survey

j

l

instrument in accordance with its intended. purpose, he either would not

have entered the room or would have realized he did not have the

instrument almost immediately upon entering the' room.

The operator-

described this complacency as resulting from his familiarity with .the

radiological conditions of the room and his knowledge that the RWCU system

was not in use at that time.

.

The operator acknowledged full responsibility for his error and stated

'

)

that the procedures were clear on this requirement and that he had been

-

specifically trained on the purpose and use of the survey meter.

3.

Immediate Corrective Actions Taken:

)

The operator immediately exited the RNCU Hx ' room when questioned by the

'NRC Inspector and when he realized that he did not have a radiation survey

meter. At 2300 hours0.0266 days <br />0.639 hours <br />0.0038 weeks <br />8.7515e-4 months <br />, the radiation protection supervisor discussed the

event with the individual and reinstructed him on the'use of extended

RWP's. A Radiological Occurrence Report was initiated at that time to-

document the event.

4.

Corrective Actions Taken to Avoid Future Violations:

The Nuclear Watch Engineer and the Operations Section Manager discussed

the event with the involved i.ndividual who was given a written reprimand.

s

During discussion of the incident, the individual demonstrated that he

l

understood the severity of the infraction and the need to follow all

station procedures.

1

The Operations Section Manager briefed the Operations personnel on the

significance of the event and the need to follow radiological protection

I

a

requiremn'ts.

This issue was also addressed in the operations night order

l

(instruction) log on 7/18/87'. Additionally, this event.was described in.a

<

memo to all operations personnel.

The memo stressed that operations

personnel have been provided with a survey instrument to alert them to

l

abnormal radiological conditions and to assist them in maintaining their

i

radiation exposures _ALARA. . It was also stressed that BECo will not

j

tolerate complacency regarding an employee's Health Physics

i

responsibilities, nor any other responsibilities,

i

i

i

Page 2 of 3

'!

i

-

b_

_

j

-

- _ .

q

s

,

,

(

,

.

s

ATTACHMENT 1 (Cont.)

1

-

'

1

To further address this issue, general guidance has been provided to the

i

individuals who participate in the Management Monitor Watch Program to

instruct observers to look for signs of complacency in activities that are

repetitive or where a high degree of familiarity exists. The Management

!

Monitor Watch Program is a process by which work activities are routinely

3

observed to assess performance.

l

{

This event is an isolated instance of non-compliance by one individual, A

{

review of the event indicates that adequate procedural controls are in

i

'

place for extended RWP's, and the requirement to carry a survey meter was

!

clearly indicated on the RWP briefing sheet.

The disciplinary action, in

!

combination with the instructional and directive communications, are

believed sufficient to preclude further instances of non-conformance by

'

the involved individual. Other operations personnel authorized to use

extended RWP's have becn briefed on the event and the importance of

i

following radiological protection requirements.

In addition, the planned

i

observations of work activities in accordance with the established

f

monitoring program will provide early identification of complacency if it

'

develops.

l

!

5.

Date of Full Compliance-

i

Full compliance with the requirements of RWP 87E-4 was achieved on 7/16/87

at 2210 hours0.0256 days <br />0.614 hours <br />0.00365 weeks <br />8.40905e-4 months <br /> when the operator exited the RWCU Hx room.

l

l

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i

Page 3 of 3

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