Information Notice 1990-33, Sources of Unexpected Occupational Radiation Exposures at Spent Fuel Storage Pools: Difference between revisions

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                                  UNITED STATES


===UNITED STATES===
NUCLEAR REGULATORY COMMISSION
NUCLEAR REGULATORY COMMISSION


OFFICE OF NUCLEAR REACTOR REGULATION
===OFFICE OF NUCLEAR REACTOR REGULATION===
 
WASHINGTON, D.C. 20555 May 9, 1990
WASHINGTON, D.C. 20555 May 9, 1990
NRC INFORMATION NOTICE NO. 90-33:   SOURCES OF UNEXPECTED OCCUPATIONAL RADIATION
NRC INFORMATION NOTICE NO. 90-33:  


===SOURCES OF UNEXPECTED OCCUPATIONAL RADIATION===
EXPOSURES AT SPENT FUEL STORAGE POOLS
EXPOSURES AT SPENT FUEL STORAGE POOLS


Line 90: Line 90:
9005030120
9005030120


IN 90-33 May 9, 1990 fuel racks at the Peach Bottom Atomic Power Station. Licensee personnel specu- lated that the filters may have surfaced and then sank to the spent fuel storage
IN 90-33 May 9, 1990 fuel racks at the Peach Bottom Atomic Power Station.
 
Licensee personnel specu- lated that the filters may have surfaced and then sank to the spent fuel storage
 
racks.


racks. Although no personnel received unexpected exposures, this event could
Although no personnel received unexpected exposures, this event could


have caused significant exposure to personnel.
have caused significant exposure to personnel.
Line 101: Line 105:


radiation level on the refueling floor increased momentarily to more than 100
radiation level on the refueling floor increased momentarily to more than 100
mR/hour, then quickly returned to a normal level of about 10 mR/hour. The high
mR/hour, then quickly returned to a normal level of about 10 mR/hour.
 
The high


radiation level occurred at the same time that the spent fuel pool cooling system
radiation level occurred at the same time that the spent fuel pool cooling system


was returned to use following valve maintenance. Refilling of the system forced
was returned to use following valve maintenance.


===Refilling of the system forced===
air into the SFS pool through the sparger. The bubbles rose in the pool, causing
air into the SFS pool through the sparger. The bubbles rose in the pool, causing


Line 139: Line 146:
ventilation system to the iodine removal mode. The air grinder hose was not
ventilation system to the iodine removal mode. The air grinder hose was not


monitored for radiation while it was being removed from the pool. Conservative
monitored for radiation while it was being removed from the pool.


===Conservative===
estimates by the licensee indicated that had the diver tender come in contact
estimates by the licensee indicated that had the diver tender come in contact


Line 165: Line 173:
overexposure to the hand during the cutting and removal of in-core instrumentation
overexposure to the hand during the cutting and removal of in-core instrumentation


dry tubes from the reactor vessel. During this operation, the cutting tool was
dry tubes from the reactor vessel.


===During this operation, the cutting tool was===
removed from the water for inspection. A piece of highly radioactive dry tube
removed from the water for inspection. A piece of highly radioactive dry tube


Line 177: Line 186:
calendar quarter.
calendar quarter.


IN 90-33 May 9, 1990 had been
IN 90-33 May 9, 1990 At the Callaway Plant, personnel discovered that an inadequate survey had been


At the Callaway Plant, personnel discovered that an inadequate survey              SFS pool on
made on an underwater fuel elevator following its removal from the SFS pool on


made on an underwater fuel elevator following its removal fromto the          read 1000 R/hour
April 23, 1989. On April 29, 1989, a metal object was found to read 1000 R/hour


April 23, 1989. On April 29, 1989, a metal object was found                      so that only a
at contact, but the object was shielded by the elevator structure so that only a


at contact, but the object was shielded by the elevator structure                  object was
localized area exceeded 100 mR/hour. The highly radioactive metal object was


localized area exceeded 100 mR/hour. The highly radioactive metal          that     had been
found to be a piece of a torn grid strap from a fuel assembly that had been


found to be a piece of a torn grid  strap  from  a fuel   assembly
repaired in the fuel elevator on April 21, 1989.


on April  21,  1989.    Personnel     had   attempted     to
===Personnel had attempted to===
flush the piece out of the bottom of the fuel basket. However, because the


repaired in the fuel elevator
piece was never seen in the fuel elevator basket and because no abnormal radiation


flush the piece out of the bottom of the fuel basket. However,                because the
readings were reported, personnel incorrectly assumed that the piece had been


piece was never seen in the fuel  elevator  basket    and  because    no  abnormal radiation
flushed from the elevator basket and was at the bottom of the fuel pool.
 
readings were reported, personnel incorrectly assumed that            the piece had been
 
flushed from the elevator basket and was at the   bottom   of the   fuel pool.


Event Involving Inadvertent Lifting-.f-Mlghly-Radicactive-Materialby.Moist
Event Involving Inadvertent Lifting-.f-Mlghly-Radicactive-Materialby.Moist


In April 1982 at the Peach Bottom Atomic Power Station, Unit 2,range)        personnel in- (in the   million     R/hour               control
In April 1982 at the Peach Bottom Atomic Power Station, Unit 2, personnel in- advertently lifted a highly radioactive (in the million R/hour range) control


advertently lifted a highly radioactive                              seconds.       This   event
rod blade (CRB) near the surface of the water for 5 to 10 seconds. This event


rod blade (CRB) near the surface of  the  water  for  5  to  10
occurred when a hafnium test blade (HFB) was to be moved from the fuel prepara- tion machine to a CRB rack location. This evolution was being supervised by a
                                            was   to be   moved   from   the   fuel   prepara- occurred when a hafnium test blade (HFB)                                                    by a


tion machine to a CRB rack location. This evolution was being supervised          HFB using the
senior licensed operator. When an operator attempted to move the HFB using the


senior licensed operator. When an operator attempted to move the on                   the HFB.
fuel grapple, the operator could not engage the temporary C clamp on the HFB.


fuel grapple, the operator could not engage    the   temporary      C  clamp
An auxiliary hoist was subsequently used to successfully move the HFB to the


successfully      move    the   HFB   to the
CRB rack location. After completing the HFB movement, the operator proceeded


An auxiliary hoist was subsequently used to                     the   operator      proceeded
to pull the hoist grapple to its normal storage location out of the water.


CRB rack location. After completing    the HFB  movement, to pull the hoist grapple to its normal storage location out ofan the              water.
While the hoist was rising, its grapple engaged and picked up an adjacent CRB.


and  picked    up        adjacent    CRB.
The hoist limit switch stopped the upward movement when the grapple was still


While the hoist was rising, its grapple engaged                        grapple      was  still
under 8 to 10 feet of water. At that time the operator, without looking, used


The hoist limit switch stopped the upward    movement      when  the
the 'override" button to bypass the limit switch and raised the grapple with


under 8 to 10 feet of water. At that time the operator, without grapple         looking, used
the attached CRB. The area radiation monitor started alarming as the grapple


the 'override" button to bypass the limit    switch    and  raised    the               with
with the CRB approached the surface of the water. Upon hearing the alarm, the


the attached CRB. The area radiation monitor        started    alarming      as  the  grapple
refueling floor supervisor looked and saw a brown object approaching the water


the
surface and yelled, "Put it down, put it down." The grapple was stopped before


with the CRB approached the surface of the water. Upon hearing the alarm,            the  water
the CRB reached the surface.


refueling floor supervisor looked and saw    a  brown    object  approaching
===No radiological surveys were performed during===
this evolution. However, individuals at the pool area were unnecessarily ex- posed to radiation. Although these doses were about 300 mrem or less, if the


surface and yelled, "Put it down, put it down." The grapple was stopped                    before
CRB had reached the surface, the doses could have been much greater.
 
the CRB reached the surface. No radiological        surveys    were    performed      during
 
this evolution. However, individuals at the pool area were unnecessarily                    ex- posed to radiation. Although these doses    were  about    300  mrem    or  less,    if  the
 
CRB had reached the surface, the doses   could   have   been   much   greater.
 
Event Involving Radiation Streaming


===Event Involving Radiation Streaming===
Underwater tools are designed with flood holes to allow water to fill the
Underwater tools are designed with flood holes to allow water to fill the


Line 295: Line 294:


exposures from radiation sources in SFS pools:
exposures from radiation sources in SFS pools:
O   Thorough evaluations of the contents of, and activities involving, SFS
O
 
Thorough evaluations of the contents of, and activities involving, SFS


pools from a radiological perspective to identify potential unexpected
pools from a radiological perspective to identify potential unexpected
Line 301: Line 302:
exposure situations.
exposure situations.


o   Measures such as task analysis and training to ensure awareness of the
o
 
Measures such as task analysis and training to ensure awareness of the


potential for uncontrolled, unplanned transfer of highly radioactive
potential for uncontrolled, unplanned transfer of highly radioactive
Line 311: Line 314:
workers.
workers.


o   Measures to ensure awareness of the need for thorough radiation surveys
o
 
Measures to ensure awareness of the need for thorough radiation surveys


of all materials being removed from SFS pools.
of all materials being removed from SFS pools.


o   Measures to eliminate or secure floatable material in SFS pools.
o
 
Measures to eliminate or secure floatable material in SFS pools.
 
o


o    Avoidance of the use of containers made of materials (particularly
Avoidance of the use of containers made of materials (particularly


plastics) that are subject to radiation damage and disintegration
plastics) that are subject to radiation damage and disintegration


for the storage of highly radioactive materials in SFS pools. If
for the storage of highly radioactive materials in SFS pools.
 
If


such containers are used, limiting the radiation dose to the container
such containers are used, limiting the radiation dose to the container
Line 329: Line 340:
radiation damage.
radiation damage.


o   Measures to ensure that highly radioactive objects stored under water
o
 
Measures to ensure that highly radioactive objects stored under water


at one end of a line whose other end is secured above the surface of
at one end of a line whose other end is secured above the surface of
Line 335: Line 348:
the pool are not unexpectedly pulled to the surface.
the pool are not unexpectedly pulled to the surface.


o   Measures to ensure awareness of the need to prevent radiation streaming
o
 
Measures to ensure awareness of the need to prevent radiation streaming


through hollow sections of handling tools.
through hollow sections of handling tools.


O     Enhanced use of alarming personal dosimeters and of alarming area radia- tion monitors around SFS pools.
O
 
Enhanced use of alarming personal dosimeters and of alarming area radia- tion monitors around SFS pools.
 
IN 90-33
 
===May 9, 1990 This information notice requires===
you have any questions about the
 
of the technical contacts listed


IN 90-33 May 9, 1990 This information notice requires no specific action or written response. If
no specific action or written response.


you have any questions about the information in this notice, please contact one
If


of the technical contacts listed below or the appropriate NRR project manager.
information in this notice, please contact one


C ariles- ~E. i1,Director
below or the appropriate NRR project manager.


Division of Operational Events Assessment
C ariles- ~E. i1, Director


===Division of Operational Events Assessment===
Office of Nuclear Reactor Regulation
Office of Nuclear Reactor Regulation


Technical Contacts: John D. Buchanan, NRR
Technical Contacts:


(301) 492-1097 Ronald L. Nimitz, RI
===John D. Buchanan, NRR===
(301) 492-1097


===Ronald L. Nimitz, RI===
(215) 337-5267 Attachments:
(215) 337-5267 Attachments:
1. -Documents Providing Information on Events
1. -Documents Providing Information on Events


Involving Spent Fuel Storage Pools
===Involving Spent Fuel Storage Pools===
 
2. List of Recently Issued NRC Information Notices
2. List of Recently Issued NRC Information Notices


*s_   Attachment 1 IN 90-33 May 9, 1990 Documents Providing Information on Events Involving
*  
s_  


Spent Fuel Storage Pools
===Attachment 1===
IN 90-33 May 9, 1990 Documents Providing Information on Events Involving


===Spent Fuel Storage Pools===
James A. FitzPatrick, June-1989-Event
James A. FitzPatrick, June-1989-Event


Line 374: Line 403:
Peach Bottom, -December-1984 Event
Peach Bottom, -December-1984 Event


o Memorandum from R. R. Bellamy, Region I, to L. J. Cunningham, NRR,
o Memorandum from R. R. Bellamy, Region I, to L. J. Cunningham, NRR,
  August 16, 1989.
August 16, 1989.


Millstone Unit-1, May 1987-Event
Millstone Unit-1, May 1987-Event


O Inspection Report No. 50-245/87-11, July 1, 1987.
O
 
Inspection Report No. 50-245/87-11, July 1, 1987.


Diablo Canyon,-December-1987.Event
Diablo Canyon,-December-1987.Event


o Inspection Report No. 50-275/88-01, February 12, 1988.
o Inspection Report No. 50-275/88-01, February 12, 1988.


° LER 87-27-00 (Docket No. 50-275).
° LER 87-27-00 (Docket No. 50-275).
Line 389: Line 420:
Byron, October 1989-Event
Byron, October 1989-Event


o Inspection Report No. 50-454/89-21, December 8, 1989.
o Inspection Report No. 50-454/89-21, December 8, 1989.


James-A. Fitzpatrick, .February-1987 Event
James-A. Fitzpatrick, .February-1987 Event
Line 395: Line 426:
° Inspection Report No. 50-333/87-07, March 11, 1987.
° Inspection Report No. 50-333/87-07, March 11, 1987.


o Letter from John C. Brons, New York Power Authority, to the Director, Office of Inspection and Enforcement, NRC, May 21, 1987.
o Letter from John C. Brons, New York Power Authority, to the Director, Office of Inspection and Enforcement, NRC, May 21, 1987.


Callaway.-April- 1989-Event
Callaway.-April- 1989-Event


O Inspection Report No. 50-483/89-16, September 8, 1989.
O
 
Inspection Report No. 50-483/89-16, September 8, 1989.


Peach Bottom,-April 1982.Event
Peach Bottom,-April 1982.Event


o Inspection Report No. 50-277/82-11, July 13, 1982.
o Inspection Report No. 50-277/82-11, July 13, 1982.


Indian Point Unit-3,-July-1989-Event
Indian Point Unit-3,-July-1989-Event
Line 411: Line 444:
t..
t..


Attachmpnt       2 IZ 90-33 May 9. 1990
Attachmpnt
                                                                                                                  Page I of I
 
2 IZ 90-33 May 9. 1990
Page I of I


LIST OF RECENTLY           ISSUED
LIST OF RECENTLY


RRC INFORMATION          NOTICES
ISSUED


.ssau.ce
RRC INFORMATION


, Date   CT   IssaeW.te.
NOTICES
 
Date CT
 
, .ssau.ce


Tntorniron
Tntorniron


lotic  NoR.       Subject                                                      Issueedte ....            .
IssaeW.te.


90-32              Surface Crack and Subsurface                    5/3/90      All holders of OLs
lotic NoR.


Indications        in the Weld of                          or CPsfor nuclear
Subject


A ReactorVessel Head                                        powerreactors.
90-32


90-31              Update on Waste Form and                       5/4/90      All holders of OLS
===Surface Crack and Subsurface===
Indications


High Integrity Container                                    or CPs for nucleer
in the Weld of


Topical Report Review                                      power reectors.        fuel
A Reactor


Status. Identification                                      cycle licenses, and
Vessel Head


of Problems with Ceount                                      certain by-product
90-31


Solidification. and                                         materialslicenses.
===Update on Waste Form and===
High Integrity Container


===Topical Report Review===
Status. Identification
of Problems with Ceount
===Solidification. and===
Reporting of Waste Mishaps
Reporting of Waste Mishaps


90-30               Ultrasonic Inspection                          5/11/90    All holdersof OLS
90-30  


Techniques for Dissimilar                                   or Cps for nuclear
===Ultrasonic Inspection===
Techniques for Dissimilar


Metal Welds                                                 power reactors.
Metal Welds


90-29               Cracking of Cladding and                        4/30/9C      All holders of OLs
90-29  


Its Heat-Affected Zone in                                   or Cps for nuclear
===Cracking of Cladding and===
Its Heat-Affected Zone in


the Base metal of a Reactor                                 power reactors.
the Base metal of a Reactor


Vessel Head
Vessel Head


90-28               Potential Error In High                        4,30/90      All holders of OLs
90-28  


Steamline Flow Setpoint                                     or CPs for 3WRs.
===Potential Error In High===
Steamline Flow Setpoint


90-27               ClarifIcation of the                            4/30/90    All uranium fuel
90-27  


Recent Revisions         to the                            fabrication and
===ClarifIcation of the===
Recent Revisions


Regulatory Requirements                                    conversion facilities.
to the


for Packaging       of Uranisum
===Regulatory Requirements===
for Packaging
 
of Uranisum


Hexafluoride (UF6 ) for
Hexafluoride (UF6 ) for


Transportation
===Transportation===
89-70,
Possibla
 
Indications
 
of
 
Supp. I
 
Nsirepresented


89-70,              PossiblaIndications              of            4/26/90    Ali holders of OLS
Vendor


Supp. I              Nsirepresented      Vendor                                or Cps for nuclear
Products


Products                                                  power reactors.
90-25 Inadequate


90-25                Inadequate      Flow of                       4/24/90    All holders of OLs
Flow of


Essentiel ServiceWater                                    or Cps for nuclear
Essentiel Service


to RoomCoolers and Heat                                    power reactors.
Water


Exchangers for Engineered
to Room Coolers and Heat


===Exchangers for Engineered===
Safety-Feature System
Safety-Feature System


.. .. . .       .. . ..     .. . ...   .. ....                   .... ... ......... ....
5/3/90
5/4/90
5/11/90
4/30/9C
 
Issueedt ....
 
e
 
.
 
===All holders of OLs===
or CPs for nuclear
 
power reactors.
 
===All holders of OLS===
or CPs for nucleer
 
power reectors.
 
fuel
 
cycle licenses, and
 
certain by-product
 
materials
 
licenses.
 
All holders
 
of OLS
 
or Cps for nuclear
 
power reactors.
 
===All holders of OLs===
or Cps for nuclear
 
power reactors.
 
4,30/90
 
===All holders of OLs===
or CPs for 3WRs.
 
4/30/90
 
===All uranium fuel===
fabrication and
 
conversion facilities.
 
4/26/90
 
===Ali holders of OLS===
or Cps for nuclear
 
power reactors.
 
4/24/90
 
===All holders of OLs===
or Cps for nuclear
 
power reactors.
 
..
 
.
 
.. ..
 
.
 
.. . ..
 
..
 
. ...
 
..
 
....
 
....
 
...
 
..
 
.......
 
....


OL
OL
Line 498: Line 659:
* Operating License
* Operating License


CP* Construction Permit
CP
 
* Construction Permit


UNITED STATES                                                                                                                                 FIRST CLASS MAIL
===UNITED STATES===
NUCLEAR REGULATORY COMMISSION


NUCLEAR REGULATORY COMMISSION                                                                                                                          POSTAGE & FEES PAID
===WASHINGTON, D.C. 2055===
OFFICIAL BUSINESS
 
PENALTY FOR PRIVATE USE, $300,
 
===FIRST CLASS MAIL===
POSTAGE & FEES PAID


USNRC
USNRC


WASHINGTON, D.C. 2055 PERMIT No. 047 OFFICIAL BUSINESS
===PERMIT No. 047===
12055500395 6
1.


PENALTY FOR PRIVATE USE, $300,
A11B1CO01- US NRC-OIR
                                                            12055500395 6                                      1.          A11B1CO01- US NRC-OIR                                                 Cs
 
Cs
 
DIV OF I NFO SUP SVCS
 
EC


DIV OF I NFO SUP SVCS                                                               EC
===CHEFS I ARCHIVES SVCS SC===
W/F P1Z12 2 WASHINGTON


CHEFS I ARCHIVES                                          SVCS                SC
D


W/F P1Z12 2 WASHINGTON                                                              D            O5}}
O5}}


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

Latest revision as of 10:11, 16 January 2025

Sources of Unexpected Occupational Radiation Exposures at Spent Fuel Storage Pools
ML031210552
Person / Time
Site: Beaver Valley, Millstone, Hatch, Monticello, Calvert Cliffs, Dresden, Davis Besse, Peach Bottom, Browns Ferry, Salem, Oconee, Mcguire, Nine Mile Point, Palisades, Palo Verde, Perry, Indian Point, Fermi, Kewaunee, Catawba, Harris, Wolf Creek, Saint Lucie, Point Beach, Oyster Creek, Watts Bar, Hope Creek, Grand Gulf, Cooper, Sequoyah, Byron, Pilgrim, Arkansas Nuclear, Braidwood, Susquehanna, Summer, Prairie Island, Columbia, Seabrook, Brunswick, Surry, Limerick, North Anna, Turkey Point, River Bend, Vermont Yankee, Crystal River, Haddam Neck, Ginna, Diablo Canyon, Callaway, Vogtle, Waterford, Duane Arnold, Farley, Robinson, Clinton, South Texas, San Onofre, Cook, Comanche Peak, Yankee Rowe, Maine Yankee, Quad Cities, Humboldt Bay, La Crosse, Big Rock Point, Rancho Seco, Zion, Midland, Bellefonte, Fort Calhoun, FitzPatrick, McGuire, LaSalle, Fort Saint Vrain, Shoreham, Satsop, Trojan, Atlantic Nuclear Power Plant, Crane  Entergy icon.png
Issue date: 05/09/1990
From: Rossi C
Office of Nuclear Reactor Regulation
To:
References
IN-90-033, NUDOCS 9005030120
Download: ML031210552 (7)


I/

UNITED STATES

NUCLEAR REGULATORY COMMISSION

OFFICE OF NUCLEAR REACTOR REGULATION

WASHINGTON, D.C. 20555 May 9, 1990

NRC INFORMATION NOTICE NO. 90-33:

SOURCES OF UNEXPECTED OCCUPATIONAL RADIATION

EXPOSURES AT SPENT FUEL STORAGE POOLS

Addressees

All holders of operating licenses or construction permits for nuclear power

reactors.

Purpose

This information notice is intended to alert addressees to potential sources of

unexpected occupational radiation exposures at spent fuel storage (SFS) pools.

It is expected that recipients will review the information for applicability

to their facilities and consider actions, as appropriate, to avoid similar

problems. However, suggestions contained in this information notice do not

constitute NRC requirements; therefore, no specific action or written response

is required.

Description of Circumstances

SFS pools provide a water-shielded location for the storage of spent fuel and

other highly radioactive materials that are potential sources of high radiation

exposures. SFS pools also may be contaminated with highly radioactive particles

having activities of tens of millicuries (mCi) or more. This information notice

identifies a number of events in which sources of unexpected occupational radi- ation exposures were encountered in the activities associated with SFS pools.

Events.Involving-Highly.Radioactive-Objects-That Floated ip SFS-Paols

In June 1989, several individuals involved in SFS pool cleanup activities at

the James A. FitzPatrick Nuclear Power Plant received unexpected radiation

exposures (within NRC limits) from an object floating near the surface of

the SFS pool near their work location. Subsequent radiation surveys of the

object indicated contact radiation exposure rates of about 1000 roentgens per

hour (R/hour). The licensee believes that the source of the radiation was a

small fragment of radioactive material imbedded in a piece of floating material.

The floating material probably was a piece of a 5-gallon polyethylene container

in which irradiated components had been stored underwater for more than a year.

Apparently, the polyethylene container began to disintegrate as a result of

radiation from the irradiated components stored inside it.

The problem of contaminated objects floating to the surface of SFS pools is

not new. In December 1984, complete canister filters from a portable under- water vacuuming system floated at least 15 feet toward the top of the spent

9005030120

IN 90-33 May 9, 1990 fuel racks at the Peach Bottom Atomic Power Station.

Licensee personnel specu- lated that the filters may have surfaced and then sank to the spent fuel storage

racks.

Although no personnel received unexpected exposures, this event could

have caused significant exposure to personnel.

In May 1987, floating vacuum cleaner filters were also involved in a similar

event at the Millstone Nuclear Power Station, Unit 1. During that event, the

radiation level on the refueling floor increased momentarily to more than 100

mR/hour, then quickly returned to a normal level of about 10 mR/hour.

The high

radiation level occurred at the same time that the spent fuel pool cooling system

was returned to use following valve maintenance.

Refilling of the system forced

air into the SFS pool through the sparger. The bubbles rose in the pool, causing

agitation. The licensee postulated that the agitation forced highly contaminated

vacuum cleaner filter cartridges stored in the pool to the surface. These filters

contained debris from past cleaning evolutions of the reactor vessel and were

suspended by nylon line in the SFS pool. After this event, the licensee decided

to remove disposable items from the pool and to replace nylon lines, used for

suspending items in the pool, with wire cables.

Events.Involving .Highly .Radioactive-Particles-or.Fragments-of Radioactive

Material Removed from. SVS.ools

During reracking operations in the SFS pool at the Diablo Canyon Nuclear Power

Plant, Unit 1, in December 1987, a highly radioactive particle (45.5 mCi of Co-60)

was inadvertently removed from the SFS pool. The particle was attached to an air

grinder hose that was partially pulled from the pool by the diver tender when the

grinder hose became entangled with the diver's hose. When the Co-60 particle was

removed from the pool, the radiation from the particle caused the fuel handling

building (FHB) area radiation monitor to alarm, resulting in a shift of the FHB

ventilation system to the iodine removal mode. The air grinder hose was not

monitored for radiation while it was being removed from the pool.

Conservative

estimates by the licensee indicated that had the diver tender come in contact

(0.5 second) with the Co-60 particle with his hands, he could have received an

extremity dose of 895 mrem.

In October 1989, personnel at the Byron Station found unexpectedly high activity

Co-60 particles (8 mCi and 77 mCi) during efforts to decontaminate and remove a

portable filter assembly that had been used in an underwater vacuum cleaner to

clean the bottom of the SFS pool. Three individuals received unexpected doses

to their hands and forearms from these highly radioactive particles. These doses

were calculated to be 1.25, 1.95, and 11.6 rem.

Highly radioactive materials also have been lifted, unexpectedly, to the surface

of SFS pools. At the FitzPatrick plant in February 1987, a worker received an

overexposure to the hand during the cutting and removal of in-core instrumentation

dry tubes from the reactor vessel.

During this operation, the cutting tool was

removed from the water for inspection. A piece of highly radioactive dry tube

that had been stuck in the tool fell out on the refueling floor. A worker im- mediately picked up the piece of dry tube and threw it back into the water. As

a result of this brief contact with the dry tube, the worker received a radiation

dose of about 30 rem to his hand, which exceeds the NRC limit of 18.75 rem per

calendar quarter.

IN 90-33 May 9, 1990 At the Callaway Plant, personnel discovered that an inadequate survey had been

made on an underwater fuel elevator following its removal from the SFS pool on

April 23, 1989. On April 29, 1989, a metal object was found to read 1000 R/hour

at contact, but the object was shielded by the elevator structure so that only a

localized area exceeded 100 mR/hour. The highly radioactive metal object was

found to be a piece of a torn grid strap from a fuel assembly that had been

repaired in the fuel elevator on April 21, 1989.

Personnel had attempted to

flush the piece out of the bottom of the fuel basket. However, because the

piece was never seen in the fuel elevator basket and because no abnormal radiation

readings were reported, personnel incorrectly assumed that the piece had been

flushed from the elevator basket and was at the bottom of the fuel pool.

Event Involving Inadvertent Lifting-.f-Mlghly-Radicactive-Materialby.Moist

In April 1982 at the Peach Bottom Atomic Power Station, Unit 2, personnel in- advertently lifted a highly radioactive (in the million R/hour range) control

rod blade (CRB) near the surface of the water for 5 to 10 seconds. This event

occurred when a hafnium test blade (HFB) was to be moved from the fuel prepara- tion machine to a CRB rack location. This evolution was being supervised by a

senior licensed operator. When an operator attempted to move the HFB using the

fuel grapple, the operator could not engage the temporary C clamp on the HFB.

An auxiliary hoist was subsequently used to successfully move the HFB to the

CRB rack location. After completing the HFB movement, the operator proceeded

to pull the hoist grapple to its normal storage location out of the water.

While the hoist was rising, its grapple engaged and picked up an adjacent CRB.

The hoist limit switch stopped the upward movement when the grapple was still

under 8 to 10 feet of water. At that time the operator, without looking, used

the 'override" button to bypass the limit switch and raised the grapple with

the attached CRB. The area radiation monitor started alarming as the grapple

with the CRB approached the surface of the water. Upon hearing the alarm, the

refueling floor supervisor looked and saw a brown object approaching the water

surface and yelled, "Put it down, put it down." The grapple was stopped before

the CRB reached the surface.

No radiological surveys were performed during

this evolution. However, individuals at the pool area were unnecessarily ex- posed to radiation. Although these doses were about 300 mrem or less, if the

CRB had reached the surface, the doses could have been much greater.

Event Involving Radiation Streaming

Underwater tools are designed with flood holes to allow water to fill the

hollow sections of tubes. These flood holes provide shielding against

radiation streaming from highly radioactive materials that are stored

under water. At Indian Point Station, Unit 3, in July 1989, a worker

using a tool to perform reconstitution of a spent fuel assembly noticed

that a 12-foot-long 3/4-inch-diameter hollow section of the tool did not

have a flood hole. As a result of this equipment design deficiency, the

worker received an unplanned exposure. Although the licensee estimated

that the worker received a radiation dose of only 30 mrem as a result of

this incident, a hollow tool filled with air rather than water can result

in much higher doses when the lower end bf the tool is under water and near

a highly radioactive source.

IN 90-33 May 9, 1990 Additional -Information:

Additional information on these events is provided in the documents listed in

Attachment 1. The NRC and licensee documents are available in the NRC Public

Document Room.

Discussion:

Although the events described above were associated with SFS pools, similar

problems can occur during the removal and handling of material from flooded

reactor cavities.

A review of licensee evaluations of these events, the licensee corrective

actions, and feedback from NRC inspectors indicate that the following radio- logical control considerations can help minimize the possibility of unexpected

exposures from radiation sources in SFS pools:

O

Thorough evaluations of the contents of, and activities involving, SFS

pools from a radiological perspective to identify potential unexpected

exposure situations.

o

Measures such as task analysis and training to ensure awareness of the

potential for uncontrolled, unplanned transfer of highly radioactive

materials, including highly radioactive particles, to the surface of

SFS pools with the attendant potential for high radiation exposure of

workers.

o

Measures to ensure awareness of the need for thorough radiation surveys

of all materials being removed from SFS pools.

o

Measures to eliminate or secure floatable material in SFS pools.

o

Avoidance of the use of containers made of materials (particularly

plastics) that are subject to radiation damage and disintegration

for the storage of highly radioactive materials in SFS pools.

If

such containers are used, limiting the radiation dose to the container

can be used to prevent disintegration of the container as a result of

radiation damage.

o

Measures to ensure that highly radioactive objects stored under water

at one end of a line whose other end is secured above the surface of

the pool are not unexpectedly pulled to the surface.

o

Measures to ensure awareness of the need to prevent radiation streaming

through hollow sections of handling tools.

O

Enhanced use of alarming personal dosimeters and of alarming area radia- tion monitors around SFS pools.

IN 90-33

May 9, 1990 This information notice requires

you have any questions about the

of the technical contacts listed

no specific action or written response.

If

information in this notice, please contact one

below or the appropriate NRR project manager.

C ariles- ~E. i1, Director

Division of Operational Events Assessment

Office of Nuclear Reactor Regulation

Technical Contacts:

John D. Buchanan, NRR

(301) 492-1097

Ronald L. Nimitz, RI

(215) 337-5267 Attachments:

1. -Documents Providing Information on Events

Involving Spent Fuel Storage Pools

2. List of Recently Issued NRC Information Notices

s_

Attachment 1

IN 90-33 May 9, 1990 Documents Providing Information on Events Involving

Spent Fuel Storage Pools

James A. FitzPatrick, June-1989-Event

° Inspection Report Nos. 50-333/89-08, August 10, 1989; 50-333/89-13, August 2, 1989; and 50-333/89-21, December 29, 1989.

Peach Bottom, -December-1984 Event

o Memorandum from R. R. Bellamy, Region I, to L. J. Cunningham, NRR,

August 16, 1989.

Millstone Unit-1, May 1987-Event

O

Inspection Report No. 50-245/87-11, July 1, 1987.

Diablo Canyon,-December-1987.Event

o Inspection Report No. 50-275/88-01, February 12, 1988.

° LER 87-27-00 (Docket No. 50-275).

Byron, October 1989-Event

o Inspection Report No. 50-454/89-21, December 8, 1989.

James-A. Fitzpatrick, .February-1987 Event

° Inspection Report No. 50-333/87-07, March 11, 1987.

o Letter from John C. Brons, New York Power Authority, to the Director, Office of Inspection and Enforcement, NRC, May 21, 1987.

Callaway.-April- 1989-Event

O

Inspection Report No. 50-483/89-16, September 8, 1989.

Peach Bottom,-April 1982.Event

o Inspection Report No. 50-277/82-11, July 13, 1982.

Indian Point Unit-3,-July-1989-Event

° Inspection Report No. 50-286/89-18, September 12, 1989.

t..

Attachmpnt

2 IZ 90-33 May 9. 1990

Page I of I

LIST OF RECENTLY

ISSUED

RRC INFORMATION

NOTICES

Date CT

, .ssau.ce

Tntorniron

IssaeW.te.

lotic NoR.

Subject

90-32

Surface Crack and Subsurface

Indications

in the Weld of

A Reactor

Vessel Head

90-31

Update on Waste Form and

High Integrity Container

Topical Report Review

Status. Identification

of Problems with Ceount

Solidification. and

Reporting of Waste Mishaps

90-30

Ultrasonic Inspection

Techniques for Dissimilar

Metal Welds

90-29

Cracking of Cladding and

Its Heat-Affected Zone in

the Base metal of a Reactor

Vessel Head

90-28

Potential Error In High

Steamline Flow Setpoint

90-27

ClarifIcation of the

Recent Revisions

to the

Regulatory Requirements

for Packaging

of Uranisum

Hexafluoride (UF6 ) for

Transportation

89-70,

Possibla

Indications

of

Supp. I

Nsirepresented

Vendor

Products

90-25 Inadequate

Flow of

Essentiel Service

Water

to Room Coolers and Heat

Exchangers for Engineered

Safety-Feature System

5/3/90

5/4/90

5/11/90

4/30/9C

Issueedt ....

e

.

All holders of OLs

or CPs for nuclear

power reactors.

All holders of OLS

or CPs for nucleer

power reectors.

fuel

cycle licenses, and

certain by-product

materials

licenses.

All holders

of OLS

or Cps for nuclear

power reactors.

All holders of OLs

or Cps for nuclear

power reactors.

4,30/90

All holders of OLs

or CPs for 3WRs.

4/30/90

All uranium fuel

fabrication and

conversion facilities.

4/26/90

Ali holders of OLS

or Cps for nuclear

power reactors.

4/24/90

All holders of OLs

or Cps for nuclear

power reactors.

..

.

.. ..

.

.. . ..

..

. ...

..

....

....

...

..

.......

....

OL

  • Operating License

CP

  • Construction Permit

UNITED STATES

NUCLEAR REGULATORY COMMISSION

WASHINGTON, D.C. 2055

OFFICIAL BUSINESS

PENALTY FOR PRIVATE USE, $300,

FIRST CLASS MAIL

POSTAGE & FEES PAID

USNRC

PERMIT No. 047

12055500395 6

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