ML15232A475

University of Florida - Reply to Notice of Violation, Per Inspection Conducted on June 15-17, 2015

ML15232A475
Person / Time
Site:	05000083
Issue date:	08/14/2015
From:	Shea B Univ Of Florida, Gainesville
To:	Document Control Desk, NRC Region 1
References
Download: ML15232A475 (2)

Text

College of Engineering P0 Box 116134UF Training Reactor Facility Gainesville, FL 32611352-294-2104bshea@ufl.eduAugust 14, 2015U.S. Nuclear Regulatory CommissionATTN: Document Control DeskWashington, D.C. 20555-0001 Docket No.50-083

Subject:

Reply to Notice of Violation (Ref. ML15194A260)During a planned inspection activity on 15-17 June 2015, Nuclear Regulatory Commission (NRC) inspectorsidentified a violation of UFTR Emergency Plan requirements. This written response is submitted to describe thereasons for the violation and the steps being taken to correct this condition.Description of ViolationThe NOTICE OF VIOLATION states the following:Title 10 of the Code of Federal Regulations (10 CFR) Section 50. 54(q) (2) requires the licensee 'follow andmaintain the effectiveness of an emergency plan. " The licensees Emergency Plan (E-Plan) requires emergencyresponse agencies and Gainesville Fire and Rescue (fire) department orientation and facility familiarizationtour on a. biennial basis. The E-Plan also requires that any deficiencies in the E-Plan that could potentiallyimpact reactor safety or the health and safety of the public be immediately reported to the University RadiationControl Committee (RCC) and the Dean of the College of Engineering.Contrary to the above, the fire department and emergency medical services (EMS, ambulance) under theAlachua County Emergency Management have not participated in activities to meet this requirement and thisdeficiency has not been reported to the RCC or the Dean.Apparent CausesUFTR staff failed to recognize and implement this Emergency Plan requirement.1. Because of the volume of requirements that must be tracked, UFTR staff rely on the list of requiredactivities (surveillances) documented in procedure SOP-0.5, Quality Assurance Program, and the relatedsurveillance tracking spreadsheet, to ensure all required surveillance activities are completed in a timelymanner. This particular Emergency Plan requirement had never been formalized in procedure SOP-0.5or the surveillance tracking spreadsheet.2. The page of the Emergency Plan containing this requirement was last revised in February 2007 by thelong-time Facility Director approximately 20 months prior to his retirement. Due to personnel turnoverand a high number of significant licensing activities that occurred during roughly that same timeframe,it's reasonable to assume that institutional memory of this requirement was lost as a result.The Foundation for The Gator Nation.An Equal Opportunity Institution Completed Corrective Actions1. UFTR staff received face-to-face notification of the apparent violation immediately following discovery.2. Initial notification of the apparent violation was immediately made to the Associate Dean of Research &Facilities, as well as to select members of the University Radiation Control Committee and ReactorSafety Review Subcommittee.3. A follow-up written report describing the apparent violation, its causes, and the corrective actionsneeded to prevent reoccurrence was submitted to the Dean of the College of Engineering, UniversityRadiation Control Committee, Associate Dean of Research & Facilities, Reactor Safety ReviewSubcommittee, and the NRC Inspector.4. New Surveillance A-7 was created, and the surveillance spreadsheet updated, to track the requiredorientations and tours.5. The Q-3 drill surveillance sheet was enhanced to include quarterly verification that new A-7 surveillanceis current and to remind staff of the need to schedule the required orientations and tours well in advanceof their due dates.6. The Emergency Plan section of the Annual QA Audit Checklist was enhanced to include verification ofthe new A-7 surveillance.7. The Emergency Plan has been reviewed to verify all other requirements / commitments arc beingappropriately implemented and tracked.8. Details of this violation have been incorporated into the Emergency Plan training requalification lecturematerials and UFTR staff have been trained on this event.9. The feasibility of incorporating a UFTR facility orientation session for emergency response agencyheads into the campus wide annual disaster exercise agenda was investigated and tabled for the timebeing. There was insufficient time available to intervene in the campus wide annual disaster exerciseagenda which was held on July 30, 2015.Remaining Corrective Actions1. Perform the required orientation training / facility tour.Due date: Tentative 30 October 2015 (due date may be extended dependent on attendee availability)Please let us know if you need further information.This submittal has been reviewed and approved by UFTR management and by the Reactor Safety ReviewSubcommittee.Sincerely,Brian SheaReactor Managercc: Dean, College of EngineeringChair, University Radiation Control CommitteeNRC InspectorThe Foundation for The Gator NationAn Equal Opportunity Institution