ML17264A872
| ML17264A872 | |
| Person / Time | |
|---|---|
| Site: | Ginna  |
| Issue date: | 04/29/1997 |
| From: | MECREDY R C ROCHESTER GAS & ELECTRIC CORP. |
| To: | VISSING G NRC (Affiliation Not Assigned), NRC OFFICE OF INFORMATION RESOURCES MANAGEMENT (IRM) |
| References | |
| 50-244-97-01, 50-244-97-1, NUDOCS 9705070042 | |
| Download: ML17264A872 (22) | |
See also: IR 05000244/1997001
Text
JAN-11-1988
87:14U.S.NRCGINNA3155246937P.82ANDROQIESItR
64SAhQElFCTRIC
CORPORAIION
~8PFASTAVEMIF
ROCIIESIER,PI
Y.MiQP4%1ARFAOAF/6666
2250808ERTC.MECREDYVicelresdenlNvdceroperol~U.S.NuclearRegulatory
Commission
DocumentControlDeskAttn:GuyS.VissingProjectDirectorate
I-lWashington,
D.C.20555April29,1997Subject:ReplytoaNoticeofViolation
NRCInspection
R'eport50-244/97-01,
datedMarch25,1997R.E.GinnaNuclearPowerPlantDocketNo.50-244DearMr.Vissing:Rochester
GasandElectric(RG&E)providesthisreplytotheNoticeofViolation
(VIO50-244/97-01-02)
submitted
asanenclosure
toaleerfromLawrenceT.Doerflein,
USNRC,toRobertC.Mecredy,RG&E,datedMarch25,1997.Asaresultofaninspection
conducted
fromJanuary5toFebruary23,1997,thefollowing
violation
ofNRCrequirements
wasidentified.
Inaccordance
withtheEnforcement
Policy(NUREG-1600),
theviolation
islisted'elow:
"10CFR50,AppendixB,Criterion
XVI,"Corrective
Action,"requiresinpartthatmeasuresbeestablished
toassurethatconditions
adversetoquality,suchas.deficicncies
and.deviations
arepromptlyidentified
andcorrected.
Contrary'to
theabove,thelicenseefailedtocorrectproblemsregarding
contamination
'oundarycontrolandpoorradiological
workpractices
notedinNRCInspection
ReportNos.50-244/94-29
and50-244/96-11,
andRG&EACTIONReportNo.96-0902datedSeptember
27,1996,asevidenced
bythefollowing:
February9,1997,maintenance
toolswereremovedfromadesignated
contamination
areaontheA-SafetyInjection
pump.Severalragsandawirebrushthathadbeenusedinsideanareawithloosesmearable
surfacecontamination
wereallowedtostraddleacrosstheboundarymarkerlineandextendintoanuncontaminated
area.Theseitemswerenotsurveyedpriortobeingremovedfromthecontaminated
area.Otherwrenchesandtoolsthathadbeenusedinsideacontaminated
areawereremovedandplacedonacleansurfacewithouthavingbeenbaggedorsurveyedforcontamination
beforehand.
JAN-11-1988
87:14U.S.NRCGINNA3155246937P.83Page22)February17,1997,aleakfromafittingonthetransmitter
ofaflowinstrument
(FI-116)wasdrippingfrominsideacontaminated
areaontoacleanfioorsurfacethatwasdesignated
asuncontaminated.
Atowelhadbeenplacedonthefioorwascollecting
theleakage(sic),butthetowelwassaturated
withtheradioactive
fiuid.Vfaterwasfiowingawayfromthetoweltoalowpointinthefloor,formingapuddle,andcontaminating
previously
cleanfioorareasupto2700dpm/100cm'.
NocoHecuoadevicewasinplacethatcouldpreventthespreadofcontaminated
watertouncontaminated
areas.Theradiological
protection
technician
ondutyatthetimewasaotawareofthiscondition.
BACKGROUND
1.Inspection
Report94-29NRCInspection
Report94-29dealtwithreviewofaccessible
areasoftheplanttoverifythathighradiation
doorswerelocked,andradiological
postingswerepostedasrequired.
Somevariability
intheuseofcontamination
bouadarydemarcation
tape(radtape)wasnoted.Insomeareas,radtapewasusedonthefioortodefinethecontamination
areaboundarymarkerline,andinotherareasthiswasnotused.Forexample,foroneareaacontamination
ropebarricade
andpostingwereusedwithoutafloorradtapeboundarymarkerline.Theinspector
alsonotedanextension
cordandahoserunningfromacleangaeaintoa,contaminated
areawithoutacleardefinition
ofthecleanorcontaminated
portionofthecordandhose.Boththecordandhosehadbeenpulledlooseduringtheworkevolution
andtheoriginalpositionofthecordandhosecouldnotbedetermined.
RGErEreestablished
aclearcontamination
boundarymarkerlineandstatedthattheuseofradtapewouldbereevaluated.
NRCInspection
Report96-11AsreportedinNRCInspection
Report96-11,NRCinspectors
observedaworkareawithsomeworkpartially
conducted
insidearoped-off
contamination
area.Theinspector
notedthatseveralequipment
servicelinesandpowercordswerenotsecuredwithinthccontamination
area.Significant
amountsoftape,grindingdust,andmiscellaneous
debrisgenerated
fromweldingandgrindingworkhadMeatothefloorandwereaccumulating
outsidethecontamination
areaboundary.
Thestep-offpadforexitingthecontamination
areawasnotsecurelyattachedtothefloor.Severalbucketsthat
Page3wereusedtocollectcontaminated
fluidswerenotlabeledproperly.
NRCinspector
alsonotedadditional
contanunation
boundarycontrolconcerns,
whereloosebagsandpaperswithinthecontamination
areawereallowedtocollectonthefloorandextendacrosstheboundarymarkerline.Cordsandtestleadswerenotsecuredtothcfioortopreventthemfromcanyingcontamination
outofthearea.WhennotifiedbytheNRCinspector
ofthiscondition,
RG&Epersonnel
immediately
cleanedupthedebrisinandoutsideofthecontamination
areaandsecuredtheservicelinestothefloortopreventtheinfrombeingmovedacrosstheboundarymarkerline.Radiological
surveysweretakenandnospreadofcontamination
wasdetected.
However,RG&Eagreedthatmanagement
expectations
forpropercontamination
boundarycontrolshadnotbeenmet.Sitepersonnel
workingintheseareasweresubsequently
counseled.
3.'CTIONReport964902ACTIONReport96-0902dealtwithcontaminated
tools/equipment
foundinunrestricted
areatoolstorageareas.ThesetoolswerefoundasaresultoftheannualRadiation
Protection
(RP)surveysoftheseareas.(1)Thereasonsfortheviolation,
or,ifcontested,
thebasisfordisputing
theviolation;
RG&Eacceptstheviolation.
Weagreethatproblemsregarding
contamination
boundarycontrol*and
poorradiological
workpractices
havenotbeenprogrammatically
corrected.
(a)SafetyInjection
PumpTheareaaroundthesafetyinjections
pumpsisverycongested.
Contaminated
surfaceareaboundaries
aredenotedbyradtape.Theinitialworkplannedfortheareawastoinspectand,ifnecessary,
tightensomeleakingSwagelokfittings.
Typically,
thesmallcontamination
controlareaestablished
forthisworkscopeisadequate.
Basedoninspection
oftheleakingfittings,
theworkscopewasexpandedtoincludetubingreplacement.
Discussions
occurredbetweentheworkersandRadiation
Protection
(RP)technician
relativetotheexpandedworkscope,buttherewasnodecisiontoenlargethecontamnation
controlareaboundarytobetteroptimizetheworkenvironment.
Enlarging
theworkareawouldhavebetteraccouunodated
theexpandedworkscopeandeliminated
theneedto
JAN-11-1988
87:16U.S.NRCGINNA3155246937P.85Page4transferhandtoolsandotheritemsinandoutofthecontaminated
areathathadpreviously
beenestablished.
Therewasalackofalertness
onthepartoftheworkersandRPtechnician
thatthecontamination
areaboundaryshouldhavebeenenlargedformoreeffective
contamination
control.Thetoolremovedfromthecontaminated
areawasusedtotightenaSwageloknutthathadbeenpreviously
smearedandwasfreeofloosecontamination.
Athoughfullcompliance
tocontaminated
areaboundarycontrolwaslacking,smearingthenutwasapositivestepwhichisrepresentative
ofongoingeffortsattheworkareatohelpminimizethespreadofcontamination.
Therags,wirebrush,andwrenchshouldhavebeenbaggedpriortoremovalfromthecontaminated
area.Acontributing
factorwasthesmallcontaminated
areaboundary.
Anenlargedboundarywouldhaveeliminated
theneedtotransfertheseitemsinandoutofthecontaminated
area.Thus,baggingpriortofinalremovalwouldhavebeenaccomplished
asastandard,
acceptable
workpractice,
ifthecontaminated
areahadbeenproperlyenlarged.
(b)LeakfromHowTransmitter
FI-116Itisnotknownwhoplacedtheabsorbent
towelunderthetransmitter,
norhowlongthetowelhadbeentherebeforetheNRCinspector
identified
theproblem,RG&Eacknowledges
thatanabsorbent
towelisnotanappropriate
methodforcontaining
contaminated
liquid.Thisisanunacceptable
workpractice.
Acatchcontainment
orbucketshouldhavebeenused.Asbackground
forhowthissituation
developed,
aMaintenance
WorkOrderhadpreviously
identified
aboronbuilduponaSwagelokfittingtoPl-116.ThispromptedRPtoprovidecontamination
boundarycontrolstotheimmediate
areaadjacenttoFl-116.Initially
described
asadryboronbuildup,'heleakprogressed
tothcpointofasteadydrip.Itcouldnotbeascertained
atwhatstageinleakdevelopment
theabsorbent
towelwasplacedunderthetransmitter.
(c)Contaminated
AreaBoundaryControlRG&Eacknowledges
thatcorrective
actionsforpreviously
identified
poorradiological
workpractices
andinadequate
contamination
boundarycontrolswerenoteffective.
Therehavebeenadditional
incidents
intheseareas.Theprogrammatic
requirements
needtobestronglyreinforced.
Theseincidents
aretheresultoflapsesinperformance
andfailuretoadheretotheestablished
management
expectations
andstandards.
JAN-11-1988
87:17U.S.NRCGINNA3155246937P.86Page5clearandTherefore,
asdiscussed
indetailundercorrective
actionsthefo'0becuswl011additional
manaeandunambiguous
expectations
forboundarydemarcat'
iousancontrol,'nmanagement
coachingandcounscliag,
heightened
awareness
ofthancedtraining,
enforcing
consistency
inapplication
ofness0csestandards,
reinforcement
ofindividual
accountability
andresponsibility,
andmonitoring
toensurecontinuing
compliance.
Thecorrective
stepsthathavebeentakenandtheresultsachieved:
(a)OnFebruary11/12,1997,meetingswereheldwithallavailable
membersoftheNuclearOperations
Group.Thesemeetingsprovidedanopportunity
forthePlantManagertodiscussradiological
workadherence
topractices
andcontamination
boundarycontrol.Theimimportaace
ofacrencetoprocedures
andtheseriousness
oflapsesinacceptable
practices
coacerniag
contamination
boundarycontrolwaspersonally
conveyedbyplantmanagement.
(b}Attherequestof'aintenance
Supervision
theGinnStat'irmationrmcrpalysicistmctwithmembersofappropriate
shopstooutlineconcernswithimpropercontamination
boundarycontrolandtoreviewstationrequirements
andmanagement
expectations.
Separatemeetingswereheldwitheachofthefollowiag
shops:Mechanical
Maintenance
Electrical
Maintenance
Instrument
andControl(E&C)I&CSpecialProjects.
(c)AletterwasissuedbythePlantManager'nd
Superintend
tstallppersonnel,
datedMarch20,1997,regarding
management
emhasizedthaexpectations
forcontamination
boundarycontrol.ThiIisetterempsizethatallpersonnel
areaccountable
forobeyingestablished
radiological
boundaries
whenenteringtherestricted
.Ifurthemhasizedtriarea.terthepasthatifinstructions
arenotclearorfullyunderstood
thplannedworkshouldnotbeinitiated,
andthatitistheworker'senresponsibi
itytoensurethatallinstructions
areunderstood.
Theletterfurtherstatedthatanyincidentofunacceptable
radiological
workpracticewillresultinameetingwithsupervisiou,
andfurtherdisciplinary
actionmay=benecessary.
JAN-11-1988
87:17U.S.NRCGINNA3155246937P.87Page6(3)Thecorrective
stepsthatwillbetakentoavoidfurtherviolations.
TheRadiation
Protection
(RP)Grouphasbeenassignedresponsibility
tocoordinate
implemention
ofallcorrective
actionsdiscussed
below.()rocedures
willbereviewed,
andrevisedasappropriate,
toprovide(a)Procedurclearandunambiguous
management
direction.
Anychangeswillclearlystateacceptable
practices
forcontamination
boundarycontrol.Inaddition,
anychangeswillincludecleardefinitions
ofthevarioustypesofacceptable
contamination
boundarymarkers.(b)Contamination
boundarycontrolissueswillbediscussed
atregularly
scheduled
shopmeetingsbyMaintenance
Supervision,
toreinforce
itsimportance.
Periodically,
RPpersonnel
willberequested
toattendthesemeetingstoprovideclarification
andfosterincreased
communications
betweengroups.(c)RPSupervision
hasdirectedtheRPstaffandRPtechni'dstrongcoachingtoradiological
workers.Thisisbeingdonetoensurecontamina
'Ppersonnel
areeffective
inassisting
workersinmaintaining
ffeectiveminationboundarycontrol.Vfhenpracticable,
assignedRPpersonnel
arcexpectedtobeiutheworkareawhenworkactivites
areoccurring
withincontaminated
areas,toensuremanagement
expectations
arebeingmet.rainingWorkRequestshavebeeninitiated
toprovideenhanced(d)Tra'raining
incontaminated
areasituations.
(e)ARootCauseAnalysisisbeingperformed
toidentifyotherfactorsthathavecontributed
topoorradiological
workpractices
inthepast.Corrective
actions,ifneeded,willaddressthesefactors,toassistineveopingotherappropriate
meanstostrengthen
theprogrammatic
requirements
andtoincreasecompliance
withtheserequirements.
'AsajointeffortbetweenMaintenance,
RP,andNuclearTraining,
"ProjectBoundary"
hasbeenestablished.
Majorattributes
ofthisprojectinclude:Communication
ofmanagement
expectations
BoundaryControlpoliciesthatareeasytouseTrainingforALLgroupsoarevisions
toboundarycontrolpolicies
JAN-11-1988
87:18U.S.HRCGthNA3155246937P.88Page7Reinforcing
andrewarding
goodbehaviors
RevisingTrainingprogramsTraincontractors
(whoworkduringoutages)tothesamelevelasRGBworkersVerifyadequacyoftheseactionsagainstpredetermined
indicators
(g)Anindependent
effectiveness
ReviewwiHbeconducted
toverifytheadequacyoftheabovelistedcorrective
actions.Thisreviewwillbecompleted
byOctober,1997.C(4)Thedatewhenfullcompliance
willbeachieved:
Pullcompliance
hasbeenachievedasofMarch20,1997,whenshorttermcorrective
actions,including
heightened
awareness
andrestatement
ofmanagement
expectations,
werecompleted.
Purtherlongtermenhancements,
asdiscussed
incorrective
actions(a)through(g)above,willresultinamoreeffective
program.Veryyyours,RobertC.Mecredyxc:GuyS.Vissing(MailStop14C7)ProjectDirectorate
I-1Washington,
D.C.20555U.S.NuclearRegulatory
Commission
RegionI475Allendale
RoadKingofPrussia,PA19046GinnaSeniorResidentInspector
TOTALP.88
CATEGORY.11REGULATORY
INFORMATION
DISTRIBUTION
SYSTEM(RIDS)IyACCESSION
NBR:970507004
2DOC.DATE:97/04/29NOTARIZED:
NODOCKETFACIL:50-244RobertEmmetGinnaNuclearPlant,Unit1,Rochester
G05000244AUTH~NAMEAUTHORAFFILIATION
ECREDY,R~C~Rochester
Gas&ElectricCorp.RECIP~NAMERECIPIENT
AFFILIATION
VISSINGFG~SUBJECT:RespondstoNRC9703251trreviolations
notedininsprept50-244/97-0
1on970105-970223
~Corrective
actions:heldmeetingson97021l-l2w/availablemembersofNuclearOperations
Grouptodiscussradiological
workpractices
~DISTRIBUTION
CODE:IE01DCOPIESRECEIVED:LTR
3ENCLQSIZE:TITLE:General(50Dkt)-InspRept/Notice
ofViolation
ResponseNOTES:LicenseExpdateinaccordance
with1OCFR2,2.109(9/19/72)05000244RECIPIENT
IDCODE/NAME
PD1-1PDINTERNAL:
AEOD/SPD/RAB
DEDRONRR/DISP/PIPBNRR/DRPM/PECB
NUD0CS-ABSTRACTOGC/HDS3ERNAL:LITCOBRYCE,JHNRCPDRCOPIESLTTRENCLRECIPIENT
IDCODE/NAME
VISSING,G~AEODTTC~FCETE~NRR/DRCH/HHFB
NRR/DRPM/PERB
OEDIRRGN1FILE01NOACNUDOCSFULLTEXTCOPIESLTTRENCLNOTETOALL"RIDS"RECIPZENTS:
PLEASEHELPUSTOREDUCEWASTE.TOHAVEYOURNAMEORORGANIZATION
REMOVEDFROMDISTRIBUTION
LISTSORREDUCETHENUMBEROFCOPIESRECEIVEDBYYOUORYOURORGANIZATION,
CONTACTTHEDOCUMENTCONTROIDESK(DCD)ONEXTENSION
415-2083TOTALNUMBEROFCOPIESREQUIRED:
LTTR18ENCLR'
ANDyROCHESTER
GASANDElECTRICCORPORATIOhf
~89EASTAVENU~
ROHESTER,Ar.YIdod9.cr'C
'PEACOD!7ID5I52.'K
ROB"RTC.NtECREDYVicePresident
Nvcfeoroperations
April29,1997U.S.NuclearRegulatory
Commission
DocumentControlDeskAttn:GuyS.VissingProjectDirectorate
I-1Washington,
D.C.20555Subject:ReplytoaNoticeofViolation
NRCInspection
Report50-244/97-01,
datedMarch25,1997R.E.GinnaNuclearPowerPlantDocketNo.50-244DearMr.Vissing:Rochester
GasandElectric(RG&E)providesthisreplytotheNoticeofViolation
(VIO50-244/97-01-02)
submitted
asanenclosure
toaletterfromLawrenceT.Doerflein,
USNRC,toRobertC.Mecredy,RG&E,datedMarch25,1997.Asaresultofaninspection
conducted
fromJanuary5toFebruary23,1997,thefollowing
violation
ofNRCrequirements
wasidentified.
Inaccordance
withtheEnforcement
Policy(NUREG-1600),
theviolation
islistedbelow:"10CFR50,AppendixB,Criterion
XVI,"Corrective
Action,"requiresinpartthatmeasuresbeestablished
toassurethatconditions
adversetoquality,suchasdeficiencies
anddeviations
arepromptlyidentified
andcorrected.
Contrarytotheabove,thelicenseefailedtocorrectproblemsregarding
contamination
boundarycontrolandpoorradiological
workpractices
notedinNRCInspection
ReportNos.50-244/94-29
and50-244/96-11,
andRG&EACTIONReportNo.96-0902datedSeptember
27,1996,asevidenced
bythefollowing:
February9,1997,maintenance
toolswereremovedfromadesignated
contamination
areaontheA-SafetyInjection
pump.Severalragsandawirebrushthathadbeenusedinsideanareawithloosesmearable
surfacecontamination
wereallowedtostraddleacrosstheboundarymarkerlineandextendintoan-uncontaminated
area.Theseitemswerenotsurveyedpriortobeingremovedfromthecontaminated
area.Otherwrenchesandtoolsthathadbeenusedinsideacontaminated
areawereremovedandplacedonacleansurfacewithouthavingbeenbaggedorsurveyedforcontamination
beforehand.
9705070042
970429PDRADOCK050002448PDRg[llllllllllllllllllllltll
lllllll
Page22)February17,1997,aleakfromafittingonthetransmitter
ofaflowinstrument
(FI-116)wasdrippingfrominsideacontaminated
areaontoaclean;floorsurfacethatwasdesignated
asuncontaminated.
Atowelhadbeenplacedonthefloorwascollecting
theleakage(sic),butthetowelwassaturated
withtheradioactive
fluid.Waterwasflowingawayfromthetoweltoalowpointinthefloor,formingapuddle,andcontaminating
previously
cleanfloorareasupto2700dpm/100cm'.
Nocollection
devicewasinplacethatcouldpreventthespreadofcontaminated
watertouncontaminated
areas.Theradiological
protection
technician
ondutyatthetimewasnotawareofthiscondition.
BACKGROUND
Inspection
Report94-29NRCInspection
Report94-29dealtwithreviewofaccessible
areasoftheplanttoverifythathighradiation
doorswerelocked,andradiological
postingswerepostedasrequired.
Somevariability
intheuseofcontamination
boundarydemarcation
tape(radtape)wasnoted.Insomeareas,radtapewasusedonthefloortodefinethecontamination
areaboundarymarkerline,andinotherareasthis'wasnotused.Forexample,foroneareaacontamination
ropebarricade
andpostingwereusedwithoutafloorradtapeboundarymarkerline.Theinspector
alsonotedanextension
cordandahoserunningfromacleanareaintoacontaminated
areawithoutacleardefinition
ofthecleanorcontaminated
portionofthecordandhose.Boththecordandhosehadbeenpulledlooseduringtheworkevolution
andtheoriginalpositionofthecordandhosecouldnotbedetermined.
RG&Ereestablished
aclearcontamination
boundarymarkerlineandstatedthattheuseofradtapewouldbereevaluated.
2.NRCInspection
Report96-11AsreportedinNRCInspection
Report96-11,NRCinspectors
observedaworkareawithsomeworkpartially
conducted
insidearoped-off
contamination
area.Theinspector
notedthatseveralequipment
servicelinesandpowercordswerenotsecuredwithinthecontamination
area.Significant
amountsoftape,grindingdust,andmiscellaneous
debrisgenerated
fromweldingandgrindingworkhadfallentothefloorandwereaccumulating
outsidethecontamination
areaboundary.
Thestep-offpadforexitingthecontamination
areawasnotsecurelyattachedtothefloor.Severalbucketsthat
Page3wereusedtocollectcontaminated
fluidswerenotlabeledproperly.
NRCinspector
alsonotedadditional
contamination
boundarycontrolconcerns,
whereloosebagsandpaperswithinthecontamination
areawereallowedtocollectonthefloorandextendacrosstheboundarymarkerline.Cordsandtestleadswerenotsecuredtothefloortopreventthemfromcarryingcontamination
outofthearea.WhennotifiedbytheNRCinspector
ofthiscondition,
RG&Epersonnel
immediately
cleanedupthedebrisinandoutsideofthecontamination
areaandsecuredtheservicelinestothefloortopreventthemfrombeingmovedacrosstheboundarymarkerline.Radiological
surveysweretakenandnospreadofcontamination
wasdetected.
However,RG&Eagreedthatmanagement
expectations
forpropercontamination
boundarycontrolshadnotbeenmet.Sitepersonnel
workingintheseareaswere,subsequently
counseled.
ACTIONReport96-0902ACTIONReport96-0902dealtwithcontaminated
tools/equipment
foundinunrestricted
areat'oolstorageareas.ThesetoolswerefoundasaresultoftheannualRadiation
Protection
(RP)surveysoftheseareas.(1)Thereasonsfortheviolation,
or,ifcontested,
thebasisfordisputing
theviolation:
RG&Eacceptstheviolation.
Weagreethatproblemsregarding
contamination
boundarycontrolandpoorradiological
workpractices
havenotbeenprogrammatically
corrected.
(a)SafetyInjection
PumpTheareaaroundthesafetyinjections
pumpsisverycongested.
Contaminated
surfaceareaboundaries
aredenotedbyradtape.Theinitialworkplannedfor~theareawastoinspectand,ifnecessary,
tightensomeleakingSwagelokfittings.
Typically,
thesmallcontamination
controlareaestablished
forthisworkscopeisadequate.
Basedoninspection
oftheleakingfittings,
theworkscopewasexpandedtoincludetubingreplacement.
Discussions
occurredbetweentheworkersandRadiation
Protection
(RP)technician
relativetotheexpandedworkscope,buttherewasnodecisiontoenlargethecontamination
controlareaboundarytobetteroptimizetheworkenvironment.
Enlarging
theworkareawouldhavebetteraccommodated
theexpandedworkscopeandeliminated
theneedto
Page4transferhandtoolsandotheritemsinandoutofthecontaminated
areathathadpreviously
beenestablished.
Therewasalackofalertness
onthepartoftheworkersandRPtechnician
thatthecontamination
areaboundaryshouldhavebeenenlargedformoreeffective
contamination
control.Thetoolremovedfromthecontaminated
areawasusedtotightenaSwageloknutthathadbeenpreviously
smearedandwasfreeofloosecontamination.
Athoughfullcompliance
tocontaminated
areaboundarycontrolwaslacking,smearingthenutwasapositivestepwhichisrepresentative
ofongoingeffortsattheworkareatohelpminimizethespreadofcontamination.
Therags,wirebrush,andwrenchshouldhavebeenbaggedpriortoremovalfromthecontaminated
area.Acontributing
factorwasthesmallcontaminated
areaboundary.
Anenlargedboundarywouldhaveeliminated
theneedtotransfertheseitemsinandoutofthecontaminate'd
area.Thus,baggingpriortofinalremovalwouldhavebeenaccomplished
asastandard,
acceptable
workpractice,
ifthecontaminated
areahadbeenproperlyenlarged.
LeakfromFlowTransmitter
FI-116Itisnotknownwhoplacedtheabsorbent
towelunderthetransmitter,
norhowlongthetowelhadbeentherebeforetheNRCinspector
identified
theproblem.RG&Eacknowledges
thatanabsorbent
towelisnotanappropriate
methodforcontaining
contaminated
liquid.Thisisanunacceptable
workpractice.
Acatchcontainment
orbucketshouldhavebeenused.Asbackground
forhowthissituation
developed,
aMaintenance
WorkOrderhadpreviously
identified
aboronbuilduponaSwagelokfittingtoFI-116.ThispromptedRPtoprovidecontamination
boundarycontrolstotheimmediate
areaadjacenttoFI-116.Initially
described
asadryboronbuildup,theleakprogressed
tothepointofasteadydrip.Itcouldnotbeascertained
atwhatstageinleakdevelopment
theabsorbent
towelwasplacedunderthetransmitter.
Contaminated
AreaBoundaryControlRG&Eacknowledges
thatcorrective
actionsforpreviously
identified
poorradiological,
workpractices
andinadequate
contamination
boundarycontrolswerenoteffective.
Therehavebeenadditional
incidents
intheseareas.Theprogrammatic
requirements
needtobestronglyreinforced.
Theseincidents
aretheresultoflapsesinperformance
andfailuretoadheretotheestablished
management
expectations
andstandards.
Page5Therefore,
asdiscussed
indetailundercorrective
actions,thefocuswillbeonclearandunambiguous
expectations
forboundarydemarcations
andcontrol,additional
management
coachingandcounseling,
heightened
awareness
oftheseexpectations,
enhancedtraining,
enforcing
consistency
inapplication
ofstandards,
reinforcement
ofindividual
accountability
andresponsibility,
andmonitoring
to-ensurecontinuing
compliance.
Thecorrective
stepsthathavebeentakenandtheresultsachieved:
(a)OnFebruary11/12,1997,meetingswereheldwithallavailable
membersoftheNuclearOperations
Group.Thesemeetingsprovidedanopportunity
forthePlantManagertodiscussradiological
workpractices
andcontamination
boundarycontrol.Theimportance
ofadherence
toprocedures
andtheseriousness
oflapsesinacceptable
practices
concerning
contamination
boundarycontrolwaspersonally
conveyedbyplantmanagement.
(b)AttherequestofMaintenance
Supervision,
theGinnaStationPrincipal
HealthPhysicist
metwithmembersofappropriate
shopstooutlineconcernswithimpropercontamination
boundarycontrolandtoreviewstationrequirements
andmanagement
expectations.
Separatemeetingswereheldwitheachofthefollowing
shops:Mechanical
Maintenance
Electrical
Maintenance
Instrument
andControl(I&C)ISAACSpecialProjects(c)AletterwasissuedbythePlantManagerandSuperintendents
toallplantpersonnel,
datedMarch20,1997,regarding
management
expectations
forcontamination
boundarycontrol.Thisletteremphasized
thatallpersonnel
areaccountable
forobeyingestablished
radiological
boundaries
whenenteringtherestricted
area.Itfurtheremphasized
thatifinstructions
arenotclearorfullyunderstood,
thentheplannedworkshouldnotbeinitiated,
andthatitistheworker'sresponsibility
toensurethatallinstructions
areunderstood.
Theletterfurtherstatedthatanyincidentofunacceptable
radiological
workpracticewillresultinameetingwithsupervision,
andfurtherdisciplinary
actionmaybenecessary.
Page6(3)Thecorrective
stepsthatwillbetakentoavoidfurtherviolations:
TheRadiation
Protection
(RP)Grouphasbeenassignedresponsibility
tocoordinate
implemention
ofallcorrective
actionsdiscussed
below.(a)Procedures
willbereviewed,
andrevisedasappropriate,
toprovide'learandunambiguous
management
direction.
Anychangeswillclearlystateacceptable
practices
forcontamination
boundarycontrol.Inaddition,
anychangeswillincludecleardefinitions
ofthevarioustypesofacceptable
contamination
boundarymarkers.(b)Contamination
boundarycontrolissueswillbediscussed
atregularly
scheduled
shopmeetingsbyMaintenance
Supervision,
toreinforce
itsimportance.
Periodically,
RPpersonnel
willberequested
toattendthesemeetingstoprovideclarification
andfosterincreased
communications
betweengroups.(c)RPSupervision
hasdirectedtheRPstaffandRPtechnicians
toprovidestrongcoachingtoradiological
workers.ThisisbeingdonetoensureRPpersonnel
areeffective
inassisting
workersinmaintaining
effective
contamination
boundarycontrol.Whenpracticable,
assignedRPpersonnel
areexpectedtobeintheworkareawhenworkactivites
areoccurring
withincontaminated
areas,toensuremanagement
expectations
arebeingmet.(d)TrainingWorkRequestshavebeeninitiated
toprovideenhancedtrainingincontaminated
areasituations.
(e)ARootCauseAnalysisisbeingperformed
toidentifyotherfactorsthathavecontributed
topoorradiological
workpractices
inthepast.Corrective
actions,ifneeded,willaddressthesefactors,toassistindeveloping
otherappropriate
meanstostrengthen
theprogrammatic
requirements
andtoincreasecompliance
withtheserequirements.
I(f)AsajointeffortbetweenMaintenance,
RP,andNuclearTraining,
"ProjectBoundary"
hasbeenestablished.
Majorattributes
ofthisprojectinclude:Communication
ofmanagement
expectations
BoundaryControlpolicies,
thatareeasytouseTrainingforALLgroupsonrevisions
toboundarycontrolpolicies
Page7Reinforcing
andrewarding
goodbehaviors
RevisingTrainingprogramsTraincontractors
(whoworkduringoutages)tothesamelevelasRGB'orkers
Verifyadequacyoftheseactionsagainstpredetermined
indicators
(g)Anindependent
EQectiveness
Reviewwillbeconducted
toverifytheadequacyoftheabovelistedcorrective
actions.Thisreviewwillbecompleted
byOctober,1997.(4)Thedatewhenfullcompliance
willbeachieved:
Fullcompliance
hasbeenachievedasofMarch20,1997,whenshorttermcorrective
actions,including
heightened
awareness
andrest'atement
ofmanagement
expectations,
werecompleted.
Furtherlongtermenhancements,
asdiscussed
incorrective
actions(a)through(g)above,willresultinamoree6ectiveprogram.Verylyyours,RobertC.MecredyXC:GuyS.Vissing(MailStop14C7)ProjectDirectorate
I-1Washington,
D.C.20555U.S.NuclearRegulatory
Commission
RegionI475Allendale
RoadKingofPrussia,PA19046'hGinnaSeniorResidentInspector