ML20214T047

Insp Rept 50-062/87-01 on 870518-20.No Violations or Deviations Observed.Major Areas Inspected:Licensee Action on Improvement Items Noted During 1985 Emergency Preparedness Appraisal Conducted on 850819-23

ML20214T047
Person / Time
Site:	University of Virginia
Issue date:	06/02/1987
From:	Decker T, Tabaka A NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION II)
To:
Shared Package
ML20214T036	List: ML20214T033 ML20214T047
References
50-062-87-01, 50-62-87-1, NUDOCS 8706100101
Download: ML20214T047 (7)

See also: IR 05000062/1987001

Text

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UNITED STATES

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Report No.: 50-62/87-01

Licensee: University of Virginia

Chartlottesville, VA 22901

Docket No.: 50-062 License No.: R-66

Facility Name: University of Virginia Research Reactor

Inspection Conducted: May 18-20, 1987

Inspector: [ f nk

A. E. Tabaka

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'Date Signed

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Approved by: L //wAz , '&[/C 6[# i?

T. R. Decker, Section Chief ~Date Signed

Division of Radiation Safety and Safeguards

SUMMARY

Scope: The purpose of this routine unannour.ced inspection was to evaluate

selected areas of the emergency preparedness program to include the licensee's

action on the improvement items noted during the 1985 Emergency Preparedness

Appraisal conducted August 19-23, 1985.

Results: Of the nineteen (19) items inspected, no violations or deviations

were identified.

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REPORT DETAILS

1. Persons Contacted

Licensee Employees

• P. Mulder, Reactor Facility Director

• P. Benneche, Reactor Supervisor

J. Farrar, Reactor Administrator

• B. Copcutt, Radiation Safety Officer

• 0. Hale, Reactor Health Physicist

J. Henderson, Radiation Safety Specialist

G. Conley, Senior Reactor Operator

B. Hosticka, Senior Reactor Operator

Other Organizations

W. Walton, Deputy Chief, Charlottesville Fire-Department

M. Winstead, Captain, Charlottesville Rescue Squad

R. Dunn, Captain, University of Virginia Police Department

• Attended exit interview

2. Exit Interview (30703)

The inspection scope and findings were summarized on May 20, 1987, with

those persons indicated in Paragraph 1 above. The inspector described the

areas inspected and discussed in detail the inspection findings. No

dissenting comments were received from the licensee.

3. Licensee Action on Emergency Preparedness Improvement Items (82745)

Licensee action on the improvement items identified during the

August 19-23, 1985, appraisal was evaluated. The bracketed numbers at

the beginning of the paragraphs correspond to the item numbers used in

Appendix A to the letter of October 17, 1985, which transmitted NRC 7eport

No. 50-062/85-02.

a. [1] (Closed) Improvement Item (062/85-02-01): Developing a training

program for dispatchers and local police departments sufficient to

provide the ability to perform expected emergency functions. A  !

review of training records and discussions with offsite

representatives revealed that training tours were provided to the UVa

and Albermarle County Police in late 1985 and early 1986 with good

participation by both groups. Training records and discussion with

offsite personnel indicated that pertinent topics were presented

during the tours.

b. [2] (0 pen) Improvement Item (062/85-02-02): Upgrading the training

for rescue squad members to include a description of the University

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of Virginia reactor emergency organization. In response to this

item, the licensee offered to provide training / tours to the

Charlottesville-Albermarle Rescue Squad in a letter dated

September 5,1985. Review of licensee documentation and a discussion

with the current Rescue Squad Captain indicated that there had been

no participation in training by this group to date. No documentation

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was available to indicate if further offers were extended. This item

will be evaluated at a future date.

c. [3] (Closed) Improvement Item (062/85-02-03)

Including a tour of

l the reactor facility in the training program for all offsite

. personnel. Licensee documentation indicated that tours of the

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reactor facility were provided to the various offsite support groups

with the exception of the Rescue Squad as noted in Item b aMye. -

Discussions with licensee representatives and offsite personnel

indicated that topics appropriate to the support group were provided

during the tours as well as a discussion of the UVa response

organization.

d. [4] (Closed) Improvement Item (062/85-02-04): Making changes in

EPIPs-6, -7, and -8 to ensure agreement with Plan regarding the

responsibility for notification. Appropriate revisions have been

made to the EPIPs making them consistent with respect to who has the

primary responsibility for notifications. Specifically, an onsite

emergency team member will implement the various procedures only when

directed by the Emergency Director to do so. The Emergency Director

has ultimate responsibility for completion of these actions.

e. [5] (Closed) Improvement Item (062/85-02-05): Moving Emergency

Action Rosters closer to telephones. The inspector observed the

placement of the emergency telephone numbers at each of the hall

telephones. Emergency Action Rosters continue to be posted

throughout the facility on the numerous bulletin boards. A separate i

telephone listing was available in the front office.

f. [6] (Closed) Improvement Item (062/85-02-06): Providing

documentation and a schedule for ensuring that the Emergency Action

Roster telephone numbers are current. The licensee has committed to

a semestral review and update of the Emergency Action Duty Roster.

The inspector reviewed documentation indicating that both the

personnel roster (EPIP-11) and telephone listings (EPIP-6) were l

updated approprlately.

g. [7](Closed)ImprovementItem(062/85-02-07): Assessing the need for

moving the radios from an office to the primary Emergency Support

Center. The licensee stated and documented in their November 7,

1985, response to the appraisal that it was undesirable to move the

radio and walkie-talkies to the front office due to the fact that the

area was a non-dedicated ESC with access by many personnel. The

radio and one walkie-talkie are currently housed in the SR0 offices

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directly opposite and in close proximity to the front office (ESC).

The other two walkie talkies were kept in the Facility Director and

Reactor Administrator's offices. They would be accessible during an

emergency.

h. [8] (Closed) Improvement Item (062/85-02-08): Ensuring consistency

between the Plan and EPIPs. The licensee corrected the discrepancies

concerning emergency exposure limits and the EALs for airborne and

waterborne releases as noted in Appraisal Repott No. 50-062/85-02.

However, during this review the inspector noted an additional

discrepancy concerning an EAL for the Alert classification. The Plan

indicated an increase in ambient exposures by a factor of 1,000

throughout the facility due to airborne radionuclides or dose rates

would be classified as an Alert; whereas, the procedures indicated

that a dose rate of 100 rem /hr under the same conditions would

constitute an Alert. The inspector was informed that a 0.1 mrem /hr

assumption was made in the development of the procedure. The

licensee agreed to clarify this assumption in the next Plan revision.

1. [9] (Closed) Improvement Item (062/85-02-09): Placing copies of the

Emergency Plan, EPIPs, and Emergency Actions Roster in the ESC.

Controlled copies of the Emergency Plan and Implementing Procedures

were located in the front office (primary Emergency Support Center)

and the Health Physics office (back-up Emergency Support Center).

Additional copies of these documents were also available in the two

emergency kits. The Emergency Action Roster is contained within the

EPIPs.

j. [10] (Closed) Improvement Item (062/85-02-10): Using radiation rope

or tape to mark boundaries of radiation areas rather than white rope.

Both emergency cabinets have been stocked with 200 feet of magenta

and yellow radiation rope and 400 feet of radiation ribbon. In

addition, various radiation signs are stocked for cordoning off areas

during an emergency. The ald white rope was still present for

miscellaneous use.

k. [11] (Closed) Improvement Item (062/E5-02-11): Establishing a stock

of protective clothing, respiratory protection equipment, and

dosimetry for use by offsite support personnel. Upon inventorying

the two emergency kits and reviewirtg the additional equipment

available to offsite personnel, the inspector determined the

equipment stocked to be adequate for use by onsite and offsite

personnel. The est elished kits were stocked with four (4) full sets

of anti-contaminatia clothing and several disposable suits. Also,

five (5) additional pairs of coveralls and hoods were available in

the Health Physics Lab, The licensee maintained two (2) SCBA units

and several respirator masks. Additional units were available from

Environmental Health and Safety. The inspector also confirmed that

the rescue squad would provide their own SCBA units. The licensee

maintained nine (9) dosimeters for emergency use (0-200 R and

0-200 mR). Approximately sixteen (16) additional dosimeters are used

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routinely for visitors and would be available for low exposure

emergency use. The overall stock of equipment appeared adequate.

1. [12] (Closed) Improvement Item (062/85-02-12): Expanding contents of

decon kits to provide improved decontamination capability. The

decontamination supplies contained in the ground floor emergency

cabinet were expanded to include a bucket and Radiacwash. Other

supplies available were soap, bleach, sponges, gauze, absorbent pads,

-gloves, and a variety of bags and containers. Additional

decontamination support could be obtained from Environmental Health

and Safety if needed. A current letter of agreement with this group

was maintained on file.

m. [13] (Closed) Improvement Item (062/85-02-13): Posting evacuation

routes with maps showing location of assembly areas. As stated in

the November 7,1985, response to the appraisal, the licensee has not

posted the evacuation routes. Because the UVa rcactor facility is a

small, non-complex facility with only two exits, the main entrance

and a marked emergency exit, the various routes for exiting the

facility are few. The licensee has conducted periodic evacuation

drills to familiarize personnel with appropriate exit routes.

n. [14] (Closed) Improvement Item (062/85-02-14): Revising EPIP-14 to

be consistent with EPIP-19, which requires use of dosimetry and

instrumentation for re-entry. EPIP-14, " Evacuation of Onsite Areas,"

has been revised to include an instruction to take available portable

monitors and dosineters when evacuating the building such that they

are available for re-entry,

o. [15] (Closed) Improvement Item (062/85-02-15): Posting the primary

and secondary assembly areas. As stated in the November 7,1985,

response to the appraisal the licensee has chosen not to post

assembly areas. During a tour of the facility the inspector noted

that the assembly area is readily accessible from both exits. In

addition, a review of test records for personnel granted unescorted

access to the facility indicated that the location of assembly areas

and exits to be used was discussed, and personnel have participated

in periodic evacuation and accountability drills. These actions

appeared adequate for this facility,

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p. [16] (Closed)' Improvement Item (062/85-02-16): Training more than

one staff member in first aid to ensure adequate coverage.

Discussions with licensee representatives and a review of

documentation indicated that at least three permanent staff members

were currently trained in Red Cross Multimedia Standard First Aid;

one individual being an Emergency Medical Technician.

q. [17] (Closed) Improvement Item (062/85-02-17): Strengthening the

training / retraining program by revising the training procedure or

developing a manual describing lesson plans, training requirements,

frequency, tours, and attendance records. As noted in the Appraisal

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Inspection Report this item contained eight specific areas for

improvement in the training program. The licensee has taken action

on several of the areas noted including maintaining attendance

records for offsite and onsite training, providing tours of the

facility to offsite agencies, and specifying the frequency of

training / tours for offsite groups. Although these facets of the

training program have been improved, the licensee has not completed

the action on all those items noted. Specifically, detailed lesson

plans were not available for each of the training sessions provided

to all emergency response personnel. Improvements were noted in the

documentation of sessions for non-emergency related operator

training; however, such detailed course outlines were not available

for all emergency response training. The description of the training

was usually limited to a short synopsis of topics listed on

attendance rosters which did not always indicate that elements

required by Section 10.1 of the Emergency Plan were covered.

Completion of this formal documentation of the training program will

be reviewed during a future inspection (IFI 50-062/87-01-01).

r. [18] (Closed) Improvement Item (062/85-02-18): Coordinating with

offsite support groups to assure that current plans are available and

updates in plans and procedures are compatible. The licensee had

available the various offsite emergency plans. Those on file

included the Rescue Squad, University Police, Connonwealth of

Virginia (including State Police), NRC, UVa Hospital, and DOE. A

review of licensee documentation indicated that the plans were

compared and changes were made/ recommended where appropriate. In

addition, discussions with the Charlottesville Fire Department

indicated that the licensee had assisted in the development of a

response plan for its organization,

s. [19] (Closed) Improvement Item (062/85-02-19): Periodically updating

letters of agreement with offsite agencies. The Emergency Plan was

revised to include a biennual review and update of the offsite

agreement letters. The licensee maintained current letters of

agreement with ten (10) offsite support agencies. These included the

appropriate medical, rescue, fire, police, State, federal, and

University support groups.

.. 4. Distribution of Changes to the Emergency Plan and Procedures

During a review of changes made to the licensee's Emergency Plan and

Implementing Procedures it was noted that the last three revisions to the

procedures were not submitted to the NRC. Licensee documentation

indicated that they were instructed to no longer send procedure revisions

to the NRC:HQ due to the administrative nature of changes which were

being made. It appeared, however, that these revisions were sent to the

NRC Region II - Division of Reactor Projects. The inspector informed the

licensee that all changes to the Emergency Plan and Procedures should be

submitted to the NRC in accordance with 10 CFR 50.4(b)(5) and Section 10.4

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of the Emergency Plan. The revisions in question were changed

only to update personnel and telephone listings; but, because this

information is contained within the Implementing Procedures, it must be

submitted to the NRC as required. It should be noted, however, that this

personnel information'is not required to be in an Implementing Procedure,

it must only be maintained current and available for emergency use. This

area will be reviewed during a future inspection.

Inspector Followup Item 50-062/87-01-02: Submittal of changes to the

Emergency Plan and Procedures in accordance with 10 CFR 50.4(b)(5) and

Section 10.4 of the Emergency Plan.

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