05000298/FIN-2011008-02
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Finding | |
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Title | Failure to Recognize Work Order Risk |
Description | The inspectors identified a noncited violation of Technical Specification 5.4.1, for failure to implement procedures described in Regulatory Guide 1.33, Appendix A. Specifically, the licensee failed to implement procedures that provide guidance on recognizing risk associated with a maintenance activity and properly accounting for that risk. This directly contributed to three instrumentation and control technicians receiving an unexpected radiation dose. A site stand-down was held to discuss the lessons learned and the event was entered into the licensees corrective action program as Condition Report CR-CNS-2011-4435. This deficiency was reasonable for the licensee to foresee and prevent occurrence. The finding was more than minor because it is associated with the human performance attribute of the Occupational Radiation Safety Cornerstone and affected the cornerstone objective to ensure adequate protection of the worker health and safety from exposure to radiation from radioactive material during routine civilian nuclear reactor operation. The inspectors determined that the finding is of very low safety significance (Green) because it was not associated with ALARA planning or work controls, there was no overexposure, there was no substantial potential for an overexposure, and the licensees ability to assess dose was not compromised. The finding has a cross-cutting aspect in the work control component of the human performance area because the licensee did not plan work activities by incorporating risk insights. Specifically, the licensee developed a work package that failed to recognize the risk associated with the activity. |
Site: | Cooper ![]() |
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Report | IR 05000298/2011008 Section 4OA5 |
Date counted | Jun 30, 2011 (2011Q2) |
Type: | NCV: Green |
cornerstone | Or Safety |
Identified by: | NRC identified |
Inspection Procedure: | IP 93812 |
Inspectors (proximate) | B Tharakan D Overland V Gaddy |
Violation of: | Technical Specification |
CCA | H.5, Work Management |
INPO aspect | WP.1 |
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Finding - Cooper - IR 05000298/2011008 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Finding List (Cooper) @ 2011Q2
Self-Identified List (Cooper)
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