ML23100A166

Uusa 2023-002 CAP Inspection Document Request

ML23100A166
Person / Time
Issue date:	04/28/2023
From:	Lindsey Cooke, Gregory Goff, Romano M NRC/RGN-II/DFFI
To:	URENCO USA
References
Download: ML23100A166 (3)

Text

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CORRECTIVE ACTION PROGRAM INSPECTION DOCUMENT REQUEST

SITE: URENCO USA

INSPECTION DATES: April 24 - 28, 2023

NRC INSPECTORS: Lindsey Cooke Lindsey.Cooke@nrc.gov MichelleRomano Michelle.Romano@nrc.gov Gr egory Goff Gregory.Goff@nrc.gov

ACCOMPANYING PERSONNEL: None

IDENTIFIED LICENSEE CONTACTS:

Licensing: Barry Love

Inspection Procedure 88161 - Corrective Action Program (CAP) I mplementation at Fuel Cycle Facilities

1. Information Requested for In-Office Preparation

a. Organization chart as it applies to the CAP program owners alon g with names and contact information of key licensee personnel needed during the onsite inspection.

b. List of condition reports.

i. List of CAP entries for the past two years with a brief desc ription of the issue. (This is a general list that the inspection team can re view for safety significance and from which they can request individual CAP Ent ry printout that will include all information up to closure).

- If possible, the list should be sorted based on CAP importanc e level.

- If this list is too extensive, please let us know and we can discuss some filtering options to get a more usable result.

- Please provide the list by Monday, 04/10/2023, so final sampl es (condition reports & all attachments) can be selected and uploaded into the e-room by the week prior to the inspection (Monday, 04/17/2023).

ii. List of all Root Cause Evaluations and Apparent Cause Evalu ations with their associated CAP report that have been completed in past tw o years.

c. Corrective Action Program (CAP) implementation procedures.

i. To include the overarching CAP procedure CA-3-1000-01, as we ll as the subsidiary procedures (i.e., related to screening, etc.)

ii. MC-3-1000-03, Investigation and Resolution of MC&A Issues 2

d. Copy of independent audits and/or assessments associated with t he CAP (if any).

e. Copy of any tracking/trending of EVs or investigations associat ed with the Corrective Action Program.

f. Safety Conscious Work Environmen t (SCWE) surveys performed by UUSA since the last CAP inspection (if any).

g. Employee Concerns Program (ECP) procedure and contact informati on for the ECP manager.

h. Latest revision of SAR & QAPD.

i. CAP training materials (lesson plan) and requirements (training matrix) for UUSA personnel.

j. UUSA organization chart & a list of all UUSA site personnel/emp loyees (list will be used to select inspection samples for training verification, etc.).

k. Latest version of Root Cause Evaluation for Significant Invento ry Difference EV 151944 as well as supporting/reference documents (i.e., EV pack ages and procedures referenced in the report).

l. Other EV packages: EV 156393, EV 123013, EV 136349.

m. Contamination Events corrective actions:

i. Corrective actions arising from: EN55861, EV 111023, EV 113877, EV 116283, EV 117283, EV 136211, EV 148894, EV 149668, EV 151253, and EV 149975

2. Information to be provided onsite to the inspectors at the e ntrance meeting

a. If possible, the inspectors would like to have access to the CAP software and computer access. This would help facilitate the inspection by minimizing document requests to the staff.

3. Activity to be performed after entrance meeting

None at this time.

Note: if the document request is too extensive (i.e., the supporting documents for the Significant Inventory Difference Root Cause Evaluation) let us know and we can refine the request to be more specific.

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PAPERWORK REDUCTION ACT STATEMENT

This letter contains mandatory information collections that are subject to the Paperwork Reduction Act of 1995 (44 U.S.C. 3501 et seq.). The Office of M anagement and Budget (OMB) approved these information collections (approval number 3 150-0009). The burden to the public for these information collections is estimated to average 1 hour1.157407e-5 days <br />2.777778e-4 hours <br />1.653439e-6 weeks <br />3.805e-7 months <br /> per response. Send comments regarding this information collection t o the FOIA, Library and Information Collection Branch, Office of the Chief Information Officer, Mail Stop: T6-A10M, U.S. Nuclear Regulatory Commission, Washington, DC 20555- 0001, or by e-mail to Infocollects.Resource@nrc.gov, and to the Desk Officer, Office of Information and Regulatory Affairs, NEOB-10202, (3150-0009) Office of Managemen t and Budget, Washington, DC 20503.

Public Protection Notification

The NRC may not conduct nor sponsor, and a person is not requir ed to respond to, a request for information or an information collection requiremen t unless the requesting document displays a currently valid OMB control number.