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APPENDIX B
                                            APPENDIX B
U.S. NUCLEAR REGULATORY COMMISSION
                                U.S. NUCLEAR REGULATORY COMMISSION
REGION IV
                                              REGION IV
NRC Inspection Report:
      NRC Inspection Report:       50-267/88-17               Operating License: OPR-34
50-267/88-17
      Docket:     50-267
Operating License: OPR-34
      Licensee:   Public Service Company of Colorado (PSC)
Docket:
                    2420 W. 26th Avenue, Suite 15c
50-267
                    Denver, Colorado 80211
Licensee:
      Facility Name:     Fort St. Vrain Nuclear Generating Station (FSV)
Public Service Company of Colorado (PSC)
      Inspection At:     FSV Site, Weld County, Platteville, Colorado
2420 W. 26th Avenue, Suite 15c
      Inspection Conducted: July 24 through August 2, 1988
Denver, Colorado 80211
                                        ^ -/ "                               98
Facility Name:
      Inspector:[H. IX Chaney, Radiation Specialist,               Facilities
Fort St. Vrain Nuclear Generating Station (FSV)
                                                                            Date
Inspection At:
                          Radiological Protection Section
FSV Site, Weld County, Platteville, Colorado
      Approved:           (           '"                                     kdO
Inspection Conducted: July 24 through August 2, 1988
                        R. 4. Baer, Chief, Facilities Radiological         Date
^ -/ "
                          Protection Section
98
      Inspection Summary
Inspector:[H. IX Chaney, Radiation Specialist, Facilities
      Inspection Conducted July 24 through August 2,_1988 (Report 50-267/88-17)
Date
      Areas Inspected: Routine, unannounced inspection of the licensee's radiation
Radiological Protection Section
      protection program.
kdO
      Results: Within the areas inspected, four violations (two violations for
Approved:
      failure to implement 10 CFR Part 20 see paragraphs 5 and 6; and two violations
(
      for failure to follow procedures, see paragraphs 4 and 7) were identified. No
'"
      deviations were identified.
R. 4. Baer, Chief, Facilities Radiological
    8009290150 000921
Date
    POR   ADOCK 05000267
Protection Section
    G                   PNU
Inspection Summary
Inspection Conducted July 24 through August 2,_1988 (Report 50-267/88-17)
Areas Inspected:
Routine, unannounced inspection of the licensee's radiation
protection program.
Results: Within the areas inspected, four violations (two violations for
failure to implement 10 CFR Part 20 see paragraphs 5 and 6; and two violations
for failure to follow procedures, see paragraphs 4 and 7) were identified. No
deviations were identified.
8009290150 000921
POR
ADOCK 05000267
G
PNU


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                                              2
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                                          DETAILS
2
    1. Persons Contacted
DETAILS
        PSC
1.
      *R. O. Williams, Jr., Vice President, Nuclear Operations
Persons Contacted
      *F. J. Borst, Nuclear Training Manager
PSC
      *D. W. Evans, Operations Manager
*R. O. Williams, Jr., Vice President, Nuclear Operations
      *D. Goss, Regulatory Affairs Manager
*F. J. Borst, Nuclear Training Manager
      *J. M. Gramling, Supervisor of Nuclear Licensing
*D. W. Evans, Operations Manager
      *J. P. Hak, Maintenance Supervisor
*D. Goss, Regulatory Affairs Manager
      *M. H. Holmes, Nuclear Licensing Manager
*J. M. Gramling, Supervisor of Nuclear Licensing
      *R. O. Hooper, Nuclear Training Administrative Supervisor
*J. P. Hak, Maintenance Supervisor
      *D. D. Miller, Radiochemistry Supervisor
*M. H. Holmes, Nuclear Licensing Manager
      *P. F. Moore, Quality Assurance (QA) Supervisor
*R. O. Hooper, Nuclear Training Administrative Supervisor
      *F. J. Novachek, Nuclear Support Manager
*D. D. Miller, Radiochemistry Supervisor
      *L. O. Scott, QA Services Manager
*P. F. Moore, Quality Assurance (QA) Supervisor
      *S. S. Sherrow, Health Physicist
*F. J. Novachek, Nuclear Support Manager
      *L. R. Sutton, QA Auditing Supervisor
*L. O. Scott, QA Services Manager
        P. F. Tomlinson, QA Manager
*S. S. Sherrow, Health Physicist
        W. Woodard, Acting Radiation Protection Supervisor
*L. R. Sutton, QA Auditing Supervisor
      *N. Zerr, QA Engineer
P. F. Tomlinson, QA Manager
        Others
W. Woodard, Acting Radiation Protection Supervisor
        R. E. Farrell, NRC Senior Resident Inspector
*N. Zerr, QA Engineer
      *P. W. Michaud, NRC Resident Inspector
Others
      * Denotes those individuals present during the exit interview on August 2,
R. E. Farrell, NRC Senior Resident Inspector
        1988.
*P. W. Michaud, NRC Resident Inspector
        The NRC inspector also interviewed several other licensee employees
* Denotes those individuals present during the exit interview on August 2,
        including quality control inspectors, maintenance mechanics, radiation
1988.
        protection personnel, clerks, and training instructors.
The NRC inspector also interviewed several other licensee employees
    2. Followup on Previous Inspection Findings
including quality control inspectors, maintenance mechanics, radiation
        (Closed) Violation (267/8707-01): Radioactive Liquid Effluent Releases -
protection personnel, clerks, and training instructors.
                                                    -
2.
        This item was previously discussed in NRC Inspection Reports 50-267767207
Followup on Previous Inspection Findings
        and 87-24 and involved the licensee's failure to perform the required
(Closed) Violation (267/8707-01):
        radiological sampling prior to a liquid effluent release. The NRC
Radioactive Liquid Effluent Releases -
        inspector reviewed implementation of the licensee's corrective actions
This item was previously discussed in NRC Inspection Reports 50-267767207
        stated in the response to the Notice of Violation, dated May 7, 1987, the
-
        corrective actions referenced in Licensee Event Report 87-004, and the
and 87-24 and involved the licensee's failure to perform the required
        licensee's corrective actions taken by the licensee in response to an
radiological sampling prior to a liquid effluent release.
        associated QA Department audit finding (CAR 87-023).     The licensee's
The NRC
        corrective actions appear to be adequate to pre ent a reoccurrence of the
inspector reviewed implementation of the licensee's corrective actions
        violation in the future.
stated in the response to the Notice of Violation, dated May 7, 1987, the
corrective actions referenced in Licensee Event Report 87-004, and the
licensee's corrective actions taken by the licensee in response to an
associated QA Department audit finding (CAR 87-023).
The licensee's
corrective actions appear to be adequate to pre ent a reoccurrence of the
violation in the future.


  .
.
, .
,
                                            3
.
      (0 pen) Violation (267/8420-02): "Effluent Monitoring Instrumentation -
3
      This item concerned the licensee's commitment to install a continuous
(0 pen) Violation (267/8420-02):
      reactor building sump liquid release pathway monitor that would provide
"Effluent Monitoring Instrumentation -
      monitoring for radionuclides that predominantly decay by beta radiation.
This item concerned the licensee's commitment to install a continuous
      The licensee committed to providing quarterly progress reports on the
reactor building sump liquid release pathway monitor that would provide
      development of the monitoring system. The licensee's most recent progress
monitoring for radionuclides that predominantly decay by beta radiation.
      report (Final, October 22, 1987) indicates that the development of beta
The licensee committed to providing quarterly progress reports on the
      monitor (beta scintillation cell) had encountered severe difficulties due
development of the monitoring system.
      to the foreign material contamination within the sump and its detrimental
The licensee's most recent progress
      affect on the monitor's scintillation crystals (calcium fluoride).     The
report (Final, October 22, 1987) indicates that the development of beta
      licensee has abandoned further effort in developing a sump monitoring
monitor (beta scintillation cell) had encountered severe difficulties due
      system and has petitioned the NRC for relief from their commitment to
to the foreign material contamination within the sump and its detrimental
      develop such a system. The licensee has requested permission to continue
affect on the monitor's scintillation crystals (calcium fluoride).
      to utilize the batch release manual sampling of sump liquified effluents
The
      as has been used since the violation had occurred in 1984. This item will
licensee has abandoned further effort in developing a sump monitoring
      remain open pending NRC action on the licensee's petition and verification
system and has petitioned the NRC for relief from their commitment to
      of licensee implementation of any corrective actions so directed.
develop such a system.
      (0 pen) Open Item (267/8221-04): High Range Noble Gas Effluent Monitors,
The licensee has requested permission to continue
      NUREG-0737, Item II.F.1.1 - This item was aost recently updated in NRC
to utilize the batch release manual sampling of sump liquified effluents
      Inspection Report 50-2677 87-24. The NRC informed FSV via letter and
as has been used since the violation had occurred in 1984.
      Safety Evaluation Report, dated January 9, 1986, that the licensee's
This item will
      proposed design and design improvements to the installed postaccident
remain open pending NRC action on the licensee's petition and verification
      reactor effluent activity monitor to be acceptable.     The licensee had
of licensee implementation of any corrective actions so directed.
      committed to installing a dilution system (sometime in 1988) to extend the
(0 pen) Open Item (267/8221-04):
      measurement range of the monitor (RT7324-2).     The licensee had revised the
High Range Noble Gas Effluent Monitors,
      commitment on installation of the dilution system and it will be installed
NUREG-0737, Item II.F.1.1 - This item was aost recently updated in NRC
      (design change notice: CN2042) prior to the resumption of reactor power
Inspection Report 50-2677 87-24.
      operations following the fourth refueling outage (some time during 1989).
The NRC informed FSV via letter and
      This item is considered open pending completion of licensee actions and
Safety Evaluation Report, dated January 9, 1986, that the licensee's
      verification of operability of the dilution system.
proposed design and design improvements to the installed postaccident
    3. Open Items Identified During This Inspection
reactor effluent activity monitor to be acceptable.
      An open item is a matter that requires further review and evaluation by
The licensee had
      the NRC inspector. Open items are used to document, track, and ensure
committed to installing a dilution system (sometime in 1988) to extend the
      adequate followup on matters of concern to the NRC inspector. The
measurement range of the monitor (RT7324-2).
      following open items were identified:
The licensee had revised the
      Jen__ Item
commitment on installation of the dilution system and it will be installed
      O                                Title                         See Paragraph
(design change notice: CN2042) prior to the resumption of reactor power
      267/8817-05           Hot Particle Exposure Assessment               6
operations following the fourth refueling outage (some time during 1989).
                            Methodology
This item is considered open pending completion of licensee actions and
      267/8817-06           Industrial Respiratory Protection               5
verification of operability of the dilution system.
                            Program
3.
      267/8817-07           Hot Particle Control Program                   8
Open Items Identified During This Inspection
An open item is a matter that requires further review and evaluation by
the NRC inspector.
Open items are used to document, track, and ensure
adequate followup on matters of concern to the NRC inspector.
The
following open items were identified:
O en__ Item
Title
See Paragraph
J
267/8817-05
Hot Particle Exposure Assessment
6
Methodology
267/8817-06
Industrial Respiratory Protection
5
Program
267/8817-07
Hot Particle Control Program
8


  .
.
. .
.
                                          4
.
      267/8817-08           Fixed Contamination Units of                 8
4
                              Measurement
267/8817-08
      267/8817-09           Release of Materials for Unrestricted         8
Fixed Contamination Units of
                              Use
8
      267/8817-10           Contaminated Material Receptacle             8
Measurement
                              Locations
267/8817-09
    4. Or anization and Management Controls - Radiation Protection
Release of Materials for Unrestricted
          3522/83722)
8
      The licensee's organization and staffing of the radiation protection group
Use
      was inspected to determine agreement with commitments in the Updated Final
267/8817-10
      Safety Analysis Report (UFSAR) Sections 11 and 12; and compliance with the
Contaminated Material Receptacle
      requirements of Operating License Technical Specifications (TS) 7.1, 7.3,
8
      7.4, and 7.5; and the recommendations of NUREG-0731 and 0761.
Locations
      The NRC inspector reviewed the licensee's organization, staffing,
4.
      assignment of responsibilities, radiological protection program
Or anization and Management Controls - Radiation Protection
      implementing procedures, Radiation Protection Plan, completed and
3522/83722)
      scheduled QA audits, and management oversight of radiological work
The licensee's organization and staffing of the radiation protection group
      activities.     Senior Management Policies in regard to radiation protection,
was inspected to determine agreement with commitments in the Updated Final
      respiratory protection, and ALARA were also reviewed.
Safety Analysis Report (UFSAR) Sections 11 and 12; and compliance with the
      The licensee had recently selected a new Radiation Protection Manager
requirements of Operating License Technical Specifications (TS) 7.1, 7.3,
      (RPM). The RPM position was previously held by the Support Services
7.4, and 7.5; and the recommendations of NUREG-0731 and 0761.
      Manager. The new RPM position is titled Superintendent of Chemistry and
The NRC inspector reviewed the licensee's organization, staffing,
      Radiation Protection (SCRP). The previous RPM was assigned full time
assignment of responsibilities, radiological protection program
      duties as manager of the onsite Nuclear Training Department. The new SCRP
implementing procedures, Radiation Protection Plan, completed and
      position was created during a major personnel reorganization of FSV in
scheduled QA audits, and management oversight of radiological work
      May 1988. This position (RPM /SCRP) no longer has direct access to the
activities.
      Nuclear Production Division Manager (NPM) (equivalent to the position of
Senior Management Policies in regard to radiation protection,
      Plant Manager) but reports through the realigned position of Manager of
respiratory protection, and ALARA were also reviewed.
      Nuclear Support Department. The NRC inspector determined that even though
The licensee had recently selected a new Radiation Protection Manager
      current TS and UFSAR charts do not provide clear lines of authority to the
(RPM). The RPM position was previously held by the Support Services
      NPM for the RPM, there is a clear understanding that the RPM can contact
Manager. The new RPM position is titled Superintendent of Chemistry and
      the NPM at any time to resolve radiological protection problems not
Radiation Protection (SCRP).
      resolved through the normal chain of command.
The previous RPM was assigned full time
      The NRC inspector determined that a new SCRP position was permanently
duties as manager of the onsite Nuclear Training Department. The new SCRP
      filled on or about May 26, 1988, by the incumbent Health Physics (HP)
position was created during a major personnel reorganization of FSV in
      Supervisor.
May 1988.
      10 CFR Part 50, Appendix B, Criterion V, requires that activities
This position (RPM /SCRP) no longer has direct access to the
      affecting quality shall be prescribed by documented instructions,
Nuclear Production Division Manager (NPM) (equivalent to the position of
      procedures, or drawings of a type appropriate to the circumstances and
Plant Manager) but reports through the realigned position of Manager of
      shall be accomplished in accordance with these instructions, procedures,
Nuclear Support Department.
      or drawings. Instructions, procedures, or drawings shall include
The NRC inspector determined that even though
      appropriate quantitative or qualitative acceptance criteria for
current TS and UFSAR charts do not provide clear lines of authority to the
NPM for the RPM, there is a clear understanding that the RPM can contact
the NPM at any time to resolve radiological protection problems not
resolved through the normal chain of command.
The NRC inspector determined that a new SCRP position was permanently
filled on or about May 26, 1988, by the incumbent Health Physics (HP)
Supervisor.
10 CFR Part 50, Appendix B, Criterion V, requires that activities
affecting quality shall be prescribed by documented instructions,
procedures, or drawings of a type appropriate to the circumstances and
shall be accomplished in accordance with these instructions, procedures,
or drawings.
Instructions, procedures, or drawings shall include
appropriate quantitative or qualitative acceptance criteria for


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                                                        5
.
                  determining that important activities have been satisfactorily
.
                  accomplished.
.
                  FSV Support Services Manager's Administrative Procedure (SUSMAP) 1,
5
                  "Health Physics, Radiochemistry and Chemistry Experience, Qualification,
determining that important activities have been satisfactorily
                  and Training Requirements," (Revision 14, dated July 29,1987),
accomplished.
                  paragraph 3.1.2 states, in part, "The RPM shall meet the requirements of
FSV Support Services Manager's Administrative Procedure (SUSMAP) 1,
                  Regulatory Guide 1.8 - 1975 . . . prior to assignment to the position.
"Health Physics, Radiochemistry and Chemistry Experience, Qualification,
                  This shall be documented on Attachment SUSMAP-1M." SUSMAP-1M requires the
and Training Requirements," (Revision 14, dated July 29,1987),
                  signature of the NPM. Also, FSV Administrative Procedure G-7, "FSV
paragraph 3.1.2 states, in part, "The RPM shall meet the requirements of
                  Project Personnel Training and Qualification Programs," (Revision 20,
Regulatory Guide 1.8 - 1975 . . . prior to assignment to the position.
                  dated June 22, 1988), paragraph 4.1.3, requires that qualifications of
This shall be documented on Attachment SUSMAP-1M." SUSMAP-1M requires the
                  individuals filling certain positions at FSV be evaluated to specific
signature of the NPM.
                  industry prescribed criteria and documented on Attachments G-7A and G-78
Also, FSV Administrative Procedure G-7, "FSV
                  to the procedure. Paragraph 4.2.4 of Procedure G-7 identifies the FSV
Project Personnel Training and Qualification Programs," (Revision 20,
                  equivalent position of RPM as requiring verification of the assignees
dated June 22, 1988), paragraph 4.1.3, requires that qualifications of
                  qualifications at the time of appointment to the active position.
individuals filling certain positions at FSV be evaluated to specific
                  The NRC inspector determined that as of August 1, 1988, that the
industry prescribed criteria and documented on Attachments G-7A and G-78
                  documentation required by SUSMAP-1 and G-7 had not been initiated for the
to the procedure.
                  individual assigned to the position of RPM /SCRP. This failure to comply
Paragraph 4.2.4 of Procedure G-7 identifies the FSV
                  with procedural requirements is an apparent violation of the requirements
equivalent position of RPM as requiring verification of the assignees
                  of 10 CFR Part 50, Appendix B, Criterion V. (267/8817-01)
qualifications at the time of appointment to the active position.
                  The licensee indicated that failure to initiate the proper documentation
The NRC inspector determined that as of August 1, 1988, that the
                  was a result of two separate occurrences: (1) the reliance on a
documentation required by SUSMAP-1 and G-7 had not been initiated for the
                  comprehensive review of the selectee's qualifications that was performed
individual assigned to the position of RPM /SCRP.
                  in late 1987, as documented by a memorandum to file by the former RPM, and
This failure to comply
                  (2) the new department manager of Nuclear Support had not made himself
with procedural requirements is an apparent violation of the requirements
                  fully familiar with the department's implementing procedures (SUSMAP), and
of 10 CFR Part 50, Appendix B, Criterion V.
                  there was no n'echanism in place to ensure that managers performed the
(267/8817-01)
                  SUSMAP-1 or G-7 evaluations.     This resulted in the requirements being
The licensee indicated that failure to initiate the proper documentation
                  overlooked. The licensee took immediate action to complete the required
was a result of two separate occurrences:
                  documentation, the manager familiarized himself with the SUSMAP
(1) the reliance on a
                  procedures, and changes were initiated to personnel administrative action
comprehensive review of the selectee's qualifications that was performed
                  checklists to ensure that the requirements of SUSMAP-1 and G-7 (G-7 is the
in late 1987, as documented by a memorandum to file by the former RPM, and
                  primary governing procedure) will be complied with, as a routine matter,
(2) the new department manager of Nuclear Support had not made himself
                  during any future personnel selections involving G-7 identified positions.
fully familiar with the department's implementing procedures (SUSMAP), and
                  Due to the licensee's timely correction of the apparent violation,
there was no n'echanism in place to ensure that managers performed the
                  identification of the root cause, and implementation of effective
SUSMAP-1 or G-7 evaluations.
                  corrective action to prevent a recurrence, no response to this apparent
This resulted in the requirements being
                  violation (267/8817-01) will be necessary.
overlooked. The licensee took immediate action to complete the required
                  The licensee has experienced a turnover rate of approximately 60 percent
documentation, the manager familiarized himself with the SUSMAP
                  within the radiation protection group in the last 12 months. The losses
procedures, and changes were initiated to personnel administrative action
                  involved health physics technicians (HPTs) and mostly involved transfers
checklists to ensure that the requirements of SUSMAP-1 and G-7 (G-7 is the
                  (5) to other operational groups at FSV. Currently the licensee's
primary governing procedure) will be complied with, as a routine matter,
                  radiation protection staff consists of 1 SCRP, 2 health physicists,
during any future personnel selections involving G-7 identified positions.
                  12 HPTs, and 1 vacant Health Physics Supervisor position.
Due to the licensee's timely correction of the apparent violation,
identification of the root cause, and implementation of effective
corrective action to prevent a recurrence, no response to this apparent
violation (267/8817-01) will be necessary.
The licensee has experienced a turnover rate of approximately 60 percent
within the radiation protection group in the last 12 months.
The losses
involved health physics technicians (HPTs) and mostly involved transfers
(5) to other operational groups at FSV.
Currently the licensee's
radiation protection staff consists of 1 SCRP, 2 health physicists,
12 HPTs, and 1 vacant Health Physics Supervisor position.


                                                                                    .
    .
.
.
  . .
.
                                              6
.
          Licensee procedures and documents reviewed are listed in the attachment to
.
          this inspection report.
.
          No deviations were identified.
6
      5. Training and Qualification - Radiation Protection (83523/83723)
Licensee procedures and documents reviewed are listed in the attachment to
          The licensee's radiological training and the radiation protection
this inspection report.
          personnel qualification program were inspected to determine agreement with
No deviations were identified.
          commitments in Section 12 of the UFSAR; and compliance with the
5.
          requirements of TS 7.1.2.g 7.1.2.h, 7.1.2.1, 7.1.3, and 7.3.b.7, 10 CFR
Training and Qualification - Radiation Protection (83523/83723)
          Part 19.12; the recommendations of NRC Regulatory Guides (RGs) 8.13, 8.27,
The licensee's radiological training and the radiation protection
          8.29; Industry Standard ANSI 18.1-1971; and NUREG-0041 and 0761.
personnel qualification program were inspected to determine agreement with
          The NRC inspector reviewed the licensee's radiological training programs
commitments in Section 12 of the UFSAR; and compliance with the
          for permanent plant employees, visitors, and contractors.     Lesson plans
requirements of TS 7.1.2.g
          and student reference material were reviewed for content.
7.1.2.h, 7.1.2.1, 7.1.3, and 7.3.b.7, 10 CFR
          Instructor qualifications and training were reviewed.   The NRC inspector
Part 19.12; the recommendations of NRC Regulatory Guides (RGs) 8.13, 8.27,
          observed selected general employee training (GET) and radiological worker
8.29; Industry Standard ANSI 18.1-1971; and NUREG-0041 and 0761.
          training classes. The licensee had received INP0 accreditation of all
The NRC inspector reviewed the licensee's radiological training programs
          their training programs in May 1988.
for permanent plant employees, visitors, and contractors.
          The licensee's HPT training program, including on-the-job-training, was
Lesson plans
          reviewed.   Individual experience and qualification for all personnel in
and student reference material were reviewed for content.
          the radiation protection group were reviewed.
Instructor qualifications and training were reviewed.
          The NRC inspector attended the licensee's radiation worker and respiratory
The NRC inspector
          protection training requalification programs on July 28, 1988. The
observed selected general employee training (GET) and radiological worker
          licensee's requalification program for respiratory protection training is
training classes.
          the same as the initial qualification training provided radiological
The licensee had received INP0 accreditation of all
          workers. The licensee's GET is structured as Category I Training -
their training programs in May 1988.
          Personnel not entering radiological work areas or radiation areas, -
The licensee's HPT training program, including on-the-job-training, was
          Category II Training - Personnel entering the reactor building but not
reviewed.
          engaging in radiological controlled work activities, and Category III
Individual experience and qualification for all personnel in
          Training - Personnel engaging in radiological work activities at FSV, and
the radiation protection group were reviewed.
          also includes respiratory protection training.
The NRC inspector attended the licensee's radiation worker and respiratory
          10 CFR Part 20.103 establishes requirements for implementation
protection training requalification programs on July 28, 1988. The
          of an acceptable respiratory protection program that may take advantage of
licensee's requalification program for respiratory protection training is
          the protection factors assigned to various respiratory protection
the same as the initial qualification training provided radiological
          equipment (RPE). Qualitative guidance on suitable equipment, procedures,
workers.
          user training, instructor qualifications, and content of written
The licensee's GET is structured as Category I Training -
          instructions are contained in NRC RG 8.15 and NUREG-0041.     10 CFR
Personnel not entering radiological work areas or radiation areas, -
          Part 00.103 requires that written procedures for selection, use,
Category II Training - Personnel entering the reactor building but not
          supervision, and training involving resp Watory protection equipment be
engaging in radiological controlled work activities, and Category III
          implemented.
Training - Personnel engaging in radiological work activities at FSV, and
          FSV Lesson Plan GE 018.03, "Internal Exposure Control, Respiratory
also includes respiratory protection training.
          Protection Program," sets forth the training necessary to quclify a
10 CFR Part 20.103 establishes requirements for implementation
          worker to use RPE.
of an acceptable respiratory protection program that may take advantage of
the protection factors assigned to various respiratory protection
equipment (RPE).
Qualitative guidance on suitable equipment, procedures,
user training, instructor qualifications, and content of written
instructions are contained in NRC RG 8.15 and NUREG-0041.
10 CFR
Part 00.103 requires that written procedures for selection, use,
supervision, and training involving resp Watory protection equipment be
implemented.
FSV Lesson Plan GE 018.03, "Internal Exposure Control, Respiratory
Protection Program," sets forth the training necessary to quclify a
worker to use RPE.


  _ _ - - - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ - - - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
                                                                        .
.
                .
.
                          .                                               .
.
                                                                                                                  7
.
                                                                                                                                                            ,
7
                                                                            FSV HPP 16, "Selection and Use of Respiratory Protection Equipment,"
,
                                                                            provides written instructions on the selection and use of several
FSV HPP 16, "Selection and Use of Respiratory Protection Equipment,"
                                                                            different types of RPE.
provides written instructions on the selection and use of several
                                                                            The NRC inspector determined during the observation of Category III
different types of RPE.
                                                                            training and a review of the licensee's implementing procedures that the
The NRC inspector determined during the observation of Category III
                                                                            licensee's RPE program lacked the following:
training and a review of the licensee's implementing procedures that the
                                                                            o     Training on the oroper ways to verify a suitable face-to-respirator
licensee's RPE program lacked the following:
                                                                                  mask seal for respirators other than self-contained breathing           ;
o
                                                                                                                                                            '
Training on the oroper ways to verify a suitable face-to-respirator
                                                                                  apparatus (SCBA) models.    Personnel were not required to demonstrate
mask seal for respirators other than self-contained breathing
                                                                                  proficiency on full-face airline or air purify models which are
;
                                                                                  commonly used and available,
                                                                            o    Sufficient instructions were not provided personnel on the types of
                                                                                  cartridges and canisters available for both radiological and
                                                                                  nonradiological uses, and their limitations.      The licensee has
                                                                                  approximately five different chemical and particulate filter
                                                                                  canisters available onsite,
                                                                            o    The instructor lacked familiarity with certain equipment (chemical      ,
,                                                                                cartridges, airline respirator hose length limitations and pressure
'
                                                                                  requirements), and locations of emergency equipment.
                                                                            o    The instructor's experience level with RPE was very limited and he
                                                                                  had not received any professional training in acceptable industrial      :
!                                                                                  or radiological applications of RPE.
                                                                            o    The instructions concerning preuse testing of the SCBAs was deficient
'
'
                                                                                  in that personnel were not instructed on the necessity of verifying
apparatus (SCBA) models.
                                                                                  that the low pressure alarm was operational. This is required by the
Personnel were not required to demonstrate
                                                                                  SCBA's manufacturer in their use and operating instructions.            i
proficiency on full-face airline or air purify models which are
                                                                            o     The training program did not address limitations or protection
commonly used and available,
o
Sufficient instructions were not provided personnel on the types of
cartridges and canisters available for both radiological and
nonradiological uses, and their limitations.
The licensee has
approximately five different chemical and particulate filter
canisters available onsite,
o
The instructor lacked familiarity with certain equipment (chemical
,
cartridges, airline respirator hose length limitations and pressure
,
requirements), and locations of emergency equipment.
'
'
                                                                                  factors for use of RPE in airborne concentrations of tritium and
o
l                                                                                 noble gases,
The instructor's experience level with RPE was very limited and he
                                                                            o     The training did not discuss sufficiently nor. radiological hazards
had not received any professional training in acceptable industrial
:
!
or radiological applications of RPE.
o
The instructions concerning preuse testing of the SCBAs was deficient
in that personnel were not instructed on the necessity of verifying
'
that the low pressure alarm was operational.
This is required by the
SCBA's manufacturer in their use and operating instructions.
i
o
The training program did not address limitations or protection
factors for use of RPE in airborne concentrations of tritium and
'
l
noble gases,
o
The training did not discuss sufficiently nor. radiological hazards
existing at FSV (chlorine, helium, ammonia, or asbestos) and the
,
,
                                                                                  existing at FSV (chlorine, helium, ammonia, or asbestos) and the
;
;                                                                                  available protective equipment (canisters / cartridges).
available protective equipment (canisters / cartridges).
!
!
{                                                                           The NRC inspector determined that the licensee's program for respiratory
{
                                                                            protection training and management of the RPE program requires further
The NRC inspector determined that the licensee's program for respiratory
                                                                            evaluation and is considered and open item.     (267/8817-06)
protection training and management of the RPE program requires further
:                                                                           The NRC inspector noted that a QA audit (HPHY-87-01) of respiratory           !
evaluation and is considered and open item.
(267/8817-06)
:
The NRC inspector noted that a QA audit (HPHY-87-01) of respiratory
!
protection practices revealed deficiencies in the licensee's ability to
,
,
                                                                            protection practices revealed deficiencies in the licensee's ability to
l
l                                                                            ensure personnel medical reviews and RPE training are conducted within the
ensure personnel medical reviews and RPE training are conducted within the
I                                                                           time period referenced in procedures.     These deficiencies were corrected.
I
time period referenced in procedures.
These deficiencies were corrected.
;
;
                                                                                                                                                          i
i
\                                                                                                                                                         .
\\
                                                                                                                                                          ,
.
,
i
i
l
l


      .
    ..  .
                                                  8
            The NRC inspector noted that the licensee instructs personnel on
            applicable RPE protection factors and makes use of the applicable
            protection factors when evaluating uptakes of airborne radioactive
            materials by personnel. Due to the many deficiencies in the licensee's
            written procedures and training program for RDE use, the NRC inspector
            requested that the licensee no longer take ceWic for protection factors
            as allowed by 10 CFR Part 20.103(c). The faa *ure to implement an
            accep+.able respiratory protection program b considered an apparent
            violation of 10 CFR Part 20.103(c). (26? +317-002)
            No deviations were identified.
          6. External Exposure Control and Persona 1 0osimetry (83524/83724)
            The licensee's external radiation exposure control program was reviewed
            for: agreement with the commitments in Section 11 of the VFSAR; compliance
            with the requirements contained in TS 7.4.d; 10 CFR Parts 19.12, 13, and
            20.101, 102, 104, 105, 202, 203, 205, 206, 405, 407, 408, and 409; and the
            recommendations of NRC Inspection and Enforcement Information Notices
            (IEIN) 86-23 and 87-39; RGs 8.8, 8.13, 8.14, and 8.28; and industry
            standards ANSI N13.11-1983.
            The NRC inspector reviewed personnel exposure records, records storage
            facilities, exposure control procedures, dosimetry processing procedures,
            dosimetry quality control methods, data processing, and report generation.
            Facility inspections were made and independent measurements were conducted
            of posted radiation areas.    The licensee's high radiation area controls,
            including locking and control of keys, was inspected. Accreditation of
            the licensee's dosimetry processor was verified. The licensee's on hand
            stock of extremity dosimeters and spare film badges for personnel
            monitoring was reviewed. The NRC inspector observed the use of multiple
            dosimetry for personnel entering areas with non-uniform radiation fields.
            TS 7.4-3.d requires, in part, "Procedures for personnel radiation
            protection shall be prepared consistent with the requirements of 10 CFR
            Part 20, and shall be ,;pproved, maintained, and adhered to for all
            operations involving personnel radiation exposure."
.
.
            10 CFR Part 20.203 requires, in part, "Each radiation area shall be
..
  ,
.
            conspicuously posted with a sign or signs bearing the radiation caution
8
The NRC inspector noted that the licensee instructs personnel on
applicable RPE protection factors and makes use of the applicable
protection factors when evaluating uptakes of airborne radioactive
materials by personnel. Due to the many deficiencies in the licensee's
written procedures and training program for RDE use, the NRC inspector
requested that the licensee no longer take ceWic for protection factors
as allowed by 10 CFR Part 20.103(c).
The faa *ure to implement an
accep+.able respiratory protection program b considered an apparent
violation of 10 CFR Part 20.103(c).
(26? +317-002)
No deviations were identified.
6.
External Exposure Control and Persona 1 0osimetry (83524/83724)
The licensee's external radiation exposure control program was reviewed
for: agreement with the commitments in Section 11 of the VFSAR; compliance
with the requirements contained in TS 7.4.d; 10 CFR Parts 19.12, 13, and
20.101, 102, 104, 105, 202, 203, 205, 206, 405, 407, 408, and 409; and the
recommendations of NRC Inspection and Enforcement Information Notices
(IEIN) 86-23 and 87-39; RGs 8.8, 8.13, 8.14, and 8.28; and industry
standards ANSI N13.11-1983.
The NRC inspector reviewed personnel exposure records, records storage
facilities, exposure control procedures, dosimetry processing procedures,
dosimetry quality control methods, data processing, and report generation.
Facility inspections were made and independent measurements were conducted
of posted radiation areas.
The licensee's high radiation area controls,
including locking and control of keys, was inspected. Accreditation of
the licensee's dosimetry processor was verified.
The licensee's on hand
stock of extremity dosimeters and spare film badges for personnel
monitoring was reviewed.
The NRC inspector observed the use of multiple
dosimetry for personnel entering areas with non-uniform radiation fields.
TS 7.4-3.d requires, in part, "Procedures for personnel radiation
protection shall be prepared consistent with the requirements of 10 CFR
Part 20, and shall be ,;pproved, maintained, and adhered to for all
operations involving personnel radiation exposure."
10 CFR Part 20.203 requires, in part, "Each radiation area shall be
.
conspicuously posted with a sign or signs bearing the radiation caution
,
symbol and the words:
Caution Radiation Area." 10 CFR Part 202(b)(2)
;
;
            symbol and the words:    Caution Radiation Area." 10 CFR Part 202(b)(2)
defines "Radiation Area," in part, ".
i          defines "Radiation Area," in part, ".   . . as any area accessible to
. as any area accessible to
I           personnel, in which there exists radiation . . . at such levels that a
i
!            major portion of the body could receive in any one hour a dose in excess
.
I
personnel, in which there exists radiation . . . at such levels that a
!
!
            of 5 millirem (mrem), or in any 5 consecutive days a dose in excess of
major portion of the body could receive in any one hour a dose in excess
i           100 mrem;" This requirement is for protection of personnel entering a
of 5 millirem (mrem), or in any 5 consecutive days a dose in excess of
!           10 CFR Part 20.5, "Restricted Area," and is considered to encompass a
!
            normal 40-hour, 5-day work week.
i
100 mrem;" This requirement is for protection of personnel entering a
!
10 CFR Part 20.5, "Restricted Area," and is considered to encompass a
normal 40-hour, 5-day work week.
l
l
            The NRC inspector determined on July 26, 1988, that the licensee's
l
l            procedure for posting of radiation areas (HPP-9, "Establishing and Posting
The NRC inspector determined on July 26, 1988, that the licensee's
<
procedure for posting of radiation areas (HPP-9, "Establishing and Posting
t           Controlled Areas") required, in paragraph 5.1.1, that "Establish an area
<
i
t
Controlled Areas") required, in paragraph 5.1.1, that "Establish an area
i
I
I
                                                                                    .
.


  _ __ _ __ - ______ _             . _ _ _ _ _ _ _ - _ __ _ _       . _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ - _ _ _ _ _ _ _ _ _
_ __ _ __ - ______ _
. _ _ _
_ _ _ _ - _
__ _ _
. _ _ _ _ _ _ _ _ _ _ _
__
_ _ _ _ _ _ _ _ _ - _ _ _ _ _ _ _ _ _
,
,
                                                                                                                                      I
I
                        .
.
                ..       .
..
                                                                    9
.
                              such that radiation dose levels at the boundary do not exceed
9
                              2.5 mrem / hour (hr)." This value was dise ' sed with the licensee and was
such that radiation dose levels at the boundary do not exceed
                              found to be based on a person not exceeding 100 mrem in 5 consecutive days
2.5 mrem / hour (hr)." This value was dise ' sed with the licensee and was
                              (8 hours a day for 5 days: 40-hour work week). This would result in a
found to be based on a person not exceeding 100 mrem in 5 consecutive days
                              person receiving equal to, or less than 100 mrem of exposure when working
(8 hours a day for 5 days:
                              near the coundary. This requirement had been in effect for several years.
40-hour work week).
                              Licensee internal corresinndence for the Daily Helium Circulator Outage
This would result in a
                              Meetings established, as early as June 29, 1988, that shift work hours for
person receiving equal to, or less than 100 mrem of exposure when working
                              work crews would be 9 1/2-hour shifts, 6 days a week. This work schedule
near the coundary.
                              would result in a person working near the same barrier to receive an
This requirement had been in effect for several years.
                              exposure in excess of 100 mrem. A review of selected posted radiation
Licensee internal corresinndence for the Daily Helium Circulator Outage
                              areas did not reveal any boundaries exhibiting dose rates greater than
Meetings established, as early as June 29, 1988, that shift work hours for
                              2.0 mrem /hr. The failure to properly implement the requirements of 10 CFR
work crews would be 9 1/2-hour shifts, 6 days a week.
                              Part 20.202 is considered an apparent violation of TS 7.4.d. (267/8817-03)
This work schedule
                              The NRC inspector reviewed the licensee's program for hot particle control
would result in a person working near the same barrier to receive an
                              and skin exposure evaluation. The licensee's procedure (HPP-11) for
exposure in excess of 100 mrem. A review of selected posted radiation
                              calculating skin dose due to radioactive contamination or hot particles on
areas did not reveal any boundaries exhibiting dose rates greater than
                              the skin of the whole body does not utilize the VARSKIN dose calculation
2.0 mrem /hr. The failure to properly implement the requirements of 10 CFR
                              methodology recognized by the NRC. The licensee's skin dose calculation
Part 20.202 is considered an apparent violation of TS 7.4.d. (267/8817-03)
The NRC inspector reviewed the licensee's program for hot particle control
and skin exposure evaluation.
The licensee's procedure (HPP-11) for
calculating skin dose due to radioactive contamination or hot particles on
the skin of the whole body does not utilize the VARSKIN dose calculation
methodology recognized by the NRC.
The licensee's skin dose calculation
!
!
                              proceoure appears to produce overly conservative exposure values and
proceoure appears to produce overly conservative exposure values and
                              uses units of measurement (counts per minute - CPM) that can not be
uses units of measurement (counts per minute - CPM) that can not be
                              readily converted to dose. The licensee's procedure does not address the
readily converted to dose. The licensee's procedure does not address the
use of portable ion chamber type dose rate measurement instruments for
'
'
                              use of portable ion chamber type dose rate measurement instruments for
assessing radioactivity levels on the skin.
                              assessing radioactivity levels on the skin. The licensee was provided
The licensee was provided
information on the VARSKIN program and NUREG/CR-4418.
The licensee stated
"
"
                              information on the VARSKIN program and NUREG/CR-4418. The licensee stated
that the VARSKIN methodology would be reviewed for possible implemen-
                              that the VARSKIN methodology would be reviewed for possible implemen-
i
                              tation. The licensee has identified relatively low level (10,000
                              disintegrations per minute - DPM) particles of radioactivity during
                              routine contamination surveys, but has not had any significant incidents
                              involving skin contamination. Licensee coetamination control practices
i
i
                              are discussed in paragraph 8 of this report.
tation. The licensee has identified relatively low level (10,000
                              The NRC inspector considers the licensee's implementation of a hot
disintegrations per minute - DPM) particles of radioactivity during
routine contamination surveys, but has not had any significant incidents
involving skin contamination.
Licensee coetamination control practices
i
are discussed in paragraph 8 of this report.
The NRC inspector considers the licensee's implementation of a hot
particle exposure evaluation program to be an open item pending licensee
a
a
                              particle exposure evaluation program to be an open item pending licensee
completion of an evaluation of their skin dose assessment methodology to
,
,
                              completion of an evaluation of their skin dose assessment methodology to
that recognized by the NRC.
i
(267/8817-05)
                              that recognized by the NRC. (267/8817-05)
i
l
l
No deviations were identified.
3
3
                              No deviations were identified.
!
!
                            7. Internal Radiation Exposure Control and Astessment (83525/83725)
7.
                              The licensee's internal radiation exposure control program was reviewed
Internal Radiation Exposure Control and Astessment (83525/83725)
                              for agreement with the commitments in Section 11 of the UFSAR; and
The licensee's internal radiation exposure control program was reviewed
                              compliance with the requirements contained in TS 7.4.d, 10 CFR Parts 19.13
for agreement with the commitments in Section 11 of the UFSAR; and
                              and 20.103, 108, 203, 206, 401, and 405; and the recommendations in NRC
compliance with the requirements contained in TS 7.4.d, 10 CFR Parts 19.13
                              RGs 8.8, 8.13, 8.15, 8.20, 8.26, and 8.28, NUREG-0041, and industry
and 20.103, 108, 203, 206, 401, and 405; and the recommendations in NRC
I                             standards ANSI 13.1-1969, and N343-1978.
RGs 8.8, 8.13, 8.15, 8.20, 8.26, and 8.28, NUREG-0041, and industry
I
standards ANSI 13.1-1969, and N343-1978.
I
I
i
i
;
;


,.   - _ _ _ _ _ _ _ _ _ _ _ _ _ - _ _ _ _
,.
                      .
- _ _ _ _ _ _ _ _ _ _ _ _ _ - _ _ _ _
  ..                     ,
.
                                                                                  10
..
                                              The NRC inspector reviewed the licensee's implementing procedures;
,
                                              management policies governing use of RPE: programs and activities
10
                                              involving routine and emergency aspects of the internal dosimetry, air
The NRC inspector reviewed the licensee's implementing procedures;
                                              sampling, and analysis; and posting of airborne radioactivity areas. The
management policies governing use of RPE: programs and activities
                                              licensee's program for monitoring and evaluation of tritium urtakes was
involving routine and emergency aspects of the internal dosimetry, air
                                              reviewed to determine compliance with the limits established in 10 CFR
sampling, and analysis; and posting of airborne radioactivity areas.
                                              Part 20, Appendix B, and industry accepted calculational methodologies.
The
                                              Tritium uptakes appear to be negligible at le.s than 1 percent of a
licensee's program for monitoring and evaluation of tritium urtakes was
                                              maximum permissible organ (whole body) burden.     The NRC inspector observed
reviewed to determine compliance with the limits established in 10 CFR
                                              on going work activities involving high levels of loose radioactive
Part 20, Appendix B, and industry accepted calculational methodologies.
                                              contamination, the use of containment enclosures, engineered ventilation
Tritium uptakes appear to be negligible at le.s than 1 percent of a
                                              systems, breathing zone air sampling, and use of RPE,
maximum permissible organ (whole body) burden.
                                              TS 7.4.d requires, in part, "Procedures for personnel radiation protection
The NRC inspector observed
                                              shall be prepared consistent with the requirements of 10 CFR Part 20, and
on going work activities involving high levels of loose radioactive
                                              shall be approved, maintained, and adhered to for all operations involving
contamination, the use of containment enclosures, engineered ventilation
                                              personnel radiation exposure. Respiratory protective equipment shall be
systems, breathing zone air sampling, and use of RPE,
                                              provided in accordance with 10 CFR Part 20.103." HPP-16, "Selection and
TS 7.4.d requires, in part, "Procedures for personnel radiation protection
                                              Use of Respiratory Protecticn Equipment," paragraph 5.2.2.6, requires that
shall be prepared consistent with the requirements of 10 CFR Part 20, and
                                              a "Check for the proper fit by placing hand over the air inlet holes in
shall be approved, maintained, and adhered to for all operations involving
                                              the filter and inhale gently. A gas tight fit will be indicated . . . ."
personnel radiation exposure.
Respiratory protective equipment shall be
provided in accordance with 10 CFR Part 20.103." HPP-16, "Selection and
Use of Respiratory Protecticn Equipment," paragraph 5.2.2.6, requires that
a "Check for the proper fit by placing hand over the air inlet holes in
the filter and inhale gently. A gas tight fit will be indicated . . . ."
)
)
                                              The NRC inspector observed on July 27, 1988, two FSV employees, in
The NRC inspector observed on July 27, 1988, two FSV employees, in
                                              preparation for entering a posted airborne radioactivity area, rentove the
preparation for entering a posted airborne radioactivity area, rentove the
                                              high efficiency filter from their full face respirators and perform a seal
high efficiency filter from their full face respirators and perform a seal
                                              test by blocking off, with their hand, the respirator coupling nut for the
test by blocking off, with their hand, the respirator coupling nut for the
                                              removed filter. Upon completing this test, the employees reattached the
removed filter. Upon completing this test, the employees reattached the
                                              filter without verifying that the filter was properly sealed to the
filter without verifying that the filter was properly sealed to the
                                              respirator.   The NRC inspector brought the apparent improper testing   to
respirator.
                                              the attention of the senior HPT covering the job and the employees were
The NRC inspector brought the apparent improper testing to
                                              required to retest the respirators in accordance with the requirements of
the attention of the senior HPT covering the job and the employees were
                                              HPP-16. This was accomplished successfully prior to the employees
required to retest the respirators in accordance with the requirements of
                                              entering the airborne radioactivity area.     Licensee representatives
HPP-16.
                                              indicated that testing of the respirator without the filter on was the way
This was accomplished successfully prior to the employees
                                              they were trained. The NRC inspector could not verify this during
entering the airborne radioactivity area.
                                              discussions with training department instructors or review of training
Licensee representatives
                                              material. The acting HP supervisor immediately issued a notice that
indicated that testing of the respirator without the filter on was the way
                                              informed all HP personnel on the proper way to preuse check a full face
they were trained. The NRC inspector could not verify this during
                                              respirator for proper fit. The failure to properly test RPE prior to use
discussions with training department instructors or review of training
                                              is considered an apparent violation of TS 7.4.d.     (267/8817-04)
material. The acting HP supervisor immediately issued a notice that
                                              No deviations were identified.
informed all HP personnel on the proper way to preuse check a full face
                                            8. Control of Radioactive Materials (RAM) and Contamination, Surveys, and
respirator for proper fit.
                                              Ronitoring (sT51U8F??6)
The failure to properly test RPE prior to use
                                              The licensee's programs for the control of " and contamination,
is considered an apparent violation of TS 7.4.d.
                                              radiological surveys and monitoring were       'e ned for agreement with the
(267/8817-04)
                                              commitments in Section 11 of the UFSAR; r       .ance with the requirements
No deviations were identified.
                                              of TS 7.4, 10 CFR Parts 19.12, 20.4, 20.t. i.201, 20.203, 20.205, 20.207,
8.
Control of Radioactive Materials (RAM) and Contamination, Surveys, and
Ronitoring (sT51U8F??6)
The licensee's programs for the control of " and contamination,
radiological surveys and monitoring were
ned for agreement with the
'e
commitments in Section 11 of the UFSAR; r
.ance with the requirements
of TS 7.4, 10 CFR Parts 19.12, 20.4, 20.t. i.201, 20.203, 20.205, 20.207,


                                            _ _ _ _ _ _ _ _ _ _ - _ _ _ - _ _ _ _ _ _ _ _ _ .
_ _ _ _ _ _ _ _ _ _ - _ _ _ - _ _ _ _ _ _ _ _ _
                                                                                              . ____. -
.
  .
. ____. -
..   .
.
          ,
..
                                          11
.
      20.301, 20.401, 20.402, and NUREG-0737, Item 111.0.3.3; and the
,
      recommendations of IEIN 85-06, 85-92, 86-23, 87-39, IE Bulletin 80-10, and
11
      IE Circular 81-07.
20.301, 20.401, 20.402, and NUREG-0737, Item 111.0.3.3; and the
      The NRC inspector toured facilities; conducted independent gamma
recommendations of IEIN 85-06, 85-92, 86-23, 87-39, IE Bulletin 80-10, and
      radiation dose rate measurements and loose surface contamination surveys;
IE Circular 81-07.
      reviewed ongoing work operations within the reactor building and turbine
The NRC inspector toured facilities; conducted independent gamma
      building; reviewed Radiation Work Permits, radiation, airborne and surface
radiation dose rate measurements and loose surface contamination surveys;
      contamination surveys (routine and work related); and observed analysis of
reviewed ongoing work operations within the reactor building and turbine
      radiological samples and the use of laboratory counters, response checking
building; reviewed Radiation Work Permits, radiation, airborne and surface
      of instruments, and the updating of plant radiological information maps.
contamination surveys (routine and work related); and observed analysis of
      The licensee's analytical equipment provides for beta and alpha
radiological samples and the use of laboratory counters, response checking
      radioactivity analysis, and the evaluation of air samples for iodine and
of instruments, and the updating of plant radiological information maps.
      other fission products.
The licensee's analytical equipment provides for beta and alpha
      The NRC inspector reviewed the licensee's program for protection against
radioactivity analysis, and the evaluation of air samples for iodine and
      and control of hot particle areas (as referenced in IEIN 86-23 and 87-39).
other fission products.
      Even though the licensee has two areas (hot service facility an( the
The NRC inspector reviewed the licensee's program for protection against
      refueling deck) that could be the source of hot particles (activation
and control of hot particle areas (as referenced in IEIN 86-23 and 87-39).
      particles and fuel fragments), the licensee had not trained employees,
Even though the licensee has two areas (hot service facility an( the
      developed a hot particle control program, or implemented a special survey
refueling deck) that could be the source of hot particles (activation
      program for determining the degree of hot particle contamination. The
particles and fuel fragments), the licensee had not trained employees,
      licensee does not currently utilize high sensitivity automatic whole body
developed a hot particle control program, or implemented a special survey
      contamination monitors for surveying personnel exiting loose surface
program for determining the degree of hot particle contamination. The
      contamination control areas. Whole body frisking with a hand held
licensee does not currently utilize high sensitivity automatic whole body
      beta / gamma sensitive pancake probe is currently utilized. Standard portal
contamination monitors for surveying personnel exiting loose surface
      monitors for detecting moderate radioactive contamination levels
contamination control areas. Whole body frisking with a hand held
      (0.5-2 microcuries of cesium-137 equivalent radioactivity) are used by
beta / gamma sensitive pancake probe is currently utilized. Standard portal
      site personnel prior to each exit of the protected area. The licensee's
monitors for detecting moderate radioactive contamination levels
      lack of a documented hot particle program and lack of employee training on
(0.5-2 microcuries of cesium-137 equivalent radioactivity) are used by
      the nuclear power industry hot particle problems is considered an open
site personnel prior to each exit of the protected area. The licensee's
      item pending action by the licensee. (267/8817-07)
lack of a documented hot particle program and lack of employee training on
      Due to an INPO commitment, the licensee has adopted in HPP-21, the use of
the nuclear power industry hot particle problems is considered an open
      referencing fixed radioactive contamination survey results below the level
item pending action by the licensee.
      of 0.5 mrem /hr in the units of CPM which is not directly relatable to
(267/8817-07)
      10 CFR Part 20.5 required units of mrem, DPM, or curies. The licensee
Due to an INPO commitment, the licensee has adopted in HPP-21, the use of
      stated that survey forms for documenting the fixed radioactivity results
referencing fixed radioactive contamination survey results below the level
      contain sufficient information to allow conversion of the CPM data to
of 0.5 mrem /hr in the units of CPM which is not directly relatable to
      10 CFR Part 20.5 units. The NRC inspector determined that while the
10 CFR Part 20.5 required units of mrem, DPM, or curies.
      necessary information was traceable, there could be confusion as to which
The licensee
      instrument data on the results forms was applicable to fixed radioactivity
stated that survey forms for documenting the fixed radioactivity results
      measurements.   This is considered an open item pending action by the
contain sufficient information to allow conversion of the CPM data to
      licensee.   (267/8817-08)
10 CFR Part 20.5 units. The NRC inspector determined that while the
      The licensee procedures for release of radioactive material (not wastes)
necessary information was traceable, there could be confusion as to which
      complies with the guidance given by the NRC in IE Circular 81-07 and is
instrument data on the results forms was applicable to fixed radioactivity
      also in agreement with the guidance given to the licensee by the state of
measurements.
      Colorado. Currently, materials (tools and equipment) with a post
This is considered an open item pending action by the
      decontamination fixed radioactivity levels of less than 0.4 mrem, as
licensee.
(267/8817-08)
The licensee procedures for release of radioactive material (not wastes)
complies with the guidance given by the NRC in IE Circular 81-07 and is
also in agreement with the guidance given to the licensee by the state of
Colorado.
Currently, materials (tools and equipment) with a post
decontamination fixed radioactivity levels of less than 0.4 mrem, as


                          . _ _ _ _ _ . _ _         ._ _ _ _ _____ _ __ _ ______ - __ __- ______________ _-__ _-                                                         _ _ _ _ - _ _ _ _ _ _ _ _ _
. _ _ _ _ _ . _ _
  .
._ _ _ _ _____ _ __ _ ______ - __ __- ______________ _-__ _-
. .
_ _ _ _ - _ _ _ _ _ _ _ _ _
          ,
.
                                                                                                                12
.
        measured with a beta / gamma sensitive detector, can be released for
.
        unrestricted use and possible disposal. This licensee uses a conservative
,
        limit, based on laboratory counting equipment limitations, for the levels
12
        of loose surface contamination allowed on material to be released for
measured with a beta / gamma sensitive detector, can be released for
        unrestrteted use,                   The NRC inspector noted to the licensee that current
unrestricted use and possible disposal. This licensee uses a conservative
        NRC interpretative guidance (IEIN 85-92, and NRC Staff Letter G. W. Kerr
limit, based on laboratory counting equipment limitations, for the levels
        (NRC) to E. O. Bailey [ Texas Bureau of Radiation Control); Subject:
of loose surface contamination allowed on material to be released for
        Clarification of the Regulatory Control Over Independent Service Company                                                                                                                     '
unrestrteted use,
        Waste and Equipment Processing Used at Licensed Facilities, dated May 6,
The NRC inspector noted to the licensee that current
        1986), established that the appropriate release limit to be applied by
NRC interpretative guidance (IEIN 85-92, and NRC Staff Letter G. W. Kerr
        licensee's for evaluating the release of potentially radioactive material
(NRC) to E. O. Bailey [ Texas Bureau of Radiation Control); Subject:
        from licensed facilities is "No detectable radioactivity." Licensee
Clarification of the Regulatory Control Over Independent Service Company
        representatives indicated that they would reevaluate their material
'
        release program with regard to the above noted guidance. This is
Waste and Equipment Processing Used at Licensed Facilities, dated May 6,
        considered an open item pending action by the licensee. (267/8817-09)
1986), established that the appropriate release limit to be applied by
        The NRC inspector noted during te irs of the licensee's facilities and
licensee's for evaluating the release of potentially radioactive material
        comparisons with training films used in Category III (radiological worker
from licensed facilities is "No detectable radioactivity." Licensee
        training) that receptacles used for disposal of radioactively contaminated
representatives indicated that they would reevaluate their material
        clothing and wastes at work sites are located, contrary to industry
release program with regard to the above noted guidance.
        practices and licensee training presentations, on the outside of
This is
        contamination control boundaries (clean side). This is not a good
considered an open item pending action by the licensee.
        practice for controlling contamination or hot particles.                                                                                     The licensee
(267/8817-09)
        issued written instructions on August 2, 1988, to all HPTs on placing
The NRC inspector noted during te irs of the licensee's facilities and
        disposal receptacles on the inside of controlled areas. This is
comparisons with training films used in Category III (radiological worker
        considered an open item pending further NRC inspector review during future
training) that receptacles used for disposal of radioactively contaminated
        inspections. (2U/8T17-10)
clothing and wastes at work sites are located, contrary to industry
        No violations or deviations were identified.
practices and licensee training presentations, on the outside of
    9. Radiological Control Facilities and Equipment / Instruments
contamination control boundaries (clean side). This is not a good
        The licensee's facilities for radiological protection activities during
practice for controlling contamination or hot particles.
        routine and emergency situations were reviewed for agreements: with
The licensee
        commitments contained in Sections 12.3.2 and 12.3.4.E of the UFSAR;                                                                                                                         !
issued written instructions on August 2, 1988, to all HPTs on placing
        Section 7 of the Radiological Emergency Response Plan (RERP) - Station;
disposal receptacles on the inside of controlled areas.
        and the recommendations of RG 1.97, 8.8, 8.25; NUREG-0041 and
This is
        NUREG-0654/ FEMA-REP-1.
considered an open item pending further NRC inspector review during future
                                                                                                                                                                                                    l
inspections. (2U/8T17-10)
        The NRC inspector inspected training facilities, respirator
No violations or deviations were identified.
        decontamination and maintenance facilities, HP counting laboratory,
9.
        postaccident sampling system, calibration, and hot work facilities,
Radiological Control Facilities and Equipment / Instruments
        robotic equipment for handling highly radioactive materials, radioactive
The licensee's facilities for radiological protection activities during
        source storage, locker and toilet facilities for workers, radiological
routine and emergency situations were reviewed for agreements: with
        controlled area access control point, first aid facilities, machine shop
commitments contained in Sections 12.3.2 and 12.3.4.E of the UFSAR;
        for radioactive materials, decontamination facilities for personnel and
!
        equipment, and emergency equipment inventories (RP response survey
Section 7 of the Radiological Emergency Response Plan (RERP) - Station;
        equipment, respiratory protection equipment, and protective clothing) at
and the recommendations of RG 1.97, 8.8, 8.25; NUREG-0041 and
        the onsite technical support center.                                                                                     Selected equipment referenced in
NUREG-0654/ FEMA-REP-1.
        Table 7.3-1 of the RERP - Station was verified to be present and                                                                                                                             l
l
                                                                                                                                                                                                    ,
The NRC inspector inspected training facilities, respirator
                                                                                                                  _ _ _ . . _ _ _ _._____ _ _              _ _ _ _ _ . .                         _.
decontamination and maintenance facilities, HP counting laboratory,
postaccident sampling system, calibration, and hot work facilities,
robotic equipment for handling highly radioactive materials, radioactive
source storage, locker and toilet facilities for workers, radiological
controlled area access control point, first aid facilities, machine shop
for radioactive materials, decontamination facilities for personnel and
equipment, and emergency equipment inventories (RP response survey
equipment, respiratory protection equipment, and protective clothing) at
the onsite technical support center.
Selected equipment referenced in
Table 7.3-1 of the RERP - Station was verified to be present and
l
,
. .
.
_ _ _ _ _ . .
_.


    .
.
>*.   ,
> * .
                                                13
,
            operaticial. Operation of the portal monitors at the exit to the
13
            proter M area was verified. Instructions were posted as to actions to be
operaticial. Operation of the portal monitors at the exit to the
            +aken if the portal monitors were to alarm.
proter M area was verified.
            No violations or deviations were identified.
Instructions were posted as to actions to be
        10. ALARA Program
+aken if the portal monitors were to alarm.
            The licensee's ALARA program was reviewed to determine agreement with the
No violations or deviations were identified.
            commitments in Section 11.2 of the UFSAR; the requirements of 10 CFR
10. ALARA Program
            Part 20.1(c); and the recommendations of RGs 8.8, 8.10, and 8.27.
The licensee's ALARA program was reviewed to determine agreement with the
            The NRC inspec*or reviewed the licensee's new (August 4,1987) ALARA plan.
commitments in Section 11.2 of the UFSAR; the requirements of 10 CFR
            The implementation of this ALARA plan resolves an NRC concern discussed in
Part 20.1(c); and the recommendations of RGs 8.8, 8.10, and 8.27.
            the licensee's 1986-87 Systematic Assessment of Licensee Performance           ,
The NRC inspec*or reviewed the licensee's new (August 4,1987) ALARA plan.
            Report (50-267/87-06). The licensee's ALARA plan has all the attributes
The implementation of this ALARA plan resolves an NRC concern discussed in
            of a good exposure reduction program. Workers knowledge and work
the licensee's 1986-87 Systematic Assessment of Licensee Performance
            practices demonstrated a good working knowledge of ALARA practices. The
,
            NRC inspector reviewed ALARA committee meeting minutes. The Plant Health
Report (50-267/87-06). The licensee's ALARA plan has all the attributes
            Physicist is designated as the station ALARA coordinator.
of a good exposure reduction program. Workers knowledge and work
            FSV's expesure expenditure for 1987 was 1.24 person-rem as compared to a
practices demonstrated a good working knowledge of ALARA practices.
            nationai average for all light water reactors of 420 person-rem.     FSV was
The
            not operating for approximately 10 months of 1987.
NRC inspector reviewed ALARA committee meeting minutes.
        11. Advance Planning and Praparations
The Plant Health
            The NRC inspector reviewed the licensee's preparations for a 92-day
Physicist is designated as the station ALARA coordinator.
            nonrefueling outage, which began on July 5,1988. The NRC inspector
FSV's expesure expenditure for 1987 was 1.24 person-rem as compared to a
            reviewed the scheduling and preplanning for removal, inspection, and
nationai average for all light water reactors of 420 person-rem.
            repair of the reactor coolant cir:ulators.     The NRC inspector observed the
FSV was
            removal and inspection of helium circulator "B." Previous experience data
not operating for approximately 10 months of 1987.
            provided to the Lead HP technician indicated that loose radioactivity
11. Advance Planning and Praparations
            could exceed 1 million DPM per 100 square centimeters with gamma radiation
The NRC inspector reviewed the licensee's preparations for a 92-day
            levels of 30 mrem /hr general area and 100 mrem /hr on contact with
nonrefueling outage, which began on July 5,1988.
            components.   Contact beta radiation levels of 10 rad /hr were expectad.
The NRC inspector
            The preparation and inspection of the spare helium circulator which was
reviewed the scheduling and preplanning for removal, inspection, and
            placed in the "B" cavity was also observed. The NRC inspector discussed
repair of the reactor coolant cir:ulators.
            with outage coordinators the observation that even though the circulator
The NRC inspector observed the
            procedure, Maintenance Procedure (MP) 2225, contained extensive HP work
removal and inspection of helium circulator
            and survey sign-offs, and the HP department provided a supplementary
"B."
            procedure to MP 2225, there were little if any specific instructions on
Previous experience data
            contamination containment requirements for separation of the circulator
provided to the Lead HP technician indicated that loose radioactivity
            from its removal shield, ventilation requirements, or respiratory protec-
could exceed 1 million DPM per 100 square centimeters with gamma radiation
            tion needs. This job had been accomplished six or more times in the past.
levels of 30 mrem /hr general area and 100 mrem /hr on contact with
            The maintenance personnel indicated that several containment methods have
components.
            been used in the past. The NRC inspector noted that the HPTs stopped work
Contact beta radiation levels of 10 rad /hr were expectad.
            often and held briefings on work activities and required radiological
The preparation and inspection of the spare helium circulator which was
            controls during the course of circulator "B" work. The HPT covering the
placed in the "B" cavity was also observed.
            job were fully qualified HPT with several years of light water reactor
The NRC inspector discussed
with outage coordinators the observation that even though the circulator
procedure, Maintenance Procedure (MP) 2225, contained extensive HP work
and survey sign-offs, and the HP department provided a supplementary
procedure to MP 2225, there were little if any specific instructions on
contamination containment requirements for separation of the circulator
from its removal shield, ventilation requirements, or respiratory protec-
tion needs.
This job had been accomplished six or more times in the past.
The maintenance personnel indicated that several containment methods have
been used in the past.
The NRC inspector noted that the HPTs stopped work
often and held briefings on work activities and required radiological
controls during the course of circulator "B" work.
The HPT covering the
job were fully qualified HPT with several years of light water reactor


                                              ___ _     __   _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
___ _
        ,
__
  . . .   ,
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
                  ,
,
              .
. . .
                                                    14
,
                experience but had little if any experience with work on helium
,
                circulators. The licensee stated that supervising HP and maintenance
.
                personnel were developing supplemental procedures that would permanently
14
                clarify all aspects a helium circulator removal, inspectica, shipment, and
experience but had little if any experience with work on helium
                replacement.
circulators.
                No violations or deviations were identified.
The licensee stated that supervising HP and maintenance
            12. Exit Interview
personnel were developing supplemental procedures that would permanently
                The NRC inspector met with the NRC resident inspector and licensee
clarify all aspects a helium circulator removal, inspectica, shipment, and
                representatives denoted in paragraph 1 on August 2, 1988, and summarized
replacement.
                the scope and findings of the inspection as presented in this report. The
No violations or deviations were identified.
                licensee committed to reviewing their respiratory protection program for
12.
                agreement with RG 8.15 and NUREG-0041.
Exit Interview
The NRC inspector met with the NRC resident inspector and licensee
representatives denoted in paragraph 1 on August 2, 1988, and summarized
the scope and findings of the inspection as presented in this report. The
licensee committed to reviewing their respiratory protection program for
agreement with RG 8.15 and NUREG-0041.
1
1
1
1
}}
}}

Latest revision as of 23:50, 10 December 2024

Insp Rept 50-267/88-17 on 880724-0802.Violations Noted. Major Areas Inspected:Licensee Radiation Protection Program
ML20154N008
Person / Time
Site: Fort Saint Vrain Xcel Energy icon.png
Issue date: 09/16/1988
From: Baer R, Chaney H
NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION IV)
To:
Shared Package
ML20154M959 List:
References
50-267-88-17, NUDOCS 8809290158
Download: ML20154N008 (14)


See also: IR 05000267/1988017

Text

4

.

,

APPENDIX B

U.S. NUCLEAR REGULATORY COMMISSION

REGION IV

NRC Inspection Report:

50-267/88-17

Operating License: OPR-34

Docket:

50-267

Licensee:

Public Service Company of Colorado (PSC)

2420 W. 26th Avenue, Suite 15c

Denver, Colorado 80211

Facility Name:

Fort St. Vrain Nuclear Generating Station (FSV)

Inspection At:

FSV Site, Weld County, Platteville, Colorado

Inspection Conducted: July 24 through August 2, 1988

^ -/ "

98

Inspector:[H. IX Chaney, Radiation Specialist, Facilities

Date

Radiological Protection Section

kdO

Approved:

(

'"

R. 4. Baer, Chief, Facilities Radiological

Date

Protection Section

Inspection Summary

Inspection Conducted July 24 through August 2,_1988 (Report 50-267/88-17)

Areas Inspected:

Routine, unannounced inspection of the licensee's radiation

protection program.

Results: Within the areas inspected, four violations (two violations for

failure to implement 10 CFR Part 20 see paragraphs 5 and 6; and two violations

for failure to follow procedures, see paragraphs 4 and 7) were identified. No

deviations were identified.

8009290150 000921

POR

ADOCK 05000267

G

PNU

-

.

.

.

2

DETAILS

1.

Persons Contacted

PSC

  • R. O. Williams, Jr., Vice President, Nuclear Operations
  • F. J. Borst, Nuclear Training Manager
  • D. W. Evans, Operations Manager
  • D. Goss, Regulatory Affairs Manager
  • J. M. Gramling, Supervisor of Nuclear Licensing
  • J. P. Hak, Maintenance Supervisor
  • M. H. Holmes, Nuclear Licensing Manager
  • R. O. Hooper, Nuclear Training Administrative Supervisor
  • D. D. Miller, Radiochemistry Supervisor
  • P. F. Moore, Quality Assurance (QA) Supervisor
  • F. J. Novachek, Nuclear Support Manager
  • L. O. Scott, QA Services Manager
  • S. S. Sherrow, Health Physicist
  • L. R. Sutton, QA Auditing Supervisor

P. F. Tomlinson, QA Manager

W. Woodard, Acting Radiation Protection Supervisor

  • N. Zerr, QA Engineer

Others

R. E. Farrell, NRC Senior Resident Inspector

  • P. W. Michaud, NRC Resident Inspector
  • Denotes those individuals present during the exit interview on August 2,

1988.

The NRC inspector also interviewed several other licensee employees

including quality control inspectors, maintenance mechanics, radiation

protection personnel, clerks, and training instructors.

2.

Followup on Previous Inspection Findings

(Closed) Violation (267/8707-01):

Radioactive Liquid Effluent Releases -

This item was previously discussed in NRC Inspection Reports 50-267767207

-

and 87-24 and involved the licensee's failure to perform the required

radiological sampling prior to a liquid effluent release.

The NRC

inspector reviewed implementation of the licensee's corrective actions

stated in the response to the Notice of Violation, dated May 7, 1987, the

corrective actions referenced in Licensee Event Report 87-004, and the

licensee's corrective actions taken by the licensee in response to an

associated QA Department audit finding (CAR 87-023).

The licensee's

corrective actions appear to be adequate to pre ent a reoccurrence of the

violation in the future.

.

,

.

3

(0 pen) Violation (267/8420-02):

"Effluent Monitoring Instrumentation -

This item concerned the licensee's commitment to install a continuous

reactor building sump liquid release pathway monitor that would provide

monitoring for radionuclides that predominantly decay by beta radiation.

The licensee committed to providing quarterly progress reports on the

development of the monitoring system.

The licensee's most recent progress

report (Final, October 22, 1987) indicates that the development of beta

monitor (beta scintillation cell) had encountered severe difficulties due

to the foreign material contamination within the sump and its detrimental

affect on the monitor's scintillation crystals (calcium fluoride).

The

licensee has abandoned further effort in developing a sump monitoring

system and has petitioned the NRC for relief from their commitment to

develop such a system.

The licensee has requested permission to continue

to utilize the batch release manual sampling of sump liquified effluents

as has been used since the violation had occurred in 1984.

This item will

remain open pending NRC action on the licensee's petition and verification

of licensee implementation of any corrective actions so directed.

(0 pen) Open Item (267/8221-04):

High Range Noble Gas Effluent Monitors,

NUREG-0737, Item II.F.1.1 - This item was aost recently updated in NRC

Inspection Report 50-2677 87-24.

The NRC informed FSV via letter and

Safety Evaluation Report, dated January 9, 1986, that the licensee's

proposed design and design improvements to the installed postaccident

reactor effluent activity monitor to be acceptable.

The licensee had

committed to installing a dilution system (sometime in 1988) to extend the

measurement range of the monitor (RT7324-2).

The licensee had revised the

commitment on installation of the dilution system and it will be installed

(design change notice: CN2042) prior to the resumption of reactor power

operations following the fourth refueling outage (some time during 1989).

This item is considered open pending completion of licensee actions and

verification of operability of the dilution system.

3.

Open Items Identified During This Inspection

An open item is a matter that requires further review and evaluation by

the NRC inspector.

Open items are used to document, track, and ensure

adequate followup on matters of concern to the NRC inspector.

The

following open items were identified:

O en__ Item

Title

See Paragraph

J

267/8817-05

Hot Particle Exposure Assessment

6

Methodology

267/8817-06

Industrial Respiratory Protection

5

Program

267/8817-07

Hot Particle Control Program

8

.

.

.

4

267/8817-08

Fixed Contamination Units of

8

Measurement

267/8817-09

Release of Materials for Unrestricted

8

Use

267/8817-10

Contaminated Material Receptacle

8

Locations

4.

Or anization and Management Controls - Radiation Protection

3522/83722)

The licensee's organization and staffing of the radiation protection group

was inspected to determine agreement with commitments in the Updated Final

Safety Analysis Report (UFSAR) Sections 11 and 12; and compliance with the

requirements of Operating License Technical Specifications (TS) 7.1, 7.3,

7.4, and 7.5; and the recommendations of NUREG-0731 and 0761.

The NRC inspector reviewed the licensee's organization, staffing,

assignment of responsibilities, radiological protection program

implementing procedures, Radiation Protection Plan, completed and

scheduled QA audits, and management oversight of radiological work

activities.

Senior Management Policies in regard to radiation protection,

respiratory protection, and ALARA were also reviewed.

The licensee had recently selected a new Radiation Protection Manager

(RPM). The RPM position was previously held by the Support Services

Manager. The new RPM position is titled Superintendent of Chemistry and

Radiation Protection (SCRP).

The previous RPM was assigned full time

duties as manager of the onsite Nuclear Training Department. The new SCRP

position was created during a major personnel reorganization of FSV in

May 1988.

This position (RPM /SCRP) no longer has direct access to the

Nuclear Production Division Manager (NPM) (equivalent to the position of

Plant Manager) but reports through the realigned position of Manager of

Nuclear Support Department.

The NRC inspector determined that even though

current TS and UFSAR charts do not provide clear lines of authority to the

NPM for the RPM, there is a clear understanding that the RPM can contact

the NPM at any time to resolve radiological protection problems not

resolved through the normal chain of command.

The NRC inspector determined that a new SCRP position was permanently

filled on or about May 26, 1988, by the incumbent Health Physics (HP)

Supervisor.

10 CFR Part 50, Appendix B, Criterion V, requires that activities

affecting quality shall be prescribed by documented instructions,

procedures, or drawings of a type appropriate to the circumstances and

shall be accomplished in accordance with these instructions, procedures,

or drawings.

Instructions, procedures, or drawings shall include

appropriate quantitative or qualitative acceptance criteria for

, _ _ _ _ _

_

._

.

.

.

5

determining that important activities have been satisfactorily

accomplished.

FSV Support Services Manager's Administrative Procedure (SUSMAP) 1,

"Health Physics, Radiochemistry and Chemistry Experience, Qualification,

and Training Requirements," (Revision 14, dated July 29,1987),

paragraph 3.1.2 states, in part, "The RPM shall meet the requirements of

Regulatory Guide 1.8 - 1975 . . . prior to assignment to the position.

This shall be documented on Attachment SUSMAP-1M." SUSMAP-1M requires the

signature of the NPM.

Also, FSV Administrative Procedure G-7, "FSV

Project Personnel Training and Qualification Programs," (Revision 20,

dated June 22, 1988), paragraph 4.1.3, requires that qualifications of

individuals filling certain positions at FSV be evaluated to specific

industry prescribed criteria and documented on Attachments G-7A and G-78

to the procedure.

Paragraph 4.2.4 of Procedure G-7 identifies the FSV

equivalent position of RPM as requiring verification of the assignees

qualifications at the time of appointment to the active position.

The NRC inspector determined that as of August 1, 1988, that the

documentation required by SUSMAP-1 and G-7 had not been initiated for the

individual assigned to the position of RPM /SCRP.

This failure to comply

with procedural requirements is an apparent violation of the requirements

of 10 CFR Part 50, Appendix B, Criterion V.

(267/8817-01)

The licensee indicated that failure to initiate the proper documentation

was a result of two separate occurrences:

(1) the reliance on a

comprehensive review of the selectee's qualifications that was performed

in late 1987, as documented by a memorandum to file by the former RPM, and

(2) the new department manager of Nuclear Support had not made himself

fully familiar with the department's implementing procedures (SUSMAP), and

there was no n'echanism in place to ensure that managers performed the

SUSMAP-1 or G-7 evaluations.

This resulted in the requirements being

overlooked. The licensee took immediate action to complete the required

documentation, the manager familiarized himself with the SUSMAP

procedures, and changes were initiated to personnel administrative action

checklists to ensure that the requirements of SUSMAP-1 and G-7 (G-7 is the

primary governing procedure) will be complied with, as a routine matter,

during any future personnel selections involving G-7 identified positions.

Due to the licensee's timely correction of the apparent violation,

identification of the root cause, and implementation of effective

corrective action to prevent a recurrence, no response to this apparent

violation (267/8817-01) will be necessary.

The licensee has experienced a turnover rate of approximately 60 percent

within the radiation protection group in the last 12 months.

The losses

involved health physics technicians (HPTs) and mostly involved transfers

(5) to other operational groups at FSV.

Currently the licensee's

radiation protection staff consists of 1 SCRP, 2 health physicists,

12 HPTs, and 1 vacant Health Physics Supervisor position.

.

.

.

.

.

6

Licensee procedures and documents reviewed are listed in the attachment to

this inspection report.

No deviations were identified.

5.

Training and Qualification - Radiation Protection (83523/83723)

The licensee's radiological training and the radiation protection

personnel qualification program were inspected to determine agreement with

commitments in Section 12 of the UFSAR; and compliance with the

requirements of TS 7.1.2.g

7.1.2.h, 7.1.2.1, 7.1.3, and 7.3.b.7, 10 CFR Part 19.12; the recommendations of NRC Regulatory Guides (RGs) 8.13, 8.27,

8.29; Industry Standard ANSI 18.1-1971; and NUREG-0041 and 0761.

The NRC inspector reviewed the licensee's radiological training programs

for permanent plant employees, visitors, and contractors.

Lesson plans

and student reference material were reviewed for content.

Instructor qualifications and training were reviewed.

The NRC inspector

observed selected general employee training (GET) and radiological worker

training classes.

The licensee had received INP0 accreditation of all

their training programs in May 1988.

The licensee's HPT training program, including on-the-job-training, was

reviewed.

Individual experience and qualification for all personnel in

the radiation protection group were reviewed.

The NRC inspector attended the licensee's radiation worker and respiratory

protection training requalification programs on July 28, 1988. The

licensee's requalification program for respiratory protection training is

the same as the initial qualification training provided radiological

workers.

The licensee's GET is structured as Category I Training -

Personnel not entering radiological work areas or radiation areas, -

Category II Training - Personnel entering the reactor building but not

engaging in radiological controlled work activities, and Category III

Training - Personnel engaging in radiological work activities at FSV, and

also includes respiratory protection training.

10 CFR Part 20.103 establishes requirements for implementation

of an acceptable respiratory protection program that may take advantage of

the protection factors assigned to various respiratory protection

equipment (RPE).

Qualitative guidance on suitable equipment, procedures,

user training, instructor qualifications, and content of written

instructions are contained in NRC RG 8.15 and NUREG-0041.

10 CFR Part 00.103 requires that written procedures for selection, use,

supervision, and training involving resp Watory protection equipment be

implemented.

FSV Lesson Plan GE 018.03, "Internal Exposure Control, Respiratory

Protection Program," sets forth the training necessary to quclify a

worker to use RPE.

_ _ - - - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

.

.

.

.

7

,

FSV HPP 16, "Selection and Use of Respiratory Protection Equipment,"

provides written instructions on the selection and use of several

different types of RPE.

The NRC inspector determined during the observation of Category III

training and a review of the licensee's implementing procedures that the

licensee's RPE program lacked the following:

o

Training on the oroper ways to verify a suitable face-to-respirator

mask seal for respirators other than self-contained breathing

'

apparatus (SCBA) models.

Personnel were not required to demonstrate

proficiency on full-face airline or air purify models which are

commonly used and available,

o

Sufficient instructions were not provided personnel on the types of

cartridges and canisters available for both radiological and

nonradiological uses, and their limitations.

The licensee has

approximately five different chemical and particulate filter

canisters available onsite,

o

The instructor lacked familiarity with certain equipment (chemical

,

cartridges, airline respirator hose length limitations and pressure

,

requirements), and locations of emergency equipment.

'

o

The instructor's experience level with RPE was very limited and he

had not received any professional training in acceptable industrial

!

or radiological applications of RPE.

o

The instructions concerning preuse testing of the SCBAs was deficient

in that personnel were not instructed on the necessity of verifying

'

that the low pressure alarm was operational.

This is required by the

SCBA's manufacturer in their use and operating instructions.

i

o

The training program did not address limitations or protection

factors for use of RPE in airborne concentrations of tritium and

'

l

noble gases,

o

The training did not discuss sufficiently nor. radiological hazards

existing at FSV (chlorine, helium, ammonia, or asbestos) and the

,

available protective equipment (canisters / cartridges).

!

{

The NRC inspector determined that the licensee's program for respiratory

protection training and management of the RPE program requires further

evaluation and is considered and open item.

(267/8817-06)

The NRC inspector noted that a QA audit (HPHY-87-01) of respiratory

!

protection practices revealed deficiencies in the licensee's ability to

,

l

ensure personnel medical reviews and RPE training are conducted within the

I

time period referenced in procedures.

These deficiencies were corrected.

i

\\

.

,

i

l

.

..

.

8

The NRC inspector noted that the licensee instructs personnel on

applicable RPE protection factors and makes use of the applicable

protection factors when evaluating uptakes of airborne radioactive

materials by personnel. Due to the many deficiencies in the licensee's

written procedures and training program for RDE use, the NRC inspector

requested that the licensee no longer take ceWic for protection factors

as allowed by 10 CFR Part 20.103(c).

The faa *ure to implement an

accep+.able respiratory protection program b considered an apparent

violation of 10 CFR Part 20.103(c).

(26? +317-002)

No deviations were identified.

6.

External Exposure Control and Persona 1 0osimetry (83524/83724)

The licensee's external radiation exposure control program was reviewed

for: agreement with the commitments in Section 11 of the VFSAR; compliance

with the requirements contained in TS 7.4.d; 10 CFR Parts 19.12, 13, and

20.101, 102, 104, 105, 202, 203, 205, 206, 405, 407, 408, and 409; and the

recommendations of NRC Inspection and Enforcement Information Notices

(IEIN) 86-23 and 87-39; RGs 8.8, 8.13, 8.14, and 8.28; and industry

standards ANSI N13.11-1983.

The NRC inspector reviewed personnel exposure records, records storage

facilities, exposure control procedures, dosimetry processing procedures,

dosimetry quality control methods, data processing, and report generation.

Facility inspections were made and independent measurements were conducted

of posted radiation areas.

The licensee's high radiation area controls,

including locking and control of keys, was inspected. Accreditation of

the licensee's dosimetry processor was verified.

The licensee's on hand

stock of extremity dosimeters and spare film badges for personnel

monitoring was reviewed.

The NRC inspector observed the use of multiple

dosimetry for personnel entering areas with non-uniform radiation fields.

TS 7.4-3.d requires, in part, "Procedures for personnel radiation

protection shall be prepared consistent with the requirements of 10 CFR Part 20, and shall be ,;pproved, maintained, and adhered to for all

operations involving personnel radiation exposure."

10 CFR Part 20.203 requires, in part, "Each radiation area shall be

.

conspicuously posted with a sign or signs bearing the radiation caution

,

symbol and the words:

Caution Radiation Area." 10 CFR Part 202(b)(2)

defines "Radiation Area," in part, ".

. as any area accessible to

i

.

I

personnel, in which there exists radiation . . . at such levels that a

!

major portion of the body could receive in any one hour a dose in excess

of 5 millirem (mrem), or in any 5 consecutive days a dose in excess of

!

i

100 mrem;" This requirement is for protection of personnel entering a

!

10 CFR Part 20.5, "Restricted Area," and is considered to encompass a

normal 40-hour, 5-day work week.

l

l

The NRC inspector determined on July 26, 1988, that the licensee's

procedure for posting of radiation areas (HPP-9, "Establishing and Posting

<

t

Controlled Areas") required, in paragraph 5.1.1, that "Establish an area

i

I

.

_ __ _ __ - ______ _

. _ _ _

_ _ _ _ - _

__ _ _

. _ _ _ _ _ _ _ _ _ _ _

__

_ _ _ _ _ _ _ _ _ - _ _ _ _ _ _ _ _ _

,

I

.

..

.

9

such that radiation dose levels at the boundary do not exceed

2.5 mrem / hour (hr)." This value was dise ' sed with the licensee and was

found to be based on a person not exceeding 100 mrem in 5 consecutive days

(8 hours9.259259e-5 days <br />0.00222 hours <br />1.322751e-5 weeks <br />3.044e-6 months <br /> a day for 5 days:

40-hour work week).

This would result in a

person receiving equal to, or less than 100 mrem of exposure when working

near the coundary.

This requirement had been in effect for several years.

Licensee internal corresinndence for the Daily Helium Circulator Outage

Meetings established, as early as June 29, 1988, that shift work hours for

work crews would be 9 1/2-hour shifts, 6 days a week.

This work schedule

would result in a person working near the same barrier to receive an

exposure in excess of 100 mrem. A review of selected posted radiation

areas did not reveal any boundaries exhibiting dose rates greater than

2.0 mrem /hr. The failure to properly implement the requirements of 10 CFR Part 20.202 is considered an apparent violation of TS 7.4.d. (267/8817-03)

The NRC inspector reviewed the licensee's program for hot particle control

and skin exposure evaluation.

The licensee's procedure (HPP-11) for

calculating skin dose due to radioactive contamination or hot particles on

the skin of the whole body does not utilize the VARSKIN dose calculation

methodology recognized by the NRC.

The licensee's skin dose calculation

!

proceoure appears to produce overly conservative exposure values and

uses units of measurement (counts per minute - CPM) that can not be

readily converted to dose. The licensee's procedure does not address the

use of portable ion chamber type dose rate measurement instruments for

'

assessing radioactivity levels on the skin.

The licensee was provided

information on the VARSKIN program and NUREG/CR-4418.

The licensee stated

"

that the VARSKIN methodology would be reviewed for possible implemen-

i

tation. The licensee has identified relatively low level (10,000

disintegrations per minute - DPM) particles of radioactivity during

routine contamination surveys, but has not had any significant incidents

involving skin contamination.

Licensee coetamination control practices

i

are discussed in paragraph 8 of this report.

The NRC inspector considers the licensee's implementation of a hot

particle exposure evaluation program to be an open item pending licensee

a

completion of an evaluation of their skin dose assessment methodology to

,

that recognized by the NRC.

(267/8817-05)

i

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No deviations were identified.

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7.

Internal Radiation Exposure Control and Astessment (83525/83725)

The licensee's internal radiation exposure control program was reviewed

for agreement with the commitments in Section 11 of the UFSAR; and

compliance with the requirements contained in TS 7.4.d, 10 CFR Parts 19.13

and 20.103, 108, 203, 206, 401, and 405; and the recommendations in NRC

RGs 8.8, 8.13, 8.15, 8.20, 8.26, and 8.28, NUREG-0041, and industry

I

standards ANSI 13.1-1969, and N343-1978.

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The NRC inspector reviewed the licensee's implementing procedures;

management policies governing use of RPE: programs and activities

involving routine and emergency aspects of the internal dosimetry, air

sampling, and analysis; and posting of airborne radioactivity areas.

The

licensee's program for monitoring and evaluation of tritium urtakes was

reviewed to determine compliance with the limits established in 10 CFR Part 20, Appendix B, and industry accepted calculational methodologies.

Tritium uptakes appear to be negligible at le.s than 1 percent of a

maximum permissible organ (whole body) burden.

The NRC inspector observed

on going work activities involving high levels of loose radioactive

contamination, the use of containment enclosures, engineered ventilation

systems, breathing zone air sampling, and use of RPE,

TS 7.4.d requires, in part, "Procedures for personnel radiation protection

shall be prepared consistent with the requirements of 10 CFR Part 20, and

shall be approved, maintained, and adhered to for all operations involving

personnel radiation exposure.

Respiratory protective equipment shall be

provided in accordance with 10 CFR Part 20.103." HPP-16, "Selection and

Use of Respiratory Protecticn Equipment," paragraph 5.2.2.6, requires that

a "Check for the proper fit by placing hand over the air inlet holes in

the filter and inhale gently. A gas tight fit will be indicated . . . ."

)

The NRC inspector observed on July 27, 1988, two FSV employees, in

preparation for entering a posted airborne radioactivity area, rentove the

high efficiency filter from their full face respirators and perform a seal

test by blocking off, with their hand, the respirator coupling nut for the

removed filter. Upon completing this test, the employees reattached the

filter without verifying that the filter was properly sealed to the

respirator.

The NRC inspector brought the apparent improper testing to

the attention of the senior HPT covering the job and the employees were

required to retest the respirators in accordance with the requirements of

HPP-16.

This was accomplished successfully prior to the employees

entering the airborne radioactivity area.

Licensee representatives

indicated that testing of the respirator without the filter on was the way

they were trained. The NRC inspector could not verify this during

discussions with training department instructors or review of training

material. The acting HP supervisor immediately issued a notice that

informed all HP personnel on the proper way to preuse check a full face

respirator for proper fit.

The failure to properly test RPE prior to use

is considered an apparent violation of TS 7.4.d.

(267/8817-04)

No deviations were identified.

8.

Control of Radioactive Materials (RAM) and Contamination, Surveys, and

Ronitoring (sT51U8F??6)

The licensee's programs for the control of " and contamination,

radiological surveys and monitoring were

ned for agreement with the

'e

commitments in Section 11 of the UFSAR; r

.ance with the requirements

of TS 7.4, 10 CFR Parts 19.12, 20.4, 20.t. i.201, 20.203, 20.205, 20.207,

_ _ _ _ _ _ _ _ _ _ - _ _ _ - _ _ _ _ _ _ _ _ _

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20.301, 20.401, 20.402, and NUREG-0737, Item 111.0.3.3; and the

recommendations of IEIN 85-06, 85-92, 86-23, 87-39, IE Bulletin 80-10, and

IE Circular 81-07.

The NRC inspector toured facilities; conducted independent gamma

radiation dose rate measurements and loose surface contamination surveys;

reviewed ongoing work operations within the reactor building and turbine

building; reviewed Radiation Work Permits, radiation, airborne and surface

contamination surveys (routine and work related); and observed analysis of

radiological samples and the use of laboratory counters, response checking

of instruments, and the updating of plant radiological information maps.

The licensee's analytical equipment provides for beta and alpha

radioactivity analysis, and the evaluation of air samples for iodine and

other fission products.

The NRC inspector reviewed the licensee's program for protection against

and control of hot particle areas (as referenced in IEIN 86-23 and 87-39).

Even though the licensee has two areas (hot service facility an( the

refueling deck) that could be the source of hot particles (activation

particles and fuel fragments), the licensee had not trained employees,

developed a hot particle control program, or implemented a special survey

program for determining the degree of hot particle contamination. The

licensee does not currently utilize high sensitivity automatic whole body

contamination monitors for surveying personnel exiting loose surface

contamination control areas. Whole body frisking with a hand held

beta / gamma sensitive pancake probe is currently utilized. Standard portal

monitors for detecting moderate radioactive contamination levels

(0.5-2 microcuries of cesium-137 equivalent radioactivity) are used by

site personnel prior to each exit of the protected area. The licensee's

lack of a documented hot particle program and lack of employee training on

the nuclear power industry hot particle problems is considered an open

item pending action by the licensee.

(267/8817-07)

Due to an INPO commitment, the licensee has adopted in HPP-21, the use of

referencing fixed radioactive contamination survey results below the level

of 0.5 mrem /hr in the units of CPM which is not directly relatable to

10 CFR Part 20.5 required units of mrem, DPM, or curies.

The licensee

stated that survey forms for documenting the fixed radioactivity results

contain sufficient information to allow conversion of the CPM data to

10 CFR Part 20.5 units. The NRC inspector determined that while the

necessary information was traceable, there could be confusion as to which

instrument data on the results forms was applicable to fixed radioactivity

measurements.

This is considered an open item pending action by the

licensee.

(267/8817-08)

The licensee procedures for release of radioactive material (not wastes)

complies with the guidance given by the NRC in IE Circular 81-07 and is

also in agreement with the guidance given to the licensee by the state of

Colorado.

Currently, materials (tools and equipment) with a post

decontamination fixed radioactivity levels of less than 0.4 mrem, as

. _ _ _ _ _ . _ _

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measured with a beta / gamma sensitive detector, can be released for

unrestricted use and possible disposal. This licensee uses a conservative

limit, based on laboratory counting equipment limitations, for the levels

of loose surface contamination allowed on material to be released for

unrestrteted use,

The NRC inspector noted to the licensee that current

NRC interpretative guidance (IEIN 85-92, and NRC Staff Letter G. W. Kerr

(NRC) to E. O. Bailey [ Texas Bureau of Radiation Control); Subject:

Clarification of the Regulatory Control Over Independent Service Company

'

Waste and Equipment Processing Used at Licensed Facilities, dated May 6,

1986), established that the appropriate release limit to be applied by

licensee's for evaluating the release of potentially radioactive material

from licensed facilities is "No detectable radioactivity." Licensee

representatives indicated that they would reevaluate their material

release program with regard to the above noted guidance.

This is

considered an open item pending action by the licensee.

(267/8817-09)

The NRC inspector noted during te irs of the licensee's facilities and

comparisons with training films used in Category III (radiological worker

training) that receptacles used for disposal of radioactively contaminated

clothing and wastes at work sites are located, contrary to industry

practices and licensee training presentations, on the outside of

contamination control boundaries (clean side). This is not a good

practice for controlling contamination or hot particles.

The licensee

issued written instructions on August 2, 1988, to all HPTs on placing

disposal receptacles on the inside of controlled areas.

This is

considered an open item pending further NRC inspector review during future

inspections. (2U/8T17-10)

No violations or deviations were identified.

9.

Radiological Control Facilities and Equipment / Instruments

The licensee's facilities for radiological protection activities during

routine and emergency situations were reviewed for agreements: with

commitments contained in Sections 12.3.2 and 12.3.4.E of the UFSAR;

!

Section 7 of the Radiological Emergency Response Plan (RERP) - Station;

and the recommendations of RG 1.97, 8.8, 8.25; NUREG-0041 and

NUREG-0654/ FEMA-REP-1.

l

The NRC inspector inspected training facilities, respirator

decontamination and maintenance facilities, HP counting laboratory,

postaccident sampling system, calibration, and hot work facilities,

robotic equipment for handling highly radioactive materials, radioactive

source storage, locker and toilet facilities for workers, radiological

controlled area access control point, first aid facilities, machine shop

for radioactive materials, decontamination facilities for personnel and

equipment, and emergency equipment inventories (RP response survey

equipment, respiratory protection equipment, and protective clothing) at

the onsite technical support center.

Selected equipment referenced in

Table 7.3-1 of the RERP - Station was verified to be present and

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operaticial. Operation of the portal monitors at the exit to the

proter M area was verified.

Instructions were posted as to actions to be

+aken if the portal monitors were to alarm.

No violations or deviations were identified.

10. ALARA Program

The licensee's ALARA program was reviewed to determine agreement with the

commitments in Section 11.2 of the UFSAR; the requirements of 10 CFR Part 20.1(c); and the recommendations of RGs 8.8, 8.10, and 8.27.

The NRC inspec*or reviewed the licensee's new (August 4,1987) ALARA plan.

The implementation of this ALARA plan resolves an NRC concern discussed in

the licensee's 1986-87 Systematic Assessment of Licensee Performance

,

Report (50-267/87-06). The licensee's ALARA plan has all the attributes

of a good exposure reduction program. Workers knowledge and work

practices demonstrated a good working knowledge of ALARA practices.

The

NRC inspector reviewed ALARA committee meeting minutes.

The Plant Health

Physicist is designated as the station ALARA coordinator.

FSV's expesure expenditure for 1987 was 1.24 person-rem as compared to a

nationai average for all light water reactors of 420 person-rem.

FSV was

not operating for approximately 10 months of 1987.

11. Advance Planning and Praparations

The NRC inspector reviewed the licensee's preparations for a 92-day

nonrefueling outage, which began on July 5,1988.

The NRC inspector

reviewed the scheduling and preplanning for removal, inspection, and

repair of the reactor coolant cir:ulators.

The NRC inspector observed the

removal and inspection of helium circulator

"B."

Previous experience data

provided to the Lead HP technician indicated that loose radioactivity

could exceed 1 million DPM per 100 square centimeters with gamma radiation

levels of 30 mrem /hr general area and 100 mrem /hr on contact with

components.

Contact beta radiation levels of 10 rad /hr were expectad.

The preparation and inspection of the spare helium circulator which was

placed in the "B" cavity was also observed.

The NRC inspector discussed

with outage coordinators the observation that even though the circulator

procedure, Maintenance Procedure (MP) 2225, contained extensive HP work

and survey sign-offs, and the HP department provided a supplementary

procedure to MP 2225, there were little if any specific instructions on

contamination containment requirements for separation of the circulator

from its removal shield, ventilation requirements, or respiratory protec-

tion needs.

This job had been accomplished six or more times in the past.

The maintenance personnel indicated that several containment methods have

been used in the past.

The NRC inspector noted that the HPTs stopped work

often and held briefings on work activities and required radiological

controls during the course of circulator "B" work.

The HPT covering the

job were fully qualified HPT with several years of light water reactor

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14

experience but had little if any experience with work on helium

circulators.

The licensee stated that supervising HP and maintenance

personnel were developing supplemental procedures that would permanently

clarify all aspects a helium circulator removal, inspectica, shipment, and

replacement.

No violations or deviations were identified.

12.

Exit Interview

The NRC inspector met with the NRC resident inspector and licensee

representatives denoted in paragraph 1 on August 2, 1988, and summarized

the scope and findings of the inspection as presented in this report. The

licensee committed to reviewing their respiratory protection program for

agreement with RG 8.15 and NUREG-0041.

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