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{{#Wiki_filter:'AtI/I/////t/J/l'fii////////i// | {{#Wiki_filter:'AtI/I/////t/J/l'fii////////i// | ||
ROCHESTER | |||
GAS~/$~$4~0\it~$I$0$$,$$$$$ANDELECTRICCORPORATION | |||
o89EASTAVENUE,ROCHESTER, | |||
N.Y.14649.0001 | |||
I$!LC$iH0NCA/$$'.AcoDE7lb546.2700April28,1988Mr.WilliamT.RussellRegionalAdministrator | |||
U.S.NuclearRegulatory | |||
Commission | |||
RegionI475Allendale | |||
RoadKingofPrussia,PA19406Sub)ect:Inspection | |||
Report50-244/88-03 | |||
NoticeofViolation | |||
R.E.GinnaNuclearPowerPlantDocketNo.50-244DearMr.Russell:Inspection | |||
Report50-244/88-03 | |||
AppendixA,statedinpart:Asaresultoftheinspection | |||
conducted | |||
onFebruary15-19,1988,andinaccordance | |||
withthe"GeneralStatement | |||
ofPolicyandProcedure | |||
forNRCEnforcement | |||
Actions", | |||
10CFRPart2,AppendixC(Enforcement | |||
Policy)(1986), | |||
thefollowing | |||
violations | |||
wereidenti-fied:A.Technical | |||
Specifications | |||
Section6.13,"HighRadiation | |||
Area"requires, | |||
inpart,thatanyindividual | |||
orgroupofindividuals | |||
permitted | |||
toenteraHighRadiation | |||
Areashallbeprovidedwithoneormoreofthefollowing: | |||
adevicethatcontinuously | |||
indicates | |||
theradiation | |||
doserateinthearea(i.e.asurveymeter),adevicethatintegrates | |||
theradiation | |||
doserateintheareaandalarmswhenapresetintegrated | |||
doseisreceived(i.e.analarmingdosimeter), | |||
aqualified | |||
healthphysicist | |||
witharadiation | |||
doseratemonitoring | |||
devicewhoisresponsible | |||
forproviding | |||
positivecontroloveractivities | |||
intheareaandwhowillperformperiodicradiation | |||
surveillance | |||
atthefrequency | |||
specified | |||
intheHealthPhysicsWorkPermit.8807010370 | |||
880620PDRADOCK05000244 | |||
@,I | @,I | ||
ROCHESTER | |||
OASANDELECTRICCORP.DATEAPril28,1988ToMr.WilliamT.RussellSHEETNO.Contrarytotheabove,onFebruary15'988'tapproximately | |||
1830,agroupoffourindividuals | |||
wasnotedworkingonthePressurizer | |||
intermediate | |||
platform, | |||
apostedHighRadiation | |||
Areainthecontainment. | |||
Thegroupdidnothavearadiation | |||
surveymeteroralarmingdosimeter | |||
initspossession; | |||
alsonoqualified | |||
healthphysicist, | |||
responsible | |||
forproviding | |||
positivecontrolandperforming | |||
requiredradiological | |||
surveys,wasinthearea.Additionally, | |||
nohealthphysicsperiodicsurveillance | |||
frequency | |||
wasspecified | |||
onthecontrol-lingworkpermit.Weagreewiththisviolation | |||
asstated.Ontheafternoon | |||
ofFebruary15,1988,theworkinprogressonthepressurizer | |||
intermediate | |||
levelwastheerectionofanisolation | |||
tentfortheremovalofasbestosinsulation | |||
fromthepressurizer | |||
shell.Priortothestart,ofthisjob,RG&Epipefitters | |||
hadcompleted | |||
repacking | |||
RV-203onthepressurizer | |||
intermediate | |||
level.Airsamplesweretakenduringthevalveworkanduponcompletion | |||
ofthejob,asmearsurveywasperformed. | |||
Theresultsofthesurveyindicated | |||
thatthecontamination | |||
levelsweregenerally | |||
high(40-80,000dpm/100cm),withtwosmearsdirectlyunderthevalveindicating | |||
>100,000dpm/100cm.Sincetheadministrative | |||
limitsforcontamination | |||
applywhenthe"generalarea"contamination | |||
levelsare>100,000dpm/100cm,thetechnician | |||
didnotchangethepostingfrom"Contaminated | |||
Area".Thiswasfurthersupported | |||
bytheairsampleresultsfromthereliefvalveworkwhichwerewellbelowmaximumpermissible | |||
concentrations | |||
forairbornecontamination. | |||
Thedocumented | |||
surveyresultswerepassedoutofthecontainment | |||
areasometimeduringthelatemorningorearlyafternoon | |||
andplacedontheHealthPhysics(HP)Technician | |||
Foreman's | |||
desk.Theforeman,notingthetwosmearresults>100,000dpm/100cmdecidedtohavetheareapostingupgraded. | |||
Thiswasaccomplished | |||
byphoningoneoftheRG&Eleadtechsassignedtothesteamgenerator | |||
inspection | |||
andrepairjob.Atapproximately | |||
1600hours,thecontaminated | |||
areapostingwaschangedto>>Airborne | |||
Radioactive | |||
Material" | |||
and"Respiratory | |||
Equipment | |||
Required". | |||
At1615hours,theInsulator | |||
ForemanreportedtotheHPTechnician | |||
officetoperformapreliminary | |||
inspection | |||
ofthepressurizer | |||
intermediate | |||
level.TheContractTechnician | |||
Foremanassignedatechnician | |||
(TechA)toprovidecontinuous | |||
monitoring | |||
inlieuofanalarmingdosimeter | |||
sincetheInsulator | |||
Foremanwouldonlybeintheareaalimitedtime.(Thisisallowedbyplantprocedure.) | |||
ROCHESTER | |||
GASANDELECTRICCORP.DATEApril28,1988Mr.WilliamT.RussellSHEETNO.3TheContractTechnician | |||
Foremanalsoinformedhimoftheresultsoftheairsamplesandsmearstakenduringandafterthepreviousworkinthearea.TechAandtheInsulator | |||
Foremanenteredtheareaandcompleted | |||
theinspection. | |||
Smearstakenduringthisentryalsoindicated | |||
generalareacontamination | |||
levelsinthe40-60,000 | |||
dpm/100cm2rangefurthersupporting | |||
thatmaskswerenotrequired. | |||
Atapproximately | |||
1730hours,acarpenter | |||
crewoffourenteredcontainment | |||
tostarterectingtheasbestoscontroltent.Theycontacted | |||
TechAandtheInsulator | |||
Foremanpriortoenteringtheworkarea.TechAoutlinedgeneraldoseratesandcontamination | |||
levelstotheincomingcrew.Twomembersofthecarpenter | |||
workcrewrequested | |||
maskseventhoughtheworkpermitandsurveyresultsindicated | |||
theywereunnecessary. | |||
Thetechnician | |||
decidedtoallowthetwoworkerstousethemasks.(Thiswasinviolation | |||
ofplantpolicy.)TechA,atapproximately | |||
1740hours,turnedthecarpenter | |||
crewcoverageovertoasecondContractor | |||
Technician | |||
(TechB).TechAverballypassedontheinformation | |||
ondoses,contamination | |||
levelsandindicated | |||
thattwoworkerswouldbewearingmasksbyprefer-ence.TechBdidnotobtainandreadthecopyofthecontrolling | |||
SWPutilizing | |||
gusttheverbalturnoverforguidance. | |||
(Thiswasinviolation | |||
ofplantpolicy.)Atapproximately | |||
1815hours,TechB,assumingthatintermittent | |||
coveragehadbeenrequiredbytheworkpermit,providedaninitialsurvey,maskfittothetwoworkersrequesting | |||
masks,andplacedanairsampleronthecarpenter | |||
helper.TechBthenexitedtheareaandreportedtothecontracttechforemanat1830hours.TheContractTechnician | |||
Foremancontacted | |||
TechAtohavehimreturntothegobsitetoprovidecontinuous | |||
coverageinlieuofthealarmingdosimeter | |||
asallowedbyplantpolicy.Corrective | |||
ActionTheimmediate | |||
corrective | |||
actionthatwastakenwastoprovideatechnician | |||
forcontinuous | |||
monitoring. | |||
Theworkersinmaskswereremovedfromtheareaandtheareapostingchangedtobeconsistent | |||
withtheworkconditions. | |||
Additional | |||
airsamplerswerealsoprovidedalongwithanalarmingdosimeter | |||
toreplaceconti'nuous | |||
'onitoring. | |||
ROCHESTER | |||
GASANDELECTRICCORP.DATEApril28,1988Mr.WilliamT.RussellSHEETNO.4Todetermine | |||
thecause,allinvolvedpersonnel | |||
wereinterviewed | |||
andthefollowing | |||
contributing | |||
factorsdiscovered: | |||
confusion | |||
existedonhowthethreehighradiation | |||
areamonitoring | |||
requirements | |||
wereimplemented. | |||
thesecondtechnician | |||
didnotobtainandreadtheworkpermitcopyaspartofhisturnoverfromthefirsttechnician. | |||
workerswereallowedtowearrespiratory | |||
equipment | |||
whennonewasrequired. | |||
therewasnoprocedural | |||
guidanceforpostingchanges.theairsampleplacement | |||
maynothaveprovidedarepresenta- | |||
tivesampleoftheworkersbreathing | |||
zone.(Theairsamplerhadbeenplacedontheworkerwhowasmovingmaterialintotheworkareaandtherefore | |||
traversing | |||
themorehighlycontaminated | |||
workarea.)FurtherCorrective | |||
ActiontoAvoidFutureOccurrences | |||
Thecausesdescribed | |||
abovewerediscussed | |||
withthetechnicians | |||
involvedtoverballyclarifyplantprocedures. | |||
Incident. | |||
Report88-013andA-25.1(GinnaStationEventReport),N88-20wereinitiated | |||
totrackreportability | |||
andcorrective | |||
actions.Theinspection | |||
reportandtheincidentreportwerediscussed | |||
inapostoutagereviewsessionwiththeHPandChemSection.Copiesofthesereportswereforwarded | |||
toallsectionpersonnel | |||
viathetrainingsectioninformation | |||
system.Thefollowing | |||
longtermcorrective | |||
actionsarebeinginitiated: | |||
Aposting'controlprocedure | |||
willbedeveloped | |||
todocumentthestatusoflongtermpostinganddefineactionstobetakenwhenconditions | |||
requirepostingchanges.ReviewoftheStatusLogwillbeaddedtotheHPTourrequirements. | |||
Thiswillbecompleted | |||
byJuly1,1988.Theprocedure | |||
governing | |||
workpermitdevelopment | |||
anduseandthepermitformatwillbechangedtomoreclearlydirectanddocumenthighradiation | |||
areamonitoring. | |||
Thiswillbecompleted | |||
aspartoftheRadiation | |||
DoseMonitoring | |||
System(RDMS)upgradecurrently | |||
inprogress. | |||
Thisupgradeisexpectedtobecompleted | |||
intheFallof1988. | |||
ROCHESTER | |||
GASANDELECTRICCORP.DATEApril28,1988Mr.WilliamT.RussellSHEETNO.5Theutilization | |||
ofa"leadtechnician" | |||
willbeimplemented | |||
toincreasesupervisory | |||
controlduringoutageperiods.Aminimumofoneleadtechforcontainment, | |||
andonefortheAuxiliary | |||
Buildingwillbeutilizedforaugmenting | |||
supervisory | |||
control.Theleadtechnician | |||
willberesponsible | |||
toensurepropergobcoverageisprovidedforworkinhisareaofresponsibility. | |||
Thiswillbeimplemented | |||
duringthenextscheduled | |||
refueling | |||
outage.Theradiological | |||
incidentreport88-013,andthecorrective | |||
actionstakenarebeingincludedintheContract, | |||
Technician | |||
trainingprogram.Thiswillbeimplemented | |||
forthenextrefueling | |||
outage.B.Technical | |||
Specifications | |||
Section6.8,"Procedures", | |||
requiresinpartthatwrittenprocedures | |||
shallbeestablished | |||
andimplemented | |||
inaccordance | |||
withactivities | |||
recommended | |||
inAppendix"A"ofRegulatory | |||
Guidel.33,November, | |||
1972.Appendix"A"ofRegulatory | |||
Guide1.33,recommends | |||
procedures | |||
for"Radiation | |||
WorkPermitProcedure" | |||
and"surveysandmonitoring". | |||
B.lProcedure | |||
HP-4.3,"HealthPhysicsWorkPermitUse",section6.1.2requires, | |||
inpart,thateachHealthPhysicsWorkPermitshallcontain"...adescription | |||
oftheradiation | |||
hazardswhichmaybeencountered." | |||
Contrarytotheabove,nodescription | |||
oftheradiation | |||
hazardswhichmaybeencountered | |||
(i.e.radiation | |||
orcontami-nationlevels)wasincludedonSpecialWorkPermit(SWP)Nos.20290,20475,and20947.Thesepermitswereverifiedtohavebeenusedbyworkers.B.2Procedure | |||
HP-4.3,"HealthPhysicsWorkPermitUse",section6.4.20.3requires, | |||
inpart,thatwhenHealthPhysics(HP)surveillance | |||
istheoptionusedtocontrolaccesstoaHighRadiation | |||
Area,then"...documentation | |||
ofthiscoverage(surveillance) | |||
mustbeeitherindicated | |||
onAttachment | |||
Vindicating | |||
thetimeofthesurveillance | |||
andthetechnician's | |||
initialsorbysigninginwiththeworkersonthepermit>>.Contrarytotheabove,nodocumentation | |||
ofHPcoveragewasmade,eitherbyuseofAttachment | |||
VorbyHPsign-inontheworkSWP,forSWPNos.20342,20387,or20337.EachoftheseSWPsrequiredHPsurveyevery60minutes.Weagreewiththeviolation | |||
asstated. | |||
' | 'ROCHESTER | ||
GASANDELECTRICCORP.DATEAPril28,1988ToMr.WilliamT.RussellSHEETNO.6Thedocumentation | |||
requirements | |||
ofprocedure | |||
HP-4.3arefrequently | |||
completed | |||
bythetechnicians | |||
aftertheworkhasbeencompleted. | |||
Theinformation | |||
obtainedatthegobsiteisnormallycommunicated | |||
verballypriortoandduringthegobperformance. | |||
Thetechnician | |||
thenenterstheinformation | |||
ontheworkpermitlocatedat.thecontrolpointwhenheexits.Duringanoutage,onetechnician | |||
willberequiredtocoverseveralgobseachdayandmaynotremembertocompletetheinformation | |||
onthepermituponexitorattheendoftheday.Znreviewing | |||
thisviolation, | |||
itbecomesapparentthattherootcauseisthemethodcurrently | |||
inusefordocumentation. | |||
Thissystemtendstopromoteinformation | |||
lossplusitmaynotprovidecurrentinformation | |||
forworkersatthegobsite.Theimmediate | |||
corrective | |||
actionwastodirectthestaffreviewing | |||
thecompleted | |||
workpermitstoensureallinformation | |||
requiredwasdocumented | |||
onthepermits.Also,direction | |||
wasgiventothestafftoensurethat,ataminimum,doserangesgeneralareacontamination | |||
levelswereprovidedonthepermitseveniftherangewasextremely | |||
broad.Althoughtheseactionstreatedthedocumentation | |||
problemtheworkinformation | |||
isstillneededatthegobsite.Thelongtermcorrective | |||
actionsplannedareasfollows:Foreachspecialworkpermit,theworkpermitcopyandasurveyrecordattachment | |||
formwillberequiredatthegobsite.Infor-mationonpertinent | |||
radiological | |||
conditions | |||
canthenbedocumented | |||
atthesite.Thiswillallowformoreaccuratedocumentation | |||
aswellasprovidemorecurrentinformation | |||
toworkersandtechnicians | |||
returning | |||
totheworksite.Thischangewillbeimplemented | |||
whenthenewRDMSisactivated. | |||
Thisiscurrently | |||
scheduled | |||
fortheFallof1988.B.3Procedure | |||
HP-2.2.1, | |||
"WholeBodyCounterSourceCheck",requires, | |||
inpart,thatwhendailysourcecheckresultsfalloutsideofthe+3sigmacontrollimits,theWholeBodyCounterisnottobeusedforcountingpersonnel | |||
untilrepaired. | |||
Contrarytotheabove,onJanuary19,January25,andFebruary15,1988,thedailysourcecheckresultfellabovethe+3sigmacontrollimitandtheWholeBodyCounterwascontinued | |||
tobeutilizedtocountpersonnel | |||
withouttheperformance | |||
ofanyrepairs.Weagreewiththeviolation | |||
asstated. | |||
ROCHESTER | |||
GASANDELECTRICCORPDATEApril28,1988ToHc.WilliamT.Russell1SHEETNO.Theresultsofthequalitycontrolcheckswerenotdocumented | |||
atthetimeoftheircompletion. | |||
Thisdefeatedthepurposeofthechecks.Theimmediate | |||
corrective | |||
actionwastoremovethewholebodycounterfromservice,makerequiredadjustments, | |||
obtainanacceptable | |||
QCcheckandreturntheunittoservice.Thesourcecheckshadbeenperformed | |||
bybothRG&Eandcontracttechsduringthetimesindicated | |||
intheviolation | |||
report.Duringthisperiodoftime,therewerenoobvioussupervisory | |||
reviewscompleted. | |||
Toprecludefurtherviolations, | |||
allsupervisors | |||
weredirectedtoperformperiodicreviewsoftheQCdataintheirareasofresponsi- | |||
bility.Procedure | |||
A-54.6,"HealthPhysicsTour"wasalsochangedtoincludequalitycontroldataverification | |||
forthefollowing | |||
areas:1.2~3~4~5~6~PrimaryChemistry | |||
AnalysisSecondary | |||
Chemistry | |||
AnalysisWholeBodyCounterPanasonic | |||
TLDSystemPrimaryCountingEquipment | |||
Environmental | |||
CountingEquipment | |||
DuringaHP6Chemsectionmeeting,thespecificproblemsdescribed | |||
inthisviolation | |||
reportalongwithmanygenericissuesonlaboratory | |||
qualitycontrolwerediscussed. | |||
Theseriousness | |||
ofrepeatconcernswasalsoemphasized. | |||
Additional | |||
manpowerisbeingevaluated | |||
tohelpimplement | |||
statisti- | |||
calqualitycontrolforthevariousareasofboththecountingandchemicalanalysisprograms. | |||
Inspection | |||
Report50-244/88-01 | |||
requested | |||
thattwomoreconcernsbeaddressed | |||
inresponsetoInspection | |||
Report50-244/88-02 | |||
(3).Inconsistent | |||
requirements | |||
fortapingofprotective | |||
clothing. | |||
Justpriortothe1988refueling | |||
outage,thepolicytonormallyrequiretapingforworkincontrolled | |||
areaswasinitiated. | |||
Duringtheoutage,itbecameapparentthatsupervisory | |||
controlwasdifficult | |||
ifthispolicywasnotappliedconsistently. | |||
ROCHESTER | |||
GASANDELECTRICCORP.OATEAPril28,1988ToMr.WilliamT.RussellSHEETNO.8StartingApril1,1988,apolicyletterwasissuedwhichrequiredtapinganytimeworkwasbeingperformed | |||
utilizing | |||
coveralls, | |||
unlessotherwise | |||
stipulated. | |||
AllRadiation | |||
WorkPermits(standing | |||
workpermitsforroutinework)werechangedtoreflectthispolicy.TheGeneralEmployeeTraininghasbeenchangedtoincludethisrequirement. | |||
Thepolicyhasalsobeencoveredinageneralplantmeetingsinceitsimplementation. | |||
Alsoidentified | |||
inInspection | |||
88-01wastheconcernthatsomeareapostingswere<<confusing<<, | |||
tapewasbeingusedtomodifysigns,andthatgreasepencilwasusedtoaddinformation | |||
tosigns.Thepostingcontrolprocedure | |||
discussed | |||
intheresponsealongwithmoresupervisor | |||
attention | |||
totheappearance | |||
oftheareapostingwillbeusedtoaddressthisconcern.Inadditiontofurtheraddresstheconcernforlackofsupervisory | |||
control,changesintheHealthPhysicsandChemistry | |||
organization | |||
arebeingconsidered. | |||
Theobjectofthesechangeswillbetoremovesomeofthepaperwork | |||
burdenfromsupervisors | |||
toallowmoretimefortheirsupervisory | |||
functions. | |||
Yourstruly,4c,CLBruceA.SnowSuperintendent | |||
ofNuclearProduction | |||
BAS/lvhSubscribed | |||
andsworntomeonthi28th,dayofAril1988IINUElRIAOWNEenaerme,asar+ | |||
Vaaxc:U.S.NuclearRegulatory | |||
Commission | |||
DocumentControlDeskWashington, | |||
DC20555C.Marschall | |||
GinnaResidentInspector | |||
}} | }} | ||
Revision as of 13:42, 29 June 2018
| ML17251A144 | |
| Person / Time | |
|---|---|
| Site: | Ginna |
| Issue date: | 04/28/1988 |
| From: | SNOW B A ROCHESTER GAS & ELECTRIC CORP. |
| To: | RUSSELL W T NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION I) |
| Shared Package | |
| ML17251A143 | List: |
| References | |
| NUDOCS 8807010370 | |
| Download: ML17251A144 (16) | |
See also: IR 05000244/1988003
Text
'AtI/I/////t/J/l'fii////////i//
ROCHESTER
GAS~/$~$4~0\it~$I$0$$,$$$$$ANDELECTRICCORPORATION
o89EASTAVENUE,ROCHESTER,
N.Y.14649.0001
I$!LC$iH0NCA/$$'.AcoDE7lb546.2700April28,1988Mr.WilliamT.RussellRegionalAdministrator
U.S.NuclearRegulatory
Commission
RegionI475Allendale
RoadKingofPrussia,PA19406Sub)ect:Inspection
Report50-244/88-03
NoticeofViolation
R.E.GinnaNuclearPowerPlantDocketNo.50-244DearMr.Russell:Inspection
Report50-244/88-03
AppendixA,statedinpart:Asaresultoftheinspection
conducted
onFebruary15-19,1988,andinaccordance
withthe"GeneralStatement
ofPolicyandProcedure
forNRCEnforcement
Actions",
10CFRPart2,AppendixC(Enforcement
Policy)(1986),
thefollowing
violations
wereidenti-fied:A.Technical Specifications Section6.13,"HighRadiation
Area"requires,
inpart,thatanyindividual
orgroupofindividuals
permitted
toenteraHighRadiation
Areashallbeprovidedwithoneormoreofthefollowing:
adevicethatcontinuously
indicates
theradiation
doserateinthearea(i.e.asurveymeter),adevicethatintegrates
theradiation
doserateintheareaandalarmswhenapresetintegrated
doseisreceived(i.e.analarmingdosimeter),
aqualified
healthphysicist
witharadiation
doseratemonitoring
devicewhoisresponsible
forproviding
positivecontroloveractivities
intheareaandwhowillperformperiodicradiation
surveillance
atthefrequency
specified
intheHealthPhysicsWorkPermit.8807010370
880620PDRADOCK05000244
@,I
ROCHESTER
OASANDELECTRICCORP.DATEAPril28,1988ToMr.WilliamT.RussellSHEETNO.Contrarytotheabove,onFebruary15'988'tapproximately
1830,agroupoffourindividuals
wasnotedworkingonthePressurizer
intermediate
platform,
apostedHighRadiation
Areainthecontainment.
Thegroupdidnothavearadiation
surveymeteroralarmingdosimeter
initspossession;
alsonoqualified
healthphysicist,
responsible
forproviding
positivecontrolandperforming
requiredradiological
surveys,wasinthearea.Additionally,
nohealthphysicsperiodicsurveillance
frequency
wasspecified
onthecontrol-lingworkpermit.Weagreewiththisviolation
asstated.Ontheafternoon
ofFebruary15,1988,theworkinprogressonthepressurizer
intermediate
levelwastheerectionofanisolation
tentfortheremovalofasbestosinsulation
fromthepressurizer
shell.Priortothestart,ofthisjob,RG&Epipefitters
hadcompleted
repacking
RV-203onthepressurizer
intermediate
level.Airsamplesweretakenduringthevalveworkanduponcompletion
ofthejob,asmearsurveywasperformed.
Theresultsofthesurveyindicated
thatthecontamination
levelsweregenerally
high(40-80,000dpm/100cm),withtwosmearsdirectlyunderthevalveindicating
>100,000dpm/100cm.Sincetheadministrative
limitsforcontamination
applywhenthe"generalarea"contamination
levelsare>100,000dpm/100cm,thetechnician
didnotchangethepostingfrom"Contaminated
Area".Thiswasfurthersupported
bytheairsampleresultsfromthereliefvalveworkwhichwerewellbelowmaximumpermissible
concentrations
forairbornecontamination.
Thedocumented
surveyresultswerepassedoutofthecontainment
areasometimeduringthelatemorningorearlyafternoon
andplacedontheHealthPhysics(HP)Technician
Foreman's
desk.Theforeman,notingthetwosmearresults>100,000dpm/100cmdecidedtohavetheareapostingupgraded.
Thiswasaccomplished
byphoningoneoftheRG&Eleadtechsassignedtothesteamgenerator
inspection
andrepairjob.Atapproximately
1600hours,thecontaminated
areapostingwaschangedto>>Airborne
Radioactive
Material"
and"Respiratory
Equipment
Required".
At1615hours,theInsulator
ForemanreportedtotheHPTechnician
officetoperformapreliminary
inspection
ofthepressurizer
intermediate
level.TheContractTechnician
Foremanassignedatechnician
(TechA)toprovidecontinuous
monitoring
inlieuofanalarmingdosimeter
sincetheInsulator
Foremanwouldonlybeintheareaalimitedtime.(Thisisallowedbyplantprocedure.)
ROCHESTER
GASANDELECTRICCORP.DATEApril28,1988Mr.WilliamT.RussellSHEETNO.3TheContractTechnician
Foremanalsoinformedhimoftheresultsoftheairsamplesandsmearstakenduringandafterthepreviousworkinthearea.TechAandtheInsulator
Foremanenteredtheareaandcompleted
theinspection.
Smearstakenduringthisentryalsoindicated
generalareacontamination
levelsinthe40-60,000
dpm/100cm2rangefurthersupporting
thatmaskswerenotrequired.
Atapproximately
1730hours,acarpenter
crewoffourenteredcontainment
tostarterectingtheasbestoscontroltent.Theycontacted
TechAandtheInsulator
Foremanpriortoenteringtheworkarea.TechAoutlinedgeneraldoseratesandcontamination
levelstotheincomingcrew.Twomembersofthecarpenter
workcrewrequested
maskseventhoughtheworkpermitandsurveyresultsindicated
theywereunnecessary.
Thetechnician
decidedtoallowthetwoworkerstousethemasks.(Thiswasinviolation
ofplantpolicy.)TechA,atapproximately
1740hours,turnedthecarpenter
crewcoverageovertoasecondContractor
Technician
(TechB).TechAverballypassedontheinformation
ondoses,contamination
levelsandindicated
thattwoworkerswouldbewearingmasksbyprefer-ence.TechBdidnotobtainandreadthecopyofthecontrolling
SWPutilizing
gusttheverbalturnoverforguidance.
(Thiswasinviolation
ofplantpolicy.)Atapproximately
1815hours,TechB,assumingthatintermittent
coveragehadbeenrequiredbytheworkpermit,providedaninitialsurvey,maskfittothetwoworkersrequesting
masks,andplacedanairsampleronthecarpenter
helper.TechBthenexitedtheareaandreportedtothecontracttechforemanat1830hours.TheContractTechnician
Foremancontacted
TechAtohavehimreturntothegobsitetoprovidecontinuous
coverageinlieuofthealarmingdosimeter
asallowedbyplantpolicy.Corrective
ActionTheimmediate
corrective
actionthatwastakenwastoprovideatechnician
forcontinuous
monitoring.
Theworkersinmaskswereremovedfromtheareaandtheareapostingchangedtobeconsistent
withtheworkconditions.
Additional
airsamplerswerealsoprovidedalongwithanalarmingdosimeter
toreplaceconti'nuous
'onitoring.
ROCHESTER
GASANDELECTRICCORP.DATEApril28,1988Mr.WilliamT.RussellSHEETNO.4Todetermine
thecause,allinvolvedpersonnel
wereinterviewed
andthefollowing
contributing
factorsdiscovered:
confusion
existedonhowthethreehighradiation
areamonitoring
requirements
wereimplemented.
thesecondtechnician
didnotobtainandreadtheworkpermitcopyaspartofhisturnoverfromthefirsttechnician.
workerswereallowedtowearrespiratory
equipment
whennonewasrequired.
therewasnoprocedural
guidanceforpostingchanges.theairsampleplacement
maynothaveprovidedarepresenta-
tivesampleoftheworkersbreathing
zone.(Theairsamplerhadbeenplacedontheworkerwhowasmovingmaterialintotheworkareaandtherefore
traversing
themorehighlycontaminated
workarea.)FurtherCorrective
ActiontoAvoidFutureOccurrences
Thecausesdescribed
abovewerediscussed
withthetechnicians
involvedtoverballyclarifyplantprocedures.
Incident.
Report88-013andA-25.1(GinnaStationEventReport),N88-20wereinitiated
totrackreportability
andcorrective
actions.Theinspection
reportandtheincidentreportwerediscussed
inapostoutagereviewsessionwiththeHPandChemSection.Copiesofthesereportswereforwarded
toallsectionpersonnel
viathetrainingsectioninformation
system.Thefollowing
longtermcorrective
actionsarebeinginitiated:
Aposting'controlprocedure
willbedeveloped
todocumentthestatusoflongtermpostinganddefineactionstobetakenwhenconditions
requirepostingchanges.ReviewoftheStatusLogwillbeaddedtotheHPTourrequirements.
Thiswillbecompleted
byJuly1,1988.Theprocedure
governing
workpermitdevelopment
anduseandthepermitformatwillbechangedtomoreclearlydirectanddocumenthighradiation
areamonitoring.
Thiswillbecompleted
aspartoftheRadiation
DoseMonitoring
System(RDMS)upgradecurrently
inprogress.
Thisupgradeisexpectedtobecompleted
intheFallof1988.
ROCHESTER
GASANDELECTRICCORP.DATEApril28,1988Mr.WilliamT.RussellSHEETNO.5Theutilization
ofa"leadtechnician"
willbeimplemented
toincreasesupervisory
controlduringoutageperiods.Aminimumofoneleadtechforcontainment,
andonefortheAuxiliary
Buildingwillbeutilizedforaugmenting
supervisory
control.Theleadtechnician
willberesponsible
toensurepropergobcoverageisprovidedforworkinhisareaofresponsibility.
Thiswillbeimplemented
duringthenextscheduled
refueling
outage.Theradiological
incidentreport88-013,andthecorrective
actionstakenarebeingincludedintheContract,
Technician
trainingprogram.Thiswillbeimplemented
forthenextrefueling
outage.B.Technical Specifications Section6.8,"Procedures",
requiresinpartthatwrittenprocedures
shallbeestablished
andimplemented
inaccordance
withactivities
recommended
inAppendix"A"ofRegulatory
Guidel.33,November,
1972.Appendix"A"ofRegulatory
Guide1.33,recommends
procedures
for"Radiation
WorkPermitProcedure"
and"surveysandmonitoring".
B.lProcedure
HP-4.3,"HealthPhysicsWorkPermitUse",section6.1.2requires,
inpart,thateachHealthPhysicsWorkPermitshallcontain"...adescription
oftheradiation
hazardswhichmaybeencountered."
Contrarytotheabove,nodescription
oftheradiation
hazardswhichmaybeencountered
(i.e.radiation
orcontami-nationlevels)wasincludedonSpecialWorkPermit(SWP)Nos.20290,20475,and20947.Thesepermitswereverifiedtohavebeenusedbyworkers.B.2Procedure
HP-4.3,"HealthPhysicsWorkPermitUse",section6.4.20.3requires,
inpart,thatwhenHealthPhysics(HP)surveillance
istheoptionusedtocontrolaccesstoaHighRadiation
Area,then"...documentation
ofthiscoverage(surveillance)
mustbeeitherindicated
onAttachment
Vindicating
thetimeofthesurveillance
andthetechnician's
initialsorbysigninginwiththeworkersonthepermit>>.Contrarytotheabove,nodocumentation
ofHPcoveragewasmade,eitherbyuseofAttachment
VorbyHPsign-inontheworkSWP,forSWPNos.20342,20387,or20337.EachoftheseSWPsrequiredHPsurveyevery60minutes.Weagreewiththeviolation
asstated.
'ROCHESTER
GASANDELECTRICCORP.DATEAPril28,1988ToMr.WilliamT.RussellSHEETNO.6Thedocumentation
requirements
ofprocedure
HP-4.3arefrequently
completed
bythetechnicians
aftertheworkhasbeencompleted.
Theinformation
obtainedatthegobsiteisnormallycommunicated
verballypriortoandduringthegobperformance.
Thetechnician
thenenterstheinformation
ontheworkpermitlocatedat.thecontrolpointwhenheexits.Duringanoutage,onetechnician
willberequiredtocoverseveralgobseachdayandmaynotremembertocompletetheinformation
onthepermituponexitorattheendoftheday.Znreviewing
thisviolation,
itbecomesapparentthattherootcauseisthemethodcurrently
inusefordocumentation.
Thissystemtendstopromoteinformation
lossplusitmaynotprovidecurrentinformation
forworkersatthegobsite.Theimmediate
corrective
actionwastodirectthestaffreviewing
thecompleted
workpermitstoensureallinformation
requiredwasdocumented
onthepermits.Also,direction
wasgiventothestafftoensurethat,ataminimum,doserangesgeneralareacontamination
levelswereprovidedonthepermitseveniftherangewasextremely
broad.Althoughtheseactionstreatedthedocumentation
problemtheworkinformation
isstillneededatthegobsite.Thelongtermcorrective
actionsplannedareasfollows:Foreachspecialworkpermit,theworkpermitcopyandasurveyrecordattachment
formwillberequiredatthegobsite.Infor-mationonpertinent
radiological
conditions
canthenbedocumented
atthesite.Thiswillallowformoreaccuratedocumentation
aswellasprovidemorecurrentinformation
toworkersandtechnicians
returning
totheworksite.Thischangewillbeimplemented
whenthenewRDMSisactivated.
Thisiscurrently
scheduled
fortheFallof1988.B.3Procedure
HP-2.2.1,
"WholeBodyCounterSourceCheck",requires,
inpart,thatwhendailysourcecheckresultsfalloutsideofthe+3sigmacontrollimits,theWholeBodyCounterisnottobeusedforcountingpersonnel
untilrepaired.
Contrarytotheabove,onJanuary19,January25,andFebruary15,1988,thedailysourcecheckresultfellabovethe+3sigmacontrollimitandtheWholeBodyCounterwascontinued
tobeutilizedtocountpersonnel
withouttheperformance
ofanyrepairs.Weagreewiththeviolation
asstated.
ROCHESTER
GASANDELECTRICCORPDATEApril28,1988ToHc.WilliamT.Russell1SHEETNO.Theresultsofthequalitycontrolcheckswerenotdocumented
atthetimeoftheircompletion.
Thisdefeatedthepurposeofthechecks.Theimmediate
corrective
actionwastoremovethewholebodycounterfromservice,makerequiredadjustments,
obtainanacceptable
QCcheckandreturntheunittoservice.Thesourcecheckshadbeenperformed
bybothRG&Eandcontracttechsduringthetimesindicated
intheviolation
report.Duringthisperiodoftime,therewerenoobvioussupervisory
reviewscompleted.
Toprecludefurtherviolations,
allsupervisors
weredirectedtoperformperiodicreviewsoftheQCdataintheirareasofresponsi-
bility.Procedure
A-54.6,"HealthPhysicsTour"wasalsochangedtoincludequalitycontroldataverification
forthefollowing
areas:1.2~3~4~5~6~PrimaryChemistry
AnalysisSecondary
Chemistry
AnalysisWholeBodyCounterPanasonic
TLDSystemPrimaryCountingEquipment
Environmental
CountingEquipment
DuringaHP6Chemsectionmeeting,thespecificproblemsdescribed
inthisviolation
reportalongwithmanygenericissuesonlaboratory
qualitycontrolwerediscussed.
Theseriousness
ofrepeatconcernswasalsoemphasized.
Additional
manpowerisbeingevaluated
tohelpimplement
statisti-
calqualitycontrolforthevariousareasofboththecountingandchemicalanalysisprograms.
Inspection
Report50-244/88-01
requested
thattwomoreconcernsbeaddressed
inresponsetoInspection
Report50-244/88-02
(3).Inconsistent
requirements
fortapingofprotective
clothing.
Justpriortothe1988refueling
outage,thepolicytonormallyrequiretapingforworkincontrolled
areaswasinitiated.
Duringtheoutage,itbecameapparentthatsupervisory
controlwasdifficult
ifthispolicywasnotappliedconsistently.
ROCHESTER
GASANDELECTRICCORP.OATEAPril28,1988ToMr.WilliamT.RussellSHEETNO.8StartingApril1,1988,apolicyletterwasissuedwhichrequiredtapinganytimeworkwasbeingperformed
utilizing
coveralls,
unlessotherwise
stipulated.
AllRadiation
WorkPermits(standing
workpermitsforroutinework)werechangedtoreflectthispolicy.TheGeneralEmployeeTraininghasbeenchangedtoincludethisrequirement.
Thepolicyhasalsobeencoveredinageneralplantmeetingsinceitsimplementation.
Alsoidentified
inInspection
88-01wastheconcernthatsomeareapostingswere<<confusing<<,
tapewasbeingusedtomodifysigns,andthatgreasepencilwasusedtoaddinformation
tosigns.Thepostingcontrolprocedure
discussed
intheresponsealongwithmoresupervisor
attention
totheappearance
oftheareapostingwillbeusedtoaddressthisconcern.Inadditiontofurtheraddresstheconcernforlackofsupervisory
control,changesintheHealthPhysicsandChemistry
organization
arebeingconsidered.
Theobjectofthesechangeswillbetoremovesomeofthepaperwork
burdenfromsupervisors
toallowmoretimefortheirsupervisory
functions.
Yourstruly,4c,CLBruceA.SnowSuperintendent
ofNuclearProduction
BAS/lvhSubscribed
andsworntomeonthi28th,dayofAril1988IINUElRIAOWNEenaerme,asar+
Vaaxc:U.S.NuclearRegulatory
Commission
DocumentControlDeskWashington,
DC20555C.Marschall
GinnaResidentInspector