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posted:
11/30/2011
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16
Weekly Issue # Funct Cause Issue

Sumry Code Source





10/6/08 68132 Ops WC IA-fin

Positive 68173 Ops WC IA-fin

3 68174 QA Mng IA-find

Total 68175 Ops Comm IA-find

20 68176 Ops Env NPA

15.0% 68177 Wst Mng IA-find

NNR 68178 Wst Env NPA

10/9/08 na na na

na na na

na na na

10/13/08 68192 Crt Cndt ACR-

Positive 68193 IS NC NCR

4 68196 Emg Qual ER-ob

Total 68197 Emg NC ER-ob

11 68200 FS Cndt NCR-

36.4% 68201 Emg NC ER-obs

NNR 68202 Emg Qual ER-ob

10/17/08 na na

10/17/08 68203 IH WC MA-find

Positive 68204 Eng NC MA-find

18 68207 Wst Mng MA-find

Total 68209 Wst Tran NPA

39 68212 NS Dsgn OR-003

46.2% 68213 Eng Adm MA-find

NNR 68215 Eng Adm MA-find

10//08 68217 Eng Mng MA-find

68219 Eng Mng MA-find

68220 Eng Adm MA-find

68223 Eng Qual IA-find

68226 NS Qual IA-find

68227 NS Qual IA-find

68228 NS Adm IA-find

68229 NS Dsgn IA-find

68230 NS Adm IA-find

68231 NS Qual IA-fin

68232 Eng Adm IA-fin

68233 Eng Adm IA-find

68234 Eng Qual IA-find

68235 Eng Adm IA-find

10/27/08 68243 IH ChC IRF

Positive 68244 IH ChC IRF

1 68245 Rad Cndt IRF

Total 68246 Wst Wst NPA

5 68247 Wst Wst NPA

20.0% na na

NNR na na

10//08 na na

11/10/08 68248 Crt NC ACR-4

Positive 68250 Wst Adm MA-find

5 68251 Wst Adm MA-find

Total 68252 Wst Adm MA-ob

8 68253 Wst Cndt MA-obs

62.5% 68255 Sec Dsgn OR-3106

NNR na na

10//08 na na

11/17/08 68258 Crt HA ACR-4

Positive 68259 Crt NC ACR-4

6 68260 Crt Cndt ACR-4

Total 68261 Emg Mng MA-ob

19 68263 Rad Cndt IRF

31.6% 68264 Rad Cndt IRF-find

NNR 68265 Rad HA IRF

11/25/08 68266 Ops Qual IA-ob

68267 IS Adm MA-obs

68269 IS WC NTS-

68270 QA Mng find

NTS-

68271 Rad Mng find

IA-obs

68272 Rad Qual IA-obs

68273 Rad WC IA-obs

68274 Rad WC IA-obs

11/24/08 68275 Ops NC NCR

11/26/08 68279 Rad NC MA-find

Positive 68281 Rad NC MA-find

4 68285 Rad NC IRF

Total na na

11 na na

36.4% na na

NNR na na

12/5/08 na na

12/8/08 68286 NS Adm MA-find

Positive 68287 NS Adm MA-find

6 68288 NS Adm MA-find

Total 68289 NS Adm MA-ob

14 68290 NS Adm MA-obs

42.9% 68292 IH WC IRF

NNR 68294 Rad NC OR-005

12/18/08 68295 IS Qual IA-fin

68296 NS Qual IA-fin

68298 Rad Prc MA-fin

68299 Crt Qual DOE-ob

12/15/08 68300 Ops Dupl DOE-

Positive 68301 Ops Dupl find

DOE-

7 68302 Rad Adm find

DOE-fin

Total 68303 NS Mng DOE-fin

16 68304 QA Dupl DOE-

43.8% 68305 QA Dupl find

DOE-

NNR 68306 IH Mng find

DOE-fin

12/26/08 68307 IS Adm DOE-

68311 Wst Mng find

MA-obs

68313 Rad Cndt IRF

68314 IH WE MA-find

68315 Rad NC IRF-find

68316 Rad ChC IRF

12/22/08 68317 Prc NC MA-find

Positive 68318 Prc NC MA-fin

7 68319 Wst Adm MA-find

Total 68320 Wst Qual MA-find

47 68321 Wst Adm MA-find

14.9% 68323 FS Adm MA-obs

NNR na na

12/30/08 na na

12/29/08 68325 Eng Adm DOE-

Positive 68326 Eng WC find

DOE-

10 68333 Eng find

Dsgn DOE-obs

Total 68336 Eng Qual DOE-ob

50 68338 Eng Adm DOE-obs

20.0% 68340 Ops Qual IA-fin

NNR 68341 Ops Qual IA-fin

1/9/08 68342 Ops Qual IA-find

68343 FS Adm MA-find

68344 FS Adm MA-find

68345 FS Adm MA-find

68346 FS Adm MA-ob

68348 FS WE MA-find

68350 IS WE MA-obs

68351 FS Conf MA-ob







NPA Issues: 5

Observations as Non-compliances: 11

Findings as No Non-compliance: 15

Total New Issues: 105



ACR

Dlap

DOE

ER

IA

IRF

MA

MC

NCR

OR

RU

WT









NS

Crt

Rad

IS

FS

IH









QA

Issue Description Evnt/ Date of Cited Reg.

Cond screen





K25 Wrk Pkg did not ID handling & storage requirm of possible PCB wst. Event 10/8 None

K25 Insufficient work pkg used depending on verbal/e-mail direction. Event 10/8 None

K25 No process to ID, document, and prioritize field deficiencies Event 10/8 830.122;c;2

K25 Workers failed to notify Fac Mng and/or PSS re leaking container Event 10/8 830.122;e;1

K25 PCB label covered by tarp; effectively unlabeled Cond na NPA

K25 Roles & responsibilities not defined between Field Serv, Waste, Env Event 10/8 830.122;e;1

K25 Roll off container/PCB bulk waste pile not in compliance w requirm Cond na NPA

na na na

na na na

na na na

K25 Unlikely HEPA filter unit loading Cond 10/16 None

Witherspn Fuel truck rolled 40' hit dump trucks w driver not in cab Event 10/16 1926.600;3;ii

K1007 Personnel unable to turn off ventilation during in place sheltering Event 10/17 830.122;b;1

Site News crew on site unsheltered during "in place sheltering" uncontrolled Event 10/17 830.122;e;1

ORNL Bldg 2649 walkdown ID'd emerg light not functioning Cond 10/16 None

Funct FMT not deployed to correct positions for monitoring Cond 10/17 None

EOC Communicator recording incorrect units re Field Monitoring Teams Event 10/17 830.122;b;1

na na

Func Employees not fit tested to the mask they are using in workplace Cond 10/27 1910.134;f

ETTP Calc pages not initialed and dated per procedure Cond 10/27 830.122;e;1

Func Improper signing negating required "peer review". Cond 10/27 830.122;h;1

Func No shipment paperwork/transportation checklist for non-haz shipments Cond na NPA

ETTP PISA for aircraft in Safety Basis for ETTP facilities Cond 10/27 830.202;b;2

Func Technical procedure not validated as required Cond 10/27 830.122;d;1

Func Apps on BJC computer in SMO not in compliance w requirements Cond 10/27 830.122;e;1

Func Software in SAMOA is not getting annual review as required. Cond 10/27 830.122;e;1

Func Data Mngt not performing required 100% comparison evaluation Cond 10/27 830.122;e;1

Func Current FSG software inventory does not include SpectraMerge Cond 10/28 830.122;e;1

K25 Foaming Engineer not qualed per RCAAS Cond 10/28 830.122;b;1

K25 USQD approved by unqualified individual Cond 10/28 830.122;b;1

K25 Training requirements not ID'd (electrician, HA, & PRC for Fac Mng) Cond 10/28 830.122;b;1

K25 Procedure does not verify TSR requirements are met Cond 10/28 830.122;d;1

K25 USQD not performed on Software QA Plan for Proj Surv Trking Syst Cond 10/28 830.203;d;2

K25 DSA/TSR flowdown matrix not does not reflect all TSR requirements Cond 10/28 830.204;b;4

K25 Weakness in Facility Manager qualification in roles and responsibilities Cond 10/28 None

K25 Procedure and form weaknesses re technical issues. Cond 10/28 None

K25 Insufficiency of manuals and parts list re specifics and control Cond 10/28 830;AppA;G;

K25 TPD not assigned to FDS System Engineer & Crit Safety Officer Cond 10/28 6

830.122;b;1

K25 Conf Change Control Form ID'd in log cannot be found Cond 10/28 830.122;d;2

TSCA Respirator hose came loose at Repack table Event 10/29 None

TSCA Respirator hose came loose while supporting work Event 10/29 None

Hazwaste Transferable contam under grate of portable unit Cond 10/29 835.603;e

Waste No handling code entered by receiving facility on manifest Event 10/29 NPA

Waste Incorrect RCRA Waste Code on LDR notification form Event 10/29 NPA

na na

na na

na na

K25 Compressor w >350 g U-235 stored in Vault outside CAAS coverage Cond 11/17 830.122;e;1

Waste Disp Documentation of logbooks LTA re container overpack Cond 11/17 830.122;d;2

Waste Disp 17 recurrences re container labeling/dating issues Cond 11/17 830.122;e;2

Waste Disp 239 recurrences re waste database errors in documentation Cond 11/17 830.122;e;2

Waste Disp 2 recurrences re container closure or integrity issues Cond 11/17 None

Func Alarm controller panel wiring not properly protected as required Cond 11/17 470.4-2;

na na VI;3b

na na

K25 3 Safe Vac moved beyond CAAS detector coverage areas Cond 11/19 830.201

K25 Unattended PGS opening in surge tank Cond 11/20 830.201

K25 Discovery of potential fissile item east side waste bin Cond 11/20 830.201

Emg TSCAI tabletop drill update to BEWs necessary Cond 11/25 830.122;a;1

ORNL Bldg 3042 3500 dpm b/g exterior pump- unposted CA Cond 11/25 None

ORNL Vehicle outgoing survey 65dpm a/8148 dpm b/g fixed Cond 11/19 835.1101;c

ORNL Bldg 3038 8200 dpm b/g loose; 230k dpm b/g fixed Event 11/25 None

Waste Disp B1065 FM had not recieved tng matrix to verify peopel qual Cond 11/25 830.122;d;1

ETTP Clarification to a procedure recommended. Cond 11/25 None

Func Programmatic weaknesses in implementation of work controls Cond 11/24 851; App A;

Func Programmatic weaknesses in effective feedback & continuous impro Cond 11/24 830.122;c;1/3

K25 Overposting as CA desensitizes work force to risk Cond 11/25 None

K25 Inconsistency in PPE doffing practices. Cond 11/25 None

K25 Fixatives not used for observed jobs Cond 11/25 None

K25 HEPA hoses did not have their ends bagged and taped closed Cond 11/25 None

ETTP Bldg debris to EMWMF w/o liner as per PWAC Cond 12/4 830.122;e;1

Waste Ops Rad waste container did not have rad matl label Cond 12/4 835.605

Rad No ID or notes regarding calibration limitation for survey instrument Cond 12/4 830.122;e;4

RSWO Off site release form did not ID recipient as per EH-4516 Cond 12/5 830.122;d;2

na na

na na

na na

na na

na na

ETTP Legacy Safety Basis in use does not meet current standards Cond 12/16 830.202;c;1

ETTP Gen Mnt Legacy SB in effect K733 B&C not meeting current stds Cond 12/16 830.202;c;1

ORNL Wst Ops Legacy SB in effect not meeting current stds Cond 12/16 830.202;c;1

ETTP Wst Ops New SB only partially implemented w Legacy SB-concern Cond 12/16 830.202;c;1

NS SB doc list info inconsistent w no specified review frequency Cond 12/16 None

ES&H Calibration failures w IH samplingequipment w loss of data Cond 12/16 None

ORNL Rx pool PH probe & cable found out of pool Event 12/17 830.122;e;1

K25 Trng Matrix does not ID "bottle handler" trng for all required Cond 12/17 None

K25 Trng does not ID Field Eng position in work package Cond 12/17 None

Field Svcs Labs not providing doc re contam for return of coolers Cond 12/17 None

Waste Ops No evidence re RCAAS Syst required reading qual card Cond 12/17 830.122;b;1

Func Work scopes for repetetive tasks insufficient to ID hazards effect. Dupl 12/18 851; App A;

Func HA & control implementation weak Dupl 12/18 851; App A;

Func Flowdown rad require assoc w RWPs/bioassay not adequate Cond 12/19 None

Func Weak implem self-assessment to evaluate safety systems Cond 12/22 None

Func Ineffective issues mngt program to analyze & ID recurrence Dupl 12/22 830.122;c;4

Func Insufficient event investigation & reporting program re root cause Dupl 12/22 830.122;c;3

Func Insufficient medical mngt of injuries, analys of condit & causes Cond 12/22 None

Func SAC not translated to effiective work instructions & implementat Cond 12/22 830.122;e;1

Wste Disp Anticipated inventories difficult to verify Cond 12/22 None

K25 RCT found 6 pipe pieces w fixed contam in clean area Cond 12/23 None

S&M Faded Confined Space signs Cond 12/23 1910.145;d;2

ORNL UTB non-radworker left escort exited CA w/o proper protocol Event 12/23 835.901;d;2

K25 Exdeeded the limiting condition of RWP re airborne Event 12/23 None

Func Vendor providing unacceptable respirators to BJC Cond 12/29 1910.134;c;1

Func Certified data not provided as required by ES-773 Cond 12/30 None

Wst Trans Revised B/FEPs not sent to PSS as per ETTP-3507 Cond 12/30 830.122;e;1

Wst Trans 2 people had not reviewed B/FEP upon assignment Cond 12/30 830.122;b;1

Wst Trans Call in location not ID'd as per ETTP-3507 Cond 12/30 830.122;e;1

EMWMF New activities not included in Fire Safety Analysis as required Cond 12/30 None

na na

na na

NDA No written guidance for data review Cond 1/5 830.122;e;1

NDA Weigh scale has no current calibration Cond 1/5 830.122;e;4

NDA Crit eval does not have documentation of risk for non-conserv error Cond 1/7 None

Eng FSG's trng records not updated to reflect change in certif process Cond 1/5 830.122;d;1

Eng Docum re software QA not revised for recent software declassif. Cond 1/5 None

HR Trng does not ID positions performing work Cond 1/5 None

HR All personnel serving as PRC members not assigned appropriate TPD Cond 1/7 None

K25 Flow down matrix does not list full requirements(5th bullet) Cond 1/7 830.122;d;1

Waste Sprinkler syst K1423 w no internal inspection Cond 1/7 851;AppA;2;

Waste 480v heater no UL listed Cond 1/7 b

1910.303;a

Waste Emergency lights have not been tested annually as required Cond 1/8 851;

Waste Fire dept Pre-incident plan not up to date. Cond 1/8 AppA;2;b

851;AppA;2;

Waste Records stored in narrow hall near electrical panels Cond 1/8 a

851.10;a;2;ii

Waste Unused 480v power cables not air gapped Cond 1/8 None

Waste Exit door swings in wrong direction Cond 1/8 851;AppA;2;

b

14.3%

Note: NPA issues are excluded.



Anomolous Condition Report

DOELAP - Dosimetry/Bioassay Assessment

DOE identified issue

Event Report

Independent Assessment



Incident Report Form

Management Assessment

Management Concern

Non-Compliance Report

Occurence Report

Roll-up of other Issues

Walk Through by Management team









10CFR830.122;a;1 4

SME Open OP Reg Basis NTS Rptl Non-Rptl Non-Rptl Admin Not

Review CL evnts cond Mrker & PAAA App

LL /Improv





(OP) na 1

(OP) na 1

OP QA 1

OP QA 1

(OP) Env

OP QA 1

(OP) Env

na

na 2 15

na

CL na 1

Suenkel CL WSH 1

OP QA 1

OP QA 1

Roy CL na 1

(OP) na 1

OP QA 1

na 0 4

McGill CDA WSH 1

CDA QA 1

OP QA 1

CDA Tran 1

OP NS 1

OP QA 1

OP QA 1

OP QA 1 0 18

OP QA 1

CDA QA 1

CDA QA 1

OP QA 1

OP QA 1

OP QA 1

CDA NS 1

OP NS 1

(OP) na 1

(OP) na 1

OP NS 1

CDA QA 1

CDA QA 1

McGill CL na 1

CL na 1

CL Rad 1

CDA Wst 1

CDA Wst 1

na

na

na 0 0

OP QA 1

CDA QA 1 0 2

CDA QA 1

CDA QA 1

CDA na 1

CDA Sec 1

na

na

NS 1

NS 1 0 4

NS 1

QA 1

na 1

Rad 1

na 1

QA 1

Suenkel na 1

Suenkel WSH 1

QA 1

na 1

na 1

na 1

na 1

CL QA 1

CL Rad 1

OP QA 1

CL QA 1

na 1 6

na

na

na

na

OP NS 1

CL NS 1

CL NS 1 0 3

OP NS 1

CL na 1

CL na 1

CL QA 1

CL na 1

CL na 1

CL na 1

OP QA 1

Suenkel OP WSH 1

Suenkel OP WSH 1 3 0

OP na 1

OP na 1

OP QA 1

OP QA 1

OP na 1

OP QA 1

OP na 1

CL na 1

CL WSH 1

CL Rad 1

CL na 1

OP WSH 1 0 1

OP na 1

CL QA 1

CL QA 1

CL QA 1

OP na 1

na

na

CL QA 1 0 35

CL QA 1

OP na 1

OP QA 1

OP na 1

OP na 1

OP na 1

OP QA 1

OP WSH 1

CL WSH 1

OP WSH 1

Cl WSH 1

CL WSH 1

CL na 1

OP WSH 1









NTS Non- Non- Admin Not PAAA Total

Rprtble Rprtble Rprtble Mrkers & Applble Issues

evnts cond LL /Improvm

Totals: 2 7 61 6 126 202

% 1.0% 3.5% 30.2% 3.0% 62.4% 100.0%

34.7% 65.3%



NS QA Rad Sec WSH Totals

Totals: 11 41 4 1 13 70

Percent: 15.7% 58.6% 5.7% 1.4% 18.6% 100.0%





Accumulative % Positive: 34.7%







Trending Summary



Adm ChC Comm Cndt Conf HA Qual WC

Crit 0 0 0 2 0 1 1 0

Emg 0 0 0 0 0 0 2 0

Eng 8 0 0 0 0 0 3 1

FS 5 0 0 1 1 0 0 0

IH 0 2 0 0 0 0 0 2

IS 2 0 0 0 0 0 1 1

NS 7 0 0 0 0 0 4 0

Ops 0 0 1 0 0 0 4 2

Prc 0 0 0 0 0 0 0 0

QA 0 0 0 0 0 0 0 0

Rad 1 1 0 4 0 1 1 2

Sec 0 0 0 0 0 0 0 0

Wst 5 0 0 1 0 0 1 0

Sums: 28 3 1 8 1 2 17 8

Percent 28.0% 3.0% 1.0% 8.0% 1.0% 2.0% 17.0% 8.0%

Highlight Values >13.6%



Highlight Matrixed(Interior) Values > 4.81

mmary



WE NC Mng Dsgn Sums %

0 2 0 0 6 6.0%

0 2 1 0 5 5.0%

0 1 2 1 16 16.0%

Highlight Values >11.5%

1 0 0 0 8 8.0%

1 0 1 0 6 6.0%

1 1 0 0 6 6.0%

0 0 1 2 14 14.0%

0 1 0 0 8 8.0%

0 2 0 0 2 2.0%

0 0 2 0 2 2.0%

0 5 1 0 16 16.0%

0 0 0 1 1 1.0%

0 0 3 0 10 10.0%

3 14 11 4 100

3.0% 14.0% 11.0% 4.0%



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