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Event Report Forms (ERFs) are filed to the IAEA. Sometimes there are multiple event reports, updating the rating, the event description. Here you only see the latest event report

ERF send date: Mon, 03-10-2016
ERF description: At a facility authorized to use low-enriched uranium to fabricate commercial nuclear fuel assemblies, excessive deposits of uranium-bearing material were found in the main scrubber and associated ventilation ductwork. The function of the scrubber is to remove gases and particulates from various process exhaust streams. During the most recent planned annual wet scrubber system cleanout, personnel noticed an abnormal amount of material buildup in the inlet transition region and associated ductwork (i.e. elbow). Over the course of the 2-day maintenance evolution approximately 197 kilograms of material were removed from these two sections. These sections are not a favorable geometry from a criticality perspective. Since the facility personnel were under the assumption that this material had a low uranium concentration, operators attempted to break up and wash away the material to facilitate its removal. The facility personnel did not sample the material to confirm the uranium concentration before conducting these activities. After the material was removed, grab samples of the material were taken and analyzed for uranium concentration. The grab sample results indicated that the uranium concentrations ranged from 34wt% – 55wt%, which corresponded to approximately 87 kilograms of uranium. As such, the criticality safety evaluation mass limit of 29 kilograms was exceeded by a factor of 3.

After the cleanout activities were completed, the scrubber was restarted. The scrubber was in operation for a period of 6 weeks when the facility personnel shutdown the scrubber to perform another cleanout of the inlet transition region and elbow. The facility personnel removed 24 kilograms of material which corresponded to approximately 5 kilograms of uranium. The scrubber was restarted again following the cleanout. Approximately 1 week later, while discussing the extent of condition, the licensee decided to shut down the scrubber again and thoroughly inspect the entire scrubber to ensure that it was free of uranium accumulation. An additional 184 kilograms of material was removed from the scrubber body, and about 71 kilograms of material was removed from the packing material.

In this incident, the mass limit was exceeded by a factor of 3; moderation was available from the scrubber spray nozzles and the clean out process; and the scrubber packing, elbow, and transition region sections are all unfavorable geometries. As a result, the safety margin available to preclude an inadvertent criticality was significantly degraded. The scrubber was shut down and the licensee commenced extent of condition and root cause evaluations. The licensee implemented several short-term and long-term corrective actions to include, revising their criticality safety analysis and integrated safety analysis, improving maintenance procedures to ensure ventilation and scrubber inspections are effective, and implementing design modifications to minimize the accumulation of material. Adequate corrective actions must be implemented and approved by regulatory authorities before processing can be restarted. NRC EN52090.
ERF rating date: 20-09-2016
ERF contact person: Patricia Milligan
ERF address: Reported by Nuclear Regulatory Commission (NRC) of United States of America on 03 Oct 2016. Last update on 03 Oct 2016
ERF affiliation: Nuclear Regulatory Commission (NRC)

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