[DNFSB
LETTERHEAD]
April 12, 2004
The Honorable Linton Brooks
Administrator
National Nuclear Security Administration
U.S. Department of Energy
1000 Independence Avenue, SW
Washington, DC 20585-0701
Dear Ambassador Brooks:
In October 2003, Lawrence Livermore National
Laboratory (LLNL) submitted a proposed safety basis for Building 332, the
Plutonium Facility, to the National Nuclear Security Administration’s (NNSA)
Livermore Site Office (LSO). This
proposed safety basis was developed in accordance with the requirements of the
Nuclear Safety Management rule (10 CFR Part 830). The staff of the Defense Nuclear Facilities
Safety Board (Board) has identified significant deficiencies in this document
and some of its supporting references. Many of these deficiencies appear to have been
noted by LSO as well, as demonstrated by the more than 270 comments
communicated by LSO to LLNL. A copy of a
report on these issues, prepared by the Board’s staff, is enclosed for your
information and use during the approval process for the proposed safety basis
for Building 332.
Of particular concern to the Board is a new
approach adopted by LLNL to allow the unfiltered release of radioactive
materials from the facility during certain accident scenarios. This approach reduces the margin of safety
and the defense-in-depth currently provided for protection of the public,
collocated workers, and other on-site individuals. Moreover, the proposed approach does not
consider the potential impact of an unfiltered release on the recovery strategy
or post accident monitoring for the facility. Additionally, there do not appear to be any safety
or operational benefits to be gained from this approach.
The current safety basis for Building 332
relies on an active safety-class ventilation system, in concert with its
support systems, to prevent the release of unfiltered radioactive materials
during an event. Portions of this
ventilation system, along with several other safety-class systems, have been
downgraded from their high reliability and existing operational safety functions
in the proposed safety basis.
The Board believes that LLNL’s new approach
to allow unfiltered release of radioactive materials from potentially hazardous
events is inconsistent with the defense-in-depth philosophy that is the
hallmark of nuclear facility and operational safety. Therefore, pursuant to 42 U.S.C. § 2286b(d), the Board requests a report by
NNSA within 30 days of receipt of this letter providing NNSA’s position on
LLNL’s approach.
Sincerely,
John T. Conway
Chairman
c: The
Honorable Everet H. Beckner
Mrs. Camille
Yuan-Soo Hoo
Mr. Ralph E. Erickson
Mr. Mark B.
Whitaker, Jr.
Enclosure
Staff Issue Report
March 17,
2004
MEMORANDUM
FOR: J. K. Fortenberry, Technical Director
COPIES: Board Members
FROM: F. Bamdad
D. Kupferer
SUBJECT: Safety Basis Review at Lawrence Livermore
National Laboratory
The staff of the Defense Nuclear Facilities
Safety Board (Board) visited Lawrence Livermore National Laboratory (LLNL) on
March l–4, 2004, to continue its
review of the safety basis for Building 332, the Plutonium Facility. The review included an update on activities conducted
in response to previous findings communicated by the Board to the National
Nuclear Security Administration (NNSA) in a letter dated April 10, 2003, as
well as discussions on the proposed Documented Safety Analysis (DSA) submitted
to NNSA’s Livermore Site Office (LSO) in October 2003. Staff members W. Andrews, F. Bamdad, D.
Kupferer, A. Matteucci, and M. Merritt participated in this review.
Response
to the Board’s Letter. In response to findings contained in the
Board’s letter dated April 10, 2003, related to implementation of the
Conditions of Approval (COAs) of the safety bases, LSO has taken an aggressive
role in ensuring that all COAs are identified and tracked to satisfactory
closure. Unfortunately, because of
limited resources, only a fraction of the COAs had been verified as closed by
the time of this review. LSO has
committed to verifying closure of all of the COAs before approving the proposed
DSA.
In response to the Board’s letter dated
April 10, 2003, LLNL performed a survey of some of its non-nuclear facilities
to identify needs and methodologies for improving the chemical materials
inventory tracking system known as CHEMTRAC. As a result, LLNL is taking steps to enhance
CHEMTRAC to make it a transaction-based system, as well as changing the
software so that the system will be health/consequences-based. That is, real-time inventory tracking will be
implemented at each facility to ensure that threshold limits based on hazardous
consequences will not be exceeded.
Building 332 Safety Basis. LLNL submitted a DSA to LSO for review and approval in accordance with the requirements of the Nuclear Safety Management rule (10 CFR Part 830). The Board’s staff reviewed this document and some of its supporting references, and met with LLNL and LSO representatives to discuss its observations. The following is a summary of some of the issues discussed during these meetings. Many of these issues appear to have been noted by LSO, as demonstrated by the more than 270 comments communicated by LSO to LLNL.
Overview―Major components of four safety-class
systems in the current Building 332 Safety Analysis Report have been downgraded
to safety-significant in the proposed DSA. The four downgraded systems are (1) the
emergency power system, (2) portions of the glovebox ventilation system, (3)
portions of the room ventilation system, and (4) portions of the fire detection
and suppression system. Some components
of these systems (e.g., the uninterruptible power supply) have been further
downgraded to non-safety-level. This
action could degrade the defense-in-depth posture of the Plutonium Facility.
Identification
and Analysis of Hazards―LLNL used a methodology from safe harbors identified in 10 CFR Part 830
to prepare the DSA, but used an in-house procedure to identify and analyze the
hazards associated with the activities performed in Building 332. LLNL conducted a systematic walkdown of the
facility; identified approximately 60 hazard types; and proposed potential
controls to protect the public, workers, and the environment. Some of the controls were classified as
safety-significant since they were designated to protect workers from fatality,
serious injury, or hospitalization. The
hazard analysis summary tables in the proposed DSA list both engineered and
administrative controls. The tables also
distinguish between controls that are credited as safety controls and those
that are not.
In reviewing the DSA, the Board’s staff
learned that LSO had directed LLNL to continue preparing the DSA without
implementing Change Notice 2 of the Department of Energy (DOE) DOE Standard
3009-94, Preparation Guide for U.S.
Department of Energy Nonreactor Nuclear Facility Documented Safety Analyses―although the notice was issued in April
2002, nearly 18 months prior to completion of the proposed DSA. Change Notice 2 specifies that
safety-significant controls must be identified to protect workers from
significant radiological or chemical hazards, in addition to those controls
selected to prevent worker fatalities and injuries. LSO’s decision may have resulted in less than
adequate protection of workers from hazardous activities. LSO representatives are requesting that LLNL
develop a schedule to incorporate Change Notice 2 into all DSAs.
Accident
Analysis―LLNL is
pursuing a new approach to accident analysis in that potentially harmful
consequences to the public are mitigated by the structural boundaries of Building
332, which is assumed to reduce the unmitigated release of radioactive
materials. In the past, Building 332
relied on a safety-class active ventilation system to ensure that the radioactive
materials released during an accident, such as a fire, would be forced through
a series of high-efficiency particulate air (HEPA) filters before being released
to the outside environment. Under LLNL’s
new approach, it is assumed that the building’s leak paths would physically
reduce the release of unfiltered contaminated air from the facility.
Validation of LLNL’s new approach requires
analytical modeling of the building’s leak paths to the outside, and estimation
of the percentage of any radioactive materials that would be released
unfiltered (leak path factor (LPF)) after an accident. An LPF of 5 percent, as assumed in the
proposed DSA, would result in public dose consequences that LLNL believes
should be acceptable. In the DSA, for
example, the unmitigated consequence (LPF of 100 percent) of a fire resulting
from a hydrogen deflagration is estimated to be about 18 rem at the site
boundary. As calculated in the DSA, this
same deflagration scenario would result in an unfiltered, mitigated dose
consequence of about 1 rem to the public, based on an LPF of 5 percent. As a result, the DSA downgrades portions of
the active ventilation system and its supporting equipment, such as the
emergency power supply, from its current safety-class to safety-significant
status.
The Board’s staff reviewed the LPF analysis
and discussed it in detail with its authors and LLNL representatives. Several assumptions in the analysis are
unrealistic and inconsistent with other authorization basis documents and
facility procedures:
1.
In the LPF
analysis, the facility is modeled by several nodes or compartments, connected
via junctions or flow paths for the door cracks and other potential openings of
the building. This model fails to
account for the additional leak paths that would result from the use of
emergency exit doors by Building 332 personnel as they evacuate the facility
during a fire. Evacuation is essential
for worker protection, as described in the facility-specific Fire Hazard
Analysis. Therefore, the calculated LPF of
5 percent is unrealistic and probably underestimates the extent of a release of
unfiltered radioactive material from the facility.
2.
The LPF
calculations are based on a fire scenario that lasts for only 30 minutes, with the
entire event assumed to end after 2 hours. In reality, such an event could continue for
days until any airborne radioactive material released by the fire into the
internal facility atmosphere had either been removed by settlement, released to
the outside environment, or removed through other remedial actions. The reason for this is that airborne
radioactive material released during a fire would remain trapped within the confines
of the facility because of the lack of filtration by an active ventilation system.
Eventually, material would leak to the
outside environment through diurnal effects, wind impact on the building, or
other natural phenomena. These phenomena
are either not modeled or incorrectly analyzed, and their important effect on
the long-term breathing of the facility is not properly accounted for in the
calculation of the LPF.
3.
The computer
program manual used to calculate the LPF―CONTAIN―has cautionary
notes with regard to its use for modeling. These notes recommend performing sensitivity
analyses on important input parameters (e.g., the size of a time step) to
prevent incorrect conclusions. Such
sensitivity analyses have not been performed in support of the LPF calculations
for the proposed DSA, and it is not clear whether conservative input parameters
are used in the analyses.
Furthermore, it does not appear that LLNL
has considered the potential impact of the new passive mitigation approach on
any accident recovery strategy or post accident monitoring for the facility. Without being able to depend on the use of an
active ventilation system to guide the flow of air through the HEPA filters
after an event, it is conceivable that the spread of contamination throughout
the facility could jeopardize the facility’s recovery and future use. An unfiltered release through the unmonitored
pathways would also prevent the post accident monitoring of radioactive
materials released to the environment.
Identification
and Implementation of Controls―Identification of appropriate boundaries for safety controls and their
support systems is a shortcoming in both the existing safety basis and the
proposed DSA for Building 332. For
example, the fire detection and alarm system is identified as
safety-significant to protect workers from the potential consequences of a fire
in the facility. The heat and smoke
detectors, the MXL®
control panel and its associated power supply, and the flow switches are
defined as being within the boundaries of the fire detection and alarm system. However, the annunciation system as not been
defined as being within the boundaries of the tire detection and alarm system,
and therefore has no safety designation. It is not clear how workers can be notified so
they can take appropriate action if the annunciation system has failed. Furthermore, in December 2002, the emergency
voice alarm system, which is part of the annunciation system, was identified as
not meeting the requirements of National Fire Protection Association (NFPA) 72,
National Fire Alarm Code, in the
facility’s Fire Hazard Analysis. No action
appears to have been taken to remedy this situation. Similarly, the tire suppression system is
identified as safety-class, but none of the supporting water supply systems
have a safety-related designation―the tertiary tire water tanks in the basement are classified as
defense-in-depth. It would be prudent to
classify the tertiary tire water tanks as safety-significant and part of the
fire suppression system boundaries.
The descriptions of some of the controls in
the proposed DSA are very vague; in particular, some engineered features that
are relied upon for worker safety are poorly defined and may be difficult to
implement. For example, the DSA defines
many controls as Equipment Design without specifying the type of equipment or
how it would protect workers. This lack
of detail in the DSA could lead to several safety-related shortcomings:
·
Workers
could be inadequately protected because of a lack of knowledge of the specific
control that needs to be implemented.
·
Poorly
defined controls could be removed from a procedure inadvertently resulting in a
less-than-desirable safety posture.
·
Future
unreviewed safety question (USQ) determinations could be inconclusive or incorrect
because the controls that may be subject to the USQ process are not clearly defined.
·
Sections
830.122(e)(1) and 830.201 of the Nuclear Safety Management rule require that
the controls identified in the DSA be implemented by the contractor when the associated
activities are performed. Lack of detail
in defining the controls could result in insufficient information for LLNL to
demonstrate compliance with the rule.
In other instances, credit has been taken
for safety-significant equipment preventing hazards without proper functional
classification. For example, the
glovebox water-cooling system is credited with protecting the surface of the
glovebox and reducing the heat load from a molten plutonium spill. However, the glovebox water-cooling system is
not identified as safety-significant.
The Board’s staff also identified some
administrative controls that are inconsistent with the supporting calculations
in the proposed DSA. For example, the
potential for a solvent explosion event is substantially reduced by limiting
the amount of flammable materials in a glovebox. The administrative limits in the Technical
Safety Requirements (TSR) document, however, are not consistent with the
conclusions in the DSA reference calculations. Additionally, the safety-related
administrative controls are not identified as such in the proposed DSA. Such administrative controls are subject to
DOE’s Implementation Plan for the Board’s Recommendation 2002-3, Requirements for Design, Implementation, and
Maintenance of Administrative Controls, for potential future enhancements.
Some safety management programs, identified
in both the existing and proposed TSRs, do not appear to have been properly
implemented. For example, TSR
Administrative Control 5.11 requires that a program be established,
implemented, and maintained to ensure that the conditions identified in Table
5-7 of the proposed DSA[1]
are maintained in the facility. Administrative
Control 5.11 defines five key attributes to be included in the program. The attributes identified in the TSRs would
enhance programmatic implementation of the administrative controls, as is the
focus of Recommendation 2002-3. This
program is also identified in the current approved TSRs; however it does not
appear to have been implemented.