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pdfRESEARCH AND DEVELOPMENT FACILITIES
APPROVED BY OMB: NO. 3150-0056
EXPIRES: (MM/DD/YYYY)
Estimated burden per response to comply with this mandatory collection request: 360 hours. NRC is
required to collect this information for reporting to IAEA from facility licensees appearing on the U.S.
Eligible List. Send comments regarding burden estimate to the FOIA, Library, and Information
Collections Branch (T-6 A10M), U.S. Nuclear Regulatory Commission, Washington, DC 20555-0001,
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and Regulatory Affairs, (3150-0056), Attn: Desk Officer for the Nuclear Regulatory Commission, 725
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INTERNATIONAL ATOMIC ENERGY AGENCY
DEPARTMENT OF SAFEGUARDS
DESIGN INFORMATION
QUESTIONNAIRE *
IAEA USE ONLY
The purpose of this document is to
obtain the facility design information
required by the Agency in order to
discharge its safeguards responsibilities.
It will also serve as a checklist for
examination of design information by
Agency inspector(s). If, in any area,
insufficient space is available add further
shee ts to the extent necessary.
IAEA USE ONLY
COUNTRY
COUNTRY OFFICER
TYPE
DATE OF INITIAL DATA
VERIFICATION
LAST REVIEW AND UPDATING
N-92 (MM-DD-YYYY)
Research and development
facilities
ALL FACILITIES
GENERAL INFORMATION
1. Name of the facility
(include usual abbreviation)
2. Location and postal
address
3. Owner
(Legally responsible)
4. Operator
(Legally responsible)
5. Description
(Main features only)
6. Purpose
7. Status
(e.g., planned; under construction,
in operation; shut down; closed
down; decommissioned)
Start of Construction (MM/DD/YYYY)
Commissioning (MM/DD/YYYY)
8. Construction schedule dates
(if not in operation)
9. Normal operating mode
(days only, two shift, three shift;
number of days/annum, etc.)
10. Facility layout
(structural containment, fences,
access, nuclear material storage
areas, laboratories, waste disposal
areas, routes followed by nuclear
material, experimental and test areas,
etc.)
DRAWING(S) ATTACHED UNDER REF. NOs.
DRAWING(S) AND/OR MAPS ATTACHED UNDER REF. NOs.
11. Sitting of facility
(Maps showing in sufficient detail:
location, premises and perimeter of
facility, other buildings, roads, railways,
rivers, etc.)
12. Names and/or titles and address
of responsible officers
(for nuclear material accountancy and
control and contact with the Agency. If
possible attach organization charts
showing position of officers)
N-92 (MM-DD-YYYY)
Operation (MM/DD/YYYY)
GENERAL FACILITY DATA
GENERAL DIAGRAM(S) ATTACHED UNDER REF. NOs.)
13. Facility description
(with indication of accountability areas)
14. Normal Inventory
15. Anticipated annual throughput
and/or inventory for the facility
working at nominal capacity
16. Description of the use of
nuclear material
17. Important items of equipment
which use, produce or process
nuclear material
NUCLEAR MATERIAL DESCRIPTION
18. Main types of account units to
be handled in the facility
19. Nuclear material description for
each accountability area (General)
i) Chemical and physical form (with
cladding materials description)
ii) Enrichment ranges and Pu contents
iii) Estimated nominal weight of nuclear
material at the facility
20. Waste material
i) Source and form
(indicating major contributors; liquid or
solid; range of constituents,
enrichment range and Pu content
including contaminated equipment)
ii) Quantities in storage and at other
locations
iii) Method and frequency of recovery/
disposal
21. Other nuclear material in the
facility and its location
(Each separately located)
22. Means of nuclear material
identification in the facility
23. Radiation level at nuclear
material locations
(At the surface of the nuclear material
and at distance of 1 meter in μSv/h,
mSv/h or Sv/h)
N-92 (MM-DD-YYYY)
NUCLEAR MATERIAL FLOW
24. Schematic flowsheet for nuclear
material
(identifying measurement points,
accountability areas, inventory
location, etc. for operator purposes)
25. Types, form and range of
quantities of nuclear material in
-- Operation areas
-- storage areas
-- other locations
(average data for each location)
NUCLEAR MATERIAL HANDLING (FOR EACH ACCOUNTABILITY AREA)
26. Description of nuclear material
storage
(Indicating capacity, anticipated
inventory and throughput, etc.)
DRAWING(S) ATTACHED UNDER REF. NOs.
27. Maximum quantity of nuclear
material be be handled in
accountability areas
28. Modification of the physical/
chemical form during operation
29. Nuclear material transfer
30. Frequency of receipt and
shipment
DRAWING(S) ATTACHED UNDER REF. NOs.
31. Nuclear material transfer
equipment (If applicable)
DRAWING(S) ATTACHED UNDER REF. NOs.
32. Description of containers used
for storage and handling
33. Routes followed by nuclear
material
34. SHIELDING (for storage and
transfer)
PROTECTION AND SAFETY MEASURES
35. Basic measures for physical
protection of nuclear material
36. Specific health and safety rules
for inspector compliance
(if extensive, attach separately)
N-92 (MM-DD-YYYY)
NUCLEAR MATERIAL ACCOUNTANCY AND CONTROL
37. System description
Give a description of the nuclear
material accountancy system, the
method of recording and reporting
accountancy data and establishing
material balances, procedures for
account adjustment after plant
inventory, mistakes, etc., under the
following headings:
SPECIMEN FORMS USED IN ALL PROCEDURES ATTACHED UNDER REF. No.
i) General
ii) Receipts
(including method of dealing with
shipper/receiver differences and
subsequent account corrections)
iii) Shipments
(Including waste)
iv) Measured discards
(Estimated quantities per year (month),
method of management)
v) Retained waster
(Estimated quantities per year,
period of storing)
LIST OF MAJOR ITEMS OF EQUIPMENT REGARDED AS NUCLEAR MATERIAL CONTAINERS
vi) Physical inventory
ATTACHED UNDER REF. NOs.
Description of procedures, scheduled
frequency, estimated distribution of
nuclear material, methods of operator's
inventory taking (both for item and/or
mass accountancy, including relevant
assay method), accessibility and
possible verification method for
irradiated nuclear material, expected
accuracy, and access to nuclear
material
vii) Operational records and
accounting records
(including method of adjustment or
correction and place of preservation
and language)
38. Features related to containment
and surveillance measures
(general description of applied or
possible measures)
39. For each measurement point of SEPARATE SHEET(S) CAN BE ATTACHED FOR EACH MEASUREMENT POINT. IF NECESSARY,
ATTACH DRAWING(S)
accountability areas identified
under Qs. 24, Give the following:
For each measurement point fill in
separate sheet.
Number of measurement points: 1
i) Description of location, type
identification
N-92 (MM-DD-YYYY)
NUCLEAR MATERIAL ACCOUNTANCY AND CONTROL
ii) Anticipated types of inventory
change and/or possibilities to use this
measurement point for physical
inventory taking
iii) Physical and chemical form of
nuclear material
(with cladding materials description)
iv) Nuclear material containers,
packaging
v) Sampling procedure and
equipment used
vi) Measurement method(s) and
equipment used
vii) Source and level of random and
systematic errors (weight, volume,
sampling, analytical, NDA)
viii) Technique and frequency of
calibration of equipment used
ix) Method of converting source data
to batch data
x) Means of batch identification
xi) Anticipated batch flow rate per year
xii) Anticipated number of inventory
batches
xiii) Anticipated number of items per
flow and inventory batches
xiv) Type, composition and quantity of
nuclear material per batch
(with indication of batch data, total
weight of nuclear material in item, the
isotopic composition (for uranium), and
Pu content, when appropriate; form of
nuclear material)
xv) Features related to containmentsurveillance measures
POST-OPERATION INFORMATION
End of operations (MM/DD/YYYY)
40. Decommissioning
schedule dates
N-92 (MM-DD-YYYY)
Decommissioned (MM/DD/YYYY)
POST-OPERATION INFORMATION
PLAN(s) ATTACHED UNDER REF. NOs
41. Facility decommissioning
plan
i) Key events of the
decommissioning plan
ii) Removal and recovery of
nuclear material
iii) Removing or rendering inoperable
of essential equipment
OPTIONAL INFORMATION
42. Optional information
(that the operator considers relevant to
safeguarding the facility)
Signature of Responsible Officer
Date (MM/DD/YYYY)
N-92 (MM-DD-YYYY)
File Type | application/pdf |
File Title | o:\informs\fixforms\ia_n72_2.wpf |
Author | dah1 |
File Modified | 2023-01-05 |
File Created | 2023-01-05 |