U.S. Nuclear Regulatory Commission Operations Center Event Reports For 04/19/94 - 04/20/94 ** EVENT NUMBERS ** 27033 27057 27111 27119 27120 27121 27122 27123 27124 27125 !!!!!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED !!!!!!! +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 27033 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: KEWAUNEE REGION: 3 |NOTIFICATION DATE: 04/02/94 | |UNIT: [1] [ ] [ ] STATE: WI |NOTIFICATION TIME: 11:15 [ET]| |RX TYPE: [1] W-2-LP |EVENT DATE: 04/02/94 | +------------------------------------------------+EVENT TIME: 06:33[CST]| |NRC NOTIFIED BY: KEITH SCHOMMER |LAST UPDATE DATE: 04/19/94 | |HQ OPS OFFICER: STEVE SANDIN +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |GARY SHEAR RDO | |ADAS 50.72(b)(2)(i) DEG/UNANALYZED COND | | |NLCO TECH SPEC LCO A/S | | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ | 1 | N N 0 HOT SHUTDOWN | 0 HOT SHUTDOWN | | | | | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | UNIT ENTERED 48 HOUR TS LCO AFTER DECLARING A STEAM GENERATOR SAFETY VALVE | | INOPERABLE DISCOVERED DURING SURVEILLANCE TESTING. | | | | "AT 0633 CST ON 4/2/94 AN ENGINEERING EVALUATION OF SURVEILLANCE PROCEDURE | | 077 (MAIN STEAM SAFETY VALVE TEST) DETERMINED THAT A SAFETY VALVE ON THE | | "B' STEAM GENERATOR HEADER WAS INOPERABLE. THE VALVE WAS FOUND TO BE 2 PSI | | OR 0.2% ABOVE TEST ACCEPTANCE CRITERIA. WHEN AT POWER, KEWAUNEE IS REQUIRED | | TO HAVE ALL FIVE SAFETY VALVES OPERABLE TO BE WITHIN ITS USAR ASSUMPTION. | | THE VALVE WAS TESTED EARLIER TODAY AS THE PLANT WAS SHUTTING DOWN FOR ITS | | ANNUAL REFUELING OUTAGE. AT THIS TIME, TWO OTHER "B" STEAM GENERATOR HEADER | | SAFETY VALVES HAVE BEEN SUCCESSFULLY TESTED. ONE ADDITIONAL VALVE IS | | CURRENTLY BEING TESTED. WHEN IN THE HOT SHUTDOWN CONDITION, THE PLANT IS | | ONLY REQUIRED TO HAVE TWO OPERABLE SAFETIES PER STEAM GENERATOR TO MEET | | ACCIDENT ANALYSIS ASSUMPTIONS. THE SAFETY VALVES ARE DRESSER MODEL #3787AX. | | AN ANALYSIS OF THE AS FOUND DATA WILL BE PERFORMED TO DETERMINE IF USAR | | LIMITS WERE INDEED EXCEEDED. THE CAUSE OF THIS EVENT IS UNKNOWN AT THIS | | TIME AND THE FAILED SAFETY VALVE WILL BE REPAIRED." | | | | THE TEST WAS PERFORMED IN THE FOLLOWING ORDER WITH THE RESULTS SHOWN: | | MAIN STEAM SAFETY VALVES "1B1" (PASSED), "1B2" (FAILED - EXCEEDED SETPOINT | | OF 1127 PSI), "1B3" (PASSED) AND "1B4" (IN PROGRESS). WHEN THE SECOND VALVE | | TESTED FAILED, THE PROCEDURE REQUIRES TESTING TWO ADDITIONAL VALVES. IF | | BOTH OF THESE VALVES PASS, NO FURTHER TESTING IS REQUIRED. HOWEVER, IF ONLY | | ONE PASSES THEN ALL SAFETIES MUST BE TESTED. | | | | THE LICENSEE INFORMED THE NRC RESIDENT INSPECTOR. | | | | ***UPDATE AT 11:39 @ 4/19/94 BY ORTMAYER TO GOULD*** THE LICENSEE IS | | RETRACTING THIS EVENT SINCE THEY DETERMINED FROM FURTHER ANALYSIS OF THE AS | | FOUND DATA, THAT THE SAFETY VALVE, IN QUESTION, WAS CAPABLE OF PERFORMING | | ITS INTENDED FUNCTION AND THEREFORE WAS OPERABLE. SINCE THE VALVE WAS | | OPERABLE, THIS EVENT IS NOT REPORTABLE. THE LICENSEE ALSO NOTED THAT WHEN | | IN HOT S/D, THE PLANT IS ONLY REQUIRED TO HAVE 2 OPERABLE VALVES PER STEAM | | GENERATOR AND THREE VALVES ON THE "B" STEAM GENERATOR TESTED OPERABLE AT | | THAT TIME. THE RI WILL BE INFORMED. REG 3(WRIGHT) | +------------------------------------------------------------------------------+ !!!!!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED !!!!!!! +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 27057 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: MCGUIRE REGION: 2 |NOTIFICATION DATE: 04/07/94 | |UNIT: [1] [2] [ ] STATE: NC |NOTIFICATION TIME: 23:20 [ET]| |RX TYPE: [1] W-4-LP,[2] W-4-LP |EVENT DATE: 04/07/94 | +------------------------------------------------+EVENT TIME: 23:20[EDT]| |NRC NOTIFIED BY: VELLERS |LAST UPDATE DATE: 04/19/94 | |HQ OPS OFFICER: CHAUNCEY GOULD +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: UNUSUAL EVENT +-----------------------------+ |10 CFR SECTION: |KERRY LANDIS RDO | |AAEC 50.72(a)(1)(i) EMERGENCY DECLARED |JOHN ZWOLINSKI EO | | |EARL FEMA | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ | 1 | N Y 100 POWER OPERATION | 100 POWER OPERATION | | 2 | N Y 100 POWER OPERATION | 100 POWER OPERATION | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | THE LICENSEE REPORTED THAT THEY EVACUATED PERSONNEL FROM A PROTECTED AREA | | DUE TO THE RELEASE OF EXCESSIVE TOXIC VAPORS. | | | | THIS OCCURRED WHILE WORKERS WERE USING METHYL-ETHYL-KETONE TO CLEAN OFF THE | | INSULATION ON THE CHILLER IN THE AUX BUILDING. THEY EVIDENTLY USED TOO MUCH | | SOLVENT WHERE THEY WERE BEGINNING TO TASTE IT IN THEIR MOUTH FROM THE | | VAPORS. WHEN THEY CALLED THE SAFETY DEPARTMENT, IT WAS RECOMMENDED THAT THE | | AREA BE EVACUATED(APPROX 15:40). WHEN READINGS WERE FINALLY TAKEN OF THE | | VAPOR CONCENTRATION, SOME TIME HAD ELAPSED, AND THE CONCENTRATION RETURNED | | WITHIN ACCEPTABLE LIMITS FOR PERSONS TO WORK IN THAT AREA. THE WORKERS | | RETURNED TO THE AREA WITHIN 2 HOURS AFTER BEING EVACUATED. VENTILATION IN | | THE AREA WAS INCREASED. THE NOUE WAS TERMINATED AT 23:20. NO WORKERS | | REQUIRED ANY MEDICAL ATTENTION. THE RI WAS INFORMED AND STATE AND LOCAL | | AGENCIES WERE NOTIFIED. | | | | ***UPDATE AT 16:23 @ 4/19/94 BY WILLIAMS TO GOULD*** THE LICENSEE IS | | RETRACTING THIS EVENT(AS OF 16:10) BASED ON INFORMATION OBTAINED FROM A | | FURTHER REVIEW WHICH REVEALED THAT THE CONCENTRATION OF THE GAS WAS NOT OF | | SUFFICIENT PROPORTIONS TO BE TOXIC, NOR DID THE REMOVAL OF PERSONNEL FROM | | THE AREA CONSTITUTE AN EVACUATION. THEY WERE REMOVED DUE TO CONCERN FOR | | THEIR IMMEDIATE WELL BEING AND AT NO TIME WAS ANY OF THE EQUIPMENT IN THE | | AREA UNAVAILABLE TO OPERATIONS. THE RI WILL BE INFORMED AS WELL AS THE | | STATE AND LOCAL AGENCIES. REG 2 (FREDRICKSON) & EO (LAINAS) | +------------------------------------------------------------------------------+ !!!!!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED !!!!!!! +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 27111 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: SEQUOYAH REGION: 2 |NOTIFICATION DATE: 04/17/94 | |UNIT: [1] [2] [ ] STATE: TN |NOTIFICATION TIME: 20:20 [ET]| |RX TYPE: [1] W-4-LP,[2] W-4-LP |EVENT DATE: 04/17/94 | +------------------------------------------------+EVENT TIME: 16:43[EDT]| |NRC NOTIFIED BY: JEFF EPPERSON |LAST UPDATE DATE: 04/19/94 | |HQ OPS OFFICER: STEVE SANDIN +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |CAUDLE JULIAN RDO | |AESF 50.72(b)(2)(ii) ESF ACTUATION | | | | | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ | 1 | N Y 8 STARTUP | 8 STARTUP | | 2 | N Y 100 POWER OPERATION | 100 POWER OPERATION | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | MALFUNCTIONING IODINE RAD MONITOR CAUSED INITIATION OF BOTH AUXILIARY | | BUILDING GAS TREATMENT TRAINS. | | | | "AT 1643EDT ON 17 APRIL 94 A MALFUNCTION IN THE IODINE MONITOR OF THE | | AUXILIARY BUILDING EXHAUST RADIATION MONITOR RESULTED IN AN AUXILIARY | | BUILDING ISOLATION AND THE ASSOCIATED AUTOMATIC START OF THE AUXILIARY | | BUILDING GAS TREATMENT SYSTEM. ALL SUPPORT SYSTEMS FUNCTIONED AS REQUIRED. | | RADCON SURVEYS INDICATED THAT NO UNUSUAL RADIATION LEVELS EXIST IN THE | | AUXILIARY BUILDING. AT PRESENT BOTH TRAINS OF AUXILIARY BUILDING GAS | | TREATMENT SYSTEM ARE STILL IN SERVICE AS WE AWAIT REMOVAL OF THE | | MALFUNCTIONING RADIATION MONITOR FROM SERVICE." | | | | THE AFFECTED RAD MONITOR IS "0-RM-90-101C". WHEN THE RAD MONITOR IS REMOVED | | FROM SERVICE THE LICENSEE WILL COMPLY WITH THE REQUIREMENTS OF THE OFFSITE | | DOSE CALCULATION (ODC) MANUAL WHICH REQUIRES PERIODIC SAMPLING. THE | | LICENSEE INFORMED THE NRC RESIDENT INSPECTOR. | | | | * UPDATE DATE/TIME:4/19/94 @ 1023 EDT ***FROM LICENSEE:MEADE BY:McGINTY* | | THE LICENSEE IS RETRACTING THIS EVENT BASED ON FURTHER REVIEW OF THE | | REPORTING REQUIREMENTS IN THAT THE ACTUATION WAS CAUSED BY AN INVALID | | SIGNAL. THE LICENSEE WILL INFORM THE RESIDENT INSPECTOR. HOO NOTIFIED THE | | R2DO (JULIAN). | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |HOSPITAL | |EVENT NUMBER: 27119 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |LICENSEE: MT. SINAI HOSPITAL OF CLEVELAND, OH |NOTIFICATION DATE: 04/19/94 | | CITY: CLEVELAND REGION: 3 |NOTIFICATION TIME: 11:46 [ET]| | COUNTY: STATE: OH |EVENT DATE: 03/29/94 | |LICENSE#: 34-00-746-03 AGREEMENT: N |EVENT TIME: 12:00[EDT]| | DOCKET: 03015270 |LAST UPDATE DATE: 04/19/94 | | +-----------------------------+ | |PERSON ORGANIZATION| | |GEOFFREY WRIGHT RDO | | | | +------------------------------------------------+ | |NRC NOTIFIED BY: DR. RZESZOTARSKI | | |HQ OPS OFFICER: GREG SCARFO | | +------------------------------------------------+ | |EMERGENCY CLASS: NOT APPLICABLE | | |10 CFR SECTION: | | |LADM 35.33(a) MED MISADMINISTRATION | | | | | | | | | | | | | | +------------------------------------------------+-----------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | DR. MARK RZESZOTARSKI OF THE MOUNT SINAI HOSPITAL OF CLEVELAND, OHIO, | | REPORTED THAT A BREAST CANCER PATIENT DID NOT RECEIVE HER TREATMENTS AS | | PRESCRIBED. | | | | DR. MARK RZEXZOTARSKI OF THE MOUNT SINAI HOSPITAL OF CLEVELAND, OHIO, | | REPORTED THAT A BREAST CANCER PATIENT WAS INITIALLY PRESCRIBED 5000 RADS OF | | COBALT-60 EXPOSURE IN TWENTY-FIVE WEEKLY TREATMENTS ON 02/28/94. ON | | 03/01/94, THE PHYSICIAN CHANGED THE PRESCRIPTION TO 4000 RADS OF COBALT-60 | | AND 1000 RADS OF LINEAR ACCELERATOR (LINAC) EXPOSURE. THIS IS A COMMON | | OCCURRENCE DUE TO THE ENHANCED PENETRATION OF THE HIGHER-ENERGY LINAC | | RADIATION. HOWEVER, THE TECHNICIAN COMPLETED THE TREATMENTS ACCORDING TO | | THE INITIAL PRESCRIPTION. THEREFORE, THE PATIENT NEVER RECEIVED ANY LINAC | | DOSAGES. THE TOTAL DOSE RECEIVED BY THE PATIENT IS ESSENTIALLY IDENTICAL | | TO THE PRESCRIPTION, HOWEVER, THE CO-60 DOSE OF 5000 RADS EXCEEDED THE | | PRESCRIBED DOSE OF 4000 RADS BY APPROXIMATELY 22%. THE MISADMINISTRATION | | WAS DISCOVERED BY A TELETHERAPY PHYSICIST ON 04/18/94. | | | | THE USUAL PROCECURE FOR CHANGING A PRESCRIPTION INCLUDES A FORMAL CHANGE TO | | THE PATIENT'S CHART AND AN INFORMAL NOTE IN THE MARGIN OF THE "PRESCRIPTION | | & DAILY TREATMENT RECORD". ALTHOUGH A NOTE ON THE "PRESCRIPTION & DAILY | | TREATMENT RECORD" WAS PROVIDED, THE ADMINISTERING TECHNICIAN DID NOT SEE | | THE NOTE AND DID NOT APPLY THE LAST FIVE TREATMENTS ACCORDINGLY. AN | | INVESTIGATION INTO THE PRESCRIPTION CHANGE AND CHANGE IMPLEMENTATION | | PROCEDURES IS ONGOING. | | | | THE PATIENT WAS NOT NOTIFIED OF THE MISADMINISTRATION. NO ADVERSE AFFECTS | | ARE ANTICIPATED. REGION III HAS BEEN NOTIFIED. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 27120 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: HOPE CREEK REGION: 1 |NOTIFICATION DATE: 04/19/94 | |UNIT: [1] [ ] [ ] STATE: NJ |NOTIFICATION TIME: 11:35 [ET]| |RX TYPE: [1] GE-4 |EVENT DATE: 04/19/94 | +------------------------------------------------+EVENT TIME: 08:27[EDT]| |NRC NOTIFIED BY: STEVEN DENNIS |LAST UPDATE DATE: 04/19/94 | |HQ OPS OFFICER: DOUG WEAVER +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |GENE KELLY RDO | |AESF 50.72(b)(2)(ii) ESF ACTUATION | | | | | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ | 1 | N N 0 COLD SHUTDOWN | 0 COLD SHUTDOWN | | | | | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | NSSSS GROUP I ISOLATION DUE TO MAIN TURBINE INTERCEPT VALVE TESTING WITH | | PREPARATIONS FOR A REACTOR PRESSURE VESSEL (RPV) HYDROSTATIC TEST IN | | PROGRESS. | | | | A NUCLEAR STEAM SUPPLY SHUTOFF SYSTEM (NSSSS) GP I ISOLATION WAS RECEIVED | | WHILE HEATING UP AND INCREASING RPV PRESSURE TO SUPPORT HYDROSTATIC TESTING | | OF THE RPV. THE PLANT WAS SOLID WITH AN INITIAL PLANT TEMPERATURE OF 188F | | AND INITIAL PLANT PRESSURE OF 525 PSIG. PRESSURE WAS BEING CONTROLLED BY | | THE REACTOR WATER CLEANUP SYSTEM (RWCU). RPV PRESSURE WAS 575 PSIG AFTER | | THE TRANSIENT. THERE WAS NO ADVERSE EFFECT ON THE HYDROSTATIC TEST. | | | | UNRELATED TESTING WAS TAKING PLACE SIMULTANEOUSLY ON THE MAIN TURBINE | | INTERCEPT VALVES. AS PART OF THE TESTING, THE MAIN TURBINE STOP VALVES | | WERE OPENED. THE NSSS SYSTEM LOGIC WAS SATISFIED FOR A GROUP I ISOLATION | | BECAUSE OF LOW CONDENSER VACUUM IN CONJUNCTION WITH THE MAIN TURBINE STOP | | VALVES BEING OPEN. THE FOUR INBOARD MSIVS AND THE MAIN STEAM LINE DRAINS | | WENT SHUT AS A RESULT OF THE ISOLATION. THIS CAUSED RPV PRESSURE TO | | INCREASE FROM 525 TO 575 PSIG. THE FOUR OUTBOARD MSIVS WERE ALREADY SHUT, | | SERVING AS A PRESSURE BOUNDARY OF THE REACTOR COOLANT SYSTEM. | | | | THIS EVENT WAS CAUSED BY A COMBINATION OF PERSONNEL AND PROCEDURAL ERROR. | | THE NSSSS PERFORMED AS EXPECTED. THE LICENSEE INFORMED THE NRC RESIDENT | | INSPECTOR. LOWER ALLOWAYS CREEK TOWNSHIP WAS INFORMED. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 27121 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: PEACH BOTTOM REGION: 1 |NOTIFICATION DATE: 04/19/94 | |UNIT: [2] [ ] [ ] STATE: PA |NOTIFICATION TIME: 13:14 [ET]| |RX TYPE: [2] GE-4,[3] GE-4 |EVENT DATE: 04/19/94 | +------------------------------------------------+EVENT TIME: 12:10[EDT]| |NRC NOTIFIED BY: SWENSON |LAST UPDATE DATE: 04/19/94 | |HQ OPS OFFICER: DOUG WEAVER +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |GENE KELLY RDO | |APRE 50.72(b)(2)(vi) OFFSITE NOTIFICATION | | | | | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ | 2 | N Y 100 POWER OPERATION | 100 POWER OPERATION | | | | | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | FORKLIFT OVERTURNS INJURING THE DRIVER. | | | | A FORKLIFT OPERATOR WAS INJURED WHEN THE FORKLIFT SHE WAS DRIVING | | OVERTURNED. THE OPERATOR SUFFERED A CUT TO HER HEAD AND WAS UNCONSCIOUS | | FOR A PERIOD OF TIME. SHE WAS TRANSPORTED TO YORK HOSPITAL BY HELICOPTER | | AT 1300 ON THE REQUEST OF THE EMT. | | | | THE INJURY OCCURRED INSIDE THE PROTECTED AREA IN A PARKING LOT. NO | | CONTAMINATION WAS INVOLVED. THE LICENSEE MADE THIS REPORT BECAUSE OF | | SIGNIFICANT MEDIA INTEREST IN THE EVENT. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |OTHER NUCLEAR MATERIAL | |EVENT NUMBER: 27122 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |LICENSEE: COLUMBUS SOUTHERN POWER |NOTIFICATION DATE: 04/19/94 | | CITY: COLUMBUS REGION: 3 |NOTIFICATION TIME: 15:05 [ET]| | COUNTY: STATE: OH |EVENT DATE: 03/30/94 | |LICENSE#: 3418994-01 AGREEMENT: N |EVENT TIME: 14:30[EDT]| | DOCKET: |LAST UPDATE DATE: 04/19/94 | | +-----------------------------+ | |PERSON ORGANIZATION| | |GEOFFREY WRIGHT RDO | | |BROCK EO | +------------------------------------------------+ | |NRC NOTIFIED BY: SOMMERVILE | | |HQ OPS OFFICER: CHAUNCEY GOULD | | +------------------------------------------------+ | |EMERGENCY CLASS: NOT APPLICABLE | | |10 CFR SECTION: | | |NINF INFORMATION ONLY | | |ELOS 39.77(b) THEFT/LOSS OF RAD MAT | | | | | | | | | | | +------------------------------------------------+-----------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | COLUMBUS SOUTHERN POWER, COLUMBUS, OH. THE LICENSEE DISCOVERED(3/30/94) THE | | LOSS OF ONE OF TWO ELECTRON CAPTURE DETECTORS(ECD) DURING THE DISMANTLING | | OF A LABORATORY. | | | | THIS ECD CONTAINED 15 MILLICURIES OF NICKEL 63 AND WAS LAST SEEN IN THE | | LABORATORY SOMETIME AFTER 2/16/94(DATE OF DISMANTLING LAB). IT WAS NOT SEEN | | ON 2/23/94 WHEN THE BALANCE OF THE EQUIPMENT WAS REMOVED FROM THE LAB. THE | | SECOND DETECTOR WAS INADVERTENTLY SENT TO THE OTHER LAB, BUT IT WAS | | RETURNED. THE OTHER LAB HAD NO RECORD OR KNOWLEDGE OF THE LOST DETECTOR. | | THEY ARE STILL INVESTIGATING THE LOSS OF THE DETECTOR, BUT THEY BELIEVE | | THAT IT MAY HAVE BEEN DISPOSED. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 27123 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: ARKANSAS NUCLEAR REGION: 4 |NOTIFICATION DATE: 04/19/94 | |UNIT: [1] [2] [ ] STATE: AR |NOTIFICATION TIME: 17:25 [ET]| |RX TYPE: [1] B&W-L-LP,[2] CE |EVENT DATE: 04/19/94 | +------------------------------------------------+EVENT TIME: 10:30[CDT]| |NRC NOTIFIED BY: SCHEIDE |LAST UPDATE DATE: 04/19/94 | |HQ OPS OFFICER: CHAUNCEY GOULD +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |LAWRENCE YANDELL RDO | |HFIT 26.73 FITNESS FOR DUTY | | | | | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ | 1 | N Y 100 POWER OPERATION | 100 POWER OPERATION | | 2 | N N 0 HOT SHUTDOWN | 0 HOT SHUTDOWN | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | THE LICENSEE REPORTED THAT ONE OF THEIR EMPLOYEES TESTED POSITIVE DURING A | | RANDOM DRUG SCREEN. | | | | THE EMPLOYEE TESTED POSITIVE FOR ALCOHOL ON TWO CONSECUTIVE TESTS WITH A | | BREATHALIZER READING OF 0.058%(10:38 CT) AND 0.050%(10:40 CT). THE LIMIT IS | | 0.04%. THE INDIVIDUAL IS QUALIFIED TO PERFORM SUPPERVISORY DUTIES, BUT HAS | | NOT PERFORMED ANY SINCE 10/93. THE INDIVIDUAL IS CURRENTLY AN INSTRUCTOR | | AND THE LICENSEE IS PERFORMING A QUALITY REVIEW OF THE EMPOLYEE'S WORK. THE | | EMPLOYEE'S ACCESS AUTHORIZATION HAS BEEN TERMINATED AND THE INDIVIDUAL WILL | | BE REFERRED TO THE EMPLOYEE ASSISTANCE PROGRAM. THE RI WILL BE INFORMED. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |TRANSPORTATION EVENT | |EVENT NUMBER: 27124 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |LICENSEE: SEQUOYAH FUELS |NOTIFICATION DATE: 04/19/94 | | CITY: GORE REGION: 4 |NOTIFICATION TIME: 19:22 [ET]| | COUNTY: EAST SEQUOYAH STATE: OK |EVENT DATE: 04/19/94 | |LICENSE#: SUB1010 AGREEMENT: N |EVENT TIME: 16:00[CDT]| | DOCKET: 04008027 |LAST UPDATE DATE: 04/19/94 | | +-----------------------------+ | |PERSON ORGANIZATION| | |LAWRENCE YANDELL RDO | | |PIERSON EO | +------------------------------------------------+LUZONAS FEMA | |NRC NOTIFIED BY: MILLER |ROBERTSON DOT | |HQ OPS OFFICER: CHAUNCEY GOULD |CHAMBERLIN/CAIN REG4 | +------------------------------------------------+HACKNEY REG4 | |EMERGENCY CLASS: NOT APPLICABLE | | |10 CFR SECTION: | | |NTRA TRANSPORTATION EVENT | | | | | | | | | | | | | | +------------------------------------------------+-----------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | | | TRANSPORTATION EVENT | | | | CALL BACK NUMBER:(918-489-3256) | | | | CALLER'S ORGANIZATION:SEQUOYAH FUELS | | | | TRANSPORTATION MODE ( HIGHWAY ) | | | | EXACT LOCATION OF EVENT ( STATE, COUNTY, CITY OR DISTANCE FROM CITY, | | HIGHWAY, STREET, OR LAND MARK ): ARKANSAS, EAST OF FOREST CITY, | | INTERSTATE 44 AT EXIT 242 | | | | | | NAME OF CARRIER: TRI-STATE TRANSPORT | | | | -SHIPPING PAPERS AVAILABLE: | | | | -NAME OF SHIPPER(FROM SHIPPING PAPERS): SEQUOYAH FUELS | | | | -ADDRESS OF SHIPPER(FROM SHIPPING PAPERS): GORE, OK | | | | -NAME OF CONSIGNEE(FROM SHIPPING PAPERS): ALLIED SIGNAL | | | | -ADDRESS OF CONSIGNEE(FROM SHIPPING PAPERS): METROPOLIS IL | | | | -VEHICLE NUMBER: TRAILER #148503 | | -VEHICLE PLACARDED(Y/N): | | | | MATERIAL INVOLVED: YELLOW CAKE(URANIUM) | | | | -TYPE OF PACKAGES(CARDBOARD, METAL, DRUM, CASK, ETC): 55 GAL DRUM | | | | -NUMBER OF PACKAGES: N/A | | | | -PACKAGE LABEL(E.G., RADIOACTIVE - WHITE I, YELLOW II or III, LSA): | | | | -DOT PACKAGE SPECIFICATION MARKING(E.G., "DOT-7A TYPE A": FIBERBOARD BOX): | | | | -OTHER PACKAGE MARKINGS: | | | | -MATERIAL ID NUMBER(FROM SHIPPING PAPERS)(E.G., UN XXXX): | | | | -CONDITION OF PACKAGES(DAMAGED, LEAKING, ETC): LEAKING | | | | -RADIATION SURVEY INFORMATION: N/A | | (PERFORMED BY, READINGS, INSTRUMENT, LOCATION): | | | | MEDIA COVERAGE(Y/N): N/A | | | | AGENCIES NOTIFIED(E.G., DOT, DOE, STATE, LOCAL): | | NOTE: HOO is to notify State Programs if the state is an agreement | | state. Also notify NMSS EO, EPA, DOT, DOE, FEMA. | | DOE(WYATT) & EPA(LYMAN) NOTIFIED | | | | AGENCIES ON SCENE: LICENSEE HAS TEAM ON WAY TO SITE AS OF 18:00 | | (APPROX 5-6 HRS TO REACH SITE) | | INJURIES: N/A | | | | CURRENT STATUS: AREA WHERE CLEAR LIQUID LEAKED ON THE GROUND | | IS APPROX. 1 SQ FT. AND IT HAS BEEN SECURED. | | | | | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 27125 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: HOPE CREEK REGION: 1 |NOTIFICATION DATE: 04/20/94 | |UNIT: [1] [ ] [ ] STATE: NJ |NOTIFICATION TIME: 01:50 [ET]| |RX TYPE: [1] GE-4 |EVENT DATE: 04/20/94 | +------------------------------------------------+EVENT TIME: 00:05[EDT]| |NRC NOTIFIED BY: JOHN MILLER |LAST UPDATE DATE: 04/20/94 | |HQ OPS OFFICER: RUDY KARSCH +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |GENE KELLY RDO | |AESF 50.72(b)(2)(ii) ESF ACTUATION | | | | | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ | 1 | N N 0 REFUELING | 0 REFUELING | | | | | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | ENGINEERED SAFETY FEATURES SYSTEM ACTUATION. | | | | WHEN POWER WAS LOST TO THE "B" RPS BUS A "B & D" NSSSS ISOLATION OCCURRED. | | DUE TO THE STATUS OF THE PLANT THIS RESULTED IN CLOSURE OF ONLY THE MSIV | | DRAIN VALVES. THE "B" RPS BUS WAS POWERED FROM THE ALTERNATE SOURCE AT THE | | TIME OF THE ACTUATION. THE ALTERNATE SOURCE TRIPPED ON UNDERVOLTAGE WHEN A | | LARGE MOTOR LOAD WAS STARTED. THE LICENSEE WILL INFORM THE NRC RESIDENT | | INSPECTOR AND LOWER ALLOWAYS CREEK TOWNSHIP. | +------------------------------------------------------------------------------+