U.S. Nuclear Regulatory Commission Operations Center Event Reports For 05/10/94 - 05/11/94 ** EVENT NUMBERS ** 27138 27227 27228 27229 27230 27231 27232 !!!!!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED !!!!!!! +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 27138 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: SOUTH TEXAS REGION: 4 |NOTIFICATION DATE: 04/22/94 | |UNIT: [1] [ ] [ ] STATE: TX |NOTIFICATION TIME: 12:13 [ET]| |RX TYPE: [1] W-4-LP,[2] W-4-LP |EVENT DATE: 04/22/94 | +------------------------------------------------+EVENT TIME: 10:30[CDT]| |NRC NOTIFIED BY: KEEN |LAST UPDATE DATE: 05/10/94 | |HQ OPS OFFICER: GREG SCARFO +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |LAWRENCE YANDELL RDO | |KFIS 70.52(b) LOSS OF SNM/FISSILE | | | | | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ | 1 | N Y 100 POWER OPERATION | 100 POWER OPERATION | | | | | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | 0.64 NANOGRAMS OF PLUTONIUM-238 WAS LOST. | | | | FOUR RADIATION MONITOR CHECK SAMPLES OF PLUTONIUM-238 WERE DISCOVERED | | MISSING FROM THEIR STORAGE CABINET. EACH CHECK SAMPLE CONTAINED | | APPROXIMATELY 0.16 NANOGRAMS OF PLUTONIUM-238 (TOTAL OF 0.64 NANOGRAMS OF | | PU-238) IN A FILTER CARTRIDGE. THESE SAMPLES WERE PROCURED TO ENSURE THE | | FUNCTIONALITY OF RADIATION MONITORS BUT WERE NOT INCORPORATED INTO THE | | PLANT'S SPECIAL NUCLEAR MATERIAL CONTROL PROGRAM. | | | | THE LICENSEE BELIEVES THAT THE CHECK SAMPLES MAY HAVE BEEN DISPOSED OF IN A | | SOLID RADIOACTIVE WASTE SHIPMENT. AN INVESTIGATION INTO THE WHEREABOUTS OF | | THE SAMPLES IS ONGOING. THE LICENSEE INFORMED THE NRC RESIDENT INSPECTOR. | | | | *** RETRACTION BY PINZON AT 1340 EDT @ 05/10/94 TAKEN BY MACKINNON*** | | | | DURING CLEANUP OF UNIT 1 SAMPLE AND SOURCE CABINET DURING LATE JANUARY - | | EARLY FEBRUARY OF THIS YEAR, THE SAMPLES WERE DISCARDED BY PLACING THEM IN | | THE RADIOACTIVE WASTE CONTAINER LOCATED IN THE ROOM. THE INDIVIDUAL | | CLEANING OUT THE CABINET KEPT A PERSONAL RECORD OF THE SOURCES AND SAMPLES | | HE DISCARDED. THE RECORD CLEARLY INDICATES THAT THE SAMPLES WERE | | "DISPOSED". THE INDIVIDUAL CONFIRMS THIS RECORD AS ACCURATE IN A WRITTEN | | PERSONAL STATEMENT. | | THE IN-HOUSE PROCESSING TIME FOR RADIOACTIVE WASTE IS ON THE ORDER OF ONE | | WEEK DURING OUTAGES. THEREFORE, IT IS LIKELY THAT THE FOUR SAMPLES HAVE | | BEEN SHIPPED FROM THE SITE. TWO DRY ACTIVE WASTE SHIPMENTS HAVE BEEN MADE | | FROM UNIT 1 SINCE THE FIRST OF THE YEAR, ONE ON JANUARY 28 AND ONE ON | | FEBRUARY 10, 1994. THE SAMPLES COULD HAVE BEEN IN EITHER SHIPMENT OR MAY BE | | IN THE SEALAND VAN PRESENTLY ON SITE (THE SAMPLES ARE LIKELY TO HAVE BEEN | | ALREADY SHIPPED TO THE VENDOR FOR PROCESSING WITH SUBSEQUENT SHIPMENT TO | | BARNWELL, SOUTH CAROLINA FOR SHALLOW LAND BURIAL.) DUE TO THE QUANTITY, NO | | SPECIAL SHIPPING REQUIREMENTS WOULD HAVE BEEN DICTATED. SPECIFICALLY, NO | | DOT/NRC-741 FORM WOULD HAVE BEEN REQUIRED SINCE THE QUANTITY WAS LESS THAN | | ONE GRAM, AND THE MANIFEST WOULD HAVE STATED "FISSILE EXEMPT". THE "FISSILE | | EXEMPT" DESIGNATION WAS ON BOTH MANIFESTS FOR UNIT 1 SHIPMENTS DURING 1994. | | IT IS CONCLUDED THAT THE FOUR SAMPLES IN QUESTION ARE NOT LOST, BUT WERE | | DISPOSED. THEREFORE, THE NOTIFICATION REQUIREMENT DOES NOT APPLY. THEREFORE | | THIS EVENT IS NOT REPORTABLE. | | R4DO (BILL JOHNSON) WAS NOTIFIED. | | | | RESIDENT INSPECTOR WAS INFORMED BY THE LICENSEE. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 27227 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: PERRY REGION: 3 |NOTIFICATION DATE: 05/10/94 | |UNIT: [1] [ ] [ ] STATE: OH |NOTIFICATION TIME: 02:33 [ET]| |RX TYPE: [1] GE-6 |EVENT DATE: 05/10/94 | +------------------------------------------------+EVENT TIME: 03:15[EDT]| |NRC NOTIFIED BY: NEMECK |LAST UPDATE DATE: 05/10/94 | |HQ OPS OFFICER: CHAUNCEY GOULD +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |JOHN GROBE RDO | |NINF INFORMATION ONLY | | | | | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ | 1 | N N 0 REFUELING | 0 REFUELING | | | | | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | THE LICENSEE NOTIFIED THE NRC THAT AS PART OF TEST PROCEDURES THEY WOULD DO | | A LPCI INJECTION INTO THEIR REACTOR VESSEL. | | | | AS PART OF GENERIC LETTER 89-10 THE LICENSEE WILL PERFORM A DIAGNOSTIC TEST | | ON THE "E-12" LPCI SYSTEM AND WILL INJECT INTO THE REACTOR VESSEL AS PART | | OF THEIR PRE-PLANNED EVOLUTION. THEY DETERMINED THAT THIS SI WILL NOT BE | | REPORTABLE SINCE IT IS PART OF THEIR PRE-PLANNED TESTING. THEY WILL BE | | TESTING THE "1E12F042B"(LPCI "B" INJECTION VALVE). THEY WILL HAVE ECCS | | INJECTION, BUT WILL NOT HAVE THE ECCS LOGIC ACTUATION. THE RI WAS INFORMED. | | | | ***UPDATE AT 05:22 BY RUSSELL TO GOULD*** DUE TO PROCEDURE PROBLEMS THE | | LPCI INJECTION WAS CANCELED. THE RI WAS INFORMED. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 27228 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: COMANCHE PEAK REGION: 4 |NOTIFICATION DATE: 05/10/94 | |UNIT: [1] [2] [ ] STATE: TX |NOTIFICATION TIME: 12:03 [ET]| |RX TYPE: [1] W-4-LP,[2] W-4-LP |EVENT DATE: 05/10/94 | +------------------------------------------------+EVENT TIME: 07:20[CDT]| |NRC NOTIFIED BY: MIKE SMITH |LAST UPDATE DATE: 05/10/94 | |HQ OPS OFFICER: RUDY KARSCH +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |WILLIAM JOHNSON RDO | |AIND 50.72(b)(2)(iii)(D) ACCIDENT MITIGATION | | |NLCO TECH SPEC LCO A/S | | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |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 COLD SHUTDOWN | 0 COLD SHUTDOWN | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | THE LATCH FOR THE MISSILE SHIELD DOOR BETWEEN THE CONTROL ROOM AND THE | | TURBINE DECK BROKE PRECLUDING MEETING THE POSITIVE PRESSURE REQUIREMENT FOR | | THE CONTROL ROOM. | | | | THE FOLLOWING IS THE TEXT OF A FAX FROM THE LICENSEE: | | "AT 0720 THE MISSILE SHIELD DOOR FROM THE CONTROL ROOM TO THE MAIN TURBINE | | DECK WAS OPENED. THIS CONNECTS THE CONTROL ROOM POSITIVE PRESSURE BOUNDARY | | TO OUTSIDE. THE DOOR LATCHING MECHANISM BROKE WHICH WOULD NOT ALLOW THE | | POSITIVE PRESSURE REQUIREMENT TO BE MAINTAINED (TECH SPEC 3.7.7). THE | | LATCHING MECHANISM WAS REPAIRED AND CLOSED AT 0737 HOURS. WE ENTERED TECH | | SPEC 3.0.3. NO ACTUAL POWER REDUCTIONS WERE MADE BUT THE APPROPRIATE | | ACTIONS WERE BEING MADE TO SHUT DOWN." | | | | THE LICENSEE'S TECH SPECS DO NOT SPECIFICALLY ADDRESS A LOSS OF CONTROL | | ROOM PRESSURE BOUNDARY. THEREFORE, THEY ENTERED TECH SPEC 3.0.3. THE | | LICENSEE IS WORKING ON A TECH SPEC MOD TO ADDRESS THIS SITUATION. THE | | LICENSEE INFORMED THE NRC RESIDENT INSPECTOR. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 27229 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: DIABLO CANYON REGION: 4 |NOTIFICATION DATE: 05/10/94 | |UNIT: [1] [ ] [ ] STATE: CA |NOTIFICATION TIME: 15:06 [ET]| |RX TYPE: [1] W-4-LP,[2] W-4-LP |EVENT DATE: 05/10/94 | +------------------------------------------------+EVENT TIME: 11:45[PDT]| |NRC NOTIFIED BY: BOB MAGRUDER |LAST UPDATE DATE: 05/11/94 | |HQ OPS OFFICER: RUDY KARSCH +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: UNUSUAL EVENT +-----------------------------+ |10 CFR SECTION: |WILLIAM JOHNSON RDO | |AAEC 50.72(a)(1)(i) EMERGENCY DECLARED |AL CHAFFEE EO | |ASHU 50.72(b)(1)(i)(A) PLANT S/D REQD BY TS |STINEDRUF FEMA | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ | 1 | N Y 2 STARTUP | 2 STARTUP | | | | | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | UNUSUAL EVENT DECLARED DUE TO FORCED UNIT SHUTDOWN. | | | | THE LICENSEE DECLARED AN UNUSUAL EVENT WHEN THEY DETERMINED THAT THE "C" | | PHASE OF THEIR MAIN TRANSFORMER HAD TO BE REPLACED, AND THE TIME WOULD | | EXCEED THE 72 HOURS ALLOWED BY TECH SPECS. THE OUTAGE IS EXPECTED TO LAST | | 10 DAYS. THE UNUSUAL EVENT WILL TERMINATE WHEN THE UNIT REACHES MODE 5, | | COLD SHUTDOWN. THE LICENSEE INFORMED STATE AND LOCAL AUTHORITIES AND THE | | NRC RESIDENT INSPECTOR. A PRESS RELEASE WAS ISSUED. | | | | * UPDATE DATE/TIME:5/11/94 @ 0155 EDT *FROM LICENSEE:ANDERSEN BY:McGINTY* | | THE UNUSUAL EVENT WAS TERMINATED AT 2245 PDT UPON REACHING COLD SHUTDOWN. | | THE LICENSEE INFORMED THE RESIDENT INSPECTOR. HOO NOTIFIED R4DO (JOHNSON) | | AND FEMA (LOUZONIS). | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 27230 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: MILLSTONE REGION: 1 |NOTIFICATION DATE: 05/10/94 | |UNIT: [ ] [2] [ ] STATE: CT |NOTIFICATION TIME: 15:53 [ET]| |RX TYPE: [1] GE-3,[2] CE,[3] W-4-LP |EVENT DATE: 05/10/94 | +------------------------------------------------+EVENT TIME: 15:00[EDT]| |NRC NOTIFIED BY: JOHN RESETAR |LAST UPDATE DATE: 05/10/94 | |HQ OPS OFFICER: RUDY KARSCH +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |RICHARD CONTE RDO | |AIND 50.72(b)(2)(iii)(D) ACCIDENT MITIGATION | | | | | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ | | | | | 2 | N N 0 COLD SHUTDOWN | 0 COLD SHUTDOWN | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | BOTH VITAL DC SWITCHGEAR ROOM COOLER SERVICE WATER RETURN LINES ARE MISSING | | A PIPE HANGER. THESE PIPES COULD FAIL UNDER SEISMIC LOADING. THE LICENSEE | | INFORMED LOCAL AND STATE AUTHORITIES AND THE NRC RESIDENT INSPECTOR. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |GENERAL INFORMATION or OTHER | |EVENT NUMBER: 27231 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |LICENSEE: ARKANSAS NUCLEAR ONE |NOTIFICATION DATE: 05/10/94 | | CITY: GRAND JUNCTION REGION: 4 |NOTIFICATION TIME: 16:52 [ET]| | COUNTY: STATE: CO |EVENT DATE: 05/09/94 | |LICENSE#: AGREEMENT: Y |EVENT TIME: 12:00[MDT]| | DOCKET: |LAST UPDATE DATE: 05/10/94 | | +-----------------------------+ | |PERSON ORGANIZATION| | | | | | | +------------------------------------------------+ | |NRC NOTIFIED BY: RANDY HUNT | | |HQ OPS OFFICER: RUDY KARSCH | | +------------------------------------------------+ | |EMERGENCY CLASS: NOT APPLICABLE | | |10 CFR SECTION: | | |CDEG 21.21(c)(3)(i) DEFECTS/NONCOMPLIANCE | | | | | | | | | | | | | | +------------------------------------------------+-----------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | DIXSON INC., GRAND JUNCTION, CO 81503. | | AN 11 PIN CONNECTOR USED IN SIX BAR GRAPH INSTRUMENTS SHIPPED TO ANO HAS | | EXHIBITED LEAD FRACTURE. TWO OF THE UNITS HAVE BEEN INSTALLED AT ANO IN | | NON-SAFETY-RELATED APPLICATIONS. THE REMAINING UNITS HAVE NOT BEEN | | INSTALLED. DIXSON HAS CONTACTED THE LICENSEE AND THEIR SUPPLIERS AND IS | | TAKING CORRECTIVE ACTION. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 27232 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: MILLSTONE REGION: 1 |NOTIFICATION DATE: 05/10/94 | |UNIT: [1] [ ] [ ] STATE: CT |NOTIFICATION TIME: 16:54 [ET]| |RX TYPE: [1] GE-3,[2] CE,[3] W-4-LP |EVENT DATE: 05/10/94 | +------------------------------------------------+EVENT TIME: 16:45[EDT]| |NRC NOTIFIED BY: NEIL BERGH |LAST UPDATE DATE: 05/10/94 | |HQ OPS OFFICER: RUDY KARSCH +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |RICHARD CONTE RDO | |AIND 50.72(b)(2)(iii)(D) ACCIDENT MITIGATION | | | | | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |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 +------------------------------------------------------------------------------+ | FOUR MOTOR OPERATED VALVES (MOVs) USED FOR CONTAINMENT ISOLATION AND HIGH | | PRESSURE SAFETY INJECTION MAY BE UNABLE TO PERFORM THEIR DESIGN BASIS | | FUNCTION BECAUSE OF A FRICTION FACTOR HIGHER THAN THE VALUE USED IN THE | | DESIGN CALCULATIONS. | | | | LEVEL CONTROL VALVES 1-FW-4-A, AND B, IN THE HPSI FLOW PATH MAY NOT OPEN ON | | DEMAND AND STEAM SYSTEM CONTAINMENT ISOLATION VALVES 1-MS-5, AND 6, MAY NOT | | CLOSE ON DEMAND. THE LICENSEE HAS DETERMINED THAT THE FRICTION FACTOR USED | | IN SELECTING MOTOR OPERATOR POWER AND/OR GEAR RATIOS WAS TOO LOW. THE | | LICENSEE IS INVESTIGATING CORRECTIVE ACTION OPTIONS. THE LICENSEE INFORMED | | STATE AND LOCAL AUTHORITIES AND THE NRC RESIDENT INSPECTOR. | +------------------------------------------------------------------------------+