U.S. Nuclear Regulatory Commission Operations Center Event Reports For 07/25/94 - 07/26/94 ** EVENT NUMBERS ** 27458 27461 27571 27572 27573 27574 27575 27576 !!!!!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED !!!!!!! +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 27458 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: MILLSTONE REGION: 1 |NOTIFICATION DATE: 06/28/94 | |UNIT: [ ] [2] [ ] STATE: CT |NOTIFICATION TIME: 00:40 [ET]| |RX TYPE: [1] GE-3,[2] CE,[3] W-4-LP |EVENT DATE: 06/27/94 | +------------------------------------------------+EVENT TIME: 23:06[EDT]| |NRC NOTIFIED BY: OLECHWOWICZ |LAST UPDATE DATE: 07/25/94 | |HQ OPS OFFICER: GREG SCARFO +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |LAWRENCE DOERFLEIN RDO | |AESF 50.72(b)(2)(ii) ESF ACTUATION | | | | | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |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 +------------------------------------------------------------------------------+ | A CONTAINMENT PURGE ISOLATION OCCURRED WHEN A RADIATION MONITOR TRIPPED FOR | | UNKNOWN REASONS. | | | | WHILE PERFORMING A CONTAINMENT PURGE, RADIATION MONITOR "RM-8240" TRIPPED | | ON A HIGH RADIATION CONDITION CAUSING A CONTAINMENT PURGE ISOLATION. | | NO HIGH RADIATION CONDITION EXISTED AT THE TIME OF THE ISOLATION. THE | | RADIATION MONITOR IN QUESTION HAS HAD A HISTORY OF FALSE HIGH-RADIATION | | TRIPS. THE CAUSE OF THE RADIATION MONITOR TRIP IS UNDER INVESTIGATION. THE | | LICENSEE INFORMED THE NRC RESIDENT INSPECTOR. STATE AND LOCAL AGENCIES | | WERE NOTIFIED. | | | | * * * UPDATE AT 0831 ON 07/25/94 BY BATES ENTERED BY JOLLIFFE * * * | | | | LICENSEE DESIRES TO RETRACT THIS EVENT SINCE THE INITIATING SIGNAL WAS | | SPURIOUS AND NOT A VALID ESF ACTUATION SIGNAL. | | | | LICENSEE INFORMED THE NRC RESIDENT INSPECTOR. | | | | HOO NOTIFIED R1DO PASCIAK. | +------------------------------------------------------------------------------+ !!!!!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED !!!!!!! +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 27461 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: PERRY REGION: 3 |NOTIFICATION DATE: 06/28/94 | |UNIT: [1] [ ] [ ] STATE: OH |NOTIFICATION TIME: 17:24 [ET]| |RX TYPE: [1] GE-6 |EVENT DATE: 06/28/94 | +------------------------------------------------+EVENT TIME: 15:00[EDT]| |NRC NOTIFIED BY: MIKE NEMCEK |LAST UPDATE DATE: 07/25/94 | |HQ OPS OFFICER: WILLIAM HUFFMAN +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |RONALD GARDNER RDO | |AINB 50.72(b)(2)(iii)(B) POT RHR INOP | | |AINC 50.72(b)(2)(iii)(C) POT UNCNTRL RAD REL | | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |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 +------------------------------------------------------------------------------+ | INADEQUATE SEATING TORQUE IN MOTOR OPERATED VALVES. | | | | DYNAMIC FLOW TESTING OF THE FUEL POOL COOLING AND CLEANUP SYSTEM WAS | | PERFORMED PER GENERIC LETTER 89-10 ON 6/24/94. PRELIMINARY REVIEW OF DATA | | FOR THE DEMINERALIZER INLET AND OUTLET VALVES, F-280/285/290/295 (BUTTERFLY | | MOV's), INDICATES SIGNIFICANTLY HIGHER THAN VENDOR PREDICTED SEATING | | TORQUES. | | | | THE DESIGN BASIS OF THE MOV'S IS TO CLOSE ON A LOCA SIGNAL OR SEISMIC | | EVENT. THE TESTING REVEALED THAT THE VALVES MAY NOT CLOSE UNDER DESIGN | | BASIS. A FOLLOW-UP LER WILL BE ISSUED. CORRECTIVE ACTIONS ARE STILL UNDER | | EVALUATION BUT WILL INCLUDE BOTH DESIGN AND PROCEDURAL CHANGES. THEY WILL | | BE COMPLETED BEFORE RESTART. | | | | THE NRC RESIDENT INSPECTOR HAS BEEN INFORMED. | | | | HOO NOTE: THE NAME OF THE VALVE VENDOR WAS NOT KNOWN BY THE INDIVIDUAL | | PROVIDING THE REPORT NOTIFICATION. | | | | **** RETRACTED AT 1746 EDT ON 07/25/94 BY HOUSLEY TAKEN BY ANDREWS **** | | AFTER REVIEWING THIS EVENT, THE LICENSEE HAS DETERMINED THAT A LOSS OF | | SAFETY FUNCTION DID NOT EXIST AND IS THEREFORE RETRACTING THIS EVENT. THE | | NRC RESIDENT INSPECTOR HAS BEEN NOTIFIED. | | | | HOO NOTIFIED R3DO (DEFAYETTE). | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 27571 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: SOUTH TEXAS REGION: 4 |NOTIFICATION DATE: 07/25/94 | |UNIT: [ ] [2] [ ] STATE: TX |NOTIFICATION TIME: 02:23 [ET]| |RX TYPE: [1] W-4-LP,[2] W-4-LP |EVENT DATE: 07/25/94 | +------------------------------------------------+EVENT TIME: 00:11[CDT]| |NRC NOTIFIED BY: KRUGER |LAST UPDATE DATE: 07/25/94 | |HQ OPS OFFICER: DICK JOLLIFFE +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |IAN BARNES RDO | |AESF 50.72(b)(2)(ii) ESF ACTUATION | | | | | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |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 +------------------------------------------------------------------------------+ | - 1 OF 3 EDGs AUTO STARTED WITH UNIT 2 AT 100% POWER FOR UNKNOWN REASONS - | | | | AT 0011 (CDT), 1 OF 3 UNIT 2 EDGs (ESF EDG #22) AUTO STARTED IN THE | | "TEST/NON-EMERGENCY" MODE FOR UNKNOWN REASONS. | | | | UNIT 2 WAS AT 100% POWER AND NO TESTING, MAINTENANCE, OR OTHER WORK | | ACTIVITIES WERE BEING PERFORMED AT THE TIME. | | | | THERE WERE NO ONSITE OR OFFSITE ELECTRICAL PERTURBATIONS AND NO ADVERSE | | WEATHER CONDITIONS WERE PRESENT AT THE TIME. | | | | AT 0031 (CDT), LICENSEE SHUT THE EDG DOWN IN THE "AUTO/STANDBY" MODE. | | | | LICENSEE IS INVESTIGATING THE CAUSE OF THE UNEXPECTED EDG AUTO START. | | | | LICENSEE INFORMED THE NRC RESIDENT INSPECTOR. | | | | NOTE: SEE EVENT #27366 ON 06/07/94 FOR A RELATED EVENT. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 27572 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: MILLSTONE REGION: 1 |NOTIFICATION DATE: 07/25/94 | |UNIT: [ ] [2] [ ] STATE: CT |NOTIFICATION TIME: 03:53 [ET]| |RX TYPE: [1] GE-3,[2] CE,[3] W-4-LP |EVENT DATE: 07/25/94 | +------------------------------------------------+EVENT TIME: 01:47[EDT]| |NRC NOTIFIED BY: MULLIN |LAST UPDATE DATE: 07/25/94 | |HQ OPS OFFICER: DICK JOLLIFFE +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |WILLIAM LAZARUS RDO | |AESF 50.72(b)(2)(ii) ESF ACTUATION | | | | | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |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 +------------------------------------------------------------------------------+ | -INADVERTENT START OF THE 'B' CHARGING PUMP WHILE UNIT 2 IS AT 100% POWER- | | | | WHILE SWAPPING RUNNING CHARGING PUMPS FROM THE 'A' PUMP TO THE 'C' PUMP, | | THE 'B' CHARGING PUMP INADVERTENTLY STARTED AS THE CONTROL ROOM OPERATOR | | MOVED THE CHARGING PUMP SELECTOR SWITCH FROM POSITION 1/2 TO POSITION 2/3. | | | | CONTROL ROOM OPERATORS STOPPED THE 'B' CHARGING PUMP. | | | | LICENSEE IS INVESTIGATING THE CAUSE AND DETERMINING CORRECTIVE ACTIONS. | | | | LICENSEE SUSPECTS THAT THE CHARGING PUMP SELECTOR SWITCH IS WORN AND NEEDS | | TO BE REPLACED. | | | | LICENSEE WILL INFORM THE NRC RESIDENT INSPECTOR. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 27573 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: COMANCHE PEAK REGION: 4 |NOTIFICATION DATE: 07/25/94 | |UNIT: [1] [2] [ ] STATE: TX |NOTIFICATION TIME: 12:34 [ET]| |RX TYPE: [1] W-4-LP,[2] W-4-LP |EVENT DATE: 07/25/94 | +------------------------------------------------+EVENT TIME: 10:15[CDT]| |NRC NOTIFIED BY: D. McGAUGHEY |LAST UPDATE DATE: 07/25/94 | |HQ OPS OFFICER: THOMAS ANDREWS +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |IAN BARNES RDO | |APRE 50.72(b)(2)(vi) OFFSITE NOTIFICATION | | | | | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |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 NOTIFIED THE TEXAS PARKS & WILDLIFE DEPARTMENT OF A FISH KILL | | INVOLVING APPROXIMATELY EIGHT HUNDRED (800) THREADFIN SHAD. THIS WAS | | DISCOVERED DURING AN ENVIRONMENTAL INSPECTION OF THE CIRCULATING WATER | | INTAKE STRUCTURE. THE CAUSE OF THE FISH KILL IS NOT KNOWN, BUT THEY | | SUSPECT THAT IT IS TEMPERATURE RELATED. | | | | THE LICENSEE WILL SUBMIT A NON-ROUTINE REPORT - UNUSUAL OR IMPORTANT | | ENVIRONMENTAL REPORT TO REGION IV WITHIN TWENTY-FOUR (24) HOURS AND FOLLOW | | UP WITH A WRITTEN REPORT WITHIN THIRTY (30) DAYS. | | | | THE NRC RESIDENT INSPECTOR HAS BEEN NOTIFIED. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 27574 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: SAINT LUCIE REGION: 2 |NOTIFICATION DATE: 07/25/94 | |UNIT: [1] [2] [ ] STATE: FL |NOTIFICATION TIME: 16:36 [ET]| |RX TYPE: [1] CE,[2] CE |EVENT DATE: 07/25/94 | +------------------------------------------------+EVENT TIME: 16:07[EDT]| |NRC NOTIFIED BY: GEORGE BAILEY |LAST UPDATE DATE: 07/25/94 | |HQ OPS OFFICER: THOMAS ANDREWS +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |FLOYD CANTRELL RDO | |DDDD 73.71 UNSPECIFIED PARAGRAPH |CHRIS GRIMES EO | | |JOSE CALVO EO | | |ROBERTA WARREN IAT | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |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 +------------------------------------------------------------------------------+ | SAFEGUARDS SYSTEM DEGRADATION RELATED TO POWER SUPPLY FUNCTION(S) NOT FULLY | | COMPENSATED. THE NRC RESIDENT INSPECTOR WILL BE NOTIFIED. SEE HOO LOG FOR | | DETAILS. | | | | **** UPDATE AT 1715 EDT ON 07/25/94 BY BAILEY TAKEN BY ANDREWS **** | | COMPENSATORY ACTIONS HAVE NOW BEEN TAKEN. THE NRC RESIDENT INSPECTOR WILL | | BE NOTIFIED. SEE HOO LOG FOR DETAILS. | | | | HOO NOTIFIED R2DO (CANTRELL), EO (CALVO), IAT (WARREN) | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 27575 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: LIMERICK REGION: 1 |NOTIFICATION DATE: 07/25/94 | |UNIT: [1] [2] [ ] STATE: PA |NOTIFICATION TIME: 17:20 [ET]| |RX TYPE: [1] GE-4,[2] GE-4 |EVENT DATE: 07/25/94 | +------------------------------------------------+EVENT TIME: 15:38[EDT]| |NRC NOTIFIED BY: BOB DELANEY |LAST UPDATE DATE: 07/25/94 | |HQ OPS OFFICER: THOMAS ANDREWS +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |WALTER PASCIAK RDO | |AARC 50.72(b)(1)(v) OTHER ASMT/COMM INOP | | | | | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |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 +------------------------------------------------------------------------------+ | DURING SEVERE THUNDERSTORMS THROUGH THE LIMERICK EMERGENCY PLANNING ZONE | | TRAVELLING FROM SOUTHWEST TO NORTHEAST, A TOTAL OF SIXTY-FIVE (65) SIRENS | | IN THE PUBLIC ALERT NOTIFICATION SYSTEM WERE LOST FOR MORE THAN ONE HOUR | | DUE TO LOCAL POWER OUTAGES. IN CHESTER COUNTY, THIRTY-FIVE (35) OF | | SIXTY-SEVEN (67) SIRENS WERE LOST. IN MONTGOMERY COUNTY, THIRTY (30) OF | | SEVENTY-TWO (72) SIRENS WERE OUT OF SERVICE. NONE OF THE TWENTY-FIVE (25) | | SIRENS IN BURKE COUNTY WERE AFFECTED. | | | | THE SIRENS WILL BE RETURNED TO SERVICE AS LOCAL POWER IS RESTORED. NO | | OTHER SYSTEMS AT THE PLANT WERE AFFECTED. | | | | THE LICENSEE WILL NOTIFY THE NRC RESIDENT INSPECTOR. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |HOSPITAL | |EVENT NUMBER: 27576 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |LICENSEE: BAPTIST MEDICAL CENTER |NOTIFICATION DATE: 07/25/94 | | CITY: OKLAHOMA CITY REGION: 4 |NOTIFICATION TIME: 17:21 [ET]| | COUNTY: OKLAHOMA STATE: OK |EVENT DATE: 07/25/94 | |LICENSE#: 3511022-01 AGREEMENT: N |EVENT TIME: 00:00[CDT]| | DOCKET: |LAST UPDATE DATE: 07/25/94 | | +-----------------------------+ | |PERSON ORGANIZATION| | |IAN BARNES RDO | | | | +------------------------------------------------+ | |NRC NOTIFIED BY: McFARLAND | | |HQ OPS OFFICER: THOMAS ANDREWS | | +------------------------------------------------+ | |EMERGENCY CLASS: NOT APPLICABLE | | |10 CFR SECTION: | | |NINF INFORMATION ONLY | | | | | | | | | | | | | | +------------------------------------------------+-----------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | BAPTIST MEDICAL CENTER | | 3300 NORTHWEST EXPRESSWAY | | OKLAHOMA CITY, OK 73112 | | (405) 949-3298 | | | | LICENSEE RECEIVED A TRANSPORT CONTAINER THAT HAD LOCALIZED EXTERNAL | | CONTAMINATION ON THE LATCH FOR THE CONTAINER. CONTAMINATION LEVEL WAS | | APPROXIMATELY SIXTY-EIGHT THOUSAND (68,000) DPM. THE CONTAINER HAS BEEN | | PLACED IN A DECAY PIT FOR THE TIME BEING. THE CONTENTS OF THE CONTAINER | | WERE NOT DAMAGED. | | | | THE CONTAINER WAS SHIPPED FROM THE OKLAHOMA UNIVERSITY PHARMACY. THE | | PHARMACY HAS BEEN NOTIFIED AND HAS PERFORMED A SURVEY TO TRY TO SEE IF ANY | | CONTAMINATION EXISTS IN THE UNIVERSITY FACILITIES. THE LICENSEE REPORTING | | THIS EVENT INDICATED THAT NOTHING WAS FOUND IN THE UNIVERSITY LABORATORIES | | OR ON PERSONNEL. IT WAS NOT KNOWN IF THE TRANSPORT VEHICLE WAS SURVEYED. | | THE LICENSEE HAS PERFORMED A SURVEY TO ENSURE THAT NO OTHER AREAS ARE | | CONTAMINATED IN THE HOSPITAL LABORATORY. | | | | THE LICENSEE SUSPECTS THAT THE CONTAMINATION IS TECHNETIUM SINCE THAT IS | | THE MATERIAL BEING TRANSPORTED. | | | | THE RADIATION SAFETY OFFICER HAS NOT BEEN NOTIFIED BUT THE LICENSEE'S | | HEALTH PHYSICS CONSULTANT HAS BEEN CONTACTED REGARDING THIS EVENT. | | | | THE LICENSEE INDICATED THAT THEY WILL CONTACT REGION IV ON JULY 26, 1994. | +------------------------------------------------------------------------------+