U.S. Nuclear Regulatory Commission Operations Center Event Reports For 09/07/95 - 09/08/95 ** EVENT NUMBERS ** 29274 29289 29299 29301 29302 29303 29304 29305 +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 29274 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: ARKANSAS NUCLEAR REGION: 4 |NOTIFICATION DATE: 09/01/95 | |UNIT: [ ] [2] [ ] STATE: AR |NOTIFICATION TIME: 15:07 [ET]| |RX TYPE: [1] B&W-L-LP,[2] CE |EVENT DATE: 09/01/95 | +------------------------------------------------+EVENT TIME: 11:30[CDT]| |NRC NOTIFIED BY: BILL HINTON |LAST UPDATE DATE: 09/07/95 | |HQ OPS OFFICER: LEIGH TROCINE +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |PHIL HARRELL RDO | |APRE 50.72(b)(2)(vi) OFFSITE NOTIFICATION | | |ARPS 50.72(b)(2)(ii) RPS ACTUATION | | |AESF 50.72(b)(2)(ii) ESF ACTUATION | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ | | | | | 2 | A/R Y 98 POWER OPERATION | 0 HOT STANDBY | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | REACTOR TRIP ON HIGH STEAM GENERATOR LEVEL DUE TO THE INCREASE IN FEEDWATER | | PUMP SPEED WHEN A PAINTER INADVERTENTLY VENTED THE 'B' MAIN FEEDWATER | | HEADER FLOW TRANSMITTER | | | | A CONTRACTOR PAINTER INADVERTENTLY VENTED THE 'B' MAIN FEEDWATER HEADER | | FLOW TRANSMITTER, AND THIS IN TURN CAUSED BOTH MAIN FEEDWATER PUMPS TO | | INCREASE SPEED. HIGH STEAM GENERATOR LEVEL WAS REACHED ON THE 'B' STEAM | | GENERATOR, AND THE REACTOR AUTOMATICALLY TRIPPED FROM 98% REACTOR POWER. | | ALL SYSTEMS RESPONDED AS EXPECTED FOLLOWING THE REACTOR TRIP. ALL RODS | | FULLY INSERTED, EMERGENCY FEEDWATER ACTUATED (AS EXPECTED), AND NO SAFETY | | VALVES LIFTED. | | | | STEAM GENERATOR LEVELS ARE CURRENTLY BEING MAINTAINED WITHIN THE NORMAL | | RANGE VIA THE USE OF EMERGENCY FEEDWATER, AND THE GENERATORS ARE STEAMING | | TO THE CONDENSER. (EMERGENCY FEEDWATER ACTUATED AS EXPECTED AS A RESULT OF | | THE REACTOR TRIP.) PRIMARY INVENTORY AND PRESSURE CONTROL IS CURRENTLY | | BEING MAINTAINED VIA THE USE OF NORMAL CHARGING AND LETDOWN. | | | | THE LICENSEE NOTIFIED THE NRC RESIDENT INSPECTOR. IN ADDITION, A COURTESY | | NOTIFICATION WAS MADE TO THE ARKANSAS STATE DEPARTMENT OF HEALTH AT 13:05. | | A PRESS RELEASE MAY BE ISSUED. | | | | * * * UPDATE AT 0930 ON 9/7/95 FROM SCHEIDE TAKEN BY KARSCH * * * | | NO PRESS RELEASE WAS ISSUED REGARDING THIS EVENT. THE LICENSEE WILL INFORM | | THE NRC RESIDENT INSPECTOR. R4DO (BATES) NOTIFIED. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 29289 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: ARKANSAS NUCLEAR REGION: 4 |NOTIFICATION DATE: 09/02/95 | |UNIT: [ ] [2] [ ] STATE: AR |NOTIFICATION TIME: 21:05 [ET]| |RX TYPE: [1] B&W-L-LP,[2] CE |EVENT DATE: 09/02/95 | +------------------------------------------------+EVENT TIME: 19:27[CDT]| |NRC NOTIFIED BY: MICHEAL AZAMI |LAST UPDATE DATE: 09/07/95 | |HQ OPS OFFICER: LEIGH TROCINE +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |PHIL HARRELL RDO | |APRE 50.72(b)(2)(vi) OFFSITE NOTIFICATION | | |ARPS 50.72(b)(2)(ii) RPS ACTUATION | | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ | | | | | 2 | A/R Y 10 STARTUP | 0 HOT STANDBY | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | AUTOMATIC REACTOR TRIP POSSIBLY DUE TO A CORE PROTECTION CALCULATOR TRIP. | | | | PRIOR TO THIS EVENT, THE REACTOR WAS AT 10% POWER, THE TURBINE WAS OFF | | LINE, AND ONE FEEDWATER PUMP WAS RUNNING TO FEED THE STEAM GENERATORS. FOR | | REASONS NOT KNOWN AT THIS TIME, AN AUTOMATIC REACTOR TRIP OCCURRED. ALL | | RODS FULLY INSERTED, AND ALL SYSTEMS FUNCTIONED AS REQUIRED. THERE WERE NO | | ENGINEERED SAFETY FEATURES ACTUATIONS. THE UNIT IS CURRENTLY STABLE IN HOT | | SHUTDOWN. THE LICENSEE IS USING NORMAL CHARGING AND LETDOWN FOR PRIMARY | | INVENTORY CONTROL, AND BOTH STEAM GENERATORS ARE AVAILABLE AS A HEAT SINK. | | | | THE LICENSEE CURRENTLY BELIEVES THAT THE TRIP WAS CAUSED BY THE CORE | | PROTECTION CALCULATOR WHICH LOOKS AT THE AXIAL SHAPING INDEX. THERE ARE NO | | KNOWN FAILURES, AND THERE WERE NO MAINTENANCE ACTIVITIES OCCURRING AT THE | | TIME OF THE TRIP. | | | | THE LICENSEE NOTIFIED THE ARKANSAS DEPARTMENT OF HEALTH AND PLANS TO NOTIFY | | THE NRC RESIDENT INSPECTOR. | | | | * * * UPDATE AT 0939 ON 9/7/95 FROM SCHEIDE TAKEN BY KARSCH * * * | | THE LICENSEE VERIFIED THAT THE ACTUAL CAUSE OF THE TRIP WAS BY THE AXIAL | | SHAPPING INDEX FUNCTION OF THE CORE PROTECTION CALCULATOR. THE LICENSEE | | WILL INFORM THE NRC RESIDENT INSPECTOR. R4DO(BATES) NOTIFIED. | +------------------------------------------------------------------------------+ !!!!!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED !!!!!!! +----------------------------------+ +-----------------------+ |GENERAL INFORMATION or OTHER | |EVENT NUMBER: 29299 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |LICENSEE: SYNCOR INTERNATIONAL |NOTIFICATION DATE: 09/06/95 | | CITY: APPLETON REGION: 3 |NOTIFICATION TIME: 21:09 [ET]| | COUNTY: STATE: WI |EVENT DATE: 09/06/95 | |LICENSE#: 48-26465-01MD AGREEMENT: N |EVENT TIME: 09:30[CDT]| | DOCKET: |LAST UPDATE DATE: 09/07/95 | | +-----------------------------+ | |PERSON ORGANIZATION| | |RONALD GARDNER RDO | | | | +------------------------------------------------+ | |NRC NOTIFIED BY: DAVID PELLICCIARINI |BOLLING SP | |HQ OPS OFFICER: JOSEPH SEBROSKY | | +------------------------------------------------+ | |EMERGENCY CLASS: NOT APPLICABLE | | |10 CFR SECTION: | | |NINF INFORMATION ONLY | | | | | | | | | | | | | | +------------------------------------------------+-----------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | SYNCOR INTERNATIONAL OF CHATSWORTH, CALIFORNIA CALLED TO REPORT A PROBLEM | | AT THEIR APPLETON WISCONSIN FACILITY IN ACCORDANCE WITH 10 CFR 20.1906(D). | | | | AT APPROXIMATELY 09:30 CDT TODAY THE LICENSEE'S PHARMACY IN APPLETON | | RECEIVED A TECHNETIUM-99M GENERATOR SHIPMENT FROM DUPONT-MERCK. AT THE | | TIME OF THE DELIVERY THE PHARMACY PERSONNEL NOTICED AN ELEVATED BACKGROUND | | RADIATION READING IN THE FACILITY. DURING THE CHECK-IN PROCEDURE FOR THE | | GENERATOR EXCESSIVE RADIATION READINGS WERE DISCOVERED AROUND THE BOX | | CONTAINING THE GENERATOR. THE RADIATION LEVELS RANGED FROM 240 TO 400 | | MILLIROENTGENS PER HOUR AROUND THE SURFACE OF THE BOX. THIS EXCEEDS THE | | REQUIREMENT FOR EXTERNAL RADIATION LIMIT ON ANY SURFACE OF THE PACKAGE OF | | 200 MILLIREM PER HOUR. | | | | WHEN THE BOX ARRIVED AT THE APPLETON FACILITY THE LICENSEE'S STAFF NOTICED | | A TEAR IN THE BOX, HOWEVER THERE WAS NO VISIBLE INDICATION OF LEAKAGE FROM | | THE GENERATOR. THE STAFF REMOVED THE GENERATOR FROM THE BOX AND NOTED NO | | VISIBLE DAMAGE TO THE GENERATOR ITSELF. THE STAFF DID FIND EVIDENCE OF | | EXTERNAL SURFACE CONTAMINATION ON THE BOX. THE AMOUNT AND EXTENT OF THE | | CONTAMINATION IS NOT CLEAR AT THIS TIME BECAUSE THE PERSON REPORTING THE | | PROBLEM WAS NOT INVOLVED IN THE SURVEYS. | | | | THE LICENSEE PLACED THE GENERATOR BEHIND LEAD SHIELDING, AND CONTACTED THE | | CARRIER OF THE PACKAGE (FEDERAL EXPRESS). THE LICENSEE ALSO NOTIFIED | | DUPONT-MERCK OF THE PROBLEM. | | | | * * * UPDATE AT 1215 ON 9/7/95 BY PELLICCIARINI TAKEN BY WEAVER * * * | | THE LICENSEE IS RETRACTING THIS EVENT BASED ON AN ERROR WHICH OCCURRED | | DURING THE MEASUREMENT OF THE RADIATION FIELD ON THE SURFACE OF THE BOX. | | THE PEOPLE SURVEYING INCORRECTLY READ THEIR SURVEY METER. THE ACTUAL | | READING WAS AN ORDER OF MAGNITUDE LOWER. THEREFORE NOTHING REPORTABLE | | OCCURRED. HOO NOTIFIED RDO (GARDNER); SP (BOLLING) | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 29301 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: PRAIRIE ISLAND REGION: 3 |NOTIFICATION DATE: 09/07/95 | |UNIT: [ ] [2] [ ] STATE: MN |NOTIFICATION TIME: 08:03 [ET]| |RX TYPE: [1] W-2-LP,[2] W-2-LP |EVENT DATE: 09/07/95 | +------------------------------------------------+EVENT TIME: 04:52[CDT]| |NRC NOTIFIED BY: DUANE JOHNSON |LAST UPDATE DATE: 09/07/95 | |HQ OPS OFFICER: RUDY KARSCH +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |RONALD GARDNER 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 +------------------------------------------------------------------------------+ | PLANT RESERVE TRANSFORMER "2RY" LOCKED OUT, WHICH DEENERGIZED SAFEGUARDS | | BUS "25". LOSS OF POWER TO THIS BUS CAUSED TWO ESF ACTUATIONS; COMPONENT | | COOLING WATER (CCW) PUMP "21" LOST POWER SO STANDBY CCW PUMP "22" AUTO- | | STARTED, AND THE POSITIVE DISPLACEMENT CHARGING PUMP TRIPPED AND THIS | | CAUSED CLOSURE OF THE LETDOWN ISOLATION VALVES. THE LICENSEE WILL INFORM | | THE NRC RESIDENT INSPECTOR. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |HOSPITAL | |EVENT NUMBER: 29302 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |LICENSEE: DEPT OF VETRAN'S AFFAIRS MED. CNTR. |NOTIFICATION DATE: 09/07/95 | | CITY: LEXINGTON REGION: 2 |NOTIFICATION TIME: 10:08 [ET]| | COUNTY: FAYETTE STATE: KY |EVENT DATE: 09/07/95 | |LICENSE#: 16-088-96-04 AGREEMENT: Y |EVENT TIME: 04:00[EDT]| | DOCKET: |LAST UPDATE DATE: 09/07/95 | | +-----------------------------+ | |PERSON ORGANIZATION| | |KENNETH BARR RDO | | | | +------------------------------------------------+ | |NRC NOTIFIED BY: MIKE HACKETT | | |HQ OPS OFFICER: RUDY KARSCH | | +------------------------------------------------+ | |EMERGENCY CLASS: NOT APPLICABLE | | |10 CFR SECTION: | | |LADM 35.33(a) MED MISADMINISTRATION | | | | | | | | | | | | | | +------------------------------------------------+-----------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | LEXINGTON V.A. HOSPITAL, LEXINGTON, KY. | | A PATIENT DISLODGED BRACHYTHERAPY SEEDS DURING TREATMENT RESULTING IN AN | | INSUFFICIENT DOSE. THE SEEDS CONSISTED OF 58.9 mCi OF Ir 192. THE PATIENT | | HAS BEEN ADVISED AND THE COMPLETION OF TREATMENT IS SCHEDULED FOR LATER | | TODAY. | | | | THE LICENSEE DISCUSSED THIS EVENT WITH REGION 2 (ENNIS). | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 29303 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: BRUNSWICK REGION: 2 |NOTIFICATION DATE: 09/07/95 | |UNIT: [1] [2] [ ] STATE: NC |NOTIFICATION TIME: 11:43 [ET]| |RX TYPE: [1] GE-4,[2] GE-4 |EVENT DATE: 09/07/95 | +------------------------------------------------+EVENT TIME: 00:00[EDT]| |NRC NOTIFIED BY: GENE ATKINSON |LAST UPDATE DATE: 09/07/95 | |HQ OPS OFFICER: DOUG WEAVER +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |KENNETH BARR 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 97 POWER OPERATION | 97 POWER OPERATION | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | - OFFSITE NOTIFICATION OF AN OIL SPILL - | | | | A LUBE OIL LEAK FROM A DREDGE WORKING IN THE PLANT'S INTAKE CANAL RESULTED | | IN AN ESTIMATED .5 GALLON OIL RELEASE INTO THE INTAKE CANAL. THE RELEASE | | OCCURRED OVER APPROXIMATELY 2 HOURS AND RESULTED IN A LIGHT SHEEN BEING | | OBSERVED ON THE SURFACE OF THE WATER IN THE INTAKE CANAL. THE OIL WAS | | PUMPED THROUGH THE PLANT AND INTO THE DISCHARGE CANAL. INITIAL REPORTS | | INDICATED A WINCH ON THE DREDGE WAS THE SOURCE OF THE LEAK. LATER REPORTS | | FROM THE US COAST GUARD CONFIRMED THE SPILL WAS A RESULT OF A DREDGE CREW | | MEMBER PUMPING THE BILGE. THIS OIL SPILL HAS BEEN REPORTED TO THE | | FOLLOWING GOVERNMENT AGENCIES: NATIONAL RESPONSE CENTER; NC DEPT OF | | ENVIRONMENTAL MANAGEMENT | | | | THE LICENSEE INFORMED THE NRC RESIDENT INSPECTOR. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 29304 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: BYRON REGION: 3 |NOTIFICATION DATE: 09/07/95 | |UNIT: [1] [2] [ ] STATE: IL |NOTIFICATION TIME: 16:40 [ET]| |RX TYPE: [1] W-4-LP,[2] W-4-LP |EVENT DATE: 09/07/95 | +------------------------------------------------+EVENT TIME: 14:45[CDT]| |NRC NOTIFIED BY: DAVE COLTMAN |LAST UPDATE DATE: 09/07/95 | |HQ OPS OFFICER: DOUG WEAVER +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |RONALD GARDNER RDO | |DDDD 73.71 UNSPECIFIED PARAGRAPH | | | | | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |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 THE PROTECTED AREA ENTRANCE | | | | IMMEDIATE COMPENSATORY ACTIONS TAKEN UPON DISCOVERY. | | | | THE LICENSEE WILL INFORM THE NRC RESIDENT INSPECTOR. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 29305 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: DRESDEN REGION: 3 |NOTIFICATION DATE: 09/08/95 | |UNIT: [ ] [ ] [3] STATE: IL |NOTIFICATION TIME: 02:28 [ET]| |RX TYPE: [1] GE-1,[2] GE-3,[3] GE-3 |EVENT DATE: 09/07/95 | +------------------------------------------------+EVENT TIME: 22:33[CDT]| |NRC NOTIFIED BY: bryan hanson |LAST UPDATE DATE: 09/08/95 | |HQ OPS OFFICER: RUDY KARSCH +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: | | |AESF 50.72(b)(2)(ii) ESF ACTUATION | | | | | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ | | | | | | | | | 3 | N Y 1 STARTUP | 1 STARTUP | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | VACUUM BREAKERS CYCLE UNEXPECTEDLY DURING ATTEMPTS TO RESTORE POSITIVE | | PRESSURE TO THE CONTAINMENT. | | | | ALL 12 DRYWELL TO TORUS VACUUM BREAKERS CYCLED DURING EFFORTS TO RESTORE | | POSITIVE PRESSURE IN CONTAINMENT DURING REACTOR STARTUP. INVESTIGATION BY | | THE LICENSEE DETERMINED THAT THE VACUUM BREAKER SETTINGS ARE CONSERVATIVE | | (NOMINAL 0.5 PSID, ACTUAL 0.16 PSID). INITIAL CONDITIONS WERE TORUS | | PRESSURE AT -0.21 AND DRYWELL PRESSURE AT -0.16. WHEN AIR WAS ADMITTED TO | | THE TORUS, A DIFFERENTIAL PRESSURE OF .16 PSID WAS EXPERIENCED AND THE | | VACUUM BREAKERS OPENED. THE CONSERVATIVE SETTINGS WERE NOT EXPLICITLY | | KNOWN TO THE OPERATING CREW AND CONSEQUENTLY THE VALVES CYCLED | | UNEXPECTEDLY. THE LICENSEE WILL MAINTAIN THE PLANT AT 1% POWER UNTIL THEIR | | ROOT CAUSE INVESTIGATION IS COMPLETED. THE LICENSEE INFORMED THE NRC | | RESIDENT INSPECTOR. | +------------------------------------------------------------------------------+