U.S. Nuclear Regulatory Commission Operations Center Event Reports For 05/02/96 - 05/03/96 ** EVENT NUMBERS ** 30394 30403 30404 30405 30406 30407 30408 30409 30410 +----------------------------------+ +-----------------------+ |HOSPITAL | |EVENT NUMBER: 30394 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |LICENSEE: BRIGHAM WOMEN'S HOSPITAL |NOTIFICATION DATE: 05/01/96 | | CITY: BOSTON REGION: 1 |NOTIFICATION TIME: 08:54 [ET]| | COUNTY: STATE: MA |EVENT DATE: 04/27/96 | |LICENSE#: 20-17131-01 AGREEMENT: N |EVENT TIME: 21:30[EDT]| | DOCKET: |LAST UPDATE DATE: 05/02/96 | | +-----------------------------+ | |PERSON ORGANIZATION| | |MICHAEL MODES RDO | | | | +------------------------------------------------+ | |NRC NOTIFIED BY: DR. CASTRONOVO | | |HQ OPS OFFICER: CHAUNCEY GOULD | | +------------------------------------------------+ | |EMERGENCY CLASS: NOT APPLICABLE | | |10 CFR SECTION: | | |LADM 35.33(a) MED MISADMINISTRATION | | | | | | | | | | | | | | +------------------------------------------------+-----------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | DISCOVERY THAT A PATIENT COUGHED UP IRIDIUM BRACHYTHERAPY SEEDS | | | | BRIGHAM WOMEN'S HOSPITAL REPORTED THAT A PATIENT WAS BEING TREATED FOR LUNG | | CANCER WITH A STRAND OF IRIDIUM SEEDS WHICH HAD BEEN PLACED IN THE | | ESOPHAGUS. DURING A 2030 CHECK OF THE PATIENT, THE NURSE FOUND NO PROBLEM | | WITH THE SEEDS. BETWEEN 2100 AND 2130, THE RESIDENT DOCTOR AND THE | | BRACHYTHERAPY PHYSICIST WENT TO REMOVE THE SEEDS AT THE END OF THE | | TREATMENT AND FOUND THAT THE STRAND WAS OUT OF THE CATHETER AND TUCKED IN | | BEHIND THE COIL OF EXTRA PLASTIC LEADER. THE PATIENT COULD HAVE COUGHED UP | | THE STRAND OF SEEDS AND TUCKED THEM UNDER THE OTHER SEEDS ON HER CHEST | | PRIOR TO THE PHYSICIST VISIT. AN INVESTIGATION IS BEING CONDUCTED TO | | DETERMINE IF SHE RECEIVED THE PRESCRIBED DOSAGE. AT THIS TIME, THERE ARE | | NO ADVERSE AFFECTS TO THE SKIN. | | | | * * * 1224 MAY 2, 1996, UPDATE FROM CASTRONOVO RECEIVED BY TROCINE * * * | | | | THE LICENSEE HAS OBSERVED A VERY THIN RED LINE ON THE PATIENT'S SKIN WHERE | | THE SEEDS WERE LAYING. THE PHYSICIANS BELIEVE THAT THE SKIN REDDENING IS | | TRANSIENT AND PLAN TO CONTINUE MONITORING THE PATIENT. | | | | THE LICENSEE PLANS TO SUBMIT A REPORT TO NRC REGION 1 WITHIN 15 DAYS. THE | | NRC OPERATIONS CENTER NOTIFIED THE R1DO (MODES). | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |HOSPITAL | |EVENT NUMBER: 30403 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |LICENSEE: DEACONESS HOSPITAL |NOTIFICATION DATE: 05/02/96 | | CITY: ST. LOUIS REGION: 3 |NOTIFICATION TIME: 11:59 [ET]| | COUNTY: STATE: MO |EVENT DATE: 05/01/96 | |LICENSE#: 24-00752-01 AGREEMENT: N |EVENT TIME: 23:00[CDT]| | DOCKET: |LAST UPDATE DATE: 05/02/96 | | +-----------------------------+ | |PERSON ORGANIZATION| | |MARK RING RDO | | | | +------------------------------------------------+ | |NRC NOTIFIED BY: DR. KEYS | | |HQ OPS OFFICER: LEIGH TROCINE | | +------------------------------------------------+ | |EMERGENCY CLASS: NOT APPLICABLE | | |10 CFR SECTION: | | |LADM 35.33(a) MED MISADMINISTRATION | | | | | | | | | | | | | | +------------------------------------------------+-----------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | EARLY REMOVAL OF AN ESOPHAGEAL IRIDIUM-192 IMPLANT BY THE PATIENT | | | | BETWEEN 2200 AND 2300 CDT ON MAY 1, 1996, A PATIENT PULLED AN ESOPHAGEAL | | IRIDIUM-192 IMPLANT OUT WHILE SLEEPING. THIS ACTION WOKE THE PATIENT, AND | | THE PATIENT PLACED THE IMPLANT IN A WASTE PAPER BASKET. A NURSE IDENTIFIED | | THE IMPLANT AT 2300 CDT. THE 20.5-MILLIGRAM IRIDIUM-192 EQUIVALENT SOURCE | | HAD A DOSE RATE OF APPROXIMATELY 16.5 mREM PER HOUR AT A DISTANCE OF ONE | | METER. | | | | THE IMPLANT WAS ORIGINALLY INTENDED TO BE IN PLACE FOR A 48-HOUR PERIOD, | | FOLLOWED BY REMOVAL AND ANOTHER 48-HOUR IMPLANT AT A LATER TIME. BECAUSE | | THE PATIENT WAS DOING WELL, THE PHYSICIAN ELECTED TO LEAVE THE IMPLANT IN | | PLACE FOR UP TO 96 HOURS. THE PATIENT PULLED THE IMPLANT OUT AFTER 54 | | HOURS AND 10 MINUTES. THE PHYSICIAN SUBSEQUENTLY ELECTED TO DISCONTINUE | | TREATMENT. THERE WERE NO OVEREXPOSURES, AND THERE WERE NO ADVERSE RISKS TO | | THE PATIENT. | | | | (REFER TO THE HOO LOG FOR A CONTACT ADDRESS AND TELEPHONE NUMBER.) | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 30404 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: TURKEY POINT REGION: 2 |NOTIFICATION DATE: 05/02/96 | |UNIT: [3] [4] [ ] STATE: FL |NOTIFICATION TIME: 13:33 [ET]| |RX TYPE: [3] W-3-LP,[4] W-3-LP |EVENT DATE: 05/02/96 | +------------------------------------------------+EVENT TIME: 11:20[EDT]| |NRC NOTIFIED BY: CRAIG MOWREY |LAST UPDATE DATE: 05/02/96 | |HQ OPS OFFICER: LEIGH TROCINE +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |PIERCE SKINNER RDO | |HFIT 26.73 FITNESS FOR DUTY | | | | | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ | 3 | N Y 100 POWER OPERATION | 100 POWER OPERATION | | 4 | N Y 100 POWER OPERATION | 100 POWER OPERATION | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | A LICENSED REACTOR OPERATOR TESTED POSITIVE FOR MARIJUANA DURING A RANDOM | | DRUG TEST. | | | | AT 1120 ON MAY 2, 1996, A FLORIDA POWER AND LIGHT COMPANY LICENSED REACTOR | | OPERATOR WAS CONFIRMED TO HAVE TESTED POSITIVE FOR MARIJUANA BY THE COMPANY | | MEDICAL REVIEW OFFICER BASED UPON A RANDOM URINALYSIS DRUG TEST THAT WAS | | CONDUCTED ON APRIL 29, 1996. THE INDIVIDUAL'S GAS CHROMATOGRAPHY MASS | | SPECTROMETRY LEVEL WAS FOUND TO BE 40 NANOGRAMS PER MILLILITER, AND THE | | LICENSEE'S CUT-OFF LEVEL FOR MARIJUANA IS 10 NANOGRAMS PER MILLILITER. | | | | THERE WAS NO INDICATION OF ON-SITE USAGE. THE INDIVIDUAL'S ACCESS TO BOTH | | THE TURKEY POINT AND ST. LUCIE NUCLEAR SITES HAS BEEN DENIED, AND THE | | LICENSEE IS CURRENTLY PERFORMING A REVIEW OF THE INDIVIDUAL'S WORK | | ACTIVITIES FOR THE PAST 90 DAYS. THE INDIVIDUAL IS APPEALING THE TEST | | RESULTS. | | | | THE LICENSEE WILL INFORM THE NRC RESIDENT INSPECTOR. (REFER TO THE HOO LOG | | FOR A SITE CONTACT NAME AND TELEPHONE NUMBER.) | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |IRRETRIEVABLE WELL LOGGING SOURCE | |EVENT NUMBER: 30405 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |LICENSEE: SCHLUMBERGER ANADRILL |NOTIFICATION DATE: 05/02/96 | | CITY: HOUSTON REGION: 4 |NOTIFICATION TIME: 17:25 [ET]| | COUNTY: STATE: TX |EVENT DATE: 05/02/96 | |LICENSE#: AGREEMENT: Y |EVENT TIME: 15:00[CDT]| | DOCKET: |LAST UPDATE DATE: 05/02/96 | | +-----------------------------+ | |PERSON ORGANIZATION| | |PHIL HARRELL RDO | | | | +------------------------------------------------+ | |NRC NOTIFIED BY: GUY LOMBARDO | | |HQ OPS OFFICER: LEIGH TROCINE | | +------------------------------------------------+ | |EMERGENCY CLASS: NOT APPLICABLE | | |10 CFR SECTION: | | |EIRR 39.77(c) WELL LOGGING SOURCE | | | | | | | | | | | | | | +------------------------------------------------+-----------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | IMMEDIATE REQUEST FOR APPROVAL TO ABANDON A WELL LOGGING SOURCE IN AN | | OFFSHORE WELL | | | | THE LICENSEE HAS A LOGGING-WHILE-DRILLING TOOL WHICH HAS TWO SOURCES. THE | | LOGGING SOURCE HAS BEEN SUCCESSFULLY AND SAFELY RETRIEVED. HOWEVER, THE | | DRILL STRING IS STUCK WITH THE LOGGING-WHILE-DRILLING TOOL, AND AN INTERNAL | | CALIBRATION SOURCE IS IMBEDDED INTO THAT TOOL. THE LICENSEE HAS BEEN | | ATTEMPTING TO REMOVE THE IRRETRIEVABLE SOURCE SINCE APPROXIMATELY APRIL 30, | | 1996, AND THE DECISION FOR ABANDONMENT WAS MADE AT 1500 CDT TODAY. | | | | THE IRRETRIEVABLE SOURCE IS A 50 æCi Am-241 SOURCE (SERIAL #ASR-A-834). IT | | IS STUCK IN A WELL THAT IS LOCATED AT MUSTANG ISLAND #763, OFFSHORE | | CONTINENTAL SHELF GULF OCSG-3022, NUMBER SIGN A-7, AND THE OWNER OF THIS | | WELL IS VASTAR OFFSHORE LOUISIANA. THE MEASURED DEPTH (BOTTOM HOLE | | LOCATION) IS 8,815 FEET, AND THE SOURCE IS LOCATED INSIDE A FISH THAT WILL | | STAY IN THE WELL. THE TOP OF THE FISH IS LOCATED AT A DEPTH OF 6,777 FEET, | | AND THE BOTTOM OF THE FISH IS LOCATED AT A DEPTH OF 7,353 FEET. THE | | LICENSEE CURRENTLY PLANS TO PLACE A CEMENT PLUG ABOVE THE FISH IN THE WELL | | TO A DEPTH OF 6,017 FEET. | | | | (REFER TO THE HOO LOG FOR A CONTACT TELEPHONE NUMBER.) | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 30406 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: FT CALHOUN REGION: 4 |NOTIFICATION DATE: 05/02/96 | |UNIT: [1] [ ] [ ] STATE: NE |NOTIFICATION TIME: 17:35 [ET]| |RX TYPE: [1] CE |EVENT DATE: 05/02/96 | +------------------------------------------------+EVENT TIME: 16:10[CDT]| |NRC NOTIFIED BY: CARL STAFFORD |LAST UPDATE DATE: 05/02/96 | |HQ OPS OFFICER: LEIGH TROCINE +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |PHIL HARRELL RDO | |AINA 50.72(b)(2)(iii)(A) POT UNABLE TO SAFE SD | | | | | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |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 +------------------------------------------------------------------------------+ | FAILURE TO MAINTAIN THE REQUIRED 4% SHUTDOWN MARGIN DURING CYCLE #14 (1992) | | DUE TO AN ERROR IN THE CALCULATION OF THE TECHNICAL SPECIFICATION REQUIRED | | 4% SHUTDOWN MARGIN WITH POTENTIAL ROD MOTION | | | | DURING A REVIEW OF TECHNICAL DATA BOOK PROCEDURE #TDB-V.9, SHUTDOWN MARGIN | | WORK SHEET, IT WAS DETERMINED THAT AN ERROR IN THE CALCULATION OF THE | | TECHNICAL SPECIFICATION REQUIRED 4% SHUTDOWN MARGIN WITH POTENTIAL ROD | | MOTION COULD HAVE OCCURRED. AN INVESTIGATION OF PREVIOUS USAGES OF THE | | PROCEDURE DETERMINED THAT WHILE PERFORMING ROD TESTING DURING CYCLE #14 | | (AUGUST 25, 1992), THE 4% SHUTDOWN MARGIN WAS NOT MAINTAINED. THE MINIMUM | | MAINTAINED VALUE OF SHUTDOWN MARGIN WAS ESTIMATED TO BE 2.67%. AN | | INVESTIGATION INTO PREVIOUS USAGES OF THE PROCEDURE BACK TO CYCLE #11 (JUNE | | 1987) DID NOT REVEAL ANY FURTHER VIOLATIONS OF THE SHUTDOWN MARGIN | | REQUIREMENT. THE OCCURRENCE IN 1992 CONSTITUTES A VIOLATION OF TECHNICAL | | SPECIFICATION 2.10.2(1) WHICH REQUIRES THAT SHUTDOWN MARGIN BE ò4.0% | | DELTA-K/K WHENEVER THE REACTOR IS IN HOT SHUTDOWN, HOT STANDBY, OR POWER | | OPERATION CONDITIONS. WITH THE SHUTDOWN MARGIN <4.0% DELTA-K/K, THE | | LICENSEE IS REQUIRED TO INITIATE AND CONTINUE BORATION UNTIL THE REQUIRED | | SHUTDOWN MARGIN IS ACHIEVED. | | | | THE LICENSEE NOTIFIED THE NRC RESIDENT INSPECTOR. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 30407 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: NINE MILE POINT REGION: 1 |NOTIFICATION DATE: 05/02/96 | |UNIT: [ ] [2] [ ] STATE: NY |NOTIFICATION TIME: 17:45 [ET]| |RX TYPE: [1] GE-2,[2] GE-5 |EVENT DATE: 05/02/96 | +------------------------------------------------+EVENT TIME: 17:15[EDT]| |NRC NOTIFIED BY: BRIAN WEAVER |LAST UPDATE DATE: 05/02/96 | |HQ OPS OFFICER: LEIGH TROCINE +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |MICHAEL MODES 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 Y 100 POWER OPERATION | 100 POWER OPERATION | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | POTENTIAL FOR LOW TECHNICAL SPECIFICATION MINIMUM CRITICAL POWER RATIO DUE | | TO GENERAL ELECTRIC ERROR IN CALCULATIONS (REFER TO THE FOLLOWING RELATED | | EVENTS: #30293, #30298, AND #30383.) | | | | GENERAL ELECTRIC INFORMED NINE MILE POINT UNIT 2 TODAY THAT THE MINIMUM | | CRITICAL POWER RATIO (MCPR) SAFETY LIMIT SHOULD BE AS HIGH AS 1.10 FOR | | TWO-LOOP OPERATION. THE MCPR SAFETY LIMIT FOR SINGLE-LOOP OPERATION IS | | EXPECTED TO BE 0.01 HIGHER THAN THE TWO-LOOP LIMIT. HOWEVER, THE UNIT 2 | | TECHNICAL SPECIFICATIONS CURRENTLY CONTAIN MCPR SAFETY LIMITS OF 1.07 FOR | | TWO-LOOP OPERATION AND 1.08 FOR SINGLE-LOOP OPERATION. | | | | THE LICENSEE IS IN THE PROCESS OF INCREASING THE MCPR OPERATING LIMIT IN | | THE CORE MONITORING COMPUTER TO REFLECT THE INCREASE IN SAFETY LIMIT MCPR | | (SLMCPR) FOR TWO-LOOP OPERATION. BASED ON CURRENT PLANT CONDITIONS, NO | | SAFETY LIMIT OR OPERATIONAL LIMIT (USING THE NEW VALUE) WOULD HAVE BEEN | | EXCEEDED FOR ANY ANALYZED TRANSIENT DURING THE CURRENT CYCLE. THE LICENSEE | | WILL NOT EXCEED A SAFETY LIMIT FOR ANY ANALYZED TRANSIENT USING THE NEW | | SLMCPR. | | | | SIMILAR EVENTS WERE REPORTED BY HOPE CREEK (#30293) ON APRIL 16, 1996; | | RIVER BEND (#30298) ON APRIL 16, 1996; AND FITZPATRICK (#30383) ON APRIL | | 29, 1996. | | | | THE LICENSEE NOTIFIED THE NRC RESIDENT INSPECTOR. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 30408 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: SOUTH TEXAS REGION: 4 |NOTIFICATION DATE: 05/02/96 | |UNIT: [1] [ ] [ ] STATE: TX |NOTIFICATION TIME: 18:47 [ET]| |RX TYPE: [1] W-4-LP,[2] W-4-LP |EVENT DATE: 03/28/96 | +------------------------------------------------+EVENT TIME: 09:28[CDT]| |NRC NOTIFIED BY: JON PIERCE |LAST UPDATE DATE: 05/02/96 | |HQ OPS OFFICER: LEIGH TROCINE +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |PHIL HARRELL RDO | |NLTR LICENSEE 24 HR REPORT | | | | | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |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 +------------------------------------------------------------------------------+ | FAILURE TO DECLARE A SAFETY-RELATED STANDBY DIESEL GENERATOR INOPERABLE AND | | PERFORM THE REQUIRED SURVEILLANCE PROCEDURE DURING PRE-PLANNED MAINTENANCE | | OF A DC BUS BATTERY OUTPUT BREAKER | | | | ON MAY 2, 1996, THE LICENSEE IDENTIFIED A LICENSE VIOLATION REPORTABLE TO | | THE NRC IN ACCORDANCE WITH SECTION 2.G OF OPERATING LICENSE NPF-76, FAILURE | | TO COMPLY WITH ACTION 'B' OF TECHNICAL SPECIFICATION 3.8.1.1. AT 0928 CST | | ON MARCH 28, 1996, DC BUS 'E1A11' BATTERY OUTPUT BREAKER WAS DECLARED | | INOPERABLE AND WAS OPENED FOR PRE-PLANNED MAINTENANCE. AT 1030 CST, THE | | BREAKER WAS CLOSED AND DECLARED OPERABLE. THE OPENING OF THIS DC BUS | | BATTERY OUTPUT BREAKER RENDERED SAFETY-RELATED STANDBY DIESEL GENERATOR #11 | | INOPERABLE DUE TO A LOSS OF FIELD FLASH CAPABILITY AND A LOSS OF CONTROL | | POWER TO THE DIESEL OUTPUT BREAKER. THIS WAS NOT KNOWN AT THE TIME, AND | | THEREFORE, STANDBY DIESEL GENERATOR #11 WAS NOT DECLARED INOPERABLE WHILE | | THE DC BUS 'E1A11' BATTERY OUTPUT BREAKER WAS OPEN. | | | | WITH ONE STANDBY DIESEL GENERATOR INOPERABLE, TECHNICAL SPECIFICATION | | 3.8.1.1, ACTION 'B', REQUIRES THAT AC OFFSITE SOURCES BE DEMONSTRATED | | OPERABLE BY PERFORMING SURVEILLANCE REQUIREMENT 4.8.1.1.1.A WITHIN 1 HOUR | | AND AT LEAST EVERY 8 HOURS THEREAFTER. THIS SURVEILLANCE REQUIREMENT WAS | | NOT PERFORMED WHILE THE BATTERY 'E1A11' BREAKER WAS OPEN AND INOPERABLE ON | | MARCH 28, 1996. THE CONTROL ROOM STAFF WAS COGNIZANT OF AC OFFSITE SOURCES | | DURING THE TIME THAT THE BATTERY WAS INOPERABLE, AND THERE WERE NO | | CHALLENGES TO OFFSITE SOURCES DURING THIS EVENT. ALL OTHER STANDBY DIESEL | | GENERATORS AND BATTERIES WERE OPERABLE. | | | | THE LICENSEE NOTIFIED THE NRC RESIDENT INSPECTOR. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |OTHER NUCLEAR MATERIAL | |EVENT NUMBER: 30409 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |LICENSEE: BRAMMER ENGINEERING |NOTIFICATION DATE: 05/02/96 | | CITY: HOUMA REGION: 4 |NOTIFICATION TIME: 19:24 [ET]| | COUNTY: TERREBONNE STATE: LA |EVENT DATE: 05/02/96 | |LICENSE#: AGREEMENT: Y |EVENT TIME: 10:30[CDT]| | DOCKET: |LAST UPDATE DATE: 05/02/96 | | +-----------------------------+ | |PERSON ORGANIZATION| | |PHIL HARRELL RDO | | |WILLIAM TRAVERS/NMSS EO | +------------------------------------------------+ | |NRC NOTIFIED BY: PETTY OFFICER RUTHERFORD |RICH BARRETT ERB | |HQ OPS OFFICER: LEIGH TROCINE | | +------------------------------------------------+ | |EMERGENCY CLASS: NOT APPLICABLE | | |10 CFR SECTION: | | |NINF INFORMATION ONLY | | | | | | | | | | | | | | +------------------------------------------------+-----------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | THE NATIONAL RESPONSE CENTER REPORTED A SPILL OF FOUR OUNCES OF RADIOACTIVE | | IODINE FROM A FAILED BRAMMER ENGINEERING WELL HEAD VALVE LOCATED IN HOUMA, | | LOUISIANA. (CASE #339435) | | | | AT 1903 EDT, BRAMMER ENGINEERING (LOCATED IN SHREVEPORT, LOUISIANA) | | NOTIFIED THE NATIONAL RESPONSE CENTER THAT A WELL HEAD VALVE (LOCATED AT | | EDC NO. 1 SIDETRACK WELL NEAR SAVANNE ROAD IN HOUMA, LOUISIANA) FAILED, AND | | 4 OUNCES OF RADIOACTIVE IODINE LEAKED ONTO THE SOIL AT 1030 CDT. THE LEAK | | WAS SECURED, AND A STATE CERTIFIED CONTRACTOR IS CURRENTLY AT THE SCENE. | | THERE WERE NO OVEREXPOSURES OR INJURIES ASSOCIATED WITH THIS EVENT. THE | | IODINE HAS AN EIGHT-WEEK HALF LIFE. | | | | BRAMMER ENGINEERING NOTIFIED ALL APPLICABLE STATE AGENCIES INCLUDING THE | | DESC, DEPARTMENT OF ENVIRONMENTAL QUALITY, LOCAL ENVIRONMENTAL PROTECTION | | COMMISSION, AND DEPARTMENT OF RADIATION. THE NATIONAL RESPONSE CENTER SENT | | A FACSIMILE DESCRIBING THE EVENT TO THE LOUISIANA STATE POLICE DEPARTMENT, | | THE DEPARTMENT OF INTERIOR, AND THE NATIONAL OCEANIC AND ATMOSPHERIC | | ADMINISTRATION. | | | | (REFER TO THE HOO LOG FOR THE BRAMMER ENGINEERING CONTACT NAME, ADDRESS, | | AND TELEPHONE NUMBERS.) | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 30410 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: PERRY REGION: 3 |NOTIFICATION DATE: 05/02/96 | |UNIT: [1] [ ] [ ] STATE: OH |NOTIFICATION TIME: 21:18 [ET]| |RX TYPE: [1] GE-6 |EVENT DATE: 05/02/96 | +------------------------------------------------+EVENT TIME: 13:30[EDT]| |NRC NOTIFIED BY: ALAN RABENOLD |LAST UPDATE DATE: 05/02/96 | |HQ OPS OFFICER: LEIGH TROCINE +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |MARK RING 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 100 POWER OPERATION | 100 POWER OPERATION | | | | | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | AUTOMATIC CLOSURE OF TWO CONTAINMENT ISOLATION VALVES DUE TO A BLOWN FUSE | | DURING WORK ON AN INSTRUMENT AIR VALVE | | | | DURING THE PERFORMANCE OF MAINTENANCE ON AN ISOLATION VALVE FOR THE | | INSTRUMENT AIR WHICH INFLATES THE SEALS TO THE CONTAINMENT AIR LOCK DOOR | | (VALVE #1P52F0170) AT 1330, MAINTENANCE WORKERS RECEIVED A MILD ELECTRICAL | | SHOCK APPARENTLY DUE TO A SHORT AND BLOWN FUSE. THIS WAS REPORTED TO THE | | CONTROL ROOM ON A POTENTIAL ISSUE FORM AT APPROXIMATELY 1800, AND | | SUBSEQUENT SYSTEM WALKDOWNS IDENTIFIED THAT THE FOLLOWING TWO CONTAINMENT | | ISOLATION VALVES HAD AUTOMATICALLY CLOSED WHEN THE FUSE BLEW: THE | | INSTRUMENT AIR ISOLATION VALVE TO THE CONTAINMENT AIR LOCK DOOR (VALVE | | #1P52F0160) AND THE SERVICE AIR ISOLATION VALVE TO THE CONTAINMENT (VALVE | | #1P51F0150). (THE CONTROL ROOM DOES NOT RECEIVE ANNUNCIATION WHEN THESE | | TWO VALVES ISOLATE.) BOTH VALVES WERE REPOSITIONED AND RETURNED TO | | OPERABILITY AT 1910 AND 1855, RESPECTIVELY. ALL SYSTEMS FUNCTIONED AS | | REQUIRED, AND THERE WERE NO SAFETY CONCERNS ASSOCIATED WITH THIS EVENT. IN | | ADDITION, THERE WERE NO PROBLEMS WITH CONTAINMENT INTEGRITY DURING THIS | | EVENT DUE TO THE WORK ISOLATION BOUNDARY THAT WAS ESTABLISHED FOR THE | | INSTRUMENT AIR VALVE MAINTENANCE ACTIVITIES. | | | | THE LICENSEE NOTIFIED THE NRC RESIDENT INSPECTOR. | +------------------------------------------------------------------------------+