U.S. Nuclear Regulatory Commission Operations Center Event Reports For 05/09/96 - 05/10/96 ** EVENT NUMBERS ** 30442 30443 30444 30445 30446 30447 30448 30449 30450 +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 30442 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: CALVERT CLIFFS REGION: 1 |NOTIFICATION DATE: 05/09/96 | |UNIT: [1] [2] [ ] STATE: MD |NOTIFICATION TIME: 09:51 [ET]| |RX TYPE: [1] CE,[2] CE |EVENT DATE: 05/09/96 | +------------------------------------------------+EVENT TIME: 08:00[EDT]| |NRC NOTIFIED BY: MONT SECKENS |LAST UPDATE DATE: 05/09/96 | |HQ OPS OFFICER: JOHN MacKINNON +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |RICK URBAN 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 N 0 COLD SHUTDOWN | 0 COLD SHUTDOWN | | 2 | N Y 100 POWER OPERATION | 100 POWER OPERATION | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | NOTIFIED THE STATE OF MARYLAND DEPARTMENT OF ENVIRONMENT THAT APPROXIMATELY | | 20 GALLONS OF DIESEL FUEL OIL WAS SPILL ON THEIR ROADWAY. | | | | ON 06/08/96 AT 1705 EDT LICENSEE WAS NOTIFIED THAT ~ 20 GALLONS OF DIESEL | | FUEL OIL WAS SPILLED ALONG THE ROADWAY FROM THE SECURITY SALLY PORT TO THE | | CONTRACT'S PARKING LOT. THE SPILL WAS CLEANED UP. THE LICENSEE NOTIFIED | | THE MARYLAND DEPARTMENT OF ENVIRONMENT OF THIS EVENT AT 0800 EDT ON | | 05/09/96. | | | | THE NRC RESIDENT INSPECTOR WAS INFORMED OF THIS EVENT BY THE LICENSEE. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |OTHER NUCLEAR MATERIAL | |EVENT NUMBER: 30443 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |LICENSEE: BETHESDA HOSPITAL INC. |NOTIFICATION DATE: 05/09/96 | | CITY: CINNCINATTI REGION: 3 |NOTIFICATION TIME: 12:10 [ET]| | COUNTY: HAMILTON STATE: OH |EVENT DATE: 05/09/96 | |LICENSE#: 34-10921-03 AGREEMENT: N |EVENT TIME: 12:00[EDT]| | DOCKET: |LAST UPDATE DATE: 05/09/96 | | +-----------------------------+ | |PERSON ORGANIZATION| | |JAMES CREED RDO | | | | +------------------------------------------------+ | |NRC NOTIFIED BY: JACK LEIBOLD | | |HQ OPS OFFICER: RUDY KARSCH | | +------------------------------------------------+ | |EMERGENCY CLASS: NOT APPLICABLE | | |10 CFR SECTION: | | |NINF INFORMATION ONLY | | |NMAT MATL IN UNCNTRL AREA | | | | | | | | | | | +------------------------------------------------+-----------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | A PATIENT WAS ADMINISTERED 52 mCi OF I 131 IN LIQUID FORM ON 4/5/96. AFTER | | THE PATIENT WAS DISCHARGED ON 4/11/96 THE HOUSEKEEPING CREW, IGNORING THE | | RADIATION POSTING, SENT THE BED LINENS TO THE LAUNDRY SERVICE AND THE TRASH | | TO THE LAND FILL. THE POSSIBLE CONSEQUENCES ARE 6 TO 211 ęCi FOR THE | | LINENS AND 9 TO 79 ęCi FOR THE TRASH. THE LICENSEE CALCULATED THAT THE | | DOSE CONSEQUENCES ARE LESS THAN 100 mCi PER YEAR. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |TRANSPORTATION EVENT | |EVENT NUMBER: 30444 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |LICENSEE: TRI-STATE MOTOR TRANSPORT |NOTIFICATION DATE: 05/09/96 | | CITY: BLANDING REGION: 4 |NOTIFICATION TIME: 14:24 [ET]| | COUNTY: SAN JUAN STATE: UT |EVENT DATE: 05/09/96 | |LICENSE#: AGREEMENT: Y |EVENT TIME: 12:45[MDT]| | DOCKET: |LAST UPDATE DATE: 05/09/96 | | +-----------------------------+ | |PERSON ORGANIZATION| | |GARY SANBORN, RGN 4 RDO | | | | +------------------------------------------------+ | |NRC NOTIFIED BY: DOT NRC, CHECKAN |JAMES CREED R3DO | |HQ OPS OFFICER: RUDY KARSCH | | +------------------------------------------------+ | |EMERGENCY CLASS: NOT APPLICABLE | | |10 CFR SECTION: | | |NTRA TRANSPORTATION EVENT | | | | | | | | | | | | | | +------------------------------------------------+-----------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | TRI-STATE MOTOR TRANSPORT OF JOPLIN, MO. | | RADIOACTIVE MATERIAL LEAKED OUT OF A 55 GALLON DRUM DUE TO A FAILED GASKET | | CAUSING SURFACE CONTAMINATION. THE RELEASE HAS BEEN SECURED AND IS | | CONTAINED WITHIN THE TRAILER. DOT ALSO NOTIFIED EPA. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |OTHER NUCLEAR MATERIAL | |EVENT NUMBER: 30445 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |LICENSEE: MED COL OF PA & HAHNEMANN UNIVERSIY |NOTIFICATION DATE: 05/09/96 | | CITY: PHILADELPHIA REGION: 1 |NOTIFICATION TIME: 15:50 [ET]| | COUNTY: STATE: PA |EVENT DATE: 05/09/96 | |LICENSE#: 37-00467-34 AGREEMENT: N |EVENT TIME: 15:45[EDT]| | DOCKET: |LAST UPDATE DATE: 05/09/96 | | +-----------------------------+ | |PERSON ORGANIZATION| | |RICHARD URBAN RDO | | | | +------------------------------------------------+ | |NRC NOTIFIED BY: KENT LAMBERT | | |HQ OPS OFFICER: RUDY KARSCH | | +------------------------------------------------+ | |EMERGENCY CLASS: NOT APPLICABLE | | |10 CFR SECTION: | | |BAB2 20.2201(a)(1)(ii) LOST/STOLEN LNM>10X | | | | | | | | | | | | | | +------------------------------------------------+-----------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | MEDICAL COLLEGE OF PENNSYLVANIA AND HAHNEMANN UNIVERSITY CENTER CITY CAMPUS | | REPORTED A LOST BRACHYTHERAPY SEED CONTAINING 2.1 mCi IODINE 125. | | THE SOURCE WAS LAST SEEN ON 4/15/96 AND MIGHT HAVE BEEN LOST ON 4/24/96. | | THE LICENSEE LEFT A PHONE MESSAGE FOR RGN 1 (SHANBAKY). | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |HOSPITAL | |EVENT NUMBER: 30446 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |LICENSEE: BERKSHIRE MEDICAL CENTER |NOTIFICATION DATE: 05/09/96 | | CITY: PITTSFIELD REGION: 1 |NOTIFICATION TIME: 16:34 [ET]| | COUNTY: BERKSHIRE STATE: MA |EVENT DATE: 05/09/96 | |LICENSE#: 20-12009-03 AGREEMENT: N |EVENT TIME: 15:30[EDT]| | DOCKET: |LAST UPDATE DATE: 05/09/96 | | +-----------------------------+ | |PERSON ORGANIZATION| | |RICHARD URBAN RDO | | | | +------------------------------------------------+ | |NRC NOTIFIED BY: RUEY WU | | |HQ OPS OFFICER: RUDY KARSCH | | +------------------------------------------------+ | |EMERGENCY CLASS: NOT APPLICABLE | | |10 CFR SECTION: | | |LADM 35.33(a) MED MISADMINISTRATION | | | | | | | | | | | | | | +------------------------------------------------+-----------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | BERKSHIRE MEDICAL CENTER, PITTSFIELD, MASSACHUSETTS, REPORTED A MEDICAL | | MISADMINISTRATION. | | | | A PATIENT WAS PRESCRIBED A PALLIATIVE TREATMENT OF 300 R/DAY FOR TEN DAYS. | | A TOTAL DOSE OF 3000 R. EACH PROCEDURE WAS SUPPOSED TO EXPOSE TWO FIELDS | | TO 150 R EACH FOR A TOTAL EXPOSURE OF 300 R EACH DAY. HOWEVER, AFTER FOUR | | DAYS THE LICENSEE DETERMINED THAT THE PATIENT HAD RECEIVED 300 R EXPOSURE | | TO EACH FIELD EACH DAY FOR A TOTAL DOSE OF 2400 R. FURTHER TREATMENTS HAVE | | BEEN DISCONTINUED. THE LICENSEE DISCUSSED THIS EVENT WITH REGION 1 | | (EVERHART). | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 30447 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: SEQUOYAH REGION: 2 |NOTIFICATION DATE: 05/09/96 | |UNIT: [1] [2] [ ] STATE: TN |NOTIFICATION TIME: 17:52 [ET]| |RX TYPE: [1] W-4-LP,[2] W-4-LP |EVENT DATE: 05/09/96 | +------------------------------------------------+EVENT TIME: 15:14[EDT]| |NRC NOTIFIED BY: MITCH TAGGART |LAST UPDATE DATE: 05/09/96 | |HQ OPS OFFICER: RUDY KARSCH +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |JACK CRLENJAK 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 | | 2 | N N 0 REFUELING | 0 REFUELING | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | EMERGENCY DIESEL GENERATORS (EDGs) STARTED DUE TO THE UNEXPECTED OPENING OF | | A FEEDER BREAKER. | | | | THE LICENSEE WAS TRANSFERRING FEED TO THE 6.9-KV "2B" START BUS FROM | | ALTERNATE TO THE NORMAL POWER. THE NORMAL FEEDER BREAKER (ITE) FAILED TO | | STAY CLOSED. POWER TO THE 6.9-KV "2D" UNIT BOARD WAS LOST DEENERGIZING THE | | "2B-B" 6.9-KV SHUTDOWN BOARD. THIS GENERATED A LOAD SHED, A BLACKOUT | | SIGNAL, AND STARTED ALL FOUR SITE EDGs. THE "2B-B" EDG REENERGIZED THE | | "2B-B" SHUTDOWN BOARD. ALL ESF EQUIPMENT ACTUATED AS DESIGNED WITH NO | | PLANT TRANSIENTS. THE BREAKER FAILURE MAY HAVE BEEN CAUSED BY IMPROPER | | MAINTENANCE. THE LICENSEE INFORMED THE NRC RESIDENT INSPECTOR. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 30448 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: BRUNSWICK REGION: 2 |NOTIFICATION DATE: 05/09/96 | |UNIT: [1] [ ] [ ] STATE: NC |NOTIFICATION TIME: 23:51 [ET]| |RX TYPE: [1] GE-4,[2] GE-4 |EVENT DATE: 05/09/96 | +------------------------------------------------+EVENT TIME: 20:33[EDT]| |NRC NOTIFIED BY: FERLAND |LAST UPDATE DATE: 05/09/96 | |HQ OPS OFFICER: JOHN MacKINNON +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |JACK CRLENJAK 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 Y 100 POWER OPERATION | 100 POWER OPERATION | | | | | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | HIGH PRESSURE COOLANT INJECTION (HPCI) DECLARED INOPERABLE | | | | WHILE STROKE TIME TESTING OF THE HPCI SYSTEM ISOALTION VALVES, A SMALL | | STEAM LEAK DEVELOPED IN THE HPCI ROOM. THE STEAM LINE WAS ISOLATED BY THE | | CONTROL ROOM OPERATORS, AND THE LINE WAS DEPRESSURIZED TO MINIMIZE THE | | RELEASE OF THE STEAM INTO THE ROOM. EFFORTS ARE IN PROGRESS TO LOCATE THE | | SOURCE OF THE STEAM LEAK. THE LICENSEE DECLARED HPCI INOPERABLE PER | | TECHNICAL SPECIFICATION 3.5.1 (HAVE 14 DAYS TO RESTORE HPCI OR SHUTDOWN). | | ALL OTHER EMERGENCY CORE COOLING SYSTEMS ARE FULLY OPERABLE. | | | | THE NRC RESIDENT INSPECTOR WAS INFORMED OF THIS EVENT BY THE LICENSEE. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 30449 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: COOPER REGION: 4 |NOTIFICATION DATE: 05/10/96 | |UNIT: [1] [ ] [ ] STATE: NE |NOTIFICATION TIME: 00:19 [ET]| |RX TYPE: [1] GE-4 |EVENT DATE: 05/09/96 | +------------------------------------------------+EVENT TIME: 21:27[CDT]| |NRC NOTIFIED BY: HITZEL |LAST UPDATE DATE: 05/10/96 | |HQ OPS OFFICER: JOHN MacKINNON +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |GARY SANBORN 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 +------------------------------------------------------------------------------+ | DURING A SCHEDULED SURVEILLANCE TEST OF REACTOR CORE ISOLATION COOLING | | SYSTEM, A GROUP V (RCIC SYSTEM) ONE HALF ISOLATION SIGNAL WAS RECEIVED. | | | | DURING PERFORMANCE OF A SCHEDULED SURVEILLANCE [PSP6.2, RCIC STEAM LINE | | SPACE TEMPERATURE SWITCH FUNCTIONAL (DIVISION 2)], RCIC-MO-15 (RCIC INBOARD | | STEAM ISOLATION VALVE) WAS CLOSED DUE TO A SIGNAL THAT WAS GENERATED FROM | | AN INADVERTENT OPERATION OF RCIC-REL-(13A-K31). THIS RELAY CAUSED A | | CHANNEL "B" GROUP V ISOLATION WHICH PROVIDED A SIGNAL TO CLOSE RCIC-MO-15. | | THE INADVERTENT OPERATION WAS DUE TO REPLACEMENT OF THE RELAY COVER AFTER | | MONITORING THE OPERATION OF THE RELAY DURING THE SURVEILLANCE. | | THE ONE HALF GROUP V ISOLATION SIGNAL WAS RESET AND RCIC-MO-15 WAS | | RE-OPENED WITHIN APPROXIMATELY 2-1/2 MINUTES. | | | | THE NRC RESIDENT INSPECTOR WAS INFORMED BY THE LICENSEE OF THIS EVENT. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 30450 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: QUAD CITIES REGION: 3 |NOTIFICATION DATE: 05/10/96 | |UNIT: [1] [2] [ ] STATE: IL |NOTIFICATION TIME: 04:09 [ET]| |RX TYPE: [1] GE-3,[2] GE-3 |EVENT DATE: 05/10/96 | +------------------------------------------------+EVENT TIME: 02:32[CDT]| |NRC NOTIFIED BY: B WILLIAMS |LAST UPDATE DATE: 05/10/96 | |HQ OPS OFFICER: JOHN MacKINNON +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: ALERT +-----------------------------+ |10 CFR SECTION: |JIM CREED RDO | |AAEC 50.72(a)(1)(i) EMERGENCY DECLARED |BRIAN SHERON EO | | |AUSTIN FEMA | | |RICH BARRETT AEOD | | |BILL BEACH (REG 3) NRC | | |BILL AXELSON (REG 3) NRC | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ | 1 | N N 0 COLD SHUTDOWN | 0 COLD SHUTDOWN | | 2 | N Y 100 POWER OPERATION | 100 POWER OPERATION | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | ALERT DECLARED DUE TO POTENTIAL DAMAGE TO PLANT BY TORNADO. | | | | THE LICENSEE BELIEVES THAT THE PLANT WAS STRUCK BY A TORNADO. THE LICENSEE | | SAID THAT 80% OF THE EAST SIDE OUTSIDE REFUEL FLOOR PANELS WERE DAMAGED AND | | THAT THE STATION NITROGEN TANK WAS DAMAGED. AT THE PRESENT TIME, THE | | LICENSEE DOES KNOW OF ANYBODY BEING INJURED BY THE TORNADO. OFFSITE POWER | | SUPPLIES AND ONSITE EMERGENCY POWER SUPPLIES (EDGs) ARE FULLY OPERABLE. | | UNIT 2 IS SHUTTING DOWN AT THE PRESENT TIME, AND ALL THE EMERGENCY CORE | | COOLING SYSTEMS ARE FULLY OPERABLE IF NEEDED. UNIT 2 SHOULD BE SHUTDOWN BY | | 0900 CDT. | | | | THE LICENSEE NOTIFIED STATE AND LOCAL OFFICIALS OF THIS EVENT. THE NRC | | RESIDENT INSPECTOR WAS INFORMED BY THE LICENSEE OF THIS EVENT AND IS AT THE | | SITE. | | | | THE FOLLOWING INDIVIDUALS HAVE BEEN NOTIFIED BY THE NRC OPERATIONS CENTER: | | BRENT CLAYTON (REG 3), FRANK CONGEL (AEOD), Dr. ROSS (AEOD), JOE HIMES | | (RCT), BILL BEECHER (PAO), DOE (KEVIN MOORE), EPA (MRS MOORE), USDA | | (BICKERTON), AND HHS (JIM RABB). | +------------------------------------------------------------------------------+