U.S. Nuclear Regulatory Commission Operations Center Event Reports For 03/12/96 - 03/13/96 ** EVENT NUMBERS ** 30097 30098 30099 30100 30101 +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 30097 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: GRAND GULF REGION: 4 |NOTIFICATION DATE: 03/12/96 | |UNIT: [1] [ ] [ ] STATE: MS |NOTIFICATION TIME: 09:40 [ET]| |RX TYPE: [1] GE-6 |EVENT DATE: 03/12/96 | +------------------------------------------------+EVENT TIME: 08:39[CST]| |NRC NOTIFIED BY: GEORGE MCMILLAN |LAST UPDATE DATE: 03/12/96 | |HQ OPS OFFICER: RUDY KARSCH +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |WILLIAM JOHNSON RDO | |AENS 50.72(b)(1)(v) ENS INOPERABLE | | | | | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |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 +------------------------------------------------------------------------------+ | EMERGENCY NOTIFICATION PHONE SYSTEM FOR LOCAL AGENCY NOTIFICATION IS OUT OF | | SERVICE FOR 12 HOURS FOR SCHEDULED MAINTENANCE. EMERGENCY SIRENS ARE NOT | | AFFECTED. THE LICENSEE INFORMED THE NRC RESIDENT INSPECTOR. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 30098 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: INDIAN POINT REGION: 1 |NOTIFICATION DATE: 03/12/96 | |UNIT: [2] [ ] [ ] STATE: NY |NOTIFICATION TIME: 10:04 [ET]| |RX TYPE: [2] W-4-LP,[3] W-4-LP |EVENT DATE: 03/12/96 | +------------------------------------------------+EVENT TIME: 09:30[EST]| |NRC NOTIFIED BY: JOHN MANSELL |LAST UPDATE DATE: 03/12/96 | |HQ OPS OFFICER: RUDY KARSCH +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |RICHARD BARKLEY RDO | |APRE 50.72(b)(2)(vi) OFFSITE NOTIFICATION | | | | | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |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 CHEMICAL SPILL WAS REPORTED BY THE LICENSEE TO THE DOT NATIONAL RESPONSE | | CENTER AND TO THE NEW YORK DIVISION OF ENVIRONMENTAL PROTECTION UNDER | | 10CFR355.40. THE WASTE NEUTRALIZATION TANK WHICH RECEIVES BACK WASH FROM | | THE LICENSEE'S WATER TREATMENT PLANT DEVELOPED A LEAK IN ITS DISCHARGE | | LINE. 7344 GALLONS OF ACIDIC WATER, pH 1.6, LEAKED INTO A CONTAINMENT MOAT | | SURROUNDING THE TANK. NO EFFLUENT LEAKED FROM THE MOAT. THE LEAK HAS BEEN | | ISOLATED AND WATER IS BEING PUMPED BACK INTO THE TANK. THE LICENSEE | | INFORMED THE NRC RESIDENT INSPECTOR. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 30099 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: INDIAN POINT REGION: 1 |NOTIFICATION DATE: 03/12/96 | |UNIT: [2] [ ] [ ] STATE: NY |NOTIFICATION TIME: 12:29 [ET]| |RX TYPE: [2] W-4-LP,[3] W-4-LP |EVENT DATE: 03/12/96 | +------------------------------------------------+EVENT TIME: 12:22[EST]| |NRC NOTIFIED BY: JOHN MANSELL |LAST UPDATE DATE: 03/12/96 | |HQ OPS OFFICER: JOHN MacKINNON +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |RICHARD BARKLEY RDO | |AOUT 50.72(b)(1)(ii)(B) OUTSIDE DESIGN BASIS | | | | | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |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 MEMBRANE OVER AN EXPANSION JOINT BETWEEN UNIT 1 CENTRAL CONTROL ROOM | | (CCR) ROOF AND UNIT 2 CCR ROOF HAD BEEN REMOVED AND TEMPORARILY COVERED | | WITH MEMBRANE ROOFING MATERIAL WHICH HAD A SMALL OPENING BETWEEN THE | | OVERLAPPING ROOFS. THIS CONDITION EXISTED FOR 4 HOURS. DURING THIS TIME | | PERIOD THE PLANT WAS OUTSIDE OF ITS DESIGN BASIS. | | | | "ON 02/07/96, DURING AN EVALUATION OF WORK THAT WAS BEING PERFORMED ON THE | | ROOF OF THE CCP, A CONDITION WAS IDENTIFIED WHICH MAY HAVE BEEN BEYOND THE | | DESIGN BASIS OF THE PLANT. THIS CONDITION EXISTED FOR ABOUT 4 HOURS ON, OR | | ABOUT, 12/06/95. | | | | "A MEMBRANE OVER AN EXPANSION JOINT BETWEEN THE UNIT 1 CCR AND UNIT 2 CCR | | ROOF HAD BEEN REMOVED AND TEMPORARILY COVERED WITH MEMBRANE ROOFING | | MATERIAL. DRAWINGS OF THE CONTROL BUILDING WHICH HOUSES THE CCR, INDICATED | | A SMALL OPENING BETWEEN THE OVERLAPPING ROOFS WHERE POTENTIAL IN LEAKAGE TO | | THE CCR GREATER THAN THAT ASSUMED IN DESIGN BASIS ANALYSIS COULD OCCUR IF | | THE MEMBRANE WERE REMOVED. AN IMMEDIATE INSPECTION OF A SMALL PORTION OF | | THIS OVERLAPPING INTERFACE WAS CONDUCTED. THIS INSPECTION APPEARED TO | | INDICATE THAT THIS OVERLAPPING INTERFACE WAS PLUGGED. SEVERAL CORRECTIVE | | ACTIONS WERE IMPLEMENTED TO EXPEDITE THE INSTALLATION OF THE PERMANENT | | MEMBRANE AND INVESTIGATE THE ACTUAL CONDITION THE OVERLAPPING INTERFACE | | BETWEEN THE TWO ROOFS. THESE CORRECTIVE ACTIONS WERE COMPLETED DURING THE | | 02/96 OUTAGE. HOWEVER, THERE IS NOT ENOUGH INFORMATION TO CONCLUSIVELY | | DETERMINE IF THE CONDITION WHICH EXISTED ON 12/06/95 WAS WITHIN THE DESIGN | | BASIS OF THE PLANT. THEREFORE, THIS CONDITION IS BEING REPORTED." | | | | RESIDENT INSPECTOR WILL BE INFORMED BY THE LICENSEE. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |HOSPITAL | |EVENT NUMBER: 30100 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |LICENSEE: MACCOMB HOSPITAL |NOTIFICATION DATE: 03/12/96 | | CITY: WARREN REGION: 3 |NOTIFICATION TIME: 15:55 [ET]| | COUNTY: MACCOMB STATE: MI |EVENT DATE: 03/11/96 | |LICENSE#: 21-01190-05 AGREEMENT: N |EVENT TIME: 15:05[EST]| | DOCKET: |LAST UPDATE DATE: 03/12/96 | | +-----------------------------+ | |PERSON ORGANIZATION| | |WAYNE KROPP RDO | | | | +------------------------------------------------+ | |NRC NOTIFIED BY: ARTHUR EWALD | | |HQ OPS OFFICER: JOHN MacKINNON | | +------------------------------------------------+ | |EMERGENCY CLASS: NOT APPLICABLE | | |10 CFR SECTION: | | |LADM 35.33(a) MED MISADMINISTRATION | | | | | | | | | | | | | | +------------------------------------------------+-----------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | CESIUM SOURCE WHICH FELL OUT OF ITS BUCKET LAID BETWEEN THE LEGS OF A | | PATIENT FOR ABOUT 80 MINUTES BEFORE IT WAS DISCOVERED AND REMOVED. | | | | RADIATION SAFETY OFFICER (RSO) FOR MACCOMB HOSPITAL LOCATED IN WARREN, | | MICHIGAN REPORTED THE FOLLOWING EVENT. | | | | ON 03/11/96 A CESIUM SOURCE FROM THE OVOID FELL OUT OF ITS BUCKET DURING | | INSERTION. THE CESIUM APPLICATOR HAD 5 SOURCES. THE SOURCE LAID BETWEEN THE | | LEGS OF THE PATIENT FOR 80 MINUTES BEFORE IT WAS DISCOVERED BY A NURSE. THE | | SOURCE WAS REMOVED FROM THE BED AND THEN PLACED IN A PIG. THEN THE SOURCE | | WAS REINSERTED BACK INTO THE BUCKET. THE PATIENT'S CALCULATED DOSE TO THE | | MID DEPTH OF HIS FEMUR FROM THE CESIUM SOURCE WAS 150mrads AND THE | | CALCULATED SURFACE SKIN DOSE FROM THE CESIUM SOURCE TO HIS INNER THIGHS WAS | | 5.487rads. | | THE PATIENTS HEALTH WAS NOT AFFECTED BY THE CESIUM SOURCE LAYING BETWEEN | | THE PATIENT LEGS FOR 80 MINUTES. RSO SAID THAT HE HAD INFORMED TOM YOUNG OF | | REGION 3 OF THIS EVENT. | | ONE OF THESE CESIUM SOURCES IS EQUIVALENT TO 13.938mg OF RADIUM. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 30101 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: MILLSTONE REGION: 1 |NOTIFICATION DATE: 03/13/96 | |UNIT: [1] [ ] [ ] STATE: CT |NOTIFICATION TIME: 01:54 [ET]| |RX TYPE: [1] GE-3,[2] CE,[3] W-4-LP |EVENT DATE: 03/13/96 | +------------------------------------------------+EVENT TIME: 00:41[EST]| |NRC NOTIFIED BY: WILLIAM SPAHN |LAST UPDATE DATE: 03/13/96 | |HQ OPS OFFICER: DOUG WEAVER +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |RICHARD BARKLEY RDO | |DSAF 73.71(b)(1) SECURITY DEGRADATION | | | | | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ | 1 | N N 0 REFUELING | 0 REFUELING | | | | | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | SAFEGUARD SYSTEM DEGRADATION RELATED TO THE POWER SUPPLY FUNCTION. | | IMMEDIATE COMPENSATORY ACTIONS TAKEN. THE LICENSEE NOTIFIED THE NRC | | INSPECTOR. SEE HOO LOG FOR DETAILS. | | | | * * * UPDATE AT 0403 BY SPAHN TAKEN BY WEAVER * * * | | THE POWER SUPPLY FUNCTION HAS BEEN RESTORED. | +------------------------------------------------------------------------------+