U.S. Nuclear Regulatory Commission Operations Center Event Reports For 04/17/96 - 04/18/96 ** EVENT NUMBERS ** 30129 30299 30300 30301 30302 30303 30304 30305 30306 !!!!!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED !!!!!!! +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 30129 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: DAVIS BESSE REGION: 3 |NOTIFICATION DATE: 03/18/96 | |UNIT: [1] [ ] [ ] STATE: OH |NOTIFICATION TIME: 20:38 [ET]| |RX TYPE: [1] B&W-R-LP |EVENT DATE: 03/18/96 | +------------------------------------------------+EVENT TIME: 17:00[EST]| |NRC NOTIFIED BY: IMLAY |LAST UPDATE DATE: 04/17/96 | |HQ OPS OFFICER: CHAUNCEY GOULD +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |JOHN JACOBSON 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 95 POWER OPERATION | 95 POWER OPERATION | | | | | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | THE LICENSEE DISCOVERED A SCAFFOLD ERECTED IN THE PLANT WAS BLOCKING 3 OF | | THE 6 BLOWOUT PANELS FOR THE #4 MECHANICAL PENETRATION ROOM. | | | | THE SCAFFOLD WAS APPROXIMATELY 12" FROM THE BLOWOUT PANELS. PRELIMINARY | | EVALUATION OF THE CONDITION REVEALED THE MAXIMUM PRESSURE REACHED IN THE | | AUXILIARY BUILDING NEGATIVE PRESSURE AREAS AND CONTAINMENT ANNULUS WOULD | | EXCEED THE ASME CODE LIMIT FOR CONTAINMENT EXTERNAL PRESSURE, HOWEVER, THE | | PRESSURE REACHED WOULD BE LESS THAN THE FAILURE POINT OF UPDATED SAFETY | | ANALYSIS REPORT SECTION 3.6. FURTHERMORE, THE MAXIMUM PRESSURE REACHED IS | | LESS THAN THE STRUCTURAL LIMIT OF ROOM 314(# 4 MECHANICAL PENETRATION ROOM | | (MPR)). THE LICENSEE IS MAKING PLANS TO REMOVE THE SCAFFOLD. THE RI WILL BE | | INFORMED. | | | | * * * UPDATE AT 1552 ON 4/17/96 BY ANTRASSIAN TAKEN BY WEAVER * * * | | DURING THE PREPARATION OF THE LER, THE EVALUATION PERFORMED BY NUCLEAR | | ENGINEERING WAS RE-EVALUATED WITH RESPECT TO BOTH THE ASME CODE ALLOWABLE | | LOADING AND THE DESIGN BASIS STRUCTURAL CAPACITY. THE EVALUATION | | IDENTIFIES THAT WITH 3 PARTIALLY BLOCKED BLOW OUT PANELS, A MAIN FEEDWATER | | LINE BREAK (MFWLB) IN MPR #4 WOULD RESULT IN A MAXIMUM PRESSURE OF 6.1 PSIG | | IN MPR #4 AND 1.03 PSIG ON THE CONTAINMENT VESSEL. THE VALUE FOR THE | | CONTAINMENT VESSEL IS GREATER THAN THE ASME CODE ALLOWABLE IDENTIFIED IN | | USAR SECTION 3.8.2.1.4.D. HOWEVER, IT HAS BEEN CONCLUDED THAT THIS IN AND | | OF ITSELF DOES NOT CONSTITUTE A REPORTABLE CONDITION. THE VALUES FOR BOTH | | MPR #4 AND THE CONTAINMENT VESSEL ARE CONSERVATIVE WITH RESPECT TO THE | | DESIGN BASIS STRUCTURAL CAPACITIES IDENTIFIED IN USAR TABLE 3.6-6. | | | | BASED ON THIS INFORMATION, THE LICENSEE HAS CONCLUDED THAT THIS EVENT IS | | NOT REPORTABLE. | | | | THE LICENSEE INFORMED THE NRC RESIDENT INSPECTOR. THE HOO INFORMED THE | | R3DO (CLAYTON). | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 30299 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: ZION REGION: 3 |NOTIFICATION DATE: 04/17/96 | |UNIT: [1] [ ] [ ] STATE: IL |NOTIFICATION TIME: 03:40 [ET]| |RX TYPE: [1] W-4-LP,[2] W-4-LP |EVENT DATE: 04/17/96 | +------------------------------------------------+EVENT TIME: 02:07[CDT]| |NRC NOTIFIED BY: DAVE SCHUELLER |LAST UPDATE DATE: 04/17/96 | |HQ OPS OFFICER: RUDY KARSCH +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |BRENT CLAYTON RDO | |ARPS 50.72(b)(2)(ii) RPS ACTUATION | | | | | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ | 1 | A/R Y 100 POWER OPERATION | 0 HOT STANDBY | | | | | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | REACTOR TRIP, CAUSE UNKNOWN | | | | THE REACTOR TRIPPED WITH A FIRST OUT ANNUNCIATOR INDICATION OF LOW FLOW IN | | ONE LOOP/COOLANT PUMP BREAKER OPEN; HOWEVER, NO LOW FLOW EXISTED. ALL | | REACTOR COOLANT PUMPS WERE RUNNING AFTER THE TRIP. ALL CONTROL RODS | | INSERTED FULLY AFTER THE TRIP, AND PLANT RESPONSE WAS NORMAL. THE LICENSEE | | IS INVESTIGATING THE CAUSE OF THE REACTOR TRIP. THE LICENSEE INFORMED THE | | NRC RESIDENT INSPECTOR. | | | | * * * UPDATE AT 0525 EDT FROM SCHUELLER TAKEN BY KARSCH * * * | | | | EXAMINATION OF COMPUTER RECORDS DETERMINED THAT THE REACTOR TRIP OCCURRED | | AT 0206 CDT CAUSED BY LOW FLOW IN LOOP "C" ON TWO OF THREE LOOP FLOW | | INSTRUMENTS (CHANNELS 424 AND 425). | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 30300 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: GINNA REGION: 1 |NOTIFICATION DATE: 04/17/96 | |UNIT: [1] [ ] [ ] STATE: NY |NOTIFICATION TIME: 14:15 [ET]| |RX TYPE: [1] W-2-LP |EVENT DATE: 04/16/96 | +------------------------------------------------+EVENT TIME: 23:00[EDT]| |NRC NOTIFIED BY: WIDAY |LAST UPDATE DATE: 04/17/96 | |HQ OPS OFFICER: DOUG WEAVER +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |JOHN WHITE RDO | |HFIT 26.73 FITNESS FOR DUTY | | | | | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ | 1 | N N 0 REFUELING | 0 REFUELING | | | | | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | A NON-LICENSED EMPLOYEE WAS DETERMINED TO BE UNDER THE INFLUENCE ALCOHOL | | DURING A FOR CAUSE TEST. THE EMPLOYEE'S ACCESS TO THE PLANT HAS BEEN | | SUSPENDED. SEE THE HOO LOG FOR DETAILS. | | | | THE LICENSEE WILL INFORM THE NRC RESIDENT INSPECTOR. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 30301 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: BYRON REGION: 3 |NOTIFICATION DATE: 04/17/96 | |UNIT: [1] [ ] [ ] STATE: IL |NOTIFICATION TIME: 16:27 [ET]| |RX TYPE: [1] W-4-LP,[2] W-4-LP |EVENT DATE: 04/17/96 | +------------------------------------------------+EVENT TIME: 14:30[CDT]| |NRC NOTIFIED BY: MATTHEW ROBERT |LAST UPDATE DATE: 04/17/96 | |HQ OPS OFFICER: DOUG WEAVER +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |BRENT CLAYTON RDO | |ADAS 50.72(b)(2)(i) DEG/UNANALYZED COND | | | | | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ | 1 | N N 0 REFUELING | 0 REFUELING | | | | | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | GREATER THAN 1% OF TUBES IN THE 1B STEAM GENERATOR ARE DEFECTIVE | | | | WHILE INSPECTING 100% OF THE TUBES OF THE UNIT 1 STEAM GENERATORS AT THE | | HOT LEG TOP OF TUBE SHEET REGION, COMED DETERMINED THAT MORE THAN 1% OF THE | | INSPECTED TUBES WERE FOUND TO BE DEFECTIVE IN THAT THEY CONTAINED CONFIRMED | | INDICATIONS OF CIRCUMFERENTIAL AND OR AXIAL CRACKING. THE ACTUAL NUMBER OF | | TUBES FOUND TO BE DEFECTIVE IS APPROXIMATELY 20% OF THE TUBES IN THE 1B | | STEAM GENERATOR. | | | | THE ACCEPTANCE CRITERIA SPECIFIED IN TECH SPECS REQUIRE A TUBE TO BE | | PLUGGED OR REPAIRED IF AN IMPERFECTION IS GREATER THAN OR EQUAL TO 40 | | PERCENT THROUGH-WALL OR EXCEEDS 3 VOLTS BOBBIN VOLTAGE. CONFIRMED | | INDICATIONS OF CIRCUMFERENTIAL AND OR AXIAL CRACKING AT THE TOP OF THE TUBE | | ARE ALSO CLASSIFIED AS DEFECTIVE AND ARE REPAIRED ACCORDINGLY. THESE | | INSPECTION RESULTS CORRESPOND TO A C-3 CLASSIFICATION FOR THE 1B STEAM | | GENERATOR, REQUIRING NRC NOTIFICATION. | | | | COMED WILL COMPLETE THE REMAINING TOP OF TUBESHEET AND BOBBIN COIL | | INSPECTIONS ON ALL STEAM GENERATORS. ALL DEFECTIVE TUBES WILL BE PLUGGED | | OR REPAIRED. | | | | THE LICENSEE INFORMED THE NRC RESIDENT INSPECTOR. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |HOSPITAL | |EVENT NUMBER: 30302 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |LICENSEE: UNIVERSITY COMMUNITY HOSPITAL |NOTIFICATION DATE: 04/17/96 | | CITY: TAMPA REGION: 2 |NOTIFICATION TIME: 16:30 [ET]| | COUNTY: HILLSBOROUGH STATE: FL |EVENT DATE: 04/17/96 | |LICENSE#: AGREEMENT: Y |EVENT TIME: 12:00[EDT]| | DOCKET: |LAST UPDATE DATE: 04/17/96 | | +-----------------------------+ | |PERSON ORGANIZATION| | |CHARLES CASTO RDO | | | | +------------------------------------------------+ | |NRC NOTIFIED BY: JERRY EAKINS | | |HQ OPS OFFICER: DOUG WEAVER | | +------------------------------------------------+ | |EMERGENCY CLASS: NOT APPLICABLE | | |10 CFR SECTION: | | |NAGR AGREEMENT STATE | | | | | | | | | | | | | | +------------------------------------------------+-----------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | UNIVERSITY COMMUNITY HOSPITAL | | | | THIS EVENT WAS REPORTED BY THE STATE OF FLORIDA (AN AGREEMENT STATE). | | | | UNIVERSITY COMMUNITY HOSPITAL, 3100 E. FLETCHER AVE., TAMPA, FL, RECEIVED | | A SHIPMENT OF PALLADIUM-103 SEEDS (10 æCi EACH) FROM THERAGENICS LOCATED IN | | NORCROSS, GA. | | | | THE RECEIPT INSPECTION OF THE PACKAGE REVEALED AN ON CONTACT READING OF 20 | | mR/HR. NO REMOVABLE CONTAMINATION WAS DETECTED. THE VIALS WERE NOT | | DAMAGED AND ALL OF THE SEEDS WERE ACCOUNTED FOR. THE HOSPITAL ALSO NOTED | | THAT ONE OF THE SHIELDS INSIDE THE PACKAGE WAS OPEN. THE YELLOW TAPE | | USUALLY USED TO HOLD THE SHIELDS CLOSED WAS MISSING. THE HOSPITAL THINKS | | THE PACKAGE MAY HAVE BEEN TAMPERED WITH. | | | | CONTACT PHONE NUMBERS FOR THE HOSPITAL AND THE STATE OF FLORIDA ARE | | AVAILABLE IN THE HOO LOG. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 30303 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: CRYSTAL RIVER REGION: 2 |NOTIFICATION DATE: 04/17/96 | |UNIT: [3] [ ] [ ] STATE: FL |NOTIFICATION TIME: 17:30 [ET]| |RX TYPE: [3] B&W-L-LP |EVENT DATE: 04/17/96 | +------------------------------------------------+EVENT TIME: 16:00[EDT]| |NRC NOTIFIED BY: BILL BANDHAUER |LAST UPDATE DATE: 04/17/96 | |HQ OPS OFFICER: DOUG WEAVER +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |CHARLES CASTO RDO | |AMED 50.72(b)(2)(v) OFFSITE MEDICAL | | | | | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ | 3 | N N 0 COLD SHUTDOWN | 0 COLD SHUTDOWN | | | | | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | POTENTIALLY CONTAMINATED INJURED WORKER TRANSPORTED OFFSITE | | | | ON 4/12/96 AT 1600 A WORKER INJURED IN A FALL WAS TRANSPORTED TO A LOCAL | | HOSPITAL FOR TREATMENT. THE ACCIDENT OCCURRED IN THE REACTOR BUILDING. | | THIS REPORT IS BEING MADE AFTER THE LICENSEE REVIEWED NUREG-1022 AND | | DECIDED THAT THE EVENT SHOULD HAVE BEEN REPORTED ON 4/12. | | | | THE WORKER WAS NOT CONTAMINATED, HOWEVER HER COVERALLS CONTAINED FIXED | | CONTAMINATION AT A LEVEL OF 1000 DPM/100 cmý. | | | | THE LICENSEE WILL INFORM THE NRC RESIDENT INSPECTOR. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 30304 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: FERMI REGION: 3 |NOTIFICATION DATE: 04/17/96 | |UNIT: [2] [ ] [ ] STATE: MI |NOTIFICATION TIME: 19:30 [ET]| |RX TYPE: [2] GE-4 |EVENT DATE: 04/17/96 | +------------------------------------------------+EVENT TIME: 11:05[EDT]| |NRC NOTIFIED BY: PAUL KIEL |LAST UPDATE DATE: 04/17/96 | |HQ OPS OFFICER: DOUG WEAVER +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |BRENT CLAYTON RDO | |HFIT 26.73 FITNESS FOR DUTY | | | | | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ | 2 | N N 0 COLD SHUTDOWN | 0 COLD SHUTDOWN | | | | | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | A GENERAL SUPERVISOR TESTED POSITIVE FOR ALCOHOL DURING RANDOM TESTING. | | HIS SITE ACCESS HAS BEEN SUSPENDED. SEE THE HOO LOG FOR DETAILS. THE | | LICENSEE INFORMED THE NRC RESIDENT INSPECTOR. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 30305 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: ZION REGION: 3 |NOTIFICATION DATE: 04/17/96 | |UNIT: [1] [2] [ ] STATE: IL |NOTIFICATION TIME: 19:49 [ET]| |RX TYPE: [1] W-4-LP,[2] W-4-LP |EVENT DATE: 04/17/96 | +------------------------------------------------+EVENT TIME: 18:40[CDT]| |NRC NOTIFIED BY: JERRY COX |LAST UPDATE DATE: 04/17/96 | |HQ OPS OFFICER: DOUG WEAVER +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |BRENT CLAYTON RDO | |ADEG 50.72(b)(1)(ii) DEGRAD COND DURING OP | | |NLCO TECH SPEC LCO A/S | | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ | 1 | N N 0 HOT STANDBY | 0 HOT STANDBY | | 2 | N Y 100 POWER OPERATION | 100 POWER OPERATION | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | UNABLE TO MAINTAIN REQUIRED CONTROL ROOM DIFFERENTIAL PRESSURE UNDER ALL | | REQUIRED CONDITIONS | | | | IN THE ACCIDENT MODE WITH THE MAIN CONTROL ROOM VENTILATION SYSTEM IN THE | | RECIRC MODE AND ALL SUPPLY FANS SECURED, THE REQUIRED .15" OF WATER | | PRESSURE DIFFERENTIAL CANNOT BE MAINTAINED. THIS IS AN FSAR REQUIREMENT. | | IT WAS EXPECTED THAT THE DIFFERENTIAL PRESSURE COULD BE MAINTAINED BY THE | | SUCTION FANS OUTSIDE OF THE CONTROL ROOM. THE LICENSEE DISCOVERED THIS | | CONDITION TWO DAYS AGO AND ENTERED A 7 DAY LCO AT THAT TIME. THE | | ENGINEERING EVALUATION WHICH GENERATED THIS REPORT WAS COMPLETED AT 1840 | | CST TODAY. | | | | THE LICENSEE INFORMED THE NRC RESIDENT INSPECTOR. | | | | | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 30306 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: PEACH BOTTOM REGION: 1 |NOTIFICATION DATE: 04/17/96 | |UNIT: [2] [ ] [ ] STATE: PA |NOTIFICATION TIME: 19:56 [ET]| |RX TYPE: [2] GE-4,[3] GE-4 |EVENT DATE: 04/17/96 | +------------------------------------------------+EVENT TIME: 17:20[EDT]| |NRC NOTIFIED BY: BOB FRANSSEN |LAST UPDATE DATE: 04/17/96 | |HQ OPS OFFICER: DOUG WEAVER +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |JOHN WHITE 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 +------------------------------------------------------------------------------+ | HPCI INOPERABLE | | | | HPCI DECLARED INOPERABLE DUE TO A LEAK IN THE COOLING WATER SUPPLY LINE. | | THE LEAK IS IN A WELD AT A RELIEF VALVE IN THE LINE TO THE LUBE OIL COOLER. | | THE PLANT IS IN A 14 DAY LCO. REPAIRS ARE EXPECTED TO BE COMPLETED WITHIN | | 24 HOURS. RCIC IS OPERABLE ALONG WITH ALL OTHER MAJOR SAFETY RELATED | | EQUIPMENT. | | | | THE LICENSEE INFORMED THE NRC RESIDENT INSPECTOR. | +------------------------------------------------------------------------------+