U.S. Nuclear Regulatory Commission Operations Center Event Reports For 12/19/96 - 12/20/96 ** EVENT NUMBERS ** 31357 31361 31414 31463 31464 31480 31481 31482 31483 31484 31485 31486 +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 31357 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: SALEM REGION: 1 |NOTIFICATION DATE: 11/19/96 | |UNIT: [1] [2] [ ] STATE: NJ |NOTIFICATION TIME: 19:36 [ET]| |RX TYPE: [1] W-4-LP,[2] W-4-LP |EVENT DATE: 11/19/96 | +------------------------------------------------+EVENT TIME: 17:36[EST]| |NRC NOTIFIED BY: LAWRENCE CURRAN |LAST UPDATE DATE: 12/19/96 | |HQ OPS OFFICER: RUDY KARSCH +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |RICHARD BARKLEY 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 N 0 REFUELING | 0 REFUELING | | 2 | N N 0 REFUELING | 0 REFUELING | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | SERVICE WATER STRAINERS COULD FAIL UNDER ACCIDENT CONDITIONS DUE TO HIGH | | PUMP FLOWS. | | | | DURING A REVIEW OF THE "25" SERVICE WATER STRAINER PERFORMANCE WITH THE | | VENDOR, THE LICENSEE DETERMINED THAT THE DESIGN FLOW RATE OF THE STRAINER | | WOULD BE EXCEEDED DURING CERTAIN DESIGN BASIS EVENTS. THE RATING OF THE | | SERVICE WATER STRAINERS IS APPROXIMATELY 8,350 GPM, BUT THE PUMP FLOW RATE | | UNDER DESIGN BASIS CONDITIONS IS APPROXIMATELY 11,000 GPM. THE HIGH FLOW | | IS CAUSING THE STRAINER MOTORS TO TRIP ON THERMAL OVERLOAD DURING NORMAL | | OPERATION. THESE CONDITIONS AFFECT BOTH UNITS TO VARYING DEGREES. THE | | LICENSEE IS CONTINUING TO INVESTIGATE THIS PROBLEM. SINCE BOTH UNITS ARE | | CURRENTLY DEFUELED, THIS EQUIPMENT IS NOT REQUIRED TO MITIGATE DESIGN BASIS | | ACCIDENTS. THE LICENSEE WILL INFORM THE NRC RESIDENT INSPECTOR AND HAS | | INFORMED LOWER ALLOWAYS TOWNSHIP. | | | | * * * UPDATE AT 1635 EST ON 12/19/96 FROM CURRAN TAKEN BY KARSCH * * * | | THE LICENSEE WILL UPGRADE THE SIZE OF THE FILTER MEDIA FROM 1/32 INCH TO | | 1/16 INCH. THIS WILL PREVENT TOO FREQUENT FILTER BACKWASH CYCLING POSSIBLY | | RESULTING IN MORE THAN ONE FILTER BEING OUT OF SERVICE IN THE BACKWASH MODE | | AT THE SAME TIME. THE LICENSEE INFORMED THE NRC RESIDENT INSPECTOR. R1DO | | (RON BELLAMY) INFORMED. | +------------------------------------------------------------------------------+ !!!!!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED !!!!!!! +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 31361 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: SALEM REGION: 1 |NOTIFICATION DATE: 11/20/96 | |UNIT: [1] [2] [ ] STATE: NJ |NOTIFICATION TIME: 17:45 [ET]| |RX TYPE: [1] W-4-LP,[2] W-4-LP |EVENT DATE: 11/20/96 | +------------------------------------------------+EVENT TIME: 16:45[EST]| |NRC NOTIFIED BY: LAWRENCE CURRAN |LAST UPDATE DATE: 12/19/96 | |HQ OPS OFFICER: RUDY KARSCH +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |WILLIAM RULAND 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 N 0 REFUELING | 0 REFUELING | | 2 | N N 0 REFUELING | 0 REFUELING | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | EMERGENCY DIESEL GENERATOR (EDG) COOLING WATER CHECK VALVES ARE SUBJECT TO | | A FAILURE MODE WHICH COULD RENDER ALL EDGs INOPERABLE. | | | | THE COOLING WATER SUPPLY CHECK VALVES HAVE TYPE-316 AUSTENITIC STAINLESS | | STEEL COMPONENTS WHICH ARE SUSCEPTIBLE TO CREVICE CORROSION IN A STAGNANT | | OXYGEN-DEPLETED ENVIRONMENT. INVESTIGATION OF A LEAKING VALVE REVEALED | | EXTENSIVE CORROSION OF THE HINGE PIN. THE LICENSEE IS REVIEWING OTHER | | VALVES TO DETERMINE IF THE SAME CONDITION COULD EXIST. SUSCEPTIBLE | | MATERIALS WILL BE REPLACED PRIOR TO MODE CHANGE. | | | | THE LICENSEE WILL INFORM THE NRC RESIDENT INSPECTOR AND HAS INFORMED LOWER | | ALLOWAYS CREEK TOWNSHIP. | | | | * * * UPDATE AT 1635 EST ON 12/19/96 FROM CURRAN TAKEN BY KARSCH * * * | | THE LICENSEE IS RETRACTING THIS EVENT FOR THE FOLLOWING REASONS: INSPECTION | | OF TEN OF EIGHTEEN OTHER VALVES DID NOT TURN UP ANY ACCELERATED CORROSION, | | SO THIS MAY BE AN ISOLATED CASE. THE LICENSEE DETERMINED THAT THE CORRODED | | PIN WOULD NOT HAVE FAILED DURING THE 18-MONTH CYCLE. ROUTINE INSERVICE | | VALVE INSPECTIONS WOULD HAVE CAUGHT THE CORROSION PROBLEM. | | | | THE LICENSEE WILL REPLACE THE CORRODED HINGE PINS WITH A MORE CORROSION | | RESISTANT MATERIAL. THE LICENSEE WILL INFORM THE NRC RESIDENT INSPECTOR. | | R1DO (RON BELLAMY) INFORMED. | +------------------------------------------------------------------------------+ !!!!!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED !!!!!!! +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 31414 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: LASALLE REGION: 3 |NOTIFICATION DATE: 12/06/96 | |UNIT: [1] [2] [ ] STATE: IL |NOTIFICATION TIME: 11:10 [ET]| |RX TYPE: [1] GE-5,[2] GE-5 |EVENT DATE: 12/06/96 | +------------------------------------------------+EVENT TIME: 09:10[CST]| |NRC NOTIFIED BY: GUY McCALLUM |LAST UPDATE DATE: 12/19/96 | |HQ OPS OFFICER: RUDY KARSCH +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |MONTE PHILLIPS RDO | |AARC 50.72(b)(1)(v) OTHER ASMT/COMM INOP | | | | | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |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 N 0 REFUELING | 0 REFUELING | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | THE PROCESS COMPUTER TRIPPED DUE TO HIGH ROOM TEMPERATURE. | | | | THE PROCESS COMPUTER ROOM IS COOLED BY ONE OF TWO HVAC UNITS. ONE HVAC | | UNIT WAS OUT FOR MAINTENANCE WHEN THE REMAINING UNIT TRIPPED. THIS | | RESULTED IN ELEVATED ROOM TEMPERATURES. SUBSEQUENTLY THE PROCESS COMPUTER | | TRIPPED ON HIGH ROOM AMBIENT TEMPERATURE. THE LOSS OF THE PROCESS COMPUTER | | AFFECTS THE DATA COLLECTION AND DISPLAY OF PLANT EQUIPMENT, "A-MODEL | | REPORT", SPDS DISPLAY, AND GSEP ASSESSMENT CAPABILITY FROM ALL OFFSITE | | LOCATIONS. THE LICENSEE WILL INFORM THE STATE OF ILLINOIS AND THE NRC | | RESIDENT INSPECTOR. | | | | * * * UPDATE AT 1620 EST ON 12/19/96 FROM McCALLUM TAKEN BY KARSCH * * * | | THE LICENSEE IS RETRACTING THIS EVENT. THE DURATION FOR THE LOSS OF THE | | PLANT COMPUTER WAS SO SHORT (ONE HOUR FOR THE PROCESS COMPUTER AND 75 | | MINUTES FOR THE PRIME COMPUTER) THAT NOTIFICATION WAS NOT REQUIRED. THE | | LICENSEE WILL INFORM THE NRC RESIDENT INSPECTOR. R3DO (HOLT) INFORMED. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 31463 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: SAINT LUCIE REGION: 2 |NOTIFICATION DATE: 12/17/96 | |UNIT: [1] [2] [ ] STATE: FL |NOTIFICATION TIME: 12:12 [ET]| |RX TYPE: [1] CE,[2] CE |EVENT DATE: 12/17/96 | +------------------------------------------------+EVENT TIME: 10:30[EST]| |NRC NOTIFIED BY: DAVE WILLIAMS |LAST UPDATE DATE: 12/19/96 | |HQ OPS OFFICER: DICK JOLLIFFE +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |KEN BARR RDO | |APRE 50.72(b)(2)(vi) OFFSITE NOTIFICATION | | | |BILL BEECHER PAO | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |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 +------------------------------------------------------------------------------+ | - RETIRED FPL EMPLOYEE VISITING THE PLANT SITE DIED OF A HEART ATTACK - | | | | A RETIRED FLORIDA POWER & LIGHT COMPANY EMPLOYEE VISITING THE PLANT SITE | | COLLAPSED FROM AN APPARENT HEART ATTACK. ONSITE MEDICAL PERSONNEL | | RESPONDED, PERFORMED CPR, AND REQUESTED OFFSITE ASSISTANCE. | | | | THE INDIVIDUAL WAS TRANSPORTED OFFSITE TO A LOCAL HOSPITAL FOR MEDICAL | | TREATMENT AND WAS LATER PRONOUNCED DEAD AT THE HOSPITAL. | | | | THE LICENSEE MAY ISSUE A PRESS RELEASE. | | | | THE LICENSEE NOTIFIED LOCAL OFFICIALS AND THE NRC RESIDENT INSPECTOR. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 31464 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: INDIAN POINT REGION: 1 |NOTIFICATION DATE: 12/17/96 | |UNIT: [ ] [3] [ ] STATE: NY |NOTIFICATION TIME: 16:16 [ET]| |RX TYPE: [2] W-4-LP,[3] W-4-LP |EVENT DATE: 12/17/96 | +------------------------------------------------+EVENT TIME: 14:00[EST]| |NRC NOTIFIED BY: TOM McKEE |LAST UPDATE DATE: 12/19/96 | |HQ OPS OFFICER: DICK JOLLIFFE +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |MOHAMED SHANBAKY RDO | |APRE 50.72(b)(2)(vi) OFFSITE NOTIFICATION | | |NOCM COMM ASST BRIEF | | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ | | | | | 3 | N Y 97 POWER OPERATION | 97 POWER OPERATION | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | - NONCONTAMINATED INJURED PLANT EMPLOYEE TRANSPORTED TO OFFSITE HOSPITAL - | | | | AT 1400, THE LICENSEE DISCOVERED A PLANT EMPLOYEE UNCONSCIOUS IN A SECURED | | (FENCED-IN) HIGH VOLTAGE AREA. THE INDIVIDUAL HAD ENTERED THE FENCED-IN | | AREA TO PERFORM A TRANSFORMER OIL TEST. THE LICENSEE ADMINISTERED FIRST | | AID ONSITE AND DURING TRANSPORT OF THE INJURED INDIVIDUAL TO AN OFFSITE | | HOSPITAL. THE INDIVIDUAL IS NOT CONTAMINATED AND HIS STATUS WAS UNKNOWN | | AT THE TIME OF THE CALL. THE LICENSEE IS INVESTIGATING THIS SITUATION. | | | | THE LICENSEE INFORMED THE NRC RESIDENT INSPECTOR. | | | | *** UPDATE AT 1754 ON 12/17/96, BY DAVE MOHR ENTERED BY DICK JOLLIFFE *** | | | | THE INDIVIDUAL WAS PRONOUNCED DEAD AT THE HOSPITAL AT 1715. | | | | THE LICENSEE NOTIFIED THE NEW YORK STATE DEPARTMENT OF LABOR AND THE NRC | | RESIDENT INSPECTOR AND ISSUED A PRESS RELEASE. THE HOO NOTIFIED R1DO | | (SHANBAKY). | | | | * * * AT 1900 ON 12/17/96, COMMISSIONERS ASSISTANTS BRIEFING HELD * * * | | | | PARTICIPANTS INCLUDED AEOD (JORDAN); NRR EO (CHAFFEE, MATHEWS); NMSS EO | | (COOL); STATE PROGRAMS (BANGART); CONGRESSIONAL AFFAIRS (MADDEN); EDO | | (DROUIN); COMM McGAFFIGAN (BEALL); COMM ROGERS (SORENSEN); COMM DICUS | | (LUBENAU); REGION 1 (COWGILL, BARKLEY, CRLENJAK). | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |GENERAL INFORMATION or OTHER | |EVENT NUMBER: 31480 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |LICENSEE: BEAUMONT ARMY MEDICAL CENTER |NOTIFICATION DATE: 12/19/96 | | CITY: REGION: 4 |NOTIFICATION TIME: 10:50 [ET]| | COUNTY: STATE: TX |EVENT DATE: 12/19/96 | |LICENSE#: AGREEMENT: Y |EVENT TIME: 00:00[CST]| | DOCKET: |LAST UPDATE DATE: 12/19/96 | | +-----------------------------+ | |PERSON ORGANIZATION| | |LINDA HOWELL RDO | | |DON COOL/FRED COMBS EO | +------------------------------------------------+WALLY COOPER EPA | |NRC NOTIFIED BY: CAPT. HAMILTON |RON HAUBER IP | |HQ OPS OFFICER: STEVE SANDIN |RUBIN/HOGAN IRD | +------------------------------------------------+ | |EMERGENCY CLASS: NOT APPLICABLE | | |10 CFR SECTION: | | |NINF INFORMATION ONLY | | | | | | | | | | | | | | +------------------------------------------------+-----------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | CAPT. HAMILTON OF THE BEAUMONT ARMY MEDICAL CENTER LOCATED AT FT. BLISS, | | TX., WAS CONTACTED BY ROBERT RIVERA OF THE EL PASO FBI OFFICE REGARDING A | | SHIPMENT OF APPROXIMATELY 2000 POUNDS COBALT-BERYLLIUM THAT WAS IMPOUNDED | | BY MEXICAN CUSTOMS AGENTS. THE MATERIAL WAS FOUND IN THE FALSE BOTTOM OF A | | TRUCK ATTEMPTING TO CROSS FROM THE UNITED STATES INTO MEXICO. MEXICAN | | OFFICIALS HAVE REQUESTED ASSISTANCE IN IDENTIFYING WHETHER THE MATERIAL IS | | RADIOACTIVE AND POSES A THREAT TO HEALTH AND SAFETY. THE FBI, ACCORDING TO | | CAPT. HAMILTON, ALSO NOTIFIED THE STATE OF TEXAS. SEE HOO LOG FOR | | TELEPHONE NUMBERS. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 31481 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: MAINE YANKEE REGION: 1 |NOTIFICATION DATE: 12/19/96 | |UNIT: [1] [ ] [ ] STATE: ME |NOTIFICATION TIME: 11:30 [ET]| |RX TYPE: [1] CE |EVENT DATE: 12/19/96 | +------------------------------------------------+EVENT TIME: 10:45[EST]| |NRC NOTIFIED BY: ROBERT MALONEY |LAST UPDATE DATE: 12/19/96 | |HQ OPS OFFICER: LEIGH TROCINE +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |MOHAMED SHANBAKY 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 | +-----+----------+-------+--------+-----------------+--------+-----------------+ | 1 | N N 0 HOT SHUTDOWN | 0 HOT SHUTDOWN | | | | | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | DISCOVERY OF THE LACK OF RELIEF VALVES FOR THE COOLANT MEDIUM FOR BOTH THE | | SPENT FUEL POOL (SFP) AND COMPONENT COOLING WATER (CCW) HEAT EXCHANGERS | | | | THE PIPING DESIGN FOR THE SFP HEAT EXCHANGER AND THE CCW HEAT EXCHANGERS | | WAS FOUND TO BE OUTSIDE THE DESIGN BASIS OF THE PLANT AS DESCRIBED IN THE | | FINAL SAFETY ANALYSIS REPORT (FSAR). THE FSAR STATES THAT THESE HEAT | | EXCHANGERS BE ASME CODE SECTION VIII AND ANSI PIPING CODE B31.1. THESE | | CODES REQUIRE THERMAL RELIEF VALVE PROTECTION FOR THE HEAT EXCHANGER AND | | THE COOLANT PIPING IN THE EVENT THAT THE COOLANT SIDE IS ISOLATED BUT THE | | HEAT LOAD IS NOT ISOLATED. THE LICENSEE IDENTIFIED THAT THERE WERE NO | | THERMAL RELIEF VALVES ON THE SERVICE WATER SIDE (TUBE) OF THE CCW HEAT | | EXCHANGERS OR ON THE PRIMARY COMPONENT COOLING (SHELL) SIDE OF THE SFP HEAT | | EXCHANGER. | | | | THE HEAT EXCHANGERS ARE CURRENTLY CONSIDERED TO BE OPERABLE AND ARE | | PERFORMING THEIR INTENDED FUNCTIONS. THE LICENSEE IS MAINTAINING THE HEAT | | EXCHANGERS OPERABLE VIA ADMINISTRATIVE CONTROL OF THE COOLANT VALVE LINEUP | | BY LOCKING AND TAGGING THE VALVES IN THE OPEN POSITION. LONG-TERM | | CORRECTIVE ACTIONS ARE CURRENTLY UNDER REVIEW. | | | | THE LICENSEE NOTIFIED THE NRC RESIDENT INSPECTOR AND MAY ISSUE A PRESS | | RELEASE. THE LICENSEE ALSO PLANS TO ISSUE A LICENSEE EVENT REPORT TO | | DOCUMENT THIS EVENT. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 31482 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: PERRY REGION: 3 |NOTIFICATION DATE: 12/19/96 | |UNIT: [1] [ ] [ ] STATE: OH |NOTIFICATION TIME: 14:17 [ET]| |RX TYPE: [1] GE-6 |EVENT DATE: 12/19/96 | +------------------------------------------------+EVENT TIME: 14:00[EST]| |NRC NOTIFIED BY: RICK WILES |LAST UPDATE DATE: 12/19/96 | |HQ OPS OFFICER: RUDY KARSCH +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: UNUSUAL EVENT +-----------------------------+ |10 CFR SECTION: |B.J. HOLT RDO | |AAEC 50.72(a)(1)(i) EMERGENCY DECLARED |CHAFFEE EO | |AENS 50.72(b)(1)(v) ENS INOPERABLE |CARR FEMA | | |CONGEL AEOD | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |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 +------------------------------------------------------------------------------+ | UNUSUAL EVENT DECLARED DUE TO LOSS OF ALL TELEPHONE COMMUNICATION, BOTH ENS | | AND COMMERCIAL. THE LICENSEE DOES NOT KNOW WHY ALL TELEPHONE COMMUNICATION | | WAS LOST. THEY HAVE NOTIFIED THE LOCAL PHONE COMPANY. COMMUNICATION TO | | THE CONTROL ROOM VIA CELL PHONE IS OPERABLE. THE LICENSEE INFORMED STATE | | AND LOCAL GOVERNMENT AND THE NRC RESIDENT INSPECTOR. | | | | * * * UPDATE AT 1450 FROM LARRY WHEELER TAKEN BY KARSCH * * * | | THE LICENSEE SUSPECTS THAT EXCAVATION ON-SITE MAY HAVE CUT ALL THE PHONE | | CABLES. ON-SITE COMMUNICATION HAS NOT BEEN AFFECTED. THE PLANT AND THE | | OFF-SITE POWER GRID ARE STABLE AT THIS TIME. THEY HAVE ACTIVATED THEIR | | TSC, AND WILL PROVIDE HOURLY UPDATES. CELL PHONE COMMUNICATION TO THE TSC | | IS OPERABLE. A PRESS RELEASE MAY BE ISSUED. THE LICENSEE INFORMED THE NRC | | RESIDENT INSPECTOR. | | | | * * * UPDATE AT 1505 FROM TYPINSKI TAKEN BY KARSCH * * * | | THE PHONE LINES WERE CUT BY ALL-TELL (LOCAL PHONE CO) WHEN THEY WERE | | DIGGING OFF-SITE. PHONE CHECKS DETERMINED THAT ONE OF THE TWO SITE | | COMMUNICATION CELL-PHONES IS NOT WORKING. THE LICENSEE INFORMED THE NRC | | RESIDENT INSPECTOR. | | | | * * * UPDATE AT 1555 FROM WHEELER & KOVACH TAKEN BY KARSCH * * * | | REPAIR TO THE PHONE LINES IS ON-GOING. EXPECTED COMPLETION IS BETWEEN 1900 | | AND 2000 EST. THE LICENSEE INFORMED THE NRC RESIDENT INSPECTOR. | | | | * * * UPDATE AT 2258 EST FROM MILLER & WHEELER TAKEN BY KARSCH * * * | | ENS PHONE RESTORED AT 2221 EST. OFF-SITE GRID IS STABLE DESPITE SNOW | | STORM. COMMERCIAL PHONE LINES HAVE BEEN PARTIALLY RESTORED AND REPAIR WORK | | CONTINUES. THE PLANT IS IN ONE ACTIVE LCO FOR AN INOPERABLE CONTROL ROD | | DUE TO LOW ACCUMULATOR PRESSURE. RECHARGE OF THE ACCUMULATOR WILL RESTORE | | THE ROD TO OPERABLE STATUS. | | | | * * * UPDATE 0046 EST ON 12/20/96 FROM MILLER TO S.SANDIN * * * | | THE LICENSEE TERMINATED THE UE AT 0040 EST. ALL OFFSITE TELEPHONE | | COMMUNICATION LINES HAVE BEEN RESTORED AND THE ACTIVE LCO FOR THE | | INOPERABLE CONTROL ROD EXITED. THE LICENSEE INFORMED THE RESIDENT | | INSPECTOR AND IS IN THE PROCESS OF NOTIFYING STATE/LOCAL AGENCIES. THERE | | IS NO PRESS RELEASE PLANNED AT THIS TIME. NOTIFIED R3DO(HOLT), EO(MATHEWS) | | AND FEMA(AUSTIN). | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |FUEL CYCLE FACILITY | |EVENT NUMBER: 31483 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: BABCOCK & WILCOX CO. |NOTIFICATION DATE: 12/19/96 | | RXTYPE: URANIUM FUEL FABRICATION |NOTIFICATION TIME: 16:32 [ET]| |COMMENTS: HEU FABRICATION & SCRAP RECOVERY |EVENT DATE: 12/19/96 | | NAVAL REACTOR FUEL |EVENT TIME: 09:00[EST]| | |LAST UPDATE DATE: 12/19/96 | | CITY: LYNCHBURG REGION: 2 +-----------------------------+ | COUNTY: CAMPBELL STATE: VA |PERSON ORGANIZATION| |LICENSE#: SNM-42 AGREEMENT: N |KENNETH BARR RDO | | DOCKET: 07000027 |MARGARET FEDERLINE EO | +------------------------------------------------+FRANK CONGEL AEOD | |NRC NOTIFIED BY: ARNIE OLSEN |WILLIAM BRACH NMSS | |HQ OPS OFFICER: RUDY KARSCH | | +------------------------------------------------+ | |EMERGENCY CLASS: NOT APPLICABLE | | |10 CFR SECTION: | | |NLTR LICENSEE 24 HR REPORT | | |NBNL RESPONSE-BULLETIN | | | | | | | | | | | +------------------------------------------------+-----------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | THE LICENSEE DISCOVERED TWO 2.5 LITER POLY BOTTLES IN A UNIT IN THE BAY 14A | | VAULT. THE COMBINED MASS OF ENRICHED U-235 EXCEEDED THE ALLOWED MASS OF | | 275 GRAMS FOR THAT UNIT BY 40 GRAMS. CORRECTIVE ACTIONS WERE TAKEN. THE | | VAULT CONSISTS OF 50 UNITS. THE REMAINING 49 UNITS WERE WITHIN ALLOWED | | LIMITS. CRITICALITY MARGINS WERE NOT THREATENED. THE LICENSEE INFORMED | | THE NRC RESIDENT INSPECTOR. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 31484 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: OCONEE REGION: 2 |NOTIFICATION DATE: 12/19/96 | |UNIT: [ ] [2] [3] STATE: SC |NOTIFICATION TIME: 16:50 [ET]| |RX TYPE: [1] B&W-L-LP,[2] B&W-L-LP,[3] B&W-L-LP |EVENT DATE: 12/19/96 | +------------------------------------------------+EVENT TIME: 16:00[EST]| |NRC NOTIFIED BY: DAVID NIX |LAST UPDATE DATE: 12/19/96 | |HQ OPS OFFICER: RUDY KARSCH +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |KENNETH BARR 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 | +-----+----------+-------+--------+-----------------+--------+-----------------+ | | | | | 2 | N N 0 COLD SHUTDOWN | 0 COLD SHUTDOWN | | 3 | N N 0 COLD SHUTDOWN | 0 COLD SHUTDOWN | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | TWO VALVES AT EACH UNIT WERE WIRED UP WRONG SO AN OPEN COMMAND FROM THE | | SAFE SHUTDOWN PANEL WOULD CLOSE THE VALVES AND A CLOSE SIGNAL WOULD OPEN | | THEM. | | | | VALVES "2,3-LP-1" AND "2,3-LP-2" ARE THE LOW PRESSURE INJECTION (LPI) | | SYSTEM AND REACTOR COOLANT SYSTEM (RCS) RETURN BLOCK VALVES, RESPECTIVELY. | | THESE VALVES ARE REQUIRED TO BE OPENED TO ENSURE THE AFFECTED UNITS CAN BE | | SAFELY SHUT DOWN DURING APPENDIX R FIRE EVENTS FOR WHICH PERSONNEL RELOCATE | | TO THE STANDBY SHUTDOWN FACILITY. FUNCTIONAL TESTING FOR THESE VALVES | | DETERMINED THAT THE WIRING FOR TWO PHASES OF THE OPERATOR MOTOR WERE | | INTERCHANGED RESULTING IN REVERSE ROTATION OF THE MOTOR. THE LICENSEE | | DETERMINED THAT THESE VALVES WOULD NOT HAVE PERFORMED THEIR INTENDED SAFETY | | FUNCTION AND THAT THIS CONDITION EXISTED SINCE AT LEAST 1987. | | | | THIS ERROR DID NOT AFFECT UNIT 1. REPAIRS HAVE BEEN COMPLETED FOR UNIT 3. | | ADMINISTRATIVE COMPENSATORY MEASURES HAVE BEEN PUT IN PLACE TO ENSURE THAT | | VALVES "2-LP-1" AND "2-LP-2" CAN PERFORM THEIR INTENDED SAFETY FUNCTIONS | | UNTIL REPAIRS CAN BE COMPLETED. THE LICENSEE INFORMED THE NRC RESIDENT | | INSPECTOR. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |HOSPITAL | |EVENT NUMBER: 31485 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |LICENSEE: V.A. MEDICAL, PORTLAND, OR. |NOTIFICATION DATE: 12/19/96 | | CITY: PORTLAND REGION: 4 |NOTIFICATION TIME: 17:41 [ET]| | COUNTY: MULTNOMAH STATE: OR |EVENT DATE: 12/19/96 | |LICENSE#: 36-01395-01 AGREEMENT: Y |EVENT TIME: 09:00[PST]| | DOCKET: |LAST UPDATE DATE: 12/19/96 | | +-----------------------------+ | |PERSON ORGANIZATION| | |LINDA HOWELL RDO | | |MARGARET FEDERLINE EO | +------------------------------------------------+ | |NRC NOTIFIED BY: WILLIAM TUTTLE |FRANK CONGEL AEOD | |HQ OPS OFFICER: RUDY KARSCH | | +------------------------------------------------+ | |EMERGENCY CLASS: NOT APPLICABLE | | |10 CFR SECTION: | | |LADM 35.33(a) MED MISADMINISTRATION | | | | | | | | | | | | | | +------------------------------------------------+-----------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | MEDICAL MISADMINISTRATION. THE ADMINISTERED DOSE EXCEEDED THE INTENDED | | DOSE BY GREATER THAN 20%. | | | | THE PATIENT WAS SUPPOSED TO HAVE 5 OR 10 ęCi OF I-131 FOR A THYROID UPTAKE | | DETERMINATION. INSTEAD THE PATIENT WAS GIVEN 300 ęCi OF I-131. THIS | | EXCEEDS THE ń20% TOLERANCE FOR DOSAGE ERRORS. THE LICENSEE WAS ABLE TO | | CALCULATE THE ACTUAL UPTAKE USING THE ADMINISTERED DOSE, AND TREATMENT WILL | | BE ADJUSTED ACCORDINGLY. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 31486 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: NINE MILE POINT REGION: 1 |NOTIFICATION DATE: 12/19/96 | |UNIT: [ ] [2] [ ] STATE: NY |NOTIFICATION TIME: 17:45 [ET]| |RX TYPE: [1] GE-2,[2] GE-5 |EVENT DATE: 12/19/96 | +------------------------------------------------+EVENT TIME: 17:00[EST]| |NRC NOTIFIED BY: JERALD KAHN |LAST UPDATE DATE: 12/19/96 | |HQ OPS OFFICER: RUDY KARSCH +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |RONALD BELLAMY RDO | |ASHU 50.72(b)(1)(i)(A) PLANT S/D REQD BY TS | | |AUNA 50.72(b)(1)(ii)(A) UNANALYZED COND OP | | |NLCO TECH SPEC LCO A/S | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ | | | | | 2 | N Y 100 POWER OPERATION | 99 POWER OPERATION | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | TECH SPEC REQUIRED SHUTDOWN BECAUSE THE LICENSEE NEGLECTED TO PERFORM AN | | INSPECTION OF THE "SHOOT OUT STEEL" UNDER THE REACTOR VESSEL. | | | | THE LICENSEE STARTED A TECH SPEC REQUIRED SHUTDOWN PER TECH SPEC 3.1.3.8 | | DUE TO FAILURE TO PERFORM THE REQUIRED GAP INSPECTION FOR THE SHOOT OUT | | STEEL STRUCTURAL BARRIERS UNDER THE REACTOR VESSEL. THE LICENSEE PERFORMED | | A VISUAL INSPECTION DURING THEIR LAST REFUELING OUTAGE, BUT THE GAP WAS NOT | | MEASURED. FAILURE TO PERFORM THE REQUIRED INSPECTION PLACES THE UNIT IN A | | POTENTIALLY UNANALYZED CONDITION. THE LICENSEE INFORMED THE NRC RESIDENT | | INSPECTOR. | +------------------------------------------------------------------------------+