U.S. Nuclear Regulatory Commission Operations Center Event Reports For 09/19/96 - 09/20/96 ** EVENT NUMBERS ** 30753 30826 31026 31027 31028 31029 31030 +----------------------------------+ +-----------------------+ |GENERAL INFORMATION or OTHER | |EVENT NUMBER: 30753 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |LICENSEE: AESA BROWN BOVERI |NOTIFICATION DATE: 07/15/96 | | CITY: CORAL SPRINGS REGION: 2 |NOTIFICATION TIME: 13:19 [ET]| | COUNTY: STATE: FL |EVENT DATE: 07/15/96 | |LICENSE#: AGREEMENT: Y |EVENT TIME: 00:00[EDT]| | DOCKET: |LAST UPDATE DATE: 09/19/96 | | +-----------------------------+ | |PERSON ORGANIZATION| | | | | | | +------------------------------------------------+V. HODGE NRR | |NRC NOTIFIED BY: C. DAHLE | | |HQ OPS OFFICER: BOB STRANSKY | | +------------------------------------------------+ | |EMERGENCY CLASS: NOT APPLICABLE | | |10 CFR SECTION: | | |CDEF 21.21(b)(2) DEFECTS/NONCOMPLIANCE | | | | | | | | | | | | | | +------------------------------------------------+-----------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | 10 CFR PART 21 REPORT REGARDING POTENTIAL DEVIATIONS IN QUALIFICATION | | DOCUMENTATION FOR CLASS 1E RELAYS. | | | | THE FOLLOWING IS TEXT FROM A FACSIMILE SUBMITTED BY THE VENDOR: | | | | "ON MAY 6-7, YANKEE ATOMIC ENERGY COMPANY CONDUCTED SURVEILLANCE AUDIT | | 96-066 AT ABB POWER T&D COMPANY INC. - RELAY DIVISION, CORAL SPRINGS, FL. | | THIS AUDIT RESULTED IN A FINDING AND RECOMMENDATION TO INITIATE AN | | EVALUATION OF QUALIFICATION DOCUMENTATION, AND TO DETERMINE ITS IMPACT ON | | COM-5 CLASS 1E RELAYS, PER 10 CFR PART 21. AFTER EVALUATION, A REPORT WAS | | SUBMITTED TO YANKEE ATOMIC JUNE 11, 1996 IDENTIFYING CORRECTIVE ACTIONS | | THAT HAD BEEN TAKEN AND STATING THAT, IN OUR JUDGMENT, THERE WAS NO IMPACT | | ON THE COM-5 RELAYS BEING SUPPLIED. | | | | "A FOLLOWUP VISIT BY YANKEE ATOMIC TOOK PLACE ON JULY 9-10, 1996, TO REVIEW | | THESE CORRECTIVE ACTIONS. AS A RESULT OF FURTHER DISCUSSIONS, YANKEE ATOMIC | | DETERMINED THAT THE QUALIFICATION DOCUMENTATION FOR THE COM-5 RELAY, AS | | WELL AS THE CRN-1 AND CVE-1 RELAYS, WAS NOT SUFFICIENT. IN ADDITION, | | INCONSISTENCIES IN ZPA RATINGS WERE FOUND. | | | | "BASED ON THE ABOVE OCCURRENCES, ABB IS INITIATING AN EVALUATION OF THE | | QUALIFICATION DOCUMENTATION FOR THE ABOVE MENTIONED RELAYS, AS WELL AS | | OTHER CLASS 1E RELAYS SUPPLIED. THIS EVALUATION WILL BE COMPLETED BY AUGUST | | 30, 1996. BASED ON THE RESULTS OF THIS EVALUATION, WE WILL THEN ISSUE A | | FINAL REPORT, PER 10 CFR PART 21." | | | | * * * UPDATE 0914 9/19/96 FROM DAHLE * * * | | | | THE VENDOR REPORTED THAT, AFTER FURTHER INVESTIGATION, CHANGES IN ZPA | | (ZERO-PERIOD ACCELERATION) RATINGS FOR ABB CLASS 1E RELAYS ARE WARRANTED. | | HOO NOTIFIED NRR (V. HODGE). | +------------------------------------------------------------------------------+ !!!!!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED !!!!!!! +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 30826 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: WOLF CREEK REGION: 4 |NOTIFICATION DATE: 08/02/96 | |UNIT: [1] [ ] [ ] STATE: KS |NOTIFICATION TIME: 17:59 [ET]| |RX TYPE: [1] W-4-LP |EVENT DATE: 08/02/96 | +------------------------------------------------+EVENT TIME: 13:45[CDT]| |NRC NOTIFIED BY: FERGUSON |LAST UPDATE DATE: 09/19/96 | |HQ OPS OFFICER: CHAUNCEY GOULD +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |BLAINE MURRAY 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 +------------------------------------------------------------------------------+ | THE LICENSEE RECOGNIZED THAT THE WRONG FUSE HAD BEEN INSTALLED IN THE | | CLOSING CIRCUIT FOR THE "B" ESSENTIAL SERVICE WATER (ESW) PUMP. | | | | DUE TO PERSONNEL ERROR, THE LICENSEE HAD INSTALLED A 10-AMP FUSE IN THE | | CLOSING CIRCUIT OF THE "B" ESW PUMP INSTEAD OF A 15-AMP FUSE. THIS COULD | | HAVE PREVENTED THE NORMAL OPERATION OF THE "B" ESW PUMP SINCE THE 10-AMP | | FUSE COULD HAVE BLOWN OUT PREMATURELY. THE CORRECT FUSES WERE IMMEDIATELY | | INSTALLED, AND NO NEGATIVE CONSEQUENCES RESULTED DUE TO THIS INCIDENT. I&C | | PERSONNEL NOTIFIED THE CONTROL ROOM ON 07/31/96, THAT THE UC (CLOSING) AND | | THE UL (LIFTING) FUSE BLOCKS HAD BEEN REVERSED. THIS, HOWEVER, WAS NOT | | IDENTIFIED AS A NON CONSERVATIVE CONFIGURATION AT THAT TIME. THE LICENSEE | | IS STILL INVESTIGATING WHEN THIS COULD HAVE OCCURRED. | | | | THE NRC RESIDENT INSPECTOR WAS INFORMED. | | | | * * * UPDATE 1145 9/19/96 FROM FERGUSON TAKEN BY STRANSKY * * * | | | | THE LICENSEE IS RETRACTING THIS EVENT NOTIFICATION. UPON FURTHER | | EVALUATION, THE LICENSEE HAS DETERMINED THAT THIS EVENT WAS NOT REPORTABLE. | | THE NRC RESIDENT INSPECTOR HAS BEEN INFORMED. NOTIFIED R4DO (JOHNSON). | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 31026 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: OYSTER CREEK REGION: 1 |NOTIFICATION DATE: 09/19/96 | |UNIT: [1] [ ] [ ] STATE: NJ |NOTIFICATION TIME: 03:23 [ET]| |RX TYPE: [1] GE-2 |EVENT DATE: 09/19/96 | +------------------------------------------------+EVENT TIME: 01:25[EDT]| |NRC NOTIFIED BY: STEVE FULLER |LAST UPDATE DATE: 09/19/96 | |HQ OPS OFFICER: RUDY KARSCH +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |RICHARD KEIMIG RDO | |NLTR LICENSEE 24 HR REPORT | | | | | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ | 1 | N N 0 COLD SHUTDOWN | 0 COLD SHUTDOWN | | | | | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | THE LICENSEE REPORTED A CONDITION PROHIBITED BY TECH SPECS. THE REACTOR | | WAS IN THE REFUEL MODE WITH THE INTERMEDIATE RANGE NEUTRON MONITORING | | PROTECTIVE FUNCTION BYPASSED. JUMPERS TO BYPASS THE PROTECTIVE FUNCTION | | WERE PUT IN PLACE THROUGH HUMAN ERROR. | | | | TECH SPECS REQUIRE OPERATIONAL INTERMEDIATE RANGE (IR) NEUTRON MONITORS | | WHILE THE REACTOR IS IN THE REFUEL MODE. TECH SPECS REQUIRE CONTROL ROD | | INSERTION IF THE PROTECTIVE FUNCTIONS ARE INOPERABLE. THE CONTROL RODS | | WERE ALREADY FULLY INSERTED. THE LICENSEE'S IMMEDIATE CORRECTIVE ACTION | | WAS TO PLACE THE MODE SWITCH INTO THE COLD SHUTDOWN POSITION. COLD | | SHUTDOWN DOES NOT REQUIRE IR NEUTRON MONITORING. THE LICENSEE WILL ALSO | | REMOVE THE BYPASS JUMPERS TO RESTORE THE IR NEUTRON MONITORS TO OPERATIONAL | | STATUS. THE LICENSEE WILL INFORM THE NRC RESIDENT INSPECTOR. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 31027 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: CRYSTAL RIVER REGION: 2 |NOTIFICATION DATE: 09/19/96 | |UNIT: [3] [ ] [ ] STATE: FL |NOTIFICATION TIME: 05:47 [ET]| |RX TYPE: [3] B&W-L-LP |EVENT DATE: 09/19/96 | +------------------------------------------------+EVENT TIME: 05:10[EDT]| |NRC NOTIFIED BY: GREGORY SUTTER |LAST UPDATE DATE: 09/19/96 | |HQ OPS OFFICER: RUDY KARSCH +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: UNUSUAL EVENT +-----------------------------+ |10 CFR SECTION: |THOMAS DECKER RDO | |AAEC 50.72(a)(1)(i) EMERGENCY DECLARED |JACK ROE EO | | |WRIGHT FEMA | | |FRANK CONGEL AEOD | | |EUGENE MCPEEK (NRR) IAT | | |JOHN DAVIDSON (NMSS) IAT | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |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 +------------------------------------------------------------------------------+ | THE LICENSEE DECLARED AN UNUSUAL EVENT DUE TO AN APPARENT ACT OF SABOTAGE. | | THE LICENSEE DISCOVERED A FOREIGN OBJECT LODGED IN THE LUBE OIL STRAINER OF | | THEIR "A" EMERGENCY DIESEL GENERATOR. THE OBJECT APPEARED TO BE PLACED IN | | A WAY THAT INDICATED DELIBERATE ACTION. THE LICENSEE WILL STAY IN THE | | UNUSUAL EVENT UNTIL THEY ARE CERTAIN THAT THIS REPRESENTS A SINGULAR EVENT | | AND THAT THE "B" EDG IS NOT SIMILARLY JEOPARDIZED. THE LICENSEE INFORMED | | THE NRC RESIDENT INSPECTOR, THE STATE OF FLORIDA AND LOCAL GOVERNMENT | | AGENCIES. | | | | SEE HOO LOG FOR ADDITIONAL INFORMATION. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 31028 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: OYSTER CREEK REGION: 1 |NOTIFICATION DATE: 09/19/96 | |UNIT: [1] [ ] [ ] STATE: NJ |NOTIFICATION TIME: 10:27 [ET]| |RX TYPE: [1] GE-2 |EVENT DATE: 09/17/96 | +------------------------------------------------+EVENT TIME: 13:30[EDT]| |NRC NOTIFIED BY: GERE FREEMAN |LAST UPDATE DATE: 09/19/96 | |HQ OPS OFFICER: RUDY KARSCH +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |RICHARD KEIMIG RDO | |ALIQ 50.72(b)(2)(iv)(B) LIQUID RAD RELEASE | | |APRE 50.72(b)(2)(vi) OFFSITE NOTIFICATION | | | |MRS MOORE DOT | | |MRS MOORE EPA | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ | 1 | N N 0 COLD SHUTDOWN | 0 COLD SHUTDOWN | | | | | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | THE LICENSEE INADVERTENTLY RELEASED 130,000 GALLONS OF MINIMALLY | | RADIOACTIVE CONDENSATE WATER INTO THE DISCHARGE CANAL. THE DISCHARGE CANAL | | EMPTIES INTO THE BARNEGAT BAY. | | | | THE LICENSEE CROSS CONNECTED THE CONDENSATE TRANSFER SYSTEM TO THE FIRE | | WATER SYSTEM. THE FIRE WATER SYSTEM WAS BEING USED FOR COOLING THE AIR | | COMPRESSORS. THE COOLING WATER DISCHARGE FROM THE AIR COMPRESSORS WAS GOING | | INTO THE DISCHARGE CANAL. BETWEEN 1330 ON 9/17/96 AND 0920 EDT ON 9/18/96 | | THIS PATHWAY RELEASED APPROXIMATELY 130,000 GALLONS OF CONDENSATE WATER. | | THE TOTAL ACTIVITY FOR THE RELEASE WAS CALCULATED AT 7.5 Ci, MOSTLY FROM | | TRITIUM. THE LICENSEE'S ANALYSIS OF THE RADIOACTIVE CONSTITUENTS IS | | CONTINUING. NONE OF THE ACTIVITY IS FROM I-131. THE RELEASE RATE WAS 1x10 | | -5 Ci/s. NO PLANT AREAS WERE EVACUATED AND NO PERSONS WERE CONTAMINATED. | | THE RELEASE PATH HAS BEEN ISOLATED. THE LICENSEE WILL INFORM THE NRC | | RESIDENT INSPECTOR, AS WELL AS STATE AND LOCAL GOVERNMENT AGENCIES AND WILL | | ISSUE A PRESS RELEASE. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 31029 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: NORTH ANNA REGION: 2 |NOTIFICATION DATE: 09/19/96 | |UNIT: [1] [2] [ ] STATE: VA |NOTIFICATION TIME: 14:00 [ET]| |RX TYPE: [1] W-3-LP,[2] W-3-LP |EVENT DATE: 09/19/96 | +------------------------------------------------+EVENT TIME: 10:00[EDT]| |NRC NOTIFIED BY: JEFF MOSHER |LAST UPDATE DATE: 09/19/96 | |HQ OPS OFFICER: JOHN MacKINNON +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |TOM DECKER 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 | | 2 | N N 0 REFUELING | 0 REFUELING | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | PROCEDURAL DEFICIENCY WAS IDENTIFIED THAT COULD HAVE RESULTED IN THE DOSE | | TO THE CONTROL ROOM PERSONNEL EXCEEDING ACCIDENT ANALYSIS ASSUMPTIONS. | | | | ABNORMAL OPERATING PROCEDURE 30 (FUEL FAILURE DURING HANDLING) WAS | | DEFICIENT REGARDING ACTIONS REQUIRED TO MITIGATE THE CONSEQUENCES OF A FUEL | | HANDLING EVENT. THE PROCEDURE DID NOT INSTRUCT THE CONTROL ROOM OPERATORS | | TO MANUALLY ISOLATE THE CONTROL ROOM AND INITIATE BOTTLED AIR SUPPLY TO THE | | CONTROL ROOM. A TECHNICAL SPECIFICATION CHANGE WAS APPROVED ON 02/27/96 | | WHICH ALLOWED THE PERSONNEL AIR LOCK DOOR TO REMAIN OPEN AS LONG AS A | | DEDICATED PERSON WAS STATIONED AT THE DOOR TO CLOSE IT. THE FUEL HANDLING | | ACCIDENT ANALYSIS ASSOCIATED WITH THIS TECHNICAL SPECIFICATION CHANGE | | STATES THAT, UPON A VERBAL NOTIFICATION OF A FUEL HANDLING ACCIDENT WITH A | | POTENTIAL RADIONUCLIDE RELEASE OR A HIGH RADIATION ALARM FROM A CONTAINMENT | | RADIATION MONITOR, THE CONTROL ROOM WILL BE MANUALLY ISOLATED AND THE | | CONTROL ROOM BOTTLED AIR SYSTEM INITIATED. THIS STATEMENT SHOULD HAVE BEEN | | INCORPORATED INTO ABNORMAL OPERATING PROCEDURE 30, BUT WAS NOT. THE | | LICENSEE WILL HAVE ABNORMAL OPERATING PROCEDURE 30 REVISED BEFORE UNIT 2 | | STARTS RELOADING FUEL. | | | | THE NRC RESIDENT INSPECTOR WAS INFORMED BY THE LICENSEE. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 31030 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: VOGTLE REGION: 2 |NOTIFICATION DATE: 09/20/96 | |UNIT: [ ] [2] [ ] STATE: GA |NOTIFICATION TIME: 03:12 [ET]| |RX TYPE: [1] W-4-LP,[2] W-4-LP |EVENT DATE: 09/20/96 | +------------------------------------------------+EVENT TIME: 01:04[EDT]| |NRC NOTIFIED BY: JAMES ROBINSON |LAST UPDATE DATE: 09/20/96 | |HQ OPS OFFICER: RUDY KARSCH +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: | | |AMED 50.72(b)(2)(v) OFFSITE MEDICAL | | | | | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ | | | | | 2 | N N 0 REFUELING | 0 REFUELING | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | INJURED WORKER TRANSPORTED OFFSITE. | | | | A WESTINGHOUSE EMPLOYEE WORKING ON A UNIT 2 STEAM GENERATOR APPEARED TO BE | | OVERCOME BY HEAT EXHAUSTION AND COLLAPSED ON THE PLATFORM UPON WHICH HE WAS | | WORKING. HE WAS REMOVED FROM CONTAINMENT AND SURVEYED AT THE HP CONTROL | | POINT, WHERE HIS PROTECTIVE CLOTHING WAS REMOVED. HE WAS THEN TRANSPORTED | | OFFSITE TO THE LOCAL HOSPITAL ALONG WITH AN HP TECHNICIAN. THE INDIVIDUAL | | HAD 300 COUNTS PER MINUTE ON HIS CHIN, AND THE HP WAS UNABLE TO SURVEY | | BENEATH HIM AS HE LAY ON HIS BACK DUE TO THE INDIVIDUAL COMPLAINING OF BACK | | PAIN. THE LICENSEE INFORMED THE NRC RESIDENT INSPECTOR. | | | | * * * UPDATE AT 0432 EDT * * * | | THE WORKER WAS SUCCESSFULLY DECONTAMINATED AT THE HOSPITAL. NO | | CONTAMINATION WAS FOUND IN EITHER THE AMBULANCE OR AT THE HOSPITAL | | TREATMENT ROOM. | +------------------------------------------------------------------------------+