U.S. Nuclear Regulatory Commission Operations Center Event Reports For 02/22/96 - 02/23/96 ** EVENT NUMBERS ** 29395 29893 29999 30006 30007 30008 30009 30010 30011 30012 30013 30014 30015 !!!!!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED !!!!!!! +----------------------------------+ +-----------------------+ |HOSPITAL | |EVENT NUMBER: 29395 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |LICENSEE: GEISINGER MEDICAL CENTER |NOTIFICATION DATE: 09/29/95 | | CITY: DANVILLE REGION: 1 |NOTIFICATION TIME: 13:40 [ET]| | COUNTY: MONTOUR STATE: PA |EVENT DATE: 09/28/95 | |LICENSE#: 37-014211-01 AGREEMENT: N |EVENT TIME: 10:00[EDT]| | DOCKET: |LAST UPDATE DATE: 02/22/96 | | +-----------------------------+ | |PERSON ORGANIZATION| | |CLIFFORD ANDERSON RDO | | | | +------------------------------------------------+ | |NRC NOTIFIED BY: CATHERINE ANDERKO | | |HQ OPS OFFICER: RUDY KARSCH | | +------------------------------------------------+ | |EMERGENCY CLASS: NOT APPLICABLE | | |10 CFR SECTION: | | |LADM 35.33(a) MED MISADMINISTRATION | | | | | | | | | | | | | | +------------------------------------------------+-----------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | GEISINGER MEDICAL CENTER, DANVILLE, PA. | | | | A PATIENT WHO SHOULD HAVE RECEIVED A DOSE OF 12 MILLICURIES OF IODINE-131 | | IN THE FORM OF SODIUM IODIDE ACTUALLY RECEIVED A DOSE OF 6.9 MILLICURIES. | | THIS REPRESENTS A 42% UNDER DOSE. THE LICENSEE DISCUSSED THIS EVENT WITH | | REGION 1 (DWYER) TO DETERMINE IF IT MEETS REPORTING REQUIREMENTS AS A | | MEDICAL MISADMINISTRATION. THE PATIENT WILL BE INFORMED OF THE | | MISADMINISTRATION IF THIS EVENT MEETS THE REPORTING CRITERION. THE | | LICENSEE IS DETERMINING APPROPRIATE CORRECTIVE ACTION. | | | | * * * 0835 FEBRUARY 22, 1996, UPDATE FROM ANDERKO TAKEN BY TROCINE * * * | | | | THE LICENSEE IS RETRACTING THIS EVENT BASED ON DISCUSSIONS WITH A | | REPRESENTATIVE FROM NRC REGION 1 (DWYER). THE LICENSEE DETERMINED THAT | | THIS EVENT WAS NOT A MEDICAL MISADMINISTRATION AND WAS, THEREFORE, NOT | | REPORTABLE. | | | | THE NRC OPERATIONS CENTER NOTIFIED THE R1DO (RULAND). | +------------------------------------------------------------------------------+ !!!!!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED !!!!!!! +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 29893 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: WOLF CREEK REGION: 4 |NOTIFICATION DATE: 01/26/96 | |UNIT: [1] [ ] [ ] STATE: KS |NOTIFICATION TIME: 10:52 [ET]| |RX TYPE: [1] W-4-LP |EVENT DATE: 01/26/96 | +------------------------------------------------+EVENT TIME: 09:15[CST]| |NRC NOTIFIED BY: JENNIFER YUNK |LAST UPDATE DATE: 02/22/96 | |HQ OPS OFFICER: DICK JOLLIFFE +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |CHARLES CAIN RDO | |AINB 50.72(b)(2)(iii)(B) POT RHR INOP | | | | | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |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 +------------------------------------------------------------------------------+ | - LOOSE RETAINING NUT FOUND ON TURBINE-DRIVEN AUXILIARY FEEDWATER PUMP - | | | | ON JANUARY 24 1996, WHILE PERFORMING MAINTENANCE ACTIVITIES, THE LICENSEE | | DISCOVERED THAT THE RETAINING NUT ON THE TURBINE-DRIVEN AUXILIARY FEEDWATER | | PUMP INBOARD PACKING SHAFT SLEEVE WAS LOOSE. THE LICENSEE DECLARED THE | | PUMP INOPERABLE. THE NUT HAD APPARENTLY BEEN LOOSE FOR SOME TIME. | | | | THE LICENSEE HAS REPAIRED THE PUMP, AND IT IS FUNCTIONAL. THE LICENSEE IS | | EVALUATING THE IMPACT OF THE LOOSE NUT ON PUMP PERFORMANCE OVER AN EXTENDED | | RUN TIME. THIS CONDITION COULD HAVE POTENTIALLY AFFECTED PUMP PERFORMANCE | | AND ULTIMATELY REDUCED RESIDUAL HEAT REMOVAL CAPABILITY. THE LICENSEE IS | | INSPECTING OTHER PUMPS FOR SIMILAR CONDITIONS. AT 0915 CST ON JANUARY 26, | | 1996, THE LICENSEE DETERMINED THIS EVENT TO BE REPORTABLE TO THE NRC. | | | | THE LICENSEE WILL INFORM THE NRC RESIDENT INSPECTOR. | | | | * * * 0859 FEBRUARY 22, 1996, UPDATE FROM MOSEBEY TAKEN BY TROCINE * * * | | | | THE LICENSEE IS RETRACTING THIS EVENT. BASED ON ENGINEERING EVALUATION, | | THE LICENSEE DETERMINED THAT THE LOOSE SHAFT SLEEVE RETAINING NUT WOULD NOT | | HAVE REDUCED RESIDUAL HEAT REMOVAL CAPABILITY HAD THE PUMP BEEN CALLED UPON | | TO PERFORM ITS SAFETY FUNCTION DURING THE TIME THE RETAINING NUT WAS LOOSE. | | | | THE LICENSEE WILL NOTIFY THE NRC RESIDENT INSPECTOR. THE NRC OPERATIONS | | CENTER NOTIFIED THE R4DO (HARRELL). | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 29999 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: MILLSTONE REGION: 1 |NOTIFICATION DATE: 02/20/96 | |UNIT: [ ] [2] [ ] STATE: CT |NOTIFICATION TIME: 18:48 [ET]| |RX TYPE: [1] GE-3,[2] CE,[3] W-4-LP |EVENT DATE: 02/20/96 | +------------------------------------------------+EVENT TIME: 18:18[EST]| |NRC NOTIFIED BY: BECKER |LAST UPDATE DATE: 02/22/96 | |HQ OPS OFFICER: JOHN MacKINNON +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |BILL RULAND RDO | |AOUT 50.72(b)(1)(ii)(B) OUTSIDE DESIGN BASIS |BRUCE BOGER EO | |ASHU 50.72(b)(1)(i)(A) PLANT S/D REQD BY TS | | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |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 +------------------------------------------------------------------------------+ | TECHNICAL SPECIFICATION 3.0.3 ENTRY AFTER HIGH PRESSURE SAFETY INJECTION | | (HPSI) SYSTEM WAS DECLARED INOPERABLE DUE TO POTENTIAL CLOGGING OF THE HPSI | | THROTTLE VALVES DURING THE CONTAINMENT SUMP RECIRCULATION PHASE (REFER TO | | EVENT #30008 FOR ADDITIONAL INFORMATION.) | | | | DURING REVIEW OF A PACIFIC GAS AND ELECTRIC OPERATIONAL EXPERIENCE REPORT | | CONCERNING POTENTIAL CLOGGING OF THE EMERGENCY CORE COOLING SYSTEM THROTTLE | | VALVES, MILLSTONE DETERMINED THAT ITS UNIT 2 HPSI VALVES 2-SI-616, | | 2-SI-626, 2-SI-636, 2-SI-646, 2-SI-617, 2-SI-627, 2-SI-637, AND 2-SI-647 | | ARE SUSCEPTIBLE TO SIMILAR CLOGGING. THIS IS BASED ON THE FOLLOWING: 1) | | THE CONTAINMENT SUMP SCREEN OPENING IS 0.187" AND 2) THE HPSI INJECTION | | VALVES' OPENINGS ARE 0.125" AT THE SEAT-TO-PLUG INTERFACE AND HAVE 4 | | ISOSCELES TRIANGLE SHAPED OPENINGS WITH A MAXIMUM DIMENSION OF 0.187". | | THUS, THE VALVE WILL NOT ALLOW FOREIGN MATERIAL PARTICLES OF 0.187" | | DIAMETER TO PASS. THIS POTENTIAL CLOGGING COULD RESULT IN A PARTIAL OR | | COMPLETE LOSS OF POST-ACCIDENT HPSI CORE COOLING FLOW. | | | | BASED ON THIS POTENTIAL PLUGGING, TECHNICAL SUPPORT PERSONNEL DETERMINED | | THAT THE HPSI THROTTLE VALVES ARE SUBJECT TO A COMMON MODE FAILURE | | (PLUGGING AND LOSS OF CORE COOLING FLOW) AND SHOULD BE CONSIDERED | | INOPERABLE PENDING COMPLETION OF FURTHER STUDIES AND/OR REPAIRS. THE | | LICENSEE DECLARED THE HPSI PUMPS INOPERABLE AND ENTERED TECHNICAL | | SPECIFICATION 3.0.3 WHICH REQUIRES THE UNIT TO BE IN A HOT SHUTDOWN | | CONDITION WITHIN 6 HOURS AND A COLD SHUTDOWN CONDITION WITHIN THE FOLLOWING | | 24 HOURS. UNIT 2 SHOULD BE SHUT DOWN BY 2300. ALL OTHER EMERGENCY CORE | | COOLING SYSTEMS ARE FULLY OPERABLE, THE EMERGENCY DIESEL GENERATORS ARE | | OPERABLE, AND THE ELECTRICAL GRID IS STABLE. | | | | THE LICENSEE NOTIFIED STATE AND LOCAL OFFICIALS AND PLANS TO MAKE A PRESS | | RELEASE. THE NRC RESIDENT INSPECTOR WAS INFORMED BY THE LICENSEE. | | | | * * * UPDATE AT 1524 ON FEBRUARY 22, 1996, FROM BAKER TAKEN BY WEAVER * * * | | | | THE LICENSEE CONFIRMED THAT THE SUMP SCREEN MESH SIZE IS OUTSIDE OF THE | | DESIGN BASIS. THE SCREEN HAS HOLES 0.187" SQUARE AND 0.240" SQUARE. | | | | THE LICENSEE INFORMED THE NRC RESIDENT INSPECTOR AND THE APPROPRIATE STATE | | AND LOCAL OFFICIALS. THE HOO NOTIFIED THE R1DO (MEYER). | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 30006 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: QUAD CITIES REGION: 3 |NOTIFICATION DATE: 02/22/96 | |UNIT: [1] [2] [ ] STATE: IL |NOTIFICATION TIME: 00:36 [ET]| |RX TYPE: [1] GE-3,[2] GE-3 |EVENT DATE: 02/21/96 | +------------------------------------------------+EVENT TIME: 21:05[CST]| |NRC NOTIFIED BY: BRAD WILLIAMS |LAST UPDATE DATE: 02/22/96 | |HQ OPS OFFICER: LEIGH TROCINE +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |B. J. HOLT RDO | |AIND 50.72(b)(2)(iii)(D) ACCIDENT MITIGATION | | |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 REFUELING | 0 REFUELING | | 2 | N Y 97 POWER OPERATION | 97 POWER OPERATION | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | POSTULATED FAILURE OF THE CONTROL ROOM EMERGENCY FILTRATION UNIT BOOSTER | | FANS DURING A POSTULATED LOSS OF OFFSITE POWER ON UNIT 1 | | | | AN ENGINEERING WALKDOWN WAS PERFORMED ON THE TOXIC GAS ANALYZER AND THE | | CONTROL ROOM EMERGENCY FILTRATION UNIT. THE TOXIC GAS ANALYZER IS FED FROM | | A NON-SAFETY-RELATED POWER SUPPLY ON UNIT 1. IN THE EVENT OF A LOSS OF | | OFFSITE POWER ON UNIT 1, A TOXIC GAS ANALYZER RELAY WOULD DE-ENERGIZE, AND | | THIS WOULD PREVENT THE CONTROL ROOM EMERGENCY FILTRATION UNIT BOOSTER FANS | | FROM STARTING OR RUNNING. (THE CONTROL ROOMS FOR UNITS 1 AND 2 ARE LOCATED | | IN A COMMON AREA.) AS A RESULT, THE LICENSEE ENTERED A 14-DAY LIMITING | | CONDITION FOR OPERATION PER TECHNICAL SPECIFICATION 3.8.H.1.a AT 2105 CST | | ON FEBRUARY 21, 1996. THE LICENSEE IS CURRENTLY PERFORMING AN | | INVESTIGATION TO DETERMINE THE APPROPRIATE CORRECTIVE ACTIONS. | | | | THE LICENSEE NOTIFIED THE NRC RESIDENT INSPECTOR. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 30007 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: FITZPATRICK REGION: 1 |NOTIFICATION DATE: 02/22/96 | |UNIT: [1] [ ] [ ] STATE: NY |NOTIFICATION TIME: 03:40 [ET]| |RX TYPE: [1] GE-4 |EVENT DATE: 02/22/96 | +------------------------------------------------+EVENT TIME: 03:33[EST]| |NRC NOTIFIED BY: ROGER LOCY |LAST UPDATE DATE: 02/22/96 | |HQ OPS OFFICER: LEIGH TROCINE +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |WILLIAM RULAND RDO | |ASHU 50.72(b)(1)(i)(A) PLANT S/D REQD BY TS | | | | | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ | 1 | N Y 60 POWER OPERATION | 60 POWER OPERATION | | | | | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | TECHNICAL SPECIFICATION REQUIRED SHUTDOWN AND FORCED OUTAGE AS A RESULT OF | | SLOW CONTROL ROD SCRAM TIMES DUE TO STICKING OF THE VITON DIAPHRAGMS IN THE | | SCRAM PILOTS (REFER TO EVENT #30011 FOR ADDITIONAL INFORMATION.) | | | | THE LICENSEE SCRAM-TIME TESTED 20 OF 137 CONTROL RODS, AND THE AVERAGE | | SCRAM TIME (TO NOTCH 46) OF THESE 20 RODS EXCEEDED THE TECHNICAL | | SPECIFICATION 3.3.C LIMIT OF 0.338 SECONDS FOR THE CORE AVERAGE. THE | | AVERAGE TIME FOR THIS SAMPLE WAS 0.373 SECONDS. AVERAGING THESE 20 ROD | | TIMES IN WITH THE PREVIOUSLY MEASURED TIMES (TO NOTCH 46) FOR THE REMAINING | | RODS DOES NOT INCREASE THE CORE AVERAGE SCRAM TIME ABOVE THE TECHNICAL | | SPECIFICATION LIMIT. HOWEVER, THE LICENSEE IS ASSUMING THAT ALL ROD TIMES | | WOULD HAVE INCREASED IF ALL OF THE RODS WERE TESTED. BASED ON THIS | | ASSUMPTION, THE LICENSEE ENTERED TECHNICAL SPECIFICATION ACTION STATEMENT | | 3.3.E WHICH REQUIRES THAT AN ORDERLY SHUTDOWN BE INITIATED AND THAT THE | | REACTOR BE PLACED IN A COLD CONDITION WITHIN 24 HOURS. AT THE TIME OF THIS | | NOTIFICATION, THE PROJECTION FOR UNIT RESTART WAS FEBRUARY 27, 1996. | | | | THE LICENSEE HAS ATTRIBUTED THE ROOT CAUSE OF THE INCREASE IN SCRAM TIMES | | TO STICKING OF THE VITON DIAPHRAGMS IN THE SCRAM PILOTS. ALL OF THE | | CONTROL ROD SCRAM PILOTS HAVE VITON DIAPHRAGMS, AND THESE DIAPHRAGMS WERE | | INSTALLED DURING THE DECEMBER 1994 REFUELING OUTAGE. | | | | THE LICENSEE NOTIFIED THE NRC RESIDENT INSPECTOR AND MAY ISSUE A PRESS | | RELEASE. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 30008 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: MILLSTONE REGION: 1 |NOTIFICATION DATE: 02/22/96 | |UNIT: [ ] [2] [ ] STATE: CT |NOTIFICATION TIME: 07:42 [ET]| |RX TYPE: [1] GE-3,[2] CE,[3] W-4-LP |EVENT DATE: 02/22/96 | +------------------------------------------------+EVENT TIME: 07:25[EST]| |NRC NOTIFIED BY: LAWRENCE NELSON |LAST UPDATE DATE: 02/22/96 | |HQ OPS OFFICER: LEIGH TROCINE +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: UNUSUAL EVENT +-----------------------------+ |10 CFR SECTION: |WILLIAM RULAND RDO | |AAEC 50.72(a)(1)(i) EMERGENCY DECLARED |AL CHAFFEE, NRR EO | | |BOB CALDWELL FEMA | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ | | | | | 2 | N N 0 HOT SHUTDOWN | 0 HOT SHUTDOWN | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | UNUSUAL EVENT DECLARED DUE TO FAILURE TO ENTER COLD SHUTDOWN WITHIN 72 | | HOURS AS REQUIRED BY TECHNICAL SPECIFICATION 3.0.3 (REFER TO EVENT #29999.) | | | | ON FEBRUARY 20, 1996, THE HIGH PRESSURE SAFETY INJECTION (HPSI) SYSTEM WAS | | DECLARED INOPERABLE DUE TO POTENTIAL CLOGGING OF THE HPSI THROTTLE VALVES | | DURING THE CONTAINMENT SUMP RECIRCULATION PHASE, AND A REQUIRED SHUTDOWN | | WAS COMMENCED IN ACCORDANCE WITH TECHNICAL SPECIFICATION 3.0.3. (REFER TO | | EVENT #29999.) THIS TECHNICAL SPECIFICATION REQUIRED THAT THE UNIT BE | | PLACED IN MODE 5 (COLD SHUTDOWN) WITHIN 72-HOURS, AND THE TIME FOR THIS | | LIMITING CONDITION FOR OPERATION (LCO) ENDED AT 0715 ON FEBRUARY 22, 1996. | | WHEN THIS LCO TIME FRAME EXPIRED, THE UNIT WAS STILL IN MODE 4 (HOT | | SHUTDOWN). AS A RESULT, THE LICENSEE DECLARED AN UNUSUAL EVENT AT 0725. | | | | THERE HAVE BEEN NO ADDITIONAL EQUIPMENT FAILURES ASSOCIATED WITH THIS | | ISSUE, AND THE LICENSEE IS ATTRIBUTING THE DELAY TO PROCEDURAL PROBLEMS. | | THE LICENSEE ANTICIPATES PLACING THE UNIT IN COLD SHUTDOWN WITHIN ONE HOUR, | | AND THE UNUSUAL EVENT WILL BE TERMINATED AT THAT TIME. | | | | THE LICENSEE NOTIFIED THE NRC RESIDENT INSPECTOR AND THE STATE OF THIS | | EVENT. | | | | * * * 0953 FEBRUARY 22, 1996, UPDATE FROM BAKER TAKEN BY TROCINE * * * | | | | THE UNUSUAL EVENT WAS TERMINATED AT 0942 WHEN THE UNIT ENTERED MODE 5 (COLD | | SHUTDOWN). THE LICENSEE WILL NOTIFY THE NRC RESIDENT INSPECTOR AND THE | | STATE. THE NRC OPERATIONS CENTER NOTIFIED THE R1DO (RULAND), THE NRR EO | | (CHAFFEE), AND FEMA (CALDWELL). | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 30009 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: ARKANSAS NUCLEAR REGION: 4 |NOTIFICATION DATE: 02/22/96 | |UNIT: [1] [ ] [ ] STATE: AR |NOTIFICATION TIME: 12:44 [ET]| |RX TYPE: [1] B&W-L-LP,[2] CE |EVENT DATE: 02/22/96 | +------------------------------------------------+EVENT TIME: 10:00[CST]| |NRC NOTIFIED BY: DAN SCHAUBROECK |LAST UPDATE DATE: 02/22/96 | |HQ OPS OFFICER: DOUG WEAVER +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |JOHN PELLET 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 Y 100 POWER OPERATION | 100 POWER OPERATION | | | | | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | OFFSITE NOTIFICATION FOR EXCEEDING THE TOTAL SUSPENDED SOLIDS LIMIT DURING | | A DISCHARGE | | | | THE LICENSEE NOTIFIED THE ARKANSAS DEPARTMENT OF POLLUTION CONTROL AND | | ECOLOGY THAT THE MONTHLY AVERAGE TOTAL SUSPENDED SOLIDS LIMIT FOR THE MONTH | | OF JANUARY HAD BEEN EXCEEDED. THE AVERAGE WAS 30.15 mg/l, AND THE LIMIT | | WAS 30.00 mg/l. | | | | THE LICENSEE WILL INFORM THE NRC RESIDENT INSPECTOR. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 30010 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: SAINT LUCIE REGION: 2 |NOTIFICATION DATE: 02/22/96 | |UNIT: [1] [ ] [ ] STATE: FL |NOTIFICATION TIME: 12:47 [ET]| |RX TYPE: [1] CE,[2] CE |EVENT DATE: 02/22/96 | +------------------------------------------------+EVENT TIME: 10:03[EST]| |NRC NOTIFIED BY: JACK BREEN |LAST UPDATE DATE: 02/22/96 | |HQ OPS OFFICER: DOUG WEAVER +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: UNUSUAL EVENT +-----------------------------+ |10 CFR SECTION: |MARK LESSER RDO | |AAEC 50.72(a)(1)(i) EMERGENCY DECLARED |AL CHAFFEE EO | |ASHU 50.72(b)(1)(i)(A) PLANT S/D REQD BY TS |AUSTIN FEMA | |ARPS 50.72(b)(2)(ii) RPS ACTUATION |WILLIAM BURTON EDO | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ | 1 | M/R Y 100 POWER OPERATION | 0 HOT STANDBY | | | | | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | DROPPED ROD - UNUSUAL EVENT - MANUAL TRIP | | | | AT 1003 EST, WHILE PERFORMING A CONTROL ELEMENT ASSEMBLY (CEA) SURVEILLANCE | | AT 100% POWER, A CEA NOT BEING SURVEILLED DROPPED INTO THE CORE. REACTOR | | POWER WAS STABILIZED AT 93%. TECHNICAL SPECIFICATION 3.1.3.1 REQUIRES THAT | | THE MISALIGNED CEA BE RESTORED TO WITHIN 7.5 INCHES OF THE OTHER CEAs IN | | THE GROUP WITHIN 1 HOUR OR THAT UNIT POWER BE REDUCED TO LESS THAN OR EQUAL | | TO 70%. ONCE POWER IS REDUCED TO 70% OR LESS, OPERATION CAN CONTINUE IF | | THE OTHER CEAs IN THE GROUP CAN BE POSITIONED WITHIN 7.5 INCHES OF THE | | MISALIGNED CEA WITHIN 1 HOUR. | | | | AT 1100, THE LICENSEE COMMENCED UNIT POWER REDUCTION. AT 1105, WHILE | | REDUCING POWER, IT WAS DETERMINED THAT THE DROPPED CEA WAS INOPERABLE, AND | | THEREFORE, IT WOULD NOT BE POSSIBLE TO MEET EITHER ONE OF THE ABOVE | | CONDITIONS FOR CEA GROUP POSITIONING. AT 1200, TECHNICAL SPECIFICATION | | 3.0.3 WAS ENTERED, AND A FULL REACTOR SHUTDOWN WAS COMMENCED. AT 1205, AN | | UNUSUAL EVENT WAS DECLARED BASED ON PLANT SHUTDOWN DUE TO OPERATION BEYOND | | THE TIME CONSTRAINT OF THE TECHNICAL SPECIFICATION ACTION STATEMENT. THE | | CAUSE OF THE DROPPED (INOPERATIVE) CEA IS STILL UNDER INVESTIGATION. | | | | THE LICENSEE INFORMED THE NRC RESIDENT INSPECTOR AND THE APPROPRIATE STATE | | AND LOCAL OFFICIALS. | | | | * * * UPDATE AT 1420 ON FEBRUARY 22, 1996, FROM BREEN TAKEN BY WEAVER * * * | | | | AT 1313, THE REACTOR WAS MANUALLY TRIPPED FROM 26% POWER WHEN FEEDWATER | | FLOW TO THE 1A STEAM GENERATOR WAS NOTED TO BE ERRATIC (INCREASING). THE | | LICENSEE BELIEVES THE CAUSE OF THE FEEDWATER FLOW PROBLEM WAS AN AIR LEAK | | ON THE "A" SIDE FEEDWATER REGULATING VALVE. ALL RODS FULLY INSERTED. THE | | PLANT IS STABLE IN MODE 3, AND THE UNUSUAL EVENT WAS TERMINATED AT 1330. | | | | THE LICENSEE INFORMED THE NRC RESIDENT INSPECTOR AND THE APPROPRIATE STATE | | AND LOCAL OFFICIALS. A PRESS RELEASE WILL BE MADE BUT IS NOT SCHEDULED. | | THE HOO NOTIFIED THE R2DO (LESSER), NRR EO (CHAFFEE), AND FEMA (STORR). | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 30011 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: FITZPATRICK REGION: 1 |NOTIFICATION DATE: 02/22/96 | |UNIT: [1] [ ] [ ] STATE: NY |NOTIFICATION TIME: 15:00 [ET]| |RX TYPE: [1] GE-4 |EVENT DATE: 02/22/96 | +------------------------------------------------+EVENT TIME: 14:06[EST]| |NRC NOTIFIED BY: MIKE RASTLEY |LAST UPDATE DATE: 02/22/96 | |HQ OPS OFFICER: DOUG WEAVER +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |WILLIAM RULAND 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 | M/R Y 7 STARTUP | 0 HOT SHUTDOWN | | | | | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | ELECTROHYDRAULIC CONTROL SYSTEM LEAK - MANUAL SCRAM | | | | THE PLANT WAS IN THE PROCESS OF SHUTTING DOWN DUE TO SLOW CONTROL ROD SCRAM | | TIMES (REFER TO EVENT #30007.), AND A LEAK IN THE ELECTROHYDRAULIC CONTROL | | SYSTEM WAS DISCOVERED. THIS LED OPERATORS TO MANUALLY SCRAM THE PLANT. A | | LOSS OF THE ELECTROHYDRAULIC CONTROL SYSTEM CAUSES THE TURBINE BYPASS | | VALVES TO CLOSE. | | | | ALL RODS FULLY INSERTED, AND THE PLANT IS CURRENTLY STABLE IN MODE 3. DECAY | | HEAT IS BEING REMOVED VIA THE SAFETY RELIEF VALVES. | | | | THE CAUSE OF THE ELECTROHYDRAULIC CONTROL SYSTEM LEAK IS BEING | | INVESTIGATED. | | | | THE NRC RESIDENT INSPECTOR HAS BEEN INFORMED. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |GENERAL INFORMATION or OTHER | |EVENT NUMBER: 30012 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |LICENSEE: UNKNOWN |NOTIFICATION DATE: 02/22/96 | | CITY: PHOENIX REGION: 4 |NOTIFICATION TIME: 17:14 [ET]| | COUNTY: STATE: AZ |EVENT DATE: 02/17/96 | |LICENSE#: UNKNOWN AGREEMENT: Y |EVENT TIME: 12:00[MST]| | DOCKET: |LAST UPDATE DATE: 02/22/96 | | +-----------------------------+ | |PERSON ORGANIZATION| | |CHRIS VANDENBURGH RDO | | | | +------------------------------------------------+ | |NRC NOTIFIED BY: WILLIAM WRIGHT | | |HQ OPS OFFICER: DOUG WEAVER | | +------------------------------------------------+ | |EMERGENCY CLASS: NOT APPLICABLE | | |10 CFR SECTION: | | |NAGR AGREEMENT STATE | | | | | | | | | | | | | | +------------------------------------------------+-----------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | AGREEMENT STATE REPORT | | | | THE ARIZONA RADIATION REGULATORY AGENCY (ARRA) REPORTED THAT A RAIL CAR | | CONTAINING APPROXIMATELY 160,000 POUNDS OF SCRAP METAL WAS RETURNED TO | | NATIONAL METALS (IN PHOENIX, AZ) FROM A FOUNDRY IN PUEBLO, CO. THE RAIL | | CAR HAD SET OFF A RADIATION DETECTION ALARM UPON ENTRY INTO THE FOUNDRY. | | | | THE ARRA CONDUCTED A SURVEY TO DETERMINE THE SOURCE OF THE RADIATION. THE | | ARRA DISCOVERED WHAT APPEARED TO BE A HIGHLY RADIOACTIVE SOURCE ROD FOR A | | MOISTURE DENSITY GAUGE. NO OTHER PARTS OF THE GAUGE WERE IN EVIDENCE. | | THE ROD HAS BEEN WRAPPED IN LEAD SHEETING AND PLACED IN A 55-GALLON DRUM | | FOR TEMPORARY STORAGE IN A RESTRICTED AREA OF A NATIONAL METALS WAREHOUSE. | | | | SUBSEQUENT SPECTRAL ANALYSIS ON FEBRUARY 22, 1996, CONFIRMED THE | | RADIOACTIVE ISOTOPE TO BE CESIUM-137. THE ORIGIN OF THE ROD IS UNKNOWN. | | | | CONTACT NUMBERS ARE AVAILABLE IN THE HOO LOG. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 30013 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: SURRY REGION: 2 |NOTIFICATION DATE: 02/22/96 | |UNIT: [ ] [2] [ ] STATE: VA |NOTIFICATION TIME: 19:45 [ET]| |RX TYPE: [1] W-3-LP,[2] W-3-LP |EVENT DATE: 02/22/96 | +------------------------------------------------+EVENT TIME: 19:04[EST]| |NRC NOTIFIED BY: JOHN ROSENBERGER |LAST UPDATE DATE: 02/23/96 | |HQ OPS OFFICER: DOUG WEAVER +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |MARK LESSER RDO | |ASHU 50.72(b)(1)(i)(A) PLANT S/D REQD BY TS | | | | | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ | | | | | 2 | N Y 100 POWER OPERATION | 90 POWER OPERATION | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | TECHNICAL SPECIFICATION REQUIRED SHUTDOWN - LOSS OF CONTAINMENT INTEGRITY | | | | THE SHUTDOWN WAS INITIATED IN ACCORDANCE WITH TECHNICAL SPECIFICATION | | 3.8.A.1.b DUE TO A LOSS OF CONTAINMENT INTEGRITY FOR MORE THAN 1 HOUR. UNIT | | 2 IS REQUIRED TO BE IN HOT SHUTDOWN WITHIN THE NEXT 6 HOURS AND COLD | | SHUTDOWN WITHIN THE FOLLOWING 30 HOURS. | | | | LOSS OF CONTAINMENT INTEGRITY WAS DISCOVERED WHEN AN ASME SECTION-XI | | CLASS-2 PIPE WAS FOUND TO HAVE INDICATIONS OF LEAKAGE AT THE SADDLE OF A | | PIPE SUPPORT. LEAKAGE APPEARS WHERE THE SUPPORT IS WELDED TO THE PIPE. THE | | LEAK IS LOCATED OUTSIDE THE CONTAINMENT IN THE UNIT 2 SAFEGUARDS BUILDING | | ON THE LINE USED TO DE-WATER THE REACTOR CAVITY TO THE REFUELING WATER | | STORAGE TANK DURING REFUELING OPERATIONS. THE LINE IS NORMALLY ISOLATED AT | | POWER, AND IT IS PRESENTLY ISOLATED INSIDE CONTAINMENT BY VALVE 2-RH-29. | | THE LINE WAS DECLARED INOPERABLE PURSUANT TO THE GUIDELINES OF GENERIC | | LETTER 91-18, DEGRADING AND NON-CONFORMING CONDITIONS. | | | | REACTOR POWER IS BEING REDUCED IN ACCORDANCE WITH NORMAL OPERATING | | PROCEDURES AT A RATE OF APPROXIMATELY 20% REACTOR POWER PER HOUR. PLANS | | ARE PRESENTLY BEING MADE TO INITIATE THE REQUIRED REPAIRS AT THE EARLIEST | | OPPORTUNITY. | | | | THE LICENSEE INFORMED THE NRC RESIDENT INSPECTOR. | | | | * * *0155 FEBRUARY 23, 1996, UPDATE FROM ROSENBERGER TAKEN BY TROCINE* * * | | | | UNIT 2 REACHED HOT SHUTDOWN AT 0047 ON FEBRUARY 23, 1996. THE UNIT IS | | CURRENTLY STABLE, AND ALL SYSTEMS ARE OPERABLE. THE LICENSEE PLANS TO | | PROCEED TO COLD SHUTDOWN WITHIN THE FOLLOWING 30 HOURS AS REQUIRED BY THE | | TECHNICAL SPECIFICATIONS. REPAIRS TO THE CLASS-2 PIPING ARE CONTINUING, | | BUT RECENT REPAIR ATTEMPTS HAVE BEEN UNSUCCESSFUL. | | | | THE LICENSEE WILL NOTIFY THE NRC RESIDENT INSPECTOR. THE NRC OPERATIONS | | CENTER NOTIFIED THE R2DO (LESSER). | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 30014 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: QUAD CITIES REGION: 3 |NOTIFICATION DATE: 02/22/96 | |UNIT: [1] [ ] [ ] STATE: IL |NOTIFICATION TIME: 22:15 [ET]| |RX TYPE: [1] GE-3,[2] GE-3 |EVENT DATE: 02/22/96 | +------------------------------------------------+EVENT TIME: 17:29[CST]| |NRC NOTIFIED BY: TIM KOLB |LAST UPDATE DATE: 02/22/96 | |HQ OPS OFFICER: DOUG WEAVER +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |BJ HOLT 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 | N N 0 REFUELING | 0 REFUELING | | | | | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | THE UNIT 1 EMERGENCY DIESEL GENERATOR STARTED UNEXPECTEDLY DURING TESTING | | | | WHILE PERFORMING OVERSPEED TESTING ON THE UNIT 1 EMERGENCY DIESEL | | GENERATOR, IT UNEXPECTEDLY STARTED AFTER THE OVERSPEED TRIP WAS RESET. THE | | PROCEDURE INAPPROPRIATELY LEFT THE CONTROL SWITCH IN THE START POSITION | | CAUSING THE EMERGENCY DIESEL GENERATOR TO START WHEN THE TRIP WAS RESET. | | THE PROCEDURE IS UNDER REVIEW. | | | | THE LICENSEE INFORMED THE NRC RESIDENT INSPECTOR. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 30015 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: MILLSTONE REGION: 1 |NOTIFICATION DATE: 02/22/96 | |UNIT: [ ] [2] [ ] STATE: CT |NOTIFICATION TIME: 22:52 [ET]| |RX TYPE: [1] GE-3,[2] CE,[3] W-4-LP |EVENT DATE: 02/22/96 | +------------------------------------------------+EVENT TIME: 22:35[EST]| |NRC NOTIFIED BY: TED DUBAY |LAST UPDATE DATE: 02/22/96 | |HQ OPS OFFICER: DOUG WEAVER +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |GLENN MEYER 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 | +-----+----------+-------+--------+-----------------+--------+-----------------+ | | | | | 2 | N N 0 COLD SHUTDOWN | 0 COLD SHUTDOWN | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | CONTAINMENT HYDROGEN MONITORS INOPERABLE | | | | BASED UPON NRC INSPECTOR INQUIRIES, THE LICENSEE TESTED THE OPERABILITY OF | | THE HYDROGEN MONITORING SYSTEM. AT LOW CONTAINMENT PRESSURES, THE HYDROGEN | | MONITORING SYSTEM WILL NOT MEASURE CONTAINMENT HYDROGEN LEVELS BECAUSE OF A | | PROBLEM WITH VALVES 2S688 AND 2S707 (ONE IN EACH TRAIN). THESE VALVES MUST | | BE OPEN TO DRAW A SAMPLE FROM THE CONTAINMENT. THE VALVES DO NOT OPEN WHEN | | AMBIENT PRESSURE IS AT OR NEAR ZERO PSIG. | | | | THE LICENSEE INTENDS TO REPLACE THESE VALVES PRIOR TO RESTART. | | | | THE LICENSEE INFORMED THE NRC RESIDENT INSPECTOR AS WELL AS THE APPROPRIATE | | STATE AND LOCAL OFFICIALS. | +------------------------------------------------------------------------------+