U.S. Nuclear Regulatory Commission Operations Center Event Reports For 12/27/96 - 12/30/96 ** EVENT NUMBERS ** 31515 31516 31517 31518 31519 31520 31521 +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 31515 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: CLINTON REGION: 3 |NOTIFICATION DATE: 12/27/96 | |UNIT: [1] [ ] [ ] STATE: IL |NOTIFICATION TIME: 19:30 [ET]| |RX TYPE: [1] GE-6 |EVENT DATE: 12/27/96 | +------------------------------------------------+EVENT TIME: 17:46[CST]| |NRC NOTIFIED BY: MINTLER |LAST UPDATE DATE: 12/27/96 | |HQ OPS OFFICER: CHAUNCEY GOULD +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |GARY SHEAR RDO | |DDDD 73.71 UNSPECIFIED PARAGRAPH | | | | | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |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 LICENSEE DISCOVERED THE LOSS OF SAFEGUARDS INFORMATION. COMPENSATORY | | MEASURES NOT FULLY IMPLEMENTED. THE RESIDENT INSPECTOR WILL BE NOTIFIED. | | SEE HOO LOG FOR DETAILS. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |OTHER NUCLEAR MATERIAL | |EVENT NUMBER: 31516 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |LICENSEE: GRAND VIEW HOSPITAL, DAYTON, OHIO |NOTIFICATION DATE: 12/28/96 | | CITY: DAYTON REGION: 3 |NOTIFICATION TIME: 09:35 [ET]| | COUNTY: MONTGOMERY STATE: OH |EVENT DATE: 12/28/96 | |LICENSE#: SNM-1603 AGREEMENT: N |EVENT TIME: 08:20[EST]| | DOCKET: |LAST UPDATE DATE: 12/28/96 | | +-----------------------------+ | |PERSON ORGANIZATION| | |GARY SHEAR (REG 3) RDO | | | | +------------------------------------------------+MARK LESSER (REG 2) RDO | |NRC NOTIFIED BY: JIM ADAMS | | |HQ OPS OFFICER: JOHN MacKINNON | | +------------------------------------------------+ | |EMERGENCY CLASS: NOT APPLICABLE | | |10 CFR SECTION: | | |NLTR LICENSEE 24 HR REPORT | | | | | | | | | | | | | | +------------------------------------------------+-----------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | REQUESTING PERMISSION TO REMOVE RADIOACTIVE PACEMAKER | | RADIATION SAFETY OFFICER FOR GRAND VIEW HOSPITAL LOCATED IN DAYTON, OHIO, | | REPORTED THE FOLLOWING EVENT. | | | | A PATIENT OF THEIRS EXPIRED WHILE VISITING RELATIVES IN WEST PALM BEACH, | | FL. THE PATIENT EXPIRED AT GOOD SAMARITAN HOSPITAL AND THEN THE BODY WAS | | TAKEN TO A FUNERAL HOME LOCATED IN WEST PALM BEACH. THE EXPIRED PERSON HAS | | A MODEL # 184A NUCLEAR POWERED CARDIAC PACEMAKER (CONTAINING | | PLUTONIUM-238). THE PACEMAKER WAS MANUFACTURED BY CORDIS (NOW NAMED | | TELECTRONICS) AND THE SERIAL NUMBER OF THE PACEMAKER IS "631". THE FAMILY | | OF THIS PERSON IS INSISTING THAT THE BODY BE PREPARED FOR BURIAL AT THE | | FUNERAL HOME IN WEST PALM BEACH. THE RADIATION SAFETY OFFICER FOR GRAND | | VIEW HOSPITAL WOULD LIKE TO RECEIVE PERMISSION FROM THE NUCLEAR REGULATORY | | COMMISSION TO HAVE HIS CARDIOLOGIST CALL THE FUNERAL HOME AND INSTRUCT THE | | FUNERAL HOME PEOPLE HOW TO PERFORM THE EXPLANTATION AND REMOVAL OF THE | | PACEMAKER FROM THE EXPIRED PERSON. THE PACEMAKER WOULD ACCOMPANY THE BODY | | BACK TO DAYTON, OHIO WHERE THE RADIATION SAFETY OFFICER FOR GRAND VIEW | | HOSPITAL WOULD GET CUSTODY OF THE PACEMAKER. | | THE RADIATION SAFETY OFFICER SAID THAT THEIR LICENSE STATES THAT THE | | REMOVAL OF THE PACEMAKER BE PERFORMED AT THEIR HOSPITAL. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 31517 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: HOPE CREEK REGION: 1 |NOTIFICATION DATE: 12/28/96 | |UNIT: [1] [ ] [ ] STATE: NJ |NOTIFICATION TIME: 13:25 [ET]| |RX TYPE: [1] GE-4 |EVENT DATE: 12/28/96 | +------------------------------------------------+EVENT TIME: 11:01[EST]| |NRC NOTIFIED BY: FAULKNER |LAST UPDATE DATE: 12/28/96 | |HQ OPS OFFICER: CHAUNCEY GOULD +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |JACK DURR 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 Y 100 POWER OPERATION | 100 POWER OPERATION | | | | | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | THE PLANT ENTERED A 14 DAY LCO ACTION STATEMENT WHEN RCIC WAS DECLARED | | INOPERABLE. | | | | WHILE PERFORMING THE QUARTERLY IN SERVICE TESTING ON THE RCIC TURBINE AND | | PUMP, THE TURBINE OVERSPED ON STARTUP. THE TURBINE TRIPPED ITS OVERSPEED | | DEVICE AND SHUTDOWN AUTOMATICALLY. THE RCIC SYSTEM HAS BEEN DECLARED | | INOPERABLE UNTIL THE CAUSE IS FOUND AND REPAIRED. THIS CONDITION HAS PUT | | THE PLANT IN THE 14 DAY LCO. THE HPCI SYSTEM IS OPERABLE. THE RESIDENT | | INSPECTOR WAS NOTIFIED ALONG WITH LOWER ALLOWAYS CREEK TOWNSHIP. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 31518 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: FERMI REGION: 3 |NOTIFICATION DATE: 12/28/96 | |UNIT: [2] [ ] [ ] STATE: MI |NOTIFICATION TIME: 14:27 [ET]| |RX TYPE: [2] GE-4 |EVENT DATE: 12/28/96 | +------------------------------------------------+EVENT TIME: 13:14[EST]| |NRC NOTIFIED BY: TERIBERY |LAST UPDATE DATE: 12/28/96 | |HQ OPS OFFICER: CHAUNCEY GOULD +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |GARY SHEAR RDO | |ARPS 50.72(b)(2)(ii) RPS ACTUATION | | |AESF 50.72(b)(2)(ii) ESF ACTUATION | | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ | 2 | A/R Y 18 POWER OPERATION | 0 HOT SHUTDOWN | | | | | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | THE PLANT HAD A REACTOR SCRAM FROM 18% POWER DUE TO A LOW REACTOR VESSEL | | WATER LEVEL SIGNAL AND A ALTERNATE ROD INSERTION(ARI) SIGNAL. | | | | WHILE VALVING IN THE DIVISION 1 BACKFILL SYSTEM, A SURGE IN THE SYSTEM | | CAUSED A LEVEL 8 SPIKE WHICH WAS IMMEDIATELY FOLLOWED BY A LEVEL 2 SIGNAL, | | WHICH INITIATED DIVISION 1 OF THE ARI SYSTEM, RESULTING IN THE REACTOR | | RECIRC PUMPS TRIPPING AND A REACTOR SCRAM. THE REACTOR FEED PUMP TRIPPED | | ON THE LEVEL 8 SIGNAL. THE PLANTS EOP's WERE ENTERED WHEN LEVEL 3 WAS | | REACHED. WATER WAS RESTORED USING THE STANDBY FEEDWATER SYSTEM, AND THE | | EOP's WERE EXITED AT 13:45. AT 13:49 REACTOR RECIRC PUMP "B" WAS RESTORED | | TO SERVICE. DUE TO THE RAPID INITIAL COOLDOWN, THE PLANT's ADMINISTRATIVE | | 90øF/HR LIMIT WAS EXCEEDED, BUT TS 3.4.6.1 LIMIT OF 100øF/HR, COOLDOWN RATE | | WAS NOT EXCEEDED. ALL RODS FULLY INSERTED, NO INJECTION OCCURRED AND NO | | SAFETY RELIEF VALVES OPENED. THE CONDENSER IS THE HEAT SINK. CAUSE OF THE | | SURGE IS UNKNOWN AND IS BEING INVESTIGATED. THE RESIDENT INSPECTOR WAS | | INFORMED. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 31519 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: COOK REGION: 3 |NOTIFICATION DATE: 12/29/96 | |UNIT: [ ] [2] [ ] STATE: MI |NOTIFICATION TIME: 15:31 [ET]| |RX TYPE: [1] W-4-LP,[2] W-4-LP |EVENT DATE: 12/29/96 | +------------------------------------------------+EVENT TIME: 14:50[EST]| |NRC NOTIFIED BY: TILLY |LAST UPDATE DATE: 12/29/96 | |HQ OPS OFFICER: CHAUNCEY GOULD +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |GARY SHEAR RDO | |AOUT 50.72(b)(1)(ii)(B) OUTSIDE DESIGN BASIS | | |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 | 100 POWER OPERATION | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | THE LICENSEE REPORTED THAT THEY HAD ENTERED LCO ACTION STATEMENTS SEVERAL | | TIMES UNKNOWINGLY SINCE 11/01/96. | | | | THIS CONDITION WAS DUE TO A COMBINATION OF EQUIPMENT BEING REMOVED FROM | | SERVICE IN ONE SAFETY RELATED TRAIN, AND TECHNICAL SPECIFICATION (TECH | | SPEC) INOPERABILITY OF THE OPPOSITE TRAIN'S EDG. THE TRAIN "A" EDG WAS | | INOPERABLE DUE TO ITS INABILITY TO FULLY COMPLY WITH THE LOAD SHED | | REQUIREMENTS OF THE EDG TECH SPEC. THE LOAD SHED FAILURE WAS DUE TO FAILURE | | TO RE-INSTALL THE TRIP FUSES(OR CONTROL POWER FUSES FOR THE CIRCUIT | | BREAKERS) ON A SINGLE 600 V AC CIRCUIT BREAKER WHICH SUPPLIES POWER TO UNIT | | 2 CONTAINMENT LIGHTING CIRCUITS. WITHOUT THESE FUSES INSTALLED, THE BREAKER | | WOULD NOT TRIP AND LOAD SHED WOULD NOT OCCUR. THE FUSES WERE FOUND REMOVED | | AT 12:30 ON 12/29/96 AND REPLACED AT 13:05 ON 12/29/96. THESE FUSES MAY | | HAVE BEEN REMOVED SINCE 11/01/96. DURING THE PERIOD FROM 11/01-12/29/96 | | THERE MAY HAVE BEEN INSTANCES WHERE EQUIPMENT MAY HAVE BEEN REMOVED FROM | | SERVICE ON SAFETY TRAIN "B" WHILE THE TRAIN "A" EDG WAS INOPERABLE, PUTTING | | THE PLANT IN A LCO ACTION STATEMENT. THE EVENT WAS DETERMINED TO BE | | REPORTABLE AT 14:50 ON 12/29/96 AFTER CONSULTATION WITH LICENSING AND | | MANAGEMENT PERSONNEL. | | | | THE LICENSEE IS CONTINUING FURTHER ANALYSIS OF THE EVENT TO DETERMINE IF | | THE FAILURE TO INSTALL THE FUSES IMPAIRED THE EDG FUNCTION. BASED ON THE | | SMALL LOAD CARRIED BY THIS LIGHTING BREAKER, THIS EVENT IS NOT BELIEVED TO | | HAVE HAD ANY POTENTIAL SAFETY SIGNIFICANCE. THE LICENSEE NOTIFIED THE | | RESIDENT INSPECTOR. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |IRRETRIEVABLE WELL LOGGING SOURCE | |EVENT NUMBER: 31520 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |LICENSEE: EASTERN WELL SURVEYS INC. |NOTIFICATION DATE: 12/29/96 | | CITY: WOOSTER REGION: 3 |NOTIFICATION TIME: 17:04 [ET]| | COUNTY: STATE: OH |EVENT DATE: 12/24/96 | |LICENSE#: 34-12927-01 AGREEMENT: N |EVENT TIME: 00:00[EST]| | DOCKET: |LAST UPDATE DATE: 12/29/96 | | +-----------------------------+ | |PERSON ORGANIZATION| | |GARY SHEAR RDO | | | | +------------------------------------------------+MADERA REG3 | |NRC NOTIFIED BY: MUSSELMAN | | |HQ OPS OFFICER: CHAUNCEY GOULD | | +------------------------------------------------+ | |EMERGENCY CLASS: NOT APPLICABLE | | |10 CFR SECTION: | | |EIRR 39.77(c) WELL LOGGING SOURCE | | | | | | | | | | | | | | +------------------------------------------------+-----------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | THE LICENSEE, EASTERN WELL SURVEYS INC., CALLED TO GET PERMISSION TO | | ABANDON A WELL LOGGING SOURCE AT A WELL OWNED BY JEFFERSON OIL AND GAS CO. | | LOCATED IN COSHOCTON COUNTY, OHIO. | | | | THE SOURCES TO BE ABANDONED ARE 3 CURIES OF AMERICIUM-241 AND 2 CURIES OF | | CESIUM-137 LOCATED 6000FT BELOW GROUND LEVEL IN A 6080FT WELL. THEY | | ATTEMPTED RECOVERY FOR THREE DAYS AND FAILED, SO ABANDONMENT WAS THEIR | | FINAL DECISION. | | | | REGION 3 WAS CONFERENCED WITH THE LICENSEE AND A DECISION WAS MADE TO WAIT | | UNTIL MONDAY BEFORE PERMISSION WOULD BE GRANTED. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 31521 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: TROJAN REGION: 4 |NOTIFICATION DATE: 12/30/96 | |UNIT: [1] [ ] [ ] STATE: OR |NOTIFICATION TIME: 03:36 [ET]| |RX TYPE: [1] W-4-LP |EVENT DATE: 12/29/96 | +------------------------------------------------+EVENT TIME: 20:53[PST]| |NRC NOTIFIED BY: TOM LAWSON |LAST UPDATE DATE: 12/30/96 | |HQ OPS OFFICER: JOHN MacKINNON +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: | | |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 N 0 DECOMMISSIONED | 0 DECOMMISSIONED | | | | | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | OFFSITE FIRE DEPARTMENT CALLED TO EXTINGUISH A FIRE IN THE YARD LOOP | | CIRCUIT SWITCHER. | | | | AT 2053 PST A FIRE IN THE YARD LOOP CIRCUIT SWITCHER (LOCATED OUTSIDE MAIN | | BUILDINGS) WAS REPORTED TO THE LICENSEE. LICENSEE DEENERGIZED THE LOOP | | CIRCUIT SWITCHER AT 2059 PST BUT OIL SOAKED INSULATION IN THE SWITCHER | | CONTINUED TO BURN (INSULATION MOSTLY SMOKED). LICENSEE CALLED THE RAINIER | | FIRE DEPARTMENT AT 2103 PST TO PUT OUT THE FIRE. THE FIRE WAS EXTINGUISHED | | AT 2138 PST. THERE WERE NO INJURIES AND THE LICENSEE IS INVESTIGATING THE | | CAUSE OF THE FIRE. NO ELECTRICAL POWER WAS LOST TO THE PLANT. LICENSEE | | WILL NOTIFY THE OREGON DEPARTMENT OF ENERGY OF THIS EVENT REPORT. | +------------------------------------------------------------------------------+