U.S. Nuclear Regulatory Commission Operations Center Event Reports For 06/28/96 - 07/01/96 ** EVENT NUMBERS ** 30324 30689 30690 30691 30692 30693 30694 30695 30696 30697 +----------------------------------+ +-----------------------+ |RESEARCH REACTOR | |EVENT NUMBER: 30324 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: UNIV OF ILLINOIS |NOTIFICATION DATE: 04/19/96 | | RXTYPE: 1500 KW TRIGA (ADVANCED) |NOTIFICATION TIME: 14:01 [ET]| |COMMENTS: |EVENT DATE: 04/18/96 | | |EVENT TIME: 12:00[CDT]| | |LAST UPDATE DATE: 06/28/96 | | CITY: URBANA REGION: 3 +-----------------------------+ | COUNTY: CHAMPAIGN STATE: IL |PERSON ORGANIZATION| |LICENSE#: R-115 AGREEMENT: Y |BRENT CLAYTON RDO | | DOCKET: 05000151 | | +------------------------------------------------+MARVIN MENDONCA NRR | |NRC NOTIFIED BY: JON RALSTON | | |HQ OPS OFFICER JOHN MacKINNON | | +------------------------------------------------+ | |EMERGENCY CLASS: NOT APPLICABLE | | |10 CFR SECTION: | | |NLTR LICENSEE 24 HR REPORT | | | | | | | | | | | | | | +------------------------------------------------+-----------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | DISCHARGE OF 0.084 ęCI OF INSOLUBLE RADIOACTIVITY TO THE SANITARY SEWER | | SYSTEM | | | | THE RETENTION TANK WAS 3/4 FULL ON 04/08/96. ON 04/09/96, THE RETENTION | | TANK CONTENTS WERE RECIRCULATED, AND A PRE-RELEASE SAMPLE WAS TAKEN. THE | | PRE-RELEASE SAMPLE WAS COUNTED ON 04/10/96, AND NO INSOLUBLE ACTIVITY WAS | | DETECTED. | | | | ON 04/11/96, 250 GALLONS WAS PUMPED FROM THE RETENTION TANK TO THE SANITARY | | SEWER SYSTEM. A POST-RELEASE SAMPLE WAS TAKEN AT 1300 CDT ON 04/11/96, AND | | WAS COUNTED ON 04/12/96 (BETWEEN THE HOURS OF 1000 CDT TO 1500 CDT). THE | | FILTER PAPER THAT THE SAMPLE WAS ON BLEW OUT OF AN OPEN WINDOW AND FELL TWO | | STORIES TO THE GROUND BELOW. THIS IS THE POST-RELEASE SAMPLE THAT WAS | | COUNTED ON 04/12/96. INSOLUBLE ACTIVITY VALUE WAS SUSPECTED; THEREFORE, | | THE LICENSEE TOOK A SECOND POST-DISCHARGE SAMPLE, AND IT WAS COUNTED ON | | 04/17/96 (1100-1300 CDT). THE SAMPLE SHOWED AN INSOLUBLE ACTIVITY OF | | 5.5E-08 ęCI/ml (BETA-GAMMA). THE RETENTION TANK WAS RECIRCULATED ON | | 04/17/96, AND ANOTHER SAMPLE WAS TAKEN AT 1730 CDT. THE SAMPLE WAS COUNTED | | ON 04/18/96. THE PRESENTS OF INSOLUBLE ACTIVITY WAS CONFIRMED ON THIS | | SAMPLE. A TOTAL OF 0.084 ęCI/ml OF INSOLUBLE BETA-GAMMA ACTIVITY WAS | | DISCHARGED ON 04/11/96, AT A CONCENTRATION OF 8.9E-08 ęCI/ml TO THE | | SANITARY SEWER SYSTEM. UNIVERSITY OF ILLINOIS TECHNICAL SPECIFICATIONS DO | | NOT ALLOW ANY INSOLUBLE ACTIVITY TO BE DISCHARGED TO THE ENVIRONMENT. | | ALL DISCHARGES TO THE ENVIRONMENT FROM THE RETENTION TANK WILL BE SUSPENDED | | UNTIL THIS PROBLEM IS CORRECTED. | | REGION 3 (GARY SHEAR) WAS NOTIFIED BY THE LICENSEE OF THIS EVENT. | | | | ******UPDATE ON 6/28/96 BY BAILEY TO CORRECT FACILITY NAME***** | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |TRANSPORTATION EVENT | |EVENT NUMBER: 30689 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |LICENSEE: EMERY WORLDWIDE AIR FREIGHT CO |NOTIFICATION DATE: 06/28/96 | | CITY: VANDALIA REGION: 3 |NOTIFICATION TIME: 02:47 [ET]| | COUNTY: STATE: OH |EVENT DATE: 06/28/96 | |LICENSE#: AGREEMENT: N |EVENT TIME: 00:50[EDT]| | DOCKET: |LAST UPDATE DATE: 06/28/96 | | +-----------------------------+ | |PERSON ORGANIZATION| | |RONALD GARDNER RDO | | |CHARLEY HAUGHNEY EO | +------------------------------------------------+TED BECK DOE | |NRC NOTIFIED BY: PEKAR, DOT NAT RES CTR |RICH BARRETT AEOD | |HQ OPS OFFICER: DICK JOLLIFFE |STUART RUBIN AEOD | +------------------------------------------------+ | |EMERGENCY CLASS: NOT APPLICABLE | | |10 CFR SECTION: | | |NTRA TRANSPORTATION EVENT | | | | | | | | | | | | | | +------------------------------------------------+-----------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | - TRANSPORTATION EVENT - SHIPPING CONTAINER DAMAGED, NO LIQUID P-32 LEAK - | | | | TOM PEKAR, DOT NATIONAL RESPONSE CENTER (INCIDENT REPORT #349415) REPORTED | | THAT A 3 INCH X 3 INCH X 12 INCH CARDBOARD SHIPPING CONTAINER CONTAINING | | APPROXIMATELY 1 OUNCE OF RADIOACTIVE LIQUID SALT PHOSPHORUS-32 (1169 | | GIGABECQUERELS) INSIDE A GLASS VIAL INSIDE A LEAD SLEEVE WAS RUN OVER AND | | DAMAGED BY A VEHICLE AT THE EMERY WORLDWIDE AIR FREIGHT COMPANY SERVICE | | CENTER, VANDALIA, OH. THE CONTAINER IS MARKED "RADIOACTIVE-NOS, UN-1169". | | THE GLASS VIAL WAS NOT BROKEN; THE LEAD SLEEVE WAS NOT DAMAGED. NO | | RADIOACTIVE LIQUID LEAKED FROM THE GLASS VIAL. THE DAMAGED PACKAGE HAS | | BEEN PLACED INSIDE A 30-GALLON METAL DRUM IN A HAZMAT STORAGE AREA. THE | | PACKAGE WAS BEING SHIPPED BY DUPONT - LIFE SCIENCES COMPANY, BOSTON, MA, | | TO MANDEL SCIENTIFIC, LTD, EDMONTON, ALBERTA, CANADA. | | | | THE EMERY CONTACT IS MIKE SOWERS OR CHRIS ANDRACKI. (REFER TO HOO LOG FOR | | TELEPHONE NUMBER.) | | | | THE DOT NATIONAL RESPONSE CENTER NOTIFIED DOE, US EPA, OHIO EPA, AND NOAA. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |OTHER NUCLEAR MATERIAL | |EVENT NUMBER: 30690 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |LICENSEE: ANHEUSER-BUSCH |NOTIFICATION DATE: 06/28/96 | | CITY: VAN NUYS REGION: 4 |NOTIFICATION TIME: 10:38 [ET]| | COUNTY: LOS ANGELES STATE: CA |EVENT DATE: 06/20/96 | |LICENSE#: AGREEMENT: Y |EVENT TIME: 00:00[PDT]| | DOCKET: |LAST UPDATE DATE: 06/28/96 | | +-----------------------------+ | |PERSON ORGANIZATION| | |LINDA HOWELL RDO | | | | +------------------------------------------------+ | |NRC NOTIFIED BY: ASHOK KHANNA | | |HQ OPS OFFICER: STEVE SANDIN | | +------------------------------------------------+ | |EMERGENCY CLASS: NOT APPLICABLE | | |10 CFR SECTION: | | |NINF INFORMATION ONLY | | | | | | | | | | | | | | +------------------------------------------------+-----------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | TWO EXITS SIGNS, EACH CONTAINING A MAXIMUM OF 15 Ci TRITIUM, WERE REPORTED | | MISSING ON JUNE 20, 1996, FOLLOWING CONSTRUCTION ACTIVITIES FROM THE | | ANHEUSER-BUSCH FACILITY LOCATED AT 15800 ROSCOE BLVD, VAN NUYS, CA 91406. | | THE STATE OF CALIFORNIA WAS NOTIFIED, AND A WRITTEN REPORT WILL BE | | SUBMITTED TO THE NRC REGION IV OFFICE. | | | | SEE HOO LOG FOR CALLER'S TELEPHONE NUMBER. | +------------------------------------------------------------------------------+ !!!!!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED !!!!!!! +----------------------------------+ +-----------------------+ |HOSPITAL | |EVENT NUMBER: 30691 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |LICENSEE: CHILDREN'S MERCY HOSPITAL |NOTIFICATION DATE: 06/28/96 | | CITY: KANSAS CITY REGION: 3 |NOTIFICATION TIME: 14:36 [ET]| | COUNTY: STATE: MO |EVENT DATE: 06/28/96 | |LICENSE#: 24-15513-01 AGREEMENT: N |EVENT TIME: 10:00[CDT]| | DOCKET: |LAST UPDATE DATE: 06/28/96 | | +-----------------------------+ | |PERSON ORGANIZATION| | |RONALD GARDNER RDO | | |COOL EO | +------------------------------------------------+RUBIN IRD | |NRC NOTIFIED BY: BURCHELL | | |HQ OPS OFFICER: CHAUNCEY GOULD | | +------------------------------------------------+ | |EMERGENCY CLASS: NOT APPLICABLE | | |10 CFR SECTION: | | |LADM 35.33(a) MED MISADMINISTRATION | | | | | | | | | | | | | | +------------------------------------------------+-----------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | CHILDREN'S MERCY HOSPITAL REPORTED THAT A MISADMINISTRATION OCCURRED WHEN | | THE WRONG PHARMACEUTICAL WAS INJECTED INTO A PATIENT. | | | | THE LICENSEE HAD ORDERED 20 MILLICURIES OF MUGA PERTECHNETATE DOSE FROM | | MALLINCKRODT PHARMACY, AND UPON DELIVERY, 8.8 MILLICURIES WAS INJECTED INTO | | A PATIENT FOR A CARDIAC SCAN. WHEN THEY RE-INJECTED THE PATIENT AND | | STARTED TO TAKE PICTURES, THEY NOTICED BONE UPTAKE. THEY RECHECKED WITH | | THE PHARMACY AND FOUND THAT HDP BONE PHARMACEUTICAL HAD BEEN INADVERTENTLY | | SENT INSTEAD OF THE PERTECHNETATE. THE LICENSEE ALSO DID NOT CHECK THE | | LABEL ON THE CASE PRIOR TO MAKING THE INJECTION. THERE IS NO ADVERSE | | AFFECT ON THE PATIENT. | | | | ***UPDATE AT 1650 ON 06/28/96, BY BURCHELL TO GOULD*** THE LICENSEE IS | | RETRACTING THIS EVENT AFTER A REGION 3 REPRESENTATIVE TOLD THEM THAT THE | | EVENT WAS NOT REPORTABLE. THE NRC OPERATIONS CENTER NOTIFIED THE R3DO | | (GARDNER). | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 30692 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: PALO VERDE REGION: 4 |NOTIFICATION DATE: 06/28/96 | |UNIT: [ ] [2] [ ] STATE: AZ |NOTIFICATION TIME: 19:55 [ET]| |RX TYPE: [1] CE,[2] CE,[3] CE |EVENT DATE: 06/28/96 | +------------------------------------------------+EVENT TIME: 16:00[MST]| |NRC NOTIFIED BY: STROUD |LAST UPDATE DATE: 06/28/96 | |HQ OPS OFFICER: CHAUNCEY GOULD +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |LINDA HOWELL 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 | +-----+----------+-------+--------+-----------------+--------+-----------------+ | | | | | 2 | N Y 100 POWER OPERATION | 100 POWER OPERATION | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | CONDITION ON 06/12/96, OUTSIDE DESIGN BASIS | | | | ENGINEERING PERSONNEL DETERMINED ON 06/28/96, AT 1600 MST THAT THE | | PERSONNEL HATCH LOCATED ON THE 100' ELEVATION OF THE MAIN STEAM SUPPORT | | STRUCTURE (MSSS) WAS OPEN FOR APPROXIMATELY 10 HOURS. HAD A MAIN FEEDWATER | | LINE SLOT (LONGITUDINAL) BREAK OCCURRED DURING THE TIME THE PERSONNEL HATCH | | WAS OPEN, THE RESULTANT FLOODING OF THE 80' LEVEL OF THE TRAIN "B" SECTION | | OF THE MSSS WOULD HAVE SUBMERGED THE NORMAL VENTILATION DUCTS, WHICH WOULD | | HAVE ALLOWED WATER TO FLOW TO VARIOUS AUX BUILDING LOCATIONS INCLUDING THE | | 40' ELEVATION. HAD SUCH EVENT OCCURRED, THE FOLLOWING EQUIPMENT WOULD HAVE | | BEEN RENDERED INOPERABLE: TRAIN "B" AUX FEEDWATER PUMP, TRAIN "B" | | ATMOSPHERIC DUMP VALVES, AND TRAIN "A" AND "B" HIGH PRESSURE SAFETY | | INJECTION PUMPS. IN ADDITION, THE LICENSEE HAS DETERMINED THAT EQUIPMENT | | QUALIFICATION DESIGN BASIS REQUIREMENTS WOULD HAVE BEEN AFFECTED DURING THE | | TIME THE PERSONNEL HATCH WAS OPEN. FURTHER INVESTIGATION IS ONGOING TO | | DETERMINE THE POTENTIAL CONSEQUENCES AND SAFETY SIGNIFICANCE OF THIS EVENT. | | THIS CONDITION WAS CORRECTED AND CORRECTIVE ACTIONS HAVE BEEN IMPLEMENTED | | TO PREVENT FUTURE INADVERTENT OPENING OF THE HATCH IN ALL THREE UNITS. | | | | THE NRC RESIDENT INSPECTOR WAS INFORMED. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 30693 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: MAINE YANKEE REGION: 1 |NOTIFICATION DATE: 06/28/96 | |UNIT: [1] [ ] [ ] STATE: ME |NOTIFICATION TIME: 22:58 [ET]| |RX TYPE: [1] CE |EVENT DATE: 06/28/96 | +------------------------------------------------+EVENT TIME: 19:12[EDT]| |NRC NOTIFIED BY: MCDOUGOLD |LAST UPDATE DATE: 06/28/96 | |HQ OPS OFFICER: CHAUNCEY GOULD +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |RICHARD BARKLEY 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 | +-----+----------+-------+--------+-----------------+--------+-----------------+ | 1 | N Y 90 POWER OPERATION | 90 POWER OPERATION | | | | | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | THE LICENSEE REPORTED A CONDITION THAT ALONE COULD HAVE PREVENTED THE | | FULFILLMENT OF THE SAFETY FUNCTION OF SYSTEMS THAT ARE NEEDED FOR SAFE | | SHUTDOWN. | | | | THE CONTROL ROOM WAS NOTIFIED THAT THE COLD-SIDE MACHINE SHOP INNER ROLL-UP | | DOOR WAS SHUT CONTRARY TO ADMINISTRATIVE POSTING REQUIREMENTS TO LEAVE THE | | DOOR OPEN A MINIMUM OF 5" FROM THE FLOOR. THIS REQUIREMENT IS A RESULT OF | | A PREVIOUS NOTIFICATION (#30374) MADE ON 04/26/96. THIS INSIDE DOOR MUST | | BE OPEN TO ALLOW WATER TO PASS THROUGH THE TURBINE HALL SOUTH ROLL-UP DOOR | | AND OUTSIDE THE TURBINE HALL. SINCE THE DOOR WAS FOUND CLOSED, A | | CIRCULATING WATER PIPING BREAK ALONE COULD MAKE EQUIPMENT NEEDED FOR SAFE | | SHUTDOWN INOPERABLE. THE DOOR HAS BEEN RESTORED TO THE PROPER HEIGHT ABOVE | | THE FLOOR, AND IT HAS BEEN ELECTRICALLY TAGGED OUT TO PREVENT MOVEMENT. | | | | THE NRC RESIDENT INSPECTOR WAS INFORMED. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 30694 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: LASALLE REGION: 3 |NOTIFICATION DATE: 06/29/96 | |UNIT: [1] [2] [ ] STATE: IL |NOTIFICATION TIME: 00:57 [ET]| |RX TYPE: [1] GE-5,[2] GE-5 |EVENT DATE: 06/28/96 | +------------------------------------------------+EVENT TIME: 23:15[CDT]| |NRC NOTIFIED BY: GUY McCALLUM |LAST UPDATE DATE: 06/29/96 | |HQ OPS OFFICER: LEIGH TROCINE +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |RONALD GARDNER RDO | |ASHU 50.72(b)(1)(i)(A) PLANT S/D REQD BY TS |ELINOR ADENSAM/NRR EO | |ARPS 50.72(b)(2)(ii) RPS ACTUATION |RICH BARRETT/EVENTS AEOD | | |STUART RUBIN/ERB AEOD | | |ROBERT CAPRA NRR | | |JOHN GROBE R3 | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ | 1 | M/R Y 2 STARTUP | 0 HOT STANDBY | | 2 | N Y 99 POWER OPERATION | 99 POWER OPERATION | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | UNIT 1 MANUAL SCRAM AND UNIT 2 SHUTDOWN PER TECHNICAL SPECIFICATION 3.0.3 | | DUE TO FOREIGN MATERIAL IN THE SERVICE WATER TUNNEL | | | | FOAM WAS INJECTED INTO CRACKS IN THE LAKE SCREEN HOUSE IN ORDER TO FILL THE | | CRACKS IN THE LAKE SERVICE BUILDING, AND SOME OF THE FOAM HAS GOTTEN INTO | | THE SERVICE WATER TUNNEL. THE DIESEL GENERATOR COOLING WATER PUMPS AND THE | | RESIDUAL HEAT REMOVAL SERVICE WATER PUMPS FOR BOTH UNITS TAKE A SUCTION | | FROM THIS TUNNEL. AS A RESULT, THE LICENSEE DECLARED THE CORE STANDBY | | COOLING SYSTEM/EQUIPMENT COOLING WATER SYSTEM INOPERABLE AND ENTERED | | TECHNICAL SPECIFICATION 3.0.3 AT 2315 CDT ON JUNE 28, 1996. (ALTHOUGH THE | | LICENSEE HAS DECLARED THIS SYSTEM INOPERABLE, THE LICENSEE BELIEVES THAT | | THE APPLICABLE PUMPS ARE AVAILABLE.) TECHNICAL SPECIFICATION 3.0.3 | | REQUIRES THAT WHEN A LIMITING CONDITION FOR OPERATION IS NOT MET EXCEPT AS | | PROVIDED BY ASSOCIATED ACTION REQUIREMENTS, ACTION SHALL BE INITIATED | | WITHIN 1 HOUR TO PLACE THE UNIT IN AN OPERATING CONDITION IN WHICH THE | | SPECIFICATION DOES NOT APPLY BY PLACING THE UNIT IN AT LEAST A STARTUP | | CONDITION WITHIN THE NEXT 6 HOURS, A HOT SHUTDOWN CONDITION WITHIN THE | | FOLLOWING 6 HOURS, AND AT LEAST A COLD SHUTDOWN CONDITION WITHIN THE | | FOLLOWING 24 HOURS. | | | | IN ACCORDANCE WITH TECHNICAL SPECIFICATION 3.0.3, THE LICENSEE MANUALLY | | SCRAMMED UNIT 1 FROM APPROXIMATELY 1% TO 2% REACTOR POWER AT 2338 CDT. ALL | | RODS FULLY INSERTED FOLLOWING THE SCRAM. THERE WERE NO ABNORMALITIES, AND | | THERE WERE NO ENGINEERED SAFETY FEATURE ACTUATIONS. BECAUSE UNIT 1 WAS IN | | THE STARTUP MODE FOLLOWING A PREVIOUS REACTOR SCRAM ON JUNE 26, 1996, THE | | CONDENSER HAD BEEN SECURED, AND THE HOGGER WAS BEING USED. THE MAIN STEAM | | ISOLATION VALVES WERE CLOSED TO PREVENT EXCESSIVE COOLDOWN, AND NORMAL | | FEEDWATER WAS BEING SUPPLIED TO THE REACTOR VESSEL. | | | | AT 0000 CST ON JUNE 29, 1996, THE LICENSEE COMMENCED A UNIT 2 SHUTDOWN FROM | | 99% REACTOR POWER. IN ACCORDANCE WITH TECHNICAL SPECIFICATION 3.0.3, THE | | LICENSEE PLANS TO PLACE UNIT 2 IN A STARTUP CONDITION WITHIN 6 HOURS AND IN | | A HOT SHUTDOWN CONDITION WITHIN THE FOLLOWING 6 HOURS. | | | | THE LICENSEE HAS NOTIFIED THE NRC RESIDENT INSPECTOR. | | | | * * * 0344 EDT JUNE 29, 1996, UPDATE FROM DUS RECEIVED BY TROCINE * * * | | | | THE LICENSEE PROVIDED THE FOLLOWING BRIEF DESCRIPTION OF A SERVICE WATER | | TUNNEL INSPECTION CONDUCTED ON JUNE 28, 1996, SHIFT #3: | | | | PORTIONS OF THE SERVICE WATER TUNNEL WAS INSPECTED BY BOTH A ROBOT AND A | | DIVER. THE ROBOT INSPECTED THE IMMEDIATE AREA OF THE COMMON SERVICE WATER | | PUMP SUCTION LINE TO ALLOW STARTING OF THE COMMON SERVICE WATER PUMP. | | FOLLOWING THE START OF THIS PUMP, THE UNIT 2 'B' SERVICE WATER PUMP WAS | | SECURED TO ALLOW ENTRY BY THE DIVER. PRELIMINARY RESULTS OF THE DIVER'S | | INSPECTION INDICATED A RIDGE OF FOREIGN MATERIAL APPROXIMATELY 18 FEET FROM | | THE NORTH WALL OF THE SERVICE WATER TUNNEL. (THE TUNNEL IS APPROXIMATELY | | 180 FEET LONG, 13 FEET WIDE, AND 7 FEET HIGH.) THE RIDGE RAN THE WIDTH OF | | THE TUNNEL, AND THE DIVER BELIEVED THAT THE FOREIGN MATERIAL MAY EXTEND ON | | TO THE NORTH OF THIS RIDGE. (THE DIVER WAS NOT ALLOWED TO CONTINUE BEYOND | | THE RIDGE DURING THIS DIVE.) THE RIDGE WAS LOCATED APPROXIMATELY 33 FEET | | FROM THE DIVER'S ENTRANCE INTO THE TUNNEL. THE DIVER ALSO PASSED A SECTION | | OF THE FOREIGN MATERIAL WHICH WAS STUCK TO THE WEST WALL. THIS MATERIAL | | APPEARED TO HAVE ORIGINATED FROM A CRACK AGAINST THE WEST WALL OF THE | | TUNNEL. THE HEIGHT OF THE MATERIAL VARIED FROM APPROXIMATELY 6 INCHES TO | | 30 INCHES. A SAMPLE WAS OBTAINED APPROXIMATELY 30 INCHES LONG, 18 INCHES | | HIGH, AND 5 INCHES WIDE. THE SAMPLE WAS EASILY BROKEN OFF OF THE RIDGE AND | | WOULD SLOWLY SINK TO THE BOTTOM OF THE TUNNEL WHEN RELEASED. THE SECTION | | INSPECTED TONIGHT WAS APPROXIMATELY 33 FEET OF THE NORTH END. THE LAST 18 | | FEET OF THE NORTH WALL OF THE TUNNEL WAS NOT INSPECTED DUE TO THE | | RESTRICTIONS PLACED ON THE DIVER. | | | | UNIT 2 IS CURRENTLY AT 55% REACTOR POWER, AND THE LICENSEE IS CONTINUING TO | | REDUCE REACTOR POWER IN ACCORDANCE WITH TECHNICAL SPECIFICATION 3.0.3. | | | | THE NRC OPERATIONS CENTER NOTIFIED PERSONNEL FROM REGION 3 (GARDNER AND | | GROBE), AEOD (BARRETT AND RUBIN), AND NRR (ADENSAM AND CAPRA). | | | | * * 0644 EDT JUNE 29, 1996, UPDATE FROM WILLIAMS RECEIVED BY TROCINE * * | | | | THE LICENSEE MANUALLY SCRAMMED UNIT 2 FROM 5% REACTOR POWER AND PLACED THE | | UNIT IN A HOT SHUTDOWN CONDITION AT 0528 CDT ON JUNE 29, 1996. ALL RODS | | FULLY INSERTED, ALL SYSTEMS FUNCTIONED AS REQUIRED, AND THERE WERE NO | | ENGINEERED SAFETY FEATURES ACTUATIONS. THE CONDENSER IS CURRENTLY | | AVAILABLE AS A HEAT SINK, AND NORMAL FEEDWATER IS BEING SUPPLIED TO THE | | REACTOR VESSEL. | | | | THE NRC OPERATIONS CENTER NOTIFIED THE REGION 3 (GARDNER AND GROBE), AEOD | | (BARRETT AND RUBIN), AND NRR (ADENSAM AND CAPRA). | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |OTHER NUCLEAR MATERIAL | |EVENT NUMBER: 30695 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |LICENSEE: MERCY-MEMORIAL HOSPITAL |NOTIFICATION DATE: 06/29/96 | | CITY: MONROE REGION: 3 |NOTIFICATION TIME: 15:23 [ET]| | COUNTY: STATE: MI |EVENT DATE: 06/29/96 | |LICENSE#: AGREEMENT: N |EVENT TIME: 00:00[EDT]| | DOCKET: |LAST UPDATE DATE: 06/29/96 | | +-----------------------------+ | |PERSON ORGANIZATION| | |RONALD GARDNER RDO | | |CHARLEY HAUGHNEY EO | +------------------------------------------------+BARRETT ERB | |NRC NOTIFIED BY: STEWART-MONROE MI P.D. |BRIGHT EPA | |HQ OPS OFFICER: CHAUNCEY GOULD | | +------------------------------------------------+ | |EMERGENCY CLASS: NOT APPLICABLE | | |10 CFR SECTION: | | |NINF INFORMATION ONLY | | | | | | | | | | | | | | +------------------------------------------------+-----------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | THE MONROE, MICHIGAN, POLICE DEPARTMENT REPORTED THAT AN X-RAY TECHNICIAN | | AT A LOCAL HOSPITAL HAD PURCHASED A PITCH-BLEND AND URANIUM ROCK AT AN | | ESTATE SALE OF A DOCTOR. A SURVEY OF THE ROCK WAS PERFORMED, AND THE ROCK | | WAS DETERMINED TO BE RADIOACTIVE. THE ROCK WAS TAKEN TO MERCY-MEMORIAL | | HOSPITAL AND PLACED IN SAFE STORAGE UNTIL THEY CAN DETERMINE WHAT TO DO | | WITH IT. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 30696 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: PRAIRIE ISLAND REGION: 3 |NOTIFICATION DATE: 06/29/96 | |UNIT: [1] [2] [ ] STATE: MN |NOTIFICATION TIME: 16:41 [ET]| |RX TYPE: [1] W-2-LP,[2] W-2-LP |EVENT DATE: 06/29/96 | +------------------------------------------------+EVENT TIME: 14:33[CDT]| |NRC NOTIFIED BY: SORENSEN |LAST UPDATE DATE: 06/30/96 | |HQ OPS OFFICER: CHAUNCEY GOULD +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: UNUSUAL EVENT +-----------------------------+ |10 CFR SECTION: |RONALD GARDNER RDO | |AAEC 50.72(a)(1)(i) EMERGENCY DECLARED |ELINOR ADENSAM EO | |ARPS 50.72(b)(2)(ii) RPS ACTUATION |BELCHER FEMA | |AESF 50.72(b)(2)(ii) ESF ACTUATION |BARRETT ERB | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ | 1 | A/R Y 100 POWER OPERATION | 0 HOT STANDBY | | 2 | A/R Y 100 POWER OPERATION | 0 HOT STANDBY | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | PARTIAL LOSS OF OFFSITE POWER DUE TO SEVERE STORMS, REACTOR TRIP FROM 100% | | ON BOTH UNITS POSSIBLY DUE TO GENERATOR LOCKOUTS, AND DECLARATION OF | | UNUSUAL EVENT | | | | A REACTOR TRIP OCCURRED ON BOTH UNITS POSSIBLY DUE TO GENERATOR LOCKOUTS, | | BUT THE LICENSEE IS STILL INVESTIGATING. THERE WAS ALSO A PARTIAL LOSS OF | | OFFSITE POWER (THREE OFFSITE POWER SUPPLIES) DUE TO SEVERE STORMS IN THE | | AREA, BUT THE 161-KV SPRING CREEK LINE AND THE 345-KV BYRON LINE ARE STILL | | AVAILABLE. THE LICENSEE DECLARED THE UNUSUAL EVENT AT 1505 CDT DUE TO | | CONDITIONS THAT INVOLVE OTHER THAN A CONTROLLED SHUTDOWN, AND THE LICENSEE | | IS CURRENTLY SUPPLYING POWER TO SAFEGUARDS BUSES ON BOTH UNITS VIA THE FOUR | | EMERGENCY DIESEL GENERATORS (EDG). THE PLANT IS CURRENTLY IN NATURAL | | CIRCULATION ON BOTH UNITS WITH ALL RODS FULLY INSERTED AND NO EMERGENCY | | CORE COOLING SYSTEM INJECTIONS. ALONG WITH THE EDG AUTOMATIC STARTS, THERE | | WAS ALSO ACTUATION OF AUXILIARY FEEDWATER AND THE SAFEGUARDS SEQUENCERS. | | THE LICENSEE DOES NOT PLAN TO CONNECT THE AVAILABLE OFFSITE POWER SUPPLY TO | | THE SAFEGUARDS BUSES UNTIL THE INVESTIGATION OF THE EVENT HAS BEEN | | COMPLETED. | | | | THE NRC RESIDENT INSPECTOR WAS INFORMED ALONG WITH STATE AND LOCAL | | AGENCIES. | | | | * * * 0500 JUNE 30, 1996, MORNING PLANT STATUS CALL UPDATE BY TROCINE * * * | | | | THE SITE HAS FIVE OFFSITE POWER LINES THAT CAN SUPPLY POWER TO EITHER OF | | TWO COMMON BUSES. DURING THE TRANSIENT, THREE OF THE FIVE OFFSITE POWER | | LINES WERE LOST IN ADDITION TO ONE OF THE TWO COMMON BUSES (BUS #1). | | THEREFORE, THERE WERE TWO AVAILABLE LINES TO SUPPLY BUS #2. | | | | BOTH UNITS ARE CURRENTLY IN HOT SHUTDOWN, AND THE LICENSEE HAS SINCE | | RESTORED THE BLUE LAKE LINE TO SUPPLY BUS #2. FOLLOWING THE RESTORATION OF | | BUS #1, THE LICENSEE PLANS TO SWAP ONE OF THE THREE AVAILABLE LINES FROM | | BUS #2 TO BUS #1 IN ORDER TO PROVIDE THE UNITS WITH TWO SEPARATE OFFSITE | | POWER SOURCES. WHEN THESE ACTIONS ARE COMPLETED, THE LICENSEE PLANS TO | | TERMINATE THE UNUSUAL EVENT AND BEGIN ACTIONS TO RESTART THE UNITS (UNIT 1 | | POSSIBLY TONIGHT AND UNIT 2 POSSIBLY TOMORROW). THE LICENSEE ALSO | | CONFIRMED THAT THE AUTOMATIC REACTOR TRIPS WERE CAUSED BY GENERATOR | | LOCKOUTS. | | | | THE NRC OPERATIONS CENTER NOTIFIED THE REGION 3 (GARDNER AND CLAYTON). | | | | * * * 1140 JUNE 30, 1996, UPDATE FROM SORENSEN RECEIVED BY TROCINE * * * | | | | THE LICENSEE HAS SECURED THE SAFEGUARDS EDGs AND RESTORED THE MINIMUM | | NUMBER OF OFFSITE POWER SOURCES REQUIRED BY THE TECHNICAL SPECIFICATIONS. | | AS A RESULT, THE LICENSEE TERMINATED THE UNUSUAL EVENT AT 1035 CDT ON JUNE | | 30, 1996. THERE ARE CURRENTLY THREE OFFSITE LINES SUPPLYING POWER TO | | COMMON SUBSTATION BUS #2. THE #1 SUBSTATION BUS HAS NOT YET BEEN RESTORED. | | BOTH UNITS ARE CURRENTLY IN HOT SHUTDOWN, AND THE LICENSEE PLANS TO RESTART | | THE UNITS TODAY. CRITICALITY FOR UNIT 1 MAY OCCUR AFTER 1600 CDT, AND | | CRITICALITY FOR UNIT 2 MAY OCCUR AFTER 2000 CDT. | | | | THE LICENSEE HAS NOTIFIED THE NRC RESIDENT INSPECTOR AND PLANS TO NOTIFY | | THE APPLICABLE STATE AND LOCAL AGENCIES. THE NRC OPERATIONS CENTER | | NOTIFIED THE R3DO (GARDNER), REGION 3 (CLAYTON), NRR EO (ADENSAM), AND FEMA | | (CIBOCH). | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 30697 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: MCGUIRE REGION: 2 |NOTIFICATION DATE: 06/30/96 | |UNIT: [ ] [2] [ ] STATE: NC |NOTIFICATION TIME: 05:18 [ET]| |RX TYPE: [1] W-4-LP,[2] W-4-LP |EVENT DATE: 06/30/96 | +------------------------------------------------+EVENT TIME: 05:07[EDT]| |NRC NOTIFIED BY: JIM PHILLIPS |LAST UPDATE DATE: 06/30/96 | |HQ OPS OFFICER: LEIGH TROCINE +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |KERRY LANDIS RDO | |AOUT 50.72(b)(1)(ii)(B) OUTSIDE DESIGN BASIS | | |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 N 0 HOT STANDBY | 0 HOT STANDBY | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | BRIEF LOSS OF CONTAINMENT INTEGRITY AND TECHNICAL SPECIFICATION 3.0.3 ENTRY | | DUE TO FAILURE OF SEALS ON THE REACTOR SIDE CONTAINMENT AIR LOCK DOOR | | | | WHEN TWO INDIVIDUALS ENTERED THE CONTAINMENT AIR LOCK AT 0445 FOLLOWING THE | | PERFORMANCE OF WORK IN THE LOWER CONTAINMENT, THE REACTOR SIDE AIR LOCK | | DOOR CLOSED, BUT THE SEALS STAYED DEFLATED. THE AUXILIARY SIDE DOOR WILL | | NOT OPEN UNLESS THE REACTOR SIDE AIR LOCK DOOR SEALS ARE INFLATED. AS A | | RESULT, THE AUXILIARY SIDE DOOR WAS PLACED IN BYPASS AND OPENED AT 0507 TO | | ALLOW THE INDIVIDUALS TO EXIT THE AIRLOCK. THE AUXILIARY SIDE DOOR | | RECLOSED AND RESEALED AT 0509. DURING THIS 2-MINUTE PERIOD, THE LICENSEE | | ENTERED TECHNICAL SPECIFICATION 3.0.3 BECAUSE CONTAINMENT INTEGRITY WAS | | LOST WHEN BOTH AIR LOCK DOORS WERE TECHNICALLY OPEN AT THE SAME TIME. | | | | (NOTE: EVEN THOUGH THE REACTOR SIDE AIR LOCK DOOR SEALS WOULD NOT INFLATE, | | THE DOOR ITSELF COULD HAVE BEEN OPENED TO ALLOW THE INDIVIDUALS TO GO BACK | | INTO CONTAINMENT. THE INDIVIDUALS COULD THEN HAVE EXITED CONTAINMENT | | THROUGH THE UPPER CONTAINMENT OR THE ICE CONDENSER. THE LICENSEE ELECTED | | TO OPEN THE AUXILIARY AIR LOCK DOOR INSTEAD BECAUSE THE INDIVIDUALS WERE | | HOT, TIRED, AND STRESSED. THERE WERE NO INJURIES ASSOCIATED WITH THIS | | EVENT.) | | | | (NOTE: TECHNICAL SPECIFICATION 3.0.3 WAS ENTERED BECAUSE TECHNICAL | | SPECIFICATION 3.6.1.3 FOR THE AIR LOCK DOORS HAS THE SAME ACTION STATEMENTS | | AS TECHNICAL SPECIFICATION 3.0.3. THE LICENSEE WILL NEED TO RE-ENTER | | TECHNICAL SPECIFICATION 3.0.3 IN ORDER TO ALLOW INDIVIDUALS INTO THE AIR | | LOCK TO REPAIR THE FAILED SEALS.) | | | | THE LICENSEE PLANS TO NOTIFY THE NRC RESIDENT INSPECTOR. | +------------------------------------------------------------------------------+