U.S. Nuclear Regulatory Commission Operations Center Event Reports For 10/29/96 - 10/30/96 ** EVENT NUMBERS ** 31107 31236 31237 31238 31239 31240 31241 31242 31243 !!!!!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED !!!!!!! +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 31107 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: MILLSTONE REGION: 1 |NOTIFICATION DATE: 10/07/96 | |UNIT: [ ] [ ] [3] STATE: CT |NOTIFICATION TIME: 19:28 [ET]| |RX TYPE: [1] GE-3,[2] CE,[3] W-4-LP |EVENT DATE: 10/07/96 | +------------------------------------------------+EVENT TIME: 19:14[EDT]| |NRC NOTIFIED BY: KEITH COVIN |LAST UPDATE DATE: 10/29/96 | |HQ OPS OFFICER: STEVE SANDIN +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |PETER ESELGROTH 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 | +-----+----------+-------+--------+-----------------+--------+-----------------+ | | | | | | | | | 3 | N N 0 COLD SHUTDOWN | 0 COLD SHUTDOWN | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | DISCOVERY OF A LOOSE PIPE CLAMP ON A POWER OPERATED RELIEF VALVE (PORV) | | SUPPORT PLACED UNIT 3 OUTSIDE ITS DESIGN BASIS. | | | | "CERTAIN EQUIPMENT HAS BEEN DISCOVERED TO BE OUTSIDE THE DESIGN BASIS. | | REPAIRS ARE IN PROGRESS. THE EVENT IS TERMINATED." | | | | AT 1430 EDT, AN ADVERSE CONDITION REPORT IDENTIFIED THAT A LOOSE PIPE CLAMP | | HAD BEEN DISCOVERED ON A SUPPORT FOR ONE OF THE TWO PORVs DURING A SNUBBER | | WALKDOWN. AT 1640 EDT, THE LICENSEE ENTERED TS 3.4.9.3 (RCS INTEGRITY) | | WHICH REQUIRES THAT THE PIPE CLAMP BE REPAIRED WITHIN 24 HOURS OR THE RCS | | BE VENTED THROUGH A 5.4 SQUARE INCH AREA. THE LICENSEE HAS REPAIRS IN | | PROGRESS WITH A CONTINGENCY PLAN IN PLACE TO REMOVE ONE OF THE SAFETY | | VALVES, IF NECESSARY. THE CAUSE OF THIS FAILURE IS UNKNOWN AND THE TIME | | THIS CONDITION EXISTED IS INDETERMINATE. THE LICENSEE WILL INFORM STATE | | OFFICIALS AND HAS ALREADY INFORMED THE NRC RESIDENT INSPECTOR. | | | | ***UPDATE ON 10/29/96 @ 12:48 BY FRANKS TO GOULD*** THE LICENSEE IS | | RETRACTING THIS EVENT SINCE THEY HAVE DETERMINED FROM AN ENGINEERING | | EVALUATION, THAT THE PLANT WAS NEVER OUTSIDE THE DESIGN BASIS, NEVER HAD | | ANY LOSS OF SAFETY FUNCTIONS AND WAS NEVER IN NONCOMPLIANCE WITH TS. THE RI | | WAS INFORMED. RDO(SHANBAKY) WAS INFORMED. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 31236 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: SURRY REGION: 2 |NOTIFICATION DATE: 10/29/96 | |UNIT: [1] [2] [ ] STATE: VA |NOTIFICATION TIME: 01:12 [ET]| |RX TYPE: [1] W-3-LP,[2] W-3-LP |EVENT DATE: 10/28/96 | +------------------------------------------------+EVENT TIME: 23:45[EST]| |NRC NOTIFIED BY: ALAN BIALOWAS |LAST UPDATE DATE: 10/29/96 | |HQ OPS OFFICER: RUDY KARSCH +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |KERRY LANDIS RDO | |AARC 50.72(b)(1)(v) OTHER ASMT/COMM INOP | | | | | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ | 1 | N Y 100 POWER OPERATION | 100 POWER OPERATION | | 2 | N Y 100 POWER OPERATION | 100 POWER OPERATION | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | THE EMERGENCY RESPONSE COMPUTER SAFETY PARAMETER DISPLAY SYSTEM (SPDS) WAS | | DECLARED INOPERABLE. | | | | THE LICENSEE'S REPORTABILITY REQUIREMENTS SPECIFY THAT THE COMPUTER'S | | INTERNAL TIME CLOCK GIVE THE CORRECT TIME. THE COMPUTER REVERTED TO | | DAYLIGHT SAVINGS TIME. ATTEMPTS TO MANUALLY RESET THE TIME HAVE BEEN | | UNSUCCESSFUL. OTHER THAN THE TIME ERROR, THE SYSTEM IS OPERATING PROPERLY. | | THE LICENSEE WILL INFORM THE NRC RESIDENT INSPECTOR. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 31237 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: SUSQUEHANNA REGION: 1 |NOTIFICATION DATE: 10/29/96 | |UNIT: [1] [ ] [ ] STATE: PA |NOTIFICATION TIME: 05:48 [ET]| |RX TYPE: [1] GE-4,[2] GE-4 |EVENT DATE: 10/29/96 | +------------------------------------------------+EVENT TIME: 05:20[EST]| |NRC NOTIFIED BY: DAVE STEFFANAUER |LAST UPDATE DATE: 10/29/96 | |HQ OPS OFFICER: RUDY KARSCH +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |MOHAMED SHANBAKY RDO | |NINF INFORMATION ONLY | | | | | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ | 1 | N Y 0 STARTUP | 0 HOT SHUTDOWN | | | | | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | UNIT 1 WAS MANUALLY SHUT DOWN FROM 0% POWER TO ALLOW FOR REPLACEMENT OF A | | MAIN STEAM LINE DRAIN PIPE IDENTIFIED AS HAVING A PIN HOLE LEAK. THIS WAS | | NOT A TECH SPEC REQUIRED SHUT DOWN. THE LICENSEE WILL INFORM THE NRC | | RESIDENT INSPECTOR AND ISSUE A PRESS RELEASE. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 31238 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: OCONEE REGION: 2 |NOTIFICATION DATE: 10/29/96 | |UNIT: [ ] [ ] [3] STATE: SC |NOTIFICATION TIME: 11:48 [ET]| |RX TYPE: [1] B&W-L-LP,[2] B&W-L-LP,[3] B&W-L-LP |EVENT DATE: 10/29/96 | +------------------------------------------------+EVENT TIME: 10:00[EST]| |NRC NOTIFIED BY: CLARKSON |LAST UPDATE DATE: 10/29/96 | |HQ OPS OFFICER: CHAUNCEY GOULD +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |MARK LESSER 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 | +-----+----------+-------+--------+-----------------+--------+-----------------+ | | | | | | | | | 3 | N N 0 COLD SHUTDOWN | 0 COLD SHUTDOWN | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | THE LICENSEE REPORTED THEY DISCOVERED TWO OF THE MAIN STEAM SAFETY VALVES | | (3MS-1 & 3MS-10) HAD MISSING SPINDLE NUT COTTER PINS. | | | | THIS DISCOVERY WAS MADE 10/24/96, DURING AN INSPECTION OF THE MAIN STEAM | | SAFETY VALVES. TWO OF THE SIXTEEN VALVES WERE FOUND WITHOUT SPINDLE NUT | | COTTER PINS INSTALLED. THE FUNCTION OF THIS COTTER PIN IS TO AFFIX THE | | SPINDLE NUT TO THE SPINDLE TO PREVENT NUT MOVEMENT DURING PERIODS OF VALVE | | VIBRATION. THE MAIN STEAM SAFETY VALVES ARE DESIGNED TO PROTECT THE MAIN | | STEAM PIPING FROM OVERPRESSURIZATION DURING CERTAIN PLANT TRANSIENTS. WITH | | THE SPINDLE NUT COTTER PIN MISSING, THE SPINDLE NUT COULD ROTATE DOWN THE | | SPINDLE DURING FLOW INDUCED VIBRATION. MOVEMENT TOWARD THE VALVE BODY | | COULD CAUSE THE VALVE TO MALFUNCTION. FOLLOWING A REVIEW (10/29/96) OF | | THIS CONDITION, IT WAS DETERMINED THAT THE EVENT WAS REPORTABLE. THEY ARE | | STILL INVESTIGATING THE REASON THE COTTER PINS WERE MISSING. THE RI WAS | | INFORMED. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 31239 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: BROWNS FERRY REGION: 2 |NOTIFICATION DATE: 10/29/96 | |UNIT: [ ] [2] [ ] STATE: AL |NOTIFICATION TIME: 17:55 [ET]| |RX TYPE: [1] GE-4,[2] GE-4,[3] GE-4 |EVENT DATE: 10/29/96 | +------------------------------------------------+EVENT TIME: 15:38[CST]| |NRC NOTIFIED BY: ROGERS |LAST UPDATE DATE: 10/29/96 | |HQ OPS OFFICER: CHAUNCEY GOULD +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |MARK LESSER 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 100 POWER OPERATION | 0 HOT SHUTDOWN | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | THE PLANT HAD A REACTOR SCRAM FROM 100% POWER DUE TO A TURBINE TRIP. | | | | THE TURBINE TRIP OCCURRED DUE TO THE OPERATION OF THE GENERATOR BACKUP | | RELAY. THIS ALSO RESULTED IN THE OPENING OF THE SWITCHYARD HIGH SIDE | | CIRCUIT BREAKERS. ALL RODS FULLY INSERTED, NO ECCS INJECTION OCCURRED, AND | | NO RELIEF VALVES LIFTED. THE CAUSE OF THE GENERATOR BACKUP RELAY OPERATION | | IS UNKNOWN AND BEING INVESTIGATED. ALL SAFETY SYSTEMS RESPONDED AS | | EXPECTED AND THERE WERE NO OTHER PROBLEMS. THE MAIN CONDENSER IS THE HEAT | | SINK AND THE CONDENSATE FEEDWATER SYSTEM IS PROVIDING MAKEUP TO THE VESSEL. | | THE RI WAS INFORMED. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 31240 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: POINT BEACH REGION: 3 |NOTIFICATION DATE: 10/29/96 | |UNIT: [1] [2] [ ] STATE: WI |NOTIFICATION TIME: 18:10 [ET]| |RX TYPE: [1] W-2-LP,[2] W-2-LP |EVENT DATE: 10/29/96 | +------------------------------------------------+EVENT TIME: 16:12[CST]| |NRC NOTIFIED BY: GERONDALE |LAST UPDATE DATE: 10/29/96 | |HQ OPS OFFICER: CHAUNCEY GOULD +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |PATRICK HILAND RDO | |DDDD 73.71 UNSPECIFIED PARAGRAPH | | | | | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |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 +------------------------------------------------------------------------------+ | SAFEGUARDS SYSTEM DEGRADATION RELATED TO ALARM FUNCTIONS. IMMEDIATE | | COMPENSATORY MEASURES WERE NOT TAKEN UPON DISCOVERY. COMPENSATORY MEASURES | | ARE NOW FULLY IMPLEMENTED. SEE HOO LOG FOR DETAILS. THE RI WAS INFORMED. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |GENERAL INFORMATION or OTHER | |EVENT NUMBER: 31241 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |LICENSEE: ABB INDUSTRIAL SYSTEMS INC |NOTIFICATION DATE: 10/29/96 | | CITY: COLUMBUS REGION: 3 |NOTIFICATION TIME: 19:15 [ET]| | COUNTY: STATE: OH |EVENT DATE: 10/27/96 | |LICENSE#: 34-00255-03 AGREEMENT: N |EVENT TIME: 00:00[EST]| | DOCKET: |LAST UPDATE DATE: 10/29/96 | | +-----------------------------+ | |PERSON ORGANIZATION| | |PATRICK HILAND RDO | | |MARGARET FEDERLINE EO | +------------------------------------------------+MARK LESSER RDO | |NRC NOTIFIED BY: ALLGEIER |WOODRUFF REG2 | |HQ OPS OFFICER: CHAUNCEY GOULD |MADERA REG3 | +------------------------------------------------+ | |EMERGENCY CLASS: NOT APPLICABLE | | |10 CFR SECTION: | | |NINF INFORMATION ONLY | | | | | | | | | | | | | | +------------------------------------------------+-----------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | AN ABB INDUSTRIAL SYSTEMS INC EMPLOYEE HAD BOTH HANDS EXPOSED TO KRYPTON 85 | | FOR APPROXIMATELY 10-15 MINS. THIS OCCURRED WHILE SHE WAS SERVICING | | EQUIPMENT AT THE GILMAN PAPER CO. IN ST. MARYS, GA. SHE WAS REPLACING THE | | WINDOW, WHICH PROTECTS THE KRYPTON SEALED SOURCE FROM DUST, WITHOUT THE | | SHUTTER CLOSED. THE SHUTTER SHOULD HAVE CLOSED AUTOMATICALLY, BUT THAT | | FUNCTION HAD BEEN DEFEATED AND SHE DID NOT MAKE A SURVEY TO VERIFY SHUTTER | | CLOSURE. SHE RECEIVED AN ESTIMATED 1,000 RADS TO THE HANDS, BUT SHE DOES | | NOT YET KNOW THE EXTENT OF HER RADIATION EXPOSURE BECAUSE SHE IS ON TRAVEL. | | THE LICENSEE NOTIFIED THE STATE OF GEORGIA OF THE INCIDENT. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |HOSPITAL | |EVENT NUMBER: 31242 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |LICENSEE: CAMPBELL COUNTY MEMORIAL HOSPITAL |NOTIFICATION DATE: 10/29/96 | | CITY: GILLETTE REGION: 4 |NOTIFICATION TIME: 19:28 [ET]| | COUNTY: CAMPBELL STATE: WY |EVENT DATE: 10/28/96 | |LICENSE#: 49-18030-01 AGREEMENT: N |EVENT TIME: 00:00[MST]| | DOCKET: |LAST UPDATE DATE: 10/29/96 | | +-----------------------------+ | |PERSON ORGANIZATION| | |JOESEPH TAPIA RDO | | |MARGARET FEDERLINE EO | +------------------------------------------------+ | |NRC NOTIFIED BY: LAWRENCE | | |HQ OPS OFFICER: CHAUNCEY GOULD | | +------------------------------------------------+ | |EMERGENCY CLASS: NOT APPLICABLE | | |10 CFR SECTION: | | |NINF INFORMATION ONLY | | | | | | | | | | | | | | +------------------------------------------------+-----------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | THE LICENSEE REPORTED THE LOSS OF A COBALT 57 SEALED SOURCE. THIS SOURCE | | WAS USED ON PATIENTS AS A MARKER. THE SOURCE IS MISSING FROM A STORAGE | | CABINET IN THE NUCLEAR MEDICINE DEPARTMENT. THIS SOURCE WAS IDENTIFIED AS | | A VERY WEAK SOURCE AND HAS NOT BEEN MEASURED SINCE 1994. THE ID FOR THE | | SOURCE IS NES 5289047. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 31243 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: RIVER BEND REGION: 4 |NOTIFICATION DATE: 10/30/96 | |UNIT: [1] [ ] [ ] STATE: LA |NOTIFICATION TIME: 04:19 [ET]| |RX TYPE: [1] GE-6 |EVENT DATE: 10/30/96 | +------------------------------------------------+EVENT TIME: 01:44[CST]| |NRC NOTIFIED BY: JOEY CLARK |LAST UPDATE DATE: 10/30/96 | |HQ OPS OFFICER: RUDY KARSCH +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |JOESEPH TAPIA RDO | |AESF 50.72(b)(2)(ii) ESF ACTUATION | | | | | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |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 +------------------------------------------------------------------------------+ | BUMPED FUSE TRIGGERS AN ESF ACTUATION. | | | | A TECHNICIAN BUMPED A FUSE HOLDER WHILE PERFORMING SURVEILLANCE TESTS, | | CAUSING A MOMENTARY INTERRUPTION OF POWER TO A TRIP UNIT. THIS RESULTED IN | | A DIVISION 1 GROUP 2 ISOLATION OF THE REACTOR CORE ISOLATION COOLING SYSTEM | | (RCIC) DUE TO SPURIOUS STEAM SUPPLY PRESSURE LOW AND STEAM SUPPLY LINE HIGH | | FLOW TRIP SIGNALS. ALL EQUIPMENT RESPONDED AS DESIGNED (THE STEAM SUPPLY | | VALVE TO THE RCIC TURBINE CLOSED). THE RCIC SYSTEM HAS BEEN RESET. THE | | LICENSEE INFORMED THE NRC RESIDENT INSPECTOR. | +------------------------------------------------------------------------------+