U.S. Nuclear Regulatory Commission Operations Center Event Reports For 01/31/96 - 02/01/96 ** EVENT NUMBERS ** 29903 29905 29912 29913 29914 29915 29916 29917 29918 29919 29920 29921 !!!!!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED !!!!!!! +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 29903 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: RIVER BEND REGION: 4 |NOTIFICATION DATE: 01/30/96 | |UNIT: [1] [ ] [ ] STATE: LA |NOTIFICATION TIME: 03:54 [ET]| |RX TYPE: [1] GE-6 |EVENT DATE: 01/30/96 | +------------------------------------------------+EVENT TIME: 00:24[CST]| |NRC NOTIFIED BY: CARLSON |LAST UPDATE DATE: 01/31/96 | |HQ OPS OFFICER: JOHN MacKINNON +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |GENE BATES 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 | A N 0 REFUELING | 0 REFUELING | | | | | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | FULL SCRAM SIGNAL ACTUATED THE ALTERNATE ROD INSERTION (ARI) SYSTEM. NO | | CONTROL ROD MOVEMENT OCCURRED BECAUSE THE RODS WERE ALREADY FULLY INSERTED. | | | | WHILE HANGING A CLEARANCE TAG FOR INVERTER BYS-INV01B DURING MAINTENANCE | | ACTIVITIES, POWER WAS LOST TO 12-VOLT INSTRUMENT BUS VBN-PNL01B1 DUE TO A | | PROCEDURAL ERROR. THIS CAUSED THE LOSS OF SEVERAL CONTROL ROOM INDICATIONS | | AND ALARMS PLUS THE INITIATION OF THE ARI SYSTEM. WHEN THE ARI SYSTEM | | INITIATED, IT CAUSED WATER TO FLOW INTO THE SCRAM DISCHARGE VOLUME (SDV), | | AND AS THE SDV FILLED, IT TRIPPED THE LEVEL TRANSMITTER ON THE SDV GIVING A | | DIVISION I REACTOR PROTECTION SYSTEM (RPS) SIGNAL. A DIVISION II RPS | | SIGNAL WAS ALREADY TRIPPED DUE TO ONGOING MAINTENANCE. THIS COMBINATION | | RESULTED IN A FULL RPS ACTUATION SIGNAL. THERE WAS NO CONTROL ROD MOVEMENT | | BECAUSE ALL RODS WERE ALREADY FULLY INSERTED INTO THE CORE. THE CLEARANCE | | WAS STOPPED, AND THEN THE LICENSEE BACKED OUT OF THE PROCEDURE. POWER WAS | | RESTORED TO THE INVERTER AFTER 14 MINUTES. THE SCRAM SIGNAL WAS RESET. | | SHUTDOWN COOLING REMAINED IN SERVICE DURING THIS EVENT. | | | | THE PROCEDURE FOR WORKING ON THE INVERTER HAD PREVIOUSLY BEEN REVIEWED BY A | | SENIOR REACTOR OPERATOR. HOWEVER, THE STEP FOR SUPPLYING ALTERNATE POWER | | TO THE INSTRUMENT BUS WHEN THE INVERTER WAS TAKEN OUT OF SERVICE WAS | | MISSED. | | | | THE NRC RESIDENT INSPECTOR WILL BE INFORMED BY THE LICENSEE. | | | | * * * UPDATE AT 1209 EST ON 01/31/96, FROM LORFING TAKEN BY KARSCH * * * | | | | THE LICENSEE IS RETRACTING THIS EVENT. THE BASIS FOR THE RETRACTION IS | | THAT THE ALTERNATE ROD INSERTION WAS AN INVALID ACTUATION. ALL CONTROL | | RODS WERE ALREADY IN, NO ROD MOTION OCCURRED, AND THE REACTOR IS IN | | REFUELING. | | | | THE LICENSEE INFORMED THE NRC RESIDENT INSPECTOR. THE NRC OPERATIONS | | CENTER NOTIFIED THE R4DO (SANBORN). | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 29905 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: WOLF CREEK REGION: 4 |NOTIFICATION DATE: 01/30/96 | |UNIT: [1] [ ] [ ] STATE: KS |NOTIFICATION TIME: 10:00 [ET]| |RX TYPE: [1] W-4-LP |EVENT DATE: 01/30/96 | +------------------------------------------------+EVENT TIME: 08:46[CST]| |NRC NOTIFIED BY: D ONNEN |LAST UPDATE DATE: 01/31/96 | |HQ OPS OFFICER: JOHN MacKINNON +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: UNUSUAL EVENT +-----------------------------+ |10 CFR SECTION: |GENE BATES RDO | |AAEC 50.72(a)(1)(i) EMERGENCY DECLARED |BOB DENNIG EO | | |WRIGHT FEMA | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ | 1 | N N 0 HOT STANDBY | 0 HOT STANDBY | | | | | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | TRAIN "A" ESSENTIAL SERVICE WATER SYSTEM DECLARED INOPERABLE. ENTERED | | UNUSUAL EVENT CLASSIFICATION PER STEP 1 & 2 OF THEIR ADMINISTRATIVE | | PROCEDURE. (REFER TO EVENT NUMBERS 29904 AND 29913 FOR ADDITIONAL | | INFORMATION.) | | | | TRAIN "A" OF THE ESSENTIAL SERVICE WATER SYSTEM WAS DECLARED INOPERABLE | | WHEN ITS BAY LEVEL DROPPED TO TEN FEET BELOW THE LAKE LEVEL. TRAIN "B" OF | | THE ESSENTIAL SERVICE WATER SYSTEM IS OPERABLE, AND ONE SERVICE WATER PUMP | | IS OPERABLE. TRAIN "A" OF THE ESSENTIAL SERVICE WATER SYSTEM WAS DECLARED | | INOPERABLE BECAUSE ICE BLOCKED ITS SCREEN AND WATER COULD NOT ENTER THE | | TRAIN "A" SERVICE WATER BAY. THE LICENSEE IS TRYING TO REMOVE ICE FROM THE | | TRAIN "A" ESSENTIAL SERVICE WATER SCREEN. EARLIER IN THE EVENT, THE | | LICENSEE LOST THE TURBINE AUXILIARY FEEDWATER PUMP WHEN ITS PACKING BLEW | | OUT. THE UNIT STILL HAS TWO MOTOR-DRIVEN AUXILIARY FEEDWATER PUMPS | | OPERATING, AND THEY ARE SUPPLYING WATER TO THE STEAM GENERATORS. | | | | REGION 4 ENTERED MONITORING PHASE OF NORMAL MODE OPERATION. | | | | ESSENTIAL SERVICE WATER SYSTEM SUPPLIES COOLING WATER TO THE EDGs, CCW HEAT | | EXCHANGERS, CCW PUMPS, ETC. EACH ESSENTIAL WATER TRAIN HAS ONE | | 100%-CAPACITY PUMP. | | | | THE NRC RESIDENT INSPECTOR WAS INFORMED BY THE LICENSEE. | | | | * * * JANUARY 30, 1996, UPDATE AT 1352 EST BY KARSCH * * * | | | | AT 1330 EST, A COMMISSIONERS ASSISTANTS' BRIEFING WAS CONDUCTED. THE | | FOLLOWING BRIEFING NOTIFICATIONS WERE MADE (*INDICATES OFFICE DID NOT | | PARTICIPATE): AEOD(JORDAN), ERB(BARRETT), COMMISSIONER JACKSON(JOHNSON), | | COMMISSIONER ROGERS(SORENSEN), EDO(*), EDO REGION(MITCHELL), EO(GOODWIN), | | PAO(BEECHER), CAO(*), SECY(BATES), STATE(DROGGITIS), IP(UPSHAW), | | BRIEFER(DYER), AND OTHERS(MARKSBERRY). | | | | * * * 0545 EST JANUARY 31, 1996, UPDATE BY TROCINE * * * | | | | THE UNUSUAL EVENT WAS TERMINATED AT 1758 CST ON JANUARY 30, 1996. THE | | LICENSEE ISSUED A PRESS RELEASE WHEN THE UNUSUAL EVENT WAS DECLARED AND | | WHEN IT WAS TERMINATED. | | | | THE NRC OPERATIONS CENTER NOTIFIED THE R4DO (SANBORN), NRR EO (CALVO), AND | | FEMA (CALDWELL). | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 29912 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: HOPE CREEK REGION: 1 |NOTIFICATION DATE: 01/31/96 | |UNIT: [1] [ ] [ ] STATE: NJ |NOTIFICATION TIME: 04:09 [ET]| |RX TYPE: [1] GE-4 |EVENT DATE: 01/31/96 | +------------------------------------------------+EVENT TIME: 03:20[EST]| |NRC NOTIFIED BY: JESSIE PIKE |LAST UPDATE DATE: 01/31/96 | |HQ OPS OFFICER: LEIGH TROCINE +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |RICHARD CONTE 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 N 0 REFUELING | 0 REFUELING | | | | | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | LOSS OF EMERGENCY ASSESSMENT CAPABILITY FOR THE EMERGENCY DIESEL GENERATORS | | AND THE SERVICE WATER SYSTEM | | | | AT 0024, THE UNIT EXPERIENCED A LOSS OF POWER TO SEVERAL OPTICAL ISOLATOR | | CABINETS (A 1E/NON-1E INTERFACE BOUNDARY). AT 0320, TROUBLESHOOTING | | EFFORTS BY LICENSEE PERSONNEL INDICATED THAT CONTROL ROOM ANNUNCIATION AND | | ALARM FUNCTIONS FROM 1E SAFETY-RELATED EQUIPMENT WERE AFFECTED. THIS COULD | | IMPAIR ASSESSMENT CAPABILITY RELATED TO THIS EQUIPMENT. NORMAL INDICATIONS | | AND CONTROLS FOR THE 1E SAFETY-RELATED EQUIPMENT WERE NOT AFFECTED. | | EXAMPLES OF EQUIPMENT AFFECTED INCLUDE THE EMERGENCY DIESEL GENERATOR AND | | SERVICE WATER SYSTEM ALARMS IN THE MAIN CONTROL ROOM. LOCAL ALARMS WERE | | NOT AFFECTED, AND PERSONNEL HAVE BEEN STATIONED NEAR THE AFFECTED | | EQUIPMENT. THE UNIT IS NOT IN A TECHNICAL SPECIFICATION LIMITING CONDITION | | FOR OPERATION AT THIS TIME. | | | | THE LICENSEE IS CONTINUING ITS TROUBLESHOOTING EFFORTS TO DETERMINE WHY | | POWER WAS LOST TO THE OPTICAL ISOLATOR CABINETS. THE LICENSEE IS ALSO | | ESTABLISHING A RESTORATION PLAN TO RESTORE THE OPTICAL ISOLATOR CABINETS TO | | SERVICE. | | | | THE LICENSEE WILL NOTIFY THE NRC RESIDENT INSPECTOR. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 29913 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: WOLF CREEK REGION: 4 |NOTIFICATION DATE: 01/31/96 | |UNIT: [1] [ ] [ ] STATE: KS |NOTIFICATION TIME: 11:03 [ET]| |RX TYPE: [1] W-4-LP |EVENT DATE: 01/31/96 | +------------------------------------------------+EVENT TIME: 10:00[CST]| |NRC NOTIFIED BY: TED PITT |LAST UPDATE DATE: 01/31/96 | |HQ OPS OFFICER: LEIGH TROCINE +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: UNUSUAL EVENT +-----------------------------+ |10 CFR SECTION: |GARY SANBORN RDO | |AAEC 50.72(a)(1)(i) EMERGENCY DECLARED |AL CHAFFEE, NRR EO | | |CALDWELL FEMA | | |JOSE CALVO, NRR EO | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ | 1 | N N 0 HOT SHUTDOWN | 0 HOT SHUTDOWN | | | | | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | UNUSUAL EVENT DECLARED DUE TO THE DISCOVERY OF AN ICE BUILDUP IN THE INTAKE | | STRUCTURE WITH THE UNIT IN MODE 4 (REFER TO EVENT NUMBERS 29904 AND 29905 | | FOR ADDITIONAL INFORMATION.) | | | | WITH THE 'A' TRAIN OF THE ESSENTIAL SERVICE WATER SYSTEM OUT OF SERVICE, | | THE LICENSEE SENT DIVERS INTO THE ESSENTIAL SERVICE WATER 'A' PUMP BAY AND | | DISCOVERED A LARGE AMOUNT OF CRUSHED TIGHTLY-PACKED ICE ON THE TRASH RACKS | | IMMEDIATELY IN FRONT OF THE TRASH SCREENS THAT PROTECT THE ESSENTIAL | | SERVICE WATER PUMP. THE ICE ON THE TRASH RACKS WAS BLOCKING FLOW FROM THE | | TOP OF THE BAY TO THE BOTTOM OF THE BAY. THE SCREENS WERE NOT BLOCKED. THE | | LICENSEE HAS CONTINGENCY PLANS IN PROGRESS TO REMOVE THE ICE. (THE | | LICENSEE IS CURRENTLY PLANNING TO HAVE DIVERS INSPECT THE ESSENTIAL SERVICE | | WATER 'B' PUMP BAY. THE WATER LEVEL IN THE 'B' PUMP BAY HAS NOT CHANGED.) | | CURRENTLY, ONE SERVICE WATER PUMP IS AVAILABLE. CIRCULATING WATER IS NOT | | AVAILABLE AT THIS TIME AND IS NOT NEEDED WHILE THE UNIT IS IN MODE 4. | | | | AS A RESULT OF THIS ISSUE, THE LICENSEE DECLARED AN UNUSUAL EVENT BASED ON | | STEPS 1 AND 2 OF THE ADMINISTRATIVE EMERGENCY ACTION LEVELS. THESE STEPS | | REFERENCE THE EXISTENCE OF OTHER CONDITIONS WHICH INDICATE A POTENTIAL | | DEGRADATION OF THE LEVEL OF SAFETY IN THE PLANT OR WHICH INDICATE THAT | | PLANT SAFETY SYSTEMS MAY BE DEGRADED AND INCREASED MONITORING OF PLANT | | SYSTEMS IS WARRANTED. THERE ARE NO RECOMMENDED PROTECTIVE ACTIONS AT THIS | | TIME. | | | | THE LICENSEE IS IN THE PROCESS OF NOTIFYING THE COFFEE COUNTY SHERIFF, | | KANSAS DIVISION OF EMERGENCY MANAGEMENT, AMERICAN NUCLEAR INSURERS, | | INSTITUTE OF NUCLEAR POWER OPERATIONS, AND THE NRC RESIDENT INSPECTOR. | | | | * * * 1308 EST UPDATE ON JANUARY 31, 1996, FROM PITT TAKEN BY KARSCH * * * | | | | METEOROLOGICAL CONDITIONS ARE STABLE WITH DIMINISHING WIND AND CONTINUED | | COLD. THE LICENSEE WILL USE A MOBILE STEAM INJECTION UNIT NOW ON SITE TO | | CLEAR THE ICE FROM THE 'A' BAY TRASH RACKS. | | | | * * * UPDATE AT 1658 EST ON JANUARY 3, 1996, BY KARSCH * * * | | | | A COMMISSIONERS ASSISTANTS' BRIEFING WAS CONDUCTED AT 1645 EST ON JANUARY | | 31, 1996. THE FOLLOWING BRIEFING NOTIFICATIONS WERE MADE: AEOD(JORDAN), | | COMMISSIONER JACKSON(JOHNSON), COMMISSIONER ROGERS(SORENSEN), EDO | | REGION(MITCHELL), PAO(BEECHER), CAO(MADDEN), SECY(BATES), STATE(BANGART), | | IP(FAULKNER), BRIEFER(COLLINS), AND R4RA(CALLAN). | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 29914 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: MILLSTONE REGION: 1 |NOTIFICATION DATE: 01/31/96 | |UNIT: [ ] [2] [ ] STATE: CT |NOTIFICATION TIME: 12:38 [ET]| |RX TYPE: [1] GE-3,[2] CE,[3] W-4-LP |EVENT DATE: 01/31/96 | +------------------------------------------------+EVENT TIME: 12:25[EST]| |NRC NOTIFIED BY: ALBERT OLECHNOWICZ |LAST UPDATE DATE: 01/31/96 | |HQ OPS OFFICER: RUDY KARSCH +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |RICHARD CONTE 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 +------------------------------------------------------------------------------+ | POTENTIAL LOSS OF SERVICE WATER DUE TO FREEZE UP OF BACKWASH COMPONENTS. | | | | IF THE HEATERS WHICH CONTROL TEMPERATURE IN THE INTAKE STRUCTURE FAIL, THE | | LINES FOR BACK WASHING THE INTAKE STRAINERS AND THE DIFFERENTIAL PRESSURE | | SENSING LINES COULD FREEZE. THIS COULD CAUSE THE INTAKE STRAINERS TO | | FREEZE LEADING TO THE LOSS OF ALL SERVICE WATER (THE ULTIMATE HEAT SINK) | | AND THE LOSS OF REACTOR BUILDING COMPONENT COOLING WATER. | | | | NOTHING IS FROZEN AT THIS TIME. THE LICENSEE IS MANUALLY BACK WASHING THE | | INTAKE STRAINERS EVERY FOUR HOURS TO CLEAR ICE. | | | | THE LICENSEE INFORMED THE NRC RESIDENT INSPECTOR AND THE STATE AND LOCAL | | GOVERNMENTS. | | | | (THIS IS RELATED TO EVENT NUMBER 29812.) | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |HOSPITAL | |EVENT NUMBER: 29915 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |LICENSEE: WILLIAM BEAUMONT HOSPITAL |NOTIFICATION DATE: 01/31/96 | | CITY: ROYAL OAK REGION: 3 |NOTIFICATION TIME: 14:25 [ET]| | COUNTY: OAKLAND STATE: MI |EVENT DATE: 01/30/96 | |LICENSE#: 21-01333-01 AGREEMENT: N |EVENT TIME: 22:15[EST]| | DOCKET: |LAST UPDATE DATE: 01/31/96 | | +-----------------------------+ | |PERSON ORGANIZATION| | |RONALD GARDNER RDO | | | | +------------------------------------------------+ | |NRC NOTIFIED BY: CHERYL SCHULTZ | | |HQ OPS OFFICER: RUDY KARSCH | | +------------------------------------------------+ | |EMERGENCY CLASS: NOT APPLICABLE | | |10 CFR SECTION: | | |LADM 35.33(a) MED MISADMINISTRATION | | | | | | | | | | | | | | +------------------------------------------------+-----------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | A MEDICAL MISADMINISTRATION OCCURRED AT WILLIAM BEAUMONT HOSPITAL LOCATED | | IN ROYAL OAK, MICHIGAN. | | | | THE PATIENT WAS UNDERGOING BRACHYTHERAPY WITH 6 CATHETERS CONTAINING 41 | | SEEDS OF I-135 OF 119.7 mCi. THE CATHETERS WERE LOOSELY SUTURED IN PLACE | | NEAR THE RIGHT CAROTID ARTERY. THE PRESCRIBED TOTAL DOSE WAS 4,000 | | CENTI-GRAYS AT 45 CENTI-GRAYS PER HOUR FOR 89 HOURS. ONE OF THE CATHETERS | | WAS DISCOVERED UNDER THE PATIENT IN THE MID-BACK AREA. THE SOURCE WAS | | REMOVED AND PLACED IN A LEAD PIG BY THE NURSE. OVER THE NEXT NINE HOURS, | | THREE MORE CATHETERS BECAME DISLODGED AND WERE FOUND ON THE FLOOR. THE | | TREATMENT WAS TERMINATED AT 0715 EST ON JANUARY 31, 1996. | | | | THE WORST CASE SKIN DOSE TO THE PATIENT'S MID-BACK WAS 347 CENTI-GRAYS. THE | | EXPOSURE TO THE NURSES WAS NEGLIGIBLE. THE PATIENT'S TREATMENT WILL RESUME | | LATER TODAY. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 29916 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: COMANCHE PEAK REGION: 4 |NOTIFICATION DATE: 01/31/96 | |UNIT: [1] [2] [ ] STATE: TX |NOTIFICATION TIME: 14:36 [ET]| |RX TYPE: [1] W-4-LP,[2] W-4-LP |EVENT DATE: 01/31/96 | +------------------------------------------------+EVENT TIME: 00:00[CST]| |NRC NOTIFIED BY: GLENN KOTACK |LAST UPDATE DATE: 01/31/96 | |HQ OPS OFFICER: RUDY KARSCH +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: | | |CDEG 21.21(c)(3)(i) DEFECTS/NONCOMPLIANCE | | | | | | |VERN HODGE NRR | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |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 +------------------------------------------------------------------------------+ | CANADIAN WORCESTER CONTROLS LTD. (CWCL) REPORTED THAT BALL VALVES SUPPLIED | | BY CARDINAL INDUSTRIAL PRODUCTS CONTAINED "SUSPECT" PRESSURE BOUNDARY | | BOLTING. (REFER TO EVENT NUMBER 29328.) | | | | PRESSURE BOUNDARY BOLTING WAS FOUND TO BE "SUSPECT" ON 3/4-INCH BALL VALVES | | USED AT COMANCHE PEAK AND BRUNSWICK. A CWCL SUPPLIER (CARDINAL INDUSTRIAL | | PRODUCTS) IDENTIFIED THE SUSPECT BOLTS AS ORIGINATING FROM A HEAT LOT | | CHARGE THAT CONTAINED DEFECTIVE PRODUCT. ALL OF THE BOLTING IDENTIFIED BY | | CARDINAL INDUSTRIAL PRODUCTS AS BEING DEFECTIVE HAS BEEN ACCOUNTED FOR, AND | | NOTIFICATIONS WERE ISSUED TO ALL CUSTOMERS WHO HAD RECEIVED ANY PRODUCT | | CONTAINING THE SUSPECT BOLTING. CWCL'S CORRECTIVE ACTION TO HAVE THE | | BOLTING REPLACED HAS BEEN COMPLETED. THE SUSPECT BOLTING IN CWCL'S | | POSSESSION HAS BEEN RETURNED TO THE SUPPLIER. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 29917 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: CLINTON REGION: 3 |NOTIFICATION DATE: 01/31/96 | |UNIT: [1] [ ] [ ] STATE: IL |NOTIFICATION TIME: 17:01 [ET]| |RX TYPE: [1] GE-6 |EVENT DATE: 01/31/96 | +------------------------------------------------+EVENT TIME: 13:15[CST]| |NRC NOTIFIED BY: DAVID HODEL |LAST UPDATE DATE: 01/31/96 | |HQ OPS OFFICER: RUDY KARSCH +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |RONALD GARDNER 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 99 POWER OPERATION | 99 POWER OPERATION | | | | | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | HIGH PRESSURE CORE SPRAY (HPCS) WAS INOPERABLE DUE TO A REACTOR VESSEL | | LEVEL 8 LOGIC ACTUATION. REACTOR CORE ISOLATION COOLING (RCIC) WAS | | INOPERABLE DUE TO TROUBLESHOOTING OF LOW GOVERNOR OIL LEVEL. | | | | HPCS WAS DETERMINED TO BE INOPERABLE DUE TO INADVERTENT ACTUATION OF | | REACTOR VESSEL LEVEL 8 (HIGH WATER LEVEL) LOGIC. THIS LOGIC ACTUATION | | CAUSES CLOSURE OF THE HPCS INJECTION VALVE. THE LOGIC WAS RESET WITHIN 15 | | MINUTES, AND HPCS WAS RETURNED TO SERVICE. RCIC WAS INOPERABLE DURING THIS | | EVENT DUE TO MAINTENANCE. THE LICENSEE WAS IN A 1-HOUR SHUTDOWN LIMITING | | CONDITION FOR OPERATION PER TECHNICAL SPECIFICATIONS, BUT NO SHUTDOWN WAS | | BEGUN. RCIC WAS SUBSEQUENTLY RETURNED TO SERVICE. | | | | THE CAUSE OF THE INADVERTENT LEVEL 8 ACTUATION IS UNDERGOING INVESTIGATION. | | MANUAL ACTUATION OF HPCS WOULD HAVE BEEN POSSIBLE THROUGHOUT THIS EVENT. | | | | THE LICENSEE INFORMED THE NRC RESIDENT INSPECTOR. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 29918 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: HOPE CREEK REGION: 1 |NOTIFICATION DATE: 01/31/96 | |UNIT: [1] [ ] [ ] STATE: NJ |NOTIFICATION TIME: 18:41 [ET]| |RX TYPE: [1] GE-4 |EVENT DATE: 01/31/96 | +------------------------------------------------+EVENT TIME: 16:20[EST]| |NRC NOTIFIED BY: ARCHIE FAULKNER |LAST UPDATE DATE: 01/31/96 | |HQ OPS OFFICER: RUDY KARSCH +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |RICHARD CONTE 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 | | | | | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | THE LICENSEE DECLARED FOUR RADIATION MONITOR DETECTORS INOPERABLE BECAUSE | | THEY ARE BEING USED OUTSIDE OF THEIR ENVIRONMENTAL LIMITS. | | | | A REVIEW BY SALEM MOTIVATED HOPE CREEK TO REVIEW THE ENVIRONMENTAL | | LIMITATIONS OF THE DETECTORS USED FOR THE CONTROL ROOM VENTILATION | | RADIATION MONITORS. THE LICENSEE FOUND THAT THE TEMPERATURE RANGE FOR | | THESE DETECTORS WAS 40øF TO 130øF. THE DETECTORS WERE INSTALLED IN THE AIR | | INTAKE DUCTING, SO WHENEVER THE OUTSIDE AIR IS LOWER THAN 40øF, THE | | DETECTORS ARE OUTSIDE THEIR OPERABILITY RANGE AND MUST BE CONSIDERED | | INOPERABLE. THE LICENSEE HAS DECLARED FOUR CHANNELS OF RADIATION MONITORING | | INOPERABLE (1SPRE4858C, C1, D, AND D1). THE UNIT IS IN TECHNICAL | | SPECIFICATION 3.3.7.1 WHICH REQUIRES PRESSURIZATION OF THE CONTROL ROOM. | | THE LICENSEE IS EVALUATING OPTIONS TO FIX THE PROBLEM. | | | | THE LICENSEE INFORMED THE NRC RESIDENT INSPECTOR AND THE LOWER ALLOWAYS | | CREEK TOWNSHIP. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 29919 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: TURKEY POINT REGION: 2 |NOTIFICATION DATE: 01/31/96 | |UNIT: [3] [ ] [ ] STATE: FL |NOTIFICATION TIME: 21:50 [ET]| |RX TYPE: [3] W-3-LP,[4] W-3-LP |EVENT DATE: 01/31/96 | +------------------------------------------------+EVENT TIME: 20:57[EST]| |NRC NOTIFIED BY: DAVIS SPENCE |LAST UPDATE DATE: 01/31/96 | |HQ OPS OFFICER: RUDY KARSCH +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |CHARLES HOSEY 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 | +-----+----------+-------+--------+-----------------+--------+-----------------+ | 3 | N Y 58 POWER OPERATION | 58 POWER OPERATION | | | | | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | POWER REDUCED WHILE CLEANING AQUATIC GRASS FROM INTAKE SCREENS. FLOW FOR | | COMPONENT COOLING WATER HEAT EXCHANGERS (CCW HX) FELL BELOW DESIGN BASIS | | MINIMUM REQUIREMENTS. | | | | A MINIMUM FLOW OF SALT WATER IS REQUIRED TO ASSURE ADEQUATE COOLING FOR THE | | CCW HXs. CONDITIONS AT THE SITE ARE CAUSING AQUATIC GRASS TO CLOG THE | | INTAKE SCREENS REDUCING THE SUPPLY OF COOLING WATER FOR THE PLANT. THE | | LICENSEE HAS REDUCED POWER AND HAS SECURED TWO OF THE FOUR CIRCULATING | | WATER PUMPS WHILE GRASS IS CLEANED FROM THE SCREENS. WHILE THE LICENSEE | | WAS CLEANING ONE OF THE TWO SCREENS, THE OTHER SCREEN BECAME CLOGGED, AND | | THE FLOW OF COOLING WATER TO THE CCW HXs DROPPED BELOW THE MINIMUM VALUE | | REQUIRED BY THE PLANTS DESIGN BASIS AND TECHNICAL SPECIFICATIONS. THE | | REQUIRED MINIMUM FLOW IS 9,500 GALLONS PER MINUTE, AND FLOW DROPPED TO | | 9,000 GALLONS PER MINUTE. THE PRINCIPAL LOADS AT THE TIME WERE THE REACTOR | | COOLANT PUMP MOTORS, THERMAL BARRIER HEAT EXCHANGERS, AND SEAL COOLERS. THE | | PORTION OF THE SYSTEM WHICH WAS UNDERGOING CLEANING WAS VALVED BACK INTO | | SERVICE AND COOLING WAS RESTORED. NO HEAT UP OF THE CCW SYSTEM WAS | | OBSERVED. THE LICENSEE IS CONTINUING TO CLEAN STRAINERS. | | | | THE LICENSEE WILL INFORM THE NRC RESIDENT INSPECTOR. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 29920 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: SOUTH TEXAS REGION: 4 |NOTIFICATION DATE: 01/31/96 | |UNIT: [ ] [2] [ ] STATE: TX |NOTIFICATION TIME: 21:58 [ET]| |RX TYPE: [1] W-4-LP,[2] W-4-LP |EVENT DATE: 01/31/96 | +------------------------------------------------+EVENT TIME: 21:25[CST]| |NRC NOTIFIED BY: JOHN MILLIFF |LAST UPDATE DATE: 01/31/96 | |HQ OPS OFFICER: RUDY KARSCH +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |GARY SANBORN RDO | |NLTR LICENSEE 24 HR REPORT | | |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 FOLLOWING LICENSEE 24-HOUR REPORT WAS RECEIVED: | | | | "AT 0100 CST ON 1/31/96, IT WAS DISCOVERED THAT THE LOGGING REQUIREMENTS | | FOR INDICATED AXIAL FLUX DIFFERENCE (AFD), AS REQUIRED BY TECHNICAL | | SPECIFICATION SURVEILLANCE REQUIREMENT 4.2.1.1.b, WERE NOT MET FROM 0726 | | CST ON 1/30/96, TO 2115 CST ON 1/30/96. THIS IS A VIOLATION OF OPERATING | | LICENSE NPF-80 SECTION 2.G. TECHNICAL SPECIFICATION REQUIREMENT 4.2.1.1.b, | | REQUIRES THE INDICATED AFD BE LOGGED EVERY HOUR FOR THE FIRST 24 HOURS THE | | AFD MONITOR IS INOPERABLE. THE AFD MONITOR BECAME INOPERABLE AT 0426 CST | | ON 1/30/96, AND THE CONTROL ROOM STAFF COMMENCED HOURLY LOGGING OF | | INDICATED AFD. AT 2115 CST ON 1/30/96, A REACTOR OPERATOR IDENTIFIED THAT | | THE MONITOR TARGET VALUES HAD BEEN SET TO A PREVIOUS VALUE AND NOT THE | | CURRENT VALUE. THE TARGET VALUES WERE CORRECTED TO THE CURRENT VALUES. A | | REVIEW OF AXIAL FLUX DELTA FLUX AND OTHER DATA VALIDATED THAT THE AFD DID | | NOT EXCEED THE LIMITS SPECIFIED IN TECHNICAL SPECIFICATION 3.2.1." | | | | THE LICENSEE INFORMED THE NRC RESIDENT INSPECTOR. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 29921 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: PRAIRIE ISLAND REGION: 3 |NOTIFICATION DATE: 02/01/96 | |UNIT: [1] [2] [ ] STATE: MN |NOTIFICATION TIME: 04:14 [ET]| |RX TYPE: [1] W-2-LP,[2] W-2-LP |EVENT DATE: 02/01/96 | +------------------------------------------------+EVENT TIME: 02:15[CST]| |NRC NOTIFIED BY: DUANE JOHNSON |LAST UPDATE DATE: 02/01/96 | |HQ OPS OFFICER: LEIGH TROCINE +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |RONALD GARDNER 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 N 0 REFUELING | 0 REFUELING | | 2 | N Y 100 POWER OPERATION | 100 POWER OPERATION | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | STATE NOTIFICATION OF A DIESEL FUEL OIL LEAK INSIDE THE PROTECTED AREA | | | | A TEMPORARY PORTABLE DIESEL GENERATOR INSIDE THE PROTECTED AREA DEVELOPED A | | LEAK IN A FUEL LINE. THIS CAUSED APPROXIMATELY 50 GALLONS OF DIESEL FUEL | | OIL TO SPILL ONTO THE GROUND UNDER THE GENERATOR. THE SPILL HAS BEEN | | CONTAINED, AND NO OIL WAS RELEASED FROM THE SITE. CLEANUP OPERATIONS ARE | | UNDERWAY. | | | | THE LICENSEE NOTIFIED THE MINNESOTA STATE AGENCIES AND PLANS TO NOTIFY THE | | NRC RESIDENT INSPECTOR. THE LICENSEE HAS NOT YET DECIDED ON WHETHER OR NOT | | A PRESS RELEASE WILL BE ISSUED. | +------------------------------------------------------------------------------+