U.S. Nuclear Regulatory Commission Operations Center Event Reports For 01/07/97 - 01/08/97 ** EVENT NUMBERS ** 31549 31550 31551 31552 31553 31554 +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 31549 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: PERRY REGION: 3 |NOTIFICATION DATE: 01/07/97 | |UNIT: [1] [ ] [ ] STATE: OH |NOTIFICATION TIME: 06:14 [ET]| |RX TYPE: [1] GE-6 |EVENT DATE: 01/07/97 | +------------------------------------------------+EVENT TIME: 05:37[EST]| |NRC NOTIFIED BY: MICHEAL DAMMANN |LAST UPDATE DATE: 01/07/97 | |HQ OPS OFFICER: LEIGH TROCINE +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |LEWIS MILLER RDO | |ACCS 50.72(b)(1)(iv) ECCS INJECTION | | |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 | +-----+----------+-------+--------+-----------------+--------+-----------------+ | 1 | A/R Y 100 POWER OPERATION | 0 HOT SHUTDOWN | | | | | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | AUTOMATIC REACTOR SCRAM AND HIGH PRESSURE CORE SPRAY (HPCS) INITIATION DUE | | TO A FEEDWATER TRANSIENT CAUSED BY THE FAILURE OF AN INVERTER POWER SUPPLY | | | | WHILE SHIFTING THE R-14 INVERTER POWER SUPPLY FROM THE PREFERRED TO THE | | ALTERNATE SOURCE, POWER TO A NONSAFETY-RELATED 120-VOLT INVERTER BUS (B1A) | | WAS LOST. THIS IN TURN CAUSED A FEEDWATER TRANSIENT AND SUBSEQUENT | | AUTOMATIC REACTOR SCRAM FROM 100% POWER WHEN REACTOR VESSEL LEVEL DECREASED | | BELOW THE LEVEL 3 SETPOINT OF 178 INCHES ABOVE THE TOP OF THE FUEL. ALL | | RODS FULLY INSERTED. REACTOR VESSEL WATER LEVEL SUBSEQUENTLY DECREASED | | BELOW THE LEVEL 2 SETPOINT OF 130 INCHES ABOVE THE TOP OF THE FUEL. THIS | | CAUSED THE HPCS AND REACTOR CORE ISOLATION COOLING (RCIC) SYSTEMS TO | | INITIATE, THE RECIRCULATION PUMPS TO TRIP, AND THE DIVISION 3 EMERGENCY | | DIESEL GENERATOR TO START. (THE DIESEL DID NOT LOAD.) THE PLANT ALSO | | RECEIVED A LEVEL-2 BALANCE-OF-PLANT ISOLATION WHICH INCLUDED A REACTOR | | WATER CLEANUP SYSTEM ISOLATION. THE MAIN STEAM ISOLATION VALVES REMAINED | | OPEN, AND NONE OF THE SAFETY RELIEF VALVES LIFTED. ALL SYSTEMS FUNCTIONED | | AS REQUIRED WITH ONE EXCEPTION. THE MOTOR FEEDWATER PUMP STARTED BUT COULD | | NOT BE USED BECAUSE THE FEEDWATER CONTROL SYSTEM DID NOT HAVE POWER. THE | | LICENSEE BELIEVES THAT THIS MAY BE RELATED TO THE POWER SUPPLY LOSS. | | | | THE UNIT IS CURRENTLY IN MODE 3. THE MAIN STEAM ISOLATION VALVES ARE OPEN, | | AND STEAM IS CURRENTLY BEING BYPASSED TO THE CONDENSER. RCIC IS SUPPLYING | | WATER TO THE REACTOR VESSEL. THE LICENSEE HAS RESTORED POWER TO THE BUS | | AND IS IN THE PROCESS OF TRANSITIONING BACK TO THE MOTOR FEEDWATER PUMPS. | | HPCS IS CURRENTLY IN STANDBY READINESS. ALL SAFETY EQUIPMENT IS AVAILABLE. | | THE LICENSEE EMERGENCY ACTION LEVELS DO NOT REQUIRE ENTRY INTO AN EMERGENCY | | CLASSIFICATION DUE TO THE EMERGENCY CORE COOLING SYSTEM INJECTION TO THE | | VESSEL, AND THE UNIT IS CURRENTLY OPERATING UNDER THE EMERGENCY OPERATING | | PROCEDURE FOR REACTOR PRESSURE VESSEL CONTROL FOR LEVEL. | | | | THE LICENSEE PLANS TO NOTIFY THE NRC RESIDENT INSPECTOR. | | | | ***UPDATE AT 20:09 BY DAMMONN TO GOULD*** INJECTION - APPROX. 27,000 GALS. | | LOWEST LEVEL WIDE RANGE - 83.5", HIGEST LEVEL - 240", PRESSURE TRANSIENT | | HIGHEST - 1050 LBS, DROPPED TO - 1030 LBS, COOLED DOWN TO - 620 LBS | | REG 3 DUTY OFFICER(MILLER) WAS NOTIFIED. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |HOSPITAL | |EVENT NUMBER: 31550 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |LICENSEE: ST. JOHNS MEDICAL FACILITY |NOTIFICATION DATE: 01/07/97 | | CITY: TULSA REGION: 4 |NOTIFICATION TIME: 09:11 [ET]| | COUNTY: TULSA STATE: OK |EVENT DATE: 08/28/95 | |LICENSE#: 35-00376-02 AGREEMENT: N |EVENT TIME: 00:00[CST]| | DOCKET: |LAST UPDATE DATE: 01/07/97 | | +-----------------------------+ | |PERSON ORGANIZATION| | |CHRIS VANDENBURGH RDO | | | | +------------------------------------------------+ | |NRC NOTIFIED BY: KEITH JONES | | |HQ OPS OFFICER: STEVE SANDIN | | +------------------------------------------------+ | |EMERGENCY CLASS: NOT APPLICABLE | | |10 CFR SECTION: | | |LADM 35.33(a) MED MISADMINISTRATION | | | | | | | | | | | | | | +------------------------------------------------+-----------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | PATIENT RECEIVED .086 RAD WHOLE BODY DUE TO EXPOSURE FROM DISLODGED SOURCE. | | | | BETWEEN 8/28 AND 8/30/95 A PATIENT WAS PRESCRIBED 1540 RADS DOSE FOR | | CERVICAL CANCER AT THE ST. JOHNS MEDICAL FACILITY LOCATED AT 1923 S. UTICA | | AVE IN TULSA, OK. 74104. SHE INSTEAD RECEIVED 1481 RADS DUE TO ONE OF THE | | 22 STRANDS OF IMPLANTED SEEDS BECOMING DISLODGED AND FALLING TO THE FLOOR. | | THE HOSPITAL DOCUMENTED THIS SITUATION IN THEIR RADIATION SAFETY MEETING | | MINUTES AND AS A RESULT MADE CHANGES TO PROCEDURES. DURING A ROUTINE NRC | | INSPECTION IN APRIL 1996, THE INSPECTOR NOTED THAT THE PATIENT HAD RECEIVED | | APPROXIMATELY .086 RADS WHOLE BODY DOSE FROM THE DISLODGED Ir-192 SOURCE. | | THE PRESCRIBING PHYSICIAN WAS NOTIFIED. THE LICENSEE NOTED NO ADVERSE | | EFFECTS ON THE PATIENT. THE PATIENT WAS NOT INFORMED. DURING A SUBSEQUENT | | REVIEW, REGION 4 (HOWELL) INFORMED THE LICENSEE THAT THEY NEEDED TO MAKE | | THIS NOTIFICATION. SEE HOO LOG FOR TELEPHONE NUMBER. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 31551 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: PILGRIM REGION: 1 |NOTIFICATION DATE: 01/07/97 | |UNIT: [1] [ ] [ ] STATE: MA |NOTIFICATION TIME: 09:37 [ET]| |RX TYPE: [1] GE-3 |EVENT DATE: 01/07/97 | +------------------------------------------------+EVENT TIME: 08:30[EST]| |NRC NOTIFIED BY: JOHNNY NEAL |LAST UPDATE DATE: 01/07/97 | |HQ OPS OFFICER: STEVE SANDIN +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |HAROLD GRAY 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 | | | | | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | WEAPON DISCOVERED DURING VEHICLE SEARCH. | | | | DURING A ROUTINE VEHICLE SEARCH PRIOR TO ENTRY INTO THE PA, SECURITY FOUND | | A LOADED SEMI-AUTOMATIC HANDGUN IN THE CAB OF A TRUCK. THE HANDGUN WAS | | PROPERLY LICENSED AND IN CLEAR VIEW. THE INDIVIDUAL HAD FORGOTTEN TO | | REMOVE THE WEAPON BEFORE MAKING A DELIVERY. THE LICENSEE CONCLUDED THAT | | THERE WAS NO MALICIOUS INTENT INVOLVED. THE LICENSEE INFORMED REGION 1 | | (KEIMIG) AND THE NRC RESIDENT INSPECTOR. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |OTHER NUCLEAR MATERIAL | |EVENT NUMBER: 31552 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |LICENSEE: U.S. NAVY |NOTIFICATION DATE: 01/07/97 | | CITY: ARLINGTON REGION: 2 |NOTIFICATION TIME: 09:41 [ET]| | COUNTY: ARLINGTON STATE: VA |EVENT DATE: 12/16/96 | |LICENSE#: 45-23645-01NA AGREEMENT: N |EVENT TIME: 00:00[EST]| | DOCKET: |LAST UPDATE DATE: 01/07/97 | | +-----------------------------+ | |PERSON ORGANIZATION| | |CHARLES CASTO, REG 2 RDO | | | | +------------------------------------------------+CHRIS VANDENBURGH R4DO | |NRC NOTIFIED BY: LCDT. POMERVILLE | | |HQ OPS OFFICER: LEIGH TROCINE | | +------------------------------------------------+ | |EMERGENCY CLASS: NOT APPLICABLE | | |10 CFR SECTION: | | |BAB2 20.2201(a)(1)(ii) LOST/STOLEN LNM>10X | | | | | | | | | | | | | | +------------------------------------------------+-----------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | LOSS OF SIX SMALL AMERICIUM-241 SOURCES DUE TO PLANE CRASHES AT SEA IN 1994 | | | | THE FIELD OFFICE PERFORMED AN INSPECTION ON THE NAVAL AIR SYSTEMS COMMAND | | AND IDENTIFIED FIVE INCIDENTS WHICH COULD INVOLVE PLANE CRASHES OR UNITS | | SENT BACK TO THE MANUFACTURER (SOMETHING WHICH STRIKES AN AIRCRAFT FROM THE | | INVENTORY). FURTHER INVESTIGATION REVEALED THAT THREE OF THESE INCIDENTS | | INVOLVED THE LOSS OF RADIOACTIVE SOURCES AND THAT THE REMAINING TWO DID | | NOT. APPARENTLY, THREE F/A-18 AIRCRAFT CRASHED IN 1994, AND EACH OF THESE | | AIRCRAFT CONTAINED A LASER TARGET DESIGNATOR POD CONTAINING TWO FOIL | | SOURCES. EACH OF THE SIX SOURCES CONTAINED 4.5 MICROCURIES OF | | AMERICIUM-241 FOR A TOTAL OF 9 MICROCURIES PER AIRCRAFT. THESE AIRCRAFT | | CRASHED IN THE ADRIATIC SEA, PACIFIC OCEAN (700 NAUTICAL MILES NORTH OF | | HAWAII), AND THE NORTH PHILIPPINE SEA ON APRIL 28, 1994; NOVEMBER 8, 1994; | | AND NOVEMBER 18, 1994; RESPECTIVELY. THE LASER TARGET DESIGNATOR PODS | | CONTAINING THE SOURCES WERE NOT RECOVERED. THE LICENSEE BELIEVES THAT THE | | SOURCES ARE SMALL AND THAT THERE IS NO POTENTIAL FOR EXPOSURE TO PERSONNEL. | | | | THE LICENSEE NOTIFIED THE NRC REGION 2 OFFICE (JAY HENSON) AND PLANS TO | | PROVIDE A WRITTEN REPORT TO THE NRC REGION 2 OFFICE WITHIN A FEW DAYS. | | (REFER TO THE HOO LOG FOR A U.S. NAVY CONTACT TELEPHONE NUMBER.) | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 31553 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: SAN ONOFRE REGION: 4 |NOTIFICATION DATE: 01/07/97 | |UNIT: [1] [2] [3] STATE: CA |NOTIFICATION TIME: 16:59 [ET]| |RX TYPE: [1] W-3-LP,[2] CE,[3] CE |EVENT DATE: 01/07/97 | +------------------------------------------------+EVENT TIME: 11:00[PST]| |NRC NOTIFIED BY: WILLIAMS |LAST UPDATE DATE: 01/07/97 | |HQ OPS OFFICER: CHAUNCEY GOULD +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |CHRIS VANDENBURGH 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 DECOMMISSIONED | 0 DECOMMISSIONED | | 2 | N N 0 REFUELING | 0 REFUELING | | 3 | N Y 100 POWER OPERATION | 100 POWER OPERATION | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | SAFEGUARDS SYSTEM DEGRADATION RELATED TO AREA BOUNDARY. IMMEDIATE | | COMPENSATORY MEASURES TAKEN. SEE HOO LOG FOR DETAILS. THE RESIDENT WILL | | BE NOTIFIED. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 31554 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: POINT BEACH REGION: 3 |NOTIFICATION DATE: 01/07/97 | |UNIT: [ ] [2] [ ] STATE: WI |NOTIFICATION TIME: 20:11 [ET]| |RX TYPE: [1] W-2-LP,[2] W-2-LP |EVENT DATE: 01/07/97 | +------------------------------------------------+EVENT TIME: 15:50[CST]| |NRC NOTIFIED BY: GROTE |LAST UPDATE DATE: 01/07/97 | |HQ OPS OFFICER: CHAUNCEY GOULD +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |LEWIS MILLER RDO | |ADAS 50.72(b)(2)(i) DEG/UNANALYZED COND | | | | | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ | | | | | 2 | N N 0 REFUELING | 0 REFUELING | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | THE LICENSEE DISCOVERED THERE ARE SEVERAL LOCATIONS WHERE STRUCTURAL ITEMS | | WITHIN CONTAINMENT ARE IN CLOSE PROXIMITY TO THE CONTAINMENT LINER PLATE | | WITH LITTLE OR NO GAP. | | | | THIS CONDITION WAS DISCOVERED DURING A WALKDOWN OF UNIT 2 CONTAINMENT. THE | | CONSTRUCTION DRAWINGS FOR THE CONTAINMENT BUILDING REQUIRES A SEISMIC GAP | | TO EXIST BETWEEN THE INTERIOR AND EXTERIOR CONTAINMENT STRUCTURES, BUT FOUR | | LOCATIONS WERE FOUND TO BE IN CLOSE PROXIMITY TO THE CONTAINMENT LINER | | PLATE WITH LITTLE OR NO GAP. THREE OF THE FOUR LOCATIONS WERE EVALUATED AS | | NOT BEING SIGNIFICANT, BUT ONE, A CONTAINMENT FAN SUPPORT, DOES PRESENT A | | POTENTIAL TO COMPROMISE PLANT SAFETY. THEY ARE ALSO MAKING AN EVALUATION | | OF UNIT 1. THE RESIDENT INSPECTOR WAS NOTIFIED. | +------------------------------------------------------------------------------+