U.S. Nuclear Regulatory Commission Operations Center Event Reports For 05/09/97 - 05/12/97 ** EVENT NUMBERS ** 32243 32294 32297 32304 32305 32306 32307 32308 32309 32310 32311 32312 32313 32314 !!!!!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED !!!!!!! +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 32243 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: HATCH REGION: 2 |NOTIFICATION DATE: 04/30/97 | |UNIT: [ ] [2] [ ] STATE: GA |NOTIFICATION TIME: 04:36 [ET]| |RX TYPE: [1] GE-4,[2] GE-4 |EVENT DATE: 04/30/97 | +------------------------------------------------+EVENT TIME: 02:30[EDT]| |NRC NOTIFIED BY: COLEMAN |LAST UPDATE DATE: 05/09/97 | |HQ OPS OFFICER: BOB STRANSKY +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |CASTO 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 | +-----+----------+-------+--------+-----------------+--------+-----------------+ | | | | | 2 | N Y 100 POWER OPERATION | 100 POWER OPERATION | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | HPCI SYSTEM DECLARED INOPERABLE. | | | | THE LICENSEE HAS DECLARED THE HIGH PRESSURE COOLANT INJECTION (HPCI) SYSTEM | | INOPERABLE DUE TO AN INTERMITTENT GROUND ON THE ASSOCIATED DC ELECTRICAL | | BUS. AFTER PERFORMING A MONTHLY SURVEILLANCE TEST ON THE HPCI SYSTEM, A | | GROUND OCCURRED ON THE 'B' STATION SERVICE BATTERY BUS WHEN THE HPCI | | AUXILIARY OIL PUMP WAS STOPPED. THE BREAKER FOR THE PUMP WAS OPENED, AND | | THE GROUND CLEARED. HOWEVER, MAINTENANCE TECHNICIANS WERE UNABLE TO FIND | | ANY PROBLEM WITH THE PUMP MOTOR, AND WHEN THE BREAKER WAS RECLOSED, THE | | GROUND DID NOT RECUR. THE LICENSEE THEN REPEATED THE HPCI SURVEILLANCE, AND | | THE GROUND AGAIN OCCURRED WHEN THE AUXILIARY OIL PUMP WAS STOPPED. THE | | LICENSEE IS CONTINUING TO INVESTIGATE THE PROBLEM. | | | | THE NRC RESIDENT INSPECTOR WILL BE INFORMED. | | | | *** UPDATE AT 1346 ON 5/9/97 BY MUSGROVE ENTERED BY GOULD *** | | | | THE LICENSEE IS RETRACTING THIS EVENT SINCE IT WAS DETERMINED THAT THE PUMP | | IN QUESTION WOULD STILL HAVE RUN WITH THE GROUND FOR THE LENGTH OF TIME | | REQUIRED. THEREFORE, THIS EVENT SHOULD NOT HAVE BEEN REPORTED. THE LICENSEE | | INFORMED THE NRC RESIDENT INSPECTOR. THE HOO NOTIFIED R2DO CASTO. | +------------------------------------------------------------------------------+ !!!!!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED !!!!!!! +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 32294 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: SEQUOYAH REGION: 2 |NOTIFICATION DATE: 05/07/97 | |UNIT: [1] [ ] [ ] STATE: TN |NOTIFICATION TIME: 23:25 [ET]| |RX TYPE: [1] W-4-LP,[2] W-4-LP |EVENT DATE: 05/07/97 | +------------------------------------------------+EVENT TIME: 21:36[EDT]| |NRC NOTIFIED BY: REEVES |LAST UPDATE DATE: 05/09/97 | |HQ OPS OFFICER: BOB STRANSKY +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |CHRISTENSEN 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 HOT STANDBY | 0 HOT STANDBY | | | | | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | AUTOMATIC REACTOR TRIP SIGNAL WITHOUT ROD MOTION DURING TESTING | | | | AN AUTOMATIC REACTOR TRIP SIGNAL OCCURRED DUE TO "GENERAL WARNING" ALARMS | | ON BOTH THE 'A' AND 'B' CHANNELS OF THE SOLID STATE PROTECTION SYSTEM | | (SSPS) DURING REACTOR TRIP BREAKER TESTING. THE LICENSEE REPORTED THAT ALL | | CONTROL RODS WERE ALREADY INSERTED AND THAT THE ROD CONTROL MOTOR/GENERATOR | | SET OUTPUT BREAKERS WERE OPEN AT THE TIME OF THE EVENT. THE LICENSEE STATED | | THAT A GENERAL WARNING ALARM OCCURRED ON THE 'A' CHANNEL OF THE SSPS WHEN | | THE LOGIC TEST SELECTOR SWITCH WAS MOVED FROM THE "OFF" POSITION, AND A | | SECOND CONCURRENT ALARM OCCURRED ON THE 'B' CHANNEL WHEN THE 'B' REACTOR | | TRIP BYPASS BREAKER WAS CLOSED. THE AUTOMATIC REACTOR TRIP SIGNAL WAS | | APPROPRIATE FOR THIS CONDITION, BUT WAS NOT ANTICIPATED BY THE PROCEDURE. | | | | THE LICENSEE IS INVESTIGATING WHY THE TEST PROCEDURE DID NOT RECOGNIZE THE | | EXPECTED SSPS RESPONSE TO THE PROCEDURAL STEPS. THE NRC RESIDENT INSPECTOR | | HAS BEEN INFORMED BY THE LICENSEE. | | | | * * * UPDATE AT 1203 ON 5/9/97 FROM D. WEBB TAKEN BY BAILEY * * * | | | | AFTER FURTHER INVESTIGATION, THE LICENSEE IS RETRACTING THIS EVENT AFTER | | HAVING DETERMINED THAT IT SHOULD NOT HAVE BEEN REPORTED BASED ON THE | | FOLLOWING: | | - THE GENERATED REACTOR TRIP SIGNAL WAS NOT A VALID SIGNAL. | | - THE ROD WITHDRAWAL SYSTEM WAS PROPERLY REMOVED FROM SERVICE, i.e., | | THE CONTROL RODS WERE INSERTED AND INCAPABLE OF BEING WITHDRAWN. | | THE LICENSEE WILL NOTIFY THE NRC RESIDENT INSPECTOR. THE HOO NOTIFIED THE | | R2DO (CHUCK CASTO). | +------------------------------------------------------------------------------+ !!!!!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED !!!!!!! +----------------------------------+ +-----------------------+ |HOSPITAL | |EVENT NUMBER: 32297 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |LICENSEE: ST MARY'S MEDICAL CENTER |NOTIFICATION DATE: 05/08/97 | | CITY: DULUTH REGION: 3 |NOTIFICATION TIME: 14:20 [ET]| | COUNTY: ST LOUIS STATE: MN |EVENT DATE: 05/08/97 | |LICENSE#: 22-02396-01 AGREEMENT: N |EVENT TIME: 11:45[CDT]| | DOCKET: |LAST UPDATE DATE: 05/09/97 | | +-----------------------------+ | |PERSON ORGANIZATION| | |WAYNE KROPP RDO | | | | +------------------------------------------------+ | |NRC NOTIFIED BY: RICHARD RANDOLPH | | |HQ OPS OFFICER: JOHN MacKINNON | | +------------------------------------------------+ | |EMERGENCY CLASS: NOT APPLICABLE | | |10 CFR SECTION: | | |LADM 35.33(a) MED MISADMINISTRATION | | | | | | | | | | | | | | +------------------------------------------------+-----------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | PATIENT ACCIDENTALLY GIVEN Tc-99 HDP INSTEAD OF Tc-99m CARDOLITE. | | | | A PATIENT WAS ACCIDENTALLY GIVEN 24.8 mCi OF Tc-99 HDP INSTEAD OF 25 mCi OF | | Tc-99m CARDOLITE. THE SYRINGE USED WAS SUPPOSED TO CONTAIN Tc-99m | | CARDOLITE, BUT INSTEAD IT CONTAINED Tc-99 HDP (BONE SEEKING). THE MISTAKE | | WAS RECOGNIZED WHEN THE PATIENT WAS BEING PREPARED FOR IMAGING. PHYSICIAN | | SAW BONE IMAGES INSTEAD OF SEEING A CARDO IMAGE. THIS ERROR DOES NOT POSE | | ANY ADVERSE HEALTH OR PHYSICAL RISK TO THE PATIENT. THE PATIENT WAS | | NOTIFIED OF THE ERROR BY THE REFERRING PHYSICIAN AND THE TECHNOLOGIST. | | | | * * * UPDATE AT 1232 ON 5/9/97 FROM RANDOLPH ENTERED BY BAILEY * * * | | | | THE LICENSEE IS RETRACTING THIS NOTICE OF MEDICAL MISADMINISTRATION. | | AFTER FURTHER EVALUATION, THE LICENSEE HAS DETERMINED THAT THE INCIDENT | | WAS A RECORDABLE EVENT INSTEAD OF A DIAGNOSTIC MISADMINISTRATION. | | | | THE HOO NOTIFIED THE R3DO (KROPP). | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |FUEL CYCLE FACILITY | |EVENT NUMBER: 32304 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: PADUCAH GASEOUS DIFFUSION PLANT |NOTIFICATION DATE: 05/09/97 | | RXTYPE: URANIUM ENRICHMENT FACILITY |NOTIFICATION TIME: 12:00 [ET]| |COMMENTS: 2 DEMOCRACY CENTER |EVENT DATE: 05/09/97 | | 6903 ROCKLEDGE DRIVE |EVENT TIME: 08:15[CDT]| | BETHESDA, MD 20817 (301)564-3200 |LAST UPDATE DATE: 05/09/97 | | CITY: PADUCAH REGION: 3 +-----------------------------+ | COUNTY: McCRACKEN STATE: KY |PERSON ORGANIZATION| |LICENSE#: GDP-1 AGREEMENT: Y |WAYNE KROPP RDO | | DOCKET: 0707001 |PICCONE EO | +------------------------------------------------+ | |NRC NOTIFIED BY: CAGE | | |HQ OPS OFFICER: CHAUNCEY GOULD | | +------------------------------------------------+ | |EMERGENCY CLASS: NOT APPLICABLE | | |10 CFR SECTION: | | |NONR OTHER UNSPEC REQMNT | | | | | | | | | | | | | | +------------------------------------------------+-----------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | THE LICENSEE REPORTED A PCB SPILL IN THE C-333 PROCESS BUILDING. | | | | A PCB FILLED CAPACITOR WAS FOUND TO HAVE FAILED AND THE CAPACITOR CAN HAD | | RUPTURED IN THE C-333 UNIT 1 CELL 8, "A" SUBSTATION CAPACITOR CABINET. | | THE NAME PLATE ON THE CAPACITOR LISTED THE CONTENTS AS BEING 2.8 GALLONS OF | | PCB FLUID. THE FLUID SPILLED INTO THE CABINET AND ONTO THE CONCRETE FLOOR. | | THE AREA WHERE THE SPILL OCCURRED WAS FLAGGED OFF AND POSTED AS A PCB SPILL | | SITE. A POST CLEANING VERIFICATION GRID WAS COMPLETED AND CHEMICAL | | OPERATIONS PERSONNEL WERE NOTIFIED OF THE DECONTAMINATION REQUIRED. | | THE LICENSEE ENVIRONMENTAL PERSONNEL WERE NOTIFIED AND NOTIFICATIONS | | ARE IN PROGRESS TO THE KENTUCKY DEPARTMENT OF ENVIRONMENTAL PROTECTION, EPA | | REG IV, AND THE NATIONAL RESPONSE CENTER. | | | | THE LICENSEE INFORMED THE NRC RESIDENT INSPECTOR. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 32305 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: OYSTER CREEK REGION: 1 |NOTIFICATION DATE: 05/09/97 | |UNIT: [1] [ ] [ ] STATE: NJ |NOTIFICATION TIME: 13:18 [ET]| |RX TYPE: [1] GE-2 |EVENT DATE: 05/07/97 | +------------------------------------------------+EVENT TIME: 17:00[EDT]| |NRC NOTIFIED BY: NAGAI |LAST UPDATE DATE: 05/09/97 | |HQ OPS OFFICER: CHAUNCEY GOULD +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |JIM TRAPP RDO | |NINF INFORMATION ONLY | | | | | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ | 1 | N Y 100 POWER OPERATION | 100 POWER OPERATION | | | | | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | THE LICENSEE IS REPORTING A POSSIBLE GENERIC PROBLEM WITH GENERAL ELECTRIC | | (GE) RELAYS PART NUMBER CR120AD. | | | | THE LICENSEE DISCOVERED A POSSIBLE GENERIC PROBLEM AFTER EXPERIENCING SOME | | FAILURES WITH GE RELAY PART NUMBER CR120AD. AN OUTSIDE COMPANY WAS HIRED | | BY THE LICENSEE TO TEST THESE FAILED RELAYS AND THE RESULTS INDICATED THAT | | A POSSIBLE MANUFACTURING DEFECT WAS THE CAUSE OF FAILURE. THE DEFECT CITED | | WAS THAT PART OF THE START-END PIGTAIL OF THE COIL WAS OFF THE INSULATING | | LEAD PAD AND LYING DIRECTLY ON THE OUTER LAYER OF THE COIL WINDINGS, WHICH | | IS NEAR THE FINISH END OF THE COIL WINDINGS. THIS CONFIGURATION PLACED | | INSULATION ON THE AFFECTED LENGTH OF MAGNET WIRE IN A | | HIGH-ELECTRICAL-STRESS CONDITION THAT LED TO DIELECTRIC BREAKDOWN AT THE | | FAILURE SITE, WHICH WOULD SHORT CIRCUIT THE COIL. THE TESTING COMPANY | | STATED THAT IT IS HIGHLY PROBABLE THAT THIS TYPE OF FAILURE WOULD NOT HAVE | | OCCURRED IF THE START-END COIL PIGTAIL HAD BEEN FULLY ON THE INSULATING | | LEAD PAD. | | | | THE USE OF THESE RELAYS AT OYSTER CREEK WOULD NOT BE MUCH OF A SAFETY | | CONCERN SINCE THEY ARE INSTALLED IN SYSTEMS WHERE A RELAY FAILURE WOULD | | RESULT IN THE SYSTEM BEING IN A SAFE CONDITION. THESE POTENTIALLY | | DEFECTIVE RELAYS, HOWEVER, MAY BE INSTALLED AT OTHER NUCLEAR POWER PLANTS | | WHERE A SAFETY CONCERN MAY BE VALID. | | | | THE LICENSEE INFORMED THE NRC RESIDENT INSPECTOR. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 32306 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: DIABLO CANYON REGION: 4 |NOTIFICATION DATE: 05/09/97 | |UNIT: [1] [ ] [ ] STATE: CA |NOTIFICATION TIME: 20:11 [ET]| |RX TYPE: [1] W-4-LP,[2] W-4-LP |EVENT DATE: 05/09/97 | +------------------------------------------------+EVENT TIME: 16:50[PDT]| |NRC NOTIFIED BY: PATTY |LAST UPDATE DATE: 05/09/97 | |HQ OPS OFFICER: CHAUNCEY GOULD +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |PHIL HARRELL 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 | +-----+----------+-------+--------+-----------------+--------+-----------------+ | 1 | N N 0 REFUELING | 0 REFUELING | | | | | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | GREATER THAN 1% OF #1-1 STEAM GENERATOR TUBES ARE DEFECTIVE. | | | | ANALYSIS OF EDDY CURRENT TEST DATA ON #1-1 STEAM GENERATOR INDICATED THAT | | GREATER THAN 1% OF THE TOTAL TUBES INSPECTED (44 OF 3328) WERE DEFECTIVE. | | MOST OF THE PLUGGABLE INDICATIONS ARE DUE TO EITHER PRIMARY WATER STRESS | | CORROSION CRACKING OR OUTSIDE DIAMETER STRESS CORROSION CRACKING AT DENTED | | TUBE SUPPORT PLATE INTERSECTIONS. EDDY CURRENT INSPECTIONS ARE STILL IN | | PROGRESS. THE RESULTS OF THE TUBE INSPECTION PLACE THE #1-1 STEAM | | GENERATOR IN CATEGORY C-3. | | | | THE LICENSEE WILL INFORM THE NRC RESIDENT INSPECTOR. | | | | NOTE: SEE SIMILAR EVENT #32284. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 32307 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: MAINE YANKEE REGION: 1 |NOTIFICATION DATE: 05/09/97 | |UNIT: [1] [ ] [ ] STATE: ME |NOTIFICATION TIME: 20:24 [ET]| |RX TYPE: [1] CE |EVENT DATE: 05/09/97 | +------------------------------------------------+EVENT TIME: 17:40[EDT]| |NRC NOTIFIED BY: MCDOUGOLD |LAST UPDATE DATE: 05/09/97 | |HQ OPS OFFICER: CHAUNCEY GOULD +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |JIM TRAPP 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 | +-----+----------+-------+--------+-----------------+--------+-----------------+ | 1 | N N 0 REFUELING | 0 REFUELING | | | | | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | GREATER THAN 1% OF THE TUBES INSPECTED IN EACH OF THREE STEAM GENERATORS | | ARE DEFECTIVE. | | | | THE EDDY CURRENT TESTING OF ALL THREE STEAM GENERATORS RESULTED IN THE | | THREE STEAM GENERATORS BEING CLASSIFIED AS CATEGORY C-3 BECAUSE GREATER | | THAN 1% OF THE SAMPLE TUBES IN EACH STEAM GENERATOR ARE DEFECTIVE (165 OF | | 16,429 TOTAL). THIS IS GREATER THAN TS 4.10 LIMITS. THE DEFECTIVE TUBES | | CONTAINED IMPERFECTIONS WHICH EXCEEDED THE PLUGGING LIMIT DEPTH OF 40% OF | | THE NORMAL WALL THICKNESS. THE "BOBBIN" METHOD OF TESTING HAS BEEN | | SCHEDULED FOR 100% OF ALL THREE STEAM GENERATORS TUBES. | | | | THE LICENSEE INFORMED THE NRC RESIDENT INSPECTOR. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 32308 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: COOPER REGION: 4 |NOTIFICATION DATE: 05/09/97 | |UNIT: [1] [ ] [ ] STATE: NE |NOTIFICATION TIME: 21:00 [ET]| |RX TYPE: [1] GE-4 |EVENT DATE: 05/09/97 | +------------------------------------------------+EVENT TIME: 17:00[CDT]| |NRC NOTIFIED BY: GREEN |LAST UPDATE DATE: 05/09/97 | |HQ OPS OFFICER: CHAUNCEY GOULD +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |PHIL HARRELL 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 | +-----+----------+-------+--------+-----------------+--------+-----------------+ | 1 | N N 0 REFUELING | 0 REFUELING | | | | | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | A&B CORE SPRAY AND A&B LOW PRESSURE COOLANT INJECTION SYSTEMS ARE | | INOPERABLE. | | | | SEVERAL MONTHLY SURVEILLANCES FOR TECHNICAL SPECIFICATION (TS) REQUIRED | | REACTOR VESSEL LEVEL INSTRUMENTATION AND DRYWELL PRESSURE INSTRUMENTATION | | WERE DISCOVERED TO HAVE NOT BEEN PERFORMED BY THE DATE REQUIRED BY TSs. | | THIS CONDITION RESULTED IN THE A&B CORE SPRAY SYSTEMS AND THE A&B LOW | | PRESSURE COOLANT INJECTION SYSTEMS BEING DECLARED INOPERABLE. | | | | SURVEILLANCE PROCEDURES ARE CURRENTLY BEING REVIEWED TO DETERMINE THE | | EXTENT OF THIS CONDITION AND THE TIME FRAME THAT THE INOPERABILITY | | OCCURRED. PLANS ARE CURRENTLY UNDERWAY TO PERFORM SURVEILLANCES AS REQUIRED | | TO RETURN THE AFFECTED SYSTEMS TO OPERABLE STATUS. | | | | THE LICENSEE INFORMED THE NRC RESIDENT INSPECTOR. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 32309 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: SEABROOK REGION: 1 |NOTIFICATION DATE: 05/10/97 | |UNIT: [1] [ ] [ ] STATE: NH |NOTIFICATION TIME: 03:21 [ET]| |RX TYPE: [1] W-4-LP |EVENT DATE: 05/10/97 | +------------------------------------------------+EVENT TIME: 02:12[EDT]| |NRC NOTIFIED BY: KILBY |LAST UPDATE DATE: 05/10/97 | |HQ OPS OFFICER: JOHN MacKINNON +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |JIM TRAPP 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 | +-----+----------+-------+--------+-----------------+--------+-----------------+ | 1 | A/R Y 8 STARTUP | 0 HOT STANDBY | | | | | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | AUTO REACTOR TRIP FROM 8% POWER DUE TO HIGH FLUX SIGNAL WHILE SHUTTING DOWN | | | | AN AUTOMATIC REACTOR TRIP AND A MAIN FEEDWATER ISOLATION OCCURRED AT 8% | | REACTOR POWER DURING A PLANNED PLANT SHUTDOWN TO ENTER THE FIFTH REFUELING | | OUTAGE. THE TRIP SIGNAL RESULTED FROM HIGH FLUX (SET FOR 25% REACTOR POWER) | | ON THE INTERMEDIATE RANGE NUCLEAR INSTRUMENTS. THE TRIP OCCURRED AS SOON AS | | THE INTERMEDIATE RANGE HIGH FLUX TRIPS WERE ENABLED AT LESS THAN 10% | | REACTOR POWER. THE FOUR POWER RANGE NUCLEAR INSTRUMENTS INDICATED | | APPROXIMATELY 8% REACTOR POWER JUST PRIOR TO THE TRIP. ALL CONTROL RODS | | FULLY INSERTED INTO THE CORE. AN EXPECTED MAIN FEEDWATER ISOLATION OCCURRED | | DUE TO THE REACTOR TRIP AND REACTOR COOLANT SYSTEM TEMPERATURE DECREASING | | BELOW 564øF AFTER THE REACTOR TRIP. | | | | THE LICENSEE RESET THE MAIN FEEDWATER ISOLATION AND REESTABLISHED FEEDWATER | | FLOW TO THE STEAM GENERATORS VIA THE STARTUP FEEDWATER PUMP. ALL SYSTEMS | | FUNCTIONED PROPERLY. | | | | THE LICENSEE IS INVESTIGATING THE CAUSE OF THE HIGH READINGS ON THE | | INTERMEDIATE RANGE NUCLEAR INSTRUMENTS. | | | | THE LICENSEE INFORMED THE NRC RESIDENT INSPECTOR. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |GENERAL INFORMATION or OTHER | |EVENT NUMBER: 32310 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |LICENSEE: NJ DEPT OF ENVIRONMENTAL PROTECTION |NOTIFICATION DATE: 05/10/97 | | CITY: CREAM RIDGE REGION: 1 |NOTIFICATION TIME: 15:24 [ET]| | COUNTY: STATE: NJ |EVENT DATE: 05/10/97 | |LICENSE#: AGREEMENT: N |EVENT TIME: 15:14[EDT]| | DOCKET: |LAST UPDATE DATE: 05/11/97 | | +-----------------------------+ | |PERSON ORGANIZATION| | |JIM TRAPP RDO | | |SUSAN SHANKMAN EO | +------------------------------------------------+FRANK CONGEL IRD | |NRC NOTIFIED BY: FEENEY |CINDY JONES NMSS | |HQ OPS OFFICER: CHAUNCEY GOULD | | +------------------------------------------------+ | |EMERGENCY CLASS: NOT APPLICABLE | | |10 CFR SECTION: | | |NINF INFORMATION ONLY | | | | | | | | | | | | | | +------------------------------------------------+-----------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | - INDIVIDUAL INGESTED TRITIUM GAS OR LIQUID FROM EXIT SIGN TRITIUM TUBES - | | | | THE NEW JERSEY DEPARTMENT OF ENVIRONMENTAL PROTECTION (DEP) WAS NOTIFIED | | THAT AN INDIVIDUAL IN UNION, NJ FOUND A 20 CURIE TRITIUM EXIT SIGN AND | | BROKE OPEN TWO OR THREE OF THE TUBES IN THE SIGN WHILE EATING SUNFLOWER | | SEEDS. THE INDIVIDUAL MAY HAVE INGESTED SOME OF THE TRITIUM GAS OR LIQUID | | WHEN THE TUBES BROKE OPEN. THE DEP IS SENDING A REPRESENTATIVE TO THE SITE | | OF THE INCIDENT TO OBTAIN SAMPLES OF URINE FOR ANALYSIS. | | | | * * * UPDATE AT 1710 ENTERED BY GOULD * * * | | | | A CONFERENCE CALL WAS HELD AMONG NRC (COOL, BLOUGH, SHANKMAN, KNAPP, JONES, | | CONGEL, TRAPP AND BELLAMY), EPA (DALOIA AND TANADROS), NJ DEP (NICHOLLS AND | | LIPOTI), BROOKHAVEN NATIONAL LABS (LINSLEY) AND REAC (DR GOANS). | | | | * * * UPDATE AT 2200 ENTERED BY GOULD * * * | | | | A CONFERENCE CALL WAS HELD AMONG NRC (COOL, BLOUGH, SHANKMAN, KNAPP, JONES, | | LANDAU, CONGEL, BELLAMY AND COSTELLO), EPA (TANADROS), NJ DEP (LIPOTI, | | NICHOLLS AND STERN), BROOKHAVEN (CENTORE AND LINSLEY), REAC (DR GOANS). | | | | * * * UPDATE AT 2359 ENTERED BY GOULD * * * | | | | COMMISSIONERS' ASSISTANTS BRIEFING BY NMSS KNAPP. PARTICIPANTS: IRD-CONGEL; | | NMSS-COOL AND SHANKMAN; STATE PROGRAMS-BANGART; EDO-STABLEIN; SECY-HART; | | R1DO-TRAPP; R1-COSTELLO; CHAIRMAN JACKSON-HOLIAN; COMM ROGERS-SORENSEN; | | COMM DICUS-TAYLOR; COMM DIAS-DAVIS; COMM McGAFFIGAN-SHARKEY. | | NONPARTICIPANTS: AEOD-ROSS; PA-LANDAU; CA-MADDEN. | | | | *** UPDATE AT 0220 ON 5/11/97 BY BROOKHAVEN LINSLEY ENTERED BY JOLLIFFE *** | | | | BIOASSAY RESULTS FROM BROOKHAVEN ARE AS FOLLOWS: | | LOUIS, AGE 16 - 28.6 MICROCURIES PER LITER (EQUIVALENT TO APPROX 300 MR) | | MIKE, AGE 18 - 0.07 MICROCURIES PER LITER | | NICK, AGE UNKNOWN - 0.15 MICROCURIES PER LITER. | | DR GOANS, REAC, SUGGESTED THAT INDIVIDUALS DRINK 3 TO 4 QUARTS OF WATER PER | | DAY. AN ADDITIONAL BIOASSAY WILL BE TAKEN LATER ON 5/11/97. | | | | THE OPERATIONS OFFICER NOTIFIED NMSS KNAPP AND IRD CONGEL. | | | | * * * UPDATE AT 0915 ON 5/11/97 ENTERED BY JOLLIFFE * * * | | | | A CONFERENCE CALL WAS HELD AMONG NRC (COOL, SHANKMAN AND ROSS), | | DOE (CENTORE), EPA (TANADROS) AND NJ DEP (NICHOLLS). | | | | * * * UPDATE AT 1400 ON 5/11/97 ENTERED BY MACKINNON * * * | | | | COMMISSIONERS' ASSISTANTS BRIEFING BY NMSS COOL. PARTICIPANTS: AEOD-ROSS; | | IRD-CONGEL; EDO-STABLEIN; OCA-TOM MADDEN; R1-RANDY BOULGH, R1 PAO-DIANE | | SCRENCI; CHAIRMAN JACKSON-BRAIN HOLIAN; COMM DICUS-TORRE TAYLOR; COMM | | McGAFFIGAN-JEFF SHARKEY. NONPARTICIPANTS: PAO-M. LANDAU; OSP-RICH BANGART; | | OIP-BILL UPSHAW; NMSS EO-SUSAN SHANKMAN; COMM ROGERS-JACK SORENSON; COMM | | DIAZ-ROGER DAVIS. HOO COULD NOT CONTACT SECY-BATES & HART. | | | | * * * UPDATE CONFERENCE CALL AT 2000 ON 5/11/97 ENTERED BY MACKINNON * * * | | | | BRIEFERS: BROOKHAVEN (MARK LINSLEY) & DOE RAP TEAM (ALAN KUEHNER). | | PARTICIPANTS: NJ DEP (BOB STERNE, JERRY NICHOLLS, CAMARGO & LIPOTI); | | NMSS (MEL KNAPP & DON COOL), NRC REGION 1 (BILL AXELSON, RANDY BLOUGH, | | BETSEY ULLRICH, DUNCAN WHITE, FRANK COSTELLO, JIM KOTTAN & DAVE CHAWAGA). | | A TOTAL OF 52 SMEARS WERE TAKEN INSIDE THE HOME WHERE THE TRITIUM SPILL | | OCCURRED AND IT WILL BE A FEW HOURS BEFORE ALL THE SMEARS ARE COUNTED. | | SO FAR, 19 SMEARS FROM UPSTAIRS WERE COUNTED AT LESS THAN 10,000 DPM. | | ONLY 6 OF THESE SMEARS COUNTED WERE GREATER THAN 1000 DPM. THE HIGHEST | | READING SMEAR SO FAR WAS 9000 DPM TAKEN FROM THE REFRIGERATOR DOOR. | | FIVE MORE URINE SAMPLES WERE TAKEN INCLUDING A SAMPLE FROM A FIRE CHIEF | | WHO HAD ENTERED THE BEDROOM WHERE THE TRITIUM SPILL OCCURRED. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 32311 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: COOK REGION: 3 |NOTIFICATION DATE: 05/10/97 | |UNIT: [ ] [2] [ ] STATE: MI |NOTIFICATION TIME: 18:23 [ET]| |RX TYPE: [1] W-4-LP,[2] W-4-LP |EVENT DATE: 05/10/97 | +------------------------------------------------+EVENT TIME: 15:30[EDT]| |NRC NOTIFIED BY: MUTZ |LAST UPDATE DATE: 05/11/97 | |HQ OPS OFFICER: CHAUNCEY GOULD +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |MIKE JORDAN RDO | |ARPS 50.72(b)(2)(ii) RPS ACTUATION | | | | | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ | | | | | 2 | A N 0 COLD SHUTDOWN | 0 COLD SHUTDOWN | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | REACTOR TRIP SIGNAL ON UNIT 2 WHILE IN COLD SHUTDOWN DURING A STARTUP TEST. | | | | WHILE PERFORMING A STARTUP SURVEILLANCE CALIBRATION TEST OF THE N-36 | | INTERMEDIATE RANGE NUCLEAR INSTRUMENTS, A REACTOR TRIP SIGNAL WAS | | GENERATED. THIS SIGNAL WAS GENERATED BY A BLOWN CONTROL POWER FUSE, | | WHICH IN TURN CAUSED A FAILURE OF THE ASSOCIATED INSTRUMENT DRAWER. | | | | CONTROL RODS WERE ALREADY COMPLETELY INSERTED INTO THE CORE AND THE REACTOR | | TRIP BREAKERS WERE OPEN AND TAGGED PRIOR TO THIS EVENT. | | | | THE LICENSEE DOES NOT PRESENTLY ATTRIBUTE THE CAUSE OF THIS EVENT TO | | PERSONNEL OR PROCEDURAL ERROR AND IS INVESTIGATING THE ROOT CAUSE. | | | | THE LICENSEE INFORMED THE NRC RESIDENT INSPECTOR. | | | | * * * UPDATE AT 0025 ON 05/11/97 BY STEVE CHERBA ENTERED BY JOLLIFFE * * * | | | | AT 2305 ON 05/10/97, WHILE AGAIN PERFORMING A STARTUP SURVEILLANCE | | CALIBRATION TEST OF THE N-36 INTERMEDIATE RANGE NUCLEAR INSTRUMENTS, | | ANOTHER REACTOR TRIP SIGNAL WAS GENERATED. THIS SIGNAL WAS GENERATED BY | | A BLOWN CONTROL POWER FUSE, WHICH IN TURN DEENERGIZED THE BISTABLE INPUTS | | TO THE REACTOR PROTECTION SYSTEM. THE FUSE BLEW AS AN I&C TECHNICIAN WAS | | CHANGING THE POSITION OF THE "OPERATION SELECTOR" SWITCH ON THE INSTRUMENT | | AS A NORMAL PART OF THE CALIBRATION TEST. THIS BLOWN FUSE WAS A DIFFERENT | | FUSE THAN THE ONE MENTIONED ABOVE. | | | | CONTROL RODS WERE ALREADY COMPLETELY INSERTED INTO THE CORE AND THE REACTOR | | TRIP BREAKERS WERE OPEN AND TAGGED AND THE CONTROL ROD DRIVE MOTOR- | | GENERATOR SETS WERE INOPERABLE PRIOR TO THIS EVENT. | | | | THE LICENSEE DOES NOT PRESENTLY ATTRIBUTE THE CAUSE OF THIS EVENT TO | | PERSONNEL OR PROCEDURAL ERROR AND IS INVESTIGATING THE ROOT CAUSE. | | | | THE LICENSEE INFORMED THE NRC RESIDENT INSPECTOR. | | | | THE OPERATIONS OFFICER NOTIFIED THE R3DO MIKE JORDAN. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 32312 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: DIABLO CANYON REGION: 4 |NOTIFICATION DATE: 05/11/97 | |UNIT: [1] [2] [ ] STATE: CA |NOTIFICATION TIME: 03:50 [ET]| |RX TYPE: [1] W-4-LP,[2] W-4-LP |EVENT DATE: 05/10/97 | +------------------------------------------------+EVENT TIME: 23:59[PDT]| |NRC NOTIFIED BY: DICK WILLETT |LAST UPDATE DATE: 05/11/97 | |HQ OPS OFFICER: DICK JOLLIFFE +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |PHIL HARRELL RDO | |DDDD 73.71 UNSPECIFIED PARAGRAPH | | | | | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ | 1 | N N 0 REFUELING | 0 REFUELING | | 2 | N Y 100 POWER OPERATION | 100 POWER OPERATION | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | - PHYSICAL SECURITY EVENT - | | | | PLANT PHYSICAL SECURITY SYSTEM DEGRADATION DUE TO SECURITY COMPUTER | | FAILURE. COMPENSATORY MEASURES NOW FULLY IMPLEMENTED. REFER TO THE HOO | | LOG FOR ADDITIONAL DETAILS. | | | | THE LICENSEE INFORMED THE NRC RESIDENT INSPECTOR. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 32313 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: ZION REGION: 3 |NOTIFICATION DATE: 05/11/97 | |UNIT: [1] [2] [ ] STATE: IL |NOTIFICATION TIME: 06:41 [ET]| |RX TYPE: [1] W-4-LP,[2] W-4-LP |EVENT DATE: 05/11/97 | +------------------------------------------------+EVENT TIME: 04:40[CDT]| |NRC NOTIFIED BY: BILL HENKEL |LAST UPDATE DATE: 05/11/97 | |HQ OPS OFFICER: DICK JOLLIFFE +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |MIKE JORDAN RDO | |DDDD 73.71 UNSPECIFIED PARAGRAPH | | | | | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ | 1 | N N 0 REFUELING | 0 REFUELING | | 2 | N N 0 COLD SHUTDOWN | 0 COLD SHUTDOWN | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | - PHYSICAL SECURITY EVENT - | | | | ATTEMPTED UNAUTHORIZED INTRUSION INTO THE PLANT PROTECTED AREA. NO HOSTILE | | ACTION OR INTENT WAS INVOLVED. IMMEDIATE COMPENSATORY MEASURES TAKEN UPON | | DISCOVERY. REFER TO THE HOO LOG FOR ADDITIONAL DETAILS. | | | | THE LICENSEE INFORMED THE NRC RESIDENT INSPECTOR. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 32314 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: VERMONT YANKEE REGION: 1 |NOTIFICATION DATE: 05/12/97 | |UNIT: [1] [ ] [ ] STATE: VT |NOTIFICATION TIME: 06:13 [ET]| |RX TYPE: [1] GE-4 |EVENT DATE: 05/12/97 | +------------------------------------------------+EVENT TIME: 05:30[EDT]| |NRC NOTIFIED BY: ANDY WISNIEWSKI |LAST UPDATE DATE: 05/12/97 | |HQ OPS OFFICER: DICK JOLLIFFE +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |JIM TRAPP RDO | |ASHU 50.72(b)(1)(i)(A) PLANT S/D REQD BY TS | | |NLCO TECH SPEC LCO A/S | | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ | 1 | N Y 98 POWER OPERATION | 98 POWER OPERATION | | | | | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | -TECH SPEC REQUIRED PLANT SHUTDOWN DUE TO HIGH TORUS OXYGEN CONCENTRATION- | | | | TECH SPEC 3.7.A.7/8 REQUIRES THAT THE TORUS OXYGEN CONCENTRATION BE LESS | | THAN 4% WHILE THE PLANT IS AT POWER OR TO SHUT THE PLANT DOWN WITHIN 24 | | HOURS. RECENT TORUS SAMPLES TAKEN DURING SURVEILLANCE TESTING INDICATED | | THAT THE TORUS OXYGEN CONCENTRATION WAS 7.5%. | | | | AT 0530, CONTROL ROOM OPERATORS BEGAN A TECH SPEC REQUIRED PLANT SHUTDOWN | | DUE TO THESE HIGH TORUS OXYGEN LEVELS. | | | | THE LICENSEE PLANS TO REVISE APPROPRIATE PLANT PROCEDURES AND TO INERT THE | | TORUS WITHIN THE NEXT 24 HOURS WHILE THE PLANT IS STILL AT POWER. | | | | THE LICENSEE NOTIFIED THE NRC RESIDENT INSPECTOR AND WILL NOTIFY STATE | | OFFICIALS. | +------------------------------------------------------------------------------+