U.S. Nuclear Regulatory Commission Operations Center Event Reports For 05/12/97 - 05/13/97 ** EVENT NUMBERS ** 32121 32228 32238 32310 32314 32315 32316 32317 32318 32319 32320 !!!!!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED !!!!!!! +----------------------------------+ +-----------------------+ |FUEL CYCLE FACILITY | |EVENT NUMBER: 32121 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: PADUCAH GASEOUS DIFFUSION PLANT |NOTIFICATION DATE: 04/09/97 | | RXTYPE: URANIUM ENRICHMENT FACILITY |NOTIFICATION TIME: 23:37 [ET]| |COMMENTS: 2 DEMOCRACY CENTER |EVENT DATE: 04/09/97 | | 6903 ROCKLEDGE DRIVE |EVENT TIME: 17:36[CDT]| | BETHESDA, MD 20817 (301)564-3200 |LAST UPDATE DATE: 05/12/97 | | CITY: PADUCAH REGION: 3 +-----------------------------+ | COUNTY: McCRACKEN STATE: KY |PERSON ORGANIZATION| |LICENSE#: GDP-1 AGREEMENT: Y |JOHN MADERA RDO | | DOCKET: 0707001 |GREEVES (NMSS) EO | +------------------------------------------------+RICH BARRETT (IRD) AEOD | |NRC NOTIFIED BY: W. G. HALICKS | | |HQ OPS OFFICER: JOHN MacKINNON | | +------------------------------------------------+ | |EMERGENCY CLASS: NOT APPLICABLE | | |10 CFR SECTION: | | |OCBB 76.120(c)(2)(ii) EQUIP DISABLED/FAILS | | |NLCO TECH SPEC LCO A/S | | | | | | | | | | | +------------------------------------------------+-----------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | SIX FIRE SPRINKLER SYSTEMS DECLARED INOPERABLE. ROVING FIRE WATCHES | | INITIATED. | | | | DURING WALKDOWNS OF SPRINKLER SYSTEMS IN C-331 AND C-333 (PROCESS | | BUILDINGS) ON 04/09/97, IT WAS DISCOVERED THAT SIX SYSTEMS (C-331 SYSTEMS | | 13 AND 17 AND C-333 SYSTEMS A-2, B-1, B-13, AND C-5) DID NOT HAVE FLOW | | RESTRICTING ORIFICES INSTALLED IN THE INSPECTOR TEST VALVE (ITV) | | CONNECTIONS AS REQUIRED BY NFPA (NATIONAL FIRE PROTECTION ASSOCIATION) | | 13-1989, SECTION 3-4.1.1. THIS FLOW RESTRICTION IS USED TO SIMULATE FLOW | | THROUGH A SINGLE SPRINKLER HEAD DURING THE SYSTEM'S ANNUAL TECHNICAL | | SPECIFICATION REQUIRED (TSR) SURVEILLANCE. WITH WATER FLOW THROUGH THE ITV | | CONNECTION, A FLOW ALARM IS REQUIRED TO BE RECEIVED WITHIN 90 SECONDS IN | | THE CENTRAL CONTROL FACILITY. THE ANNUAL TSR SURVEILLANCES PERFORMED ON | | THESE SYSTEMS WERE DETERMINED TO BE INVALID SINCE THE FLOW RESTRICTION WAS | | NOT INSTALLED IN THE ITV CONNECTIONS. THE SYSTEMS WERE DECLARED | | INOPERABLE, AND THE REQUIRED TSR LIMITING CONDITION FOR OPERATIONS ACTIONS | | INITIATED (HOURLY ROVING FIRE WATCHES). FLOW RESTRICTIONS WILL BE | | INSTALLED WITHIN THE NEXT FEW DAYS. | | | | THE NRC RESIDENT INSPECTOR WAS NOTIFIED OF THIS EVENT BY PADUCAH. | | | | * * * 1359 EDT MAY 12, 1997, UPDATE FROM BOREN RECEIVED BY TROCINE * * * | | | | THIS EVENT NOTIFICATION IS BEING RETRACTED BECAUSE THE DEFICIENCIES NOTED | | WERE DETERMINED NOT TO BE PART OF THE ACTIVE SPRINKLER SYSTEM. THE ITVs | | ARE NORMALLY ISOLATED FROM THE ACTIVE PORTION OF THE SPRINKLER SYSTEM AND | | CANNOT DEGRADE THE SYSTEM'S ABILITY TO SUPPRESS A DESIGN BASIS FIRE AS | | DESCRIBED IN THE TSR. (THEY ARE ONLY USED FOR TEST PURPOSES.) THESE LINES | | HAVE BEEN REPLACED, AND SURVEILLANCE TESTS HAVE BEEN SUCCESSFULLY COMPLETED | | TO VERIFY OPERABILITY. | | | | PADUCAH NOTIFIED THE NRC RESIDENT INSPECTOR. THE NRC OPERATIONS CENTER | | NOTIFIED THE R3DO (MCCORMICKBARGER). | +------------------------------------------------------------------------------+ !!!!!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED !!!!!!! +----------------------------------+ +-----------------------+ |FUEL CYCLE FACILITY | |EVENT NUMBER: 32228 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: PADUCAH GASEOUS DIFFUSION PLANT |NOTIFICATION DATE: 04/26/97 | | RXTYPE: URANIUM ENRICHMENT FACILITY |NOTIFICATION TIME: 12:34 [ET]| |COMMENTS: 2 DEMOCRACY CENTER |EVENT DATE: 04/25/97 | | 6903 ROCKLEDGE DRIVE |EVENT TIME: 13:00[CDT]| | BETHESDA, MD 20817 (301)564-3200 |LAST UPDATE DATE: 05/12/97 | | CITY: PADUCAH REGION: 3 +-----------------------------+ | COUNTY: McCRACKEN STATE: KY |PERSON ORGANIZATION| |LICENSE#: GDP-1 AGREEMENT: Y |MONTE PHILLIPS RDO | | DOCKET: 0707001 |JOHN HICKEY (NMSS) EO | +------------------------------------------------+ | |NRC NOTIFIED BY: MATT MAURER | | |HQ OPS OFFICER: JOHN MacKINNON | | +------------------------------------------------+ | |EMERGENCY CLASS: NOT APPLICABLE | | |10 CFR SECTION: | | |OCBB 76.120(c)(2)(ii) EQUIP DISABLED/FAILS | | | | | | | | | | | | | | +------------------------------------------------+-----------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | ADDITIONAL SPRINKLER SYSTEM DEFICIENCIES IDENTIFIED AT PADUCAH. | | | | ADDITIONAL INSPECTIONS OF THE HIGH PRESSURE FIRE WATER SPRINKLER SYSTEMS IN | | THE PLANT PROCESS BUILDINGS WERE PERFORMED AT PADUCAH. IN THE C-333 | | PROCESS BUILDING, FLOW RESTRICTING ORIFICES WERE DETERMINED TO BE MISSING | | FROM THE INSPECTOR TEST VALVES ON SYSTEMS B-9 AND D-1. IN THE C-335 | | PROCESS BUILDING, FLOW RESTRICTING ORIFICES WERE DETERMINED TO BE MISSING | | FROM THE INSPECTOR TEST VALVES ON SYSTEMS 2, 28, AND 33. THE MISSING | | ORIFICES INVALIDATE THE RESULTS OF ANNUAL TECHNICAL SPECIFICATION REQUIRED | | (TSR) SURVEILLANCE TEST #2.4.4.5-2 (HIGH PRESSURE FIRE WATER SYSTEM). | | | | THE AFFECTED SPRINKLER SYSTEMS WERE DECLARED INOPERABLE, AND HOURLY FIRE | | PATROLS WERE INITIATED AS REQUIRED BY TSR 2.4.4.5. FURTHER INSPECTIONS ARE | | ONGOING AT THIS TIME. | | | | THESE DEFICIENCIES ARE IN ADDITION TO THOSE IDENTIFIED IN NRC EVENT REPORTS | | #32148, #32162, #32170, #32215, AND #32222. | | | | PADUCAH INFORMED THE NRC RESIDENT INSPECTOR. | | | | * * * 1359 EDT MAY 12, 1997, UPDATE FROM BOREN RECEIVED BY TROCINE * * * | | | | THIS EVENT NOTIFICATION IS BEING RETRACTED BECAUSE THE DEFICIENCIES NOTED | | WERE DETERMINED NOT TO BE PART OF THE ACTIVE SPRINKLER SYSTEM. THE | | INSPECTOR TEST VALVES ARE NORMALLY ISOLATED FROM THE ACTIVE PORTION OF THE | | SPRINKLER SYSTEM AND CANNOT DEGRADE THE SYSTEM'S ABILITY TO SUPPRESS A | | DESIGN BASIS FIRE AS DESCRIBED IN THE TSR. (THEY ARE ONLY USED FOR TEST | | PURPOSES.) THESE LINES HAVE BEEN REPLACED, AND SURVEILLANCE TESTS HAVE | | BEEN SUCCESSFULLY COMPLETED TO VERIFY OPERABILITY. | | | | PADUCAH NOTIFIED THE NRC RESIDENT INSPECTOR. THE NRC OPERATIONS CENTER | | NOTIFIED THE R3DO (MCCORMICKBARGER). | +------------------------------------------------------------------------------+ !!!!!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED !!!!!!! +----------------------------------+ +-----------------------+ |FUEL CYCLE FACILITY | |EVENT NUMBER: 32238 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: PADUCAH GASEOUS DIFFUSION PLANT |NOTIFICATION DATE: 04/29/97 | | RXTYPE: URANIUM ENRICHMENT FACILITY |NOTIFICATION TIME: 14:14 [ET]| |COMMENTS: 2 DEMOCRACY CENTER |EVENT DATE: 04/28/97 | | 6903 ROCKLEDGE DRIVE |EVENT TIME: 14:15[CDT]| | BETHESDA, MD 20817 (301)564-3200 |LAST UPDATE DATE: 05/12/97 | | CITY: PADUCAH REGION: 3 +-----------------------------+ | COUNTY: McCRACKEN STATE: KY |PERSON ORGANIZATION| |LICENSE#: GDP-1 AGREEMENT: Y |WAYNE KROPP RDO | | DOCKET: 0707001 | | +------------------------------------------------+ | |NRC NOTIFIED BY: A. CARVER | | |HQ OPS OFFICER: HENRY BAILEY | | +------------------------------------------------+ | |EMERGENCY CLASS: NOT APPLICABLE | | |10 CFR SECTION: | | |OCBB 76.120(c)(2)(ii) EQUIP DISABLED/FAILS | | | | | | | | | | | | | | +------------------------------------------------+-----------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | IDENTIFICATION OF ADDITIONAL SPRINKLER SYSTEM DEFICIENCIES | | | | ON APRIL 28, 1997, ADDITIONAL INSPECTIONS OF THE FIRE PROTECTION SYSTEMS IN | | PLANT PROCESS BUILDINGS WERE PERFORMED. HOLES WERE DISCOVERED IN | | INSPECTION TEST VALVE PIPING IN THE C-335 PROCESS BUILDING WHICH AFFECT THE | | OPERABILITY OF TWO BUILDING SPRINKLER SYSTEMS (SYSTEMS 9 AND 28). THIS | | SITUATION INVALIDATES THE RESULTS OF THE ANNUAL TECHNICAL SPECIFICATION | | REQUIRED (TSR) SURVEILLANCE. | | | | THE AFFECTED SYSTEMS WERE DECLARED INOPERABLE, AND HOURLY FIRE PATROLS WERE | | INITIATED AS REQUIRED BY TSR 2.4.4.5. FURTHER INSPECTIONS AND REPAIRS ARE | | ONGOING AT THIS TIME. | | | | THESE DEFICIENCIES ARE IN ADDITION TO THOSE IDENTIFIED IN NRC NOTIFICATION | | WORK SHEET NUMBERS 32148, 32162, 32170, 32215, 32222, 32228, AND 32231. | | | | PADUCAH NOTIFIED THE NRC RESIDENT INSPECTOR. | | | | * * * 1359 EDT MAY 12, 1997, UPDATE FROM BOREN RECEIVED BY TROCINE * * * | | | | THIS EVENT NOTIFICATION IS BEING RETRACTED BECAUSE THE DEFICIENCIES NOTED | | WERE DETERMINED NOT TO BE PART OF THE ACTIVE SPRINKLER SYSTEM. THE | | INSPECTOR TEST VALVES ARE NORMALLY ISOLATED FROM THE ACTIVE PORTION OF THE | | SPRINKLER SYSTEM AND CANNOT DEGRADE THE SYSTEM'S ABILITY TO SUPPRESS A | | DESIGN BASIS FIRE AS DESCRIBED IN THE TSR. (THEY ARE ONLY USED FOR TEST | | PURPOSES.) THESE LINES HAVE BEEN REPLACED, AND SURVEILLANCE TESTS HAVE | | BEEN SUCCESSFULLY COMPLETED TO VERIFY OPERABILITY. | | | | PADUCAH NOTIFIED THE NRC RESIDENT INSPECTOR. THE NRC OPERATIONS CENTER | | NOTIFIED THE R3DO (MCCORMICKBARGER). | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |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: 05/12/97 | | +-----------------------------+ | |PERSON ORGANIZATION| | |JIM TRAPP RDO | | |SUSAN SHANKMAN EO | +------------------------------------------------+FRANK CONGEL, AEOD 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 ON 05/10/97, 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 ON 05/10/97, 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 NATIONAL LABS (CENTORE AND LINSLEY); AND | | REAC (DR. GOANS). | | | | * * * UPDATE AT 2359 ON 05/10/97, ENTERED BY GOULD * * * | | | | AT 2359 ON 05/10/97, A COMMISSIONERS' ASSISTANTS BRIEFING WAS CONDUCTED BY | | NMSS KNAPP. THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE BRIEFING: AEOD | | IRD (CONGEL), NMSS (COOL AND SHANKMAN), STATE PROGRAMS (BANGART), EDO | | (STABLEIN), SECY (HART), R1DO (TRAPP), REGION 1 (COSTELLO), CHAIRMAN | | JACKSON (HOLIAN), ROGERS (SORENSEN), DICUS (TAYLOR), DIAS (DAVIS), AND | | McGAFFIGAN (SHARKEY). THE NONPARTICIPANTS INCLUDED THE FOLLOWING | | INDIVIDUALS: AEOD (ROSS), OPA (LANDAU), AND OCA (MADDEN). | | | | **UPDATE AT 0220 ON 05/11/97, 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 05/11/97. | | | | THE OPERATIONS OFFICER NOTIFIED NMSS (KNAPP) AND AEOD IRD (CONGEL). | | | | * * * UPDATE AT 0915 ON 05/11/97, 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 05/11/97, ENTERED BY MACKINNON * * * | | | | AT 1400 ON 05/11/97, A COMMISSIONERS' ASSISTANTS BRIEFING WAS CONDUCTED BY | | NMSS EO (COOL). THE FOLLOWING INDIVIDUALS PARTICIPANTS IN THE BRIEFING: | | AEOD (ROSS), IRD (CONGEL), EDO (STABLEIN), OCA (MADDEN), REGION 1 (BLOUGH), | | REGION 1 PAO (SCRENCI), CHAIRMAN JACKSON (HOLIAN), DICUS (TAYLOR), AND | | McGAFFIGAN (SHARKEY). THE NONPARTICIPANTS INCLUDED THE FOLLOWING | | INDIVIDUALS: PAO (LANDAU), OSP (BANGART), OIP (UPSHAW), NMSS EO | | (SHANKMAN), ROGERS (SORENSON), AND DIAZ (DAVIS). THE HOO COULD NOT CONTACT | | SECY (BATES AND HART). | | | | * * UPDATE - CONFERENCE CALL AT 2000 ON 05/11/97, ENTERED BY MACKINNON * * | | | | BRIEFERS: BROOKHAVEN (MARK LINSLEY) AND DOE RAP TEAM (ALAN KUEHNER). | | PARTICIPANTS: NJ DEP (STERNE, NICHOLLS, CAMARGO, AND LIPOTI); NMSS (KNAPP | | AND COOL); AND NRC REGION 1 (AXELSON, BLOUGH, ULLRICH, WHITE, COSTELLO, | | KOTTAN, AND 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. | | | | * * UPDATE - CONFERENCE CALL AT 0915 ON 05/12/97, ENTERED BY JOLLIFFE * * | | | | PARTICIPANTS: DOE (CENTORE, WYATT, WILLIAMS, CHILTON, AND GIESSING); NJ | | DEP (BOYLE, GIMELLO, PEARSER, AND NICKOLLS); REAC (DR. GOANS AND DR. | | RICKS); NMSS (COOL AND KNAPP); NRC REGION 1 (ULLRICH); OPA (BEECHER AND | | LANDAU); AND OSP (BANGART). | | | | LOUIS (AGE 16) WAS RECONTAMINATED WHEN HE SLEPT IN HIS BASEMENT BEDROOM. | | LATEST URINE SAMPLE - 24.8 MICROCURIES PER LITER. SWIPES OF THE HOUSE | | TESTED AS FOLLOWS: BASEMENT - 240,000 DPM; LOUIS' DESK - 100,000 DPM; | | LOUIS' CLOTHING - 60,000 DPM; REFRIGERATOR - 9,400 DPM. | | | | THE NRC PLANS TO ISSUE A PRESS RELEASE. | | | | * * * UPDATE AT 1300 ON 05/12/97, ENTERED BY TROCINE * * * | | | | AT 1300 ON 05/12/97, A COMMISSIONERS' ASSISTANTS BRIEFING WAS CONDUCTED. | | THE FOLLOWING NOTIFICATIONS WERE MADE (*INDICATES OFFICE DID NOT | | PARTICIPATE): AEOD (*ROSS), IRD (CONGEL), CHAIRMAN JACKSON (HOLIAN AND | | McOSKER), ROGERS (COPLAN), DICUS (TAYLOR), DIAZ (RADDATZ), McGAFFIGAN | | (SCHLUETER), DEDR (STABLEIN), EO (*CHAFFEE AND COOL), R1DO (*CARUSO), | | REGION 1 (ULLRICH), REGION 1 PAO (SCRENCI), HQ PAO (*BEECHER), CAO | | (MADDEN), AND STATE PROGRAMS (BANGART). THE BRIEFER WAS THE NMSS EO | | (COOL). | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |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- | | | | TECHNICAL SPECIFICATION 3.7.A.7/8 REQUIRES THAT THE TORUS OXYGEN | | CONCENTRATION BE LESS THAN 4% WHILE THE PLANT IS AT POWER OR THAT THE | | LICENSEE 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 TECHNICAL SPECIFICATION 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 PLANS TO NOTIFY STATE | | OFFICIALS. | | | | * * * 1716 MAY 12, 1997, UPDATE FROM EMPEY RECEIVED BY TROCINE * * * | | | | THE TECHNICAL SPECIFICATION LIMITING CONDITION FOR OPERATION WAS EXITED AT | | 1400, AND THE LICENSEE COMMENCED POWER ASCENSION AT 1430. THE LOWEST POWER | | LEVEL ACHIEVED WAS 94%. | | | | THE LICENSEE PLANS TO NOTIFY THE NRC RESIDENT INSPECTOR. THE NRC | | OPERATIONS OFFICER NOTIFIED THE R1DO CARUSO. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |HOSPITAL | |EVENT NUMBER: 32315 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |LICENSEE: COMMUNITY HOSPITAL-INDIANAPOLIS, IN |NOTIFICATION DATE: 05/12/97 | | CITY: INDIANAPOLIS REGION: 3 |NOTIFICATION TIME: 13:38 [ET]| | COUNTY: MARION STATE: IN |EVENT DATE: 05/12/97 | |LICENSE#: 13-06009-01 AGREEMENT: N |EVENT TIME: 08:30[EDT]| | DOCKET: |LAST UPDATE DATE: 05/12/97 | | +-----------------------------+ | |PERSON ORGANIZATION| | |JIM MCCORMICKBARGER RDO | | | | +------------------------------------------------+ | |NRC NOTIFIED BY: NING | | |HQ OPS OFFICER: LEIGH TROCINE | | +------------------------------------------------+ | |EMERGENCY CLASS: NOT APPLICABLE | | |10 CFR SECTION: | | |LADM 35.33(a) MED MISADMINISTRATION | | | | | | | | | | | | | | +------------------------------------------------+-----------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | MEDICAL MISADMINISTRATION - UNDERDOSE DUE TO HUMAN ERROR | | | | ON MAY 5, 1997, A PATIENT UNDERGOING A HIGH DOSE RATE IRIDIUM-192 TREATMENT | | RECEIVED A DOSE WHICH WAS LESS THAN THE PRESCRIBED DOSE BECAUSE THE | | DIAMETER OF THE OVOID CONTAINING THE TREATMENT SOURCE WAS NOT INCLUDED IN | | THE TREATMENT PLANNING PROCESS. THE PRESCRIBED DOSE WAS 500 CENTIGRAYS | | BASED ON A DISTANCE OF 0.5 CENTIMETERS FROM THE SURFACE OF THE OVOID, AND | | THE ACTUAL DOSE WAS DETERMINED TO BE 80 CENTIGRAYS. THE ACTUAL DOSE WAS | | BASED ON A DISTANCE OF 0.5 CENTIMETERS FROM THE SOURCE RATHER THAN FROM THE | | SURFACE OF THE OVOID CONTAINING THE SOURCE. THE SOURCE WAS 7.45 CURIES OF | | IRIDIUM-192, AND IT TRAVELS IN THE CENTER LINE OF A CYLINDRICAL OVOID WHICH | | HAS A RADIUS OF 1.25 CENTIMETERS. THIS UNDERDOSE WAS DISCOVERED AT 0830 ON | | MAY 12, 1997. | | | | THE HOSPITAL PHYSICIAN HAS BEEN INFORMED AND PLANS TO INFORM THE REFERRING | | PHYSICIAN. AT THE TIME OF THIS EVENT NOTIFICATION, THE PATIENT HAD NOT | | BEEN INFORMED. THE LICENSEE DOES NOT BELIEVE THAT THERE ARE ANY ADVERSE | | EFFECTS TO THE PATIENT AS A RESULT OF THIS UNDERDOSE, AND A SECOND | | TREATMENT WAS PERFORMED EARLIER TODAY. THE HOSPITAL PHYSICIAN WAS AWARE OF | | THE UNDERDOSE PRIOR TO THIS NEW TREATMENT, AND A CORRECTION FOR THE | | PREVIOUS TREATMENT WAS TAKEN INTO ACCOUNT. | | | | (REFER TO THE HOO LOG FOR THE SITE ADDRESS, SITE CONTACT TELEPHONE NUMBERS, | | AND ANOTHER SITE CONTACT NAME.) | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 32316 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: MCGUIRE REGION: 2 |NOTIFICATION DATE: 05/12/97 | |UNIT: [1] [ ] [ ] STATE: NC |NOTIFICATION TIME: 16:11 [ET]| |RX TYPE: [1] W-4-LP,[2] W-4-LP |EVENT DATE: 05/12/97 | +------------------------------------------------+EVENT TIME: 14:58[EDT]| |NRC NOTIFIED BY: GRADY PICKLER |LAST UPDATE DATE: 05/12/97 | |HQ OPS OFFICER: LEIGH TROCINE +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |CHRIS CHRISTENSEN RDO | |AESF 50.72(b)(2)(ii) ESF ACTUATION | | |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 HOT STANDBY | 0 HOT STANDBY | | | | | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | AUTOMATIC START OF TWO AUXILIARY FEEDWATER PUMPS WHEN TWO MAIN FEEDWATER | | PUMPS TRIPPED FOR UNKNOWN REASONS | | | | AT 1458, THE 'A' AND 'B' MAIN FEEDWATER PUMPS TRIPPED FOR UNKNOWN REASONS, | | AND THE 'A' AND 'B' AUXILIARY FEEDWATER PUMPS AUTOMATICALLY STARTED IN | | ORDER TO SUPPLY WATER TO THE STEAM GENERATORS. THERE WERE NO RELATED | | MAINTENANCE OR SURVEILLANCE ACTIVITIES ONGOING AT THE TIME OF THE EVENT, | | AND AUXILIARY FEEDWATER IS STILL BEING USED TO SUPPLY WATER TO THE STEAM | | GENERATORS. ALL SYSTEMS FUNCTIONED AS REQUIRED. | | | | THE CAUSE IS CURRENTLY UNDER INVESTIGATION. THE LICENSEE STATED THAT A | | SIMILAR SITUATION OCCURRED ON MAY 5, 1997, WHEN THE UNIT WAS IN MODE 5 | | (COLD SHUTDOWN). | | | | ALTHOUGH AUXILIARY FEEDWATER IS CURRENTLY SUPPLYING WATER TO THE STEAM | | GENERATORS, THE LICENSEE CONSIDERS BOTH TRAINS OF AUXILIARY FEEDWATER TO BE | | TECHNICALLY INOPERABLE BECAUSE THEY ARE NOT ALIGNED FOR STANDBY READINESS. | | THE AUXILIARY FEEDWATER VALVES MAY OR MAY NOT BE FULLY OPEN DEPENDING UPON | | STEAM GENERATOR WATER LEVELS; AND IF ALL OF THE VALVES ARE NOT FULLY OPEN, | | THEY ARE TECHNICALLY NOT ALIGNED FOR STANDBY READINESS. IN THE CURRENT | | MODE OF OPERATION (MODE 3 - HOT STANDBY), TECHNICAL SPECIFICATIONS REQUIRE | | THAT BOTH TRAINS OF AUXILIARY FEEDWATER BE ALIGNED FOR STANDBY READINESS OR | | THAT THE UNIT BE PLACED IN MODE 4 (HOT SHUTDOWN) WITHIN 12 HOURS. | | | | THE LICENSEE PLANS TO NOTIFY THE NRC RESIDENT INSPECTOR. | | | | * * * 1831 MAY 12, 1997, UPDATE FROM HACKNEY RECEIVED BY TROCINE * * * | | | | THE LICENSEE DETERMINED THAT THE AUXILIARY FEEDWATER SYSTEM WAS PERFORMING | | ITS INTENDED DESIGN FUNCTION, AND THEREFORE, THE 12-HOUR LIMITING CONDITION | | FOR OPERATION WAS NOT APPLICABLE. | | | | THE LICENSEE PLANS TO NOTIFY THE NRC RESIDENT INSPECTOR. THE NRC | | OPERATIONS OFFICER NOTIFIED THE R2DO (CHRISTENSEN). | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 32317 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: QUAD CITIES REGION: 3 |NOTIFICATION DATE: 05/12/97 | |UNIT: [1] [2] [ ] STATE: IL |NOTIFICATION TIME: 18:20 [ET]| |RX TYPE: [1] GE-3,[2] GE-3 |EVENT DATE: 05/12/97 | +------------------------------------------------+EVENT TIME: 16:30[CDT]| |NRC NOTIFIED BY: DARYL CLARK |LAST UPDATE DATE: 05/12/97 | |HQ OPS OFFICER: LEIGH TROCINE +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |JIM MCCORMICKBARGER RDO | |AINA 50.72(b)(2)(iii)(A) POT UNABLE TO SAFE SD | | |NLCO TECH SPEC LCO A/S | | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |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 +------------------------------------------------------------------------------+ | MULTIPLE FIRE PROTECTION SYSTEM ACTUATIONS COULD CAUSE SYSTEM FAILURES | | | | 10 CFR PART 50, APPENDIX R, REQUIRES THE INSTALLATION OF COMPLETE 3-HOUR | | FIRE RATED BARRIERS BETWEEN REDUNDANT DIVISIONS OF SAFE SHUTDOWN SYSTEM | | COMPONENTS ON THE TURBINE DECK. THE RECIRC MOTOR-GENERATOR (MG) SET WATER | | CURTAIN PROVIDES A 3-HOUR FIRE BARRIER BETWEEN UNIT 1 DIVISION 1 AND UNIT 2 | | DIVISION 2 4KV AND 480V SWITCHGEARS. SWITCHGEAR 13-1 (4KV) IS PROTECTED BY | | THE FOLLOWING THREE FIRE SYSTEMS: MG SET WATER CURTAIN, MG SET DELUGE, AND | | MG SET CEILING SPRINKLERS. THE ORIGINAL HYDRAULIC CALCULATIONS FOR THE MG | | SET WATER CURTAIN WERE PERFORMED FOR ONLY SINGLE SYSTEM OPERATION. IT WAS | | DETERMINED THAT WITH MULTIPLE SYSTEM ACTUATIONS, THE CURTAIN WOULD NOT MEET | | ITS HYDRAULIC REQUIREMENTS. MULTIPLE SYSTEM OPERATION COULD CAUSE THESE | | SYSTEMS TO FAIL TO PROTECT SAFE SHUTDOWN EQUIPMENT AND PERSONNEL FROM FIRE | | EXPOSURE AS ASSUMED IN THE APPENDIX R ANALYSIS. | | | | UNIT 1 IS CURRENTLY IN DAY 19 OF A 67-DAY ADMINISTRATIVE LIMITING CONDITION | | FOR OPERATION FOR INOPERABLE SAFE SHUTDOWN PATHS DUE TO UNIT 2 OUTAGE WORK. | | THE LICENSEE PLANS TO REMAIN IN THIS LIMITING CONDITION FOR OPERATION UNTIL | | THE WATER CURTAIN PROBLEM IS RESOLVED. | | | | THE LICENSEE NOTIFIED THE NRC RESIDENT INSPECTOR. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 32318 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: MCGUIRE REGION: 2 |NOTIFICATION DATE: 05/12/97 | |UNIT: [1] [2] [ ] STATE: NC |NOTIFICATION TIME: 18:31 [ET]| |RX TYPE: [1] W-4-LP,[2] W-4-LP |EVENT DATE: 05/12/97 | +------------------------------------------------+EVENT TIME: 16:30[EDT]| |NRC NOTIFIED BY: JOSEPH HACKNEY |LAST UPDATE DATE: 05/12/97 | |HQ OPS OFFICER: LEIGH TROCINE +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |CHRIS CHRISTENSEN 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 HOT STANDBY | 0 HOT STANDBY | | 2 | N Y 100 POWER OPERATION | 100 POWER OPERATION | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | POTENTIAL FOR FAILURE OF BOTH TRAINS OF AUXILIARY FEEDWATER DUE TO | | VORTEXING IN THE AUXILIARY FEEDWATER CONDENSATE STORAGE TANK IF THE TANK IS | | NOT ISOLATED BEFORE REACHING THE 17 INCH LEVEL | | | | MCGUIRE CALCULATION MCC-1223.42-00-0037 INDICATES THE POTENTIAL FOR | | VORTEXING IN THE AUXILIARY FEEDWATER CONDENSATE STORAGE TANK IF THE TANK IS | | NOT ISOLATED PRIOR TO REACHING THE 17 INCH LEVEL. THE VORTEXING COULD | | INTRODUCE AIR INTO THE AUXILIARY FEEDWATER PUMP SUCTION RESULTING IN A | | FAILURE OF BOTH TRAINS OF AUXILIARY FEEDWATER TO PERFORM THEIR SAFETY | | RELATED FUNCTION. | | | | THE LICENSEE HAS IMPLEMENTED COMPENSATORY ACTIONS TO ENSURE SWAPOVER OF | | AUXILIARY FEEDWATER TO AN ASSURED RAW WATER SYSTEM PRIOR TO REACHING THE 17 | | INCH TANK LEVEL. THE LICENSEE PLANS TO KEEP THIS COMPENSATORY ACTION IN | | PLACE UNTIL AN ENGINEERING EVALUATION DETERMINES THAT VORTEXING DOES NOT | | COMPROMISE AUXILIARY FEEDWATER OPERABILITY OR UNTIL IMPLEMENTATION OF A | | SYSTEM MODIFICATION. | | | | THE LICENSEE PLANS TO NOTIFY THE NRC RESIDENT INSPECTOR. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |FUEL CYCLE FACILITY | |EVENT NUMBER: 32319 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: PORTSMOUTH GASEOUS DIFFUSION PLANT |NOTIFICATION DATE: 05/12/97 | | RXTYPE: URANIUM ENRICHMENT FACILITY |NOTIFICATION TIME: 20:15 [ET]| |COMMENTS: 2 DEMOCRACY CENTER |EVENT DATE: 05/12/97 | | 6903 ROCKLEDGE DRIVE |EVENT TIME: 04:28[EDT]| | BETHESDA, MD 20817 (301)564-3200 |LAST UPDATE DATE: 05/12/97 | | CITY: PIKETON REGION: 3 +-----------------------------+ | COUNTY: PIKE STATE: OH |PERSON ORGANIZATION| |LICENSE#: GDP-2 AGREEMENT: N |JIM MCCORMICKBARGER RDO | | DOCKET: 0707002 | | +------------------------------------------------+ | |NRC NOTIFIED BY: JOHN JORDAN | | |HQ OPS OFFICER: LEIGH TROCINE | | +------------------------------------------------+ | |EMERGENCY CLASS: NOT APPLICABLE | | |10 CFR SECTION: | | |NLTR LICENSEE 24 HR REPORT | | | | | | | | | | | | | | +------------------------------------------------+-----------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | SAFETY EQUIPMENT ACTUATION - (24-HOUR REPORT PER PROCEDURE UE2-RA1030, | | APPENDIX D, CRITERIA J, SAFETY EQUIPMENT FAILURE/ACTUATION) | | | | AT 0428, A URANIUM HEXAFLUORIDE (UF6) SMOKE DETECTOR ACTUATED IN THE CELL | | #33-7-2 LOCAL CONTROL CENTER CABINET IN THE X-333 PROCESS BUILDING. A | | SMALL WISP OF UF6 SMOKE WAS OBSERVED COMING FROM A SAMPLE U-TUBE BYPASS | | VALVE DURING PREPARATION FOR PULLING AN 'A' FEED SAMPLE. THE UF6 SMOKE | | DETECTOR IS A 'Q' SAFETY SYSTEM. A PORTABLE NEGATIVE AIR MACHINE (UF6/HF | | GULPER) WAS IN USE DURING THIS EVENT. THE OPERATOR WAS WEARING PROCEDURE | | SPECIFIED PERSONAL PROTECTIVE EQUIPMENT INCLUDING A FULL FACE RESPIRATOR | | AND GLOVES. THE RELEASE (WISP) STOPPED ON ITS OWN, AND THE SMOKE DETECTOR | | AUTOMATICALLY RESET. A HEALTH PHYSICS SURVEY OF THE LOCAL CONTROL CENTER | | DETECTED NO REMOVABLE ALPHA OR BETA/GAMMA CONTAMINATION. THE SAMPLE U-TUBE | | WAS REJECTED AND TAGGED FOR EVALUATION. | | | | PORTSMOUTH NOTIFIED THE NRC RESIDENT INSPECTOR AND THE DEPARTMENT OF ENERGY | | SITE REPRESENTATIVE. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |FUEL CYCLE FACILITY | |EVENT NUMBER: 32320 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: PADUCAH GASEOUS DIFFUSION PLANT |NOTIFICATION DATE: 05/12/97 | | RXTYPE: URANIUM ENRICHMENT FACILITY |NOTIFICATION TIME: 22:09 [ET]| |COMMENTS: 2 DEMOCRACY CENTER |EVENT DATE: 05/12/97 | | 6903 ROCKLEDGE DRIVE |EVENT TIME: 15:30[CDT]| | BETHESDA, MD 20817 (301)564-3200 |LAST UPDATE DATE: 05/12/97 | | CITY: PADUCAH REGION: 3 +-----------------------------+ | COUNTY: McCRACKEN STATE: KY |PERSON ORGANIZATION| |LICENSE#: GDP-1 AGREEMENT: Y |JIM MCCORMICKBARGER RDO | | DOCKET: 0707001 | | +------------------------------------------------+ | |NRC NOTIFIED BY: W. F. CAGE | | |HQ OPS OFFICER: LEIGH TROCINE | | +------------------------------------------------+ | |EMERGENCY CLASS: NOT APPLICABLE | | |10 CFR SECTION: | | |OCBA 76.120(c)(2)(i) ACCID MT EQUIP FAILS | | |NLTR LICENSEE 24 HR REPORT | | | | | | | | | | | +------------------------------------------------+-----------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | SAFETY EQUIPMENT DISABLED - (24-HOUR REPORT) | | | | AT 1530 CDT ON MAY 12, 1997, AN ENGINEERING WALKDOWN OF C-333 BUILDING | | SPRINKLER SYSTEM D-7 REVEALED THAT A SYSTEM MODIFICATION TO CORRECT A | | PREVIOUSLY IDENTIFIED DEFICIENCY HAD NOT BEEN PERFORMED. THE ENGINEERING | | DRAWING WHICH WAS PREPARED TO SHOW THE MODIFICATION REQUIRED TO CORRECT THE | | DEFICIENCY WAS INCORRECT. ONE SPRINKLER HEAD HAD BEEN IDENTIFIED ON AN | | EARLIER WALKDOWN OF THE SYSTEM AS BEING INSTALLED TOO FAR FROM THE CEILING. | | THE ENGINEERING MODIFICATION DRAWING SHOWED THE SPRINKLER HEAD TO BE IN THE | | CORRECT LOCATION. WHEN THE DRAWING WAS REVIEWED FOR WORK PACKAGE | | PREPARATION, IT WAS ASSUMED THAT THE HEAD WAS IN THE PROPER LOCATION, AND | | NO WORK WAS PERFORMED TO MOVE IT. MODIFICATIONS WERE PERFORMED TO CORRECT | | OTHER DEFICIENCIES, AND THE SYSTEM WAS RETURNED TO SERVICE. UPON | | DISCOVERY, THE SYSTEM WAS IMMEDIATELY DECLARED INOPERABLE, AND A FIRE | | PATROL WAS INITIATED AS REQUIRED BY THE TECHNICAL SPECIFICATION | | REQUIREMENTS. | | | | PADUCAH NOTIFIED THE NRC RESIDENT INSPECTOR. | +------------------------------------------------------------------------------+