U.S. Nuclear Regulatory Commission Operations Center Event Reports For 05/19/97 - 05/20/97 ** EVENT NUMBERS ** 32348 32349 32350 32351 32352 32353 32354 +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 32348 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: OYSTER CREEK REGION: 1 |NOTIFICATION DATE: 05/19/97 | |UNIT: [1] [ ] [ ] STATE: NJ |NOTIFICATION TIME: 11:00 [ET]| |RX TYPE: [1] GE-2 |EVENT DATE: 05/19/97 | +------------------------------------------------+EVENT TIME: 10:20[EDT]| |NRC NOTIFIED BY: HUTTON |LAST UPDATE DATE: 05/19/97 | |HQ OPS OFFICER: CHAUNCEY GOULD +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |LAURIE PELUSO 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 Y 100 POWER OPERATION | 100 POWER OPERATION | | | | | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | THE LICENSEE MADE OFFSITE NOTIFICATIONS TO LOCAL GOVERNMENT AGENCIES. | | | | THE PLANT DECLARED THE SEWAGE SYSTEM RAD MONITOR INOPERABLE ON 5/18/97 @ | | 1100 WHEN IT FAILED A SOURCE CALIBRATION CHECK. MAINTENANCE IS IN PROGRESS | | TO RETURN IT TO OPERABLE STATUS. A CONSTANT SAMPLE IS BEING DIRECTED TO A | | DRUM TO BE ANALYZED DAILY. WHEN THE SEWAGE RAD MONITOR IS INOPERABLE FOR | | GREATER THAN 24HRS, THE LICENSEE IS REQUIRED TO NOTIFY OCEAN COUNTY | | UTILITIES AUTHORITY, OCEAN COUNTY RADIOLOGICAL OFFICE AND LACEY TOWNSHIP | | MUNICIPAL UTILITIES AUTHORITY. | | | | THE RESIDENT INSPECTOR WAS NOTIFIED. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |FUEL CYCLE FACILITY | |EVENT NUMBER: 32349 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: PORTSMOUTH GASEOUS DIFFUSION PLANT |NOTIFICATION DATE: 05/19/97 | | RXTYPE: URANIUM ENRICHMENT FACILITY |NOTIFICATION TIME: 13:08 [ET]| |COMMENTS: 2 DEMOCRACY CENTER |EVENT DATE: 05/18/97 | | 6903 ROCKLEDGE DRIVE |EVENT TIME: 14:20[EDT]| | BETHESDA, MD 20817 (301)564-3200 |LAST UPDATE DATE: 05/19/97 | | CITY: PIKETON REGION: 3 +-----------------------------+ | COUNTY: PIKE STATE: OH |PERSON ORGANIZATION| |LICENSE#: GDP-2 AGREEMENT: N |BRUCE JORGENSEN RDO | | DOCKET: 0707002 | | +------------------------------------------------+ | |NRC NOTIFIED BY: ERIC SPAETH | | |HQ OPS OFFICER: DICK JOLLIFFE | | +------------------------------------------------+ | |EMERGENCY CLASS: NOT APPLICABLE | | |10 CFR SECTION: | | |NONR OTHER UNSPEC REQMNT | | | | | | | | | | | | | | +------------------------------------------------+-----------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | - AUTOCLAVE #1 DECLARED INOPERABLE DUE TO PARTIALLY CLOGGED DRAIN LINE - | | | | AT 1420 ON 05/18/97, WHILE HEATING '2S' SAMPLE CONTAINERS IN AUTOCLAVE #1, | | AN OPERATOR IN THE X-344A BUILDING RECEIVED AN AUDIBLE AND VISUAL ALARM | | INDICATING STEAM SHUTDOWN OF AUTOCLAVE #1. THE INVESTIGATION REVEALED THAT | | THE HIGH LEVEL CONDENSATE ALARMS WERE ACTIVATED CAUSING THE STEAM TO SHUT | | DOWN. AUTOCLAVE #1 WAS IMMEDIATELY SHUT DOWN AND DECLARED INOPERABLE BY | | THE PLANT SHIFT SUPERINTENDENT AT 1420 ON 05/18/97. | | | | APPROXIMATELY 5 GALLONS OF CONDENSATE WAS DRAINED FROM THE DRAIN LINE | | INDICATING THAT A VALID SAFETY SYSTEM ACTUATION HAD OCCURRED DUE TO A | | POTENTIAL STRAINER RESTRICTION. | | | | THERE WAS NO RELEASE OF HAZARDOUS MATERIALS OR RADIOLOGICAL CONTAMINATION | | EXPOSURE ASSOCIATED WITH THIS ACTIVATION. | | | | THE CAUSE OF THIS EVENT IS BEING INVESTIGATED AND CORRECTIVE ACTIONS ARE | | BEING DETERMINED. | | | | THE NRC RESIDENT INSPECTOR WAS INFORMED BY PORTSMOUTH PERSONNEL. | | | | NOTE: SEE EVENT REPORT #32325 ON 05/14/97 FOR A SIMILAR EVENT. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |HOSPITAL | |EVENT NUMBER: 32350 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |LICENSEE: MADIGAN ARMY MED CENTER, TAKOMA, WA |NOTIFICATION DATE: 05/19/97 | | CITY: TAKOMA REGION: 4 |NOTIFICATION TIME: 20:00 [ET]| | COUNTY: STATE: WA |EVENT DATE: 05/18/97 | |LICENSE#: AGREEMENT: Y |EVENT TIME: 20:30[PDT]| | DOCKET: |LAST UPDATE DATE: 05/19/97 | | +-----------------------------+ | |PERSON ORGANIZATION| | |GARY SANBORN RDO | | |J. PICCONE, NMSS EO | +------------------------------------------------+ | |NRC NOTIFIED BY: MAJOR PAUL HULKOVICH | | |HQ OPS OFFICER: DICK JOLLIFFE | | +------------------------------------------------+ | |EMERGENCY CLASS: NOT APPLICABLE | | |10 CFR SECTION: | | |NINF INFORMATION ONLY | | | | | | | | | | | | | | +------------------------------------------------+-----------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | - SOURCE DISLODGEMENT DUE TO A PATIENT INTERVENTION - | | | | DURING A BRACHYTHERAPY TREATMENT, A FEMALE CANCER PATIENT BEING TREATED FOR | | PAIN REMOVED 2 OF 17 APPLICATORS FROM INSIDE HER BODY AND PLACED THEM ON | | HER CHEST. TEN SECONDS LATER, A TECHNICIAN REMOVED THEM FROM ON TOP OF | | HER CHEST. THE TWO APPLICATORS CONTAINED A TOTAL OF 2.7 MILLIGRAMS RADIUM | | EQUIVALENT OF IRIDIUM-192. | | | | THIS EVENT IS BEING REPORTED AS A PATIENT INTERVENTION IN ACCORDANCE WITH | | NMSS LICENSE NEWS LETTER #96-04, DATED DEC 96/JAN 97. | | | | REFER TO THE HOO LOG FOR TELEPHONE NUMBERS. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 32351 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: SEABROOK REGION: 1 |NOTIFICATION DATE: 05/19/97 | |UNIT: [1] [ ] [ ] STATE: NH |NOTIFICATION TIME: 22:07 [ET]| |RX TYPE: [1] W-4-LP |EVENT DATE: 05/19/97 | +------------------------------------------------+EVENT TIME: 21:30[EDT]| |NRC NOTIFIED BY: GARY KILBY |LAST UPDATE DATE: 05/19/97 | |HQ OPS OFFICER: DICK JOLLIFFE +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |LAURIE PELUSO 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 +------------------------------------------------------------------------------+ | - CONTAINMENT RECIRC FAN COOLER HEPA FILTERS CONTAIN ALUMINUM MATERIALS - | | | | WESTINGHOUSE INFOGRAM #IG96005 ALERTED LICENSEES TO THE POSSIBILITY THAT | | PLANT PROCURED HEPA FILTERS FOR THE CONTAINMENT FAN COOLERS MAY CONTAIN | | ALUMINUM MATERIALS. HYDROGEN GAS COULD BE GENERATED BY THE CORROSION OF | | ALUMINUM IN THESE FILTERS DUE TO CONTAINMENT SPRAY IN A POST-LOCA | | ENVIRONMENT. | | | | THE LICENSEE DETERMINED THAT NINE HEPA PREFILTERS IN THE SEABROOK #CAH-F-8 | | CONTAINMENT STRUCTURE RECIRCULATION FAN COOLER UNITS CONTAINED ALUMINUM. | | THIS ALUMINUM WAS NOT ORIGINALLY CONSIDERED IN THE POST-ACCIDENT HYDROGEN | | REMOVAL SYSTEM SIZING ANALYSIS. SEABROOK UFSAR TABLE 6.2-87 AND | | CALCULATION #4.3.16-13F DO NOT INCLUDE ANY ALUMINUM ALLOTMENT. | | | | THE LICENSEE PLANS TO REPLACE THE NINE 24 INCH X 24 INCH X 12 INCH | | PREFILTERS CONTAINING ALUMINUM PRIOR TO RESTARTING SEABROOK. | | | | THE LICENSEE WILL INFORM THE NRC RESIDENT INSPECTOR. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 32352 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: MAINE YANKEE REGION: 1 |NOTIFICATION DATE: 05/19/97 | |UNIT: [1] [ ] [ ] STATE: ME |NOTIFICATION TIME: 23:40 [ET]| |RX TYPE: [1] CE |EVENT DATE: 05/19/97 | +------------------------------------------------+EVENT TIME: 20:00[EDT]| |NRC NOTIFIED BY: HUFF |LAST UPDATE DATE: 05/19/97 | |HQ OPS OFFICER: CHAUNCEY GOULD +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |LAURIE PELUSO 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 +------------------------------------------------------------------------------+ | THE LICENSEE DISCOVERED THAT EMERGENCY FEEDWATER (EFW) SYSTEM AND | | SUBSYSTEMS IN THE MAIN STEAM AND VALVE HOUSE (MSVH) MAY NO LONGER WITHSTAND | | HIGH ENERGY LINE BREAK (HELB) EVENTS. | | | | A HELB EVENT IN THE MSVH COULD DAMAGE THE EFW SUCTION LINE COMING FROM THE | | DEMINERALIZED WATER STORAGE TANK. THESE PUMPS ARE NOW DESIGNED TO AUTO | | START AS THE RESULT OF MODIFICATIONS MADE IN RESPONSE TO TMI ISSUES. THE | | PUMPS COULD FAIL IF THE SUCTION IS NOT REALIGNED TO THE PRIMARY WATER | | STORAGE TANK IN A TIMELY MANNER. THE ORIGINAL 1973 DESIGN WAS ADEQUATE FOR | | MANUAL OPERATION. | | | | THE MINIMUM FLOW LINE FOR THE EFW PUMPS IS ALSO ROUTED THROUGH THE MSVH AND | | IS SUBJECT TO THE SAME HELB CONCERN. A CRIMP IN THE LINE CAUSED BY A HELB | | COULD CAUSE THE FLOW TO BE RESTRICTED SUCH THAT THE PUMP MINIMUM FLOW AND | | OIL COOLING REQUIREMENTS WOULD NOT BE MET. THE SECONDARY COMPONENT COOLING | | WATER SYSTEM, WHICH SUPPLIES COOLING WATER TO CONTAINMENT PENETRATIONS IN | | THE MSVH COULD BE DAMAGED BY A HELB IN THE MSVH AND WOULD REQUIRE MANUAL | | ALIGNMENT OF FIRE MAIN COOLING TO THE "B" TRAIN EMERGENCY DIESEL GENERATOR. | | | | THE RESIDENT INSPECTOR WILL BE INFORMED. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 32353 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: QUAD CITIES REGION: 3 |NOTIFICATION DATE: 05/20/97 | |UNIT: [1] [2] [ ] STATE: IL |NOTIFICATION TIME: 02:51 [ET]| |RX TYPE: [1] GE-3,[2] GE-3 |EVENT DATE: 05/19/97 | +------------------------------------------------+EVENT TIME: 22:51[CDT]| |NRC NOTIFIED BY: SCHMIDT |LAST UPDATE DATE: 05/20/97 | |HQ OPS OFFICER: CHAUNCEY GOULD +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |BRUCE JORGENSEN 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 89 POWER OPERATION | 89 POWER OPERATION | | 2 | N N 0 COLD SHUTDOWN | 0 COLD SHUTDOWN | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | THE "B" TRAIN AIR HANDLING UNIT FOR THE CONTROL ROOM HVAC SYSTEM WAS | | DECLARED INOPERABLE. | | | | DURING THE PERFORMANCE OF THE MONTHLY SURVEILLANCE ON THE "B" TRAIN OF THE | | CONTROL ROOM HVAC SYSTEM, THE AIR HANDLING UNIT POWER CIRCUIT BREAKER | | TRIPPED (CAUSE IS UNKNOWN AND BEING INVESTIGATED). THIS MADE THE EMERGENCY | | VENTILATION SYSTEM REFRIGERATION CONTROL UNIT INOPERABLE, AND PLACED UNIT 1 | | IN AN LCO ACTION STATEMENT TO RESTORE THE EQUIPMENT TO OPERABLE CONDITION | | WITHIN 30 DAYS OR BE IN AT LEAST HOT SHUTDOWN IN THE FOLLOWING 12 HRS AND | | COLD SHUTDOWN IN THE NEXT 24 HRS. UNIT 2 WILL NOT RESTART WHILE THIS | | EQUIPMENT IS INOPERABLE DUE TO COMPANY POLICY AGAINST STARTUP INTO A LCO | | ACTION STATEMENT. THE RESIDENT INSPECTOR WAS NOTIFIED. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 32354 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: DRESDEN REGION: 3 |NOTIFICATION DATE: 05/20/97 | |UNIT: [ ] [2] [ ] STATE: IL |NOTIFICATION TIME: 05:23 [ET]| |RX TYPE: [1] GE-1,[2] GE-3,[3] GE-3 |EVENT DATE: 05/20/97 | +------------------------------------------------+EVENT TIME: 03:15[CDT]| |NRC NOTIFIED BY: MATTSON |LAST UPDATE DATE: 05/20/97 | |HQ OPS OFFICER: CHAUNCEY GOULD +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |BRUCE JORGENSEN RDO | |AESF 50.72(b)(2)(ii) ESF ACTUATION | | | | | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ | | | | | 2 | N Y 88 POWER OPERATION | 88 POWER OPERATION | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | THE PLANT RECEIVED AN UNEXPECTED GROUP 4 (HPCI) ISOLATION DURING HPCI LOW | | PRESSURE ISOLATION SURVEILLANCE. | | | | THE INADVERTENT ISOLATION OCCURRED WHILE CHANNEL 1 WAS IN THE TRIPPED | | POSITION, PER SURVEILLANCE PROCEDURES, AND VOLTAGE READINGS WERE BEING | | TAKEN. THE CAUSE OF THE ISOLATION IS UNKNOWN AT THIS TIME, BUT THEY ARE | | STILL INVESTIGATING. THE ISOLATION IMMEDIATELY CLEARED ITSELF. THE | | RESIDENT INSPECTOR WILL BE INFORMED. | +------------------------------------------------------------------------------+