U.S. Nuclear Regulatory Commission Operations Center Event Reports For 10/30/97 - 10/31/97 ** EVENT NUMBERS ** 33186 33187 33188 33189 33190 33191 33192 33193 33194 33195 33196 33197 +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 33186 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: BYRON REGION: 3 |NOTIFICATION DATE: 10/30/97 | |UNIT: [1] [2] [ ] STATE: IL |NOTIFICATION TIME: 00:37 [ET]| |RX TYPE: [1] W-4-LP,[2] W-4-LP |EVENT DATE: 10/29/97 | +------------------------------------------------+EVENT TIME: 21:00[CST]| |NRC NOTIFIED BY: MARTY WOLF |LAST UPDATE DATE: 10/30/97 | |HQ OPS OFFICER: FANGIE JONES +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |RONALD GARDNER RDO | |APRE 50.72(b)(2)(vi) OFFSITE NOTIFICATION | | | | | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ | 1 | N Y 100 POWER OPERATION | 100 POWER OPERATION | | 2 | N Y 100 POWER OPERATION | 100 POWER OPERATION | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | OFFSITE NOTIFICATION DUE TO HYDRAULIC OIL SPILL. | | | | THE LICENSEE NOTIFIED OFF SITE AGENCIES INCLUDING THE NATIONAL RESPONSE | | CENTER, ILLINOIS EMERGENCY MANAGEMENT AGENCY, AND OGLE COUNTY EMERGENCY | | PLANNING COMMITTEE ABOUT AN HAZMAT SPILL OF HYDRAULIC OIL. THE REPORTABLE | | QUANTITY OF 40CFR302.5(B) IS 15 GALLONS, THE SPILL WAS APPROXIMATELY 40 | | GALLONS OF HYDRAULIC OIL FROM A BROKEN HYDRAULIC LINE ON A MOBILE CRANE. | | THE SPILL WAS CONTAINED AND CLEANUP WAS IN PROGRESS. THERE WERE NO | | PERSONNEL INJURIES AND NO RELEASE OFFSITE. | | | | THE LICENSEE INFORMED THE NRC RESIDENT INSPECTOR. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 33187 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: HATCH REGION: 2 |NOTIFICATION DATE: 10/30/97 | |UNIT: [1] [ ] [ ] STATE: GA |NOTIFICATION TIME: 02:39 [ET]| |RX TYPE: [1] GE-4,[2] GE-4 |EVENT DATE: 10/30/97 | +------------------------------------------------+EVENT TIME: 01:02[EST]| |NRC NOTIFIED BY: GUY GRIFFIS |LAST UPDATE DATE: 10/30/97 | |HQ OPS OFFICER: FANGIE JONES +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |PIERCE SKINNER RDO | |AESF 50.72(b)(2)(ii) ESF ACTUATION | | | | | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ | 1 | N N 0 REFUELING | 0 REFUELING | | | | | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | REACTOR WATER SAMPLE ISOLATION VALVE RECEIVED AUTOMATIC SIGNAL TO CLOSE. | | | | DURING MAINTENANCE ACTIVITY TO MEASURE ACCUMULATOR VALVE ACTUATOR (F013C) | | STROKE, AN IMPROPERLY INSTALLED JUMPER CAUSED A GROUP I ISOLATION SIGNAL | | WHICH CAUSED CONTAINMENT ISOLATION VALVE (1B31-F019), A REACTOR WATER | | SAMPLE VALVE, TO CLOSE. THIS IS A SMALL BORE VALVE OFF THE RECIRC LINE, | | USED FOR REACTOR WATER SAMPLING DURING NORMAL OPERATION, AND WAS THE ONLY | | VALVE IN GROUP I TO BE OPEN. THE JUMPER WAS INSTALLED IN THE WRONG PANEL | | CAUSING THE GROUP I ISOLATION SIGNAL. | | | | TROUBLESHOOTING IS IN PROGRESS, A BLOWN FUSE HAS BEEN FOUND AND FURTHER | | INVESTIGATION IS IN PROGRESS TO INSURE THERE IS NO OTHER PROBLEMS. THE | | PROBLEM WILL BE CORRECTED BEFORE THE PLANT IS RESTARTED. | | | | THE LICENSEE INFORMED THE NRC RESIDENT INSPECTOR. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |GENERAL INFORMATION or OTHER | |EVENT NUMBER: 33188 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |LICENSEE: ABB COMBUSTION ENGINEERING |NOTIFICATION DATE: 10/30/97 | | CITY: WINDSOR REGION: 1 |NOTIFICATION TIME: 09:55 [ET]| | COUNTY: STATE: CT |EVENT DATE: 10/30/97 | |LICENSE#: AGREEMENT: N |EVENT TIME: 00:00[EST]| | DOCKET: |LAST UPDATE DATE: 10/30/97 | | +-----------------------------+ | |PERSON ORGANIZATION| | |JOHN KINNEMAN RDO | | | | +------------------------------------------------+VERN HODGE NRR | |NRC NOTIFIED BY: GEORGE HESS | | |HQ OPS OFFICER: FANGIE JONES | | +------------------------------------------------+ | |EMERGENCY CLASS: NOT APPLICABLE | | |10 CFR SECTION: | | |CCCC 21.21 UNSPECIFIED PARAGRAPH | | | | | | | | | | | | | | +------------------------------------------------+-----------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | ABB-CE 10CFR21 REPORT ON NUT AND WASHER PLATES MADE OF INCORRECT MATERIAL. | | | | ON SEPTEMBER 18, 1997 ABB-CE RECEIVED INFORMATION REGARDING INCORRECT NUT | | AND WASHER PLATE MATERIAL SUPPLIED TO PECO FOR USE AT PEACH BOTTOM UNIT 3. | | THE INCORRECT MATERIAL WAS DISCOVERED BY PECO DURING RECEIPT INSPECTION. | | THE AFFECTED NUT AND WASHER PLATES WERE NOT INSTALLED AND NO OTHER | | APPLICATIONS EXIST AS THIS WOULD HAVE BEEN THE FIRST APPLICATION. THE NUT | | AND WASHER PLATES WERE SUPPLIED TO ABB-CE BY US TOOL AND DIE COMPANY. | | | | THE NUT AND WASHER PLATES WERE TO BE USED IN EMERGENCY CORE COOLING SYSTEM | | (ECCS) SUCTION STRAINER BOLTED CONNECTIONS. THE INCORRECT MATERIAL COULD | | RESULT IN FAILURE TO ACHIEVE PROPER BOLT PRELOAD, POTENTIALLY RESULTING IN | | STRAINER MODULES SEPARATING BY MORE THAN THE DESIGN LIMIT OF 1/8 INCH | | DURING SOME LOADING CASES. | | | | ABB-CE IS PREPARING TRAINING CLASSES TO STRENGTHEN ITS OWN INTERNAL REVIEW | | PROCESSES TO PREVENT REOCCURRENCES OF THIS ERROR. ABB-CE IS PROVIDING AN | | INFORMATION COPY OF THE 10CFR21 REPORT TO PECO ENERGY, STONE AND WEBSTER | | ENGINEERING CORPORATION, AND UTILITIES OWNING AN ABB-CE DESIGNED NUCLEAR | | STEAM SUPPLY SYSTEM. | | | | US TOOL AND DIE COMPANY IS REVISING ITS INTERNAL PROCEDURES TO PREVENT A | | RECURRENCE OF THIS ERROR. THEY HAVE INITIATED A REQUIREMENT THAT ALL | | CONTRACT MATERIAL BE RECEIPT INSPECTED IN ACCORDANCE WITH APPROVED CUSTOMER | | DOCUMENTS. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |GENERAL INFORMATION or OTHER | |EVENT NUMBER: 33189 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |LICENSEE: STATE OF NEW JERSEY |NOTIFICATION DATE: 10/30/97 | | CITY: ALLAIRE REGION: 1 |NOTIFICATION TIME: 11:15 [ET]| | COUNTY: MONMOUTH STATE: NJ |EVENT DATE: 10/30/97 | |LICENSE#: AGREEMENT: N |EVENT TIME: 10:30[EST]| | DOCKET: |LAST UPDATE DATE: 10/30/97 | | +-----------------------------+ | |PERSON ORGANIZATION| | |JOHN KINNEMAN RDO | | |FRED COMBS EO | +------------------------------------------------+ROSEMARY HOGAN IRD | |NRC NOTIFIED BY: RANDY BLOUGH (REGION 1) |FRANK CONGEL IRD | |HQ OPS OFFICER: FANGIE JONES | | +------------------------------------------------+ | |EMERGENCY CLASS: NOT APPLICABLE | | |10 CFR SECTION: | | |NINF INFORMATION ONLY | | |NAGR AGREEMENT STATE | | | | | | | | | | | +------------------------------------------------+-----------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | 25 CURIE TRITIUM EXIT SIGN BROKE AT A NEW JERSEY CHILD TREATMENT CENTER. | | | | REGION 1 CALLED IN WITH A NOTIFICATION FROM THE STATE OF NEW JERSEY ABOUT | | THE BREAKAGE OF A 25 CURIE TRITIUM EXIT SIGN AT A CHILD TREATMENT CENTER IN | | ALLAIRE, NEW JERSEY. IT IS SUSPECTED THAT A CHILD MAY BE INVOLVED. THERE | | HAS BEEN A NEW JERSEY STATE INSPECTOR DISPATCHED TO THE SITE. | | | | REGION 1, AT THE REQUEST OF THE STATE OF NEW JERSEY, CONTACTED THE DOE RAP | | TEAM TO STAND BY AND EPA REGION 2. | | | | ***COMMISSIONERS ASSISTANCE BRIEFING AT 1400 EST ON 10/30/97 ENTERED BY | | MACKINNON*** | | | | NRC REGION 1 BRIEFER WAS GEORGE PANGBURN. THE FOLLOWING NRC PERSONNEL | | PARTICIPATED IN THE COMMISSIONERS ASSISTANCE BRIEFING: REGION 1 RDO | | (KINNEMAN), IRD (FRANK CONGEL), NMSS EO (FRED COMBS), PUBLIC AFFAIRS (BILL | | BEECHER), STATE PROGRAMS (RICH BANGART), CONGRESSIONAL AFFAIRS (TOM | | MADDEN), DEDR MATERIALS (JOHN THOMAS), SECY (KEN HART), CHAIRMAN JACKSON'S | | ASSISTANT (REGIS BOYLE), COMMISSIONER McGAFFIGAN'S ASSISTANT (JANET | | SCHLUETER), COMMISSIONER DIAZ'S ASSISTANT (MARIA LOPEZ-OTIN), AND | | COMMISSIONER DICUS' ASSISTANT (JOEL LUBENAU). | | | | INTERNATIONAL PROGRAMS OFFICE AND DEDE'S OFFICE WAS NOTIFIED OF THE | | COMMISSIONERS ASSISTANCE BRIEFING BUT DID NOT PARTICIPATE. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 33190 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: ZION REGION: 3 |NOTIFICATION DATE: 10/30/97 | |UNIT: [1] [2] [ ] STATE: IL |NOTIFICATION TIME: 12:15 [ET]| |RX TYPE: [1] W-4-LP,[2] W-4-LP |EVENT DATE: 10/30/97 | +------------------------------------------------+EVENT TIME: 09:46[CST]| |NRC NOTIFIED BY: CARNAHAN |LAST UPDATE DATE: 10/30/97 | |HQ OPS OFFICER: JOHN MacKINNON +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |RON GARDNER RDO | |AINB 50.72(b)(2)(iii)(B) POT RHR INOP | | | | | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |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 +------------------------------------------------------------------------------+ | THE LICENSEE INFORMED THE NRC RESIDENT INSPECTOR. RESIDUAL HEAT REMOVAL | | SYSTEM TECHNICAL INOPERABLE FROM 1722 CST ON 10/25/97 UNTIL 1027 CST ON | | 10/26/97. THIS CONDITION WAS DISCOVERED ON 10/30/97 AT 0946 CST. | | | | DURING THE TIME SERVICE WATER (SW) WAS BEING RETURNED TO A CROSSTIED | | LINEUP, FOLLOWING A UNIT 1 SW OUTAGE, THE REQUIREMENT INCREASED FROM 2 | | MINIMUM TO 3 MINIMUM SW PUMPS DUE TO INCREASED LOAD ON THE SYSTEM. UNIT 2 | | SW PUMPS WERE BEING USED AS THE OPERABLE PUMPS, UNTIL THE UNIT 1 SW PUMPS | | COULD BE TESTED IN THE CROSSTIED CONFIGURATION. | | | | ON 10/30/97 AT 0946 CST, IT WAS DISCOVERED THAT ON 10/25/97 AT 1722 CST | | HOURS, WHEN 0 MOV-SW-0003 & 4 WERE OPENED TO CROSSTIE UNIT 1 AND UNIT 2 SW | | SYSTEMS, THE SE SYSTEM DID NOT HAVE THE MINIMUM REQUIRED NUMBER OF SW PUMPS | | (THREE). THIS WAS DUE TO AN IDENTIFIED INADEQUATE ACTION TAKEN TO KEEP THE | | "0" EMERGENCY DIESEL GENERATOR (SWING DIESEL) AVAILABLE TO SUPPLY "2A" SW | | PUMP IN A DUAL UNIT LOSS OF OFFSITE POWER EVENT. | | | | SYSTEM OPERATION INSTRUCTION 61F OPENED THE AUTO START KNIFE SWITCH ON THE | | "0" EMERGENCY DIESEL GENERATOR FOR BUS 147 (4160 VOLTS). THIS WAS NOW | | DETERMINED TO BE INADEQUATE BY ITSELF, TO CAUSE "O" EMERGENCY DIESEL | | GENERATOR TO START AND LOAD TO SUPPLY "2A" SW PUMP. WHEN THE SW SYSTEM WAS | | CROSSTIED, THE REQUIREMENT CHANGED FROM 2 SW PUMPS TO 3 SW PUMPS. THEREFORE | | THE LICENSEE HAD INADEQUATE SW PUMPS FROM THE TIME SW PUMPS WAS CROSSTIED, | | UNTIL 10/26/97 AT 1027 CST, WHEN "1B" SW PUMP WAS DECLARED OPERABLE. | | | | DURING THIS PERIOD FROM 10/25/97 AT 1722 HOURS CST, TO 10/26/97 AT 1027 | | HOURS, THE SW SYSTEM WAS INOPERABLE (TECHNICALLY INOPERABLE). THIS ALSO | | RENDERED THE COMPONENT COOLING WATER SYSTEM INOPERABLE AS A SUPPORTED | | SYSTEM. IN TURN UNIT 2 RESIDUAL HEAT REMOVAL SYSTEM WAS INOPERABLE AS A | | SUPPORT SYSTEM OF COMPONENT COOLING WATER SYSTEM. DURING THIS TIME PERIOD | | ALL SW PUMPS WERE AVAILABLE, BUT ONLY TWO WERE TECHNICALLY OPERABLE (2B & | | 2C). | | | | LICENSEE INFORMED THE NRC RESIDENT INSPECTOR. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 33191 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: INDIAN POINT REGION: 1 |NOTIFICATION DATE: 10/30/97 | |UNIT: [ ] [3] [ ] STATE: NY |NOTIFICATION TIME: 13:14 [ET]| |RX TYPE: [2] W-4-LP,[3] W-4-LP |EVENT DATE: 10/29/97 | +------------------------------------------------+EVENT TIME: 14:00[EST]| |NRC NOTIFIED BY: DENNIS CELENTANO |LAST UPDATE DATE: 10/30/97 | |HQ OPS OFFICER: JOHN MacKINNON +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |JOHN KINNEMAN RDO | |NLTR LICENSEE 24 HR REPORT | | | | | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ | | | | | 3 | N Y 100 POWER OPERATION | 100 POWER OPERATION | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | APPROXIMATELY 40 DEAD FISH FOUND IN DISCHARGE CANAL. | | | | ON OCTOBER 29, 1997, AT APPROXIMATELY 1400 HOURS, DURING ROUNDS, OPERATORS | | DISCOVERED SEVERAL DEAD FISH FLOATING IN THE DISCHARGE CANAL. THERE WERE | | NO PLANT EVENTS OR OCCURRENCES THAT APPEAR TO BE CAUSALLY RELATED. THE | | FISH NUMBERED ABOUT 40 WITH A LENGTH OF ABOUT ONE (1) FOOT AND CONSISTED | | PRIMARILY OF CARP AND GIZZARD SHAD, NEITHER OF WHICH IS ENDANGERED. | | | | THE WATER IN THE DISCHARGE CANAL IS RIVER WATER USED FOR COOLING PLANT | | EQUIPMENT IN BOTH INDIAN POINT 2 AND 3 DURING PLANT OPERATION. THE FISH | | COULD NOT HAVE TRAVELED THROUGH THROUGH THE PLANT TO THE DISCHARGE CANAL. | | THE INTAKE FOR RIVER WATER HAS SCREENS THAT PREVENT THIS TYPE OF FISH | | INTRUSION. THE LICENSEE IS REPORTING THIS DISCOVERY WITHIN 24 HOURS AS AN | | UNUSUAL FISH KILL AS STATED IN THE NON-RADIOLOGICAL ENVIRONMENTAL TECHNICAL | | SPECIFICATIONS, SECTION 4.1. THE LICENSEE ARE LOOKING INTO THE PROBABLE | | CAUSE OF THE EVENT. | | | | THE LICENSEE WILL INFORM THE NRC RESIDENT INSPECTOR. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 33192 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: INDIAN POINT REGION: 1 |NOTIFICATION DATE: 10/30/97 | |UNIT: [2] [ ] [ ] STATE: NY |NOTIFICATION TIME: 13:20 [ET]| |RX TYPE: [2] W-4-LP,[3] W-4-LP |EVENT DATE: 10/29/97 | +------------------------------------------------+EVENT TIME: 14:00[EST]| |NRC NOTIFIED BY: M VASELY |LAST UPDATE DATE: 10/30/97 | |HQ OPS OFFICER: JOHN MacKINNON +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |JOHN KINNEMAN RDO | |NLTR LICENSEE 24 HR REPORT | | | | | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ | 2 | N N 0 COLD SHUTDOWN | 0 COLD SHUTDOWN | | | | | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | APPROXIMATELY 40 DEAD FISH FOUND IN DISCHARGE CANAL. | | | | ON OCTOBER 29, 1997, AT APPROXIMATELY 1400 HOURS, DURING ROUNDS, AN INDIAN | | POINT UNIT 3 OPERATOR DISCOVERED SEVERAL DEAD FISH FLOATING IN THE | | DISCHARGE CANAL. THE DISCHARGE CANAL IS COMMON TO BOTH INDIAN POINT 2 AND | | INDIAN POINT 3. THE WATER IN THE DISCHARGE CANAL IS RIVER WATER AND IS | | USED TO COOL PLANT EQUIPMENT. THE INTAKE FOR RIVER WATER HAS SCREENS THAT | | WOULD PREVENT THIS TYPE OF FISH INTRUSION. THE FISH NUMBERED LESS THAN | | FORTY (40) WITH A LENGTH OF ABOUT ONE (1) FOOT AND CONSISTED OF CARP AND | | GIZZARD SHAD, NEITHER OF WHICH IS ENDANGERED. THERE WERE NO PLANT EVENTS | | OR OCCURRENCES THAT APPEAR TO BE CASUALLY RELATED. THIS CONDITION IS | | REPORTABLE WITHIN 24 HOURS OF DISCOVERY IN THAT IT MIGHT CONSTITUTE AN | | UNUSUAL FISH KILL AS STATED IN THE INDIAN POINT NON-RADIOLOGICAL | | ENVIRONMENTAL PROTECTION PLAN, SECTION 4.1. THE LICENSEE IS REVIEWING THE | | PROBABLE CAUSE OF THIS EVENT. THERE ARE NO PRESS RELEASES PLANNED. | | | | THE LICENSEE WILL INFORM THE NRC RESIDENT INSPECTOR. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |OTHER NUCLEAR MATERIAL | |EVENT NUMBER: 33193 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |LICENSEE: GILES ENGINEERING, WAUKESHA, WI |NOTIFICATION DATE: 10/30/97 | | CITY: WAUKESHA REGION: 3 |NOTIFICATION TIME: 14:22 [ET]| | COUNTY: WAUKESHA STATE: WI |EVENT DATE: 10/30/97 | |LICENSE#: 48-18547-02 AGREEMENT: N |EVENT TIME: 14:00[CST]| | DOCKET: |LAST UPDATE DATE: 10/30/97 | | +-----------------------------+ | |PERSON ORGANIZATION| | |RON GARDNER RDO | | |MARGARET FEDERLINE EO | +------------------------------------------------+ | |NRC NOTIFIED BY: CHARLIE GRESSER | | |HQ OPS OFFICER: JOHN MacKINNON | | +------------------------------------------------+ | |EMERGENCY CLASS: NOT APPLICABLE | | |10 CFR SECTION: | | |NINF INFORMATION ONLY | | | | | | | | | | | | | | +------------------------------------------------+-----------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | AN EARTH MOVER RAN OVER A CPN DENSITY GAUGE AT A CONSTRUCTION SITE LOCATED | | IN WEST BEND, WI. | | | | THE RADIATION SAFETY OFFICER FOR GILES ENGINEERING LOCATED IN WAUKESHA, WI, | | WAS NOTIFIED AT 1400 CST ON 10/30/97 BY ENDERS CONSTRUCTION COMPANY THAT AN | | EARTH MOVER RAN OVER ONE OF THEIR CPN DENSITY GAUGES. THE CPN DENSITY | | GAUGE WAS RUN OVER AT A CONSTRUCTION SITE LOCATED IN WEST BEND, WI. THE | | MODEL NUMBER OF THE DENSITY GAUGE IS "MCIDR" AND IT CONTAINS 10 mCis OF | | CESIUM-137 AND 50 mCis OF AMERICIUM-241/BERYLLIUM. THE RADIATION SAFETY | | OFFICER OF GILES ENGINEERING IS GOING OUT TO THE SITE WITH A SURVEY METER | | TO CHECK IF THE SOURCES WERE DAMAGED AND ALSO LEAK TEST THE DENSITY GAUGE. | | THE RADIATION SAFETY OFFICER SAID THAT HE HAD TALKED WITH THE RADIATION | | SAFETY OFFICER FOR CPN AND THE CPN RADIATION SAFETY OFFICER SAID THAT A CPN | | DENSITY METER SOURCE HAD NEVER BEEN EXPOSED DUE TO AN ACCIDENT. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |OTHER NUCLEAR MATERIAL | |EVENT NUMBER: 33194 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |LICENSEE: N C DEPT. OF RAD. PROTECTION |NOTIFICATION DATE: 10/30/97 | | CITY: CHARLOTTE REGION: 2 |NOTIFICATION TIME: 15:02 [ET]| | COUNTY: MECKLENBURG STATE: NC |EVENT DATE: 10/30/97 | |LICENSE#: AGREEMENT: Y |EVENT TIME: 14:30[EST]| | DOCKET: |LAST UPDATE DATE: 10/30/97 | | +-----------------------------+ | |PERSON ORGANIZATION| | |PIERCE SKINNER RDO | | |MARGARET FEDERLINE EO | +------------------------------------------------+ | |NRC NOTIFIED BY: J HIGHTOWER | | |HQ OPS OFFICER: JOHN MacKINNON | | +------------------------------------------------+ | |EMERGENCY CLASS: NOT APPLICABLE | | |10 CFR SECTION: | | |NAGR AGREEMENT STATE | | | | | | | | | | | | | | +------------------------------------------------+-----------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | TROXLER MOISTURE DENSITY GAUGE STOLEN FROM THE BACK OF A PICKUP TRUCK. | | | | NORTH CAROLINA DEPARTMENT OF RADIATION PROTECTION WAS NOTIFIED BY A COMPANY | | (STATE WOULD NOT REVEAL THE NAME OF THE COMPANY) THAT A TROXLER MOISTURE | | DENSITY GAUGE HAD BEEN STOLEN FROM THE BACK OF A PICKUP TRUCK. THE DRIVER | | OF THE PICKUP TRUCK HAD STOPPED A LOWES STORE, LOCATED IN CHARLOTTE, NC., | | TO PICK UP A CHAIN AT THE STORE TO SECURE THE TROXLER MOISTURE DENSITY | | GAUGE TO THE BACK OF HIS TRUCK. THE TRUCK DRIVER WAS IN LOWES BETWEEN 5 TO | | 10 MINUTES BEFORE HE RETURNED TO HIS TRUCK. UPON RETURNING TO HIS TRUCK HE | | DISCOVERED THAT THE TROXLER MOISTURE DENSITY GAUGE THAT HAD BEEN IN THE | | BACK OF HIS TRUCK WAS MISSING (THE GAUGE HAD NOT BEEN AN IN ANY LOCKED | | COMPARTMENT OF THE TRUCK). THE MODEL NUMBER OF THE GAUGE IS 3430 AND ITS | | SERIAL NUMBER IS "19272". IT CONTAINED 8 mCis OF CESIUM-137 AND 40 mCis OF | | AMERICIUM-241/BERYLLIUM. THE LICENSEE HAD OWNED THE TROXLER MOISTURE | | DENSITY GAUGE FOR 6 OR 7 YEARS. THE STATE OF NORTH CAROLINA ORIGINAL | | NUMBER ASSIGNED TO THIS EVENT IS "ICD-97-32". | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |HOSPITAL | |EVENT NUMBER: 33195 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |LICENSEE: GRANT RIVERSIDE METHODIST HOSPITAL |NOTIFICATION DATE: 10/30/97 | | CITY: COLUMBUS REGION: 3 |NOTIFICATION TIME: 16:29 [ET]| | COUNTY: FRANKLIN STATE: OH |EVENT DATE: 10/29/97 | |LICENSE#: 34-03424-03 AGREEMENT: N |EVENT TIME: 11:30[EST]| | DOCKET: |LAST UPDATE DATE: 10/30/97 | | +-----------------------------+ | |PERSON ORGANIZATION| | |RONALD GARDNER RDO | | |MARGARET FEDERLINE EO | +------------------------------------------------+ | |NRC NOTIFIED BY: JOHN NIEMKIEWICZ | | |HQ OPS OFFICER: LEIGH TROCINE | | +------------------------------------------------+ | |EMERGENCY CLASS: NOT APPLICABLE | | |10 CFR SECTION: | | |LADM 35.33(a) MED MISADMINISTRATION | | | | | | | | | | | | | | +------------------------------------------------+-----------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | MEDICAL MISADMINISTRATION AT GRANT MEDICAL CENTER (ONE OF TWO SITES AT | | GRANT RIVERSIDE METHODIST HOSPITAL) LOCATED IN COLUMBUS, OHIO | | | | THE PRESCRIBED TREATMENT INVOLVED A TOTAL OF 26 FRACTIONS (180 CENTIGRAY | | EACH) TO BE DELIVERED AT A RATE OF ONE FRACTION PER WEEKDAY (13 FRACTIONS | | ON A COBALT MACHINE AND 13 FRACTIONS ON A LINEAR ACCELERATOR). AT | | APPROXIMATELY 1130 EST ON OCTOBER 29, 1997, IT WAS DISCOVERED THAT THE | | FIRST 17 FRACTIONS HAD BEEN DELIVERED ON THE COBALT MACHINE. AS SUCH, FOUR | | ADDITIONAL FRACTIONS HAD BEEN DELIVERED ON THE COBALT UNIT BEFORE IT WAS | | RECOGNIZED THAT THE TREATMENT WAS SUPPOSED TO SWITCH TO THE LINEAR | | ACCELERATOR. | | | | AS A RESULT, THE LICENSEE PLANS TO REDUCE THE NUMBER OF TREATMENTS ON THE | | LINEAR ACCELERATOR BY FOUR SO THAT THE TOTAL NUMBER OF FRACTIONS RECEIVED | | WILL BE THE SAME AS ORIGINALLY INTENDED. THE DOSE DISTRIBUTION WAS | | RECALCULATED WITH THE NEW FRACTIONS, AND THE LICENSEE STATED THAT THERE WAS | | ESSENTIALLY NO DIFFERENCE IN THE DOSE DISTRIBUTION. THE LICENSEE ALSO | | STATED THAT THERE WOULD BE NO IMPACT ON THE PATIENT. THE LICENSEE PLANS TO | | NOTIFY THE REFERRING PHYSICIAN WHO MAY IN TURN INFORM THE PATIENT. | | | | NOTE: THE LICENSEE STATED THAT THE COBALT-60 HAS A LOWER ENERGY THAN THE | | PHOTON BEAM ON THE LINEAR ACCELERATOR. | | | | THE LICENSEE NOTIFIED THE NRC REGION 3 OFFICE (THOMAS YOUNG) AND PLANS TO | | ISSUE A WRITTEN REPORT WITHIN 15 DAYS. (REFER TO THE HOO LOG FOR A SITE | | CONTACT TELEPHONE NUMBER.) | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 33196 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: SEQUOYAH REGION: 2 |NOTIFICATION DATE: 10/30/97 | |UNIT: [1] [2] [ ] STATE: TN |NOTIFICATION TIME: 17:46 [ET]| |RX TYPE: [1] W-4-LP,[2] W-4-LP |EVENT DATE: 10/30/97 | +------------------------------------------------+EVENT TIME: 17:44[EST]| |NRC NOTIFIED BY: L PRUETT |LAST UPDATE DATE: 10/30/97 | |HQ OPS OFFICER: JOHN MacKINNON +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |PIERCE SKINNER 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 | | 2 | N N 0 HOT SHUTDOWN | 0 HOT SHUTDOWN | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | FUEL DESIGN CRITERIA MAY NOT BE MET FOR WESTINGHOUSE TWICE BURNED IFBA | | FUEL. | | | | CURRENT WESTINGHOUSE NRC APPROVED METHODOLOGY FOR DETERMINATION OF FUEL ROD | | INTERNAL PRESSURE AND CLADDING CORROSION WAS FOUND TO BE NOT AS | | CONSERVATIVE AS PREVIOUSLY BELIEVED. AS A RESULT, CALCULATION OF | | 10CFR50.46 ECCS ACCEPTANCE CRITERIA MAY BE AFFECTED. THE MAGNITUDE OF THIS | | EFFECT HAS NOT SPECIFICALLY CALCULATED FOR SEQUOYAH. THIS DETERMINATION IS | | BASED ON NEWER MODELS STILL UNDER DEVELOPMENT BY WESTINGHOUSE. THE NEWER | | MODELS ARE BELIEVED BY WESTINGHOUSE TO MORE ACCURATELY PREDICT FUEL | | CLADDING BEHAVIOR. THE EFFECT OF THIS EVALUATION IS TO SHOW THAT | | POTENTIALLY FOR LBLOCA, THE 17 PERCENT CLADDING OXIDATION REQUIREMENT OF | | 10CFR50.46 MAY NOT BE MET. BEST ESTIMATE CALCULATIONS PERFORMED BY | | WESTINGHOUSE HAVE DETERMINED THAT THIS CONDITION DOES NOT REPRESENT A | | CONDITION THAT SIGNIFICANTLY COMPROMISES PLANT SAFETY AND THAT IT DOES NOT | | REPRESENT A SUBSTANTIAL SAFETY HAZARD. THE BASIS FOR THIS CONCLUSION IS | | THAT A PLANT COULD BE SHUTDOWN SAFELY, SINCE PLANT CONTROL MECHANISMS WOULD | | FUNCTION PROPERLY AND A COOLABLE GEOMETRY IN THE SENSE REQUIRED FOR LOCA | | PROTECTION WOULD BE MAINTAINED. IN ADDITION 10CFR100 LIMITS FOR OFFSITE | | DOES WOULD NOT BE EXCEEDED IN ANY POSTULATED EVENT. | | | | WESTINGHOUSE HAS NOTIFIED THE NRC OF THIS ISSUE AND IS CURRENTLY ADDRESSING | | FUEL PERFORMANCE ANALYSIS METHODOLOGY TO REFINE THEIR MODEL AND RESOLVE | | THIS ISSUE. WESTINGHOUSE HAS ALSO DETERMINED THAT THIS ISSUE IS NOT | | REPORTABLE PER 10CFR21 REQUIREMENTS. SEQUOYAH IS MAKING THIS VOLUNTARY | | REPORT BECAUSE THIS ISSUE MIGHT BE OF GENERIC INTEREST OR CONCERN. | | | | THE LICENSEE INFORMED THE NRC RESIDENT INSPECTOR. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 33197 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: BEAVER VALLEY REGION: 1 |NOTIFICATION DATE: 10/30/97 | |UNIT: [1] [2] [ ] STATE: PA |NOTIFICATION TIME: 19:27 [ET]| |RX TYPE: [1] W-3-LP,[2] W-3-LP |EVENT DATE: 10/30/97 | +------------------------------------------------+EVENT TIME: 18:00[EST]| |NRC NOTIFIED BY: MATT MORGAN |LAST UPDATE DATE: 10/30/97 | |HQ OPS OFFICER: JOHN MacKINNON +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |JOHN KINNEMAN RDO | |NINF INFORMATION ONLY | | | | | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ | 1 | N N 0 COLD SHUTDOWN | 0 COLD SHUTDOWN | | 2 | N Y 100 POWER OPERATION | 100 POWER OPERATION | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | FUEL DESIGN CRITERIA MAY NOT BE MET FOR WESTINGHOUSE TWICE BURNED IFBA | | FUEL. | | | | DUQUESNE LIGHT COMPANY IS SUBMITTING THE FOLLOWING REPORT FOR INFORMATION | | ONLY. THIS INFORMATION ONLY REPORT IS BEING MADE BECAUSE THIS ISSUE MIGHT | | BE OF GENERIC INTEREST OR CONCERN. | | | | WESTINGHOUSE HAS INFORMED DUQUESNE LIGHT COMPANY THAT, WHILE UPDATING THE | | PAD CODE FOR FUEL PERFORMANCE, IT WAS DETERMINED THAT THE DEVELOPMENTAL | | MODEL OF THE CODE CALCULATES REDUCED FUEL ROD INTERNAL PRESSURE MARGINS | | WHEN COMPARED TO THE PREVIOUSLY LICENSED CODE. WESTINGHOUSE HAS DETERMINED | | THAT, IN VERY LIMITING CASES FOR HIGH POWER, HIGH BURNUP INTEGRAL FUEL | | BURNABLE ABSORBER (IFBA) CONTAINING FUEL RODS, CALCULATED PRESSURES ARE IN | | EXCESS OF THE FUEL ROD DESIGN CRITERION THAT THE FUEL ROD PELLET TO CLAD | | GAP SHALL NOT REOPEN. ADDITIONALLY, IF THE NO GAP RE-OPENING CRITERION IS | | EXCEEDED, THE 17% CLAD OXIDATION LIMIT FOLLOWING A POSTULATED LOCA EVENT, | | AS DEFINED IN 10CFR50.46 CAN LIKEWISE BE EXCEEDED. | | | | WESTINGHOUSE HAS NOT PERFORMED ANY PLANT SPECIFIC ANALYSIS TO CONCLUDE THAT | | THIS CONDITION IS APPLICABLE TO BEAVER VALLEY POWER STATION UNITS 1 OR 2. | | HOWEVER, THEY HAVE NOTIFIED LICENSEES, ON A GENERIC BASIS, OF THE POTENTIAL | | CONDITION AND PREPARED A GENERIC JUSTIFICATION FOR CONTINUED OPERATION | | (JCO) FOR LICENSEES DOCUMENTING WHY THE CONDITION DOES NOT AFFECT CONTINUED | | OPERATION OF THE FACILITY. IT IS WESTINGHOUSE'S JUDGMENT THAT THIS | | CONDITION POSES NO ADVERSE SAFETY OR RELIABILITY CONCERNS. WESTINGHOUSE | | BELIEVES THAT THEIR JCO IS APPLICABLE FOR PLANT RE-START FROM SHUTDOWN AS | | SUPPORTED BY THE RECENTLY ISSUED NRC GENERIC LETTER 91-18, REVISION 1. | | WESTINGHOUSE IS CONTINUING TO EVALUATE THEIR MODEL AND WILL BE WORKING WITH | | DUQUESNE LIGHT COMPANY TO INVESTIGATE THIS CONDITION AND PERFORM AN | | INDIVIDUAL PLANT DETERMINATION. | | | | THE LICENSEE WILL INFORM THE NRC RESIDENT INSPECTOR. | +------------------------------------------------------------------------------+