U.S. Nuclear Regulatory Commission Operations Center Event Reports For 03/10/98 - 03/11/98 ** EVENT NUMBERS ** 33817 33861 33867 33868 33869 33870 33871 33872 33873 33874 33875 33876 33877 !!!!!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED !!!!!!! +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 33817 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: SAINT LUCIE REGION: 2 |NOTIFICATION DATE: 03/02/98 | |UNIT: [1] [ ] [ ] STATE: FL |NOTIFICATION TIME: 13:52 [ET]| |RX TYPE: [1] CE,[2] CE |EVENT DATE: 03/02/98 | +------------------------------------------------+EVENT TIME: 13:02[EST]| |NRC NOTIFIED BY: DICK CZARNECKI |LAST UPDATE DATE: 03/10/98 | |HQ OPS OFFICER: JOHN MacKINNON +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |AL BELISLE (IAT) RDO | |DDDD 73.71 UNSPECIFIED PARAGRAPH | | | |JOHN DAVIDSON (IAT) NMSS | | |ROBERT SKELTON (IAT) NRR | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |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 +------------------------------------------------------------------------------+ | A THEFT OF SECURITY EQUIPMENT WAS DISCOVERED. IMMEDIATE COMPENSATORY | | MEASURES WERE TAKEN UPON DISCOVERY. (REFER TO THE HOO LOG BOOK FOR FURTHER | | DETAILS.) | | | | NRC RESIDENT INSPECTOR WAS NOTIFIED OF THIS EVENT BY THE LICENSEE. | | | | * * * UPDATE AT 1527 ON 03/10/98 FROM DICK CZARNECKI TAKEN BY JOLLIFFE * * | | | | UPON FURTHER INVESTIGATION, THE LICENSEE DETERMINED THAT THE EQUIPMENT IN | | QUESTION IS NOT PART OF THE PLANT'S SECURITY SYSTEM; AND THEREFORE, THE | | LICENSEE DESIRES TO RETRACT THIS EVENT NOTIFICATION. | | | | THE LICENSEE PLANS TO INFORM THE NRC RESIDENT INSPECTOR. THE NRC | | OPERATIONS OFFICER NOTIFIED THE R2DO (MARK LESSER). | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 33861 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: FARLEY REGION: 2 |NOTIFICATION DATE: 03/08/98 | |UNIT: [1] [2] [ ] STATE: AL |NOTIFICATION TIME: 23:41 [ET]| |RX TYPE: [1] W-3-LP,[2] W-3-LP |EVENT DATE: 03/08/98 | +------------------------------------------------+EVENT TIME: 22:00[CST]| |NRC NOTIFIED BY: VAUDY HOLLY |LAST UPDATE DATE: 03/10/98 | |HQ OPS OFFICER: LEIGH TROCINE +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: UNUSUAL EVENT +-----------------------------+ |10 CFR SECTION: |CAUDLE JULIAN RDO | |AAEC 50.72(a)(1)(i) EMERGENCY DECLARED |STUART RICHARDS, NRR EO | | |FRANK CONGEL, AEOD IRD | | |CHUCK DePUY FEMA | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |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 +------------------------------------------------------------------------------+ | DECLARATION OF UNUSUAL EVENT DUE TO FLOODING OF THE CHATTAHOOCHEE RIVER AND | | INABILITY TO ACCESS THE INTAKE STRUCTURE VIA NORMAL MEANS | | | | THE AREA IS CURRENTLY EXPERIENCING HEAVY RAINS, AND FLOODING IS OCCURRING | | ON THE CHATTAHOOCHEE RIVER. THE RIVER WATER LEVEL IS CURRENTLY 113.4 FEET | | AND INCREASING. THE RISING RIVER WATER LEVEL AND HEAVY RAINS HAVE | | INHIBITED THE LICENSEE'S ABILITY TO ACCESS THE INTAKE STRUCTURE BY | | AUTOMOBILE. THE LICENSEE STATED THAT BOATS ARE AVAILABLE. BECAUSE NORMAL | | ACCESS CANNOT BE GAINED TO AN OUT BUILDING, THE LICENSEE DECLARED AN | | UNUSUAL EVENT AT 2200 CST. THE LICENSEE STATED THAT NORMAL PLANT | | OPERATIONS ARE NOT AFFECTED. | | | | (NOTE: THE RIVER IS NOT THE ULTIMATE HEAT SINK FOR THIS SITE.) | | | | BOTH HOUSTON COUNTY, ALABAMA, AND EARLY COUNTY, GEORGIA, HAVE CONFIRMED | | THAT THE ROADS WITHIN THE 10-MILE EMERGENCY PLANNING ZONE HAVE NOT BEEN | | AFFECTED, AND EVACUATION OF LOCAL PERSONNEL COULD STILL BE PERFORMED IF | | NECESSARY. THE LICENSEE PLANS TO TERMINATE THE UNUSUAL EVENT WHEN NORMAL | | ACCESS TO THE INTAKE STRUCTURE IS REGAINED. | | | | THE LICENSEE NOTIFIED THE STATES OF ALABAMA AND GEORGIA AND BOTH HOUSTON | | AND EARLY COUNTIES. THE LICENSEE ALSO PLANS TO NOTIFY THE NRC RESIDENT | | INSPECTOR. | | | | * * * UPDATE AT 1205 ON 03/09/98 FROM BOB VANDERBYE TAKEN BY BAILEY * * * | | | | THE LICENSEE REPORTED THAT THEY WERE ACTUALLY ABLE TO ACCESS THE INTAKE | | STRUCTURE BY TRUCKS UNTIL 0930 CST ON 03/09/98. HOWEVER, AS OF 0930 CST, | | THEY ARE ACCESSING THE INTAKE STRUCTURE ONLY BY BOAT. AT 1105 CST, THE | | RIVER LEVEL WAS 115 FEET, 6 INCHES, AND RISING AT THE RATE OF 1-2 INCHES | | PER HOUR. AN ESTIMATE OF THE RIVER CRESTING LEVEL AND TIME IS EXPECTED | | FROM THE ARMY CORPS OF ENGINEERS TODAY. THE FLOOD LEVEL IS 112 FEET. THE | | DESIGN BASIS LEVEL IS 126 FEET. BOTH COUNTIES CAN STILL EVACUATE PERSONNEL | | IF NECESSARY. | | | | THE LICENSEE NOTIFIED THE NRC RESIDENT INSPECTOR. THE NRC OPERATIONS | | OFFICER NOTIFIED THE R2DO (CAUDLE JULIAN). | | | | * * * UPDATE AT 1657 ON 03/09/98 FROM BOB VANDERBYE TAKEN BY JOLLIFFE * * * | | | | THE CORPS OF ENGINEERS REPORTED TO THE LICENSEE THAT THE CHATTAHOOCHEE | | RIVER IS EXPECTED TO CREST BETWEEN 116 FEET, 2 INCHES, AND 116 FEET, | | 8 INCHES, PRIOR TO 0700 ON 03/10/98. | | | | THE LICENSEE PLANS TO NOTIFY STATE AND COUNTY OFFICIALS AND THE NRC | | RESIDENT INSPECTOR. THE NRC OPERATIONS OFFICER NOTIFIED THE R2DO (CAUDLE | | JULIAN). | | | | * * * UPDATE AT 1746 ON 03/10/98 FROM JOHN TURNER TAKEN BY JOLLIFFE * * * | | | | AT 1640 CST ON 03/10/98, THE LICENSEE TERMINATED THE UNUSUAL EVENT DUE TO | | IMPROVING WEATHER CONDITIONS. | | | | THE LICENSEE NOTIFIED STATE AND LOCAL OFFICIALS AND THE NRC RESIDENT | | INSPECTOR OF THE TERMINATION OF THE UNUSUAL EVENT. THE NRC OPERATIONS | | OFFICER NOTIFIED THE R2DO (MARK LESSER), NRR EO (TAD MARSH), AND FEMA | | (STIENDURF) OF THE TERMINATION OF THE UNUSUAL EVENT. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 33867 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: COOK REGION: 3 |NOTIFICATION DATE: 03/10/98 | |UNIT: [1] [2] [ ] STATE: MI |NOTIFICATION TIME: 08:14 [ET]| |RX TYPE: [1] W-4-LP,[2] W-4-LP |EVENT DATE: 03/10/98 | +------------------------------------------------+EVENT TIME: 08:14[EST]| |NRC NOTIFIED BY: BRIAN MUTZ |LAST UPDATE DATE: 03/10/98 | |HQ OPS OFFICER: STEVE SANDIN +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |MELVYN LEACH RDO | |AARC 50.72(b)(1)(v) OTHER ASMT/COMM INOP | | | | | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |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 N 0 COLD SHUTDOWN | 0 COLD SHUTDOWN | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | STAFFING OF EMERGENCY OFFSITE FACILITY (EOF) POTENTIALLY HAMPERED DUE TO | | ADVERSE WEATHER. | | | | THE FOLLOWING TEXT IS A PORTION OF A FACSIMILE RECEIVED FROM THE LICENSEE: | | | | "SEVERE WINTER WEATHER CONDITIONS HAVE CAUSED A SIGNIFICANT NUMBER OF ROAD | | CLOSINGS IN SOUTHWESTERN MICHIGAN. THIS MAY HAMPER OUR ABILITY TO MAN | | EMERGENCY RESPONSE FACILITIES IN THE UNLIKELY EVENT THAT THEY ARE NEEDED. | | NORMAL NON-EMERGENCY OPERATIONAL STAFFING LEVELS ARE CURRENTLY ADEQUATE TO | | MEET ADMINISTRATIVE MANNING REQUIREMENTS. BOTH UNITS ARE PRESENTLY IN MODE | | 5 WITH TWO OPERABLE SOURCES OF OFFSITE POWER AND THREE OF FOUR EMERGENCY | | DIESEL GENERATORS OPERABLE. THE UNIT 1 'AB' DIESEL GENERATOR HAS BEEN OUT | | OF SERVICE FOR PLANNED MAINTENANCE SINCE 03/04/98." | | | | PLANT SECURITY IS WORKING WITH STATE OFFICIALS TO DETERMINE THE EXTENT OF | | THE ROAD CLOSURES. THE GOVERNOR INTENDS TO DECLARE THE WESTERN HALF OF THE | | STATE AS AN EMERGENCY AREA. | | | | THE LICENSEE PLANS TO INFORM THE NRC RESIDENT INSPECTOR. | | | | * * * UPDATE AT 2326 ON 03/10/98 FROM CZUK RECEIVED BY TROCINE * * * | | | | THE FOLLOWING TEXT IS A PORTION OF A FACSIMILE RECEIVED FROM THE LICENSEE: | | | | "WEATHER AND ROAD CONDITIONS IN SOUTH WEST MICHIGAN HAVE IMPROVED | | SIGNIFICANTLY SINCE THIS MORNING. RELATIVELY LITTLE SNOW HAS FALLEN IN THE | | LAST TWELVE HOURS, AND MOST ROADS ARE NOW PASSABLE. HOWEVER, MORE SNOW IS | | PREDICTED FOR TONIGHT AND TOMORROW." | | | | THE LICENSEE NOTIFIED THE NRC RESIDENT INSPECTOR. THE NRC OPERATIONS | | CENTER NOTIFIED THE R3DO (SHEAR). | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |FUEL CYCLE FACILITY | |EVENT NUMBER: 33868 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: PORTSMOUTH GASEOUS DIFFUSION PLANT |NOTIFICATION DATE: 03/10/98 | | RXTYPE: URANIUM ENRICHMENT FACILITY |NOTIFICATION TIME: 12:16 [ET]| |COMMENTS: 2 DEMOCRACY CENTER |EVENT DATE: 03/09/98 | | 6903 ROCKLEDGE DRIVE |EVENT TIME: 16:00[EST]| | BETHESDA, MD 20817 (301)564-3200 |LAST UPDATE DATE: 03/10/98 | | CITY: PIKETON REGION: 3 +-----------------------------+ | COUNTY: PIKE STATE: OH |PERSON ORGANIZATION| |LICENSE#: GDP-2 AGREEMENT: N |MELVYN LEACH RDO | | DOCKET: 0707002 |JOSE PICCONE, NMSS EO | +------------------------------------------------+STUART RUBIN, AEOD IRD | |NRC NOTIFIED BY: ERIC SPAETH | | |HQ OPS OFFICER: DICK JOLLIFFE | | +------------------------------------------------+ | |EMERGENCY CLASS: NOT APPLICABLE | | |10 CFR SECTION: | | |NBNL RESPONSE-BULLETIN | | |NLTR LICENSEE 24 HR REPORT | | | | | | | | | | | +------------------------------------------------+-----------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | - LOSS OF ONE OF TWO CONTROLLED PARAMETERS (SPACING CONTROL) - | | | | AT 1600 ON 03/09/98, PLANT PERSONNEL DISCOVERED THAT NUCLEAR CRITICALITY | | SAFETY APPROVAL PLANT 01B.A01, PART 'B,' REQUIREMENT #5, WHICH STATES | | THAT DRY ACTIVE WASTE CONTAINERS WITH A CAPACITY OF 55 GALLONS OR LESS | | SHALL BE SPACED AT LEAST TWO FEET EDGE-TO-EDGE FROM URANIUM-BEARING | | EQUIPMENT/MATERIAL, WAS NOT BEING MAINTAINED. PLANT PERSONNEL DISCOVERED | | THAT A DRY ACTIVE WASTE CONTAINER WAS STORED LESS THAN THE TWO-FOOT MINIMUM | | SPACING REQUIREMENT FROM A PROCESS WASTE CONTAINER CONTAINING CONTAMINATED | | GLASS IN ROOM 223 OF THE X-710 LABORATORY. THIS LOSS OF SPACING CONTROL | | CONSTITUTES A LOSS OF ONE CONTROL (CONTROL 'A' - SPACING) IN THE DOUBLE | | CONTINGENCY CONTROL MATRIX FOR CONTINGENCY EVENT B.4.1. CONTROL 'B' - MASS | | (NO VISIBLE URANIUM) WAS MAINTAINED THROUGHOUT THIS EVENT. | | | | PLANT PERSONNEL IMMEDIATELY MOVED THE DRY ACTIVE WASTE CONTAINER AWAY FROM | | THE PROCESS WASTE CONTAINER TO CORRECT THE LOSS OF CONTROL 'A' DEFICIENCY. | | | | THERE WAS NO LOSS OF HAZARDOUS OR RADIOACTIVE MATERIAL, AND THERE WERE NO | | RADIOACTIVE OR RADIOLOGICAL CONTAMINATION EXPOSURES AS A RESULT OF THIS | | EVENT. | | | | PLANT PERSONNEL NOTIFIED THE NRC RESIDENT INSPECTOR AND THE DEPARTMENT OF | | ENERGY SITE REPRESENTATIVE. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 33869 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: BROWNS FERRY REGION: 2 |NOTIFICATION DATE: 03/10/98 | |UNIT: [ ] [ ] [3] STATE: AL |NOTIFICATION TIME: 14:48 [ET]| |RX TYPE: [1] GE-4,[2] GE-4,[3] GE-4 |EVENT DATE: 03/10/98 | +------------------------------------------------+EVENT TIME: 10:59[CST]| |NRC NOTIFIED BY: MIKE MORROW |LAST UPDATE DATE: 03/10/98 | |HQ OPS OFFICER: DICK JOLLIFFE +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |MARK LESSER RDO | |AESF 50.72(b)(2)(ii) ESF ACTUATION | | | | | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |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 +------------------------------------------------------------------------------+ | - ESF ACTUATIONS OF PCIS GROUPS DURING A TEST DUE TO A BREAKER FAILURE - | | | | WHILE PERFORMING A TEST OF THE 4-KV SHUTDOWN BOARD UNDERVOLTAGE START | | OF THE DIVISION 2 EMERGENCY DIESEL GENERATOR, CONTROL ROOM OPERATORS | | TRANSFERRED 480-VOLT SHUTDOWN BOARD #3B TO ITS ALTERNATE FEED. HOWEVER, | | THE ALTERNATE FEEDER BREAKER DID NOT CLOSE, AS EXPECTED, RESULTING IN | | THE DEENERGIZATION OF 480-VOLT SHUTDOWN BOARD #3B AND DOWNSTREAM LOADS, | | INCLUDING REACTOR PROTECTION SYSTEM (RPS) MOTOR-GENERATOR SET #3B. THE | | LOSS OF POWER TO RPS BUS #3B DEENERGIZED INSTRUMENTATION ASSOCIATED WITH | | PRIMARY CONTAINMENT ISOLATION SYSTEM (PCIS) GROUP 2 (RAD WASTE, PRESSURE | | SUPPRESSION CHAMBER), GROUP 3 (REACTOR WATER CLEANUP), GROUP 6 | | (CONTAINMENT), AND GROUP 8 (TRAVERSING INCORE PROBE). | | | | CONTROL ROOM OPERATORS RECLOSED THE NORMAL FEEDER BREAKER, AND RPS BUS #3B | | POWER WAS RESTORED FROM THE ALTERNATE RPS TRANSFORMER SUPPLY. ALL SYSTEMS | | WERE RESTORED TO NORMAL. | | | | THE LICENSEE IS DETERMINING THE CAUSE OF FAILURE OF THE ALTERNATE FEEDER | | BREAKER TO CLOSE. | | | | THE LICENSEE PLANS TO SUBMIT AN LICENSEE EVENT REPORT OF THIS EVENT TO THE | | NRC WITHIN 30 DAYS. THE LICENSEE INFORMED THE NRC RESIDENT INSPECTOR. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 33870 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: VERMONT YANKEE REGION: 1 |NOTIFICATION DATE: 03/10/98 | |UNIT: [1] [ ] [ ] STATE: VT |NOTIFICATION TIME: 15:40 [ET]| |RX TYPE: [1] GE-4 |EVENT DATE: 03/10/98 | +------------------------------------------------+EVENT TIME: 15:30[EST]| |NRC NOTIFIED BY: DAVE HOLLONQUIST |LAST UPDATE DATE: 03/10/98 | |HQ OPS OFFICER: DICK JOLLIFFE +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |RICHARD CONTE RDO | |AOUT 50.72(b)(1)(ii)(B) OUTSIDE DESIGN BASIS | | | | | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ | 1 | N Y 88 POWER OPERATION | 88 POWER OPERATION | | | | | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | -NON-SAFETY-RELATED CABLES ROUTED IN BOTH SAFETY-RELATED DIVISION RACEWAYS- | | | | DURING PLANT WALKDOWNS AND REVIEWS OF PLANT DRAWINGS, LICENSEE PERSONNEL | | IDENTIFIED 15 INSTANCES WHEREBY A NON-SAFETY-RELATED CABLE IS ROUTED IN A | | RACEWAY ALONGSIDE ONE DIVISION OF SAFETY-RELATED CABLES AND THEN IS FURTHER | | ROUTED IN ANOTHER RACEWAY ALONGSIDE THE OTHER DIVISION OF THE | | SAFETY-RELATED CABLES FOR THE SAME SYSTEM. THE CABLES OF BOTH | | SAFETY-RELATED DIVISIONS OF THE SAME SYSTEM COULD GET DAMAGED AT THE SAME | | TIME DUE TO THE EFFECTS OF THE FAULT CURRENT FROM THE COMMON | | NON-SAFETY-RELATED CABLE. THIS CONDITION IS IN VIOLATION OF THE | | REQUIREMENTS OF THE UPDATED FINAL SAFETY ANALYSIS REPORT, SECTION 8.4.6, | | AND DOCUMENT VYS-027, PLANT ELECTRICAL CABLE SEPARATION CRITERIA. | | | | THE LICENSEE HAS REVIEWED THE FUNCTION OF EACH OF THESE NON-SAFETY-RELATED | | CABLES FOR SAFETY SIGNIFICANCE AND PERFORMED A CORRESPONDING OPERABILITY | | ASSESSMENT. THESE NON-SAFETY-RELATED CABLES PROVIDE ANNUNCIATION, CONTROL, | | OR POWER FOR VARIOUS NON-SAFETY-RELATED FUNCTIONS. ELEVEN OF THESE CABLES | | ARE EITHER LOW ENERGY OR HAVE AT LEAST TWO PROTECTIVE DEVICES IN SERIES TO | | ISOLATE AN ELECTRICAL FAULT. THE LICENSEE IS CONTINUING TO INVESTIGATE | | THESE CONDITIONS. | | | | THE LICENSEE INFORMED THE NRC RESIDENT INSPECTOR. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |HOSPITAL | |EVENT NUMBER: 33871 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |LICENSEE: WASHINGTON HOSPITAL CENTER |NOTIFICATION DATE: 03/10/98 | | CITY: WASHINGTON, DC REGION: 1 |NOTIFICATION TIME: 15:49 [ET]| | COUNTY: STATE: DC |EVENT DATE: 03/09/98 | |LICENSE#: AGREEMENT: N |EVENT TIME: 18:00[EST]| | DOCKET: |LAST UPDATE DATE: 03/10/98 | | +-----------------------------+ | |PERSON ORGANIZATION| | |RICHARD CONTE RDO | | |ROBERT PIERSON, NMSS EO | +------------------------------------------------+STUART RUBIN, AEOD IRD | |NRC NOTIFIED BY: JOYCE JOHNSON |FEMA, DOE, DOA FAX | |HQ OPS OFFICER: DICK JOLLIFFE |HHS, EPA, DOT/NRC FAX | +------------------------------------------------+ | |EMERGENCY CLASS: NOT APPLICABLE | | |10 CFR SECTION: | | |IBAC 30.50(b)(1)(i) ACCESS DENIED >24 HRS | | | | | | | | | | | | | | +------------------------------------------------+-----------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | -FEW DROPLETS (FEW MICROCURIES) OF RHENIUM-188 SPILLED ONTO HOSPITAL FLOOR- | | | | A BRACHYTHERAPY PROCEDURE WAS BEING PERFORMED ON A PATIENT IN A LEAD LINED | | ROOM IN THE CATHETERIZATION LABORATORY OF WASHINGTON HOSPITAL CENTER IN | | WASHINGTON, D.C. WHILE A BALLOON USED TO STRETCH A BLOOD VESSEL WAS BEING | | REMOVED FROM THE PATIENT, A FEW DROPLETS (A FEW MICROCURIES) OF LIQUID | | RHENIUM-188 (A BETA EMITTER) LEAKED ONTO THE FLOOR. THE PATIENT AND THE | | ATTENDING HOSPITAL STAFF PERSONNEL WERE SURVEYED; NO PERSONNEL WERE | | CONTAMINATED. THE HOSPITAL STAFF IMMEDIATELY RESTRICTED ACCESS TO THE | | ROOM, CLEANED UP THE SPILL, AND IS SURVEYING THE ROOM AND INVESTIGATING | | THIS EVENT. | | | | DR. BILL BASS IS THE HOSPITAL RADIATION SAFETY OFFICER. | | | | THE LICENSEE PLANS TO SUBMIT A WRITTEN REPORT OF THIS EVENT TO THE NRC | | WITHIN 30 DAYS. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 33872 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: MILLSTONE REGION: 1 |NOTIFICATION DATE: 03/10/98 | |UNIT: [ ] [ ] [3] STATE: CT |NOTIFICATION TIME: 16:28 [ET]| |RX TYPE: [1] GE-3,[2] CE,[3] W-4-LP |EVENT DATE: 03/10/98 | +------------------------------------------------+EVENT TIME: 16:00[EST]| |NRC NOTIFIED BY: BILL HOFFNER |LAST UPDATE DATE: 03/10/98 | |HQ OPS OFFICER: DICK JOLLIFFE +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |RICHARD CONTE RDO | |APRE 50.72(b)(2)(vi) OFFSITE NOTIFICATION | | | |FEMA, DOE, DOE FAX | | |HHS, EPA, DOT/NRC FAX | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ | | | | | | | | | 3 | N N 0 COLD SHUTDOWN | 0 COLD SHUTDOWN | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | -PUMP LUBE WATER DISCHARGED INTO NIANTIC BAY IN VIOLATION OF NPDES PERMIT- | | | | THE LICENSEE NOTIFIED THE CONNECTICUT STATE DEPARTMENT OF ENVIRONMENTAL | | PROTECTION THAT UNIT 3 HAD DISCHARGED PUMP LUBRICATING WATER INTO THE | | NIANTIC BAY VIA A DISCHARGE PATH THAT WAS NOT IN COMPLIANCE WITH THE | | NATIONAL POLLUTION DISCHARGE ELIMINATION SYSTEM (NPDES) PERMIT | | REQUIREMENTS. | | | | THE LICENSEE INFORMED THE NRC RESIDENT INSPECTOR. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |GENERAL INFORMATION or OTHER | |EVENT NUMBER: 33873 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |LICENSEE: SOIL CONSULTANTS, INC |NOTIFICATION DATE: 03/10/98 | | CITY: ST LOUIS, MO REGION: 3 |NOTIFICATION TIME: 17:49 [ET]| | COUNTY: STATE: MO |EVENT DATE: 03/09/98 | |LICENSE#: AGREEMENT: N |EVENT TIME: 21:00[CST]| | DOCKET: |LAST UPDATE DATE: 03/10/98 | | +-----------------------------+ | |PERSON ORGANIZATION| | |GARY SHEAR RDO | | |ROBERT PIERSON, NMSS EO | +------------------------------------------------+ | |NRC NOTIFIED BY: BILL GUERDAN | | |HQ OPS OFFICER: DICK JOLLIFFE | | +------------------------------------------------+ | |EMERGENCY CLASS: NOT APPLICABLE | | |10 CFR SECTION: | | |NINF INFORMATION ONLY | | | | | | | | | | | | | | +------------------------------------------------+-----------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | - UNDAMAGED MOISTURE DENSITY GAUGE INVOLVED IN A PICKUP TRUCK ACCIDENT - | | | | AT 2100 CST ON 03/09/98, A SOIL CONSULTANTS, INC., PICKUP TRUCK WITH A | | HUMBOLDT MOISTURE DENSITY GAUGE IN THE TRUCK BED WAS INVOLVED IN AN | | ACCIDENT DURING A SNOW STORM. | | | | AT 1200 CST ON 03/10/98, A MEMBER OF THE MISSOURI DEPARTMENT OF NATURAL | | RESOURCES RETURNED THE UNDAMAGED GAUGE TO SOIL CONSULTANTS, INC. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 33874 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: ZION REGION: 3 |NOTIFICATION DATE: 03/10/98 | |UNIT: [ ] [2] [ ] STATE: IL |NOTIFICATION TIME: 18:33 [ET]| |RX TYPE: [1] W-4-LP,[2] W-4-LP |EVENT DATE: 03/10/98 | +------------------------------------------------+EVENT TIME: 15:48[CST]| |NRC NOTIFIED BY: CRAIG GREAVES |LAST UPDATE DATE: 03/10/98 | |HQ OPS OFFICER: DICK JOLLIFFE +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |GARY SHEAR 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 REFUELING | 0 REFUELING | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | - 5 RPS ACTUATION SIGNALS RECEIVED DUE TO A FAILED INSTRUMENTATION RACK - | | | | UNIT 2 IS DEFUELED WITH THE REACTOR TRIP BREAKERS OPEN AND OUT OF SERVICE. | | | | AT 1548 CST ON 03/10/98, THE UNIT 2 PROTECTION SET 1 TROUBLE AND CHANNEL | | SET FAILURE ANNUNCIATORS ALARMED WITH SEVERAL BISTABLES RECEIVED AND THREE | | 'FIRST OUT' ANNUNCIATORS RECEIVED: PRESSURIZER LOW PRESSURE, REACTOR | | COOLANT SYSTEM TWO LOOP LOW FLOW, AND MAIN TURBINE TRIP. | | | | THE CHANNEL SET FAILURE WAS FOUND TO BE ATTRIBUTED TO THE EAGLE | | INSTRUMENTATION RACK 2 IN PROTECTION SET 1. A FAILURE IN THIS | | INSTRUMENTATION RACK CAUSED THE MAIN TURBINE IMPULSE PRESSURE CHANNEL TO | | CLEAR THE MAIN TURBINE LOW POWER PERMISSIVE SIGNAL (P-13). THIS P-13 | | PERMISSIVE SIGNAL FEEDS THE LOW POWER REACTOR TRIPS BLOCKED PERMISSIVE | | SIGNAL (P-7). CLEARING THE P-7 PERMISSIVE SIGNAL UNBLOCKS THE FIVE LOW | | POWER REACTOR TRIP SIGNALS: PRESSURIZER HIGH LEVEL, PRESSURIZER LOW | | PRESSURE, REACTOR COOLANT SYSTEM TWO LOOP LOW FLOW, REACTOR COOLANT PUMP | | UNDERVOLTAGE, AND MAIN TURBINE TRIP. | | | | THE LICENSEE IS INVESTIGATING THE ROOT CAUSE OF THIS EVENT. | | | | THE LICENSEE INFORMED THE NRC RESIDENT INSPECTOR. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 33875 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: COOK REGION: 3 |NOTIFICATION DATE: 03/10/98 | |UNIT: [1] [2] [ ] STATE: MI |NOTIFICATION TIME: 23:26 [ET]| |RX TYPE: [1] W-4-LP,[2] W-4-LP |EVENT DATE: 03/10/98 | +------------------------------------------------+EVENT TIME: 20:30[EST]| |NRC NOTIFIED BY: STEVE CZUK |LAST UPDATE DATE: 03/10/98 | |HQ OPS OFFICER: LEIGH TROCINE +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |GARY SHEAR 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 COLD SHUTDOWN | 0 COLD SHUTDOWN | | 2 | N N 0 COLD SHUTDOWN | 0 COLD SHUTDOWN | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | IDENTIFICATION OF DISCREPANCIES BETWEEN EMERGENCY OPERATING PROCEDURES AND | | THE ACCIDENT ANALYSIS FOR THE PRIMARY SYSTEM CONTAINMENT | | | | PRELIMINARY INFORMATION FROM A LICENSEE SELF ASSESSMENT OF THE CONTAINMENT | | SPRAY SYSTEM INDICATES THAT THE CURRENT COOK PLANT FUNCTIONAL RESTORATION | | PROCEDURE, FRZ-1, "RESPONSE TO HIGH-HIGH CONTAINMENT PRESSURE," IS NOT IN | | AGREEMENT WITH THE WESTINGHOUSE CONTAINMENT INTEGRITY ANALYSIS OF RECORD. | | THE WESTINGHOUSE ANALYSIS DOES NOT ASSUME A DELAY IN ESTABLISHING | | CONTAINMENT SPRAY FLOW VIA THE RESIDUAL HEAT REMOVAL (RHR) SYSTEM WHEN | | CONTAINMENT PRESSURE REACHES A POST-ACCIDENT PRESSURE OF 8 PSIG. HOWEVER, | | THE CONFIGURATION OF THE RHR SYSTEM WILL RESULT IN A TIME DELAY BETWEEN | | WHEN 8 PSIG IN CONTAINMENT COULD OCCUR POST-ACCIDENT AND WHEN RHR SPRAY | | BEGINS. ANALYSIS INDICATES THAT THIS TIME DELAY IS UNACCEPTABLE. ACTIONS | | HAVE BEEN INITIATED TO INVESTIGATE THIS CONDITION AND DETERMINE APPROPRIATE | | CORRECTIVE ACTIONS. | | | | THE LICENSEE NOTIFIED THE NRC RESIDENT INSPECTOR. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 33876 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: BYRON REGION: 3 |NOTIFICATION DATE: 03/11/98 | |UNIT: [1] [2] [ ] STATE: IL |NOTIFICATION TIME: 05:47 [ET]| |RX TYPE: [1] W-4-LP,[2] W-4-LP |EVENT DATE: 03/11/98 | +------------------------------------------------+EVENT TIME: 00:58[CST]| |NRC NOTIFIED BY: DAVID FLOWERS |LAST UPDATE DATE: 03/11/98 | |HQ OPS OFFICER: LEIGH TROCINE +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |GARY SHEAR 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 Y 29 POWER OPERATION | 29 POWER OPERATION | | 2 | N Y 98 POWER OPERATION | 98 POWER OPERATION | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | DISCOVERY THAT THE CONTROL ROOM VENTILATION MAKEUP SUPPLY FAN AUTOMATIC | | START FEATURE IS INHIBITED WHILE SWAPPING CONTROL ROOM VENTILATION TRAINS. | | (REFER TO EVENT NUMBER 33877 FOR THE SAME ISSUE AT BRAIDWOOD.) | | | | A CONDITION WAS DISCOVERED THAT WOULD INHIBIT THE AUTOMATIC START FEATURE | | OF THE CONTROL ROOM VENTILATION MAKEUP SUPPLY FAN FOR BOTH CONTROL ROOM | | VENTILATION TRAINS, AND THIS WOULD ONLY OCCUR WHILE THE CONTROL ROOM | | VENTILATION TRAINS ARE BEING SWAPPED. THE LICENSEE STATED THAT BOTH TRAINS | | ARE STILL OPERABLE AND CAN BE MANUALLY STARTED. HOWEVER, THE AUTOMATIC | | START FEATURE IS REQUIRED BY THE TECHNICAL SPECIFICATIONS. THE LICENSEE | | PLANS TO HAVE ENGINEERING PERSONNEL INVESTIGATE THIS DESIGN ISSUE. | | | | THE LICENSEE PLANS TO NOTIFY THE NRC RESIDENT INSPECTOR. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 33877 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: BRAIDWOOD REGION: 3 |NOTIFICATION DATE: 03/11/98 | |UNIT: [1] [2] [ ] STATE: IL |NOTIFICATION TIME: 06:13 [ET]| |RX TYPE: [1] W-4-LP,[2] W-4-LP |EVENT DATE: 03/11/98 | +------------------------------------------------+EVENT TIME: 01:20[CST]| |NRC NOTIFIED BY: EDWARD STEFAN |LAST UPDATE DATE: 03/11/98 | |HQ OPS OFFICER: LEIGH TROCINE +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |GARY SHEAR 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 Y 100 POWER OPERATION | 100 POWER OPERATION | | 2 | N Y 100 POWER OPERATION | 100 POWER OPERATION | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | DISCOVERY THAT THE CONTROL ROOM VENTILATION MAKEUP SUPPLY FAN AUTOMATIC | | START FEATURE IS INHIBITED WHILE SWAPPING CONTROL ROOM VENTILATION TRAINS | | (REFER TO EVENT NUMBER 33876 FOR THE SAME EVENT AT BYRON.) | | | | A CONDITION WAS DISCOVERED AT BYRON THAT ALSO APPLIES TO BRAIDWOOD BECAUSE | | BOTH FACILITIES HAVE SIMILAR CONTROL ROOM VENTILATION DESIGNS. THIS | | CONDITION WOULD INHIBIT THE AUTOMATIC START FEATURE OF THE CONTROL ROOM | | VENTILATION MAKEUP SUPPLY FAN FOR BOTH CONTROL ROOM VENTILATION TRAINS, AND | | IT WOULD ONLY OCCUR WHILE THE CONTROL ROOM VENTILATION TRAINS ARE BEING | | SWAPPED. THE LICENSEE STATED THAT BOTH TRAINS ARE STILL OPERABLE AND CAN | | BE MANUALLY STARTED. HOWEVER, THE AUTOMATIC START FEATURE IS REQUIRED BY | | THE TECHNICAL SPECIFICATIONS. THE LICENSEE PLANS TO HAVE ENGINEERING | | PERSONNEL INVESTIGATE THIS DESIGN ISSUE. | | | | THE LICENSEE PLANS TO NOTIFY THE NRC RESIDENT INSPECTOR. | +------------------------------------------------------------------------------+