U.S. Nuclear Regulatory Commission Operations Center Event Reports For 08/10/98 - 08/11/98 ** EVENT NUMBERS ** 34510 34622 34623 34624 34625 !!!!!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED !!!!!!! +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 34510 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: VERMONT YANKEE REGION: 1 |NOTIFICATION DATE: 07/14/98 | |UNIT: [1] [ ] [ ] STATE: VT |NOTIFICATION TIME: 16:32 [ET]| |RX TYPE: [1] GE-4 |EVENT DATE: 07/14/98 | +------------------------------------------------+EVENT TIME: 16:14[EDT]| |NRC NOTIFIED BY: MICHAEL EMPEY |LAST UPDATE DATE: 08/10/98 | |HQ OPS OFFICER: STEVE SANDIN +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |PETER ESELGROTH 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 100 POWER OPERATION | 100 POWER OPERATION | | | | | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | THE LICENSEE IDENTIFIED A SERVICE WATER ALIGNMENT, FOLLOWING A POSTULATED | | SERVICE WATER DISCHARGE LINE BREAK, THAT WAS NOT SUPPORTED BY ANY | | CALCULATIONS FOR RIVER WATER TEMPERATURES >45øF. | | | | THE FOLLOWING TEXT IS A PORTION OF A FACSIMILE RECEIVED FROM THE LICENSEE: | | | | "DURING A DESIGN BASIS DOCUMENTATION REVIEW OF THE SERVICE WATER SYSTEM, IT | | WAS DETERMINED THAT A CALCULATION DOES NOT EXIST TO SUPPORT THE FOLLOWING | | CONDITION: SHIFTING SERVICE WATER DISCHARGE TO THE COOLING TOWER DEEP | | BASIN FOR A PIPE BREAK DOWNSTREAM [OF] SERVICE WATER VALVE 18 (REACTOR | | BUILDING DISCHARGE ISOLATION) WITH RIVER TEMPERATURES >45øF PER FSAR | | SECTION 10.6.6." | | | | "AN INITIAL OPERABILITY DETERMINATION CONCLUDED [THAT] THE SYSTEM IS | | OPERABLE, AND A BASES FOR MAINTAINING OPERABILITY (BMO) WILL BE ISSUED." | | | | THE LICENSEE PLANS TO INFORM THE STATE INSPECTOR AND HAS INFORMED THE NRC | | RESIDENT INSPECTOR. | | | | * * * UPDATE AT 1649 ON 08/10/98 BY JIM BROOKS TO JOLLIFFE * * * | | | | THE LICENSEE PERFORMED A DETAILED ASSESSMENT OF PLANT OPERATING PROCEDURES, | | CURRENT LICENSING BASES, SERVICE WATER COOLING REQUIREMENTS AND FLOW | | CAPABILITIES, AND INTERVIEWS WITH PLANT OPERATING PERSONNEL. AFTER THIS | | ASSESSMENT, THE LICENSEE CONCLUDED THAT EXISTING PLANT PROCEDURES AND | | OPERATOR TRAINING ENSURE THAT THE EDGs (COMPONENTS OF CONCERN) WILL NOT | | BE LOADED TO A POINT WHERE THE EDGs WOULD NOT BE ADEQUATELY COOLED. THE | | LICENSEE FURTHER CONCLUDED THAT ACTIONS WOULD BE TAKEN TO MITIGATE ANY REAL | | OR POTENTIAL OVERHEATING OF THE EDGs AND ASSURE FLOW TO ESSENTIAL SERVICE | | WATER COOLING LOADS SHOULD THE SW-18 VALVE BE CLOSED WITH THE RIVER WATER | | TEMPERATURE HIGHER THAN 45øF. THE LICENSEE ALSO CONCLUDED THAT CONTINUED | | PLANT OPERATION WITHOUT ANY COMPENSATORY MEASURES IS ACCEPTABLE AND | | CONSISTENT WITH THE PLANT DESIGN BASES, AND THUS, THE LICENSEE DESIRES | | TO RETRACT THIS EVENT. | | | | THE LICENSEE PLANS TO INFORM THE NRC RESIDENT INSPECTOR. | | | | THE NRC OPERATIONS OFFICER NOTIFIED THE R1DO DAVE SILK. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |OTHER NUCLEAR MATERIAL | |EVENT NUMBER: 34622 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |LICENSEE: WOOD PROTECTION PRODUCTS |NOTIFICATION DATE: 08/10/98 | | CITY: CHARLOTTE REGION: 2 |NOTIFICATION TIME: 09:35 [ET]| | COUNTY: STATE: NC |EVENT DATE: 08/10/98 | |LICENSE#: 060-0822-0G AGREEMENT: Y |EVENT TIME: 08:00[EDT]| | DOCKET: |LAST UPDATE DATE: 08/10/98 | | +-----------------------------+ | |PERSON ORGANIZATION| | |MIKE ERNSTES RDO | | |FRED COMBS, NMSS EO | +------------------------------------------------+ROBERTA WARREN, NMSS IAT | |NRC NOTIFIED BY: EADDY (N.C. DRP) |PHIL TING, NMSS IAT | |HQ OPS OFFICER: CHAUNCEY GOULD |DAVE THOMPSON, REG 2 IAT | +------------------------------------------------+ | |EMERGENCY CLASS: NOT APPLICABLE | | |10 CFR SECTION: | | |NAGR AGREEMENT STATE | | | | | | | | | | | | | | +------------------------------------------------+-----------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | THE NORTH CAROLINA DIVISION OF RADIATION PROTECTION IN RALEIGH, NC, | | REPORTED, UNDER THEIR INCIDENT NUMBER 98-23, THAT A RADIATION DEVICE WAS | | STOLEN FROM ONE OF THEIR LICENSEES. | | | | AN ANSOMA X-RAY FLUORESCENT UNIT MODEL LCA WAS STOLEN SOMETIME BETWEEN THE | | CLOSE OF BUSINESS ON 08/07/98 AND THE MORNING OF 08/10/98. THE BUILDING | | WHERE THE DEVICE WAS STORED WAS WELL SECURED, BUT A SET OF WINDOW BARS WERE | | PULLED OUT, POSSIBLY USING SOME TYPE OF VEHICLE. THE DEVICE ORIGINALLY | | CONTAINED 30 MILLICURIES OF IRON-55, BUT THE SOURCE MAY HAVE BEEN CHANGED | | DURING THE MOST RECENT SERVICE, SO THE DEVICE MAY CONTAIN AN UNKNOWN AMOUNT | | OF CURIUM-244. | | | | NOTE: NRC REGION 2 ISSUED PNO-II-98-036 ON THIS EVENT. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |HOSPITAL | |EVENT NUMBER: 34623 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |LICENSEE: RADARIUM FOUNDATION HOSPITAL |NOTIFICATION DATE: 08/10/98 | | CITY: INDEPENDENCE REGION: 3 |NOTIFICATION TIME: 13:25 [ET]| | COUNTY: STATE: MO |EVENT DATE: 08/10/98 | |LICENSE#: 24-19486-01 AGREEMENT: N |EVENT TIME: 08:30[CDT]| | DOCKET: |LAST UPDATE DATE: 08/10/98 | | +-----------------------------+ | |PERSON ORGANIZATION| | |BRUCE BURGESS RDO | | |FRED COMBS, NMSS EO | +------------------------------------------------+ | |NRC NOTIFIED BY: DICK MORRISON, RSO | | |HQ OPS OFFICER: DICK JOLLIFFE | | +------------------------------------------------+ | |EMERGENCY CLASS: NOT APPLICABLE | | |10 CFR SECTION: | | |LADM 35.33(a) MED MISADMINISTRATION | | | | | | | | | | | | | | +------------------------------------------------+-----------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | - POSTERIOR RADIATION FIELD OVERDOSE DURING A CANCER TREATMENT - | | | | AT 0830 CDT ON 08/10/98, THE RADARIUM FOUNDATION HOSPITAL RADIATION SAFETY | | OFFICER (RSO) DETERMINED THAT A MALE PATIENT BEING TREATED FOR METASTATIC | | RENAL CARCINOMA OF THE SACRUM HAD BEEN GIVEN AN OVERDOSE OF RADIATION. A | | HOSPITAL RADIATION THERAPIST CALCULATED THE DOSE AND ENTERED A WEDGE FACTOR | | FOR THE POSTERIOR (CENTRAL) RADIATION FIELD (THE FACTOR SHOULD HAVE BEEN | | ZERO). | | | | AS A RESULT, THE PATIENT WAS GIVEN 248 cGy EACH FOR SEVEN TREATMENTS | | (CONSECUTIVE DAYS) FOR A TOTAL OF 1,736 cGy FOR THE POSTERIOR FIELD. THE | | PRESCRIBED DOSE FOR THE POSTERIOR FIELD WAS 136 cGy EACH FOR 15 TREATMENTS | | (CONSECUTIVE DAYS) FOR A TOTAL OF 2,040 cGy. | | | | THE RSO DETERMINED THAT THIS RADIATION OVERDOSE POSES NO ADVERSE IMPACT | | TO THE PATIENT AND NOTIFIED THE PATIENT AND HIS REFERRING PHYSICIAN. | | HOSPITAL PERSONNEL PLAN TO ADMINISTER THE REMAINING TREATMENTS WITH NO DOSE | | TO THE POSTERIOR RADIATION FIELD AND ARE DETERMINING CORRECTIVE ACTIONS FOR | | THIS EVENT. | | | | THE RSO PLANS TO SUBMIT A WRITTEN REPORT OF THIS EVENT TO THE NRC WITHIN | | 15 DAYS. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 34624 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: SALEM REGION: 1 |NOTIFICATION DATE: 08/10/98 | |UNIT: [ ] [2] [ ] STATE: NJ |NOTIFICATION TIME: 14:40 [ET]| |RX TYPE: [1] W-4-LP,[2] W-4-LP |EVENT DATE: 08/10/98 | +------------------------------------------------+EVENT TIME: 06:40[EDT]| |NRC NOTIFIED BY: STEVE SAUER |LAST UPDATE DATE: 08/10/98 | |HQ OPS OFFICER: DICK JOLLIFFE +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |DAVID SILK RDO | |ADEV 50.72(b)(1)(i)(B) DEVIATION FROM T SPEC | | | | | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ | | | | | 2 | N Y 35 POWER OPERATION | 35 POWER OPERATION | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | - HOURLY INSTEAD OF CONTINUOUS FIRE WATCH POSTED IN FIRE ZONE - | | | | AT 0650 ON 08/07/98, A SMOKE DETECTOR IN FIRE ZONE 122 (ELECTRICAL | | PENETRATION AREA OUTSIDE CONTAINMENT) ALARMED FOR NO APPARENT REASON. | | PLANT PERSONNEL RESET THE DETECTOR AND THE ALARM CLEARED. | | | | AT 0623 ON 08/09/98, THE FIRE ALARM FOR FIRE ZONE 122 ANNUNCIATED AGAIN. | | PLANT PERSONNEL DETERMINED THAT THERE WAS NO VALID REASON FOR THE ALARM. | | PLANT TECHNICIANS CLEANED ALL SIX DETECTORS IN FIRE ZONE 122 AND RESET | | THE ALARM FOR THIS ZONE. | | | | AT 0945 ON 08/09/98, THE FIRE ALARM FOR FIRE ZONE 122 ANNUNCIATED AGAIN. | | | | DUE TO UNIT 2 PLANT STARTUP ACTIVITIES IN PROGRESS, THE CONTROL ROOM | | SUPERVISOR REQUESTED THAT THAT NO FURTHER TROUBLESHOOTING BE PERFORMED ON | | THIS EQUIPMENT. PLANT PERSONNEL ESTABLISHED AN HOURLY FIRE WATCH IN THIS | | AREA. | | | | AT 0640 ON 08/10/98, THE ONCOMING FIRE PROTECTION SUPERVISOR DETERMINED | | THAT A CONTINUOUS FIRE WATCH INSTEAD OF AN HOURLY FIRE WATCH SHOULD HAVE | | BEEN ESTABLISHED BECAUSE OF THE LACK OF SMOKE DETECTION IN THIS AREA. | | WHEN THIS FIRE ZONE IS LOCKED INTO AN ALARM CONDITION, NO OTHER SMOKE | | DETECTORS IN THIS ZONE WOULD HAVE CAUSED A REFLASH ALARM CONDITION. | | | | WITH THE LOSS OF FIRE DETECTION IN THIS AREA, A CONTINUOUS FIRE WATCH | | IS REQUIRED. FAILURE TO ESTABLISH A CONTINUOUS FIRE WATCH IS A VIOLATION | | OF THE LICENSEE APPROVED FIRE PROTECTION PROGRAM. THIS EVENT IS REPORTABLE | | TO THE NRC PER TECH SPEC 6.9.3 AND SECTION 2.1 OF OPERATING LICENSE 2.C.10. | | | | PLANT TECHNICIANS HAVE REPAIRED AND SATISFACTORILY TESTED THE SMOKE | | DETECTORS AND CANCELED THE CONTINUOUS FIRE WATCH. | | | | THIS EVENT HAS NO EFFECT ON UNIT 1. | | | | THE LICENSEE INFORMED THE NRC RESIDENT INSPECTOR. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |FUEL CYCLE FACILITY | |EVENT NUMBER: 34625 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: PADUCAH GASEOUS DIFFUSION PLANT |NOTIFICATION DATE: 08/10/98 | | RXTYPE: URANIUM ENRICHMENT FACILITY |NOTIFICATION TIME: 16:33 [ET]| |COMMENTS: 2 DEMOCRACY CENTER |EVENT DATE: 08/10/98 | | 6903 ROCKLEDGE DRIVE |EVENT TIME: 12:00[CDT]| | BETHESDA, MD 20817 (301)564-3200 |LAST UPDATE DATE: 08/10/98 | | CITY: PADUCAH REGION: 3 +-----------------------------+ | COUNTY: McCRACKEN STATE: KY |PERSON ORGANIZATION| |LICENSE#: GDP-1 AGREEMENT: Y |MARK RING RDO | | DOCKET: 0707001 |FRED COMBS, NMSS EO | +------------------------------------------------+ | |NRC NOTIFIED BY: BILL HALICKS | | |HQ OPS OFFICER: DICK JOLLIFFE | | +------------------------------------------------+ | |EMERGENCY CLASS: NOT APPLICABLE | | |10 CFR SECTION: | | |NCFR NON CFR REPORT REQMNT | | | | | | | | | | | | | | +------------------------------------------------+-----------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | - 30 POUNDS OF CHLORINE GAS RELEASED INSIDE WASTE TREATMENT BUILDING - | | | | AT 0943 CDT ON 08/10/98, THE PLANT SHIFT SUPERINTENDENT WAS NOTIFIED OF A | | CHLORINE GAS RELEASE DETECTION SYSTEM ALARM IN THE C-615 WASTE TREATMENT | | BUILDING. THE PLANT EMERGENCY SQUAD RESPONDED. INITIAL SAMPLING INDICATED | | THE PRESENCE OF GREATER THAN 200 PPM CHLORINE. A PLANT EMERGENCY RESPONSE | | TEAM ENTERED THE BUILDING AND SHUT THE CHLORINE CYLINDER VALVES AT THE | | CHLORINE FEED STATION. THE AMBIENT CHLORINE LEVEL IMMEDIATELY BEGAN TO | | DROP AND THE SOURCE OF THE RELEASE WAS APPARENTLY ISOLATED. SUBSEQUENT | | SAMPLING INDICATED NO DETECTABLE CHLORINE. THE CHLORINE EMERGENCY WAS | | TERMINATED AND THE FACILITY TURNED OVER TO BUILDING OPERATIONS PERSONNEL | | FOR TROUBLESHOOTING AND REPAIR. | | | | APPROXIMATELY 30 POUNDS OF CHLORINE GAS HAD BEEN RELEASED, EXCEEDING THE | | REPORTABLE QUANTITY (10 POUNDS) UNDER CERCLA ENVIRONMENTAL REGULATIONS. | | NO PERSONNEL WERE INJURED. | | | | PLANT PERSONNEL NOTIFIED THE KENTUCKY EMERGENCY RESPONSE TEAM AND THE DOT | | NATIONAL RESPONSE CENTER (WHO IN TURN NOTIFIED THE NRC OPERATIONS CENTER). | | PLANT PERSONNEL NOTIFIED THE NRC IN ACCORDANCE WITH SAR SECTION 6.9, | | TABLE 6.9-1, CRITERIA P. | | | | THE LICENSEE INFORMED THE NRC RESIDENT INSPECTOR. | +------------------------------------------------------------------------------+