U.S. Nuclear Regulatory Commission Operations Center Event Reports For 01/14/98 - 01/15/98 ** EVENT NUMBERS ** 33529 33530 33531 33532 33533 33534 33535 33536 33537 33538 33539 +----------------------------------+ +-----------------------+ |OTHER NUCLEAR MATERIAL | |EVENT NUMBER: 33529 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |LICENSEE: WILSON, MILLER, BARTON & PEEK, INC. |NOTIFICATION DATE: 01/14/98 | | CITY: CAPE CORAL REGION: 2 |NOTIFICATION TIME: 09:25 [ET]| | COUNTY: STATE: FL |EVENT DATE: 01/14/98 | |LICENSE#: FL-2716-1 AGREEMENT: Y |EVENT TIME: 04:45[EST]| | DOCKET: |LAST UPDATE DATE: 01/14/98 | | +-----------------------------+ | |PERSON ORGANIZATION| | |CAUDLE JULIAN RDO | | | | +------------------------------------------------+ | |NRC NOTIFIED BY: CHARLES ADAMS | | |HQ OPS OFFICER: DOUG WEAVER | | +------------------------------------------------+ | |EMERGENCY CLASS: NOT APPLICABLE | | |10 CFR SECTION: | | |NAGR AGREEMENT STATE | | | | | | | | | | | | | | +------------------------------------------------+-----------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | STOLEN TROXLER MOISTURE/DENSITY GAUGE | | | | THIS REPORT WAS SENT TO THE OPERATIONS CENTER BY FACSIMILE FROM THE STATE | | OF FLORIDA. | | | | A TROXLER MOISTURE/DENSITY GAUGE, MODEL #3440, SERIAL #27592 WAS STOLEN | | FROM THE BACK OF A PICKUP TRUCK IN CAPE CORAL, FL. THE GAUGE HAD BEEN | | CHAINED TO THE BACK OF THE TRUCK. THE GAUGE IS OWNED BY WILSON, MILLER, | | BARTON & PEEK, INC. OF NAPLES, FL. THE CAPE CORAL POLICE DEPARTMENT HAS | | BEEN NOTIFIED. | | | | THE GAUGE CONTAINS 8.0 mCi OF Cs-137 AND 40.0 mCi OF Am-241. CONTACT PHONE | | NUMBERS ARE AVAILABLE IN THE HOO LOG. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 33530 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: POINT BEACH REGION: 3 |NOTIFICATION DATE: 01/14/98 | |UNIT: [1] [2] [ ] STATE: WI |NOTIFICATION TIME: 13:22 [ET]| |RX TYPE: [1] W-2-LP,[2] W-2-LP |EVENT DATE: 01/14/98 | +------------------------------------------------+EVENT TIME: 11:30[CST]| |NRC NOTIFIED BY: RICK WOOD |LAST UPDATE DATE: 01/14/98 | |HQ OPS OFFICER: DICK JOLLIFFE +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |GARY SHEAR 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 98 POWER OPERATION | 98 POWER OPERATION | | 2 | N N 0 COLD SHUTDOWN | 0 COLD SHUTDOWN | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | - UNIT 1 & 2 RCP MLOC SYSTEM MAY NOT COMPLY WITH 10CFR50, APPENDIX R - | | | | UNIT 1 IS AT 98% POWER AND UNIT 2 IS IN MODE 5 (COLD SHUTDOWN) IN A | | MAINTENANCE OUTAGE. | | | | ON 12/17/98, DURING A PLANT WALKDOWN OF UNIT 2 CONDUCTED FOR THE LICENSEE'S | | 10CFR50, APPENDIX R REBASELINING PROJECT, A LICENSEE SYSTEM ENGINEER | | DISCOVERED THAT THE MOTOR LUBE OIL COLLECTION (MLOC) SYSTEM FOR UNIT 2 | | REACTOR COOLANT PUMP (RCP) #2P-1A MAY NOT COMPLY WITH SECTION III.O OF | | 10CFR50, APPENDIX R. ALTHOUGH THE #2P-1A RCP MLOC SYSTEM WAS INSTALLED | | AS DESIGNED AND APPEARED TO BE IN GOOD CONDITION, THE LICENSEE IDENTIFIED | | CERTAIN APPARENT DEFICIENCIES INCLUDING POTENTIAL LEAKAGE SITES OUTSIDE THE | | MLOC SYSTEM BOUNDARY AND A POTENTIALLY INADEQUATE DRAIN PATH BETWEEN THE | | OIL DEFLECTOR CONE PAN AND LEAKOFF TROUGH. | | | | THE LICENSEE ALSO INSPECTED THE UNIT 2 #2P-1B RCP MLOC SYSTEM TO THE EXTENT | | PRACTICAL, IN CONSIDERATION OF THE MAINTENANCE ACTIVITIES IN PROGRESS. | | NO ADDITIONAL DESIGN-RELATED DEFICIENCIES WERE NOTED FOR THE #2P-1B RCP | | MLOC SYSTEM. | | | | BASED UPON THE GENERAL SIMILARITY OF UNIT DESIGNS, THE LICENSEE ASSUMED | | THAT SIMILAR APPARENT DESIGN DEFICIENCIES ALSO EXIST ON THE MLOC SYSTEMS OF | | THE UNIT 1 RCPs. THE UNIT 1 RCP MLOC SYSTEMS WERE INACCESSIBLE FOR | | INSPECTION DUE TO POWER OPERATIONS. THE INITIAL OPERABILITY ASSESSMENT | | CONCLUDED THAT THE UNIT 1 RCP MLOC SYSTEMS WOULD NOT PREVENT THE PLANT'S | | CAPABILITY TO ACHIEVE A SAFE SHUTDOWN. THIS CONDITION WAS NOT ORIGINALLY | | CONSIDERED TO BE "OUTSIDE THE DESIGN BASIS" BECAUSE THE IDENTIFIED | | CONDITION APPEARS TO COMPLY WITH THE DESIGN. THERE ARE NO TECHNICAL | | SPECIFICATION OPERABILITY REQUIREMENTS FOR THE RCP MLOC SYSTEMS. | | | | UPON FURTHER REVIEW OF THE ORIGINAL DESIGN MODIFICATION WHICH INSTALLED | | THE RCP MLOC SYSTEMS, AND DISCUSSIONS WITH PLANT ENGINEERS INVOLVED IN THE | | ORIGINAL DESIGN, THE LICENSEE CONCLUDED THAT THE SYSTEM DESIGN BASES WERE | | NOT WELL DOCUMENTED. QUALITATIVE ENGINEERING JUDGMENT OF THE EXISTING | | DESIGN COULD NOT READILY DEMONSTRATE COMPLIANCE WITH THE DESIGN BASIS | | REQUIREMENT (i.e., SECTION III.O OF 10CFR50, APPENDIX R). THEREFORE, | | ON 01/14/98, THE LICENSEE CONCLUDED THAT THE EXISTING CONDITION IS | | OUTSIDE THE SYSTEM'S DESIGN BASIS. | | | | THE LICENSEE STATED THAT THIS EVENT DOES NOT AFFECT THE OPERABILITY OF | | UNIT 1. | | | | THE LICENSEE WILL INFORM THE NRC RESIDENT INSPECTOR. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 33531 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: SAN ONOFRE REGION: 4 |NOTIFICATION DATE: 01/14/98 | |UNIT: [ ] [2] [3] STATE: CA |NOTIFICATION TIME: 14:11 [ET]| |RX TYPE: [1] W-3-LP,[2] CE,[3] CE |EVENT DATE: 01/14/98 | +------------------------------------------------+EVENT TIME: 10:26[PST]| |NRC NOTIFIED BY: G. PLUMLEE |LAST UPDATE DATE: 01/14/98 | |HQ OPS OFFICER: DICK JOLLIFFE +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: | | |DDDD 73.71 UNSPECIFIED PARAGRAPH | | | |D. CHAMBERLAIN, R4 IAT | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ | | | | | 2 | N Y 100 POWER OPERATION | 100 POWER OPERATION | | 3 | N Y 100 POWER OPERATION | 100 POWER OPERATION | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | - PLANT SECURITY EVENT - | | | | PLANT SAFEGUARDS DEGRADATION RELATED TO COMPUTER FAILURE FOR 6 MINUTES. | | COMPENSATORY MEASURES (PLANT SECURITY GUARDS POSTED AT REQUIRED POSITIONS) | | WERE IN PLACE DURING THIS ENTIRE TIME PERIOD. THE LICENSEE WILL INFORM | | THE NRC RESIDENT INSPECTOR. REFER TO THE HOO LOG FOR ADDITIONAL DETAILS. | | (REFER TO EVENT #33436 FOR A RELATED PLANT SECURITY EVENT.) | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 33532 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: MCGUIRE REGION: 2 |NOTIFICATION DATE: 01/14/98 | |UNIT: [1] [2] [ ] STATE: NC |NOTIFICATION TIME: 14:40 [ET]| |RX TYPE: [1] W-4-LP,[2] W-4-LP |EVENT DATE: 01/14/98 | +------------------------------------------------+EVENT TIME: 13:42[EST]| |NRC NOTIFIED BY: AL YODER |LAST UPDATE DATE: 01/14/98 | |HQ OPS OFFICER: DICK JOLLIFFE +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |CAUDLE JULIAN RDO | |AUNA 50.72(b)(1)(ii)(A) UNANALYZED COND OP | | |NLCO TECH SPEC LCO A/S | | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ | 1 | N Y 100 POWER OPERATION | 100 POWER OPERATION | | 2 | N Y 100 POWER OPERATION | 100 POWER OPERATION | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | - 3.0.3 SD LCO ENTERED WHEN A TEST PROCEDURE WAS DROPPED ON A TEST SWITCH - | | | | THE LICENSEE DECLARED BOTH TRAINS OF THE CONTROL ROOM VENTILATION SYSTEM | | INOPERABLE WHEN A CONTROL ROOM OPERATOR DROPPED A TEST PROCEDURE (SEVERAL | | 8-1/2 X 11 SHEETS OF PAPER STAPLED TOGETHER) ON A CONTROL ROOM TEST SWITCH. | | THE LICENSEE ENTERED TECH SPEC LCO A/S 3.0.3. CONTROL ROOM OPERATORS | | RESTARTED ONE TRAIN OF THE CONTROL ROOM VENTILATION SYSTEM WITHOUT | | INCIDENT AFTER THE SWITCH WAS REPOSITIONED. TWELVE MINUTES LATER, THE | | LICENSEE EXITED TECH SPEC LCO A/S 3.0.3. NO POWER REDUCTION OCCURRED. | | THE LICENSEE IS DETERMINING CORRECTIVE ACTIONS. THE LICENSEE WILL INFORM | | THE NRC RESIDENT INSPECTOR. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 33533 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: TURKEY POINT REGION: 2 |NOTIFICATION DATE: 01/14/98 | |UNIT: [3] [ ] [ ] STATE: FL |NOTIFICATION TIME: 14:43 [ET]| |RX TYPE: [3] W-3-LP,[4] W-3-LP |EVENT DATE: 01/13/98 | +------------------------------------------------+EVENT TIME: 16:00[EST]| |NRC NOTIFIED BY: JIM HICKEY |LAST UPDATE DATE: 01/14/98 | |HQ OPS OFFICER: DICK JOLLIFFE +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |CAUDLE JULIAN RDO | |HFIT 26.73 FITNESS FOR DUTY | | | | | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |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 +------------------------------------------------------------------------------+ | - FITNESS-FOR-DUTY EVENT - | | | | DISCOVERY OF THE ARREST OF A PLANT EMPLOYEE GRANTED ACCESS TO THE PLANT. | | THE INDIVIDUAL'S PLANT ACCESS AUTHORIZATION HAS BEEN SUSPENDED PENDING A | | FURTHER INVESTIGATION. THE LICENSEE INFORMED THE NRC RESIDENT INSPECTOR. | | REFER TO THE HOO LOG FOR ADDITIONAL DETAILS. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |HOSPITAL | |EVENT NUMBER: 33534 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |LICENSEE: ST FRANCIS HOSPITAL, HARTFORD, CT |NOTIFICATION DATE: 01/14/98 | | CITY: HARTFORD REGION: 1 |NOTIFICATION TIME: 15:45 [ET]| | COUNTY: STATE: CT |EVENT DATE: 01/13/98 | |LICENSE#: 06-00854-03 AGREEMENT: N |EVENT TIME: 21:30[EST]| | DOCKET: |LAST UPDATE DATE: 01/14/98 | | +-----------------------------+ | |PERSON ORGANIZATION| | |JOHN ROGGE RDO | | |LARRY CAMPER, NMSS EO | +------------------------------------------------+ | |NRC NOTIFIED BY: DR BOB RICE | | |HQ OPS OFFICER: DICK JOLLIFFE | | +------------------------------------------------+ | |EMERGENCY CLASS: NOT APPLICABLE | | |10 CFR SECTION: | | |LADM 35.33(a) MED MISADMINISTRATION | | | | | | | | | | | | | | +------------------------------------------------+-----------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | - UNDERDOSE TO A ELDERLY FEMALE PATIENT DURING A CANCER TREATMENT - | | | | ON 01/13/98, AN ELDERLY FEMALE PATIENT WAS RECEIVING A CANCER TREATMENT | | WITH A NUCLETRON SELECTRON LDR REMOTE AFTERLOADER. THE TREATMENT PLAN | | CALLED FOR FIVE SOURCES IN TANDEM AND TWO SOURCES IN EACH OF THE TWO | | OVOIDS. ALL SOURCES TOTALED 16.3 MILLICURIES OF Cs-137 WITH A DOSE | | RATE OF 56.1 cGy/HR FOR 40 HOURS, A TOTAL PRESCRIBED DOSE OF 2244 cGy. | | | | FOUR HOURS AFTER THE TREATMENT BEGAN, A RESIDENT GYNECOLOGIST DISCOVERED | | THAT THE APPLICATOR WAS OUT OF THE PATIENT APPROXIMATELY 4 TO 6 INCHES DUE | | TO INTERVENTION BY THE PATIENT. THE WALL MOUNTED RADIATION MONITOR IN THE | | ROOM WAS NOT FLASHING INDICATING THAT NO UNSHIELDED RADIATION WAS PRESENT | | IN THE ROOM. THE PATIENT'S GYNECOLOGIST DECIDED TO DISCONTINUE ANY FURTHER | | TREATMENT. THE PATIENT WAS INFORMED AND THE APPLICATOR WAS COMPLETELY | | REMOVED FROM THE PATIENT. THE TOTAL ADMINISTRATED DOSE WAS 223 cGy. | | THE ADMINISTRATED DOSE THUS DIFFERS FROM THE PRESCRIBED DOSE BY MORE THAN | | 20% OF THE PRESCRIBED DOSE. NO ADVERSE HEALTH EFFECTS TO THE PATIENT ARE | | EXPECTED AS A RESULT OF THIS MEDICAL MISADMINISTRATION. | | | | THE LICENSEE PLANS TO SUBMIT A WRITTEN REPORT TO NRC REGION 1 WITHIN | | 15 DAYS. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 33535 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: INDIAN POINT REGION: 1 |NOTIFICATION DATE: 01/14/98 | |UNIT: [2] [ ] [ ] STATE: NY |NOTIFICATION TIME: 17:08 [ET]| |RX TYPE: [2] W-4-LP,[3] W-4-LP |EVENT DATE: 01/14/98 | +------------------------------------------------+EVENT TIME: 15:00[EST]| |NRC NOTIFIED BY: PHIL SANTIANI |LAST UPDATE DATE: 01/14/98 | |HQ OPS OFFICER: DICK JOLLIFFE +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |JOHN ROGGE RDO | |CDEG 21.21(c)(3)(i) DEFECTS/NONCOMPLIANCE | | | |VERN HODGE NRR | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |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 +------------------------------------------------------------------------------+ | - 10CFR PART 21 REPORT - | | | | FOUR SAFETY-RELATED 480-VOLT WESTINGHOUSE MODEL #DB-50 CIRCUIT BREAKERS | | WERE SENT TO NUCLEAR LOGISTICS, INC, FT WORTH, TEXAS, AN APPROVED 10CFR50, | | APPENDIX B QUALIFIED REPAIR FACILITY, FOR OVERHAUL. THE BREAKERS WERE | | RETURNED TO UNIT 2 OUTSIDE THE MANUFACTURER'S TOLERANCES AND NOT MEETING | | THE REQUIREMENTS OF THE LICENSEE CLASS "A" (SAFETY-RELATED) PURCHASE ORDER. | | | | THIS CONDITION WAS DISCOVERED DURING PRE-INSTALLATION TESTING BEFORE THE | | BREAKERS WERE INSTALLED IN UNIT 2. IF INSTALLED, THESE BREAKERS MIGHT HAVE | | MALFUNCTIONED WHEN CALLED UPON TO PERFORM THEIR SAFETY-RELATED FUNCTION. | | | | THE LICENSEE PLANS TO REPAIR AND TEST THESE BREAKERS (AND THE REMAINING | | 46 SAFETY-RELATED 480-VOLT BREAKERS) ON-SITE PRIOR TO INSTALLATION. | | | | THE LICENSEE PLANS TO SUBMIT A WRITTEN PART 21 REPORT TO THE NRC. | | | | THE LICENSEE WILL INFORM THE NRC RESIDENT INSPECTOR. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 33536 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: INDIAN POINT REGION: 1 |NOTIFICATION DATE: 01/14/98 | |UNIT: [2] [ ] [ ] STATE: NY |NOTIFICATION TIME: 17:14 [ET]| |RX TYPE: [2] W-4-LP,[3] W-4-LP |EVENT DATE: 01/14/98 | +------------------------------------------------+EVENT TIME: 15:00[EST]| |NRC NOTIFIED BY: PHIL SANTIANI |LAST UPDATE DATE: 01/14/98 | |HQ OPS OFFICER: DICK JOLLIFFE +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |JOHN ROGGE RDO | |CDEG 21.21(c)(3)(i) DEFECTS/NONCOMPLIANCE | | | |VERN HODGE NRR | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |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 +------------------------------------------------------------------------------+ | - 10CFR PART 21 REPORT - | | | | TWELVE SAFETY-RELATED 480-VOLT WESTINGHOUSE MODEL #DB-50 CIRCUIT BREAKERS | | WERE SENT TO WESTINGHOUSE REPAIR AND REPLACEMENT SERVICES, CHESWICK, PA, | | AN APPROVED 10CFR50, APPENDIX B QUALIFIED REPAIR FACILITY, FOR OVERHAUL. | | | | DURING PRE-INSTALLATION TESTING, THE LICENSEE DETERMINED THAT LOW TRIP | | BAR FORCES AND THE WINDING OF THE TRIP PAN SPRING CONTRIBUTED TO BREAKER | | MIS-OPERATION. IF INSTALLED, THIS MIS-OPERATION MIGHT HAVE RESULTED IN THE | | BREAKERS MALFUNCTIONING WHEN CALLED UPON TO PERFORM THEIR SAFETY-RELATED | | FUNCTION. | | | | THESE BREAKER ANOMALIES WERE PREVIOUSLY REPORTED TO THE NRC IN LER #97-024. | | | | THE LICENSEE PLANS TO REPAIR AND TEST THESE BREAKERS (AND THE REMAINING | | 38 SAFETY-RELATED 480-VOLT BREAKERS) ON-SITE PRIOR TO INSTALLATION. | | | | THE LICENSEE PLANS TO SUBMIT A WRITTEN PART 21 REPORT TO THE NRC. | | | | THE LICENSEE WILL INFORM THE NRC RESIDENT INSPECTOR. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 33537 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: ZION REGION: 3 |NOTIFICATION DATE: 01/14/98 | |UNIT: [1] [2] [ ] STATE: IL |NOTIFICATION TIME: 19:00 [ET]| |RX TYPE: [1] W-4-LP,[2] W-4-LP |EVENT DATE: 01/14/98 | +------------------------------------------------+EVENT TIME: 17:30[CST]| |NRC NOTIFIED BY: DAN KLOPSTEIN |LAST UPDATE DATE: 01/14/98 | |HQ OPS OFFICER: DICK JOLLIFFE +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: | | |DDDD 73.71 UNSPECIFIED PARAGRAPH | | | |JIM CREED, R3 IAT | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |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 +------------------------------------------------------------------------------+ | - PLANT SECURITY REPORT - | | | | A PLANT SECURITY GUARD DISCOVERED A ROLL OF SAFEGUARDS DRAWINGS BEING | | IMPROPERLY CONTROLLED INSIDE THE OWNER CONTROLLED AREA. THE SECURITY | | GUARD IMMEDIATELY CONFISCATED THE DRAWINGS AND STORED THEM IN A CONTROLLED | | MANNER. THE LICENSEE WILL SUBMIT A WRITTEN REPORT TO THE NRC WITHIN | | 30 DAYS. THE LICENSEE WILL INFORM THE NRC RESIDENT INSPECTOR. REFER | | TO THE HOO LOG FOR ADDITION DETAILS. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |FUEL CYCLE FACILITY | |EVENT NUMBER: 33538 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: PORTSMOUTH GASEOUS DIFFUSION PLANT |NOTIFICATION DATE: 01/14/98 | | RXTYPE: URANIUM ENRICHMENT FACILITY |NOTIFICATION TIME: 20:36 [ET]| |COMMENTS: 2 DEMOCRACY CENTER |EVENT DATE: 01/14/98 | | 6903 ROCKLEDGE DRIVE |EVENT TIME: 17:00[EST]| | BETHESDA, MD 20817 (301)564-3200 |LAST UPDATE DATE: 01/14/98 | | CITY: PIKETON REGION: 3 +-----------------------------+ | COUNTY: PIKE STATE: OH |PERSON ORGANIZATION| |LICENSE#: GDP-2 AGREEMENT: N |GARY SHEAR RDO | | DOCKET: 0707002 |LARRY CAMPER, NMSS EO | +------------------------------------------------+FRANK CONGEL AEOD | |NRC NOTIFIED BY: KURT SISLER | | |HQ OPS OFFICER: DICK JOLLIFFE | | +------------------------------------------------+ | |EMERGENCY CLASS: NOT APPLICABLE | | |10 CFR SECTION: | | |NBNL RESPONSE-BULLETIN | | | | | | | | | | | | | | +------------------------------------------------+-----------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | - 4 HOUR NRC BULLETIN 91-01 REPORT - | | | | AT 1330 ON 01/13/98, PLANT PERSONNEL DETERMINED THAT A NUCLEAR CRITICALITY | | SAFETY (NCS) APPROVAL HAD NOT BEEN PREPARED FOR X-330 CASCADE FACILITY | | INTERIM PURGE SYSTEM HOLDING DRUMS AND RELIEF DRUM. THIS COLD TRAPPING | | SYSTEM HAD BEEN ABANDONED IN PLACE IN THE EARLY 1960s AND IS NOT ANALYZED | | IN ANY EXISTING NCS APPROVAL. THE POTENTIAL EXISTS FOR MIGRATION OF UF6 | | GAS THROUGH CLOSED VALVES IN CONNECTED PROCESS PIPING. MIGRATION OF LARGE | | QUANTITIES OF UF6 TO THE UNANALYZED EQUIPMENT WITH LOSS OF SYSTEM INTEGRITY | | COULD RESULT IN AN UNSAFE MASS DEPOSIT. | | | | THIS EQUIPMENT WAS PURGED TO A UF6 NEGATIVE AND BUFFERED TO ATMOSPHERIC | | PRESSURE BEFORE IT WAS DOUBLE LOCK VALVED FROM THE REST OF THE X-330 | | CASCADE EQUIPMENT. THEREFORE, IT IS UNLIKELY THAT ANY SIGNIFICANT | | AMOUNT OF UF6 WAS LEFT IN THIS EQUIPMENT. A CALCULATION WAS PERFORMED | | THAT SHOWED THE PRESENCE OF LESS THAN 0.5 GRAM OF U-235 IN THE FORM OF UF6. | | SINCE THIS IS LESS THAN 15 GRAMS OF U-235, THIS WAS NOT CONSIDERED TO BE A | | FISSILE MATERIAL OPERATION AND DID NOT NEED TO HAVE A NCS ANALYSIS PER TSR | | SECTION 3.11.2. | | | | AT 1700 ON 01/14/98, NCS ENGINEERING DEPARTMENT PERSONNEL DETERMINED | | THAT THERE WAS SOME POTENTIAL FOR THE ABANDONED EQUIPMENT TO CONTAIN | | MORE THAN 15 GRAMS OF U-235. THIS POTENTIAL EXISTS DUE TO THE CORROSION | | PRODUCTS/PHENOMENON IN THE EQUIPMENT. THIS POTENTIAL WOULD REQUIRE THAT | | THIS ABANDONED EQUIPMENT BE COVERED BY AN NCS APPROVAL. THE OPERATIONAL | | HISTORY OF THIS EQUIPMENT MAKES IT UNLIKELY THAT AN UNKNOWN UO2F2 DEPOSIT | | EXISTS HERE. | | | | IN ORDER TO HAVE A CRITICALITY IN THIS EQUIPMENT, AN UNSAFE MASS OF UF6 | | AND A SOURCE OF MODERATION WOULD BE REQUIRED. ACCUMULATION OF A URANIUM | | BEARING MASS WOULD HAVE REQUIRED MIGRATION OF GASEOUS UF6 THROUGH MULTIPLE | | VALVES (BELIEVED CLOSED SINCE THE EQUIPMENT WAS SHUTDOWN). IN ADDITION TO | | A LARGE MASS, A SOURCE OF MODERATION WOULD BE REQUIRED. THE ONLY SOURCE OF | | MODERATION WOULD INVOLVE A LOSS OF PIPING INTEGRITY. THE LOSS OF PIPING | | INTEGRITY WOULD LIKELY RESULT IN A RELEASE OF HF TO THE SURROUNDING AREAS | | WHICH WOULD BE DETECTABLE DURING ONGOING OPERATIONS IN THAT AREA. | | | | THE AREA HAS BEEN SECURED TO RESTRICT ACCESS AND FISSILE MATERIAL | | OPERATIONS HAVE BEEN RESTRICTED IN THE AREA. EVALUATION IS ONGOING BY | | WAY OF NON-DESTRUCTIVE ASSAY (NDA) EXAMINATIONS. FURTHER EVALUATION AND | | GUIDANCE WILL BE PROVIDED BASED ON THE DETERMINATION OF MASS VIA NDA | | EXAMINATIONS. THE SYSTEM WILL THEN BE ANALYZED AND CONTROLS ESTABLISHED | | TO ENSURE COMPLIANCE WITH THE DOUBLE CONTINGENCY PRINCIPLE. | | | | THERE WAS NO LOSS OR RELEASE OF HAZARDOUS/RADIOACTIVE MATERIAL OR | | RADIOACTIVE/RADIOLOGICAL CONTAMINATION EXPOSURES AS A RESULT OF THIS EVENT. | | | | THE LICENSEE NOTIFIED THE SITE DOE REPRESENTATIVE AND THE NRC RESIDENT | | INSPECTOR. | | | | NOTE: REFER TO EVENT #33509 FOR A SIMILAR EVENT AT PADUCAH GDP. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |FUEL CYCLE FACILITY | |EVENT NUMBER: 33539 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: PADUCAH GASEOUS DIFFUSION PLANT |NOTIFICATION DATE: 01/14/98 | | RXTYPE: URANIUM ENRICHMENT FACILITY |NOTIFICATION TIME: 23:43 [ET]| |COMMENTS: 2 DEMOCRACY CENTER |EVENT DATE: 01/13/98 | | 6903 ROCKLEDGE DRIVE |EVENT TIME: 22:46[CST]| | BETHESDA, MD 20817 (301)564-3200 |LAST UPDATE DATE: 01/14/98 | | CITY: PADUCAH REGION: 3 +-----------------------------+ | COUNTY: McCRACKEN STATE: KY |PERSON ORGANIZATION| |LICENSE#: GDP-1 AGREEMENT: Y |GARY SHEAR RDO | | DOCKET: 0707001 |LARRY CAMPER EO | +------------------------------------------------+FRANK CONGEL IRD | |NRC NOTIFIED BY: BILL HALICKS | | |HQ OPS OFFICER: DOUG WEAVER | | +------------------------------------------------+ | |EMERGENCY CLASS: NOT APPLICABLE | | |10 CFR SECTION: | | |NBNL RESPONSE-BULLETIN | | | | | | | | | | | | | | +------------------------------------------------+-----------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | BULLETIN 91-01 24 HOUR REPORT - NCSA REQUIREMENTS NOT MET | | | | ON 1/13/98, AT 2246 CST, IT WAS DETERMINED THAT A NUCLEAR CRITICALITY | | SAFETY VIOLATION OCCURRED DUE TO THE FAILURE TO IMPLEMENT REQUIRED | | CRITICALITY SAFETY CONTROLS. THE AS FOUND CONDITION IS AS FOLLOWS. | | | | THE NUMBER 2 P&E PUMP IN C-335 WAS REMOVED IN MAY OF 1994. NDA RESULTS FOR | | THE P&E PUMP INDICATED THAT NO PLANNED EXPEDITIOUS HANDLING (PEH) DEPOSITS | | EXISTED. DURING THE INSTALLATION OF THE P&E PUMP IT BECAME NECESSARY TO | | REMOVE THE 8" EXPANSION JOINT ADJACENT TO THE PUMP. THIS SHOULD HAVE | | REQUIRED NDA SURVEYS OF THE EQUIPMENT REMOVED (8" EXPANSION JOINT) AND THE | | ADJACENT SYSTEM. FAILURE TO PERFORM THESE NDA SURVEYS AND FOLLOW GEN-10 | | EQUIPMENT REMOVAL REQUIREMENTS RESULTED IN A VIOLATION OF NCSA GEN-10 | | CONTROLS. FURTHER REVIEW AND DISCUSSIONS WITH THE NDA GROUP INDICATED THAT | | THE NDA PERFORMED IN MAY 1994 WOULD HAVE CAPTURED THE 8" EXPANSION JOINT. | | THEREFORE, THE REMOVED 8" EXPANSION JOINT COULD BE CLASSIFIED AS UH | | (UNCOMPLICATED HANDLING). NO NDA SURVEY WAS PERFORMED ON THE SYSTEM | | ADJACENT TO THE 8" EXPANSION JOINT PRIOR TO REMOVAL. FURTHER DISCUSSIONS | | WITH NDA PERSONNEL INDICATED THAT THE C-335 P&E STATION IS NDA SURVEYED ON | | A QUARTERLY BASIS TO PROVIDE SUPPORT OF TSR SURVEILLANCE TSR 2.4 4.4-4. | | THOSE DISCUSSIONS REVEALED THAT NO DEPOSIT WHICH COULD APPROACH THE SAFE | | MASS LIMIT FOR 2.0 WT % U-235 COULD BE PRESENT IN THE ENTIRE P&E STATION. | | THEREFORE, PER THE NDA SURVEYS NO PEH DEPOSITS ARE PRESENT IN THE ADJACENT | | SYSTEM. | | | | THE ADJACENT SYSTEM TO THE P&E LOCATION WAS NOT BEING MAINTAINED UNDER A | | DRY AIR OR NITROGEN BUFFER. THIS IS A VIOLATION OF THE NCSA. | | | | REVIEW OF THE MAINTENANCE WORK PACKAGE, FOR NCS SIGNATURE, REVEALED THAT | | NCS HAD BEEN MARKED "N/A". THEREFORE, THE JOB WAS BEING PERFORMED AS NON | | GEN-10, UNTIL QUESTIONED BY MAINTENANCE PERSONNEL. THIS WORK SHOULD HAVE | | BEEN CLASSIFIED AS PF (POTENTIALLY FISSILE), BUT THE WORK PACKAGE DID NOT | | INCLUDE NCS REVIEW OR REQUIRE NCSA GEN-10 CONTROL. A DISCREPANCY EXISTED | | IN THAT ONE OF THE WORK PERMITS INDICATED THAT GEN-10 WAS APPLICABLE. | | | | THE ADJACENT SYSTEM IS NOT CURRENTLY USING APPROPRIATE FIREPROOF COVERS AS | | REQUIRED BY THE CURRENT VERSION OF NCSA GEN-10. PLASTIC BAGS OR FIBERGLASS | | CLOTH ARE CURRENTLY BEING USED. FURTHER DISCUSSION INDICATED THAT A SECOND | | INSTANCE EXISTS IN THE C-337 P&E STATION WHERE APPROPRIATE FIRE PROOF | | COVERS REQUIRED BY THE CURRENT VERSION OF NCSA GEN-10 ARE NOT BEING USED. | | THERE MAY BE OTHER INSTANCES WHERE SIMILAR DEFICIENCIES EXIST. | | | | THE LICENSEE HAS IMPLEMENTED IMMEDIATE CORRECTIVE ACTIONS TO REPLACE | | FIREPROOF COVERS AS NECESSARY AND HAS ESTABLISHED A CONTINUOUS FIRE WATCH | | UNTIL APPROVED COVERS CAN BE INSTALLED. WORK PACKAGES ASSOCIATED WITH P&E | | PROCESS MAINTENANCE ARE BEING REVIEWED. | | | | THE LICENSEE INFORMED THE NRC RESIDENT INSPECTOR. | +------------------------------------------------------------------------------+