Event Notification Report for January 15, 2008
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
01/14/2008 - 01/15/2008
EVENT NUMBERS
43937439064390743908
Fuel Cycle Facility
Event Number: 43937
Facility: NUCLEAR FUEL SERVICES INC.
Region: 2 State: TN
Unit: [] [] []
RX Type: URANIUM FUEL FABRICATION
Comments: HEU CONVERSION & SCRAP RECOVERY
NAVAL REACTOR FUEL CYCLE
LEU SCRAP RECOVERY
NRC Notified By: RANDY SHAKELFORD
HQ OPS Officer: PETE SNYDER
Region: 2 State: TN
Unit: [] [] []
RX Type: URANIUM FUEL FABRICATION
Comments: HEU CONVERSION & SCRAP RECOVERY
NAVAL REACTOR FUEL CYCLE
LEU SCRAP RECOVERY
NRC Notified By: RANDY SHAKELFORD
HQ OPS Officer: PETE SNYDER
Notification Date: 01/28/2008
Notification Time: 15:15 [ET]
Event Date: 01/15/2008
Event Time: 16:21 [EST]
Last Update Date: 01/28/2008
Notification Time: 15:15 [ET]
Event Date: 01/15/2008
Event Time: 16:21 [EST]
Last Update Date: 01/28/2008
Emergency Class: NON EMERGENCY
10 CFR Section:
PART 70 APP A (b)(1) - UNANALYZED CONDITION
10 CFR Section:
PART 70 APP A (b)(1) - UNANALYZED CONDITION
Person (Organization):
BINOY DESAI (R2)
MIKE TSCHILTZ (NMSS)
FUELS OUO GROUP (E-MA)
BINOY DESAI (R2)
MIKE TSCHILTZ (NMSS)
FUELS OUO GROUP (E-MA)
INADEQUATE INSPECTIONS ON THRU-WALL PIPING PENETRATION SLEEVES
"The issue is associated with sleeved line penetrations thru walls [in the 300 Complex]. The documented periodic inspection was not adequate to verify the continued reliability and availability of the sleeve. In addition, the discussion in the supporting safety analysis was insufficient.
"During the two (2) year review of the safely-related equipment (SRE) test, it was determined that the test could not be performed as written and that the test did not verify the continued reliability and availability of the sleeve. In addition, after a review of the discussion in the supporting safety analysis, the discussion was determined to be insufficient.
"There were no actual safety consequences to workers, the public, or the environment. Although determined to be extremely remote because of the nature of the pipe and sleeve, the potential criticality consequences include a leak of uranium-bearing solution from the pipe and sleeve and into the wall.
"The safety significance is determined to be low due to the following:
- the solution lines and sleeves are compatible with the associated uranium-bearing solutions (stainless steel);
- the sections of lines and sleeves thru the walls are straight pipe with no connections; and,
- leaks have not been observed in straight pipe and sleeve sections.
"Additional actions taken in response to the event:
"The number and locations of the sleeved line penetrations are being investigated. The grout/caulk may be removed to facilitate inspections of the sleeves. Safety-related equipment (SRE) tests and safety analyses are being revised to better describe the accident sequence/barriers and periodic inspections."
The licensee notified the NRC Resident Inspector.
"The issue is associated with sleeved line penetrations thru walls [in the 300 Complex]. The documented periodic inspection was not adequate to verify the continued reliability and availability of the sleeve. In addition, the discussion in the supporting safety analysis was insufficient.
"During the two (2) year review of the safely-related equipment (SRE) test, it was determined that the test could not be performed as written and that the test did not verify the continued reliability and availability of the sleeve. In addition, after a review of the discussion in the supporting safety analysis, the discussion was determined to be insufficient.
"There were no actual safety consequences to workers, the public, or the environment. Although determined to be extremely remote because of the nature of the pipe and sleeve, the potential criticality consequences include a leak of uranium-bearing solution from the pipe and sleeve and into the wall.
"The safety significance is determined to be low due to the following:
- the solution lines and sleeves are compatible with the associated uranium-bearing solutions (stainless steel);
- the sections of lines and sleeves thru the walls are straight pipe with no connections; and,
- leaks have not been observed in straight pipe and sleeve sections.
"Additional actions taken in response to the event:
"The number and locations of the sleeved line penetrations are being investigated. The grout/caulk may be removed to facilitate inspections of the sleeves. Safety-related equipment (SRE) tests and safety analyses are being revised to better describe the accident sequence/barriers and periodic inspections."
The licensee notified the NRC Resident Inspector.
Power Reactor
Event Number: 43906
Facility: HARRIS
Region: 2 State: NC
Unit: [1] [] []
RX Type: [1] W-3-LP
NRC Notified By: STEVE KOERNER
HQ OPS Officer: JOE O'HARA
Region: 2 State: NC
Unit: [1] [] []
RX Type: [1] W-3-LP
NRC Notified By: STEVE KOERNER
HQ OPS Officer: JOE O'HARA
Notification Date: 01/15/2008
Notification Time: 15:42 [ET]
Event Date: 01/15/2008
Event Time: 13:30 [EST]
Last Update Date: 01/15/2008
Notification Time: 15:42 [ET]
Event Date: 01/15/2008
Event Time: 13:30 [EST]
Last Update Date: 01/15/2008
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
JAMES MOORMAN (R2)
JAMES MOORMAN (R2)
| Unit | SCRAM Code | RX Crit | Initial PWR | Initial RX Mode | Current PWR | Current RX Mode |
|---|---|---|---|---|---|---|
| 1 | N | Y | 100 | Power Operation | 100 | Power Operation |
DAMAGED FIBER OPTIC CABLE AFFECTED COMMUNICATIONS
"At approximately 1:30 PM Eastern Standard Time, the Harris Nuclear Plant (HNP) identified the inability for the NRC to contact the plant using the telecommunications system. The dedicated phone line to the State and County Warning Points and Emergency Operating Centers was maintained and verified. This condition was the result of a damaged fiber optics cable remote from the plant site. The cable was damaged during construction in Apex, NC. The ability for HNP to contact offsite agencies and HNP Emergency Response Organization was maintained at all times. Alternate methods for the NRC to contact HNP were established at 2:45 PM. The telecommunication capabilities were restored at 3:04 PM Eastern Standard Time."
The licensee notified the NRC Resident Inspector.
"At approximately 1:30 PM Eastern Standard Time, the Harris Nuclear Plant (HNP) identified the inability for the NRC to contact the plant using the telecommunications system. The dedicated phone line to the State and County Warning Points and Emergency Operating Centers was maintained and verified. This condition was the result of a damaged fiber optics cable remote from the plant site. The cable was damaged during construction in Apex, NC. The ability for HNP to contact offsite agencies and HNP Emergency Response Organization was maintained at all times. Alternate methods for the NRC to contact HNP were established at 2:45 PM. The telecommunication capabilities were restored at 3:04 PM Eastern Standard Time."
The licensee notified the NRC Resident Inspector.
Power Reactor
Event Number: 43907
Facility: POINT BEACH
Region: 3 State: WI
Unit: [1] [] []
RX Type: [1] W-2-LP,[2] W-2-LP
NRC Notified By: TOM JESSESSKY
HQ OPS Officer: JEFF ROTTON
Region: 3 State: WI
Unit: [1] [] []
RX Type: [1] W-2-LP,[2] W-2-LP
NRC Notified By: TOM JESSESSKY
HQ OPS Officer: JEFF ROTTON
Notification Date: 01/15/2008
Notification Time: 16:14 [ET]
Event Date: 01/15/2008
Event Time: 14:15 [CST]
Last Update Date: 01/17/2008
Notification Time: 16:14 [ET]
Event Date: 01/15/2008
Event Time: 14:15 [CST]
Last Update Date: 01/17/2008
Emergency Class: UNUSUAL EVENT
10 CFR Section:
50.72(a) (1) (i) - EMERGENCY DECLARED 50.72(b)(2)(xi) - OFFSITE NOTIFICATION 50.72(b)(2)(i) - PLANT S/D REQD BY TS
10 CFR Section:
50.72(a) (1) (i) - EMERGENCY DECLARED 50.72(b)(2)(xi) - OFFSITE NOTIFICATION 50.72(b)(2)(i) - PLANT S/D REQD BY TS
Person (Organization):
ANNE MARIE STONE (R3)
THOMAS BLOUNT (IRD)
MARY JANE ROSS-LEE (NRR)
JIM DYER (NRR)
JAMES CALDWELL (R3)
ANNE MARIE STONE (R3)
THOMAS BLOUNT (IRD)
MARY JANE ROSS-LEE (NRR)
JIM DYER (NRR)
JAMES CALDWELL (R3)
| Unit | SCRAM Code | RX Crit | Initial PWR | Initial RX Mode | Current PWR | Current RX Mode |
|---|---|---|---|---|---|---|
| 1 | N | Y | 100 | Power Operation | 100 | Power Operation |
UNUSUAL EVENT - LOSS OF OFFSITE POWER
"At 1404 1/15/2008, Central time, Point Beach experienced a loss of Unit 1X-04, Low Voltage Station Auxiliary Transformer. This loss has caused Point Beach to declare an Unusual Event (SU 1.1, Loss of all Offsite Power to essential busses for greater than 15 minutes.)
"The loss of Unit 1X-04 transformer is under investigation.
"All equipment operated properly with the exception of 1B-04, 'B' train 480 VAC Safeguards Bus, supply breaker opened for unknown reasons.
"The licensee notified the NRC Resident Inspector.
"Preparations are underway for a Unit 1 shutdown."
Both Unit 1 EDGs are running and supplying Unit 1 safeguard buses. Non-safety buses are powered from an auto transfer that occurred after the loss of 1X-04. No impact on Unit 2 due to the Unit 1 electrical transient. Licensee notified state and local emergency management agencies.
* * * UPDATE FROM DENNY SMITH TO JEFF ROTTON AT 2300 ON 1/15/08 * * *
"On 1/15/08 at 1941 central time, FPL Energy Point Beach, LLC issued a press release concerning the Unusual Event at Point Beach that was declared on 1/15/08 at 1415 central time. The Unusual Event was reported under EN# 43907 and occurred due to the loss of all offsite power to essential busses for greater than 15 minutes from the failure of the Unit 1 X-04, Low Voltage Station Auxiliary Transformer.
"The NRC Resident Inspector has been informed of the press release and this subsequent notification."
* * * UPDATE FROM RICK ROBBINS TO JOE O'HARA AT 1816 EST ON 1/16/08 * * *
"At 1404 on 1/15/08 central time, Point Beach experienced a loss of Unit 1 X-04, Low Voltage Station Auxiliary Transformer. This loss caused Point Beach to declare an Unusual Event and that was reported under EN# 43907. Technical Specification 3.8.1.B, Associated unit's 13.8/4.16 kv (X04) transformer inoperable, was not met as of 1404 on 1/15/08 and this LCO has a Required Action to restore the (X04) transformer to Operable status with a Completion time of 24 hours.
"At 1404 1/16/08 the LCO was still not met and Unit 1 entered Technical Specification 3.8.1.H Required Action and associated Completion Time Not met, with a required action to be in Mode 3 in 6 hours and Mode 5 in 36 hours.
"This Event Notification Worksheet is for the initiation of the Technical Specification Required reactor shutdown that commenced at 1549 on 1/16/08, per 10 CFR 50.72(b)(2)(i)."
The licensee notified the NRC Resident Inspector.
Notified R3DO(Stone), NRR EO(Evans), and IRD(Blount).
* * * UPDATE FROM RICK ROBBINS TO JOE O'HARA AT 2222 EST ON 1/16/08 * * *
"Update: At 1947 CST on 01/16/08, the Unit 1 reactor reached MODE 3, completing the required Technical Specification Shutdown. Offsite power has been restored to the essential busses by paralleling from Unit 2 4160 V buses and the Emergency Diesel Generators G-01 and G-03 have been placed back to a normal standby alignment. The unit is being taken to MODE 5 in accordance with plant TS requirements.
"This update to EN #43907 also reports the termination of the Unusual Event [AT 2035 CST] SU1.1, Loss of all offsite power to essential buses for greater than 15 minutes initially reported via EN #43907. The State of Wisconsin and the counties of Kewaunee and Manitowoc were notified of the termination via the Nuclear Accident Reporting System (NARS) at 2041 on 1/16/08."
The licensee notified the NRC Resident Inspector.
Notified R3DO(Stone), NRR EO(Evans), NRR ET(Dyer), DHS(Gray), FEMA(Dunker), and IRD(Blount).
* * * UPDATE FROM KILE HESS TO BILL HUFFMAN AT 1019 EST ON 1/17/08 * * *
"Update: At 0702 CST on 01/17/08, FPL Energy Point Beach, LLC issued a press release regarding the termination of the Unusual Event and the shutdown of Unit 1 for repair of 1- X04 transformer.
"The NRC resident inspector was notified of the press release." R3DO (Stone) notified.
"At 1404 1/15/2008, Central time, Point Beach experienced a loss of Unit 1X-04, Low Voltage Station Auxiliary Transformer. This loss has caused Point Beach to declare an Unusual Event (SU 1.1, Loss of all Offsite Power to essential busses for greater than 15 minutes.)
"The loss of Unit 1X-04 transformer is under investigation.
"All equipment operated properly with the exception of 1B-04, 'B' train 480 VAC Safeguards Bus, supply breaker opened for unknown reasons.
"The licensee notified the NRC Resident Inspector.
"Preparations are underway for a Unit 1 shutdown."
Both Unit 1 EDGs are running and supplying Unit 1 safeguard buses. Non-safety buses are powered from an auto transfer that occurred after the loss of 1X-04. No impact on Unit 2 due to the Unit 1 electrical transient. Licensee notified state and local emergency management agencies.
* * * UPDATE FROM DENNY SMITH TO JEFF ROTTON AT 2300 ON 1/15/08 * * *
"On 1/15/08 at 1941 central time, FPL Energy Point Beach, LLC issued a press release concerning the Unusual Event at Point Beach that was declared on 1/15/08 at 1415 central time. The Unusual Event was reported under EN# 43907 and occurred due to the loss of all offsite power to essential busses for greater than 15 minutes from the failure of the Unit 1 X-04, Low Voltage Station Auxiliary Transformer.
"The NRC Resident Inspector has been informed of the press release and this subsequent notification."
* * * UPDATE FROM RICK ROBBINS TO JOE O'HARA AT 1816 EST ON 1/16/08 * * *
"At 1404 on 1/15/08 central time, Point Beach experienced a loss of Unit 1 X-04, Low Voltage Station Auxiliary Transformer. This loss caused Point Beach to declare an Unusual Event and that was reported under EN# 43907. Technical Specification 3.8.1.B, Associated unit's 13.8/4.16 kv (X04) transformer inoperable, was not met as of 1404 on 1/15/08 and this LCO has a Required Action to restore the (X04) transformer to Operable status with a Completion time of 24 hours.
"At 1404 1/16/08 the LCO was still not met and Unit 1 entered Technical Specification 3.8.1.H Required Action and associated Completion Time Not met, with a required action to be in Mode 3 in 6 hours and Mode 5 in 36 hours.
"This Event Notification Worksheet is for the initiation of the Technical Specification Required reactor shutdown that commenced at 1549 on 1/16/08, per 10 CFR 50.72(b)(2)(i)."
The licensee notified the NRC Resident Inspector.
Notified R3DO(Stone), NRR EO(Evans), and IRD(Blount).
* * * UPDATE FROM RICK ROBBINS TO JOE O'HARA AT 2222 EST ON 1/16/08 * * *
"Update: At 1947 CST on 01/16/08, the Unit 1 reactor reached MODE 3, completing the required Technical Specification Shutdown. Offsite power has been restored to the essential busses by paralleling from Unit 2 4160 V buses and the Emergency Diesel Generators G-01 and G-03 have been placed back to a normal standby alignment. The unit is being taken to MODE 5 in accordance with plant TS requirements.
"This update to EN #43907 also reports the termination of the Unusual Event [AT 2035 CST] SU1.1, Loss of all offsite power to essential buses for greater than 15 minutes initially reported via EN #43907. The State of Wisconsin and the counties of Kewaunee and Manitowoc were notified of the termination via the Nuclear Accident Reporting System (NARS) at 2041 on 1/16/08."
The licensee notified the NRC Resident Inspector.
Notified R3DO(Stone), NRR EO(Evans), NRR ET(Dyer), DHS(Gray), FEMA(Dunker), and IRD(Blount).
* * * UPDATE FROM KILE HESS TO BILL HUFFMAN AT 1019 EST ON 1/17/08 * * *
"Update: At 0702 CST on 01/17/08, FPL Energy Point Beach, LLC issued a press release regarding the termination of the Unusual Event and the shutdown of Unit 1 for repair of 1- X04 transformer.
"The NRC resident inspector was notified of the press release." R3DO (Stone) notified.
General Information or Other
Event Number: 43908
Rep Org: MA RADIATION CONTROL PROGRAM
Licensee: LAHEY CLINIC FOUNDATION
Region: 1
City: BURLINGTON State: MA
County:
License #: 44-0015
Agreement: Y
Docket:
NRC Notified By: JOSH DAEHLER
HQ OPS Officer: JEFF ROTTON
Licensee: LAHEY CLINIC FOUNDATION
Region: 1
City: BURLINGTON State: MA
County:
License #: 44-0015
Agreement: Y
Docket:
NRC Notified By: JOSH DAEHLER
HQ OPS Officer: JEFF ROTTON
Notification Date: 01/16/2008
Notification Time: 16:47 [ET]
Event Date: 01/15/2008
Event Time: 00:00 [EST]
Last Update Date: 01/16/2008
Notification Time: 16:47 [ET]
Event Date: 01/15/2008
Event Time: 00:00 [EST]
Last Update Date: 01/16/2008
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
EUGENE COBEY (R1)
KEITH McCONNELL (FSME)
ILTAB via email
EUGENE COBEY (R1)
KEITH McCONNELL (FSME)
ILTAB via email
MASSACHUSETTS AGREEMENT STATE REPORT - MISSING BRACHYTHERAPY SEEDS
"The Licensee's RSO reports that a total of five (5) I-125 brachytherapy seeds, each containing 0.395 millicuries (assayed January 15, 2008) (total activity of 1.975 millicuries) are missing. The Licensee's RSO reports that the seeds were likely lost during or after a procedure performed in the Licensee's operating room on January 15, 2008. The seeds were discovered to be missing on January 16, 2008 and the seeds likely were disposed of in regular trash.
"The Licensee's RSO reports that the missing seeds are Oncura Echo seed Model 6733 seeds.
"The Licensee continues to search and survey for the seeds."
THIS MATERIAL EVENT CONTAINS A "LESS THAN CAT 3" LEVEL OF RADIOACTIVE MATERIAL
Sources that are "Less than IAEA Category 3 sources," are either sources that are very unlikely to cause permanent injury to individuals or contain a very small amount of radioactive material that would not cause any permanent injury. Some of these sources, such as moisture density gauges or thickness gauges that are Category 4, the amount of unshielded radioactive material, if not safely managed or securely protected, could possibly - although it is unlikely - temporarily injure someone who handled it or were otherwise in contact with it, or who were close to it for a period of many weeks.
"The Licensee's RSO reports that a total of five (5) I-125 brachytherapy seeds, each containing 0.395 millicuries (assayed January 15, 2008) (total activity of 1.975 millicuries) are missing. The Licensee's RSO reports that the seeds were likely lost during or after a procedure performed in the Licensee's operating room on January 15, 2008. The seeds were discovered to be missing on January 16, 2008 and the seeds likely were disposed of in regular trash.
"The Licensee's RSO reports that the missing seeds are Oncura Echo seed Model 6733 seeds.
"The Licensee continues to search and survey for the seeds."
THIS MATERIAL EVENT CONTAINS A "LESS THAN CAT 3" LEVEL OF RADIOACTIVE MATERIAL
Sources that are "Less than IAEA Category 3 sources," are either sources that are very unlikely to cause permanent injury to individuals or contain a very small amount of radioactive material that would not cause any permanent injury. Some of these sources, such as moisture density gauges or thickness gauges that are Category 4, the amount of unshielded radioactive material, if not safely managed or securely protected, could possibly - although it is unlikely - temporarily injure someone who handled it or were otherwise in contact with it, or who were close to it for a period of many weeks.