Event Notification Report for February 11, 1999
U.S. Nuclear Regulatory Commission Operations Center Event Reports For 02/10/1999 - 02/11/1999 ** EVENT NUMBERS ** 35361 35362 35363 +------------------------------------------------------------------------------+ |Fuel Cycle Facility |Event Number: 35361 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | FACILITY: PORTSMOUTH GASEOUS DIFFUSION PLANT |NOTIFICATION DATE: 02/10/1999| | RXTYPE: URANIUM ENRICHMENT FACILITY |NOTIFICATION TIME: 11:19[EST]| | COMMENTS: 2 DEMOCRACY CENTER |EVENT DATE: 02/10/1999| | 6903 ROCKLEDGE DRIVE |EVENT TIME: 07:00[EST]| | BETHESDA, MD 20817 (301)564-3200 |LAST UPDATE DATE: 02/10/1999| | CITY: PIKETON REGION: 3 +-----------------------------+ | COUNTY: PIKE STATE: OH |PERSON ORGANIZATION | |LICENSE#: GDP-2 AGREEMENT: N |GARY SHEAR R3 | | DOCKET: 0707002 |SCOTT MOORE NMSS | +------------------------------------------------+FRANK CONGEL IRO | | NRC NOTIFIED BY: ERIC SPAETH |BOB PIERSON NMSS | | HQ OPS OFFICER: JOHN MacKINNON | | +------------------------------------------------+ | |EMERGENCY CLASS: N/A | | |10 CFR SECTION: | | |NBNL RESPONSE-BULLETIN | | | | | | | | | | | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | NRC BULLETIN 91-01, 4-HOUR NOTIFICATION INVOLVING INCORRECT RAFFINATE MASS | | AND CONCENTRATION CALCULATION | | | | On February 10, 1999, X-705 building personnel discovered that a Nuclear | | Criticality Safety Approval (NCSA) requirement had not been maintained in | | the X-705 Decontamination Facility. Uranium recovery waste stream solutions | | are sampled to determine the U-235 concentration, mass, and enrichment as | | spelled out in NCSA-0705_027, Heavy Metals Precipitation. These sample | | results are used to calculate U-235 concentration and U-235 mass prior to | | transferring and processing the waste solutions as identified in the | | administrative requirements of the NCSA. | | | | Sample results for raffinate solutions (recovery waste streams) were | | recorded incorrectly on the raffinate transfer sheet and the heavy metals | | batch sheets. The double contingency principle was violated as result of: 1) | | failure of the operator to correctly determine the U-235 concentration prior | | to transfer (control "A") and 2) failure of supervision to find the error | | while verifying the data and calculations (control "B"). This error resulted | | in solution being transferred and processed to a geometrically unfavorable | | sludge collection tub without the correct U-235 concentration and U-235 mass | | being recorded. | | | | There was no loss of hazardous/radioactive material or radioactive | | radiological contamination exposure as a result of this event. | | | | SAFETY SIGNIFICANCE OF EVENTS: The safety significance of this event is low. | | This is because when this material was sampled for enrichment, the | | enrichment was found to be 3.95% U-235. Also, due to the reduction of HEU | | material on site, material now being processed through the heavy metals | | systems routinely has an enrichment less than 10% U-235. | | | | POTENTIAL CRITICALITY PATHWAYS INVOLVED (BRIEF SCENARIO[S] OF HOW | | CRITICALITY COULD OCCUR): For a criticality to occur, both calculations of | | how much material is in the system must be wrong and the total mass of | | material must exceed 760 grams U-235. The minimum critical mass for 100% | | enriched material is approximately 760 grams U-235. Even if the enrichment | | had been 100%, the total mass in the system as a result of this event would | | have been 245 grams. | | | | Also a second path would be the processing material and collecting material | | with greater than the minimum critical mass in the heavy metals collection | | drums. | | | | CONTROLLED PARAMETERS (MASS, MODERATION, GEOMETRY. CONCENTRATION, ETC.): The | | controlled parameter in this case was mass. (Both of the mass controls were | | lost because the calculations were in error.) | | | | ESTIMATED AMOUNT, ENRICHMENT, FORM OF LICENSED MATERIAL (INCLUDE PROCESS | | LIMIT AND % WORST CASE OF CRITICAL MASS): The total amount of material in | | the system was 245 grams U-235 assuming an enrichment of 100%. The | | enrichment was measured after the event and found to be 3.95% U-235. The | | material was uranium solution. The minimum critical mass at 100% enrichment | | is approximately 760 grams U-235, and using the 100% enriched values, the | | percent worst case critical mass is 32.2%. | | | | NUCLEAR CRITICALITY SAFETY CONTROL(S) OR CONTROL SYSTEM(S) AND DESCRIPTION | | OF THE FAILURES OR DEFICIENCIES: NCSA-0705_027 requires that material to be | | processed through the heavy metals recovery system is sampled and the total | | amount of uranium in the material calculated and recorded by an operator on | | a transfer sheet and verified by another operator or supervisor on the same | | sheet. If the enrichment of the sample is not known, an enrichment of 100% | | is assumed for the calculation. The total amount of U-235 allowed to be | | processed at any time is limited to 200 grams. The calculations done by both | | the operator and the verifier used a concentration value ten times less than | | the actual enrichment, which was only 3.95%. | | | | CORRECTIVE ACTIONS TO RESTORE SAFETY SYSTEM AND WHEN EACH WAS IMPLEMENTED: | | The heavy metals precipitation was shutdown and isolated. Similar operations | | (microfiltration filter press and oil and grease removal unit ) were also | | shut down and isolated. An investigation has been initiated to determine if | | similar anomalous conditions exists in those operations. | | | | The NRC resident inspector has been informed of this event by the licensee. | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ |Power Reactor |Event Number: 35362 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | FACILITY: VOGTLE REGION: 2 |NOTIFICATION DATE: 02/10/1999| | UNIT: [1] [] [] STATE: GA |NOTIFICATION TIME: 21:59[EST]| | RXTYPE: [1] W-4-LP,[2] W-4-LP |EVENT DATE: 02/10/1999| +------------------------------------------------+EVENT TIME: 20:30[EST]| | NRC NOTIFIED BY: W. R. DUNN |LAST UPDATE DATE: 02/10/1999| | HQ OPS OFFICER: DICK JOLLIFFE +-----------------------------+ +------------------------------------------------+PERSON ORGANIZATION | |EMERGENCY CLASS: N/A |THOMAS DECKER R2 | |10 CFR SECTION: | | |HFIT 26.73 FITNESS FOR DUTY | | | | | | | | | | | +-----+----------+-------+--------+-----------------+--------+-----------------+ |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 +------------------------------------------------------------------------------+ | - FITNESS-FOR-DUTY REPORT - | | | | A LICENSED OPERATOR WAS DETERMINED TO BE UNDER THE INFLUENCE OF ALCOHOL | | DURING A RANDOM FITNESS FOR DUTY TEST. THE EMPLOYEE'S ACCESS AUTHORIZATION | | TO THE PLANT HAS BEEN DEACTIVATED. REFER TO THE HOO LOG FOR ADDITIONAL | | DETAILS. | | | | THE LICENSEE INFORMED THE NRC RESIDENT INSPECTOR. | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ |Power Reactor |Event Number: 35363 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | FACILITY: SAN ONOFRE REGION: 4 |NOTIFICATION DATE: 02/11/1999| | UNIT: [] [2] [3] STATE: CA |NOTIFICATION TIME: 04:48[EST]| | RXTYPE: [1] W-3-LP,[2] CE,[3] CE |EVENT DATE: 02/10/1999| +------------------------------------------------+EVENT TIME: 11:37[PST]| | NRC NOTIFIED BY: CLAY WILLIAMS |LAST UPDATE DATE: 02/11/1999| | HQ OPS OFFICER: JOHN MacKINNON +-----------------------------+ +------------------------------------------------+PERSON ORGANIZATION | |EMERGENCY CLASS: N/A |JOHN PELLET R4 | |10 CFR SECTION: | | |AIND 50.72(b)(2)(iii)(D) ACCIDENT MITIGATION | | | | | | | | | | | +-----+----------+-------+--------+-----------------+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ | | | |2 N N 0 Refueling |0 Refueling | |3 N Y 100 Power Operation |100 Power Operation | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | During a postulated seismic event, Component Cooling Water (CCW) isolation | | valves which separate the CCW critical loops from the non-critical loop may | | not operate. | | | | "At 1137 PST on February 10, 1999, with Unit 2 in a refueling outage and | | Unit 3 at about 100 percent power, SCE concluded that isolation valves which | | separate CCW critical loops [loops to safety-related equipment] from the | | non-Critical Loop (NCL) may not have operated during a postulated seismic | | event. | | | | "The CCW system is required to perform its intended safety function during a | | seismic event concurrent with a Loss of Coolant Accident . These valves | | (28-inch Fisher Type-9241 air/nitrogen-operated butterfly valves) close on a | | CCW surge tank low-low level alarm or when a Containment Isolation Actuation | | Signal (CIAS) is received. These isolation valves are normally actuated with | | non-seismically qualified instrument air and normal nitrogen. During a | | postulated seismic event, the air and nitrogen systems are assumed to fail. | | A seismically qualified accumulator tank provides the motive force to close | | the isolation valves during such events. This actuation occurs through the | | pressurization and venting of pneumatic tubing. | | | | "During outage testing [first time the test has been performed this way] of | | the Train A CCW isolation valves, the valves would not stroke closed within | | the required time when actuated by the accumulators only. SCE's Air | | Operated Valve diagnostic testing determined the pneumatic tube sizing | | provided insufficient venting to properly actuate the valves, which cause | | the isolation valves to stroke slower than desired. When the isolation | | valves between one CCW critical loop and the non-critical loop are opened, | | SCE now considers that CCW critical loop to be inoperable. | | | | "During past plant operation, it is possible that one CCW critical loop was | | out of service while the remaining critical loop was not isolated from the | | non-critical loop. If a seismic event were to have occurred in this | | configuration, it is possible the plant would not have had an operable train | | of CCW. Consequently, SCE is reporting this occurrence in accordance with | | 10CFR50.72(b)(2)(iii)(D). | | | | "Currently , Unit 2 is in Mode 6 in a refueling outage; there is no safety | | function requiring the valves to close in this mode. At Unit 3, both CCW | | trains are functional with the isolation valves for one train closed. In | | this configuration, Unit 3 is in a 72-hour action statement. SCE plans to | | modify the valve actuator design within 72 hours to correct this | | condition." | | | | The licensee said that the isolation valves mentioned above should normally | | close within 10 to 15 seconds. During testing of the valve, the licensee | | believed that it took approximately 47 seconds for the valves to close. | | | | The NRC resident inspector was notified of this event by the licensee. | +------------------------------------------------------------------------------+
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Page Last Reviewed/Updated Thursday, March 25, 2021