Event Notification Report for April 30, 1999
U.S. Nuclear Regulatory Commission
Operations Center
Event Reports For
04/29/1999 - 04/30/1999
** EVENT NUMBERS **
35612 35641 35648 35649 35650 35651 35652 35653 35654 35655 35656
+------------------------------------------------------------------------------+
|General Information or Other |Event Number: 35612 |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG: MA DEPT OF PUBLIC HEALTH RCP |NOTIFICATION DATE: 04/21/1999|
|LICENSEE: AEA TECHNOLOGIES QSA, INC |NOTIFICATION TIME: 15:00[EDT]|
| CITY: BURLINGTON REGION: 1 |EVENT DATE: 04/21/1999|
| COUNTY: STATE: MA |EVENT TIME: 14:00[EDT]|
|LICENSE#: AGREEMENT: Y |LAST UPDATE DATE: 04/29/1999|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |MOHAMED SHANBAKY R1 |
| |FREDERICK COMBS NMSS |
+------------------------------------------------+JOSEPH GIITTER IRO |
| NRC NOTIFIED BY: KEN TRAEGDE |DONNA MARIE PEREZ IP |
| HQ OPS OFFICER: DICK JOLLIFFE |LEN WERT R2 |
+------------------------------------------------+DALE POWERS R4 |
|EMERGENCY CLASS: N/A | |
|10 CFR SECTION: | |
|NAGR AGREEMENT STATE | |
|NOCM COMM ASST BRIEF | |
| | |
| | |
| | |
+------------------------------------------------------------------------------+
EVENT TEXT
+------------------------------------------------------------------------------+
| - SHIPMENT OF 8 Ir-192 SOURCES (866 CURIES TOTAL) FROM BURLINGTON, MA, |
| OVERDUE IN MEXICO - |
| |
| At 1500 EDT on 04/21/99, Ken Traegde of the Massachusetts Department of |
| Public Health Radiation Control Program (RCP) located in Boston, |
| Massachusetts, reported that on 04/16/99, AEA Technology QSA, Inc., located |
| in Burlington, Massachusetts, shipped a Model-855 source changer loaded with |
| eight Iridium-192 sources (totaling 866 curies) via Federal Express to |
| Vicont S.A. De C.V. located in Toluca, Mexico. The undamaged package had a |
| transport index of 1.4 (normal readings of 1.4 mR/hour at 1 meter and 55 |
| mR/hour at the surface) at the time of shipment. |
| |
| The shipment was scheduled to arrive in Mexico on 04/17/99. As of 1400 EDT |
| on 04/21/99, the recipient (Vicont S.A. De C.V.) had received the shipping |
| papers but not the container. The shipper and Federal Express have launched |
| a full search for the package. The Federal Express Hazardous Material |
| Investigation Team has conducted a physical search of Express Depots in |
| Boston, Memphis, Los Angeles, and Mexico. |
| |
| The license numbers are: SU-1485, 12-8361, 52-0243, 54-0237, and 58-0242. |
| |
| The NRC operations officer notified the Department of Transportation via the |
| National Response Center (Gauthier); Report number 481132. |
| |
| (Contact the NRC operations officer for applicable telephone numbers.) |
| |
| *********************************** UPDATE AT 1345 ON 04/22/99 BY JONES |
| *********************************** |
| |
| The NRC entered the Monitoring Phase of Normal Mode at 1345 on 04/22/99. |
| The NRC operations officer notified the R1DO (Shanbaky), Region 1 (Miller), |
| IRO (Congel and Giitter), NMSS (Paperiello), RCT (Weinstein), OPA (Gagner), |
| EDO's office (Charleen Raddatz), and Chairman's office (Holian). The RCT |
| notified the Federal Emergency Management Agency (Dan Rishe), Department of |
| Energy (Thomas Yates), Environmental Protection Agency (Ms. Reddy), |
| Department of Agriculture (Bob Conley), Department of Health and Human |
| Services (James Raab), and Department of Transportation (Rick Boyle). |
| |
| *********************************** UPDATE AT 1600 ON 04/22/99 BY JONES |
| *********************************** |
| |
| A Commissioner's Assistants Briefing was conducted at 1600 on 04/22/99. The |
| following notifications were made (* office did not participate): IRO (Joe |
| Giitter and Eric Weinstein), Chairman Jackson (Dan Gillen), Commissioner |
| Dicus (Joel Lubenau), Commissioner Diaz (Patrick Castleman), Commissioner |
| McGaffigan (Janet Schlueter), Commissioner Merrifield (JohnThoma), EDO (*Dan |
| Martin), DEDE (*Jocelyn Mitchell), NMSS (Don Cool and Carl Paperiello), NMSS |
| EO (Fred Combs), R1DO (Mohamed Shanbaky), OPA (Joe Gilland), CAO (Thomas |
| Madden), SECY (Andrew Bates), OSP (Paul Lohaus), OIP (Ron Hauber), Region 1 |
| (Felicia Hinson and Jim Wiggins, etc), and Region 2 (Doug Collins, Chuck |
| Hosey, and Dick Woodruff). The briefer was Fred Combs of NMSS. |
| |
| At 1610, the NRC operations officer played a tape of briefing for EDO (Dan |
| Martin) and DEDE (Jocelyn Mitchell). |
| |
| ****************************** UPDATE AT 1230 ON 04/23/99 BY TROCINE AND |
| JONES ****************************** |
| |
| A conference call was conducted at 1230 on 04/23/99 to update the status of |
| this event. The following NRC offices participated (among others): IRO |
| (Himes), NMSS (Brach, Combs, and Cook), Region 1 (Lloyd), Region 2 (Collins |
| and Woodruff), Region 4 (Andrews), OPA (Hayden), OIP (Lieberman), OSP |
| (Lohaus), and EDO (Raddatz). In addition, the following agencies |
| participated: Department of Transportation (Rick Boyle), Massachusetts |
| Department of Public Health RCP (Ken Traegde), Federal Express (Scott Mugno, |
| Pat Oppenheimer, and Roy Parker), State of Tennessee (Alan Grewe), Tennessee |
| Division of Radiation Health (Eddy Nanney), AEA Technology QSA, Inc. (Eric |
| Okvist), and Environmental Protection Agency located in Atlanta (Paul |
| Wagner). |
| |
| During this conference call, representatives of Federal Express reported |
| that they are confident that the shipment of eight Iridium-192 sources left |
| Boston. They issued an 'all-points' search order, faxed a description to |
| all 'logical' locations, and conducted repeat physical searches in Memphis, |
| Boston, and Mexico, all without locating the shipment to date. (The Los |
| Angeles depot was not searched as had been reported on 04/21/99.) |
| Massachusetts and Tennessee health authorities conducted radiological |
| surveys in Boston and Memphis on 04/22/99 with negative results. |
| |
| Rick Boyle of the Department of Transportation notified the competent |
| authority in Mexico, and Federal Express requested a detailed search of the |
| Customs facilities in Mexico City. |
| |
| The next conference call is scheduled for 1230 EDT on Wednesday, 04/28/99. |
| |
| ************************* UPDATE AT 1333 ON 04/26/99 FROM TRAEGDE TO TROCINE |
| ************************* |
| |
| At 0619 EDT on 04/26/99, Federal Express confirmed that the serial number on |
| a Model-855, Type-B package found at the Stansted Airport (located outside |
| of London, England) matched the serial number for the missing package |
| containing the eight Iridium-192 sources. The Massachusetts Department of |
| Public Health RCP was informed of this discovery by AEA Technology QSA, |
| Inc., at 0933 EDT on 04/26/99. The package was reported to be intact and |
| undisturbed. The carrier (Federal Express) contacted the shipper (AEA |
| Technology QSA, Inc.), and the shipper requested that the package be |
| forwarded to its intended destination. Accordingly, the package will be |
| shipped from Stansted Airport to Toluca, Mexico, via Memphis, Tennessee. |
| Federal Express informed the Massachusetts Department of Public Health RCP |
| that the package is expected to arrive in Memphis, Tennessee, by tomorrow |
| morning (04/27/99). |
| |
| The Massachusetts Department of Public Health RCP notified NRC Region 1 |
| (Duncan White). The NRC Operations Officer notified the R1DO (Anderson); |
| R2DO (Wert); R4DO (Graves); NMSS (Combs); IRO (Giitter, Miller, and Congel); |
| RCT (Bailey). |
| |
| *********************************** UPDATE AT 1600 ON 04/26/99 BY TROCINE |
| *********************************** |
| |
| A conference call was conducted at 1600 on 04/26/99 to update the status of |
| this event. The following NRC offices participated (*office did not |
| participate): IRO (Giitter), RCT (Bailey), NMSS (Brach and Cool), Region 1 |
| (Kinneman), Region 2 (Hosey), Region 4 (*Graves), Region 1 Public Affairs |
| (*Screnci and *Sheehan), HQ OPA (Beecher), OIP (Lieberman), OSP (Bolling and |
| Lohaus), and EDO (Raddatz). In addition, the following agencies |
| participated: Massachusetts Department of Public Health RCP (Ken Traegde), |
| State of Tennessee (Alan Grewe and Mike Mobley), and Tennessee Division of |
| Radiation Health (Eddy Nanney). |
| |
| Based upon the information discussed during this conference call (reference |
| the 1333 04/26/99 update above), the NRC exited the Monitoring Phase of |
| Normal Mode at 1615 on 04/26/99. |
| |
| The NRC operations officer notified the IRO (Giitter, Miller, and Congel); |
| RCT (Bailey); NMSS EO (Cool); NMSS (Brach); Region 1 (Kinneman); Region 2 |
| (Hosey); R1DO (Anderson); R2DO (Wert); R4DO (Graves); OPA (Beecher); OIP |
| (Lieberman); OSP (Bolling and Lohaus); and EDO (Raddatz). The RCT notified |
| the Federal Emergency Management Agency (Dan Rishe), Department of Energy |
| (Thomas Yates), Environmental Protection Agency (Ms. Reddy), Department of |
| Agriculture (Bob Conley), Department of Health and Human Services (James |
| Raab), and Department of Transportation (Rick Boyle). |
| |
| **** UPDATE AT 1505 ON 4/29/99, BY DAKUBU TAKEN BY WEAVER **** |
| |
| Dr. Dakubu of the Massachusetts Department of Public Health Radiation |
| Control Program (RCP) informed the Ops Center that the sources arrived |
| safely at their intended destination in Mexico on 4/28/98. The HOO informed |
| the R1DO (Anderson) and NMSS (Camper). |
+------------------------------------------------------------------------------+
!!!!!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED !!!!!!!
+------------------------------------------------------------------------------+
|Power Reactor |Event Number: 35641 |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: DRESDEN REGION: 3 |NOTIFICATION DATE: 04/27/1999|
| UNIT: [] [2] [3] STATE: IL |NOTIFICATION TIME: 17:53[EDT]|
| RXTYPE: [1] GE-1,[2] GE-3,[3] GE-3 |EVENT DATE: 04/27/1999|
+------------------------------------------------+EVENT TIME: 15:55[CDT]|
| NRC NOTIFIED BY: DAVID THRONE |LAST UPDATE DATE: 04/29/1999|
| HQ OPS OFFICER: LEIGH TROCINE +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: N/A |JOHN MADERA R3 |
|10 CFR SECTION: | |
|DDDD 73.71 UNSPECIFIED PARAGRAPH | |
| | |
| | |
| | |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE |
+-----+----------+-------+--------+-----------------+--------+-----------------+
| | |
|2 N Y 99 Power Operation |99 Power Operation |
|3 N Y 99 Power Operation |99 Power Operation |
+------------------------------------------------------------------------------+
EVENT TEXT
+------------------------------------------------------------------------------+
| DISCOVERY OF A SAFEGUARDS SYSTEM DEGRADATION RELATED TO THE PERIMETER AREA |
| (1-HOUR REPORT) |
| |
| Security personnel discovered a safeguard system degradation related to the |
| perimeter area. Immediate compensatory actions were taken upon discovery. |
| (Contact the NRC operations officer for additional details.) |
| |
| The licensee plans to notify the NRC resident inspector. |
| |
| * * * UPDATE AT 2007 ON 4/29/99 BY BORING TAKEN BY WEAVER * * * |
| |
| The licensee is retracting this event based on further review and concluding |
| that the event did not constitute a reportable condition. This conclusion |
| is based on the fact that compensatory measures were re-established within |
| specified time standards. The licensee will inform the NRC resident |
| inspector. The HOO notified the R3DO (Madera). |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
|Power Reactor |Event Number: 35648 |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: HATCH REGION: 2 |NOTIFICATION DATE: 04/29/1999|
| UNIT: [1] [] [] STATE: GA |NOTIFICATION TIME: 00:45[EDT]|
| RXTYPE: [1] GE-4,[2] GE-4 |EVENT DATE: 04/28/1999|
+------------------------------------------------+EVENT TIME: 18:00[EDT]|
| NRC NOTIFIED BY: BRUCE BUTLER |LAST UPDATE DATE: 04/29/1999|
| HQ OPS OFFICER: DICK JOLLIFFE +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: N/A |AL BELISLE R2 |
|10 CFR SECTION: | |
|AESF 50.72(b)(2)(ii) ESF ACTUATION | |
| | |
| | |
| | |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|1 N Y 16 Power Operation |16 Power Operation |
| | |
| | |
+------------------------------------------------------------------------------+
EVENT TEXT
+------------------------------------------------------------------------------+
| - HPCI SYSTEM INOPERABLE DUE TO TRIPPED BAROMETRIC CONDENSER VACUUM PUMP |
| BREAKER - |
| |
| AT 1800 ON 04/28/99, WITH UNIT 1 AT 16% POWER, THE HIGH PRESSURE COOLANT |
| INJECTION (HPCI) SYSTEM BAROMETRIC CONDENSER VACUUM PUMP TRIPPED DURING A |
| TECH SPEC SURVEILLANCE TEST. PLANT OPERATORS WERE UNABLE TO RESET THE |
| VACUUM PUMP CIRCUIT BREAKER AND SHUT THE HPCI SYSTEM DOWN AND DECLARED IT |
| INOPERABLE. MAINTENANCE ELECTRICIANS RESET THE VACUUM PUMP CIRCUIT BREAKER |
| THERMAL OVERLOADS RESTORING POWER TO THE VACUUM PUMP. MAINTENANCE |
| ELECTRICIANS REPLACED THE HPCI SYSTEM VACUUM PUMP CONTROL SWITCH BECAUSE THE |
| SWITCH HAS RECENTLY EXPERIENCED PROBLEMS NOT RETURNING TO ITS MID POSITION, |
| AS DESIGNED. THE LICENSEE IS CONTINUING TO INVESTIGATE THE CAUSE OF THE |
| VACUUM PUMP TRIP. |
| |
| TECH SPEC LCO ACTION STATEMENT 3.5.1 REQUIRES THE LICENSEE TO VERIFY THE |
| OPERABILITY OF THE REACTOR CORE ISOLATION COOLING (RCIC) SYSTEM AND RESTORE |
| THE HPCI SYSTEM TO OPERABLE STATUS WITHIN 14 DAYS OR SHUT UNIT 1 DOWN. AT |
| 1925, THE LICENSEE VERIFIED THE OPERABILITY OF THE RCIC SYSTEM. |
| |
| THE LICENSEE PLANS TO INFORM THE NRC RESIDENT INSPECTOR. |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
|Power Reactor |Event Number: 35649 |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: RIVER BEND REGION: 4 |NOTIFICATION DATE: 04/29/1999|
| UNIT: [1] [] [] STATE: LA |NOTIFICATION TIME: 02:06[EDT]|
| RXTYPE: [1] GE-6 |EVENT DATE: 04/28/1999|
+------------------------------------------------+EVENT TIME: 21:51[CDT]|
| NRC NOTIFIED BY: RUSS GODWIN |LAST UPDATE DATE: 04/29/1999|
| HQ OPS OFFICER: DICK JOLLIFFE +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: N/A |DAVID GRAVES 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 |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|1 N N 0 Refueling |0 Refueling |
| | |
| | |
+------------------------------------------------------------------------------+
EVENT TEXT
+------------------------------------------------------------------------------+
| - Fuel Building inoperable due to loss of vacuum in Fuel Building due to an |
| open Fuel Building/Annulus door - |
| |
| At 2151 CDT on 04/28/99, with the plant in Operational Condition 5 in a |
| refueling outage, the Fuel Building was determined to be inoperable. At the |
| time, fuel inspection activities were in progress in the Fuel Building. |
| |
| The Fuel Building was rendered inoperable when a Fuel Building/Annulus door |
| was opened. The door was opened to allow entry of personnel for completion |
| of required testing of lighting circuits. The control room staff was alerted |
| to this condition when the "Fuel Building Pressure High" alarm was received. |
| Upon receipt of the alarm, the Control Room Supervisor directed that fuel |
| handling activities be suspended. Fuel handling activities were immediately |
| suspended and not resumed until the door was closed to reestablish Fuel |
| Building integrity. |
| |
| The fuel inspection activities in progress consisted of removing single fuel |
| pins from an irradiated bundle. The irradiated bundle was located in the |
| fuel preparation machine. |
| |
| The Fuel Building/Annulus door was required to be closed to maintain the |
| leak tightness of the Fuel Building. Plant staff personnel are continuing to |
| evaluate this event. However, as a result of the open door, the Fuel |
| Building may not have been able to perform its design function. |
| |
| The licensee informed the NRC Resident Inspector. |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
|Fuel Cycle Facility |Event Number: 35650 |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: PADUCAH GASEOUS DIFFUSION PLANT |NOTIFICATION DATE: 04/29/1999|
| RXTYPE: URANIUM ENRICHMENT FACILITY |NOTIFICATION TIME: 08:28[EDT]|
| COMMENTS: 2 DEMOCRACY CENTER |EVENT DATE: 04/28/1999|
| 6903 ROCKLEDGE DRIVE |EVENT TIME: 14:15[CDT]|
| BETHESDA, MD 20817 (301)564-3200 |LAST UPDATE DATE: 04/29/1999|
| CITY: PADUCAH REGION: 3 +-----------------------------+
| COUNTY: McCRACKEN STATE: KY |PERSON ORGANIZATION |
|LICENSE#: GDP-1 AGREEMENT: Y |JOHN MADERA R3 |
| DOCKET: 0707001 |FREDERICK COMBS NMSS |
+------------------------------------------------+ |
| NRC NOTIFIED BY: ERIC WALKER | |
| HQ OPS OFFICER: BOB STRANSKY | |
+------------------------------------------------+ |
|EMERGENCY CLASS: N/A | |
|10 CFR SECTION: | |
|NBNL RESPONSE-BULLETIN | |
| | |
| | |
| | |
| | |
+------------------------------------------------------------------------------+
EVENT TEXT
+------------------------------------------------------------------------------+
| 24-HOUR NRC BULLETIN 91-01 REPORT |
| |
| The following is text from a facsimile submitted to the Operations Center: |
| |
| "During a walk-down of C-710, room 6, a group of small chemical traps with |
| tags indicating less than 5 pounds of uranium were discovered in violation |
| of NCSA GEN-10 two foot spacing requirement for UH pieces of equipment. |
| These items were improperly categorized as spacing exempt based on the size |
| criteria of having dimensions in all directions greater than that of a 5.5 |
| gallon drum. Fifty-three items would be required prior to exceeding the UH |
| mass at 2.0 wt. % U235. Similar incidents involving the violation were also |
| discovered in C-710, room 2. C-409, and C-720. GEN-l0 states that UH items |
| must be spaced a minimum of two feet edge-to--edge from other UH items to |
| preclude the accumulation of an unsafe uranium mass. |
| |
| "This event is being categorized as a 24 hour event in accordance with |
| Safety Analysis Report Table 6.9-1, Criterion A4.a and Bulletin 91-01, |
| Supplement 1. |
| |
| "SAFETY SIGNIFICANCE OF EVENTS: |
| |
| "Although the amount of Fissile material present is far below safe mass for |
| each item, double contingency was not maintained because the items were not |
| handled as UH and properly spaced. |
| |
| "POTENTIAL CRITICALITY PATHWAYS INVOLVED (BRIEF SCENARIO(S) OF HOW |
| CRITICALITY COULD OCCUR: |
| |
| "In order for a criticality to be possible, greater than 104 of these items |
| which contain less than 5 pounds of uranium each would need to be |
| accumulated. |
| |
| "CONTROLLED PARAMETERS (MASS, MODERATION, GEOMETRY, CONCENTRATION, ETC.): |
| |
| "Interaction and mass |
| |
| "ESTIMATED AMOUNT, ENRICHMENT, FORM OF LICENSED MATERIAL (INCLUDE PROCESS |
| LIMIT AND % WORST CASE CRITICAL MASS): |
| |
| "Variable amount. 2.0 wt. % U235, in the form of UO2F2, with a process limit |
| of approximately 600 lbs. at 2.0 wt. % U235 |
| |
| "NUCLEAR CRITICALITY SAFETY CONTROL(S) OR CONTROL SYSTEM(S) AND DESCRIPTION |
| OF THE FAILURES OR DEFICIENCIES: |
| |
| "The two process conditions relied on in this scenario for double |
| contingency are mass and interaction. |
| |
| "The first leg of double contingency is based on limiting the mass of |
| uranium at 2.0 wt. % U235 to 264 pounds of uranium. This Is controlled by |
| quantifying the mass of each item using Independent NDAs/visual inspections. |
| Each Individual item contains less than 5 pounds of uranium: therefore, this |
| control was not violated. The total mass of all the items placed together at |
| each location is less than the UH mass limit. |
| |
| "The second leg of double contingency is based on limiting Interaction |
| between UK Items. This is controlled by maintaining minimum two-foot |
| edge-to--edge spacing between UH items. Spacing was not maintained between |
| the items: therefore, this requirement was violated and the process |
| condition was lost, |
| |
| "Since a control relied upon for double contingency was violated, double |
| contingency was lost." |
| |
| The NRC resident inspector has been informed of this notification. |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
|Power Reactor |Event Number: 35651 |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: SUMMER REGION: 2 |NOTIFICATION DATE: 04/29/1999|
| UNIT: [1] [] [] STATE: SC |NOTIFICATION TIME: 11:17[EDT]|
| RXTYPE: [1] W-3-LP |EVENT DATE: 04/29/1999|
+------------------------------------------------+EVENT TIME: 09:28[EDT]|
| NRC NOTIFIED BY: APRIL RICE |LAST UPDATE DATE: 04/29/1999|
| HQ OPS OFFICER: DICK JOLLIFFE +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: N/A |AL BELISLE R2 |
|10 CFR SECTION: | |
|APRE 50.72(b)(2)(vi) OFFSITE NOTIFICATION | |
| | |
| | |
| | |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|1 N N 0 Refueling |0 Refueling |
| | |
| | |
+------------------------------------------------------------------------------+
EVENT TEXT
+------------------------------------------------------------------------------+
| - DEATH OF A CONTRACT EMPLOYEE - |
| |
| At 0928 on 04/29/99, South Carolina Electric & Gas Company was notified that |
| a Fluor Daniel contract employee had passed away. The individual had fallen |
| unconscious earlier in the day while on a break and had been evacuated to a |
| local hospital (Richland County Memorial Hospital). The individual was not |
| contaminated and this event is not attributed to a work related injury. The |
| exact cause of death is not known at this time. Local officials (e.g. the |
| Fairfield County coroner) and the NRC Resident Inspector have been notified. |
| The licensee does not plan to issue a press release at this time. |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
|Hospital |Event Number: 35652 |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG: TERRE HAUTE REGIONAL HOSPITAL |NOTIFICATION DATE: 04/29/1999|
|LICENSEE: TERRE HAUTE REGIONAL HOSPITAL |NOTIFICATION TIME: 11:23[EDT]|
| CITY: TERRE HAUTE REGION: 3 |EVENT DATE: 04/19/1999|
| COUNTY: STATE: IN |EVENT TIME: [CST]|
|LICENSE#: 13-09649-01 AGREEMENT: N |LAST UPDATE DATE: 04/29/1999|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |JOHN MADERA R3 |
| |DON COOL NMSS |
+------------------------------------------------+ |
| NRC NOTIFIED BY: CHRIS NEWLIN | |
| HQ OPS OFFICER: DICK JOLLIFFE | |
+------------------------------------------------+ |
|EMERGENCY CLASS: N/A | |
|10 CFR SECTION: | |
|LADM 35.33(a) MED MISADMINISTRATION | |
| | |
| | |
| | |
| | |
+------------------------------------------------------------------------------+
EVENT TEXT
+------------------------------------------------------------------------------+
| - RADIATION OVERDOSE DURING A BREAST CANCER TREATMENT - |
| |
| A HOSPITAL TECHNICIAN LEFT A 30 DEGREE WEDGE OUT OF A COBALT TELETHERAPY |
| MACHINE WHICH RESULTED IN A 33% RADIATION OVERDOSE TO A PATIENT DURING A |
| BREAST CANCER TREATMENT. THE OVERDOSE OCCURRED DURING A DAILY TREATMENT FOR |
| FIVE CONSECUTIVE DAYS (04/19-23/99). THERE WAS NO ADVERSE IMPACT TO THE |
| PATIENT. THE PATIENT'S DOSE WILL BE REDUCED OVER THE NEXT 15 TREATMENTS. |
| THE PATIENT'S DOCTOR PLANS TO INFORM THE PATIENT LATER TODAY. |
| |
| HOSPITAL PERSONNEL PLAN TO SUBMIT A WRITTEN REPORT TO NRC REGION 3 WITHIN 15 |
| DAYS. |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
|Power Reactor |Event Number: 35653 |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: NORTH ANNA REGION: 2 |NOTIFICATION DATE: 04/29/1999|
| UNIT: [1] [2] [] STATE: VA |NOTIFICATION TIME: 12:11[EDT]|
| RXTYPE: [1] W-3-LP,[2] W-3-LP |EVENT DATE: 04/29/1999|
+------------------------------------------------+EVENT TIME: 12:05[EDT]|
| NRC NOTIFIED BY: RICHARD WESLEY |LAST UPDATE DATE: 04/29/1999|
| HQ OPS OFFICER: DOUG WEAVER +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: N/A |AL BELISLE R2 |
|10 CFR SECTION: | |
|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 Y 100 Power Operation |100 Power Operation |
|2 N Y 100 Power Operation |100 Power Operation |
| | |
+------------------------------------------------------------------------------+
EVENT TEXT
+------------------------------------------------------------------------------+
| MAINTENANCE ON TECHNICAL SUPPORT CENTER POWER SUPPLY |
| |
| Planned maintenance is being performed on the TSC electrical supply which |
| results in a loss of the electrical service to the TSC for more than one |
| hour. The maintenance is expected to last four hours and started at 1205 on |
| 4/29/99. |
| |
| The licensee will notify the NRC resident inspector. |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
|Power Reactor |Event Number: 35654 |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: BRAIDWOOD REGION: 3 |NOTIFICATION DATE: 04/29/1999|
| UNIT: [1] [2] [] STATE: IL |NOTIFICATION TIME: 14:14[EDT]|
| RXTYPE: [1] W-4-LP,[2] W-4-LP |EVENT DATE: 04/29/1999|
+------------------------------------------------+EVENT TIME: 07:58[CDT]|
| NRC NOTIFIED BY: GREG BAKER |LAST UPDATE DATE: 04/29/1999|
| HQ OPS OFFICER: DOUG WEAVER +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: N/A |JOHN MADERA R3 |
|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 |
|2 N N 0 Refueling |0 Refueling |
| | |
+------------------------------------------------------------------------------+
EVENT TEXT
+------------------------------------------------------------------------------+
| A CONTRACT SUPERVISOR WAS DETERMINED TO BE UNDER THE INFLUENCE OF ALCOHOL |
| DURING A FOR-CAUSE TEST. THE EMPLOYEE'S ACCESS TO THE SITE HAS BEEN |
| TERMINATED. CONTACT THE OPERATIONS CENTER FOR ADDITIONAL DETAILS. THE |
| LICENSEE NOTIFIED THE NRC RESIDENT INSPECTOR. |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
|Power Reactor |Event Number: 35655 |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: DIABLO CANYON REGION: 4 |NOTIFICATION DATE: 04/29/1999|
| UNIT: [1] [2] [] STATE: CA |NOTIFICATION TIME: 16:21[EDT]|
| RXTYPE: [1] W-4-LP,[2] W-4-LP |EVENT DATE: 04/29/1999|
+------------------------------------------------+EVENT TIME: 12:45[PDT]|
| NRC NOTIFIED BY: DAVID PATTY |LAST UPDATE DATE: 04/29/1999|
| HQ OPS OFFICER: DOUG WEAVER +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: N/A |DAVID GRAVES R4 |
|10 CFR SECTION: | |
|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 |
|2 N Y 50 Power Operation |50 Power Operation |
| | |
+------------------------------------------------------------------------------+
EVENT TEXT
+------------------------------------------------------------------------------+
| MISSED SURVEILLANCE ON POWER RANGE LOWER POWER TRIP |
| |
| Technical Specification 4.3.1.2 Surveillance Requirement for Reactor Trip |
| System Response Time for the Power Range Low Set Point Trip for was |
| performed during initial startup testing. It has not been performed since |
| 1975 on Unit 1 and 1984 on Unit 2. This function is required to be operable |
| in Mode 2 and in Mode 1 below P-10 (10% power). Each unit has been in Modes |
| 1 and 2 many times without a current response time test. The next time each |
| unit goes below P-10, Technical Specification 4.0.3 Action will be applied |
| (the surveillance will be performed). |
| |
| The licensee notified the NRC resident inspector. |
| |
| This discrepancy was discovered during an engineering department review of |
| Standard Technical Specifications. |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
|Other Nuclear Material |Event Number: 35656 |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG: TRIAD ENGINEERING |NOTIFICATION DATE: 04/29/1999|
|LICENSEE: TRIAD ENGINEERING |NOTIFICATION TIME: 18:52[EDT]|
| CITY: WINCHESTER REGION: 2 |EVENT DATE: 04/29/1999|
| COUNTY: STATE: VA |EVENT TIME: 16:00[EDT]|
|LICENSE#: AGREEMENT: N |LAST UPDATE DATE: 04/29/1999|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |AL BELISLE R2 |
| |FREDERICK COMBS NMSS |
+------------------------------------------------+ |
| NRC NOTIFIED BY: DENNIS CHAMBERS | |
| HQ OPS OFFICER: DOUG WEAVER | |
+------------------------------------------------+ |
|EMERGENCY CLASS: N/A | |
|10 CFR SECTION: | |
|BAB2 20.2201(a)(1)(ii) LOST/STOLEN LNM>10X | |
| | |
| | |
| | |
| | |
+------------------------------------------------------------------------------+
EVENT TEXT
+------------------------------------------------------------------------------+
| STOLEN TROXLER GAUGE |
| |
| A TROXLER moisture density gauge was stolen from a work site in Fairfax, VA. |
| The gauge was in the back of a pickup truck when the truck was stolen late |
| in the afternoon of 4/29/99. A report has been filed with the police. |
| The gauge contains Cs-137 and Am-241. The gauge was a model 3411B, the |
| first character of the serial number was not clearly legible on the |
| paperwork, but ended with the numbers 929. |
+------------------------------------------------------------------------------+
Page Last Reviewed/Updated Thursday, March 25, 2021