Event Notification Report for May 13, 1999
U.S. Nuclear Regulatory Commission
Operations Center
Event Reports For
05/12/1999 - 05/13/1999
** EVENT NUMBERS **
35704 35705 35706 35707 35708 35709
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|Power Reactor |Event Number: 35704 |
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| FACILITY: WOLF CREEK REGION: 4 |NOTIFICATION DATE: 05/12/1999|
| UNIT: [1] [] [] STATE: KS |NOTIFICATION TIME: 03:59[EDT]|
| RXTYPE: [1] W-4-LP |EVENT DATE: 05/12/1999|
+------------------------------------------------+EVENT TIME: 00:38[CDT]|
| NRC NOTIFIED BY: DAVE DEES |LAST UPDATE DATE: 05/12/1999|
| HQ OPS OFFICER: LEIGH TROCINE +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: N/A |CHARLES CAIN R4 |
|10 CFR SECTION: |JOSE CALVO NRR |
|AESF 50.72(b)(2)(ii) ESF ACTUATION |FRANK CONGEL IRO |
| | |
| | |
| | |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|1 N Y 55 Power Operation |55 Power Operation |
| | |
| | |
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EVENT TEXT
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| PARTIAL LOSS OF OFFSITE POWER (ONE OF THREE SOURCES) DUE TO A TRANSFORMER |
| LOCKOUT |
| |
| At 0038 CDT, the east bus (345 kV) was lost due to a lockout on the #7 |
| transformer. The loss of the east bus resulted in the loss of normal power |
| to the 'A' safeguards bus (4.16 kV). On loss of power to the #7 |
| transformer, a shutdown sequencer actuation occurred due to low power. |
| This caused the 'A' emergency diesel generator to automatically start and |
| load the bus. The following equipment also automatically started: 'A' |
| centrifugal charging pump, 'A' component cooling water pump, 'A' essential |
| service water pump, 'A' control room air conditioning unit, 'A' class 1E air |
| conditioning unit, 'A' motor-driven auxiliary feedwater pump, 'A' and 'C' |
| containment coolers, and the turbine-driven auxiliary feedwater pump. The |
| licensee stated that all systems functioned as required and that there was |
| nothing unusual or not understood. |
| |
| At 0058 CDT, the licensee reset the #7 transformer lockout, and the east bus |
| was restored to service at 0059 CDT. At 0244 CDT, the licensee re-energized |
| the #7 transformer (the normal power feed to the safeguards bus |
| transformer), and normal offsite power was restored to the 'A' emergency bus |
| at 0256 CDT. |
| |
| The transformer lockout was initially believed to be caused by a lightening |
| strike and was later determined to be caused by a raccoon. |
| |
| The licensee notified the NRC resident inspector. |
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|Power Reactor |Event Number: 35705 |
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| FACILITY: OCONEE REGION: 2 |NOTIFICATION DATE: 05/12/1999|
| UNIT: [1] [2] [3] STATE: SC |NOTIFICATION TIME: 13:29[EDT]|
| RXTYPE: [1] B&W-L-LP,[2] B&W-L-LP,[3] B&W-L-L|EVENT DATE: 05/12/1999|
+------------------------------------------------+EVENT TIME: 12:58[EDT]|
| NRC NOTIFIED BY: TODD |LAST UPDATE DATE: 05/12/1999|
| HQ OPS OFFICER: CHAUNCEY GOULD +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: N/A |RUDOLPH BERNHARD R2 |
|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 100 Power Operation |100 Power Operation |
|3 N Y 100 Power Operation |100 Power Operation |
+------------------------------------------------------------------------------+
EVENT TEXT
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| THE PLANT HAS OPERATED OUTSIDE THE DESIGN BASIS IN THE PAST DURING STARTUP. |
| |
| ON 03/18/99, FRAMATOME (B&W) REQUESTED THE LICENSEE REVIEW A |
| PRESSURE-TEMPERATURE LIMIT ANALYSIS FOR OCONEE NUCLEAR STATION |
| APPLICABILITY. THE ANALYSIS WAS PERFORMED FOR ANOTHER B&W PLANT AND SHOWED |
| THAT PRESSURE INCREASES ARE LARGER WITH NITROGEN IN THE PRESSURIZER. THIS |
| RESULTED IN A REVISED SET OF LOW-TEMPERATURE OVERPRESSURE PROTECTION ( LTOP) |
| LIMITS FOR STEAM AND NITROGEN OPERATION AT THE OTHER PLANT. FRAMATOME WAS |
| NOT AWARE OF NITROGEN PRESENCE BEING CONSIDERED IN THE DETERMINATION OF LTOP |
| LIMITS. |
| |
| OPERATIONS WAS REQUESTED TO USE A DEDICATED LTOP OPERATOR, AS A CONSERVATIVE |
| MEASURE, IF LTOP APPLICABILITY EXISTED AND NITROGEN PRESSURE WAS IN THE |
| PRESSURIZER. THIS IS A COMPENSATORY MEASURE REQUIRED BY TECHNICAL |
| SPECIFICATION 3.4.12, CONDITION 'F.' |
| |
| THE LICENSEE HAS COMPLETED AN EVALUATION THAT CONCLUDED THAT NITROGEN |
| OVERPRESSURE DURING STARTUP COULD RESULT IN LESS THAN 10 MINUTES BEING |
| AVAILABLE FOR OPERATOR RESPONSE AFTER THE ALARM SETPOINT IS REACHED DURING |
| AN LTOP EVENT. SINCE OPERATOR RESPONSE TO AN ALARM IS ONE TRAIN OF THE |
| OCONEE LTOP SYSTEM, THIS MEANS THAT THIS TRAIN HAS BEEN INOPERABLE DURING |
| PORTIONS OF PAST STARTUPS. THE APPLICABLE TIME PERIODS ARE ASSUMED TO HAVE |
| EXCEEDED THE 4 HOURS ALLOWED BY TECHNICAL SPECIFICATION 3.4.12, CONDITION |
| 'F,' FOR IMPLEMENTING COMPENSATORY MEASURES. SINCE THE LTOP MITIGATION |
| SYSTEM WOULD NOT MEET THE SINGLE FAILURE CRITERION DURING THESE TIME |
| PERIODS, THIS CONDITION IS BEING REPORTED AS OPERATION OUTSIDE THE DESIGN |
| BASIS OF THE PLANT. |
| |
| LTOP REQUIREMENTS DO NOT APPLY DURING PLANT OPERATION IN THE RUN MODE, AND |
| THERE HAVE BEEN NO LTOP EVENTS DURING PLANT OPERATION WITH A NITROGEN |
| PRESSURE BUBBLE IN THE PRESSURIZER. THEREFORE, THIS IS NOT CONSIDERED TO |
| REPRESENT AN ACTUAL CHALLENGE TO THE HEALTH AND SAFETY OF THE PUBLIC. |
| |
| THE RESIDENT INSPECTOR WAS INFORMED. |
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|Power Reactor |Event Number: 35706 |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: NINE MILE POINT REGION: 1 |NOTIFICATION DATE: 05/12/1999|
| UNIT: [] [2] [] STATE: NY |NOTIFICATION TIME: 16:12[EDT]|
| RXTYPE: [1] GE-2,[2] GE-5 |EVENT DATE: 05/12/1999|
+------------------------------------------------+EVENT TIME: 15:15[EDT]|
| NRC NOTIFIED BY: GREEN |LAST UPDATE DATE: 05/12/1999|
| HQ OPS OFFICER: CHAUNCEY GOULD +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: N/A |CURTIS COWGILL R1 |
|10 CFR SECTION: | |
|AIND 50.72(b)(2)(iii)(D) ACCIDENT MITIGATION | |
|NLCO TECH SPEC LCO A/S | |
| | |
| | |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE |
+-----+----------+-------+--------+-----------------+--------+-----------------+
| | |
|2 N Y 100 Power Operation |100 Power Operation |
| | |
+------------------------------------------------------------------------------+
EVENT TEXT
+------------------------------------------------------------------------------+
| REACTOR CORE ISOLATION COOLING (RCIC) WAS DECLARED INOPERABLE DURING THE |
| QUARTERLY SURVEILLANCE TEST. |
| |
| DURING THE PERFORMANCE OF THE NORMAL QUARTERLY RCIC SURVEILLANCE TEST, THE |
| RCIC TURBINE UNEXPECTEDLY TRIPPED WHEN THE SUCTION PATH WAS SWAPPED FROM |
| THE SUPPRESSION POOL TO THE CONDENSATE STORAGE TANK. THE CAUSE OF THE RCIC |
| TURBINE TRIP IS UNKNOWN AT THIS TIME, AND TROUBLESHOOTING IS CURRENTLY IN |
| PROGRESS. THE PLANT IS IN A 14-DAY LIMITING CONDITION FOR OPERATION ACTION |
| STATEMENT. |
| |
| THE RESIDENT INSPECTOR WILL BE NOTIFIED. |
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+------------------------------------------------------------------------------+
|General Information or Other |Event Number: 35707 |
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| REP ORG: FLORIDA BUREAU OF RAD CONTROL |NOTIFICATION DATE: 05/12/1999|
|LICENSEE: CITRUS MEMORIAL HEALTH FOUNDATION, IN|NOTIFICATION TIME: 17:32[EDT]|
| CITY: INVERNESS REGION: 2 |EVENT DATE: 05/12/1999|
| COUNTY: STATE: FL |EVENT TIME: [EDT]|
|LICENSE#: 2067-1 AGREEMENT: Y |LAST UPDATE DATE: 05/12/1999|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |RUDOLPH BERNHARD R2 |
| |JOE HOLONICH NMSS |
+------------------------------------------------+ |
| NRC NOTIFIED BY: ADAMS | |
| HQ OPS OFFICER: CHAUNCEY GOULD | |
+------------------------------------------------+ |
|EMERGENCY CLASS: N/A | |
|10 CFR SECTION: | |
|NAGR AGREEMENT STATE | |
| | |
| | |
| | |
| | |
+------------------------------------------------------------------------------+
EVENT TEXT
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| THE FLORIDA BUREAU OF RADIATION CONTROL REPORTED A RADIOLOGICAL INCIDENT, |
| #FL99-066, WHICH OCCURRED AT THE CITRUS MEMORIAL HEALTH FOUNDATION, INC., |
| LOCATED IN INVERNESS, FLORIDA. |
| |
| SIX IMPLANTED I-125 SEEDS MEASURING 0.265 mCi EACH WERE REMOVED FROM A |
| PATIENT AT THE FACILITY. WHEN THE SEEDS WERE TO BE RETRIEVED FOR SHIPMENT |
| BACK TO THE MANUFACTURER, ONLY ONE COULD BE FOUND. A THOROUGH SURVEY OF THE |
| ROOM AND SEWER TRAPS FAILED TO LOCATE THE OTHER FIVE SEEDS. THE MISSING |
| MATERIAL WAS PROBABLY LOST IN THE SANITARY SEWER. A STATE INSPECTOR IS |
| INVESTIGATING THE INCIDENT. |
+------------------------------------------------------------------------------+
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|General Information or Other |Event Number: 35708 |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG: KANSAS DEPT OF HEALTH & ENVIROMENT |NOTIFICATION DATE: 05/12/1999|
|LICENSEE: VIA CHRISTI REGIONAL MEDICAL CTR |NOTIFICATION TIME: 18:11[EDT]|
| CITY: WICHITA REGION: 4 |EVENT DATE: 05/07/1999|
| COUNTY: SEDGWICK STATE: KS |EVENT TIME: 10:00[CDT]|
|LICENSE#: 19-C030-01 AGREEMENT: Y |LAST UPDATE DATE: 05/12/1999|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |CHARLES CAIN R4 |
| |JOE HOLONICH NMSS |
+------------------------------------------------+FRANK CONGEL IRO |
| NRC NOTIFIED BY: FRAASS | |
| HQ OPS OFFICER: CHAUNCEY GOULD | |
+------------------------------------------------+ |
|EMERGENCY CLASS: N/A | |
|10 CFR SECTION: | |
|NAGR AGREEMENT STATE | |
| | |
| | |
| | |
| | |
+------------------------------------------------------------------------------+
EVENT TEXT
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| ON 05/12/99, THE VIA CHRISTI REGIONAL MEDICAL CENTER NOTIFIED THE KANSAS |
| RADIATION CONTROL PROGRAM THAT A PROBABLE MEDICAL MISADMINISTRATION OCCURRED |
| ON 05/07/99 AT 1000 CDT. |
| |
| A 28-YEAR-OLD FEMALE, WHO IS APPARENTLY 19 WEEKS PREGNANT, WAS GIVEN A |
| THERAPEUTIC DOSE OF I-131 (11.8 MILLICURIES). THE CENTER'S RADIATION SAFETY |
| OFFICER CONTACTED REAC/TS, AND THE ONCOLOGIST WHO REQUESTED THE STUDY HAS |
| ALREADY BEEN CONTACTED BY A PHYSICIAN FROM REAC/TS. A SECOND CONFERENCE |
| CALL IS SCHEDULED WITH THE PATIENT'S OB/GYN PHYSICIAN. THE KANSAS |
| DEPARTMENT OF HEALTH AND ENVIRONMENT HAS BEGUN AN INVESTIGATION INTO THIS |
| INCIDENT. |
| |
| CONTACT THE OPERATIONS CENTER FOR THE STATE CONTACT'S TELEPHONE NUMBER. |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
|Fuel Cycle Facility |Event Number: 35709 |
+------------------------------------------------------------------------------+
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| FACILITY: PADUCAH GASEOUS DIFFUSION PLANT |NOTIFICATION DATE: 05/12/1999|
| RXTYPE: URANIUM ENRICHMENT FACILITY |NOTIFICATION TIME: 22:42[EDT]|
| COMMENTS: 2 DEMOCRACY CENTER |EVENT DATE: 05/12/1999|
| 6903 ROCKLEDGE DRIVE |EVENT TIME: 02:29[CDT]|
| BETHESDA, MD 20817 (301)564-3200 |LAST UPDATE DATE: 05/12/1999|
| CITY: PADUCAH REGION: 3 +-----------------------------+
| COUNTY: McCRACKEN STATE: KY |PERSON ORGANIZATION |
|LICENSE#: GDP-1 AGREEMENT: Y |ROGER LANKSBURY R3 |
| DOCKET: 0707001 |JOE HOLONICH NMSS |
+------------------------------------------------+ |
| NRC NOTIFIED BY: CAGE | |
| HQ OPS OFFICER: CHAUNCEY GOULD | |
+------------------------------------------------+ |
|EMERGENCY CLASS: N/A | |
|10 CFR SECTION: | |
|OCBA 76.120(c)(2)(i) ACCID MT EQUIP FAILS | |
| | |
| | |
| | |
| | |
+------------------------------------------------------------------------------+
EVENT TEXT
+------------------------------------------------------------------------------+
| FAILURE OF THE UF6 RELEASE DETECTION SYSTEM - 24-HOUR NOTIFICATION |
| |
| THE FACILITY EXPERIENCED A FAILURE OF THE UF6 RELEASE DETECTION SAFETY |
| SYSTEM IN C-333, UNIT 5, CELL 3. THE FAILURE OCCURRED DURING THE |
| TWICE-PER-SHIFT TECHNICAL SAFETY REQUIREMENT (TSR) SURVEILLANCE WHICH |
| REQUIRES A TEST FIRING OF THE DETECTOR HEADS. THE SAFETY SYSTEM WAS |
| IMMEDIATELY DECLARED INOPERABLE, AND THE TSR-REQUIRED ACTIONS, WHICH INCLUDE |
| PLACING A SMOKE WATCH IN THE AFFECTED AREA, WERE IMPLEMENTED. IN ADDITION, |
| THE OPERATING PRESSURE OF THE AFFECTED EQUIPMENT WAS REDUCED TO BELOW |
| ATMOSPHERIC PRESSURE WHICH PLACED THE EQUIPMENT IN A MODE IN WHICH THE |
| SAFETY SYSTEM WAS NOT REQUIRED TO BE AVAILABLE AND OPERABLE. |
| |
| THE NRC RESIDENT INSPECTOR WAS INFORMED. |
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