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Event Notification Report for May 28, 1999

                    U.S. Nuclear Regulatory Commission
                              Operations Center

                              Event Reports For
                           05/27/1999 - 05/28/1999

                              ** EVENT NUMBERS **

35680  35771  35772  35773  

!!!!!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED  !!!!!!!
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|Power Reactor                                    |Event Number:   35680       |
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+------------------------------------------------------------------------------+
| FACILITY: GINNA                    REGION:  1  |NOTIFICATION DATE: 05/05/1999|
|    UNIT:  [1] [] []                 STATE:  NY |NOTIFICATION TIME: 19:17[EDT]|
|   RXTYPE: [1] W-2-LP                           |EVENT DATE:        05/05/1999|
+------------------------------------------------+EVENT TIME:        15:33[EDT]|
| NRC NOTIFIED BY:  DOUG GOMEZ                   |LAST UPDATE DATE:  05/27/1999|
|  HQ OPS OFFICER:  FANGIE JONES                 +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          N/A                   |JAMES LINVILLE       R1      |
|10 CFR SECTION:                                 |                             |
|ARPS 50.72(b)(2)(ii)     RPS ACTUATION          |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR|   INIT RX MODE  |CURR PWR|  CURR RX MODE   |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|1     N          Y       97       Power Operation  |94       Power Operation  |
|                                                   |                          |
|                                                   |                          |
+------------------------------------------------------------------------------+
                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| TURBINE POWER RUNBACK SIGNAL FROM REACTOR PROTECTION SYSTEM                  |
|                                                                              |
| The unit received a runback signal from Overpower Delta T channels 3 and 4   |
| for 1.2 sec, during which time turbine reference power decreased from 90.7%  |
| to 90.3%.  Actual turbine load was manually reduced to lower reactor power   |
| to 94% for increased margin to the runback.  I&C personnel are investigating |
| why the signal actuated as there is no readily apparent reason.              |
|                                                                              |
| This report is required per the unit's procedures.                           |
|                                                                              |
| The licensee plans to notify the NRC Resident Inspector and the Public       |
| Service Commission for the State of New York.                                |
|                                                                              |
| * * * UPDATE 1049EDT ON 5/27/99 FROM KEVIN McLAUGHLIN TO S.SANDIN * * *      |
|                                                                              |
| THE LICENSEE IS RETRACTING THIS REPORT BASED ON THE FOLLOWING:               |
|                                                                              |
| "Rochester Gas and Electric (RG&E) is retracting this event notification. A  |
| turbine runback signal was listed in the unit's procedures as an RPS signal. |
| Upon further review, a turbine runback is not an RPS signal, and was         |
| erroneously listed as such in the unit's procedures. The procedure has been  |
| revised to delete a turbine runback as an RPS signal. Therefore, the         |
| licensee has concluded that the event is not reportable. The NRC Resident    |
| Inspector has been notified of this retraction by the licensee."             |
|                                                                              |
| NOTIFIED R1DO(CONTE).                                                        |
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+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   35771       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: FARLEY                   REGION:  2  |NOTIFICATION DATE: 05/27/1999|
|    UNIT:  [1] [] []                 STATE:  AL |NOTIFICATION TIME: 11:06[EDT]|
|   RXTYPE: [1] W-3-LP,[2] W-3-LP                |EVENT DATE:        05/27/1999|
+------------------------------------------------+EVENT TIME:        08:56[CDT]|
| NRC NOTIFIED BY:  VAUDY HOLLEY                 |LAST UPDATE DATE:  05/27/1999|
|  HQ OPS OFFICER:  JOHN MacKINNON               +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:                                |THOMAS DECKER        R2      |
|10 CFR SECTION:                                 |                             |
|ARPS 50.72(b)(2)(ii)     RPS ACTUATION          |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR|   INIT RX MODE  |CURR PWR|  CURR RX MODE   |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|1     A/R        Y       100      Power Operation  |0        Hot Standby      |
|                                                   |                          |
|                                                   |                          |
+------------------------------------------------------------------------------+
                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| AUTOMATIC REACTOR TRIP ON 2 OUT OF 3 OVERTEMPERATURE DELTA-TEMPERATURE       |
| (OTdT).  ALL RODS FULLY INSERTED INTO THE CORE.                              |
|                                                                              |
| At 0854 CDT while swapping Main Feedwater Pump "1A" Main Feedwater Pump lube |
| oil coolers "1A" Main Feedwater Pump (MFW P "1A")tripped on low lube oil     |
| pressure.  Operators manually ramped back the Main Turbine to reduce reactor |
| power due to the loss of MFW P "1A".  The Manual Main Turbine runback caused |
| both Pressurizer PORVs valves to open/close (open a few seconds) when        |
| reactor coolant pressure increased to 2310 psig. The reactor tripped on a 2  |
| out of 3 Overtemperature Delta-Temperature trip signal at 0856 CDT (Manual   |
| Main Turbine reduction in power was faster than the control rods reduction   |
| in reactor power). All rods fully inserted into the core. Both Motor Driven  |
| Auxiliary Feedwater Pumps started due to low Steam Generator Water Levels    |
| (caused by the Main Turbine runback and the automatic reactor trip).         |
| Currently Steam Generator Water Levels are being maintained by the operating |
| Motor Driven Auxiliary Feedwater pumps.  No Code Safety valves on the        |
| Primary or the Secondary side of the plant opened.  No Steam Generator       |
| Atmospheric  Valves opened. Reactor Power level was between 77% to 82%       |
| (Main Generator Power was at approximately 500 Mwe ) when the automatic      |
| reactor trip occurred.  The licensee initially entered EEP-0 (Safety         |
| Injection/Reactor Trip procedure) performed the first 4 steps then entered   |
| ESP-0.1 (Reactor Trip Response procedure) and after completing ESP-0.1 they  |
| entered Unit Operating Procedure.                                            |
| All Emergency Core Cooling Systems, Emergency Diesel Generators are          |
| available, if needed.  Offsite electrical power is stable.                   |
|                                                                              |
| The licensee is investigating why Main Feedwater Pump "1A" tripped on low    |
| lube oil pressure.                                                           |
|                                                                              |
| The NRC Resident Inspector was notified of this event by the licensee.       |
|                                                                              |
| ***Update on 5/27/99 at 1352 EDT by Vaudy Holley taken by MacKinnon****      |
|                                                                              |
| When the Pressurizer PORVs were opened it caused a reduction in the reactor  |
| pressure to drop low enough for the Overtemperature Delta-Temperature        |
| setpoints to be reached.  This caused a reactor trip/turbine trip.           |
| R2DO (Tom Decker) notified.  The NRC Resident Inspector was notified.        |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Hospital                                         |Event Number:   35772       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG:  WILLIAM BEAUMONT HOSPITAL            |NOTIFICATION DATE: 05/27/1999|
|LICENSEE:  WILLIAM BEAUMONT HOSPITAL            |NOTIFICATION TIME: 13:41[EDT]|
|    CITY:  ROYAL OAK                REGION:  3  |EVENT DATE:        05/26/1999|
|  COUNTY:                            STATE:  MI |EVENT TIME:        14:30[EDT]|
|LICENSE#:  21-01333-01           AGREEMENT:  N  |LAST UPDATE DATE:  05/27/1999|
|  DOCKET:                                       |+----------------------------+
|                                                |PERSON          ORGANIZATION |
|                                                |ROGER LANKSBURY      R3      |
|                                                |FRED COMBS           NMSS    |
+------------------------------------------------+                             |
| NRC NOTIFIED BY:  CHERYL SCHULTZ, RSO          |                             |
|  HQ OPS OFFICER:  DICK JOLLIFFE                |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          N/A                   |                             |
|10 CFR SECTION:                                 |                             |
|NINF                     INFORMATION ONLY       |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+------------------------------------------------------------------------------+

                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| - HOSPITAL DOSIMETER MEASURED A DOSE READING OF GREATER THAN 1000 RADS -     |
|                                                                              |
| AT 1430 ON 05/26/99, LYNN [LAST NAME UNKNOWN] EMPLOYED BY LANDAUER RADIATION |
| BADGE DOSIMETRY COMPANY, GLENWOOD, IL, REPORTED TO CHERYL SCHULTZ, RADIATION |
| SAFETY OFFICER (RSO), WILLIAM BEAUMONT HOSPITAL, ROYAL OAK, MI, THAT ONE OF  |
| BEAUMONT HOSPITAL'S RADIATION DOSIMETERS MEASURED A DOSE READING OF GREATER  |
| THAN 1000 RADS.  THE RADIATION DOSIMETER IS A LUXEL ALUMINUM OXIDE FILMLESS  |
| RADIATION DOSIMETER THAT HAS BEEN USED IN THE INDUSTRY SINCE THE FALL OF     |
| 1998.  THIS TYPE OF DOSIMETER HAS BEEN USED AT BEAUMONT HOSPITAL SINCE       |
| JANUARY 1999.  THE HOSPITAL MEDICAL TECHNOLOGIST WHO USED THIS DOSIMETER     |
| WORKS IN A BLOOD BANK AND LAST USED A BLOOD IRRADIATOR IN APRIL 1999.  THE   |
| IRRADIATOR CONTAINS A SELF CONTAINED SEALED 10,000 CURIE CESIUM-137          |
| RADIATION SOURCE.                                                            |
|                                                                              |
| THE HOSPITAL RSO STATED THAT THE IRRADIATOR IS FUNCTIONING PROPERLY AND THAT |
| THE TECHNOLOGIST DID NOT RECEIVE THIS HIGH DOSE.  THE RSO FURTHER STATED     |
| THAT HOSPITAL PERSONNEL HAVE NEVER RECEIVED GREATER THAN 0.06 MR/HR MAXIMUM  |
| DOSE RATE WITH THE IRRADIATOR SOURCE EXPOSED.  THE RSO BELIEVES THAT THE     |
| DOSE READING IS INCORRECT OR THAT THE DOSIMETER SOMEHOW BECAME IRRADIATED.   |
| THE DOSIMETRY COMPANY REPRESENTATIVE STATED THAT THE DOSIMETER READINGS WERE |
| OBTAINED TWICE AND THE DOSIMETER IS NOT DAMAGED.                             |
|                                                                              |
| THE HOSPITAL RSO PLANS TO OBTAIN A BLOOD SAMPLE FROM THE TECHNOLOGIST AND    |
| HAVE IT ANALYZED ON 05/27/99.                                                |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   35773       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: SOUTH TEXAS              REGION:  4  |NOTIFICATION DATE: 05/27/1999|
|    UNIT:  [1] [] []                 STATE:  TX |NOTIFICATION TIME: 15:33[EDT]|
|   RXTYPE: [1] W-4-LP,[2] W-4-LP                |EVENT DATE:        05/27/1999|
+------------------------------------------------+EVENT TIME:        13:45[CDT]|
| NRC NOTIFIED BY:  MIKE SCHAEFER                |LAST UPDATE DATE:  05/27/1999|
|  HQ OPS OFFICER:  DICK JOLLIFFE                +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          N/A                   |THOMAS ANDREWS       R4      |
|10 CFR SECTION:                                 |                             |
|DDDD 73.71               UNSPECIFIED PARAGRAPH  |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|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                                   
+------------------------------------------------------------------------------+
| - PHYSICAL SECURITY REPORT -                                                 |
|                                                                              |
| DISCOVERY OF CRIMINAL INFORMATION INVOLVING A CONTRACTOR WHO WAS GRANTED     |
| UNESCORTED ACCESS TO THE PLANT.  COMPENSATORY MEASURES WERE IMMEDIATELY      |
| TAKEN UPON DISCOVERY.  THE LICENSEE PLANS TO INFORM THE NRC RESIDENT         |
| INSPECTOR.  REFER TO THE NRC OPERATIONS OFFICER LOG FOR ADDITIONAL DETAILS.  |
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