The U.S. Nuclear Regulatory Commission is in the process of rescinding or revising guidance and policies posted on this webpage in accordance with Executive Order 14151 Ending Radical and Wasteful Government DEI Programs and Preferencing, and Executive Order 14168 Defending Women From Gender Ideology Extremism and Restoring Biological Truth to the Federal Government. In the interim, any previously issued diversity, equity, inclusion, or gender-related guidance on this webpage should be considered rescinded that is inconsistent with these Executive Orders.

Event Notification Report for June 4, 1999

                    U.S. Nuclear Regulatory Commission
                              Operations Center

                              Event Reports For
                           06/03/1999 - 06/04/1999

                              ** EVENT NUMBERS **

35738  35788  35789  35790  35791  

!!!!!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED  !!!!!!!
+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   35738       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: WOLF CREEK               REGION:  4  |NOTIFICATION DATE: 05/19/1999|
|    UNIT:  [1] [] []                 STATE:  KS |NOTIFICATION TIME: 12:12[EDT]|
|   RXTYPE: [1] W-4-LP                           |EVENT DATE:        05/19/1999|
+------------------------------------------------+EVENT TIME:        11:00[CDT]|
| NRC NOTIFIED BY:  DAVID ERBE                   |LAST UPDATE DATE:  06/03/1999|
|  HQ OPS OFFICER:  STEVE SANDIN                 +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          N/A                   |GARY SANBORN         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                                                     |
|                                                                              |
| Unescorted access granted inappropriately, immediate compensatory measures   |
| taken upon discovery.  The licensee notified the NRC Resident Inspector.     |
|                                                                              |
| * * * RETRACTED AT 1153 EDT ON 6/3/99 BY DAVID ERBE TO FANGIE JONES * * *    |
|                                                                              |
| The licensee retracted this event based on a determination that the event    |
| did not meet the criteria for a one hour report.  The licensee notified the  |
| NRC Resident Inspector and the Headquarters Operations Officer notified the  |
| R4DO (Linda Howell).                                                         |
|                                                                              |
| Refer to the HOO Log for additional details.                                 |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Fuel Cycle Facility                              |Event Number:   35788       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: GE NUCLEAR ENERGY                    |NOTIFICATION DATE: 06/03/1999|
|   RXTYPE: URANIUM FUEL FABRICATION             |NOTIFICATION TIME: 09:27[EDT]|
| COMMENTS: LEU CONVERSION (UF6 TO UO2)          |EVENT DATE:        06/02/1999|
|           LEU FABRICATION                      |EVENT TIME:        15:00[EDT]|
|           LWR COMMERICAL FUEL                  |LAST UPDATE DATE:  06/03/1999|
|    CITY:  WILMINGTON               REGION:  2  +-----------------------------+
|  COUNTY:  NEW HANOVER               STATE:  NC |PERSON          ORGANIZATION |
|LICENSE#:  SNM-1097              AGREEMENT:  Y  |KENNETH BARR         R2      |
|  DOCKET:  07001113                             |DON COOL             NMSS    |
+------------------------------------------------+                             |
| NRC NOTIFIED BY:  LON PAULSON                  |                             |
|  HQ OPS OFFICER:  DICK JOLLIFFE                |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          N/A                   |                             |
|10 CFR SECTION:                                 |                             |
|NBNL                     RESPONSE-BULLETIN      |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+------------------------------------------------------------------------------+

                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| - NRC BULLETIN 91-01, 24 HOUR REPORT -                                       |
|                                                                              |
| At 1500 on 06/02/99, it was determined that the mass control within a        |
| primary High Efficiency Particulate Air (HEPA) filter had been exceeded.     |
| This primary HEPA filter is on the combined exhaust of a utility hood and    |
| oxidation furnace.                                                           |
|                                                                              |
| Maintenance personnel discovered this situation in the Dry Scrap Recycle     |
| (DSR) facility during a routine inspection.  The hold-up weight was          |
| determined to be approximately 45 kgs U02 equivalent.  This exceeds the      |
| established mass limit of 25 kgs U02.  The second, independent control       |
| parameter on moderation remained intact, thus no unsafe condition existed.   |
|                                                                              |
| Associated equipment has been shutdown and controls were reestablished       |
| within 4 hours.                                                              |
|                                                                              |
| SAFETY SIGNIFICANCE OF EVENT:                                                |
| Low safety significance; independent controls on moderation remained intact. |
|                                                                              |
|                                                                              |
| POTENTIAL CRITICALITY PATHWAYS INVOLVE [BRIEF SCENARIO(S) OF HOW CRITICALITY |
| COULD OCCUR]:                                                                |
| Multiple failure modes required before a criticality accident could occur.   |
| Simultaneous loss of moderation required.                                    |
|                                                                              |
| CONTROLLED PARAMETER(S) (MASS, MODERATION, GEOMETRY. CONCENTRATION. ETC.):   |
| Mass and moderation.                                                         |
|                                                                              |
| ESTIMATED AMOUNT, ENRICHMENT, FORM OF LICENSED MATERIAL  (INCLUDE PROCESS    |
| LIMIT AND % WORST CASE CRITICAL MASS):                                       |
| 47 kgs U308 (~45 kgs U02 equivalent) at 4.1% U235 enrichment with maximum    |
| moisture content of 1,493 ppm H20.  Mass limited to 25 kgs U02 at 5% U235    |
| enrichment moderation limited to 50,000 ppm H20.  At 50,000 ppm H20, the     |
| safe hemisphere mass of theoretical density U02 exceeds 600 kgs U02 at 5%    |
| U235 enrichment                                                              |
|                                                                              |
|                                                                              |
| NUCLEAR CRITICALITY SAFETY CONTROL(S) OR CONTROL SYSTEM(S) AND DESCRIPTION   |
| OF THE FAILURES OR DEFICIENCIES:                                             |
| Administrative control on differential pressure across HEPA filter housing   |
| failed.  Fuel business system computer controls limit feed material type to  |
| <50,000 ppm H2O equivalent.  Moderation control remained intact.             |
|                                                                              |
| CORRECTIVE ACTIONS TO RESTORE SAFETY SYSTEMS AND WHEN EACH WAS IMPLEMENTED:  |
| 1. Shutdown of DSR oxidation furnace/utility hood operation; begin           |
| nondestructive assay gamma monitoring of DSR HVAC.                           |
| 2. Removal of prefilter & HEPA filter cartridge, shake U308 material down    |
| into safe geometry 3 gallon containers.                                      |
| 3. Investigation and implementation of corrective actions pending.           |
|                                                                              |
| This event is reportable pursuant to NRC Bulletin 91-01 (within 24 hours)    |
| due to the mass control failure.                                             |
|                                                                              |
| The licensee plans to notify state and local officials and NRC Region 2.     |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|General Information or Other                     |Event Number:   35789       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG:  WASHINGTON DEPARTMENT OF HEALTH      |NOTIFICATION DATE: 06/03/1999|
|LICENSEE:  NOT APPLICABLE                       |NOTIFICATION TIME: 14:15[EDT]|
|    CITY:  SEATTLE                  REGION:  4  |EVENT DATE:        06/01/1999|
|  COUNTY:                            STATE:  WA |EVENT TIME:             [PDT]|
|LICENSE#:                        AGREEMENT:  Y  |LAST UPDATE DATE:  06/03/1999|
|  DOCKET:                                       |+----------------------------+
|                                                |PERSON          ORGANIZATION |
|                                                |LINDA HOWELL         R4      |
|                                                |FRED COMBS           NMSS    |
+------------------------------------------------+CHARLES MILLER       IRO     |
| NRC NOTIFIED BY:  TERRY FRAZEE                 |M. ROBERTSON (NRC)   EPA     |
|  HQ OPS OFFICER:  FANGIE JONES                 |email                OSP     |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          N/A                   |                             |
|10 CFR SECTION:                                 |                             |
|NAGR                     AGREEMENT STATE        |                             |
|NINF                     INFORMATION ONLY       |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+------------------------------------------------------------------------------+

                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| US CUSTOMS INTERCEPTED UNAUTHORIZED TRANSPORTATION OF IODINE 131 BY          |
| INDIVIDUAL                                                                   |
|                                                                              |
| Event Report #WA-99-017                                                      |
|                                                                              |
| "On Tuesday, June 1, 1999, US Customs at Seattle-Tacoma International        |
| Airport detained a passenger whose luggage was detected to be radioactive.   |
| The alarm level was the highest on the US Customs meters.  The passenger was |
| determined to be a [World Health Organization (WHO)] physician in-bound from |
| Thailand on his way home to Alaska.   The physician admitted that he was     |
| bringing I-131 with him to his home in Alaska where he intended to treat his |
| cat for hyperthyroidism.  He did not have a license or any other             |
| authorization for the radioactive material.                                  |
|                                                                              |
| "US Customs contacted the emergency number for the Washington Department of  |
| Health, Division of Radiation Protection (WDOH).  During this initial        |
| contact, it was determined that the glass vial containing 4 to 6 millicuries |
| of  I-131 was being carried with NO SHIELDING and appeared to constitute a   |
| public health threat.   WDOH immediately asked the US Customs to seize the   |
| material under state law prohibiting possession of radioactive material      |
| without a license.   The pouch containing the vial was quickly isolated by   |
| US Customs, and staff from WDOH were dispatched.   The passenger was allowed |
| to continue home to Alaska.                                                  |
|                                                                              |
| "WDOH staff arrived at US Customs at 6 PM and noted that radiation levels in |
| the office were about twice background.  The I-131 had been placed in a      |
| storage room about 50 feet away from US Customs staff.  Dose rates exceeding |
| 2 mR/hour where noted within several feet of the pouch, and the vial was     |
| immediately placed into a lead shield and brought to the office for safe     |
| storage.  No contamination was detected.                                     |
|                                                                              |
| "Radiation exposures to the US Customs personnel, airlines personnel, and    |
| airline passengers are being assessed.  The airline is being advised of this |
| event and US Customs has notified FAA.                                       |
|                                                                              |
| "Activity and Isotope(s) involved: I-131, approximately 6 millicuries as of  |
| 3 PM (Pacific time), June 2, 1999.                                           |
| Overexposures?  Unknown at this time."                                       |
|                                                                              |
| (Call the NRC Operations Center for contact telephone numbers.)              |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Fuel Cycle Facility                              |Event Number:   35790       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: PADUCAH GASEOUS DIFFUSION PLANT      |NOTIFICATION DATE: 06/03/1999|
|   RXTYPE: URANIUM ENRICHMENT FACILITY          |NOTIFICATION TIME: 14:44[EDT]|
| COMMENTS: 2 DEMOCRACY CENTER                   |EVENT DATE:        06/02/1999|
|           6903 ROCKLEDGE DRIVE                 |EVENT TIME:        16:30[CDT]|
|           BETHESDA, MD 20817    (301)564-3200  |LAST UPDATE DATE:  06/03/1999|
|    CITY:  PADUCAH                  REGION:  3  +-----------------------------+
|  COUNTY:  McCRACKEN                 STATE:  KY |PERSON          ORGANIZATION |
|LICENSE#:  GDP-1                 AGREEMENT:  Y  |DAVID HILLS          R3      |
|  DOCKET:  0707001                              |DON COOL             NMSS    |
+------------------------------------------------+                             |
| NRC NOTIFIED BY:  THOMAS WHITE                 |                             |
|  HQ OPS OFFICER:  FANGIE JONES                 |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          N/A                   |                             |
|10 CFR SECTION:                                 |                             |
|OCBA 76.120(c)(2)(i)     ACCID MT EQUIP FAILS   |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+------------------------------------------------------------------------------+

                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| THREE SPRINKLER SYSTEMS DECLARED INOPERABLE DUE TO CORRODED HEADS            |
|                                                                              |
| "On 06/02/99 at 1630 CDT, the Plant Shift Superintendent was notified that   |
| numerous sprinkler heads were corroded, affecting 16 sprinkler systems in    |
| C-337 and one system in C-333, such that the ability of the sprinklers to    |
| flow sufficient water was called into question.  Subsequently, these         |
| sprinkler systems were declared inoperable and TSR required actions          |
| establishing roving fire patrols were initiated.  This deficiency was        |
| detected during scheduled system inspections conducted by Fire Protection    |
| personnel.  Currently, functionality of the sprinkler heads has not been     |
| fully evaluated by Fire Protection personnel and the remaining cascade       |
| buildings are currently being inspected and if necessary this report will be |
| updated to identify any additional areas.                                    |
|                                                                              |
| "It has been determined that this event is reportable under                  |
| 10CFR76.120(c)(2) as an event in which equipment is disabled or falls to     |
| function as designed."                                                       |
|                                                                              |
| The NRC Resident Inspector has been notified of this event.                  |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   35791       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: SAINT LUCIE              REGION:  2  |NOTIFICATION DATE: 06/04/1999|
|    UNIT:  [] [2] []                 STATE:  FL |NOTIFICATION TIME: 05:48[EDT]|
|   RXTYPE: [1] CE,[2] CE                        |EVENT DATE:        06/04/1999|
+------------------------------------------------+EVENT TIME:        03:13[EDT]|
| NRC NOTIFIED BY:  JACK BREEN                   |LAST UPDATE DATE:  06/04/1999|
|  HQ OPS OFFICER:  DICK JOLLIFFE                +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          N/A                   |KENNETH BARR         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   |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|                                                   |                          |
|2     M/R        Y       48       Power Operation  |0        Hot Standby      |
|                                                   |                          |
+------------------------------------------------------------------------------+
                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| - MANUAL REACTOR TRIP FROM 48% POWER DUE TO 4 CONTROL RODS DROPPING INTO THE |
| CORE -                                                                       |
|                                                                              |
| AT 0313 ON 06/04/99, WHILE PERFORMING TROUBLESHOOTING ACTIVITIES ON UNIT 2   |
| CONTROL ELEMENT DRIVE SYSTEM FOLLOWING A CONTROL ROD DROPPING INTO THE       |
| REACTOR CORE ON 06/02/99 (REFER TO EVENT #35785), FOUR CONTROL ELEMENT       |
| ASSEMBLIES (SHUTDOWN GROUP 'B' - SUBGROUP 21) FELL INTO THE REACTOR CORE FOR |
| UNKNOWN REASONS.  CONTROL ROOM OPERATORS MANUALLY TRIPPED UNIT 2 FROM 48%    |
| POWER.  ALL CONTROL RODS INSERTED INTO THE CORE COMPLETELY.  STEAM IS BEING  |
| DUMPED INTO THE MAIN CONDENSER.  UNIT 2 IS STABLE IN MODE 3 (HOT STANDBY).   |
|                                                                              |
| THE LICENSEE IS CONTINUING TO INVESTIGATE THE CAUSE(S) OF THE DROPPED        |
| CONTROL RODS.                                                                |
|                                                                              |
| THIS EVENT HAD NO EFFECT ON UNIT 1 WHICH IS OPERATING  AT 100% POWER.        |
|                                                                              |
| THE LICENSEE INFORMED THE NRC RESIDENT INSPECTOR.                            |
+------------------------------------------------------------------------------+


Page Last Reviewed/Updated Thursday, March 25, 2021