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 THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED !!!!!!!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
Page Last Reviewed/Updated Thursday, March 25, 2021