Event Notification Report for October 7, 1999
U.S. Nuclear Regulatory Commission Operations Center Event Reports For 10/06/1999 - 10/07/1999 ** EVENT NUMBERS ** 36263 36264 36265 36266 36267 36268 36269 36270 +------------------------------------------------------------------------------+ |General Information or Other |Event Number: 36263 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | REP ORG: SWAGELOK COMPANY |NOTIFICATION DATE: 10/06/1999| |LICENSEE: SWAGELOK COMPANY |NOTIFICATION TIME: 09:48[EDT]| | CITY: Solon REGION: 3 |EVENT DATE: 10/04/1999| | COUNTY: STATE: OH |EVENT TIME: [EDT]| |LICENSE#: AGREEMENT: N |LAST UPDATE DATE: 10/06/1999| | DOCKET: |+----------------------------+ | |PERSON ORGANIZATION | | |JOHN KINNEMAN R1 | | |BRIAN BONSER R2 | +------------------------------------------------+JOHN JACOBSON R3 | | NRC NOTIFIED BY: BRUCE FLUSCHE (Fax) |KRISS KENNEDY R4 | | HQ OPS OFFICER: LEIGH TROCINE |VERN HODGE NRR | +------------------------------------------------+ | |EMERGENCY CLASS: N/A | | |10 CFR SECTION: | | |CCCC 21.21 UNSPECIFIED PARAGRAPH | | | | | | | | | | | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | POSSIBLE 10-CFR-PART-21 REPORT REGARDING A POSSIBLE DEFECT IN A SWAGELOK | | TUBE FITTING | | | | The following text is a portion of a facsimile submitted by Swagelok | | Company: | | | | "This is a preliminary notification of a possible defect in a Swagelok tube | | fitting, part number SS-400-3-4TTM, male branch tee. A drawing of the part | | is included with this notification. We are also notifying each of the | | involved utilities." | | | | "We became aware of this on October 4, 1999." | | | | "The defect is a crack in the seat of the fitting. We are continuing our | | analysis of the part and will provide further details in accordance with NRC | | timetables." | | | | "[The] following are the six utilities to whom we have sold these parts: | | | | Georgia Power [Company], Plant Vogtle, ... , 10 pcs. ... [;] | | Duke Power Company, Oconee Nuclear Station, ... ,100 pcs. ... [;] | | Arizona Public Service Co., Palo Verde Nuclear Generating Station, ... , 15 | | pcs. ... [;] | | North Atlantic Energy Service Co., ... , Seabrook Station, ... ,10 pcs. ... | | [;] | | Virginia Power, Surry Power Station, ... , 3 pcs. ... [; and] | | Omaha Public Power District, Ft. Calhoun Nuclear Station, ... , 10 Pcs. ... | | ." | | | | (Call the NRC operations officer for Swagelok contact information.) | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ |Power Reactor |Event Number: 36264 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | FACILITY: WATERFORD REGION: 4 |NOTIFICATION DATE: 10/06/1999| | UNIT: [3] [] [] STATE: LA |NOTIFICATION TIME: 12:49[EDT]| | RXTYPE: [3] CE |EVENT DATE: 10/06/1999| +------------------------------------------------+EVENT TIME: 10:55[CDT]| | NRC NOTIFIED BY: OSCAR PIPKINS |LAST UPDATE DATE: 10/06/1999| | HQ OPS OFFICER: FANGIE JONES +-----------------------------+ +------------------------------------------------+PERSON ORGANIZATION | |EMERGENCY CLASS: N/A |KRISS KENNEDY 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 | +-----+----------+-------+--------+-----------------+--------+-----------------+ |3 N Y 100 Power Operation |100 Power Operation | | | | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | FIRE PROTECTION SYSTEM SPRINKLER FOR 'B' EMERGENCY DIESEL GENERATOR | | INOPERABLE | | | | The licensee determined that the fire protection sprinkler system FPM-4B | | could not meet the pressure requirements for the Fire Protection Code | | NFA-13. The system was declared inoperable, but in service and a continuous | | fire watch was posted as an immediate compensatory measure. The system is | | for fire protection in the 'B' emergency diesel generator (EDG) room, the | | EDG remains operable due to the fire watch. The condition was discovered | | during a review of sprinkler system hydraulic calculations in response to an | | earlier condition report. | | | | The licensee notified the NRC Resident Inspector. | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ |Power Reactor |Event Number: 36265 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | FACILITY: CRYSTAL RIVER REGION: 2 |NOTIFICATION DATE: 10/06/1999| | UNIT: [3] [] [] STATE: FL |NOTIFICATION TIME: 14:57[EDT]| | RXTYPE: [3] B&W-L-LP |EVENT DATE: 08/06/1999| +------------------------------------------------+EVENT TIME: [EDT]| | NRC NOTIFIED BY: W. BAUDHAUER |LAST UPDATE DATE: 10/06/1999| | HQ OPS OFFICER: FANGIE JONES +-----------------------------+ +------------------------------------------------+PERSON ORGANIZATION | |EMERGENCY CLASS: N/A |BRIAN BONSER R2 | |10 CFR SECTION: |VERN HODGE (FAX) | |CCCC 21.21 UNSPECIFIED PARAGRAPH | | | | | | | | | | | +-----+----------+-------+--------+-----------------+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ |3 N N 0 Hot Shutdown |0 Cold Shutdown | | | | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | 10 CFR PART 21 REPORT - DAMAGED SAFETY GRADE ELECTRICAL CABLING FOUND IN | | SUPPLY | | | | "On August 31, 1999, damage to a new power cable being installed in a | | non-safety-related application under Modification Approval Record MAR | | 98-04-06-01 (Instrument Air Compressor Upgrade) was identified. The | | insulation on one conductor of three conductor cable (BICC Brand Rex Company | | power cable #1108582, 1 Kv, 3/C, #2/0, Class B, 90C, XLPE Insulated, Black | | Jacket) was found to be damaged when the outer jacket was | | removed for termination. This was the first issuance of the cable (4 Reels | | containing approximately 4,000 feet total in stock), which had been procured | | as safety grade and Environmentally Qualified (EQ) (PO #F830409D). A total | | of six samples of the pulled cable were inspected. Damage to the same | | conductor was found in all six samples. The cable appeared to have been | | damaged during fabrication rather than by cable pulling techniques. | | | | "The vendor stated that the damage was created during the cabling process | | while combining the three conductors just prior to closing. The damaged | | conductor fell off the cabling unit pulley due to loss of tension, causing | | the insulation to be scraped | | | | "Although never used in the plant, the subject cable could have been used in | | a safety-related application in a harsh environment such as the Reactor | | Building or Intermediate Building. In a harsh environment created under | | accident conditions, the damaged cable insulation could allow the cable | | conductor to "leak" through moisture to nearby grounds, thus tripping and | | rendering inoperable, equipment downstream of the fault. Normally, conductor | | insulation is the primary barrier to leaks in loss of Coolant Accident | | (LOCA) tests when jacket material occasionally cracks. Also, if the cable | | was installed in a metal cabinet so that the cable outer jacket had been | | stripped near the defect to allow cable termination, the damaged cable | | insulation on the one conductor could potentially allow contact with the | | cabinet or a nearby ground during a seismic event and cause the circuit to | | malfunction. In either case, safety-related loads required to mitigate the | | consequences of an accident or to perform a safety-related function, could | | be impacted to the extent that a substantial safety hazard could be | | created. | | | | "The above evaluation was completed on October 4, 1999. The FPC | | director/responsible officer was notified of the above determination on | | October 6, 1999. The vendor has been notified of FPC's intent to report this | | issue under 10CFR21.21." | | | | The licensee notified the NRC Resident Inspector. | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ |Power Reactor |Event Number: 36266 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | FACILITY: BEAVER VALLEY REGION: 1 |NOTIFICATION DATE: 10/06/1999| | UNIT: [1] [2] [] STATE: PA |NOTIFICATION TIME: 18:15[EDT]| | RXTYPE: [1] W-3-LP,[2] W-3-LP |EVENT DATE: 10/06/1999| +------------------------------------------------+EVENT TIME: 17:45[EDT]| | NRC NOTIFIED BY: DAUGHERTY |LAST UPDATE DATE: 10/06/1999| | HQ OPS OFFICER: FANGIE JONES +-----------------------------+ +------------------------------------------------+PERSON ORGANIZATION | |EMERGENCY CLASS: N/A |JOHN KINNEMAN R1 | |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 90 Power Operation |90 Power Operation | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | ERROR FOUND IN LARGE BREAK LOCA ANALYSIS | | | | "Westinghouse Letter DLC-99-768 reported errors found in the Large Break | | LOCA analysis for both Beaver Valley units. These errors resulted in | | calculated maximum Peak Clad Temperatures >2200�F with out taking credit for | | any other available margins. Per 10CFR50.46.a.3.(ii), any change or error | | correction that results in a calculated ECCS performance (where Peak Clad | | Temperature is not maintained <2200�F) Is reportable per 10CFR50.72 | | | | "It should be noted that Westinghouse Letter DLC-99-768 proposed a more | | conservative restriction on FQ limits for both units, and a more | | conservative limit on Steam Generator tube plugging at unit 2 that would | | overcome the effects of the reported errors. These limits are presently | | being met and have been met for the time periods of the present cycles at | | both units, so that the proposed analysis appears to be valid. Engineering | | evaluation is pending for final approval of these proposals." | | | | The licensee intends to notify the NRC Resident Inspector. | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ |Power Reactor |Event Number: 36267 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | FACILITY: VERMONT YANKEE REGION: 1 |NOTIFICATION DATE: 10/06/1999| | UNIT: [1] [] [] STATE: VT |NOTIFICATION TIME: 18:28[EDT]| | RXTYPE: [1] GE-4 |EVENT DATE: 10/06/1999| +------------------------------------------------+EVENT TIME: 16:40[EDT]| | NRC NOTIFIED BY: DENNIS MAY |LAST UPDATE DATE: 10/06/1999| | HQ OPS OFFICER: FANGIE JONES +-----------------------------+ +------------------------------------------------+PERSON ORGANIZATION | |EMERGENCY CLASS: N/A |JOHN KINNEMAN 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 | +-----+----------+-------+--------+-----------------+--------+-----------------+ |1 N Y 99 Power Operation |99 Power Operation | | | | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | BOTH TRAINS OF LOW PRESSURE COOLANT INJECTION DECLARED INOPERABLE | | | | During periodic inspections, technicians discovered multiple loose battery | | terminal connections on both UPS-1A and UPS-1B batteries. The licensee was | | uncertain of the operability of the batteries and conservatively declared | | both trains of low pressure coolant injection (LPCI) inoperable. This put | | them in a 24-hour Technical Specification action statement (3.5.A.6) to | | bring the plant to hot shutdown. Electrical maintenance is on site | | tightening connections and inspecting all battery connections. The licensee | | does not anticipate having to shutdown as electrical maintenance is working | | now. An investigation into the event will follow up the event. | | | | The licensee notified the NRC Resident Inspector and the State of Vermont | | Nuclear Engineer. | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ |Fuel Cycle Facility |Event Number: 36268 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | FACILITY: PORTSMOUTH GASEOUS DIFFUSION PLANT |NOTIFICATION DATE: 10/06/1999| | RXTYPE: URANIUM ENRICHMENT FACILITY |NOTIFICATION TIME: 18:30[EDT]| | COMMENTS: 2 DEMOCRACY CENTER |EVENT DATE: 10/06/1999| | 6903 ROCKLEDGE DRIVE |EVENT TIME: 17:03[EDT]| | BETHESDA, MD 20817 (301)564-3200 |LAST UPDATE DATE: 10/07/1999| | CITY: PIKETON REGION: 3 +-----------------------------+ | COUNTY: PIKE STATE: OH |PERSON ORGANIZATION | |LICENSE#: GDP-2 AGREEMENT: N |JOHN JACOBSON R3 | | DOCKET: 0707002 |JOHN GREEVES NMSS | +------------------------------------------------+ | | NRC NOTIFIED BY: KEITH WILLIAMSON | | | HQ OPS OFFICER: FANGIE JONES | | +------------------------------------------------+ | |EMERGENCY CLASS: N/A | | |10 CFR SECTION: | | |NONR OTHER UNSPEC REQMNT | | |NINF INFORMATION ONLY | | | | | | | | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | INFORMATION REPORT ON RUPTURE OF CIRCULATING WATER HEADER FOLLOWED BY AN | | OFFSITE NOTIFICATION (4-HOUR NOTIFICATION) | | | | The plant suffered a rupture in a 6-inch header on the plant circulating | | water header that does not affect present plant operation. Work is in | | progress to isolate the leak. Several thousand gallons of water have been | | released on site, and environmental sampling of the site outfalls is | | underway to determine if any release offsite of chlorine (water additive) | | has taken place. | | | | Portsmouth personnel have notified the NRC resident inspector. | | | | (Call the NRC operations officer for a contact telephone number.) | | | | ******************** UPDATE AT 0103 ON 10/07/99 FROM ERIC SPAETH TO LEIGH | | TROCINE ******************** | | | | The following text is a portion of a facsimile received from Portsmouth: | | | | "At approximately 1703 hrs on 10/06/99, a recirculating cooling water line | | rupture occurred on the plant. A 6-inch line rupture caused a significant | | increase in flow through an NPDES outfall. Monitoring has not determined a | | permitted limit exceedance or impact to local water tributaries. However, | | [at 0008 hrs on 10/07/99,] a courtesy notification to [the Ohio | | Environmental Protection Agency (OEPA)] was made to advise of this upset | | condition." | | | | "[This is a 4-hour] notification to the NRC due to [the] plant notifying | | [another] government agency [ ... ]." | | | | "There was no loss of hazardous/radioactive material or | | radioactive/radiological contamination exposure as a result of this event." | | | | Portsmouth personnel plan to notify the NRC resident inspector and the | | Department of Energy site representative. The NRC operations center | | notified the R3DO (Jacobson), NMSS EO (Greeves), and IRO (Miller). | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ |General Information or Other |Event Number: 36269 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | REP ORG: STATE OF ILLINOIS |NOTIFICATION DATE: 10/07/1999| |LICENSEE: RUSH-PRES-ST. LUKE'S MEDICAL CENTER |NOTIFICATION TIME: 00:43[EDT]| | CITY: REGION: 3 |EVENT DATE: 10/05/1999| | COUNTY: STATE: IL |EVENT TIME: [CDT]| |LICENSE#: IL-01766-01 AGREEMENT: Y |LAST UPDATE DATE: 10/07/1999| | DOCKET: |+----------------------------+ | |PERSON ORGANIZATION | | |JOHN JACOBSON R3 | | |JOHN GREEVES NMSS | +------------------------------------------------+ | | NRC NOTIFIED BY: PATRICIA LARKINS (NRC) | | | HQ OPS OFFICER: LEIGH TROCINE | | +------------------------------------------------+ | |EMERGENCY CLASS: N/A | | |10 CFR SECTION: | | |NAGR AGREEMENT STATE | | | | | | | | | | | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | AGREEMENT STATE REPORT OF A NOVOSTE CORPORATION BETA-CATHETER TREATMENT | | DEVICE DRIVE MECHANISM FAILURE AT ST. LUKE'S MEDICAL CENTER (The facility's | | location was not provided.) | | | | The following text is a portion of an E-mail sent to the NRC operations | | center from the NRC Office of State Programs (Patricia Larkins) at 1650 on | | 10/06/99 which enclosed another E-mail from the State of Illinois (Bruce | | Sanza) to the NRC (Patricia Larkins) at 1409 on 10/05/99: | | | | "FYI. The license number is IL-01766-01" | | | | "-----Original Message----- From: Gulczynski, Andy | | Sent: Tuesday, October 05, 1999 12:05 PM | | To: Sanza, Bruce; Klinger, Joe; Eastvold, Paul | | Cc: (ORS, Glen Ellyn DRM Staff) | | Subject: Reported Drive Mechanism Failure in Novoste Corporation | | Beta-Catheter Treatment Device " | | | | "Glenn Sullivan, RSO at Rush-Pres-St. Luke's Medical Center, [ ... ], just | | called me to report an event which occurred this morning." | | | | "A patient was being treated with a Novoste Corporation Beta-Cath System | | (Model SRO.S03 using Novoste Source Train 139/99 in transfer device 7Z519). | | The device is used to treat arterial occlusions. This system contains 56 | | mCi of Sr-90 as of April 8, 1999, contained in 16 active seeds. The source | | 'train' contains a total of 18 seeds, two of which are 'dummies', located at | | the beginning and the end of the source train. The sources are driven in to | | and out of the catheter using saline solution (water pressure). This system | | is an 'all or nothing' system, meaning all the seeds are used in each | | treatment." | | | | "At the conclusion of today's treatment, the staff could not visually verify | | the presence of all the sources within the machine. They immediately | | removed the catheter from the patient; surveyed the patient, the catheter, | | and the room; and found no sources present. They then connected the | | catheter to the machine and activated the drive mechanism. Six active | | sources and one dummy source came out, which they placed into a shielded | | container. They activated the drive mechanism again and 9 active sources, | | and one dummy source came out. (This left one source unaccounted for.) | | They then surveyed the machine and confirmed the presence of the last source | | within the machine, though they do not know exactly where it is located." | | | | "The patient suffered no adverse effects and received no unplanned exposure | | as a result of this event." | | | | "Glenn Sullivan is preparing a written report, which will be sent to our | | Department." | | | | (Call the NRC operations officer for a licensee contact name and telephone | | number.) | | | | ******************** UPDATE AT 0044 ON 10/07/88 BY LEIGH TROCINE | | ******************** | | | | The following text is a portion of an E-mail sent to the NRC operations | | center from the NRC Office of State Programs (Patricia Larkins) at 1651 on | | 10/06/99 which enclosed another E-mail from the State of Illinois (Bruce | | Sanza) to the NRC (Patricia Larkins) at 1432 on 10/05/99: | | | | "-----Original Message----- From: Gulczynski, Andy | | Sent: Tuesday, October 05, 1999 1:31 PM | | To: Sanza, Bruce; Klinger, Joe; Eastvold, Paul | | Cc: (ORS, Glen Ellyn DRM Staff) | | Subject: Update to Novoste Corporation Beta Cath Event" | | | | "Glenn Sullivan called again to inform us that a Novoste Corporation | | Representative will be at Rush-Pres-St. Luke's Medical Center tomorrow to | | investigate the cause of this event. Glenn will keep us informed of any | | new | | developments. " | | | | The NRC operations officer notified the R3DO (Jacobson) and NMSS EO | | (Greeves). | | | | ******************** UPDATE AT 0045 ON 10/07/88 BY LEIGH TROCINE | | ******************** | | | | The following text is a portion of an E-mail sent to the NRC operations | | center from the NRC Office of State Programs (Patricia Larkins) at 1653 on | | 10/06/99 which enclosed another E-mail from the State of Illinois (Bruce | | Sanza) to the NRC (Patricia Larkins) at 1436 on 10/06/99: | | | | "-----Original Message----- From: Gulczynski, Andy | | Sent: Wednesday, October 06, 1999 1:35 PM | | To: Sanza, Bruce; Klinger, Joe; Eastvold, Paul | | Cc: (ORS, Glen Ellyn DRM Staff); Merrihew, George | | Subject: Update on Novoste Beta-Cath System" | | | | "Glenn Sullivan called me with an update to the Novoste Beta-Cath source | | drive mechanism failure:" | | | | "Novoste service personnel were there today and dismantled the machine. | | They found the missing source in the 'belly' of the machine stuck to a | | magnet. They don't know how or why yet. They left the sources with Glenn | | and took the machine to their facility to perform tests on it, presumably to | | figure out the root cause(s) of the failure." | | | | "One of the sources involved in the event appeared to be damaged. All of | | the sources were leak tested and none, including the damaged one, were | | leaking. Glenn said that he would package the sources and ship them to the | | supplier." | | | | "A written report from Glenn Sullivan will be sent to our Department." | | | | The NRC operations officer notified the R3DO (Jacobson) and NMSS EO | | (Greeves). | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ |Fuel Cycle Facility |Event Number: 36270 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | FACILITY: PORTSMOUTH GASEOUS DIFFUSION PLANT |NOTIFICATION DATE: 10/07/1999| | RXTYPE: URANIUM ENRICHMENT FACILITY |NOTIFICATION TIME: 01:03[EDT]| | COMMENTS: 2 DEMOCRACY CENTER |EVENT DATE: 10/06/1999| | 6903 ROCKLEDGE DRIVE |EVENT TIME: 21:10[EDT]| | BETHESDA, MD 20817 (301)564-3200 |LAST UPDATE DATE: 10/07/1999| | CITY: PIKETON REGION: 3 +-----------------------------+ | COUNTY: PIKE STATE: OH |PERSON ORGANIZATION | |LICENSE#: GDP-2 AGREEMENT: N |JOHN JACOBSON R3 | | DOCKET: 0707002 |JOHN GREEVES NMSS | +------------------------------------------------+CHARLES MILLER IRO | | NRC NOTIFIED BY: ERIC SPAETH | | | HQ OPS OFFICER: LEIGH TROCINE | | +------------------------------------------------+ | |EMERGENCY CLASS: N/A | | |10 CFR SECTION: | | |NBNL RESPONSE-BULLETIN | | | | | | | | | | | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | NRC BULLETIN 91-01 RESPONSE (4-HOUR REPORT) | | | | The following text is a portion of a facsimile received from Portsmouth: | | | | "On 10/06/99 at 2110 hrs, the Plant Shift Superintendent (PSS) was notified | | by NCS Engineering, that an Nuclear Criticality Safety Approval (NCSA) | | requirement was not being maintained in the X-333 process building during a | | maintenance evolution. Maintenance personnel, while working on seal exhaust | | pumps, removed the filter from the demister without prior non-destructive | | analysis (NDA) being completed." | | | | "Requirement #12 of NCSA-033_016.AO1 states in part [that] seal exhaust | | pumps/demisters shall be drained of oil then NDA measured for U-235 content | | prior to removal." | | | | "At the direction of the [PSS,] the requirements for an NCS anomalous | | condition were initiated, and the area was boundaried off." | | | | "There was no loss of hazardous/radioactive material or | | radioactive/radiological contamination exposure as a result of this event." | | | | "SAFETY SIGNIFICANCE OF EVENTS: An NDA measurement was not obtained; | | however, the demister was drained of oil. Therefore, an unsafe mass is not | | anticipated. The maximum enrichment for the seal exhaust is 3% U-235. | | Spacing was maintained; therefore, the overall safety [significance] is low. | | (At the enrichment involved, the component is a favorable geometry)." | | | | "POTENTIAL CRITICALITY PATHWAYS INVOLVED (BRIEF SCENARIO[S] OF HOW | | CRITICALITY COULD OCCUR): In order for criticality to occur, a spacing | | violation would have to occur as well as a failure to NDA the equipment | | prior to removal." | | | | "CONTROLLED PARAMETERS (MASS, MODERATION, GEOMETRY, CONCENTRATION, ETC.): | | Spacing [was] maintained. Mass [was] assumed [to be] lost." | | | | "ESTIMATED AMOUNT, ENRICHMENT, FORM OF LICENSED MATERIAL (INCLUDE PROCESS | | LIMIT AND % WORST CASE OF CRITICAL MASS): The equipment removed was only a | | part [of] the seal exhaust pump demister; therefore, a large mass is not | | anticipated. The enrichment was at 3% in the form of UF4 with oil." | | | | "NUCLEAR CRITICALITY SAFETY CONTROL(S) OR CONTROL SYSTEM(S) AND DESCRIPTION | | OF THE FAILURES OR DEFICIENCIES: NDA was not performed on seal demisters | | prior to removal. The NDA is required to demonstrate that the component is | | less than a safe mass. Spacing between components was maintained." | | | | "CORRECTIVE ACTIONS TO RESTORE SAFETY SYSTEM AND WHEN EACH WAS IMPLEMENTED: | | At the direction of the [PSS,] the requirements for an NCS anomalous | | condition were initiated, and the [area was] boundaried off. The filters | | removed will be scheduled to have NDA measurements performed." | | | | Portsmouth personnel stated that this event was a 4-hour notification | | because it involved a loss of one of two criticality controls without | | re-establishment within 4 hours. | | | | Portsmouth personnel notified the NRC resident inspector and the Department | | of Energy site representative. | +------------------------------------------------------------------------------+
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