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any previously issued diversity, equity, inclusion, or gender-related guidance on this webpage should be considered rescinded that is inconsistent with these Executive Orders.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 November 15, 1999

                    U.S. Nuclear Regulatory Commission
                              Operations Center

                              Event Reports For
                           11/12/1999 - 11/15/1999

                              ** EVENT NUMBERS **

36387  36428  36429  36430  36431  36432  36433  36434  36435  36436  36437  

+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   36387       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: GRAND GULF               REGION:  4  |NOTIFICATION DATE: 11/02/1999|
|    UNIT:  [1] [] []                 STATE:  MS |NOTIFICATION TIME: 19:06[EST]|
|   RXTYPE: [1] GE-6                             |EVENT DATE:        11/02/1999|
+------------------------------------------------+EVENT TIME:        16:56[CST]|
| NRC NOTIFIED BY:  ERNEST MATHES                |LAST UPDATE DATE:  11/13/1999|
|  HQ OPS OFFICER:  DICK JOLLIFFE                +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          N/A                   |CLAUDE JOHNSON       R4      |
|10 CFR SECTION:                                 |                             |
|ADAS 50.72(b)(2)(i)      DEG/UNANALYZED COND    |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR|   INIT RX MODE  |CURR PWR|  CURR RX MODE   |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|1     N          N       0        Refueling        |0        Refueling        |
|                                                   |                          |
|                                                   |                          |
+------------------------------------------------------------------------------+
                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| - MSIVs LEAKING ABOVE ACCEPTABLE LEAK RATE DURING AN LLRT -                  |
|                                                                              |
| During local leak rate testing with the plant in a refueling outage, the     |
| licensee discovered excess leakage past the 'A' main steam line inboard and  |
| outboard main steam isolation valves (#B21-F022A and #B21-F028A).  This      |
| condition exceeded the acceptable leak rate.  The licensee is determining    |
| corrective action.                                                           |
|                                                                              |
| The licensee notified the NRC Resident Inspector.                            |
|                                                                              |
| * * * UPDATE AT 0331 ON 11/13/99 BY ERNEST MATHES TO JOLLIFFE * * *          |
|                                                                              |
| During additional local leak rate testing, the licensee discovered gross     |
| leakage past the 'C' main steam line inboard and outboard main steam         |
| isolation valves (#B21-F022C and #B21-F028C).  This condition exceeded the   |
| acceptable leak rate.  The licensee plans to test the remaining MSIVs and    |
| rebuild the leaking valves prior to plant restart.                           |
|                                                                              |
| The licensee notified the NRC Resident Inspector.  The NRC Operations        |
| Officer notified the R4DO Linda Smith.                                       |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|General Information or Other                     |Event Number:   36428       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG:  EATON CUTLER-HAMMER                  |NOTIFICATION DATE: 11/12/1999|
|LICENSEE:  EATON CUTLER-HAMMER                  |NOTIFICATION TIME: 09:58[EST]|
|    CITY:                           REGION:     |EVENT DATE:        11/12/1999|
|  COUNTY:                            STATE:     |EVENT TIME:             [EST]|
|LICENSE#:                        AGREEMENT:  N  |LAST UPDATE DATE:  11/12/1999|
|  DOCKET:                                       |+----------------------------+
|                                                |PERSON          ORGANIZATION |
|                                                |DAN HOLODY           R1      |
|                                                |CHARLES OGLE         R2      |
+------------------------------------------------+MICHAEL PARKER       R3      |
| NRC NOTIFIED BY:  PAT PATTERSON                |LINDA SMITH          R4      |
|  HQ OPS OFFICER:  DICK JOLLIFFE                |VERN HODGE (by fax)  NRR     |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          N/A                   |                             |
|10 CFR SECTION:                                 |                             |
|CDEG 21.21(c)(3)(i)      DEFECTS/NONCOMPLIANCE  |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+------------------------------------------------------------------------------+

                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| 10 CFR PART 21 REPORT -                                                      |
|                                                                              |
| Eaton Cutler-Hammer personnel identified a potential safety concern          |
| involving the potential for the malfunction of the Eaton Cutler-Hammer DS    |
| and DSL Class 1E circuit breakers due to the improper application of zinc    |
| chromate plating to hardened parts during breaker reconditioning.            |
|                                                                              |
| The failure of hardened parts to maintain their design integrity due to      |
| cracking and the potential for the total separation of pieces during a       |
| seismic event or normal operation and their subsequent infiltration of the   |
| breaker operating assembly could cause the failure of the breaker to perform |
| its design function.  In addition, mechanical interlocks may not perform as  |
| expected or the breaker may not be able to be charged depending on the       |
| actual failure which could occur.                                            |
|                                                                              |
| The installed base of the DS style circuit breakers is spread throughout the |
| nuclear industry.  However, it is unknown to Eaton Cutler-Hammer             |
| specifically which utilities may have had reconditioning performed on their  |
| breakers that included plating of parts.                                     |
|                                                                              |
| Eaton Cutler-Hammer recommends that a thorough inspection be conducted on    |
| all breakers which may have undergone previous reconditioning activities     |
| which included plating or replating of component parts.  Specific attention  |
| should be directed toward spiral pins, which are constructed of hardened     |
| spring steel.                                                                |
|                                                                              |
| See the Eaton Cutler-Hammer Part 21 report for additional details.           |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|General Information or Other                     |Event Number:   36429       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG:  EATON CUTLER-HAMMER                  |NOTIFICATION DATE: 11/12/1999|
|LICENSEE:  EATON CUTLER-HAMMER                  |NOTIFICATION TIME: 10:09[EST]|
|    CITY:                           REGION:     |EVENT DATE:        11/12/1999|
|  COUNTY:                            STATE:     |EVENT TIME:             [EST]|
|LICENSE#:                        AGREEMENT:  N  |LAST UPDATE DATE:  11/12/1999|
|  DOCKET:                                       |+----------------------------+
|                                                |PERSON          ORGANIZATION |
|                                                |DAN HOLODY           R1      |
|                                                |CHARLES OGLE         R2      |
+------------------------------------------------+MICHAEL PARKER       R3      |
| NRC NOTIFIED BY:  PAT PATTERSON                |LINDA SMITH          R4      |
|  HQ OPS OFFICER:  DICK JOLLIFFE                |VERN HODGE (by fax)  NRR     |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          N/A                   |                             |
|10 CFR SECTION:                                 |                             |
|CDEG 21.21(c)(3)(i)      DEFECTS/NONCOMPLIANCE  |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+------------------------------------------------------------------------------+

                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| 10 CFR PART 21 REPORT -                                                      |
|                                                                              |
| Eaton Cutler-Hammer personnel identified a potential safety concern          |
| involving the potential for the malfunction of the Eaton Cutler-Hammer DS    |
| and DSL Class 1E circuit breakers due to the application of incorrect torque |
| values during breaker reconditioning.                                        |
|                                                                              |
| Previous industry DS Circuit Breaker Maintenance Guidance originally         |
| published by Westinghouse Nuclear Services Division in June 1993 and         |
| subsequently revised in March 1999 contained incorrect torque specifications |
| for DS circuit breaker arc chute mounting bolts.  Specifically, this         |
| guidance as originally published, was in error by a factor of at least 2     |
| (two) regarding the DS 206 and by a factor of at least 3 (three) for the DS  |
| 416 when compared to the torque values identified in the Manufacturing       |
| Instructions utilized by the OEM (Cutler-Hammer) factory during the          |
| manufacturing process.  The current revision information while being closer  |
| to the proper values is still incorrect.  Multiple instances of longitudinal |
| cracks have been observed in the mounting bolt block portion of the arc      |
| chute case.  In addition, the "O" rings used as a retaining or capture       |
| device for the arc chute mounting bolts have been damaged.  Pieces of the    |
| "O" rings have been found laying around the inside of circuit breakers.  The |
| failure of the arc chute case to maintain its design integrity due to        |
| cracking and the potential for the total separation of pieces during a       |
| seismic event or normal operation and their subsequent infiltration of the   |
| breaker operating assembly could cause the failure of the breaker to perform |
| its design function.  Likewise, "O" ring failure could result in the same    |
| final effect.                                                                |
|                                                                              |
| The installed base of the DS style circuit breakers is spread throughout the |
| nuclear industry.  However, it is unknown to Eaton Cutler-Hammer             |
| specifically which utilities may have incorporated this erroneous            |
| information into their maintenance programs.                                 |
|                                                                              |
| Eaton Cutler-Hammer recommends that a thorough inspection be conducted with  |
| the arc chutes properly torqued into place on the circuit breaker.  Please   |
| note that the cracks may not be visible once the arc chutes have been        |
| removed from the breaker.  A second inspection should be conducted of the    |
| "O" rings following removal of the arc chute from the breaker.               |
|                                                                              |
| See the Eaton Cutler-Hammer Part 21 report for additional details.           |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|General Information or Other                     |Event Number:   36430       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG:  ARIZONA RADIATION REG AGENCY         |NOTIFICATION DATE: 11/12/1999|
|LICENSEE:  COLORADO ENGINEERING & INSTRUMENTATIO|NOTIFICATION TIME: 13:22[EST]|
|    CITY:  PHOENIX                  REGION:  4  |EVENT DATE:        11/11/1999|
|  COUNTY:                            STATE:  AZ |EVENT TIME:        09:00[MST]|
|LICENSE#:  AZ 7-457              AGREEMENT:  Y  |LAST UPDATE DATE:  11/12/1999|
|  DOCKET:                                       |+----------------------------+
|                                                |PERSON          ORGANIZATION |
|                                                |LINDA SMITH          R4      |
|                                                |CATHERINE HANEY      NMSS    |
+------------------------------------------------+                             |
| NRC NOTIFIED BY:  AUBREY GODWIN (by fax)       |                             |
|  HQ OPS OFFICER:  CHAUNCEY GOULD               |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          N/A                   |                             |
|10 CFR SECTION:                                 |                             |
|NAGR                     AGREEMENT STATE        |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+------------------------------------------------------------------------------+

                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| STOLEN MOISTURE/DENSITY GAUGE.                                               |
|                                                                              |
| On 11/11/99, the Arizona Radiation Regulatory Agency was notified by         |
| Colorado Engineering & Instrumentation Company that a Campbell Pacific MC    |
| series nuclear moisture/density gauge (Serial number MC-90204820) containing |
| 10 millicuries of Cs-137 and 50 millicuries of Am-241 was stolen from a work |
| site at 34th Street and Gelding in Phoenix, AZ.  The gauge was in its        |
| shipping container.  The Phoenix Police Department (Report number            |
| 1999-91880807) is investigating the theft.  The licensee is offering a       |
| $500.00 reward for the return of the gauge.  A press announcement of the     |
| reward will be made on 11/12/99.                                             |
|                                                                              |
| The Arizona Radiation Regulatory Agency is investigating the radiation       |
| safety issues.                                                               |
|                                                                              |
| The FBI (Phoenix), Mexico, and the States of California, Colorado, Nevada,   |
| Utah, and New Mexico are being notified of this incident.                    |
|                                                                              |
| (Call the NRC operations officer for contact information.)                   |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|General Information or Other                     |Event Number:   36431       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG:  TEXAS DEPT OF HLTH BUR OF RAD CNTL   |NOTIFICATION DATE: 11/12/1999|
|LICENSEE:  PRICE CONSTRUCTION                   |NOTIFICATION TIME: 17:52[EST]|
|    CITY:  LAREDO                   REGION:  4  |EVENT DATE:        11/11/1999|
|  COUNTY:                            STATE:  TX |EVENT TIME:             [CST]|
|LICENSE#:  TX L05205             AGREEMENT:  Y  |LAST UPDATE DATE:  11/12/1999|
|  DOCKET:                                       |+----------------------------+
|                                                |PERSON          ORGANIZATION |
|                                                |LINDA SMITH          R4      |
|                                                |ROBERT PIERSON       NMSS    |
+------------------------------------------------+                             |
| NRC NOTIFIED BY:  HELEN WATKINS                |                             |
|  HQ OPS OFFICER:  CHAUNCEY GOULD               |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          N/A                   |                             |
|10 CFR SECTION:                                 |                             |
|BAB1 20.2201(a)(1)(i)    LOST/STOLEN LNM>1000X  |                             |
|NAGR                     AGREEMENT STATE        |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+------------------------------------------------------------------------------+

                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| TROXLER SOIL GAUGE STOLEN                                                    |
|                                                                              |
| ON 11/11/99, A TROXLER MODEL-3430 SOIL GAUGE WAS STOLEN FROM PRICE           |
| CONSTRUCTION AT A CONSTRUCTION SITE IN LAREDO, TX.  THE GAUGE CONTAINED 8    |
| MILLICURIES OF Cs-137 AND 40 MILLICURIES OF Am-241.  THE GAUGE WAS CHAINED   |
| AND LOCKED IN THE BACK OF A PICKUP TRUCK PARKED BEHIND A CONSTRUCTION ROLLER |
| AT THE CONSTRUCTION SITE.                                                    |
|                                                                              |
| THE LICENSEE REPORTED THE THEFT TO THE LOCAL POLICE DEPARTMENT.  THE         |
| LICENSEE NOTIFIED THE TEXAS DEPARTMENT OF HEALTH BUREAU OF RADIATION CONTROL |
| (FILE #I-7539) ON 11/12/99.                                                  |
|                                                                              |
| (CALL THE NRC OPERATIONS OFFICER FOR CONTACT INFORMATION.)                   |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   36432       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: FERMI                    REGION:  3  |NOTIFICATION DATE: 11/12/1999|
|    UNIT:  [2] [] []                 STATE:  MI |NOTIFICATION TIME: 18:34[EST]|
|   RXTYPE: [2] GE-4                             |EVENT DATE:        11/12/1999|
+------------------------------------------------+EVENT TIME:        10:08[EST]|
| NRC NOTIFIED BY:  MILLER                       |LAST UPDATE DATE:  11/12/1999|
|  HQ OPS OFFICER:  CHAUNCEY GOULD               +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          N/A                   |MICHAEL PARKER       R3      |
|10 CFR SECTION:                                 |                             |
|AARC 50.72(b)(1)(v)      OTHER ASMT/COMM INOP   |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR|   INIT RX MODE  |CURR PWR|  CURR RX MODE   |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|2     N          Y       97       Power Operation  |97       Power Operation  |
|                                                   |                          |
|                                                   |                          |
+------------------------------------------------------------------------------+
                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| BOTH SAFETY PARAMETER DISPLAY SYSTEMS/EMERGENCY RESPONSE INFORMATION SYSTEMS |
| (SPDS/ERIS) WERE OUT OF SERVICE FOR LONGER THAN 8 HOURS.                     |
|                                                                              |
| At 1008 on 11/12/99, both SPDS/ERIS systems failed.  Maintenance activities  |
| were ongoing at the time of failure.  In accordance with site procedures,    |
| SPDS/ERIS out of service for longer than 8 hours constitutes a loss of       |
| emergency response capability.  Efforts to restore both SPDS/ERIS systems to |
| service are in progress.                                                     |
|                                                                              |
| This report is being made in accordance with 10 CFR 50.72(b)(I)(v), any      |
| event that results in a major loss of emergency assessment capability.       |
|                                                                              |
| At 1823, one of the SPDS/ERIS systems was returned to service.  The plant    |
| did not enter any LCO action statement.                                      |
|                                                                              |
| The licensee notified the NRC Resident Inspector.                            |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   36433       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: HOPE CREEK               REGION:  1  |NOTIFICATION DATE: 11/13/1999|
|    UNIT:  [1] [] []                 STATE:  NJ |NOTIFICATION TIME: 11:19[EST]|
|   RXTYPE: [1] GE-4                             |EVENT DATE:        11/13/1999|
+------------------------------------------------+EVENT TIME:        09:45[EST]|
| NRC NOTIFIED BY:  HOPE CREEK                   |LAST UPDATE DATE:  11/13/1999|
|  HQ OPS OFFICER:  DICK JOLLIFFE                +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          N/A                   |DAN HOLODY           R1      |
|10 CFR SECTION:                                 |                             |
|AARC 50.72(b)(1)(v)      OTHER ASMT/COMM INOP   |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|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                                   
+------------------------------------------------------------------------------+
| - EMERGENCY RESPONSE DATA SYSTEM INOPERABLE FOR LONGER THAN 1 HOUR -         |
|                                                                              |
| DURING TESTING OF THE SAFETY PARAMETER DISPLAY SYSTEM, THE LICENSEE          |
| DISCOVERED THAT THE EMERGENCY RESPONSE DATA SYSTEM WAS INOPERABLE FOR LONGER |
| THAN 1 HOUR.                                                                 |
|                                                                              |
| THE LICENSEE PLANS TO NOTIFY THE NRC RESIDENT INSPECTOR.                     |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Research Reactor                                 |Event Number:   36434       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: UNIV OF MICHIGAN                     |NOTIFICATION DATE: 11/13/1999|
|   RXTYPE: 2000 KW POOL                         |NOTIFICATION TIME: 13:01[EST]|
| COMMENTS:                                      |EVENT DATE:        11/13/1999|
|                                                |EVENT TIME:             [EST]|
|                                                |LAST UPDATE DATE:  11/13/1999|
|    CITY:  ANN ARBOR                REGION:  3  +-----------------------------+
|  COUNTY:  WASHTENAW                 STATE:  MI |PERSON          ORGANIZATION |
|LICENSE#:  R-28                  AGREEMENT:  N  |MICHAEL PARKER       R3      |
|  DOCKET:  05000002                             |LEDYARD (TAD) MARSH  NRR     |
+------------------------------------------------+TED MICHAELS         PM      |
| NRC NOTIFIED BY:  BECKER                       |                             |
|  HQ OPS OFFICER:  CHAUNCEY GOULD               |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          N/A                   |                             |
|10 CFR SECTION:                                 |                             |
|NINF                     INFORMATION ONLY       |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+------------------------------------------------------------------------------+

                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| REPORTABLE OCCURRENCE NO. 21 - REACTOR OPERATION IN VIOLATION OF TECHNICAL   |
| SPECIFICATION 3.5, AIRBORNE EFFLUENTS                                        |
|                                                                              |
| This is a preliminary report to inform the Commission of a violation of      |
| Technical Specifications 3.5.2.a and 3.5.2.b due to improper retest of the   |
| Radiation Recorder.  Due to an improper range setting, the Mobile Air        |
| Particulate monitors (MAP) provided incorrect lower readings of Airborne     |
| Effluent Concentration (AEC) for approximately 1 week.                       |
|                                                                              |
| On 11/05/99, the Radiation Recorder was retested following repairs.  The     |
| retest consisted of a channel check of the Bridge Radiation Recorder and     |
| verification of signals present on the remaining 9 channels.                 |
|                                                                              |
| On 11/08/99, the reactor was placed into operation to perform core reloading |
| activities.                                                                  |
|                                                                              |
| On 11/09/99, the reactor was placed into operation to perform the remaining  |
| portions of the core reloading and remained in operation at zero power.  At  |
| 1840, a reactor startup to 20 kW was performed for rod testing followed by   |
| continued operation at 2 MW.                                                 |
|                                                                              |
| On 11/11/99 at 1037, the health physics staff reported that during the       |
| weekly checks of the MAPs, the indication in the control room was 25 - 30%   |
| of the locally indicated count rates.  A review by the Assistant Manager for |
| Operations and the Shift Supervisor concluded that the MAPs were operational |
| and that 24 hours were allowed for review of the operability determination.  |
|                                                                              |
| On 11/12/99 at 0738, the Reactor Manager was notified of the discrepancy     |
| between the local and control room readings for the MAPs and, at 0900,       |
| ordered a reactor shutdown.  A review board reversed the operability         |
| determination and determined that this incident is reportable as per         |
| Technical Specification 6.6.2.a.                                             |
|                                                                              |
| Safety Implications:  It has been determined that the pool floor MAP was     |
| indicating one half the actual reading and that the stack MAP was indicating |
| one fifth the actual reading.  In this condition, the AEC necessary to       |
| exceed the alarm setpoint had been increased by a factor of two and five,    |
| respectfully.  These decreased indications and increased alarm set points    |
| would have still allowed for the MAPs to notify the operator upon release of |
| a significant quantity of particulate radioactivity which would have         |
| threatened to increase the yearly averaged AEC.  The area radiation          |
| monitoring system and gaseous activity detectors would have also provided    |
| the operators an indication of a significant release.  A review of the count |
| rates recorded showed that, during this period, the effluent from the        |
| facility did not exceed the normal particulate release of less than 1% of    |
| the AEC specified in 10 CFR Part 20.                                         |
|                                                                              |
| Corrective Action:  The Radiation Recorder was repaired and fully channel    |
| tested or channel checked.  Review of this event is ongoing and will include |
| Reportable Occurrence No. 19, "Reactor Operation with In-Operable Alarm      |
| Circuit on the Bridge Radiation Monitor."  Further corrective actions will   |
| be presented in the required followup report.  Analysis of the isokinetic    |
| sampling locations is in progress.                                           |
|                                                                              |
| The licensee considers this event to be significant due to its similarity    |
| with Reportable Occurrence No 19.                                            |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   36435       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: COOK                     REGION:  3  |NOTIFICATION DATE: 11/13/1999|
|    UNIT:  [1] [2] []                STATE:  MI |NOTIFICATION TIME: 15:01[EST]|
|   RXTYPE: [1] W-4-LP,[2] W-4-LP                |EVENT DATE:        11/13/1999|
+------------------------------------------------+EVENT TIME:        10:55[EST]|
| NRC NOTIFIED BY:  BRUCK                        |LAST UPDATE DATE:  11/13/1999|
|  HQ OPS OFFICER:  CHAUNCEY GOULD               +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          N/A                   |MICHAEL PARKER       R3      |
|10 CFR SECTION:                                 |LEDYARD (TAD) MARSH  NRR     |
|NINF                     INFORMATION ONLY       |DAVIDSON             IAT     |
|                                                |ROSANO               IAT     |
|                                                |GAGNER               PAO     |
|                                                |JOSEPH GIITTER       IRO     |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR|   INIT RX MODE  |CURR PWR|  CURR RX MODE   |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|1     N          N       0        Refueling        |0        Refueling        |
|2     N          N       0        Refueling        |0        Refueling        |
|                                                   |                          |
+------------------------------------------------------------------------------+
                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| TWO INJURED PERSONNEL TRANSPORTED TO THE LOCAL HOSPITAL WITH GUNSHOT WOUNDS  |
|                                                                              |
| At 1055 on 11/13/99, the Shift Manager requested an off-site ambulance to    |
| transport two people from the Cook Plant indoor rifle range to the Lakeland  |
| Hospital.  Local law enforcement personnel were using the Cook Plant indoor  |
| rifle range when a weapon inadvertently discharged.  The bullet ricocheted   |
| off the concrete floor striking one person in the lower leg.  A second       |
| person was also hit in the leg by either a piece of the bullet or some       |
| concrete debris.  Responding Emergency Medical Technicians reported that the |
| injuries were not life threatening and that both officers were in good       |
| spirits.                                                                     |
|                                                                              |
| The rifle range is located on Cook Plant controlled property, outside the    |
| restricted area.  The personnel involved, Benton Township Police Officers,   |
| are not employees or contractors at the Cook Plant and do not have           |
| unrestricted access.  Michigan State Police are investigating this           |
| accidental shooting.                                                         |
|                                                                              |
| The Resident Inspector was notified.  The licensee does not plan on a press  |
| release at this time.                                                        |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Fuel Cycle Facility                              |Event Number:   36436       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: PORTSMOUTH GASEOUS DIFFUSION PLANT   |NOTIFICATION DATE: 11/13/1999|
|   RXTYPE: URANIUM ENRICHMENT FACILITY          |NOTIFICATION TIME: 15:39[EST]|
| COMMENTS: 2 DEMOCRACY CENTER                   |EVENT DATE:        11/13/1999|
|           6903 ROCKLEDGE DRIVE                 |EVENT TIME:        11:45[EST]|
|           BETHESDA, MD 20817    (301)564-3200  |LAST UPDATE DATE:  11/13/1999|
|    CITY:  PIKETON                  REGION:  3  +-----------------------------+
|  COUNTY:  PIKE                      STATE:  OH |PERSON          ORGANIZATION |
|LICENSE#:  GDP-2                 AGREEMENT:  N  |MICHAEL PARKER       R3      |
|  DOCKET:  0707002                              |ROBERT PIERSON       NMSS    |
+------------------------------------------------+JOSEPH GIITTER       IRO     |
| NRC NOTIFIED BY:  SISLER                       |                             |
|  HQ OPS OFFICER:  CHAUNCEY GOULD               |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          N/A                   |                             |
|10 CFR SECTION:                                 |                             |
|NBNL                     RESPONSE-BULLETIN      |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
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                                   EVENT TEXT                                   
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| 4-HOUR 91-01 BULLETIN RESPONSE - VACUUM SWEEPER FIRE/LOSS OF ONE CONTROL     |
| (GEOMETRY)                                                                   |
|                                                                              |
| At 1110 hours on 11-13-99, Emergency Forces responded to report of a vacuum  |
| sweeper fire in X-326 Process Building.  The Fire Department reported light  |
| smoke in the area.  Dry extinguishing agent was used to put out a smoldering |
| fire.  The smoldering fire was verified extinguished at 1124 hours.  There   |
| was no activation of any safety system during this response.  All air        |
| samples were less than detection.                                            |
|                                                                              |
| At 1145 hours, during the air quality and radiological assessment, it was    |
| reported to the incident Commander that a GP container failed on a favorable |
| Geometry Vacuum Cleaner.  This constituted a loss of one control (geometry)  |
| of NCSA PLANT012.A01.  Interaction (spacing) was maintained throughout this  |
| event.                                                                       |
|                                                                              |
| Initial assessment of the GP container attributes the failure to a chemical  |
| reaction that occurred inside the container.  All maintenance and cleanup    |
| activities utilizing Favorable Geometry Vacuum Cleaners in X-326 Side Purge  |
| have been stopped pending further evaluation.                                |
|                                                                              |
| 1)  Safety Significance of Events:                                           |
|                                                                              |
| The safety significance of this event is low.  The GP container is a         |
| favorable geometry container made of polyethylene.  This container was less  |
| than 1/2 full on a favorable geometry vacuum cleaner.  The nominal           |
| enrichment of the Side Purge piping is less than 10%, and the maximum        |
| credible enrichment is 40% based on historical operation.  The material in   |
| the container reacted with moisture in the air.  This reaction generated     |
| heat which melted the container and caused the container to break into two   |
| pieces.  The spilling of a full GP container on to a concrete floor          |
| reflected by a sprinkler discharge was analyzed by NCSE-PLANT 006.E03 and    |
| found to be subcritical for up to 80% enriched optimally moderated           |
| material.                                                                    |
|                                                                              |
| 2)  Potential Criticality Pathways Involved (Brief scenario(s) of how        |
| criticality could occur):                                                    |
|                                                                              |
| The potential pathway to criticality is that a full container is spilled,    |
| and then another container or piece of equipment is brought within 2 feet of |
| the spill.                                                                   |
|                                                                              |
| 3)  Controlled Parameters (Mass, Moderation, Geometry, Concentration,        |
| Etc.):                                                                       |
|                                                                              |
| The controlled parameters for this event are geometry and interaction.       |
|                                                                              |
| 4)  Estimated Amount, Enrichment, Form of Licensed Material (include process |
| limit and % worst case of critical mass):                                    |
|                                                                              |
| The estimated amount of material is unknown, but the container was known to  |
| be less then 1/2 full. The GP container dimensions are nominally 5 inches    |
| inside diameter and 24 inches tall.  The nominal enrichment of the Side      |
| Purge piping is less than 10%, and the maximum credible enrichment is 40%    |
| based on historical operation.                                               |
|                                                                              |
| 5)  Nuclear Criticality Safety Control(s) or Control System(s) and           |
| Description of Failures or Deficiencies:                                     |
|                                                                              |
| The material being vacuumed generated heat which melted the GP container     |
| causing a failure of the geometry control spilling the fissile material on   |
| to the floor.  A spill from a full container has been shown by calculations  |
| to be subcritical.  The present configuration is a slab with no material     |
| greater than an inch in depth.                                               |
|                                                                              |
| The NRC resident Inspector was notified.  The Department of Energy           |
| Representative will be notified.                                             |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|General Information or Other                     |Event Number:   36437       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG:  WAUPACA FOUNDRY                      |NOTIFICATION DATE: 11/13/1999|
|LICENSEE:  WAUPACA FOUNDRY                      |NOTIFICATION TIME: 18:27[EST]|
|    CITY:  TELL CITY                REGION:  3  |EVENT DATE:        11/13/1999|
|  COUNTY:                            STATE:  IN |EVENT TIME:        15:30[CST]|
|LICENSE#:  48-15031-01           AGREEMENT:  N  |LAST UPDATE DATE:  11/13/1999|
|  DOCKET:                                       |+----------------------------+
|                                                |PERSON          ORGANIZATION |
|                                                |MICHAEL PARKER       R3      |
|                                                |ROBERT PIERSON       NMSS    |
+------------------------------------------------+JOSEPH GIITTER       IRO     |
| NRC NOTIFIED BY:  GREUBEL                      |                             |
|  HQ OPS OFFICER:  CHAUNCEY GOULD               |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          N/A                   |                             |
|10 CFR SECTION:                                 |                             |
|NDAM                     DAMAGED GAUGE/DEVICE   |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
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                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| TWO INDUSTRIAL GAUGES CONTAINING Cs -137 WERE OVERHEATED AT A FOUNDRY.       |
|                                                                              |
| THE WAUPACA FOUNDRY REPORTED THAT TWO TN TECHNOLOGIES MODEL-5200 DEVICES     |
| CONTAINING 100 MILLICURIES OF Cs -137 PER DEVICE WERE OVERHEATED AT A        |
| FOUNDRY.  THESE DEVICES WERE MOUNTED 10' APART ABOVE ONE ANOTHER ON THE SIDE |
| OF A CUPOLA (A TALL SILO TYPE TANK WHICH IS USED TO MELT IRON).  THE CAUSE   |
| OF THE OVERHEATING OF THESE TWO GAUGES WAS CAUSED WHEN THE IGNITION SOURCE   |
| FOR THE CUPOLA WAS INADVERTENTLY IGNITED WITHOUT COOLING IN PLACE  FOR 3.5   |
| HOURS.  THE CAUSE OF THIS COULD POSSIBLY BE DUE TO PERSONNEL ERROR, BUT THEY |
| ARE STILL INVESTIGATING.  THERE IS NO APPARENT DAMAGE TO THE SOURCE          |
| CONTAINERS, BUT A SURVEYED @ 15' MEASURED 3.5 mR WHEN THE NORMAL READING IS  |
| APPROXIMATELY 0.2 mR.  THEY HAVE ISOLATED THE AREA AND HAVE CONTACTED THE    |
| MANUFACTURER WHO IS SENDING A TEAM TO THE SITE.                              |
|                                                                              |
| (CALL THE NRC OPERATIONS OFFICER FOR CONTACT INFORMATION.)                   |
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