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any previously issued diversity, equity, inclusion, or gender-related guidance on this webpage should be considered rescinded that is inconsistent with these Executive Orders.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 17, 2000

                    U.S. Nuclear Regulatory Commission
                              Operations Center

                              Event Reports For
                           11/16/2000 - 11/17/2000

                              ** EVENT NUMBERS **

37524  37525  37527  37528  37529  

+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   37524       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: MCGUIRE                  REGION:  2  |NOTIFICATION DATE: 11/15/2000|
|    UNIT:  [] [2] []                 STATE:  NC |NOTIFICATION TIME: 15:49[EST]|
|   RXTYPE: [1] W-4-LP,[2] W-4-LP                |EVENT DATE:        11/15/2000|
+------------------------------------------------+EVENT TIME:        14:22[EST]|
| NRC NOTIFIED BY:  VERITA BELLAMY               |LAST UPDATE DATE:  11/16/2000|
|  HQ OPS OFFICER:  FANGIE JONES                 +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          N/A                   |MIKE ERNSTES         R2      |
|10 CFR SECTION:                                 |                             |
|ARPS 50.72(b)(2)(ii)     RPS ACTUATION          |                             |
|AESF 50.72(b)(2)(ii)     ESF ACTUATION          |                             |
|                                                |                             |
|                                                |                             |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR|   INIT RX MODE  |CURR PWR|  CURR RX MODE   |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|                                                   |                          |
|2     M/R        Y       100      Power Operation  |0        Hot Standby      |
|                                                   |                          |
+------------------------------------------------------------------------------+
                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| MANUAL REACTOR TRIP DUE TO FAILURE OF TURBINE RUNBACK ACTUATION CIRCUITS     |
|                                                                              |
| Unit 2 experienced a turbine runback at 1410 EST.  The control room          |
| operators noticed all status lights for overpower and overtemperature delta  |
| T runback were illuminated.  The operators decided to manually trip the      |
| reactor from about 23 % rated thermal power.  The reactor trip resulted in a |
| turbine trip as expected.  Auxiliary feedwater pumps started due to low-low  |
| steam generator levels.  The unit is stable in Mode 3.                       |
|                                                                              |
| The runback bistables are locked in without having the logic bistables       |
| tripped that feed the trip circuit.  The licensee is troubleshooting the     |
| problem and the cause is unknown at this time.  The plant will remain in     |
| Mode 3 until the problem is corrected.                                       |
|                                                                              |
| The licensee notified the NRC Resident Inspector.                            |
|                                                                              |
| * * * UPDATE 1345EST FROM TIM HEADNON TO BOB STRANSKY * * *                  |
|                                                                              |
| The licensee is updating their report to include the following information:  |
|                                                                              |
| "On November 15, 2000, McGuire Unit 2 experienced a turbine runback which    |
| ultimately resulted in plant operators manually tripping the reactor (RPS    |
| Actuation). Following the trip, the Unit 2 Auxiliary Feedwater Pumps started |
| due to low-low steam generator levels (ESF Actuation)                        |
|                                                                              |
| "Further investigation has determined that the turbine runback was caused by |
| actuation of all four channels of over power delta temperature (OPDT) and    |
| over temperature delta temperature (OTDT) runback logic following a trip of  |
| an electrical breaker which supplies power to the logic circuitry. The       |
| turbine runback was a result of the breaker trip and was not initiated by a  |
| valid OPDT or OTDT condition. Subsequent to the turbine runback, a decision  |
| was made to manually trip the reactor. Plant equipment necessary to safely   |
| shutdown the unit operated correctly and the Unit is stable and in Mode 3.   |
| The Unit 2 Auxiliary Feedwater Pumps have been secured. Actions needed to    |
| restart Unit 2 are in progress."                                             |
|                                                                              |
| The licensee informed the NRC resident inspector.  Notified R2DO(Ernstes).   |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   37525       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: OYSTER CREEK             REGION:  1  |NOTIFICATION DATE: 11/15/2000|
|    UNIT:  [1] [] []                 STATE:  NJ |NOTIFICATION TIME: 19:04[EST]|
|   RXTYPE: [1] GE-2                             |EVENT DATE:        11/15/2000|
+------------------------------------------------+EVENT TIME:        17:50[EST]|
| NRC NOTIFIED BY:  JERE FREEMAN                 |LAST UPDATE DATE:  11/16/2000|
|  HQ OPS OFFICER:  FANGIE JONES                 +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          N/A                   |RICHARD BARKLEY      R1      |
|10 CFR SECTION:                                 |                             |
|ARPS 50.72(b)(2)(ii)     RPS ACTUATION          |                             |
|AESF 50.72(b)(2)(ii)     ESF ACTUATION          |                             |
|                                                |                             |
|                                                |                             |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR|   INIT RX MODE  |CURR PWR|  CURR RX MODE   |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|1     A/R        Y       1        Startup          |0        Hot Shutdown     |
|                                                   |                          |
|                                                   |                          |
+------------------------------------------------------------------------------+
                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| AUTOMATIC REACTOR SCRAM DUE TO LOW REACTOR WATER LEVEL                       |
|                                                                              |
| The plant received a low water level reactor scram during turbine            |
| manipulation after 2 turbine bypass valves opened.  All systems functioned   |
| as designed.  The actual cause is not fully understood and is under          |
| investigation.                                                               |
|                                                                              |
| The licensee notified the NRC Resident Inspector.                            |
|                                                                              |
| * * * UPDATE 1513EST ON 11/16/00 FROM STEVE FULLER TO S. SANDIN * * *        |
|                                                                              |
| The following information was received as an update:                         |
|                                                                              |
| "On 11/15/00 at 1748 EST, Oyster Creek Nuclear Generating Station            |
| automatically scrammed on reactor low water level (as described on Event     |
| Number 37525). The station was in the process of restarting from the plant   |
| from the recent 1 SR refueling outage. The operators were in the process of  |
| securing High Pressure Turbine warm-up and preparing to perform Steam Chest  |
| warm-up. As they transitioned between these activities, the turbine bypass   |
| valves opened. As a result of the bypass valves opening, reactor water level |
| increased. The operators responded to the reactor water level transient but  |
| failed to recognize the pressure reduction. The loss of inventory resulted   |
| in a low water level reactor scram.                                          |
|                                                                              |
| "The station has conducted a transient assessment of this incident. The      |
| preliminary root cause was identified as a procedural deficiency. The        |
| Turbine System Operating Procedure did not provide the appropriate guidance  |
| for preventing the bypass valves from opening. Additionally, the operators   |
| demonstrated a lack of integrated system knowledge and response regarding    |
| the turbine controls system.                                                 |
|                                                                              |
| "Subsequent reviews of the plant data revealed that the cool down rate       |
| exceeded the plant's Technical Specification limit of 100 degrees per hour.  |
| This occurred because of the low initial power level coupled with the bypass |
| valves not being closed in a timely manner. Engineering has assessed this    |
| condition and determined that the plant response was within our design       |
| bases. Additionally, the Post Transient Review Group (PTRG) identified a     |
| potential concern regarding the operation of the reactor low water level     |
| transmitters. One of the four reactor low water level scram switches did not |
| actuate. Even though the PTRG suspected this switch didn't actuate because   |
| the decrease in reactor water level wasn't sufficient due to the low initial |
| power level, this switch was subsequently tested and operated                |
| appropriately.                                                               |
|                                                                              |
| "Following completion of the required restart activities, the plant          |
| commenced startup activities at 2:57 EST on 11/16/00. In accordance with     |
| 10CFR50.73 a Licensee Event Report will be submitted to describe this        |
| incident, the root cause, and associated corrective actions."                |
|                                                                              |
| The licensee will inform the NRC resident inspector.  Notified               |
| R1DO(Barkley).                                                               |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   37527       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: FARLEY                   REGION:  2  |NOTIFICATION DATE: 11/16/2000|
|    UNIT:  [] [2] []                 STATE:  AL |NOTIFICATION TIME: 05:10[EST]|
|   RXTYPE: [1] W-3-LP,[2] W-3-LP                |EVENT DATE:        11/16/2000|
+------------------------------------------------+EVENT TIME:        03:23[CST]|
| NRC NOTIFIED BY:  BRAD MOORE                   |LAST UPDATE DATE:  11/16/2000|
|  HQ OPS OFFICER:  LEIGH TROCINE                +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          N/A                   |MIKE ERNSTES         R2      |
|10 CFR SECTION:                                 |                             |
|ARPS 50.72(b)(2)(ii)     RPS ACTUATION          |                             |
|AESF 50.72(b)(2)(ii)     ESF ACTUATION          |                             |
|                                                |                             |
|                                                |                             |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR|   INIT RX MODE  |CURR PWR|  CURR RX MODE   |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|                                                   |                          |
|2     A/R        Y       100      Power Operation  |0        Hot Standby      |
|                                                   |                          |
+------------------------------------------------------------------------------+
                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| AUTOMATIC REACTOR TRIP ON HIGH-HIGH STEAM GENERATOR WATER LEVEL FOLLOWING A  |
| MASTER STEAM GENERATOR FEEDWATER PUMP CONTROLLER FAILURE AND SLUGGISH        |
| CONTROLS AFTER SWITCHING TO MANUAL                                           |
|                                                                              |
| The master steam generator feedwater pump controller failed low and caused   |
| feedwater pump speeds to slow down.  (Both pumps dropped to 3,200 rpm.)  In  |
| an attempt to regain feedwater pump speed and steam generator water level in |
| manual, a high-high level was reached in the 2A steam generator.  This       |
| caused a turbine trip and subsequent reactor trip.  All control rods fully   |
| inserted.  Auxiliary feedwater actuation and feedwater isolation occurred as |
| expected.  All systems functioned as required.                               |
|                                                                              |
| It was reported that the controller was sluggish after manual control was    |
| taken and that operators were not able to terminate the rising level in the  |
| 2A steam generator before the high-high level trip setpoint was reached.     |
| The lowest steam generator water level attained was approximately 27%.  The  |
| low level trip occurs at 25%.  The cause of the controller failure is        |
| currently under investigation.                                               |
|                                                                              |
| The unit is currently stable in Hot Standby.  Pressurizer heaters and        |
| sprays, normal charging and letdown, and the reactor coolant pumps are       |
| currently being utilized for primary system pressure, level, and transport   |
| control.  Secondary steam is being dumped to the main condenser, and         |
| auxiliary feedwater is supplying water to the steam generators.  All         |
| containment parameters are normal.                                           |
|                                                                              |
| The licensee plans to notify the NRC resident inspector.                     |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   37528       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: SAINT LUCIE              REGION:  2  |NOTIFICATION DATE: 11/16/2000|
|    UNIT:  [1] [] []                 STATE:  FL |NOTIFICATION TIME: 13:06[EST]|
|   RXTYPE: [1] CE,[2] CE                        |EVENT DATE:        11/16/2000|
+------------------------------------------------+EVENT TIME:        12:15[EST]|
| NRC NOTIFIED BY:  JAMES HURCHALLA              |LAST UPDATE DATE:  11/16/2000|
|  HQ OPS OFFICER:  STEVE SANDIN                 +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          N/A                   |MIKE ERNSTES         R2      |
|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  |
|                                                   |                          |
|                                                   |                          |
+------------------------------------------------------------------------------+
                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| UNIT 1 PRESSURIZER LEVEL INSTRUMENTATION MAY NOT MEET CABLE SEPARATION       |
| CRITERIA                                                                     |
|                                                                              |
| "During development of a cable separation modification package for the       |
| upcoming 2001 Unit 1 Outage SL1-17, a re-evaluation of the Unit 1            |
| Containment Shutdown Safety Assessment was performed. The re-evaluation      |
| identified a separation issue with the cables for pressurizer level          |
| instruments LT-1110X and LT-1110Y in the annulus area.  At certain           |
| locations, these cables are not separated as required by 10 CFR Part 50      |
| Appendix R, Section lll.G.2 as required by the plant design basis as         |
| delineated in the FSAR.                                                      |
|                                                                              |
| "Fire protection for nuclear plants is based on the defense in depth concept |
| with three primary barriers - prevention, detection and control, and         |
| protection of safe shutdown capabilities. The above concern is considered a  |
| degradation of the protection of safe shutdown capability. The affect of     |
| this concern on the fire protection program does not eliminate the ability   |
| to achieve safe shutdown. The remaining two 'defense in depth' barriers      |
| remain intact - (prevention of fires and prompt detection and control of     |
| fires that due occur). In an area such as containment (large volume, high    |
| ceilings, minimal ignition sources, limited combustibles, limited access,    |
| etc.) the potential for a fire of consequence during operation is highly     |
| unlikely. In the particular area described, the potential for a fire is even |
| more remote since the combustible loading is negligible. The location where  |
| the separation issue exists (at the end of the annulus area near the pipe    |
| chase) does not contain significant equipment, significant exposed           |
| combustible materials or significant ignition sources. The cable trays       |
| routed in this area (between radius lines 1 and 3) are relatively lightly    |
| loaded since most cables have previously exited the tray enroute to their    |
| respective equipment (e.g., only one tray continues past radius line 2 to    |
| radius line 1).                                                              |
|                                                                              |
| "The probability of a fire in Containment is very low. The probability of a  |
| fire causing significant damage such that required function is impaired is   |
| very low. Therefore, the equipment and system affected by this condition is  |
| considered degraded but operable. Based on the guidance provided in GL 91-18 |
| a reasonable assurance of safety is provided."                               |
|                                                                              |
| The licensee informed the NRC resident inspector.                            |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Other Nuclear Material                           |Event Number:   37529       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG:  USAF RADIOISOTOPE COMMITTEE          |NOTIFICATION DATE: 11/16/2000|
|LICENSEE:  U.S. AIR FORCE                       |NOTIFICATION TIME: 21:32[EST]|
|    CITY:  SARASOTA                 REGION:  2  |EVENT DATE:        11/16/2000|
|  COUNTY:                            STATE:  FL |EVENT TIME:        17:20[EST]|
|LICENSE#:  42-23539-01AF         AGREEMENT:  Y  |LAST UPDATE DATE:  11/16/2000|
|  DOCKET:                                       |+----------------------------+
|                                                |PERSON          ORGANIZATION |
|                                                |MIKE ERNSTES         R2      |
|                                                |LINDA HOWELL         R4      |
+------------------------------------------------+E. WILLIAM BRACH     NMSS    |
| NRC NOTIFIED BY:  LT. COL. SWENSON             |                             |
|  HQ OPS OFFICER:  STEVE SANDIN                 |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          N/A                   |                             |
|10 CFR SECTION:                                 |                             |
|BAB1 20.2201(a)(1)(i)    LOST/STOLEN LNM>1000X  |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+------------------------------------------------------------------------------+

                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| LOSS OF TWO AMERICIUM-241 SOURCES (4 MICROCURIES EACH) DUE TO THE CRASH OF   |
| AN F-16 NEAR SARASOTA, FLORIDA                                               |
|                                                                              |
| An F-16 crashed near Sarasota, Florida which may have been carrying two (2)  |
| Am-241 sources used in the LANTIRN (Low Altitude Navigation Targeting        |
| Infrared for Night) pod.  The Air Force will followup to determine whether   |
| the sources were onboard and, if so, attempt recovery from the crash scene.  |
+------------------------------------------------------------------------------+


Page Last Reviewed/Updated Thursday, March 25, 2021