Event Notification Report for February 20, 2001
U.S. Nuclear Regulatory Commission Operations Center Event Reports For 02/16/2001 - 02/20/2001 ** EVENT NUMBERS ** 37630 37694 37735 37749 37753 37754 37755 37756 37757 37758 37759 37760 37761 37762 37763 37764 37765 37766 !!!!!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED !!!!!!! +------------------------------------------------------------------------------+ |Power Reactor |Event Number: 37630 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | FACILITY: WOLF CREEK REGION: 4 |NOTIFICATION DATE: 12/22/2000| | UNIT: [1] [] [] STATE: KS |NOTIFICATION TIME: 11:29[EST]| | RXTYPE: [1] W-4-LP |EVENT DATE: 12/22/2000| +------------------------------------------------+EVENT TIME: 09:45[CST]| | NRC NOTIFIED BY: RICK HUBBARD |LAST UPDATE DATE: 02/19/2001| | HQ OPS OFFICER: DOUG WEAVER +-----------------------------+ +------------------------------------------------+PERSON ORGANIZATION | |EMERGENCY CLASS: N/A |BILL JONES R4 | |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 +------------------------------------------------------------------------------+ | LOSS OF POWER TO THE TECHNICAL SUPPORT CENTER (TSC) | | | | Breaker 13-40 tripped with the ground flag dropped. This breaker supplies | | primary power to the TSC. There is a backup diesel generator available to | | supply power to the TSC but will not be energized until it is determined | | that there is no ground at the TSC. Once the TSC D/G is energized the | | facility will once again be available. | | | | The licensee notified the NRC resident inspector. | | | | * * * Update at 1150 on 12/22/00 by Hubbard received by Weaver * * * | | | | The diesel generator is now supplying the TSC with electrical power (as of | | 1041 CST). Investigation continues into why breaker 13-40 tripped. | | | | Notified the R4DO(Jones). | | | | * * * RETRACTED AT 1309 EST ON 2/19/01 BY CHRIS REEKIE TO FANGIE JONES * * | | * | | | | The licensee is retracting this event. Upon review of the potential loss of | | emergency communications and assessment capability they have determined that | | no such loss would have happened with the initial problem. | | | | The licensee notified the NRC Resident Inspector. The R4DO (Greg Pick) has | | been notified. | +------------------------------------------------------------------------------+ !!!!!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED !!!!!!! +------------------------------------------------------------------------------+ |Hospital |Event Number: 37694 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | REP ORG: WAUSAU HOSPITAL |NOTIFICATION DATE: 01/26/2001| |LICENSEE: WAUSAU HOSPITAL |NOTIFICATION TIME: 11:36[EST]| | CITY: WAUSAU REGION: 3 |EVENT DATE: 01/24/2001| | COUNTY: STATE: WI |EVENT TIME: 07:30[CST]| |LICENSE#: 48-01032-01 AGREEMENT: N |LAST UPDATE DATE: 02/16/2001| | DOCKET: |+----------------------------+ | |PERSON ORGANIZATION | | |JAMES CREED R3 | | |BRIAN SMITH NMSS | +------------------------------------------------+ | | NRC NOTIFIED BY: JEFF LIMMER | | | HQ OPS OFFICER: DOUG WEAVER | | +------------------------------------------------+ | |EMERGENCY CLASS: N/A | | |10 CFR SECTION: | | |LADM 35.33(a) MED MISADMINISTRATION | | | | | | | | | | | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | MEDICAL MISADMINISTRATION | | | | A Cs-137 vaginal cylinder implant was loaded at 9:30 am on 1/23/01. The | | written directive called for a total implant time of 49 hours. During a | | check of the patient at 7:30 am on 1/24/01, the authorized user found the | | loaded vaginal cylinder on the patient's toilet seat. The patient's nurse | | stated that the source came out at about 6:30 am on 1/24/01 (i.e., after | | about 42% of the prescribed dose was delivered). The licensee was not sure | | how the source got to where it was found. The authorized user placed the | | cylinder in a lead pig and transported it to the secured storage area. The | | authorized user decided to write another written directive and reload the | | patient at 10:00 am on 1/24/01 with a prescribed implant time of 7 hours. | | After the 7 hours, the sources were explanted as intended. The authorized | | user decided to deliver the remaining radiation dose to the treatment site | | via teletherapy. | | | | At 6:00 am on 1/24/01, the nurse emptied the patient's foley bag and noted | | that the patient was in bed. Between 6:00 and 6:30 am on 1/24/01, the nurse | | noticed that the patient was leaving the bathroom to go back to bed. The | | nurse also noticed that the patient's "T-binder" (used to hold the | | applicator in place), was loose, so she tightened it. The authorized user | | visited the patient at 7:30 am and noticed that the T-binder was on the | | bathroom floor and the loaded vaginal cylinder was on the toilet seat. | | Based on nurse interviews, all nurses caring for the patient were badged, | | and none of them handled the applicator. | | | | ***** UPDATE/RETRACTION AT 1043 EST ON 02/16/01 FROM JEFF LIMMER TO LEIGH | | TROCINE ***** | | | | An investigation was performed, and the NRC Region 3 office (Tony Go and | | Geoffrey Wright) notified the license that there was patient intervention. | | Therefore, the licensee is retracting this event. | | | | The NRC operations officer notified the R3DO (Monte Phillips) and NMSS EO | | (Brian Smith). | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ |General Information or Other |Event Number: 37735 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | REP ORG: STANDARD TESTING AND ENGINEERING CO |NOTIFICATION DATE: 02/11/2001| |LICENSEE: STANDARD TESTING AND ENGINEERING CO |NOTIFICATION TIME: 19:11[EST]| | CITY: DEL CITY REGION: 4 |EVENT DATE: 02/10/2001| | COUNTY: STATE: OK |EVENT TIME: [CST]| |LICENSE#: 35-17054-01 AGREEMENT: Y |LAST UPDATE DATE: 02/17/2001| | DOCKET: |+----------------------------+ | |PERSON ORGANIZATION | | |GARY SANBORN R4 | | |PHILIP TING NMSS | +------------------------------------------------+ | | NRC NOTIFIED BY: HURST | | | HQ OPS OFFICER: CHAUNCEY GOULD | | +------------------------------------------------+ | |EMERGENCY CLASS: N/A | | |10 CFR SECTION: | | |BAB1 20.2201(a)(1)(i) LOST/STOLEN LNM>1000X | | | | | | | | | | | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | STOLEN TROXLER GAUGE | | | | A Troxler 3430 serial #16299 was stolen out of the back of an employee's | | truck while it was parked at his house in Del City(a suburb of Oklahoma | | City). The gauge, which contained 8 millicuries Cs-137 and 40 millicuries | | Am-241/Br, was triple locked in the back of the truck. It was stolen on the | | night of 2/10/01 or the morning of 2/11/01. The local police were notified. | | Troxler was notified and they will notify the state. | | | | * * * UPDATE 1409 2/17/2001 FROM HURST TAKEN BY STRANSKY * * * | | | | The gauge was recovered earlier today. It was found intact in its case. The | | licensee is currently performing a wipe test of the device to be sure that | | there was no leakage. | | | | Notified R4DO(Pick). | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ |Power Reactor |Event Number: 37749 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | FACILITY: CALLAWAY REGION: 4 |NOTIFICATION DATE: 02/14/2001| | UNIT: [1] [] [] STATE: MO |NOTIFICATION TIME: 17:05[EST]| | RXTYPE: [1] W-4-LP |EVENT DATE: 02/14/2001| +------------------------------------------------+EVENT TIME: 08:51[CST]| | NRC NOTIFIED BY: BRUCE SCHOENBACH |LAST UPDATE DATE: 02/16/2001| | HQ OPS OFFICER: FANGIE JONES +-----------------------------+ +------------------------------------------------+PERSON ORGANIZATION | |EMERGENCY CLASS: N/A |GREG PICK R4 | |10 CFR SECTION: | | |*IND 50.72(b)(3)(v)(D) ACCIDENT MITIGATION | | | | | | | | | | | +-----+----------+-------+--------+-----------------+--------+-----------------+ |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 +------------------------------------------------------------------------------+ | BOTH TRAINS OF CONTAINMENT COOLERS AND ONE TRAIN OF CONTAINMENT SPRAY | | INOPERABLE | | | | The following text is a portion of a facsimile received from the licensee: | | | | "On 2/14/01, the 'A' train containment cooling train was removed from | | service at 0507 CST for associated circuit breaker work. At 0851 CST the 'B' | | Train Essential Service Water pump was started to support performance of the | | 'A' Train SIS/CIS Slave Relay Test. | | | | "The 'B' Essential Service Water pump failed to achieve rated flow and | | pressure and was declared inoperable at 0851 CST. This resulted in entry | | into Technical Specification LCO 3.6.6, Required Action F.1 for both trains | | of containment coolers inoperable and one train ('B') of Containment Spray | | inoperable. LCO 3.6.6 Required Action F.1 also requires entry into LCO | | 3.0.3. Technical Specification 3.0.3 was entered at 0851 CST and exited at | | 1123 CST when the 'A' train of Containment Cooling was returned to service. | | The plant remains in Technical Specification LCO 3.7.8 Required Action A.1 | | (72-Hour Action Statement) for one train ('B') of Essential Service Water | | inoperable. | | | | "This condition at the time of discovery could have prevented the | | fulfillment of the safety function of structures or systems that are needed | | to control the release of radioactive material or mitigate the consequences | | for an accident. It was concluded that this event was reportable per | | 10CFR50.72(b) (3) (v) since: | | | | (1) Both trains of containment cooling were lost as a result of the | | unanticipated failure of the 'B' train Essential Service Water pump in | | conjunction with the 'A' train containment coolers being removed from | | service. | | (2) Cascading through technical specification resulted in the loss of 'B' | | train containment spray system. | | | | "The failure of the 'B' train Essential Service Water pump is under | | evaluation." | | | | The licensee notified the NRC Resident Inspector. | | | | UPDATE 1706 2/15/2001 VIA FACSIMILE TO STRANSKY * * * | | | | "Upon investigation of the 'B' Essential Service Water pump problem, an | | obstruction was found in the suction of the pump. The obstruction was | | subsequently removed and the pump was then started to evaluate the | | operability condition of 'B' Essential Service Water pump. The pump was | | evaluated for normal flow, discharge pressure, and vibration. All parameters | | were found within normal operating limits, the 'B' Essential Service Water | | pump was declared Operable at 0231 on 2/15/O1 and Technical Specifications | | 3.7.8.A.1 and 3.8.1.B were exited." | | | | Notified R4DO (Pick). | | | | *** UPDATE AT 0615 ON 02/16/01 - LEIGH TROCINE CALLED SITE (JOHN DAMPS) *** | | | | The obstruction was a 20-foot long piece of tygon tubing. It was reported | | that the tubing had been hanging from a funnel near a hole in a pre-lube | | tank for the pump's seals. Apparently, the tubing fell into a drain and | | made its way to the pump suction. | | | | The licensee stated that the resident inspectors were aware of this | | information. The NRC operations center notified the R4DO (Pick). | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ |Other Nuclear Material |Event Number: 37753 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | REP ORG: MARTIN MARIETTA ANDERSON CREEK QUAR |NOTIFICATION DATE: 02/16/2001| |LICENSEE: UNKNOWN |NOTIFICATION TIME: 10:59[EST]| | CITY: ROCKVILLE REGION: 2 |EVENT DATE: 02/15/2001| | COUNTY: GOOCHLAND STATE: VA |EVENT TIME: [EST]| |LICENSE#: AGREEMENT: N |LAST UPDATE DATE: 02/16/2001| | DOCKET: |+----------------------------+ | |PERSON ORGANIZATION | | |CLIFFORD ANDERSON R1 | | |BRIAN SMITH NMSS | +------------------------------------------------+ | | NRC NOTIFIED BY: BENJAMIN BROWN | | | HQ OPS OFFICER: LEIGH TROCINE | | +------------------------------------------------+ | |EMERGENCY CLASS: N/A | | |10 CFR SECTION: | | |NINF INFORMATION ONLY | | | | | | | | | | | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | TRANSPORT AND SUBSEQUENT DISCOVERY OF SCRAP METAL CONTAINING 50 MILLICURIES | | OF CESIUM-137 (NRC GENERALLY LICENSED MATERIAL) AT MARTIN MARIETTA ANDERSON | | CREEK QUARRY | | | | On 02/13/01, Martin Marietta Anderson Creek Quarry (located in Rockville, | | Virginia, near Richmond) shipped scrap metal to Cycle Systems (a scrap yard | | located in Lynchburg, Virginia). Cycle Systems surveyed the material and | | discovered 50 millicuries of cesium-137. (The material was apparently a | | sensor or level gauge from a conveyer system.) | | | | Cycle Systems notified the quarry and the State of Virginia. The State of | | Virginia notified the NRC Region 2 office, and the NRC Region 2 office (Wade | | Loo) contacted the quarry. | | | | The material was returned to the quarry on 02/15/01. The shutter is | | currently locked closed, and the material has been placed in an office. | | Martin Marietta Anderson Creek Quarry believes that the material may have | | come from another quarry. The actual source of the material is currently | | being investigated. | | | | (Call the NRC Operations Center for quarry contact telephone number.) | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ |Power Reactor |Event Number: 37754 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | FACILITY: SUSQUEHANNA REGION: 1 |NOTIFICATION DATE: 02/16/2001| | UNIT: [1] [2] [] STATE: PA |NOTIFICATION TIME: 14:47[EST]| | RXTYPE: [1] GE-4,[2] GE-4 |EVENT DATE: 02/16/2001| +------------------------------------------------+EVENT TIME: 08:15[EST]| | NRC NOTIFIED BY: GRANT FERNSLER |LAST UPDATE DATE: 02/16/2001| | HQ OPS OFFICER: BOB STRANSKY +-----------------------------+ +------------------------------------------------+PERSON ORGANIZATION | |EMERGENCY CLASS: N/A |CLIFFORD ANDERSON R1 | |10 CFR SECTION: | | |HFIT 26.73 FITNESS FOR DUTY | | | | | | | | | | | +-----+----------+-------+--------+-----------------+--------+-----------------+ |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 100 Power Operation |100 Power Operation | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | FITNESS FOR DUTY REPORT | | | | A non-licensed employee tested positive for the use of illegal drugs during | | a random test. The test results were confirmed positive by the licensee | | Medical Review Officer. The individual's access to the plant has been | | suspended in accordance with the licensee's FFD program. The NRC resident | | inspector has been informed of this notification by the licensee. | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ |Power Reactor |Event Number: 37755 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | FACILITY: TURKEY POINT REGION: 2 |NOTIFICATION DATE: 02/16/2001| | UNIT: [3] [] [] STATE: FL |NOTIFICATION TIME: 15:40[EST]| | RXTYPE: [3] W-3-LP,[4] W-3-LP |EVENT DATE: 02/16/2001| +------------------------------------------------+EVENT TIME: 15:05[EST]| | NRC NOTIFIED BY: JIM HICKEY |LAST UPDATE DATE: 02/16/2001| | HQ OPS OFFICER: BOB STRANSKY +-----------------------------+ +------------------------------------------------+PERSON ORGANIZATION | |EMERGENCY CLASS: N/A |ANNE BOLAND R2 | |10 CFR SECTION: | | |*PRE 50.72(b)(2)(xi) OFFSITE NOTIFICATION | | | | | | | | | | | +-----+----------+-------+--------+-----------------+--------+-----------------+ |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 +------------------------------------------------------------------------------+ | OFFSITE NOTIFICATION DUE TO RECEIPT OF CONTAMINATED ITEMS | | | | "While performing routine surveys, Turkey Point Health Physics personnel | | discovered low levels of radioactivity on several plastic Caution signs | | received from the Byron Nuclear Power Station. The signs were surveyed at | | Turkey Point prior to use in the site's radiation controlled area. These | | items were counted in a Small Articles Monitor (SAM) and indicated low level | | contamination was present. In total, 6 out of approximately 650 items | | surveyed indicated the presence of low level fixed activity. The highest | | level measured was 7,000 disintegrations per minute (dpm) using a standard | | HP-210 (pancake GM) probe. Isotopic analysis indicates cobalt-60 and | | manganese-54. One item had low levels of loose surface contamination (57 | | dpm/100 cm2). The items identified with low level fixed contamination are | | now being held inside the Turkey Point radiation controlled area. The signs | | were shipped in cardboard boxes and no loose surface contamination was found | | on the exterior of the boxes | | | | "Florida Power & Light Company has notified the Byron Station and the State | | of Florida (Department of Health, Bureau of Radiation Control) of this | | matter." | | | | The licensee has informed the NRC resident inspector of this notification. | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ |Fuel Cycle Facility |Event Number: 37756 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | FACILITY: PORTSMOUTH GASEOUS DIFFUSION PLANT |NOTIFICATION DATE: 02/16/2001| | RXTYPE: URANIUM ENRICHMENT FACILITY |NOTIFICATION TIME: 16:36[EST]| | COMMENTS: 2 DEMOCRACY CENTER |EVENT DATE: 02/15/2001| | 6903 ROCKLEDGE DRIVE |EVENT TIME: 23:20[EST]| | BETHESDA, MD 20817 (301)564-3200 |LAST UPDATE DATE: 02/16/2001| | CITY: PIKETON REGION: 3 +-----------------------------+ | COUNTY: PIKE STATE: OH |PERSON ORGANIZATION | |LICENSE#: GDP-2 AGREEMENT: N |MONTE PHILLIPS R3 | | DOCKET: 0707002 |E. WILLIAM BRACH NMSS | +------------------------------------------------+ | | NRC NOTIFIED BY: ERIC SPAETH | | | HQ OPS OFFICER: BOB STRANSKY | | +------------------------------------------------+ | |EMERGENCY CLASS: N/A | | |10 CFR SECTION: | | |NONR OTHER UNSPEC REQMNT | | | | | | | | | | | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | VALID ACTIVATION OF SAFETY SYSTEM | | | | "At 2320 hours on 02/15/01, both the 'A' and 'B' High Level Condensate | | Alarms activated on Autoclave #2 in the X-343 Feed and Sampling Facility. | | The activation of either of these alarms will cause the autoclave steam | | supply valves ('Q' components) to actuate (close). The steam supply valves | | closed, as designed, upon the activation of the High Condensate Alarms, | | Autoclave #2 was in TSR Mode IV (FEEDING) at the time of the alarm | | activations. Operations personnel immediately responded to the alarms in | | accordance with the approved Alarm Response Procedures. Both alarms reset | | when the operations personnel acknowledged the alarms at the local autoclave | | control panel. All autoclave (and cylinder) operating parameters were | | determined be to within normal ranges. Autoclave #2 was placed in TSR mode | | VII (Shutdown) by operations personnel and declared Inoperable by the Plant | | Shift Superintendent's Office. Based on the actuation of both High Level | | Condensate alarms, this event is being reported as a valid safety system | | actuation, a 24-hour NRC event." | | | | The NRC resident inspector has been informed of this event. | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ |Power Reactor |Event Number: 37757 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | FACILITY: GRAND GULF REGION: 4 |NOTIFICATION DATE: 02/16/2001| | UNIT: [1] [] [] STATE: MS |NOTIFICATION TIME: 19:41[EST]| | RXTYPE: [1] GE-6 |EVENT DATE: 02/16/2001| +------------------------------------------------+EVENT TIME: 16:30[CST]| | NRC NOTIFIED BY: MARTY McADORY |LAST UPDATE DATE: 02/16/2001| | HQ OPS OFFICER: BOB STRANSKY +-----------------------------+ +------------------------------------------------+PERSON ORGANIZATION | |EMERGENCY CLASS: N/A |GREG PICK R4 | |10 CFR SECTION: | | |*IND 50.72(b)(3)(v)(D) ACCIDENT MITIGATION | | | | | | | | | | | +-----+----------+-------+--------+-----------------+--------+-----------------+ |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 +------------------------------------------------------------------------------+ | HIGH PRESSURE CORE SPRAY SYSTEM DECLARED INOPERABLE | | | | "During performance of 1C3 battery all-cell checks, battery cell #38 was | | found to be >0.020 below the average for specific gravity. Tech Spec 3.8.6, | | 'Battery Cell Parameters,' requires declaring 1C3 battery inoperable. This | | caused entry into Tech Spec 3.8.4 Action D, which is to declare the High | | Pressure Core Spray system inoperable. This requires entry into a 14 day | | LCO. This event is reportable since High Pressure Core Spray is a single | | train system." | | | | The NRC resident inspector has been informed of this event by the licensee. | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ |Fuel Cycle Facility |Event Number: 37758 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | FACILITY: PADUCAH GASEOUS DIFFUSION PLANT |NOTIFICATION DATE: 02/17/2001| | RXTYPE: URANIUM ENRICHMENT FACILITY |NOTIFICATION TIME: 03:17[EST]| | COMMENTS: 2 DEMOCRACY CENTER |EVENT DATE: 02/16/2001| | 6903 ROCKLEDGE DRIVE |EVENT TIME: 10:20[CST]| | BETHESDA, MD 20817 (301)564-3200 |LAST UPDATE DATE: 02/17/2001| | CITY: PADUCAH REGION: 3 +-----------------------------+ | COUNTY: McCRACKEN STATE: KY |PERSON ORGANIZATION | |LICENSE#: GDP-1 AGREEMENT: Y |MONTE PHILLIPS R3 | | DOCKET: 0707001 |E. WILLIAM BRACH NMSS | +------------------------------------------------+ | | NRC NOTIFIED BY: TOM WHITE | | | HQ OPS OFFICER: STEVE SANDIN | | +------------------------------------------------+ | |EMERGENCY CLASS: N/A | | |10 CFR SECTION: | | |OCBA 76.120(c)(2) SAFETY EQUIPMENT FAILUR| | | | | | | | | | | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | SAFETY EQUIPMENT FAILED TO FUNCTION AS REQUIRED BY TECHNICAL SAFETY | | REQUIREMENT | | | | "At 1020 on 02-16-01, the Plant Shift Superintendent (PSS) was notified of a | | safety system failure in the C-315 building. While closing the cylinder | | valve on a full liquid cylinder, the valve failed to close completely when a | | shear pin broke on the emergency cylinder valve closure mechanism. At the | | time of the failure the cylinder valve was still approximately one eighth of | | a turn open. The operator manually closed the valve thus placing the | | cylinder in a safe mode. The emergency cylinder valve closure mechanism is | | part of the Low Voltage UF6 Release Detection and Isolation System at the | | Withdrawal Stations, and is required to be operable according to TSR | | 2.3.4.1. | | | | "This event is reportable under 10 CFR 76.120(c)(2) as an event in which | | equipment required by the TSR is disabled or falls to function as designed. | | | | "The NRC Senior Resident has been notified of this event." | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ |Fuel Cycle Facility |Event Number: 37759 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | FACILITY: PORTSMOUTH GASEOUS DIFFUSION PLANT |NOTIFICATION DATE: 02/17/2001| | RXTYPE: URANIUM ENRICHMENT FACILITY |NOTIFICATION TIME: 12:49[EST]| | COMMENTS: 2 DEMOCRACY CENTER |EVENT DATE: 02/16/2001| | 6903 ROCKLEDGE DRIVE |EVENT TIME: 21:37[EST]| | BETHESDA, MD 20817 (301)564-3200 |LAST UPDATE DATE: 02/17/2001| | CITY: PIKETON REGION: 3 +-----------------------------+ | COUNTY: PIKE STATE: OH |PERSON ORGANIZATION | |LICENSE#: GDP-2 AGREEMENT: N |MONTE PHILLIPS R3 | | DOCKET: 0707002 |E. WILLIAM BRACH NMSS | +------------------------------------------------+ | | NRC NOTIFIED BY: ERIC SPAETH | | | HQ OPS OFFICER: BOB STRANSKY | | +------------------------------------------------+ | |EMERGENCY CLASS: N/A | | |10 CFR SECTION: | | |NONR OTHER UNSPEC REQMNT | | | | | | | | | | | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | VALID ACTUATION OF SAFETY SYSTEM | | | | "At 2137 hours on 02/16/01, both the 'A' and 'B' High Level Condensate | | Alarms activated on Autoclave #1 in the X-343 Feed and Sampling Facility. | | The activation of either of these alarms will cause the autoclave steam | | supply valves ('Q' components) to actuate (close). The steam supply valves | | closed, as designed, upon the activation of the High Condensate Alarms. | | Autoclave #1 was in TSR Mode II (HEATING) at the time of the alarm | | activations. Operations personnel immediately responded to the alarms in | | accordance with the approved Alarm Response Procedures. Both alarms reset | | when the operations personnel acknowledged the alarms at the local autoclave | | control panel. All autoclave (and cylinder) operating parameters were | | determined be to within normal ranges, Autoclave #1 was placed in TSR mode | | VII (Shutdown) by operations personnel and declared Inoperable by the Plant | | Shift Superintendent's Office. Based on the actuation of both High Level | | Condensate alarms, this event is being reported as a valid safety system | | actuation, a 24-hour NRC event. An Engineering Evaluation has been requested | | to investigate the circumstances surrounding this safety system actuation." | | | | The NRC resident inspector has been informed of this event. | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ |Power Reactor |Event Number: 37760 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | FACILITY: OCONEE REGION: 2 |NOTIFICATION DATE: 02/19/2001| | UNIT: [] [] [3] STATE: SC |NOTIFICATION TIME: 01:22[EST]| | RXTYPE: [1] B&W-L-LP,[2] B&W-L-LP,[3] B&W-L-L|EVENT DATE: 02/18/2001| +------------------------------------------------+EVENT TIME: 21:00[EST]| | NRC NOTIFIED BY: LOUIS NOWELL |LAST UPDATE DATE: 02/19/2001| | HQ OPS OFFICER: STEVE SANDIN +-----------------------------+ +------------------------------------------------+PERSON ORGANIZATION | |EMERGENCY CLASS: N/A |ANNE BOLAND R2 | |10 CFR SECTION: |JOHN ZWOLINSKI NRR | |*UNA 50.72(b)(3)(ii)(B) UNANALYZED COND OP |NADER MAMISH IRO | | | | | | | | | | +-----+----------+-------+--------+-----------------+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ | | | | | | |3 N N 0 Cold Shutdown |0 Cold Shutdown | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | INDICATION OF PRESSURE BOUNDARY LEAKAGE DISCOVERED DURING VISUAL INSPECTION | | OF REACTOR VESSEL HEAD | | | | "Event: Preliminary Reactor Vessel Head visual inspection indicates a small | | amount of boron residue surrounding 6 Control Rod Drive mechanism head | | penetrations. These indications are similar to those previously reported | | during U-1 EOC-19 refueling outage. | | | | "Initial Safety Significance: Preliminary indication of leakage through | | Reactor Coolant System Pressure Boundary. | | | | "Corrective Action(s): Additional inspections will be performed to | | determine the cause of identified boron accumulation." | | | | Unit 3 is currently in mode 5 (Cold Shutdown) depressurized to atmosphere | | with RCS temperature at 120 degrees F. The licensee is making preparations | | to enter mode 6 (Refueling) in order to lift the RV Head. The licensee | | informed the NRC resident inspector. | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ |Power Reactor |Event Number: 37761 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | FACILITY: FITZPATRICK REGION: 1 |NOTIFICATION DATE: 02/19/2001| | UNIT: [1] [] [] STATE: NY |NOTIFICATION TIME: 03:00[EST]| | RXTYPE: [1] GE-4 |EVENT DATE: 02/18/2001| +------------------------------------------------+EVENT TIME: 22:45[EST]| | NRC NOTIFIED BY: VICTOR WALZ |LAST UPDATE DATE: 02/19/2001| | HQ OPS OFFICER: STEVE SANDIN +-----------------------------+ +------------------------------------------------+PERSON ORGANIZATION | |EMERGENCY CLASS: N/A |CLIFFORD ANDERSON R1 | |10 CFR SECTION: |JOHN ZWOLINSKI NRR | |*IND 50.72(b)(3)(v)(D) ACCIDENT MITIGATION | | | | | | | | | | | +-----+----------+-------+--------+-----------------+--------+-----------------+ |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 +------------------------------------------------------------------------------+ | HIGH PRESSURE COOLANT INJECTION SYSTEM (HPCI) DECLARED INOPERABLE | | | | "During normal monitoring of the standby lineup of the High Pressure Coolant | | Injection System (HPCI), the building rounds operator noticed that the HPCI | | discharge flow switch (23FS-78) was indicating 140 gpm with zero actual | | flow. This flow switch controls the operation of the HPCI pump minimum flow | | valve during HPCI operations. Upon further investigation by the operating | | crew, it was also determined that the HPCI pump discharge flow transmitter | | was exhibiting sporadic flow spikes of 50 to 100 gpm with zero system flow. | | This flow signal is used to control HPCI turbine speed and flowrate. Based | | on these findings, the HPCI system was declared inoperable per Technical | | Specification 3.5.c and a 7 day Limiting Condition for Operation was | | entered." | | | | The licensee called in an engineering team to address this problem. The | | licensee will inform the NRC resident inspector. | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ |Power Reactor |Event Number: 37762 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | FACILITY: FARLEY REGION: 2 |NOTIFICATION DATE: 02/19/2001| | UNIT: [1] [2] [] STATE: AL |NOTIFICATION TIME: 13:04[EST]| | RXTYPE: [1] W-3-LP,[2] W-3-LP |EVENT DATE: 02/19/2001| +------------------------------------------------+EVENT TIME: 06:12[CST]| | NRC NOTIFIED BY: BRAD MOORE |LAST UPDATE DATE: 02/19/2001| | HQ OPS OFFICER: FANGIE JONES +-----------------------------+ +------------------------------------------------+PERSON ORGANIZATION | |EMERGENCY CLASS: N/A |ANNE BOLAND R2 | |10 CFR SECTION: | | |*COM 50.72(b)(3)(xiii) LOSS COMM/ASMT/RESPONSE| | | | | | | | | | | +-----+----------+-------+--------+-----------------+--------+-----------------+ |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 100 Power Operation |100 Power Operation | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | LOSS OF EMERGENCY COMMUNICATIONS TO THE STATE | | | | The licensee lost the emergency communications line to the states of Alabama | | and Georgia at 0512 CST on 2/19/01 due to the failure of a communications | | power inverter located offsite in Dothan, Alabama. The inverter was | | restored at 0758 CST, restoring the emergency communications line. All | | other communications were available during this time. | | | | The licensee intends to notify the NRC Resident Inspector. | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ |General Information or Other |Event Number: 37763 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | REP ORG: FLORIDA BUREAU OF RADIATION CONTROL |NOTIFICATION DATE: 02/19/2001| |LICENSEE: QUALITY INSPECTION SERVICES, INC. |NOTIFICATION TIME: 13:47[EST]| | CITY: JACKSONVILLE REGION: 2 |EVENT DATE: 02/16/2001| | COUNTY: STATE: FL |EVENT TIME: 12:30[EST]| |LICENSE#: 3043-1 AGREEMENT: Y |LAST UPDATE DATE: 02/19/2001| | DOCKET: |+----------------------------+ | |PERSON ORGANIZATION | | |ANNE BOLAND R2 | | |E. WILLIAM BRACH NMSS | +------------------------------------------------+ | | NRC NOTIFIED BY: CHARLES ADAMS | | | HQ OPS OFFICER: FANGIE JONES | | +------------------------------------------------+ | |EMERGENCY CLASS: N/A | | |10 CFR SECTION: | | |NAGR AGREEMENT STATE | | | | | | | | | | | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | AGREEMENT STATE REPORT OF PERSONNEL OVEREXPOSURE | | | | The following is a portion of the information provided: | | | | "Approximately 12:30 am February 16 following a shoot, the source was reeled | | into what was thought to be a locked position. A complete survey was not | | done to confirm position of the source. The two individuals involved | | proceeded in front of the camera to set up the next shot, taking less than 5 | | minutes. When they went to unlock the source they realized that it was not | | locked and noticed the survey meter was off scale. They exited the area and | | fully retracted the source. Both pocket dosimeters were off scale. One rate | | alarm meter was turned off and the other had a low battery and did not give | | a audio alarm. Film badges showed 2.9 and 39.2 R exposure. The individual | | with the high exposure has had blood drawn for analysis but no results are | | available yet. Landauer has been asked recheck the film badge readings. The | | wrong state office was notified 16 February. This office was notified 19 | | February." | | | | The camera contains a 58 Ci source of Ir-192. | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ |Power Reactor |Event Number: 37764 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | FACILITY: PERRY REGION: 3 |NOTIFICATION DATE: 02/19/2001| | UNIT: [1] [] [] STATE: OH |NOTIFICATION TIME: 15:24[EST]| | RXTYPE: [1] GE-6 |EVENT DATE: 02/19/2001| +------------------------------------------------+EVENT TIME: 12:00[EST]| | NRC NOTIFIED BY: KENNETH RUSSELL |LAST UPDATE DATE: 02/19/2001| | HQ OPS OFFICER: FANGIE JONES +-----------------------------+ +------------------------------------------------+PERSON ORGANIZATION | |EMERGENCY CLASS: N/A |PATRICK HILAND R3 | |10 CFR SECTION: | | |NINF INFORMATION ONLY | | | | | | | | | | | +-----+----------+-------+--------+-----------------+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ |1 N N 0 Hot Shutdown |0 Hot Shutdown | | | | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | THE OHIO EPA NOTIFIED OF AN UNINTENTIONAL DISCHARGE OF CONDENSER COOLING | | WATER | | | | The Ohio EPA was notified of an unintentional bypass of the wastewater | | treatment system as required by the NPDES Permit. No reportable quantities | | were discharged. This was a non-radioactive effluent, main condenser | | cooling water. | | | | The license intends to notify the NRC Resident Inspector. | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ |Power Reactor |Event Number: 37765 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | FACILITY: MONTICELLO REGION: 3 |NOTIFICATION DATE: 02/19/2001| | UNIT: [1] [] [] STATE: MN |NOTIFICATION TIME: 23:38[EST]| | RXTYPE: [1] GE-3 |EVENT DATE: 02/19/2001| +------------------------------------------------+EVENT TIME: 20:30[CST]| | NRC NOTIFIED BY: DUANE SCHMIDT |LAST UPDATE DATE: 02/19/2001| | HQ OPS OFFICER: FANGIE JONES +-----------------------------+ +------------------------------------------------+PERSON ORGANIZATION | |EMERGENCY CLASS: N/A |PATRICK HILAND R3 | |10 CFR SECTION: | | |*UNA 50.72(b)(3)(ii)(B) UNANALYZED COND OP | | | | | | | | | | | +-----+----------+-------+--------+-----------------+--------+-----------------+ |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 +------------------------------------------------------------------------------+ | UNANALYZED CONDITION FOR RESIDUAL HEAT REMOVAL CAPABILITY | | | | The licensee has determined that torus cooling initiation has not been | | validated as part of operator actions to be initiated within 10 minutes of a | | design basis accident in the containment. The licensee, as an interim | | action, has added an extra licensed operator whose only responsibility is | | the initiation of torus cooling at the direction of the emergency operating | | procedures. Further analysis is being carried out for a final resolution. | | | | The licensee intends to notify the NRC Resident Inspector. | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ |Power Reactor |Event Number: 37766 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | FACILITY: COOPER REGION: 4 |NOTIFICATION DATE: 02/20/2001| | UNIT: [1] [] [] STATE: NE |NOTIFICATION TIME: 01:56[EST]| | RXTYPE: [1] GE-4 |EVENT DATE: 02/19/2001| +------------------------------------------------+EVENT TIME: 21:08[CST]| | NRC NOTIFIED BY: JOHN MYERS |LAST UPDATE DATE: 02/20/2001| | HQ OPS OFFICER: STEVE SANDIN +-----------------------------+ +------------------------------------------------+PERSON ORGANIZATION | |EMERGENCY CLASS: N/A |GREG PICK R4 | |10 CFR SECTION: | | |*SHU 50.72(b)(2)(i) PLANT S/D REQD BY TS | | | | | | | | | | | +-----+----------+-------+--------+-----------------+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ |1 N Y 100 Power Operation |54 Power Operation | | | | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | TECH SPEC REQUIRED SHUTDOWN COMMENCED AFTER DECLARING BOTH STANDBY GAS | | TREATMENT (SGT) TRAINS INOPERABLE | | | | "While performing Surveillance 6.SUMP.101, Z SUMP AND AIR EJECTOR HOLDUP | | LINE DRAIN OPERABILITY TEST (IST), Z-1 sump pump exceeded its operability | | time limit of 151 seconds by 3 seconds. When Z-2 sump pump was subsequently | | tested, the pump failed to start on the essential HI-HI level switch. Both | | sump pumps were declared INOPERABLE. These pumps support Standby Gas | | Treatment OPERABILITY. The SGT line from the plant runs underground to the | | Elevated Release Point tower, and the offgas line and SGT both enter this | | sump. The pumps remove condensation from both the offgas lines and SGT, and | | must be available post-accident to prevent flooding of the SGT lines. | | | | "Per administrative direction in the Surveillance procedure, both trains of | | SGT were declared INOPERABLE at 2108. Per Technical Specification 3.6.4.3, | | Condition D, with two SGT subsystems INOPERABLE in Mode 1, the Required | | Action is to enter LCO 3.0.3 immediately. LCO 3.0.3 requires the plant to | | be in Mode 2 within 7 hours, Mode 3 within 13 hours, and Mode 4 within 37 | | hours. A power reduction was commenced at 2250. Present power level is | | 54%. | | | | "Engineering personnel have responded to the plant and are evaluating the | | two conditions." | | | | The above surveillance is performed quarterly. The licensee noted a past | | history of problems with the system's level switches. The current rate of | | power reduction is approximately 100 MW/hr or 12-15% reactor power. The | | licensee informed the NRC resident inspector. | | | | * * * UPDATE 0441 2/20/01 FROM TERRY BORGAN TO S. SANDIN * * * | | | | Tech Spec required shutdown exited at 0334CST after engineering determined | | that one train of SGT was OPERABLE. The Unit remains in a 7-day LCO for the | | other INOPERABLE train. Notified R4DO(Pick). | +------------------------------------------------------------------------------+
Page Last Reviewed/Updated Wednesday, March 24, 2021
Page Last Reviewed/Updated Wednesday, March 24, 2021