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any previously issued diversity, equity, inclusion, or gender-related guidance on this webpage should be considered rescinded that is inconsistent with these Executive Orders.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 May 21, 2001

                    U.S. Nuclear Regulatory Commission
                              Operations Center

                              Event Reports For
                           05/18/2001 - 05/21/2001

                              ** EVENT NUMBERS **

38006  38007  38008  38009  38010  38011  38012  38013  38015  38016 


+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   38006       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: OCONEE                   REGION:  2  |NOTIFICATION DATE: 05/17/2001|
|    UNIT:  [1] [2] [3]               STATE:  SC |NOTIFICATION TIME: 22:14[EDT]|
|   RXTYPE: [1] B&W-L-LP,[2] B&W-L-LP,[3] B&W-L-L|EVENT DATE:        05/17/2001|
+------------------------------------------------+EVENT TIME:        20:40[EDT]|
| NRC NOTIFIED BY:  BALDWIN                      |LAST UPDATE DATE:  05/18/2001|
|  HQ OPS OFFICER:  CHAUNCEY GOULD               +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          N/A                   |CHARLES R. OGLE      R2      |
|10 CFR SECTION:                                 |RICHARD ROSANO       IAT     |
|*PRE 50.72(b)(2)(xi)     OFFSITE NOTIFICATION   |CHUCK CASTO          R2      |
|                                                |ROBERTA WARREN       IAT     |
|                                                |                             |
|                                                |                             |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|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          N       0        Refueling        |0        Refueling        |
|3     N          Y       100      Power Operation  |100      Power Operation  |
+------------------------------------------------------------------------------+
                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| NOTIFICATION OF THE OCONEE COUNTY SHERIFF'S OFFICE                           |
|                                                                              |
| The switchboard was notified by an individual of a possible bomb threat      |
| concerning the Oconee site that was left on her home answering machine.  The |
| licensee notified the Oconee County Sheriffs Department to investigate.  No  |
| other law enforcement agencies have been notified.  They do not consider it  |
| a credible threat.                                                           |
|                                                                              |
| The NRC Resident Inspector will be notified.                                 |
|                                                                              |
| * * * UPDATE ON 5/18/01 @ 1936 BY CONSTANCE TO GOULD * * *                   |
|                                                                              |
| The FBI and the County Sheriff have determined that the bomb threat was not  |
| a credible threat.                                                           |
|                                                                              |
| The NRC Resident Inspector will be informed.                                 |
|                                                                              |
| The Reg 2 RDO(Wert) was notified.                                            |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Fuel Cycle Facility                              |Event Number:   38007       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: PADUCAH GASEOUS DIFFUSION PLANT      |NOTIFICATION DATE: 05/18/2001|
|   RXTYPE: URANIUM ENRICHMENT FACILITY          |NOTIFICATION TIME: 08:36[EDT]|
| COMMENTS: 2 DEMOCRACY CENTER                   |EVENT DATE:        05/17/2001|
|           6903 ROCKLEDGE DRIVE                 |EVENT TIME:        14:40[CDT]|
|           BETHESDA, MD 20817    (301)564-3200  |LAST UPDATE DATE:  05/18/2001|
|    CITY:  PADUCAH                  REGION:  3  +-----------------------------+
|  COUNTY:  McCRACKEN                 STATE:  KY |PERSON          ORGANIZATION |
|LICENSE#:  GDP-1                 AGREEMENT:  Y  |GARY SHEAR           R3      |
|  DOCKET:  0707001                              |                             |
+------------------------------------------------+                             |
| NRC NOTIFIED BY:  MATT MAUER                   |                             |
|  HQ OPS OFFICER:  DOUG WEAVER                  |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          N/A                   |                             |
|10 CFR SECTION:                                 |                             |
|OCBA 76.120(c)(2)        SAFETY EQUIPMENT FAILUR|                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+------------------------------------------------------------------------------+

                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| SAFETY EQUIPMENT FAILURE                                                     |
|                                                                              |
| At 1440 on 05/17/01,  the Plant Shift Superintendent (PSS) was notified by   |
| engineering that load cell calibration data for the C-333 U/5 C/9 and C-337  |
| U/2 C/2 freezer sublimers is suspected to be non-conforming.  The load cells |
| are part of the High High Weight Trip System for the freezer sublimers which |
| is required by TSR to be operable.  It is suspected that a batch of 24 load  |
| cells do not meet the specifications credited in the existing setpoint       |
| calculations and the calibration procedures.  The load cell calibration data |
| from 2 other load cells in this batch indicated less weight than what is     |
| actually applied.   It has been determined that this deficiency may affect   |
| the freezer sublimers ability to actuate the High High Weight Trip System at |
| the required Limited Control Setting (LCS).   This deficiency would not      |
| affect the ability of the freezer sublimers to actuate the High High Weight  |
| Trip System below the Safety Limit (SL).  These 2 suspected freezer          |
| sublimers were declared inoperable by the PSS.                               |
|                                                                              |
| The safety system deficiency is reportable to the NRC as required by         |
| 10CFR76.120(c)(2).   The equipment is required by TSR to be available and    |
| operable and should have been operating.   No redundant equipment is         |
| available and operable to perform the required safety function.              |
|                                                                              |
| The NRC resident inspector was notified..                                    |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Fuel Cycle Facility                              |Event Number:   38008       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: PORTSMOUTH GASEOUS DIFFUSION PLANT   |NOTIFICATION DATE: 05/18/2001|
|   RXTYPE: URANIUM ENRICHMENT FACILITY          |NOTIFICATION TIME: 12:32[EDT]|
| COMMENTS: 2 DEMOCRACY CENTER                   |EVENT DATE:        05/18/2001|
|           6903 ROCKLEDGE DRIVE                 |EVENT TIME:        11:18[EDT]|
|           BETHESDA, MD 20817    (301)564-3200  |LAST UPDATE DATE:  05/18/2001|
|    CITY:  PIKETON                  REGION:  3  +-----------------------------+
|  COUNTY:  PIKE                      STATE:  OH |PERSON          ORGANIZATION |
|LICENSE#:  GDP-2                 AGREEMENT:  N  |GARY SHEAR           R3      |
|  DOCKET:  0707002                              |FRED BROWN           NMSS    |
+------------------------------------------------+                             |
| NRC NOTIFIED BY:  MCCLEARY                     |                             |
|  HQ OPS OFFICER:  CHAUNCEY GOULD               |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          N/A                   |                             |
|10 CFR SECTION:                                 |                             |
|NBNL                     RESPONSE-BULLETIN      |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+------------------------------------------------------------------------------+

                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| 4 HOUR 91-01 BULLETIN                                                        |
|                                                                              |
| During normal operations, a concern was identified of a potential fissile    |
| material operation in equipment that had been previously identified as an    |
| operation that contained material <1 % U-235.  Upon investigation of the     |
| concern Nuclear Criticality Safety Personnel identified an unanalyzed        |
| condition in the X-330/333 "A" booster. Based on the identified condition    |
| this is a 4 hour reportable event.  Currently the equipment is isolated.  A  |
| sample shows the equipment contains material at <1% U-235.                   |
|                                                                              |
| SAFETY SIGNIFICANCE OF EVENTS:                                               |
|                                                                              |
| LOW. the equipment is shutdown and has a pressure of 0.8 psia. The maximum   |
| mass in the X-330 to X-333 "A" compressor at this pressure is 41 gram U-235  |
|                                                                              |
| POTENTIAL CRITICALITY PATHWAYS INVOLVED (BRIEF SCENARIO[S] OF HOW            |
| CRITICALITY COULD OCCUR):                                                    |
|                                                                              |
| For a criticality to occur, the mass in the compressor would have to         |
| increase to greater than 10.35 kg. The material then would have to be        |
| moderated and the deposit would have to reflected                            |
|                                                                              |
| CONTROLLED PARAMETERS (MASS, MODERATION, GEOMETRY. CONCENTRATION, ETC.):     |
|                                                                              |
| Enrichment and Mass                                                          |
|                                                                              |
| ESTIMATED AMOUNT, ENRICHMENT, FORM OF LICENSED MATERIAL (INCLUDE PROCESS     |
| LIMIT AND % WORST CASE OF CRITICAL MASS):                                    |
|                                                                              |
| Estimated enrichment is 1.5 weight percent U-235, the mass is estimated at   |
| 41 grams. The form of the material would be UF6. The optimum safe mass and   |
| critical mass at an enrichment of 1.5 % U-235 is 4.5 Kg and 16.502 Kg        |
| respectively.                                                                |
|                                                                              |
| NUCLEAR CRITICALITY SAFETY CONTROL(S) OR CONTROL SYSTEM(S) AND DESCRIPTION   |
| OF THE FAILURES OR DEFICIENCIES                                              |
|                                                                              |
| There were no NCSA controls on the identified equipment because the          |
| enrichment in the equipment was to be less than 1 weight percent U-235 in an |
| operating cascade.  In the current configuration it is not credible that     |
| enrichment would be exceeded.  The deficiency was the equipment was not      |
| isolated from equipment that is allowed to see enrichment greater than 1     |
| weight percent U-235.                                                        |
|                                                                              |
| CORRECTIVE ACTIONS TO RESTORE SAFETY SYSTEM AND WHEN EACH WAS IMPLEMENTED:   |
|                                                                              |
| The Plant Shift Superintendent directed the "A" booster isolated.  The       |
| equipment was sampled and found below 1% U-235.  Engineering continues to    |
| investigate the issue.                                                       |
|                                                                              |
| The NRC Resident Inspector was notified and the DOE Representative will be   |
| informed.                                                                    |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   38009       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: COMANCHE PEAK            REGION:  4  |NOTIFICATION DATE: 05/18/2001|
|    UNIT:  [] [2] []                 STATE:  TX |NOTIFICATION TIME: 15:08[EDT]|
|   RXTYPE: [1] W-4-LP,[2] W-4-LP                |EVENT DATE:        05/18/2001|
+------------------------------------------------+EVENT TIME:        12:30[CDT]|
| NRC NOTIFIED BY:  CASPERSEN                    |LAST UPDATE DATE:  05/18/2001|
|  HQ OPS OFFICER:  CHAUNCEY GOULD               +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          N/A                   |BLAIR SPITZBERG      R4      |
|10 CFR SECTION:                                 |                             |
|*UNA 50.72(b)(3)(ii)(B)  UNANALYZED CONDITION   |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR|   INIT RX MODE  |CURR PWR|  CURR RX MODE   |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|                                                   |                          |
|2     N          Y       100      Power Operation  |100      Power Operation  |
|                                                   |                          |
+------------------------------------------------------------------------------+
                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| AN UNANALYZED CONDITION WAS FOUND WHEN AN EXISTING PIPE TRENCH BLOCKOUT      |
| PATHWAY SEPARATING TWO ROOMS WAS FOUND TO BE BLOCKED.                        |
|                                                                              |
| After reviewing the Unit 2 flooding calculation (environmental calculations  |
| for Auxiliary Feedwater and performing a walkdown of the area, it was        |
| determined that the calculation model which assumed an existing pipe trench  |
| blockout pathway separating the 2 rooms to be an open pathway.  This pathway |
| was found to be blocked leading to an unanalyzed condition.                  |
|                                                                              |
| A PRA evaluation was performed for this condition.  The result of this       |
| evaluation shows that the potential degraded condition due to the sealed     |
| pathway and missing backwater check valves in the drain lines does not pose  |
| a significant increase in the core damage risk.  However, an additional      |
| review on May 15, 2001, it was deemed that the cumulative risk increase is   |
| potentially significant assuming the condition existed since initial         |
| evaluation.  Therefore, this issue is being conservatively reported pursuant |
| to 10 CFR 50.72 (ii)(B).                                                     |
|                                                                              |
|                                                                              |
| No Technical Specification OPERABILITY issues are identified as a result of  |
| this event.  Additionally this event has been evaluated per GL 91-18 and     |
| actions are being taken to be in compliance with the flooding calculations.  |
|                                                                              |
|                                                                              |
| The NRC Resident Inspector will be notified.                                 |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|General Information or Other                     |Event Number:   38010       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG:  OHIO BUREAU OF RADIATION PROTECTION  |NOTIFICATION DATE: 05/18/2001|
|LICENSEE:  OHIO STATE UNIVERSITY MED CENTER     |NOTIFICATION TIME: 15:20[EDT]|
|    CITY:  COLUMBUS                 REGION:  3  |EVENT DATE:        05/11/2001|
|  COUNTY:                            STATE:  OH |EVENT TIME:             [EDT]|
|LICENSE#:  02110-250037          AGREEMENT:  Y  |LAST UPDATE DATE:  05/18/2001|
|  DOCKET:                                       |+----------------------------+
|                                                |PERSON          ORGANIZATION |
|                                                |GARY SHEAR           R3      |
|                                                |SUSAN FRANT          NMSS    |
+------------------------------------------------+                             |
| NRC NOTIFIED BY:  LIGHT                        |                             |
|  HQ OPS OFFICER:  CHAUNCEY GOULD               |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          N/A                   |                             |
|10 CFR SECTION:                                 |                             |
|NAGR                     AGREEMENT STATE        |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+------------------------------------------------------------------------------+

                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| MEDICAL MISADMINISTRATION                                                    |
|                                                                              |
| A patient was being treated with Ir-192 and after 2 minutes of treatment     |
| verification of the location of the wire could not be made and a decision to |
| terminate the treatment was made.  When they attempted to terminate the      |
| treatment a problem arose with the clutch mechanism on the device which      |
| resulted in the wire slipping.  The manufacturer was called and the medical  |
| staff continued to troubleshoot the system.  The delivery wires for the      |
| system were cleaned and the treatment was resumed.  On 5/14/01 the           |
| University RSO investigated the situation and decided not to use this device |
| until it was evaluated by the manufacturer.   On 5/16/01 it was discovered   |
| that the cable had some lubricant that leached from the cable and caused     |
| increased friction in the treatment catheter.                                |
| Further evaluation of the film that was shot during this procedure           |
| determined that the source was between 4.5 and 5mm from where the treatment  |
| site was, therefore there was a delivery to an area that was unintended.     |
| The patient and physician were notified.                                     |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Fuel Cycle Facility                              |Event Number:   38011       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: PADUCAH GASEOUS DIFFUSION PLANT      |NOTIFICATION DATE: 05/18/2001|
|   RXTYPE: URANIUM ENRICHMENT FACILITY          |NOTIFICATION TIME: 15:37[EDT]|
| COMMENTS: 2 DEMOCRACY CENTER                   |EVENT DATE:        05/07/2001|
|           6903 ROCKLEDGE DRIVE                 |EVENT TIME:        16:37[CDT]|
|           BETHESDA, MD 20817    (301)564-3200  |LAST UPDATE DATE:  05/18/2001|
|    CITY:  PADUCAH                  REGION:  3  +-----------------------------+
|  COUNTY:  McCRACKEN                 STATE:  KY |PERSON          ORGANIZATION |
|LICENSE#:  GDP-1                 AGREEMENT:  Y  |GARY SHEAR           R3      |
|  DOCKET:  0707001                              |SUSAN FRANT          NMSS    |
+------------------------------------------------+                             |
| NRC NOTIFIED BY:  WHITE                        |                             |
|  HQ OPS OFFICER:  CHAUNCEY GOULD               |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          N/A                   |                             |
|10 CFR SECTION:                                 |                             |
|NBNL                     RESPONSE-BULLETIN      |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+------------------------------------------------------------------------------+

                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| 24-HOUR 91-01 BULLETIN                                                       |
|                                                                              |
| At 1640, on 5-17-01 the Plant Shift Superintendent (PSS) was notified that   |
| the independent verification required by procedure CP2-CU-CH2137  was not    |
| performed.  The maintenance segment was not independently verified to be     |
| isolated.  The same person signed for performance as well as the             |
| verification of the segment isolation.  NCSA 400.009 requires that fissile   |
| operations that credit AQ-NCS function that is disabled due to maintenance   |
| must be identified independently, and disabled using a tagout prior to       |
| disabling the feature and commencing maintenance.  This is done to prevent   |
| operation of a system while an AQ-NCS component function is disabled. Since  |
| the independent verification was not performed,  the process condition was   |
| not maintained, therefore double contingency was not maintained.             |
|                                                                              |
| SAFETY  SIGNIFICANCE OF EVENTS:                                              |
|                                                                              |
| While the NCS control was violated the fissile operation containing the      |
| component(s) undergoing maintenance was tagged out using LOTO both as a      |
| standard maintenance practice in C-400 and due to other NCS requirements.    |
| In addition, the equipment items removed had no AQ-NCS function which was    |
| affected by the maintenance actions.                                         |
|                                                                              |
| POTENTIAL CRITICALITY PATHWAYS INVOLVED (BRIEF SCENARIO(S) OF HOW            |
| CRITICALITY COULD OCCUR:                                                     |
|                                                                              |
| In order for criticality to be possible, the components undergoing           |
| maintenance must have an AQ-NCS function that is disabled, and the affected  |
| operations must be subsequently performed with fissile solution.             |
| Additionally, the maintenance activity must be one of the relatively few     |
| maintenance activities that do not require tagout for another NCS reason,    |
| such as to prevent fissile solution from leaking from the system.            |
|                                                                              |
| CONTROLLED PARAMETERS (MASS. MODERATION, GEOMETRY, CONCENTRATION, ETC):      |
|                                                                              |
| Double contingency for this scenario is established by implementing          |
| independently verifying the prevention of the affected fissile operation.    |
|                                                                              |
| ESTIMATED AMOUNT, ENRICHMENT, FORM OF LICENSED MATERIAL (INCLUDE PROCESS     |
| LIMIT AND % WORST CASE CRITICAL MASS):                                       |
|                                                                              |
| Maximum assay of 2.75 wt. % U-235                                            |
|                                                                              |
| NUCLEAR CRITICALITY SAFETY CONTROL(S) OR CONTROL SYSTEM(S) AND DESCRIPTION   |
| OF THE FAILURES OR DEFICIENCIES;                                             |
|                                                                              |
| The first leg of double contingency is based on preventing operation of the  |
| Cylinder Wash Facility during maintenance affecting the AQ-NCS component.    |
| The components were properly identified as non-AQ-NCS, therefore this        |
| control was not violated.                                                    |
|                                                                              |
| The second leg of double contingency is based on independently preventing    |
| operation of the Cylinder Wash facility during maintenance affecting the     |
| AQ-NCS component.  The requirement to Independently verify the AQ-NCS        |
| function of all components affected by maintenance was not performed.  The   |
| control was violated and the process condition was not maintained.           |
|                                                                              |
| Since the independent verification was not performed, the process condition  |
| was not maintained, therefore double contingency was not maintained          |
|                                                                              |
| CORRECTIVE ACTIONS TO RESTORE SAFETY SYSTEMS AND WHEN EACH WAS IMPLEMENTED:  |
|                                                                              |
| This condition was Identified while reviewing completed maintenance work     |
| packages.  There is no action that can be performed to resolve this          |
| condition and bring the process back Into compliance since the maintenance   |
| activity has been completed.                                                 |
|                                                                              |
| The NRC Resident Inspector was notified and the DOE Representative will be   |
| informed.                                                                    |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   38012       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: BRAIDWOOD                REGION:  3  |NOTIFICATION DATE: 05/19/2001|
|    UNIT:  [] [2] []                 STATE:  IL |NOTIFICATION TIME: 07:46[EDT]|
|   RXTYPE: [1] W-4-LP,[2] W-4-LP                |EVENT DATE:        05/19/2001|
+------------------------------------------------+EVENT TIME:        04:06[CDT]|
| NRC NOTIFIED BY:  SHEAR                        |LAST UPDATE DATE:  05/19/2001|
|  HQ OPS OFFICER:  JOHN MacKINNON               +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          N/A                   |GARY SHEAR           R3      |
|10 CFR SECTION:                                 |JOHN ZWOLINSKI       NRR     |
|*RPS 50.72(b)(2)(iv)(B)  RPS ACTUATION - CRITICA|NADER MAMISH         IRO     |
|*ESF 50.72(b)(3)(iv)(A)  VALID SPECIF SYS ACTUAT|                             |
|                                                |                             |
|                                                |                             |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|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                                   
+------------------------------------------------------------------------------+
| UNIT 2 ON NATURAL CIRCULATION AFTER A AUTOMATIC REACTOR TRIP.                |
|                                                                              |
|                                                                              |
| Unit 2 reactor coolant pump low flow reactor trip occurred due to a loss of  |
| a non-vital 6.9kV bus. The cause of the trip was human error while           |
| manipulating electrical plant equipment for planned work.  The trip caused a |
| loss of all non-ESF power to Unit 2.  All safety systems actuated as         |
| required (all rods fully inserted into the core).  The plant is currently in |
| Mode 3 (Hot Standby) on natural circulation.  No radioactive releases        |
| occurred.                                                                    |
|                                                                              |
| The licensee took their system Auxiliary Transformer out of service for      |
| planned work.  The Auxiliary Transformer is the normal offsite power supply  |
| to Unit 2 ESF (vital) buses. Unit 2 was cross tied to Unit 1 offsite power   |
| supply to supply power to the Unit 2 vital buses while Unit 2 Auxiliary      |
| Transformer was out of service.  While preparing to restore the auxiliary    |
| transformer to service personnel were sent to the 6.9kV non-ESF switchgear   |
| room to pull the potential transformer fuses.  Instead they pulled the bus   |
| potential transformer fuses which resulted in a loss of the bus which in     |
| turn tripped the reactor coolant pumps. The bus potential transformer fuses  |
| are located in a drawer just above the potential transformer fuses drawer.   |
| Once the drawer is opened the fuses come out of their holder.                |
|                                                                              |
| After the reactor trip the diesel driven and the motor driven auxiliary      |
| feedwater pumps started.  The diesel driven auxiliary feedwater pump was     |
| secured  and now the motor driven auxiliary feedwater pump is supplying      |
| water to maintain proper steam generator water levels.  The steam generator  |
| atmospheric valves are being used to maintain the plant in Hot Standby, no   |
| primary to secondary leakage.  Both emergency diesel generators were         |
| manually started and they are supplying electrical power to the vital buses  |
| and power to two non-vital buses.  The Unit 2 cross tie to Unit 1 offsite    |
| power supply was de-energized after Unit 2 emergency diesel generators were  |
| brought into service.  If the emergency diesel generators are loss it will   |
| take less than 5 minutes to return Unit 1 offsite power back to Unit 2 ESF   |
| (vital) buses. All emergency core cooling systems are fully operable and     |
| pressurizer water level is within its proper range.   Offsite power should   |
| be restored in about 4 hours.                                                |
|                                                                              |
| Unit 1 is at 100% power.                                                     |
|                                                                              |
| The NRC Resident Inspector was notified of this event by the licensee.       |
|                                                                              |
| * * * UPDATE ON 05/19/01 AT 1127 ET BY CAROL ROCHA TAKEN BY MACKINNON * * *  |
|                                                                              |
| The purpose of this update is to notify the NRC within 8 hours of a valid    |
| actuation of the Unit 2 Auxiliary Feedwater System.   Both trains of         |
| Auxiliary Feedwater actuated, as expected, on a Low-2 Steam Generator Level  |
| Signal.                                                                      |
|                                                                              |
| Division 11 4 kV  offsite power was restored to the vital buses via 242-1    |
| (at 0901CT) and 242-2 (at 0906CT).        6.9kV non -vital power was         |
| restored at 0727 CT and 0726CT.  The emergency diesel generators "2A" & "2B" |
| were secured at 0907CT and 0929CT respectively.  A Reactor Coolant Pump was  |
| started and forced flow was restored to the reactor coolant system.    R3DO  |
| (Shear) & NRR EO (Zwolinski) notified.                                       |
|                                                                              |
| The NRC Resident Inspector was notified of this update by the licensee.      |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   38013       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: PALO VERDE               REGION:  4  |NOTIFICATION DATE: 05/19/2001|
|    UNIT:  [] [] [3]                 STATE:  AZ |NOTIFICATION TIME: 09:52[EDT]|
|   RXTYPE: [1] CE,[2] CE,[3] CE                 |EVENT DATE:        05/19/2001|
+------------------------------------------------+EVENT TIME:        03:06[MST]|
| NRC NOTIFIED BY:  STROUD                       |LAST UPDATE DATE:  05/19/2001|
|  HQ OPS OFFICER:  JOHN MacKINNON               +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          N/A                   |BLAIR SPITZBERG      R4      |
|10 CFR SECTION:                                 |                             |
|*RPS 50.72(b)(2)(iv)(B)  RPS ACTUATION - CRITICA|                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR|   INIT RX MODE  |CURR PWR|  CURR RX MODE   |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|                                                   |                          |
|                                                   |                          |
|3     A/R        Y       19       Power Operation  |0        Hot Standby      |
+------------------------------------------------------------------------------+
                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| On May 19, 2001, at approximately 0306 MST Palo Verde Unit 3 experienced a   |
| reactor trip (reactor protection system actuation) from 19% rated thermal    |
| power due axial shape index trips on all four channels of the core           |
| protection calculators.(CPCs). All control element assemblies inserted and   |
| plant equipment response was normal and as expected.                         |
|                                                                              |
| Prior to the plant trip, Unit 3 had reduced power to 19% and had stabilized  |
| as part of pre-planned activities to perform maintenance on the main         |
| turbine, which had been taken offline at 0252 MST. The unit was at normal    |
| temperature and pressure prior to the trip.                                  |
|                                                                              |
| After the plant rip, control room staff entered the emergency operating      |
| procedures and diagnosed the event as an uncomplicated reactor trip with no  |
| emergency classifications being required. The primary plant was stabilized   |
| in Mode 3 in forced circulation with both steam generators used for heat     |
| removal.                                                                     |
|                                                                              |
| Unit 3 is stable at normal operating temperature and pressure in Mode 3.     |
| Other than the reactor protection system actuation no other engineered       |
| safety feature actuations occurred and none were required. The event did not |
| result in any challenges to the fission product barrier or result in any     |
| releases of radioactive materials. There were no adverse safety consequences |
| or implications as a result of this event. The event did not adversely       |
| affect the safe operation of the plant or health and safety of the public.   |
|                                                                              |
| The NRC Resident Inspector was notified of this event by the licensee.       |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   38015       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: DIABLO CANYON            REGION:  4  |NOTIFICATION DATE: 05/20/2001|
|    UNIT:  [] [2] []                 STATE:  CA |NOTIFICATION TIME: 06:31[EDT]|
|   RXTYPE: [1] W-4-LP,[2] W-4-LP                |EVENT DATE:        05/20/2001|
+------------------------------------------------+EVENT TIME:        00:56[PDT]|
| NRC NOTIFIED BY:  RAAB                         |LAST UPDATE DATE:  05/20/2001|
|  HQ OPS OFFICER:  JOHN MacKINNON               +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          N/A                   |BLAIR SPITZBERG      R4      |
|10 CFR SECTION:                                 |                             |
|*ESF 50.72(b)(3)(iv)(A)  VALID SPECIF SYS ACTUAT|                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR|   INIT RX MODE  |CURR PWR|  CURR RX MODE   |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|                                                   |                          |
|2     N          N       0        Cold Shutdown    |0        Cold Shutdown    |
|                                                   |                          |
+------------------------------------------------------------------------------+
                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| DURING SURVEILLANCE TESTING THE AUTO TRANSFER TO STARTUP POWER FAILED TO     |
| PICK UP A VITAL BUS.                                                         |
|                                                                              |
| During performance of Part 2 of surveillance test procedures M-13H (4kV Bus  |
| H Non-SI Auto Transfer Test) the auto transfer to startup power failed to    |
| pick up the bus when the auxiliary feeder breaker was opened.  This was a    |
| result of the startup feeder breaker being in the test position.  This       |
| resulted in the 4kV and 480 V bus H being de-energized.  For this test       |
| diesel generator 2-2 is in manual and it did not load to the bus.  With the  |
| dead bus the procedure contains a contingency to return diesel generator 2-2 |
| to auto to re-energize bus H.  This was done.  This was a valid actuation of |
| a diesel generator auto start due to bus undervoltage.  Power was lost to    |
| bus H for about one minute, no important vital loads were lost and RHR was   |
| powered from a different vital bus.                                          |
|                                                                              |
| Surveillance test procedure M-13H is divided into four parts.  The           |
| surveillance test procedure assumes that you perform parts 1,2, 3, and 4 in  |
| order.  Part 1 of the surveillance was done 2 days ago.  Part 1 placed the   |
| startup feeder breaker in the test position.  Later parts 3 and 4 of the     |
| surveillance test procedure were performed.  Nothing in parts 3 or 4 of the  |
| surveillance test procedure took the startup feeder breaker out of its test  |
| position.  When part 2 of the surveillance test procedure was performed it   |
| has the testing personnel look at the control panel to verify that the       |
| startup feeder breaker is racked in.  With the breaker in test the control   |
| board looks exactly the same as if the breaker was racked in.  There should  |
| have been something to state that the breaker was in test but it was not     |
| done.                                                                        |
|                                                                              |
| The NRC Resident Inspector was notified of this event by the licensee.       |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Fuel Cycle Facility                              |Event Number:   38016       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: PADUCAH GASEOUS DIFFUSION PLANT      |NOTIFICATION DATE: 05/20/2001|
|   RXTYPE: URANIUM ENRICHMENT FACILITY          |NOTIFICATION TIME: 10:47[EDT]|
| COMMENTS: 2 DEMOCRACY CENTER                   |EVENT DATE:        05/20/2001|
|           6903 ROCKLEDGE DRIVE                 |EVENT TIME:        03:56[CDT]|
|           BETHESDA, MD 20817    (301)564-3200  |LAST UPDATE DATE:  05/20/2001|
|    CITY:  PADUCAH                  REGION:  3  +-----------------------------+
|  COUNTY:  McCRACKEN                 STATE:  KY |PERSON          ORGANIZATION |
|LICENSE#:  GDP-1                 AGREEMENT:  Y  |GARY SHEAR           R3      |
|  DOCKET:  0707001                              |JOHN GREEVES         NMSS    |
+------------------------------------------------+                             |
| NRC NOTIFIED BY:  M. C. MAURER                 |                             |
|  HQ OPS OFFICER:  JOHN MacKINNON               |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          N/A                   |                             |
|10 CFR SECTION:                                 |                             |
|NONR                     OTHER UNSPEC REQMNT    |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+------------------------------------------------------------------------------+

                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| VALID HIGH LEVEL DRAIN SECONDARY ALARM                                       |
|                                                                              |
| At 0356 on 05/20/01, the PSS office was notified that a High Level Drain     |
| Secondary alarm was received on the C-360 position 1 (autoclave 1) Autoclave |
| Water Inventory Control System (WICS).  The WICS system is required to be    |
| operable while heating in mode 5 (heat mode) according to TSR 2.2.4.2.  The  |
| autoclave was checked according to the alarm response procedure and the      |
| alarm was determined to be due to a valid signal.  The autoclave was removed |
| from service and the Water Inventory Control System was declared inoperable  |
| by the Plant Shift Superintendent.  Autoclave # 1 was removed from service   |
| and is inoperable.                                                           |
|                                                                              |
|                                                                              |
| The NRC Resident Inspector was notified of this event by the certificate     |
| holder.                                                                      |
+------------------------------------------------------------------------------+


Page Last Reviewed/Updated Wednesday, March 24, 2021