Event Notification Report for May 23, 2001
U.S. Nuclear Regulatory Commission Operations Center Event Reports For 05/22/2001 - 05/23/2001 ** EVENT NUMBERS ** 38011 38021 38022 38023 +------------------------------------------------------------------------------+ |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: 05/22/2001| | 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 NRC BULLETIN 91-01 RESPONSE | | | | At 1640 CDT on 05/17/01, 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. | | | | * * * UPDATE ON 5/22/01 @ 1235 BY HUDSON TO GOULD * * * | | | | As a result of this NCS violation, a review of work packages was initiated | | to determine if other instances exist where the required second signature | | was not obtained. On 05/21/01 at 1520 CDT, the PSS was notified that | | another incident involving the violation of this requirement was discovered | | pertaining to maintenance on the RF (radio frequency) furnace. | | | | The NRC Senior Resident has been notified of this event by Paducah | | personnel. The Reg 3 RDO (Burgess) and the NMSS EO (Cool) were informed by | | the NRC Operations Officer. | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ |Power Reactor |Event Number: 38021 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | FACILITY: SALEM REGION: 1 |NOTIFICATION DATE: 05/22/2001| | UNIT: [1] [] [] STATE: NJ |NOTIFICATION TIME: 08:42[EDT]| | RXTYPE: [1] W-4-LP,[2] W-4-LP |EVENT DATE: 05/22/2001| +------------------------------------------------+EVENT TIME: 06:16[EDT]| | NRC NOTIFIED BY: E BOGGS |LAST UPDATE DATE: 05/22/2001| | HQ OPS OFFICER: JOHN MacKINNON +-----------------------------+ +------------------------------------------------+PERSON ORGANIZATION | |EMERGENCY CLASS: N/A |FRANK COSTELLO R1 | |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 | +-----+----------+-------+--------+-----------------+--------+-----------------+ |1 A/R Y 100 Power Operation |0 Hot Standby | | | | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | TURBINE TRIP/REACTOR TRIP. ALL SYSTEMS OPERATED AS EXPECTED. | | | | This notification is being made to report that Salem Unit 1 has experienced | | an automatic reactor trip. All rods fully inserted into the core. The | | reactor trip was caused by a main turbine trip. The cause of the main | | turbine trip is under investigation. Post trip, main feedwater to steam | | generators was isolated due to the feedwater air lock, which is expected on | | a reactor trip. The auxiliary feedwater system automatically started on low | | steam generator water levels, and this was also expected on a reactor trip. | | Auxiliary feedwater pumps "21," "22," and "23" all automatically started and | | fed the steam generators. The turbine-driven auxiliary feedwater pump, "23," | | has been shut down by procedure since the "21" and "22" motor-driven | | auxiliary feedwater pumps were maintaining adequate feedwater flow. Main | | feedwater restoration is in progress. | | | | Salem Unit 1 is currently in Mode 3 (Hot Standby). Reactor coolant | | temperature is currently 547 degrees F, and plant pressure is 2235 psi. All | | emergency core cooling systems and all engineered safety feature systems are | | available. There are no shutdown technical specification limiting | | conditions for operation (LCO) in effect. There is one non-shutdown | | technical specification LCO in effect due to the power distribution | | monitoring system being inoperable. The system is functional, but post | | isolation testing will not be completed for some time. The only major | | secondary equipment unavailable is number one station air compressor, which | | is out of service for oil filter replacement. It is expected to be restored | | to service today. The emergency diesel generators are fully operable if | | needed, and the electrical grid is stable. | | | | The licensee plans to notify the Lower Alloways Creek Township of this | | event. The NRC Resident Inspector was notified of this event by the | | licensee. | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ |Power Reactor |Event Number: 38022 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | FACILITY: PALISADES REGION: 3 |NOTIFICATION DATE: 05/22/2001| | UNIT: [1] [] [] STATE: MI |NOTIFICATION TIME: 19:24[EDT]| | RXTYPE: [1] CE |EVENT DATE: 05/22/2001| +------------------------------------------------+EVENT TIME: 18:35[EDT]| | NRC NOTIFIED BY: MALONE |LAST UPDATE DATE: 05/22/2001| | HQ OPS OFFICER: CHAUNCEY GOULD +-----------------------------+ +------------------------------------------------+PERSON ORGANIZATION | |EMERGENCY CLASS: N/A |SONIA BURGESS R3 | |10 CFR SECTION: |JOHN DAVIDSON IAT | |DDDD 73.71 UNSPECIFIED PARAGRAPH |ROBERT SKELTON IAT | | |JOSEPH HOLONICH IRO | | |BRUCE BOGER NRR | | | | +-----+----------+-------+--------+-----------------+--------+-----------------+ |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 +------------------------------------------------------------------------------+ | SUSPECTED ARSON | | | | COMPENSATORY MEASURES WERE TAKEN UPON DISCOVERY. | | | | THE NRC RESIDENT INSPECTOR WAS NOTIFIED. | | | | (CONTACT THE NRC OPERATIONS OFFICER FOR ADDITIONAL INFORMATION.) | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ |Research Reactor |Event Number: 38023 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | FACILITY: OREGON STATE UNIVERSITY |NOTIFICATION DATE: 05/22/2001| | RXTYPE: 1000 KW TRIGA MARK II |NOTIFICATION TIME: 20:17[EDT]| | COMMENTS: |EVENT DATE: 05/22/2001| | |EVENT TIME: 16:35[PDT]| | |LAST UPDATE DATE: 05/22/2001| | CITY: CORVALLIS REGION: 4 +-----------------------------+ | COUNTY: BENTON STATE: OR |PERSON ORGANIZATION | |LICENSE#: R-106 AGREEMENT: Y |MARK SHAFFER R4 | | DOCKET: 05000243 |AL ADAMS NRR | +------------------------------------------------+ | | NRC NOTIFIED BY: BINNEY | | | HQ OPS OFFICER: CHAUNCEY GOULD | | +------------------------------------------------+ | |EMERGENCY CLASS: N/A | | |10 CFR SECTION: | | |DDDD 73.71 UNSPECIFIED PARAGRAPH | | | | | | | | | | | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | LOST/UNACCOUNTED FOR KEYS | | | | COMPENSATORY MEASURES WERE PUT INTO PLACE BUT WERE INADVERTENTLY REMOVED FOR | | A | | 1-HOUR PERIOD. | | | | (CONTACT THE NRC OPERATIONS OFFICER FOR ADDITIONAL DETAILS.) | +------------------------------------------------------------------------------+
Page Last Reviewed/Updated Wednesday, March 24, 2021
Page Last Reviewed/Updated Wednesday, March 24, 2021