Event Notification Report for October 18, 2002
U.S. Nuclear Regulatory Commission Operations Center Event Reports For 10/17/2002 - 10/18/2002 ** EVENT NUMBERS ** 39276 39284 39285 39289 39290 39295 39296 39297 39298 39299 39300 39301 !!!!!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED !!!!!!! +------------------------------------------------------------------------------+ |Power Reactor |Event Number: 39276 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | FACILITY: DIABLO CANYON REGION: 4 |NOTIFICATION DATE: 10/12/2002| | UNIT: [1] [2] [] STATE: CA |NOTIFICATION TIME: 08:02[EDT]| | RXTYPE: [1] W-4-LP,[2] W-4-LP |EVENT DATE: 10/12/2002| +------------------------------------------------+EVENT TIME: 01:30[PDT]| | NRC NOTIFIED BY: J. BROWN |LAST UPDATE DATE: 10/17/2002| | HQ OPS OFFICER: JOHN MacKINNON +-----------------------------+ +------------------------------------------------+PERSON ORGANIZATION | |EMERGENCY CLASS: NON EMERGENCY |KRISS KENNEDY R4 | |10 CFR SECTION: | | |DDDD 73.71(b)(1) SAFEGUARDS REPORTS | | | | | | | | | | | +-----+----------+-------+--------+-----------------+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ |1 N Y 54 Power Operation |54 Power Operation | |2 N Y 100 Power Operation |100 Power Operation | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | ALLEGED FITNESS-FOR-DUTY QUESTIONED DUE TO SLEEPING ON WATCH. | | | | IMMEDIATE COMPENSATORY MEASURES TAKEN UPON DISCOVERY. | | | | THE LICENSEE NOTIFIED THE NRC RESIDENT INSPECTOR . | | | | ***** RETRACTED ON 10/17/02 AT 22:10 FROM J. BROWN TO A. COSTA ***** | | | | The licensee is retracting this event since proper security was maintained | | in the Owner Controlled Area as required by the Order. | | | | Notified R4DO (Pick) via email. | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ |General Information or Other |Event Number: 39284 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | REP ORG: LOUISIANA RADIATION PROTECTION DIV |NOTIFICATION DATE: 10/14/2002| |LICENSEE: SCHLUMBERGER TECHNOLOGY CORP |NOTIFICATION TIME: 16:27[EDT]| | CITY: CAMERON REGION: 4 |EVENT DATE: 10/12/2002| | COUNTY: STATE: LA |EVENT TIME: [CDT]| |LICENSE#: LA-2783-L01 AGREEMENT: Y |LAST UPDATE DATE: 10/14/2002| | DOCKET: |+----------------------------+ | |PERSON ORGANIZATION | | |KRISS KENNEDY R4 | | |JOHN HICKEY NMSS | +------------------------------------------------+ | | NRC NOTIFIED BY: SCOTT BLACKWELL (email) | | | HQ OPS OFFICER: GERRY WAIG | | +------------------------------------------------+ | |EMERGENCY CLASS: NON EMERGENCY | | |10 CFR SECTION: | | |NAGR AGREEMENT STATE | | | | | | | | | | | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | AGREEMENT STATE - IRRETRIEVABLE WELL LOGGING SOURCE | | | | "Agreement State Agency: Louisiana Department of Environmental Quality | | | | "Event Report ID No.: LA020013 | | | | "License No.: LA-2783-L01 | | | | "Licensee: Schlumberger Technology Corp | | | | "Event date and Time: October 12, 2002 | | | | "Event Location: Miami Corp #1S in Cameron, LA | | | | "Event type: Irretrievable Well Logging Source | | | | "Notifications: Schlumberger notified the Louisiana Department of Natural | | Resources and the Louisiana Department of Environmental Quality. | | | | "Event description: | | | | On October 9, 2002, a well logging tool was stuck down hole. The tool | | contained a 1.7 Ci source of Cs-137 model number GSRZ with s/n 2009 and a 16 | | Ci source of Am241Be model number NSR-L with s/n 3068. There were repeated | | attempts to retrieve the tool. On October 12, 2002, it was decided to | | abandon the tool. Approval was given from the state of Louisiana on October | | 12, 2002, to abandon the tool. The approximate depth of the tool is 10,822 | | feet. A cement plug was going to be placed above the tool, cement is going | | to be added around the tool, and an upside down drill bit is to be used as a | | deflection device." | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ |General Information or Other |Event Number: 39285 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | REP ORG: TEXAS DEPARTMENT OF HEALTH |NOTIFICATION DATE: 10/15/2002| |LICENSEE: BAYLOR ALL SAINTS MED CENTER, MEDI-PH|NOTIFICATION TIME: 11:35[EDT]| | CITY: FORT WORTH, DALLAS REGION: 4 |EVENT DATE: 09/25/2002| | COUNTY: STATE: TX |EVENT TIME: 11:30[CDT]| |LICENSE#: L2212, L05529 AGREEMENT: Y |LAST UPDATE DATE: 10/15/2002| | DOCKET: |+----------------------------+ | |PERSON ORGANIZATION | | |GREG PICK R4 | | |WAYNE HODGES NMSS | +------------------------------------------------+ | | NRC NOTIFIED BY: HELEN WATKINS | | | HQ OPS OFFICER: MIKE RIPLEY | | +------------------------------------------------+ | |EMERGENCY CLASS: NON EMERGENCY | | |10 CFR SECTION: | | |NAGR AGREEMENT STATE | | | | | | | | | | | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | PERSONNEL CONTAMINATION AND EXCESSIVE PACKAGE LEVELS AT NUCLEAR MEDICINE | | FACILITIES | | | | "A 300 millicurie multidose glass vial of technetium-99m was dropped on the | | floor at about 11:30 am [September 25, 2002] in a hot lab area at Baylor by | | a nuclear medicine technologist. About 40% of the vial contents spilled on | | the tech's pants, legs, and shoes. The initial radiation reading on the | | tech's clothing was 35.2 [millirem]/hr. An initial wipe test of the floor | | gave a reading of 81,012 dpm. The floor was decontaminated using radiowash | | until radiation wipe levels were at 366 dpm and the survey meter detected | | 1.8 [millirem]/hr. The tech's clothing were placed in storage for decay. | | | | "An outgoing nuclear medicine ammo box was about three feet from the spill. | | The box was labeled and had been surveyed and was ready for pickup by the | | nuclear pharmacy, Medi-Physics. The technologist did not believe the spill | | had contaminated the ammo box and did not perform an additional survey of | | it. The ammo box was picked up by a courier for the nuclear pharmacy. The | | courier picked up the ammo box by using the keypad lock to access the | | unoccupied hot lab as was his normal routine. | | | | "At around 1:00pm, as the courier was leaving the Medi-Physics facility, he | | surveyed his hands and noticed radiation readings. Both palms were | | contaminated and so was his shirt and pants. The hands gave readings of 8340 | | cpm's. The courier was decontaminated to approximate background levels. The | | only package picked up and transported by the courier was the ammo box from | | Baylor. The nuclear pharmacy contacted Baylor and notified the State. | | | | "The ammo box radiation readings were 2,664,800 cpm's and the main area of | | contamination read 150 [millirem]/hr. The courier vehicle showed | | contamination on the door handle, radio knob, steering wheel, and gear | | shift. Radiation readings were in the range of 81,649 cpm's. The ammo box | | was placed in storage for decay. The vehicle was quarantined, decontaminated | | to background revels, and returned to service the following day. | | | | "Additional information will be provided to the Agency in the Licensee's | | written report. An onsite investigation by the Texas Department of Health | | Bureau of Radiation Control identified items of noncompliance with Agency | | regulations." | | | | Texas Incident No. I-7938 | | | | Medi-Physics, Inc (doing business as Amersham Health of Dallas) Dallas, TX | | - License No. L05529 | | BaylorAll Saints Med Center, Ft. Worth, TX - License No. L02212 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ |General Information or Other |Event Number: 39289 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | REP ORG: ARIZONA RADIATION REGULATORY AGENCY |NOTIFICATION DATE: 10/15/2002| |LICENSEE: CONSTRUCTION INSPECTION AND TESTING |NOTIFICATION TIME: 19:18[EDT]| | CITY: TEMPE REGION: 4 |EVENT DATE: 10/15/2002| | COUNTY: STATE: AZ |EVENT TIME: 15:25[MST]| |LICENSE#: 7-98 AGREEMENT: Y |LAST UPDATE DATE: 10/15/2002| | DOCKET: |+----------------------------+ | |PERSON ORGANIZATION | | |GREG PICK R4 | | |M. WAYNE HODGES NMSS | +------------------------------------------------+ | | NRC NOTIFIED BY: AZ RAD REGULATORY AGENCY | | | HQ OPS OFFICER: GERRY WAIG | | +------------------------------------------------+ | |EMERGENCY CLASS: NON EMERGENCY | | |10 CFR SECTION: | | |NAGR AGREEMENT STATE | | | | | | | | | | | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | AGREEMENT STATE - LOST OR STOLEN TROXLER MOISTURE DENSITY GAUGE | | | | "Date: 15 October 2002 | | | | "Time: 3:25 p.m. MST | | | | "First Notice No.: 02-15 | | | | "Arizona Licensee: Construction Inspection and Testing | | 2137 West 7th St. | | Tempe, AZ 85281 | | | | "RSO: John Ritter | | | | "License No.: 7-98 | | | | "Description of event: The licensee reported the loss of a Troxler | | moisture/density gauge sometime between 1030 and 1115 on 15 October after | | the technician left a job site in the vicinity of Cactus and 151st Ave. The | | gauge had been in the back of a pickup with the tailgate down. The gauge did | | not have a handle lock. A search of his route for several hours failed to | | turn up the gauge. The gauge is a Troxler Model 3400 series, serial number | | 29519. It contains approximately 10 millicuries of cesium 137 and | | approximately 50 millicuries of americium-beryllium. The company is offering | | a $250 reward for information leading to the return of the gauge and truck. | | | | "The U.S. NRC, FBI, Mexico, and the states of Colorado, Nevada, Utah, New | | Mexico and California are being informed of this incident." | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ |General Information or Other |Event Number: 39290 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | REP ORG: COLORADO DEPT OF HEALTH |NOTIFICATION DATE: 10/15/2002| |LICENSEE: MIDWEST INSPECTION SERVICES |NOTIFICATION TIME: 19:15[EDT]| | CITY: DENVER REGION: 4 |EVENT DATE: 10/14/2002| | COUNTY: STATE: CO |EVENT TIME: [MDT]| |LICENSE#: CO 902-01 AGREEMENT: Y |LAST UPDATE DATE: 10/15/2002| | DOCKET: |+----------------------------+ | |PERSON ORGANIZATION | | |GREG PICK R4 | | |M. WAYNE HODGES NMSS | +------------------------------------------------+ | | NRC NOTIFIED BY: TIM BONZER (VIA FAX) | | | HQ OPS OFFICER: STEVE SANDIN | | +------------------------------------------------+ | |EMERGENCY CLASS: NON EMERGENCY | | |10 CFR SECTION: | | |NAGR AGREEMENT STATE | | | | | | | | | | | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | AGREEMENT STATE REPORT INVOLVING INDUSTRIAL RADIOGRAPHY INCIDENT | | | | The following information was documented as a telecon "to file" received by | | State of Colorado staff: | | | | "Received phone notification today from Jeff Conners at Midwest Inspection | | Services concerning a source disconnect incident that happened yesterday, | | 10/14/02. Mr. Conners reported a radiography crew, working at a field site | | north of Denver, was unable to retract an Iridium-192 radiography source | | back into the camera. The radiographers called Mr. Conners, who is the | | assistant Radiation Safety Officer, for help. Mr. Conners reported that he | | responded to the scene and was successful in connecting the source assembly | | to the drive cable and retracting it back into the radiography camera. He | | also responded that there were no overexposures to the radiography crew or | | members of the public. Mr. Conners estimated his exposure for the recovery | | operation to be about 500 millirem, based on his pocket dosimeter readings. | | He stated that he would send a detailed written report to the Department | | within 30 days. The corporate RSO, David Ezell, was also notified of the | | incident." | | | | Contact the Headquarters Operations Officer for additional information. | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ |Power Reactor |Event Number: 39295 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | FACILITY: SURRY REGION: 2 |NOTIFICATION DATE: 10/17/2002| | UNIT: [1] [2] [] STATE: VA |NOTIFICATION TIME: 10:27[EDT]| | RXTYPE: [1] W-3-LP,[2] W-3-LP |EVENT DATE: 10/17/2002| +------------------------------------------------+EVENT TIME: 09:21[EDT]| | NRC NOTIFIED BY: WHEELER |LAST UPDATE DATE: 10/17/2002| | HQ OPS OFFICER: CHAUNCEY GOULD +-----------------------------+ +------------------------------------------------+PERSON ORGANIZATION | |EMERGENCY CLASS: NON EMERGENCY |KEN BARR R2 | |10 CFR SECTION: | | |ACOM 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 +------------------------------------------------------------------------------+ | SAFETY PARAMETER DISPLAY SYSTEM (SPDS) IS OUT OF SERVICE DUE TO PLANNED | | MAINTENANCE | | | | | | At 0921 hours on 10/I7/02, the Safety Parameter Display System (SPDS) was | | removed from service as part of preplanned work to facilitate future | | replacement of the Emergency Response Facility Computer System (FRFCS). | | Electrical service was also interrupted to the Technical Support Center | | rendering that emergency response facility (ERF) unavailable for use. Work | | should be complete by mid afternoon. | | | | The NRC Resident Inspector was notified. | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ |Power Reactor |Event Number: 39296 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | FACILITY: LASALLE REGION: 3 |NOTIFICATION DATE: 10/17/2002| | UNIT: [] [2] [] STATE: IL |NOTIFICATION TIME: 11:24[EDT]| | RXTYPE: [1] GE-5,[2] GE-5 |EVENT DATE: 10/17/2002| +------------------------------------------------+EVENT TIME: 05:15[CDT]| | NRC NOTIFIED BY: PHIL WARDLOW |LAST UPDATE DATE: 10/17/2002| | HQ OPS OFFICER: MIKE RIPLEY +-----------------------------+ +------------------------------------------------+PERSON ORGANIZATION | |EMERGENCY CLASS: NON EMERGENCY |THOMAS KOZAK R3 | |10 CFR SECTION: | | |AIND 50.72(b)(3)(v)(D) ACCIDENT MITIGATION | | | | | | | | | | | +-----+----------+-------+--------+-----------------+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ | | | |2 N Y 97 Power Operation |97 Power Operation | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | CONDITION WHICH COULD HAVE PREVENTED FULFILLMENT OF A SAFETY FUNCTION | | | | "This report is being made pursuant to 10CFR50.72(b)(3)(v)(D), Event or | | Condition that could have prevented fulfillment of a Safety Function needed | | to Mitigate the Consequences of an Accident. During a post maintenance test | | run of the 2B Diesel Generator following a planned maintenance window, the | | Diesel Generator reactive load (VARs) was identified to be erratic, as the | | Diesel Generator was loaded. At 05:15 CDST on 10/17, it was discovered that | | a potentiometer in the voltage regulating circuit had erratic output. This | | potentiometer was not worked on during the planned maintenance window. | | Because this component failure could have prevented the Diesel Generator | | from performing its design function, and because the 2B Diesel Generator is | | the emergency power supply for the High Pressure Core Spray System (HPCS), | | which is a single train safety system, it has been determined that this | | failure could potentially effect the Safety Function of this system, and is | | reportable as an 8 hour ENS notification." | | | | "Add info on current results/status below. | | The required actions of Technical Specification 3.5.1 were entered when the | | system was made inoperable for the maintenance window on 10/13 at 1900, and | | are continuing to be followed for the Inoperable High pressure Core Spray | | System (HPCS), until the Diesel Generator is restored to Operable Status." | | | | The licensee notified the NRC Resident Inspector. | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ |Power Reactor |Event Number: 39297 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | FACILITY: OCONEE REGION: 2 |NOTIFICATION DATE: 10/17/2002| | UNIT: [1] [2] [3] STATE: SC |NOTIFICATION TIME: 13:03[EDT]| | RXTYPE: [1] B&W-L-LP,[2] B&W-L-LP,[3] B&W-L-L|EVENT DATE: 10/17/2002| +------------------------------------------------+EVENT TIME: 11:21[EDT]| | NRC NOTIFIED BY: RANDY BRAMLETT |LAST UPDATE DATE: 10/17/2002| | HQ OPS OFFICER: MIKE RIPLEY +-----------------------------+ +------------------------------------------------+PERSON ORGANIZATION | |EMERGENCY CLASS: NON EMERGENCY |KEN BARR R2 | |10 CFR SECTION: | | |DDDD 73.71(b)(1) SAFEGUARDS REPORTS | | | | | | | | | | | +-----+----------+-------+--------+-----------------+--------+-----------------+ |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 +------------------------------------------------------------------------------+ | COMPROMISE OF SAFEGUARDS INFORMATION | | | | IMMEDIATE COMPENSATORY MEASURES TAKEN UPON DISCOVERY. | | | | CONTACT HOO FOR ADDITIONAL DETAILS. | | | | THE NRC RESIDENT INSPECTOR WAS NOTIFIED. | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ |Other Nuclear Material |Event Number: 39298 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | REP ORG: CREST FOAM INDUSTRIES |NOTIFICATION DATE: 10/17/2002| |LICENSEE: CREST FOAM INDUSTRIES |NOTIFICATION TIME: 14:37[EDT]| | CITY: MOONACHIE REGION: 1 |EVENT DATE: 10/17/2002| | COUNTY: STATE: NJ |EVENT TIME: [EDT]| |LICENSE#: AGREEMENT: N |LAST UPDATE DATE: 10/17/2002| | DOCKET: |+----------------------------+ | |PERSON ORGANIZATION | | |KENNETH JENISON R1 | | |DON COOL NMSS | +------------------------------------------------+ | | NRC NOTIFIED BY: LARRY LAVELLE | | | HQ OPS OFFICER: RICH LAURA | | +------------------------------------------------+ | |EMERGENCY CLASS: NON EMERGENCY | | |10 CFR SECTION: | | |BLO1 20.2201(a)(1)(i) LOST/STOLEN LNM>1000X | | | | | | | | | | | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | MISSING NUCLEAR DENSITY METER | | | | The licensee reported a missing Texas Nuclear Density Meter, Model 5201, | | serial number B764 and source number GV1731. The meter source contains 100 | | millicuries of Cs-137. The licensee had already contacted the local police | | department to report the missing meter. The exact date of loss is not known | | but the last physical audit performed by the licensee was in January 2002. | | The meter is used to measure the thickness of the foam density. | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ |Power Reactor |Event Number: 39299 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | FACILITY: WATERFORD REGION: 4 |NOTIFICATION DATE: 10/17/2002| | UNIT: [3] [] [] STATE: LA |NOTIFICATION TIME: 15:50[EDT]| | RXTYPE: [3] CE |EVENT DATE: 10/14/2000| +------------------------------------------------+EVENT TIME: 23:00[CDT]| | NRC NOTIFIED BY: GREGORY SCOTT |LAST UPDATE DATE: 10/17/2002| | HQ OPS OFFICER: RICH LAURA +-----------------------------+ +------------------------------------------------+PERSON ORGANIZATION | |EMERGENCY CLASS: NON EMERGENCY |GREG PICK R4 | |10 CFR SECTION: | | |AINV 50.73(a)(1) INVALID SPECIF SYSTEM A| | | | | | | | | | | +-----+----------+-------+--------+-----------------+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ |3 N N 0 Hot Standby |0 Hot Standby | | | | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | INADVERTENT EFW ACTUATION ON 10/14/2000 | | | | "Per 10CFR50.73(a), Entergy is providing a verbal notification of an | | inadvertent actuation of the emergency feedwater (EFW) system at Waterford | | 3, which occurred on October 14, 2000. This event was initially determined | | to be not reportable, based on the reasoning that the actuation of the | | emergency feedwater components were initiated from the Diverse Emergency | | Feedwater System (DEFAS), and not from an Emergency Feedwater Actuation | | System (ESFAS) actuation. However, during a technical specification audit in | | August of 2002, questions were raised regarding the validity of this | | reportability determination and a condition report was initiated. A | | subsequent review by licensing completed on August 21, 2002 determined that | | the event should have been reported per the then existing 10CFR50.72 | | (b)(3)(iv) requirement as a 4-hour notification and reported as a follow-up | | LER notification per 10CFR50.73(a). The current applicable reporting | | criteria do not require immediate notification, however an LER or verbal | | notification is required per 10CFR50.73(a). Accordingly, this report is | | provided as a verbal notification per 10CFR50.73(a), Reportable events, | | which states, in part, in the case of an invalid actuation reported under | | 50.73(a)(2)(iv), the licensee may, at its option, provide a telephone | | notification to the NRC Operation Center within 60 days after the discovery | | of the event instead of submitting a written LER. This actuation was | | invalid, as described further below. | | | | "On October 14, 2000, the plant was in mode 3 in preparation for refueling | | outage 10, when an inadvertent actuation of emergency feedwater components | | occurred. This event occurred during the performance of procedure | | OP-904-017, Anticipated Transient System Check. While performing section | | 7.2, Testing of Diverse Emergency Feedwater System (DEFAS), step 7.2.12 (to | | replace the Diverse Emergency Feedwater Actuation System selector switch to | | disable) was inadvertently missed. This caused the emergency feedwater | | components to move to their safety positions when the DEFAS test switch was | | restored to its normal position. The two motor driven emergency feedwater | | pumps and the steam driven emergency feedwater pump started. The emergency | | feedwater isolation valves opened, but the emergency feedwater control | | valves did not open, as per design, due to adequate steam generator water | | levels. Accordingly, this event did not result in emergency feedwater flow | | or emergency feedwater injection into the steam generators. The operator | | immediately secured the EFW pumps and closed the EFW isolation valves. | | | | "NUREG 1022, revision 2, Event Reporting Guidelines 10CFR50.72 and 50.73 | | provides guidance for determining if an actuation is invalid. The NUREG | | states, in part, that invalid actuations include actuations that are not the | | result of valid signals and are not intentional manual actuations. Valid | | signals are those signals that are initiated in response to actual plant | | conditions or parameters satisfying the requirements for initiation of the | | safety function of the system. This report documents an actuation that was | | not the result of a valid signal and was not an intentional manual | | actuation, For these reasons, this event constitutes an invalid actuation." | | | | The NRC resident inspector was notified. | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ |Power Reactor |Event Number: 39300 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | FACILITY: DUANE ARNOLD REGION: 3 |NOTIFICATION DATE: 10/17/2002| | UNIT: [1] [] [] STATE: IA |NOTIFICATION TIME: 18:55[EDT]| | RXTYPE: [1] GE-4 |EVENT DATE: 10/17/2002| +------------------------------------------------+EVENT TIME: 14:30[CDT]| | NRC NOTIFIED BY: BRIAN HUPKE |LAST UPDATE DATE: 10/17/2002| | HQ OPS OFFICER: RICH LAURA +-----------------------------+ +------------------------------------------------+PERSON ORGANIZATION | |EMERGENCY CLASS: NON EMERGENCY |THOMAS KOZAK R3 | |10 CFR SECTION: | | |AIND 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 94 Power Operation |94 Power Operation | | | | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | HPCI INOPERABLE DUE TO LOW INTERNAL BATTERY RESISTANCE | | | | The licensee reported that during a 250 Vdc battery surveillance the | | internal resistance of cell #18 was greater than the technical specification | | (TS) limit. As a result, the licensee declared battery bank 1D4 inoperable | | which also rendered inoperable the HPCI system and any containment isolation | | valves powered from the battery bank. This included 5 total CIVs from the | | following systems: HPCI, RWCU and MSL drain and Torus drain valves. | | Corrective maintenance was performed on the battery cell and the internal | | resistance passed the TS limit. HPCI and CIVs were returned to an operable | | status approximately 3 hours after being declared inoperable. At the time | | of this event, the RCIC system was inoperable for planned maintenance so the | | LCO entered for HPCI was more restrictive allowing 12 hours rather than the | | normal 14 day LCO for HPCI. | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ |Fuel Cycle Facility |Event Number: 39301 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | FACILITY: PADUCAH GASEOUS DIFFUSION PLANT |NOTIFICATION DATE: 10/17/2002| | RXTYPE: URANIUM ENRICHMENT FACILITY |NOTIFICATION TIME: 23:30[EDT]| | COMMENTS: 2 DEMOCRACY CENTER |EVENT DATE: 10/17/2002| | 6903 ROCKLEDGE DRIVE |EVENT TIME: 16:40[CDT]| | BETHESDA, MD 20817 (301)564-3200 |LAST UPDATE DATE: 10/17/2002| | CITY: PADUCAH REGION: 3 +-----------------------------+ | COUNTY: McCRACKEN STATE: KY |PERSON ORGANIZATION | |LICENSE#: GDP-1 AGREEMENT: Y |THOMAS KOZAK R3 | | DOCKET: 0707001 |M. WAYNE HODGES NMSS | +------------------------------------------------+NADER MAMISH IRO | | NRC NOTIFIED BY: K. A. BEASLEY | | | HQ OPS OFFICER: ARLON COSTA | | +------------------------------------------------+ | |EMERGENCY CLASS: NON EMERGENCY | | |10 CFR SECTION: | | |NBNL RESPONSE-BULLETIN | | | | | | | | | | | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | 24-HOUR 91-01 BULLETIN RESPONSE NOTIFICATION | | | | At 1708 on 10-17-02, the Plant Shift Superintendent (PSS) was notified that | | potentially fissile (PF) waste had been discovered improperly stored at the | | Wet Air Pump station in the C-333 building. A pile of used absorbent pads | | was found in the floor at the West Air station. The absorbent pads are used | | to soak up oil that has leaked from the pumps. These pads should have been | | placed in an AQ-NCS approved 5.5 gallon drum and controlled as PF waste as | | they were picked up. This is a violation of the requirements of NCSA | | GEN-15. | | | | The NRC Resident inspector has been notified of this event. | | | | SAFETY SIGNIFICANCE OF EVENTS: The used absorbent pads were accumulated | | incorrectly; however the uranium concentration for heterogeneous waste is | | low and a large quantity of heterogeneous fissile material would be required | | for a criticality to occur. | | | | PATHWAYS INVOLVED: In order for a criticality to be possible, the | | interaction process condition would also have to be violated. However, the | | interaction control was maintained and therefore a criticality was not | | possible. | | | | CONTROLLED PARAMETERS: The two process conditions relied upon for double | | contingency for this scenario are interaction and geometry. | | | | NUCLEAR CRITICALITY SAFETY CONTROL(S) OR CONTROL SYSTEMS(S) AND DESCRIPTION | | OF THE FAILURES OR DEFICIENCIES: The first leg of double contingency is | | based on a minimum 2 ft. edge-to-edge spacing requirement to ensure double | | contingency for spacing violations involving waste drums end other items | | containing fissile/potentially fissile material. This control was not | | violated. | | | | The second leg of double contingency is based on geometry controls of the | | waste when it is placed into an AQ-NCS approved waste drum and the secondary | | containment pans used to store the drums. Since the waste was accumulated on | | the floor and not into the NCS-approved container, this control was | | violated. The process condition was not maintained and double contingency | | was not maintained | | | | Since the used absorbent pads were not generated into an AQ-NCS approved | | waste container, the process condition for waste accumulation was not | | maintained. Therefore, double contingency was not maintained. | | | | CORRECTIVE ACTIONS: A buffer area has been established to control movement | | of fissile material within the area. A remediation guide will be prepared by | | NCS prior to removal of the used absorbent pads. | +------------------------------------------------------------------------------+
Page Last Reviewed/Updated Thursday, March 25, 2021
Page Last Reviewed/Updated Thursday, March 25, 2021