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Event Notification Report for January 15, 2009

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
01/14/2009 - 01/15/2009

** EVENT NUMBERS **


44761 44773 44774 44775 44776

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Fuel Cycle Facility Event Number: 44761
Facility: BWX TECHNOLOGIES, INC.
RX Type: URANIUM FUEL FABRICATION
Comments: HEU FABRICATION & SCRAP
Region: 2
City: LYNCHBURG State: VA
County: CAMPBELL
License #: SNM-42
Agreement: N
Docket: 070-27
NRC Notified By: BARRY COLE
HQ OPS Officer: DONALD NORWOOD
Notification Date: 01/09/2009
Notification Time: 17:26 [ET]
Event Date: 01/09/2009
Event Time: 13:30 [EST]
Last Update Date: 01/14/2009
Emergency Class: NON EMERGENCY
10 CFR Section:
PART 70 APP A (b)(1) - UNANALYZED CONDITION
Person (Organization):
ALAN BLAMEY (R2)
BRITTAIN HILL (NMSS)
FUELS GROUP (OUO) (E-MA)

Event Text

DURING TESTING, A SPECIALTY FUELS FACILITY FURNANCE FAILED TO SHUTDOWN WHEN REQUIRED

"A furnace in the Specialty Fuels Facility (SFF) was being tested in order to return it to operation. As part of the test, the airflow for the ventilation was checked to ensure that if the airflow decreased to a level below what was required per the Integrated Safety Analysis (ISA), then the appropriate furnace systems would automatically shutdown. During the test with hydrogen gas flowing into the furnace and therefore the ventilation system, the shutdown sequence shutdown the hydrogen flow when the flow was at 100%, but it did not shutdown the hydrogen flow when the flow was at 8%. There was no immediate risk or threat to the safety of workers or the public as a result of this event.

"An evaluation is currently being performed.

"BWXT is making this 24 hour report in accordance with 10 CFR 70.61, Appendix A (b)(1) - 'Any event or condition that results in the facility being in a state that was not analyzed, was improperly analyzed, or is different from that analyzed in the Integrated Safety Analysis, and which results in failure to meet the performance requirements of 70.61.'

"The furnace is shutdown pending further investigation."

The licensee will notify the NRC Resident Inspector.

* * * UPDATE FROM CHERYL GOFF TO JOE O'HARA AT 1505 ON 01/14/09 * * *

"On January 9, 2009 BWXT made event notification #44761 regarding a furnace in the Specialty Fuels Facility (SFF) which failed to perform the shutdown sequence for a given hydrogen flow level required per the Integrated Safety Analysis (ISA). The furnace was shutdown pending further investigation. As a result of the ongoing investigation supplemental information to this notification is being provided.

"In reviewing the programming code for the furnace a note was detected related to the flow of Carbon Monoxide (CO). Specifically, the note allowed for the continuation of the flow of CO if the temperature in the furnace was above 1000 C. Simulation testing of the validity of this note was performed and the test proved that the gas would continue to flow until the temperature of the furnace reached a level below 1000 C.

"An evaluation is currently being performed. The furnace continues to be shutdown pending further investigation."

The licensee informed the NRC Resident Inspector.

Notified R2DO(Rudisail), NMSS EO(Davis), and Fuels Group via e-mail.

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Power Reactor Event Number: 44773
Facility: PRAIRIE ISLAND
Region: 3 State: MN
Unit: [1] [2] [ ]
RX Type: [1] W-2-LP,[2] W-2-LP
NRC Notified By: BOB CARLSON
HQ OPS Officer: PETE SNYDER
Notification Date: 01/14/2009
Notification Time: 15:17 [ET]
Event Date: 01/14/2009
Event Time: 11:30 [CST]
Last Update Date: 01/14/2009
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(ii)(B) - UNANALYZED CONDITION
Person (Organization):
DAVE PASSEHL (R3)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
1 N Y 100 Power Operation 100 Power Operation
2 N Y 100 Power Operation 100 Power Operation

Event Text

MANUAL ACTIONS FOR FIRE NOT IN COMPLIANCE

"During review of the 10 CFR 50 Appendix R safe shutdown compliance assessment, it was discovered that a fire in either fire area 31 or 32, the Aux Feedwater Pump and Instrument Air Compressor Room, could cause the loss of the instrument air system which is credited to supply compressed air for the control room chillers. The effect of the loss of compressed air supply to the control room chillers was not fully analyzed in the Appendix R compliance assessment.

"The chillers have compressed air cylinders to provide at least an 8 hour backup supply of compressed air and operators routinely validate that there is at least a 12 hour supply of compressed air and have a procedure to replace the compressed air cylinders if needed. The control room chillers are required to cool the control room to achieve and maintain hot shutdown and per the guidance in RIS 2006-10, 'Regulatory Expectations with Appendix R Paragraph III.G.2 Operator Manual Actions,' operator manual actions to replace compressed air cylinders for the loss of the instrument air compressors are not in compliance with 10 CFR 50 Appendix R.

"The discovery of this non-compliance is being reported as an unanalyzed condition as defined by 10 CFR 50.72(b)(3)(ii). An hourly fire patrol has already been in place for fire area 31 and 32 as a compensatory measure for other issues identified in these fire areas.

"The 60-day licensee event report, submitted to the Commission in accordance with 10 CFR 50.73(a)(2)(ii), will provide the results of the manual action compliance review and follow-up corrective actions."

The licensee has informed the NRC Resident Inspector.

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Hospital Event Number: 44774
Rep Org: VARIAN MEDICAL SYSTEMS
Licensee: VARIAN MEDICAL SYSTEMS
Region: 1
City: CHARLOTTESVILLE State: VA
County:
License #:
Agreement: N
Docket:
NRC Notified By: RICHARD G. PICCOLO
HQ OPS Officer: JASON KOZAL
Notification Date: 01/14/2009
Notification Time: 16:38 [ET]
Event Date: 01/14/2009
Event Time: [EST]
Last Update Date: 01/14/2009
Emergency Class: NON EMERGENCY
10 CFR Section:
21.21 - UNSPECIFIED PARAGRAPH
Person (Organization):
ART BURRITT (R1)
STEVEN RUDISAIL (R2)
DAVE PASSEHL (R3)
RYAN LANTZ (R4)
ANDREA KOCK (FSME)
JOHN JANKOVICH EMAIL ()

Event Text

PART 21 REPORT DUE POTENTIAL ISSUE OF AFTERLOADER SOURCE STICKING

"The active source may have movement difficulties and become stuck during source extension or retraction. The problem may occur with the source outside of the HDR unit's tungsten shield.

"This type of event was first seen in December 2008.

"This event has occurred three times:

"a) Southwest Regional Cancer Center, Austin TX - December 2, 2008

"b) Hershey Medical Center, Hershey PA - December 11, 2008

"c) Stanford University Medical Center, Stanford, CA - December 30, 2008

"In each case the problem occurred during a routine source exchange and patients were not involved. The emergency retract handle was used in each occurrence to retract the source and park it safely in the HDR unit's tungsten shield. The relationship between the source exchange and the problem is unknown."

"The affected sites in the United States are as follows:"

St. Joseph's - Mercy Hospital of Macomb - Clinton Twp., MI

Cancer Healthcare Associates Cedars Med Ctr - Miami, FL

Providence Hospital - Anchorage, AK

Coborn Cancer Center - St. Cloud, MN

Stanford University Medical Center - Palo Alto, CA

Barnes Jewish #2 - Washington University - St. Louis, MO

Mayo Clinic - Rochester, MN

DeKalb Medical Center - Decatur, GA

Cy-Fair Cancer Center - Houston, TX

Billings Clinic - Billings, MT

Palm Beach Cancer Institute - West Palm Beach, FL

St. Lukes - Bethlehem, PA

University of Nebraska Medical Center - Omaha, NE

Geisinger Health System - Wilkes-Barre, PA

Southwest Regional Cancer Center - Austin, TX

Hershey Medical Center - Hershey, PA

Carolinas Medical Center - Charlotte, NC

Cheyenne Regional Medical Center - Cheyenne, WY

Mary Washington Hospital - Fredericksburg, VA

Treasure Coast Radiation Oncology - Stuart, FL

Mayhill Denton Cancer Center - Denton, TX

Hamilton Medical Center - Dalton, GA

Providence Hospital - Everett, WA

Good Samaritan Hospital - Downers Grove, IL

Seattle Cancer Care Alliance - Seattle, WA

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Power Reactor Event Number: 44775
Facility: ARKANSAS NUCLEAR
Region: 4 State: AR
Unit: [ ] [2] [ ]
RX Type: [1] B&W-L-LP,[2] CE
NRC Notified By: JAMES CRABILL
HQ OPS Officer: PETE SNYDER
Notification Date: 01/14/2009
Notification Time: 16:46 [ET]
Event Date: 01/14/2009
Event Time: 14:30 [CST]
Last Update Date: 01/14/2009
Emergency Class: NON EMERGENCY
10 CFR Section:
INFORMATION ONLY
Person (Organization):
RYAN LANTZ (R4)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
2 M/R Y 60 Power Operation 0 Hot Standby

Event Text

CONTROLLED SHUTDOWN FOR FEEDWATER HEATER REPAIRS

"Unit 2 performed a controlled shutdown from 60% power to make repairs to a low pressure feedwater heater. The unit was taken off line at 1148 today. The unit is stable in Mode 3, Hot Standby. A press release was made at 1430 today."

The licensee notified the NRC Resident Inspector.

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Fuel Cycle Facility Event Number: 44776
Facility: PADUCAH GASEOUS DIFFUSION PLANT
RX Type: URANIUM ENRICHMENT FACILITY
Comments: 2 DEMOCRACY CENTER
                   6903 ROCKLEDGE DRIVE
                   BETHESDA, MD 20817 (301)564-3200
Region: 2
City: PADUCAH State: KY
County: McCRACKEN
License #: GDP-1
Agreement: Y
Docket: 0707001
NRC Notified By: MIKE BOREN
HQ OPS Officer: PETE SNYDER
Notification Date: 01/14/2009
Notification Time: 22:53 [ET]
Event Date: 01/14/2009
Event Time: 20:39 [CST]
Last Update Date: 01/15/2009
Emergency Class: NON EMERGENCY
10 CFR Section:
OTHER UNSPEC REQMNT
Person (Organization):
STEVEN RUDISAIL (R2)
JACK DAVIS (NMSS)
BRIAN McDERMOTT (IRD)

Event Text

ONGOING RECIRCULATING COOLING WATER LEAK AT C337A FACILITY

The site staffed their Emergency Operations Center to troubleshoot an ongoing recirculating cooling water leak under the concrete floor of the C337A autoclave facility. The process in that facility automatically shutdown and is in a stable condition.

Overall impact to the plant is minimal and processes continue to operate in the cascade facility. Offsite assistance has been requested. DOE, Massac County, Illinois and McCracken and Ballard Counties in Kentucky have been notified.

The licensee notified the NRC Resident Inspector.

* * * UPDATE AT 0220 ON 1/15/2009 FROM MIKE BOREN TO MARK ABRAMOVITZ * * *

The event was terminated at 0220. The leak is not isolated but has been localized.

Notified the R2DO (Rudisail) and NMSS (Davis).

Page Last Reviewed/Updated Thursday, March 29, 2012
Thursday, March 29, 2012