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Event Notification Report for April 14, 2003




                    U.S. Nuclear Regulatory Commission
                              Operations Center

                              Event Reports For
                           04/11/2003 - 04/14/2003

                              ** EVENT NUMBERS **

39749  39750  39751  39752  39753  39754  

+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   39749       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: CLINTON                  REGION:  3  |NOTIFICATION DATE: 04/11/2003|
|    UNIT:  [1] [] []                 STATE:  IL |NOTIFICATION TIME: 06:23[EDT]|
|   RXTYPE: [1] GE-6                             |EVENT DATE:        04/11/2003|
+------------------------------------------------+EVENT TIME:        01:45[CDT]|
| NRC NOTIFIED BY:  PAT RYAN                     |LAST UPDATE DATE:  04/11/2003|
|  HQ OPS OFFICER:  ARLON COSTA                  +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          NON EMERGENCY         |MICHAEL PARKER       R3      |
|10 CFR SECTION:                                 |                             |
|ARPS 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     M/R        Y       30       Power Operation  |0        Hot Shutdown     |
|                                                   |                          |
|                                                   |                          |
+------------------------------------------------------------------------------+
                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| MANUAL REACTOR TRIP DUE TO VIBRATIONS ON THE MAIN TURBINE                    |
|                                                                              |
| "A manual scram was initiated at 0145 on April 11, 2003, due to vibrations   |
| on the Main Turbine trending up to the trip setpoint.  A scheduled plant     |
| shutdown was in progress for a maintenance outage [of the 'B' recirculation  |
| flow control valve sensor].  All plant systems operated normally on the      |
| scram.  The plant is shutdown at 0% power in Mode 3.  The turbine vibrations |
| returned to normal values after the turbine tripped."                        |
|                                                                              |
| All rods inserted normally.  All safety and electrical systems operated as   |
| designed during and after the reactor trip.  The plant is stable and using   |
| normal feedwater.  There was nothing unusual or not understood.              |
|                                                                              |
| The NRC Resident Inspector has been notified.                                |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   39750       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: DAVIS BESSE              REGION:  3  |NOTIFICATION DATE: 04/11/2003|
|    UNIT:  [1] [] []                 STATE:  OH |NOTIFICATION TIME: 17:17[EDT]|
|   RXTYPE: [1] B&W-R-LP                         |EVENT DATE:        04/11/2003|
+------------------------------------------------+EVENT TIME:        17:00[EDT]|
| NRC NOTIFIED BY:  LARRY MYERS                  |LAST UPDATE DATE:  04/11/2003|
|  HQ OPS OFFICER:  MIKE RIPLEY                  +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          NON EMERGENCY         |MICHAEL PARKER       R3      |
|10 CFR SECTION:                                 |GENE IMBRO           NRR     |
|AUNA 50.72(b)(3)(ii)(B)  UNANALYZED CONDITION   |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR|   INIT RX MODE  |CURR PWR|  CURR RX MODE   |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|1     N          N       0        Cold Shutdown    |0        Cold Shutdown    |
|                                                   |                          |
|                                                   |                          |
+------------------------------------------------------------------------------+
                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| UNANALYZED CONDITION COULD CAUSE HIGH PRESSURE INJECTION PUMP DAMAGE         |
|                                                                              |
| "As a result of an in-depth design and performance capability review, a      |
| non-conforming condition was identified whereby, utilizing only safety grade |
| equipment, long term cyclic repressurizations of the reactor coolant system  |
| (RCS) may occur following a subset of postulated very small Loss of Coolant  |
| Accidents (LOCAs) with effective break sizes in a range between 0.0021 ft2   |
| to 0.0045 ft2.  The repressurization cycles were not previously analyzed,    |
| but are predicted by a new application of the license basis 10 CFR 50.46     |
| Evaluation Model.  Although non-safety grade equipment would be available to |
| prevent repressurizatons, if only safety grade LOCA mitigating equipment is  |
| credited, these repressurizazion cycles could be postulated to damage both   |
| High Pressure Injection (HPI) pumps.  This could occur due to pump           |
| deadheading after HPI recirculation flow back to the borated water storage   |
| tank is procedurally isolated upon tank low level and pump suction has been  |
| manually transferred to the containment emergency sump at minimum of         |
| approximately 20 hours into the postulated event.  Minimum recirculation     |
| flow back to the borated water storage tank initially provided protection    |
| against deadheading the pump and previously assumed reactor coolant system   |
| pressures would have allowed continued HPI pump flow.  During part of the    |
| newly predicted repressurization cycle, RCS pressure would exceed the        |
| shutoff head of the HPI pumps.  Without minimum flow, the pumps would be     |
| damaged.                                                                     |
|                                                                              |
| "This issue is currently evaluated by Condition Report 02-06702.             |
| Davis-Besse has determined this condition is reportable under ยง              |
| 50.72(b)(3)(ii)(B) 'Any event or condition that results in ..'The nuclear    |
| power plant being in an unanalyzed condition that significantly degrades     |
| plant safety.'  Although the plant is currently in cold shutdown and the HPI |
| pumps are not required to be operable per the Technical Specifications, this |
| issue represents a historical condition that existed within the last three   |
| years."                                                                      |
|                                                                              |
| The licensee has notified the NRC Resident Inspector.                        |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Fuel Cycle Facility                              |Event Number:   39751       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: WESTINGHOUSE ELECTRIC CORPORATION    |NOTIFICATION DATE: 04/12/2003|
|   RXTYPE: URANIUM FUEL FABRICATION             |NOTIFICATION TIME: 17:02[EDT]|
| COMMENTS: LEU CONVERSION (UF6 to UO2)          |EVENT DATE:        04/11/2003|
|           COMMERCIAL LWR FUEL                  |EVENT TIME:        18:30[EDT]|
|                                                |LAST UPDATE DATE:  04/12/2003|
|    CITY:  COLUMBIA                 REGION:  2  +-----------------------------+
|  COUNTY:  RICHLAND                  STATE:  SC |PERSON          ORGANIZATION |
|LICENSE#:  SNM-1107              AGREEMENT:  Y  |BRIAN BONSER         R2      |
|  DOCKET:  07001151                             |JANET SCHLUETER      NMSS    |
+------------------------------------------------+                             |
| NRC NOTIFIED BY:  CARL SNYDER                  |                             |
|  HQ OPS OFFICER:  JOHN MacKINNON               |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          NON EMERGENCY         |                             |
|10 CFR SECTION:                                 |                             |
|NBNL                     RESPONSE-BULLETIN      |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+------------------------------------------------------------------------------+

                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| LOSS OF DOUBLE CONTINGENCY PROTECTION                                        |
|                                                                              |
| NRC BULLETIN 91-01 24 HOUR NOTIFICATION                                      |
|                                                                              |
| Westinghouse Electric Company, Commercial Fuel Fabrication Facility,         |
| Columbia SC, low enriched (less than or equal to  5.0 wt. % U-235) PWR fuel  |
| fabricator for commercial light water reactors. License: SNM-1107.           |
|                                                                              |
| Time and Date of Event:  18:30 hours, April 11, 2003.                        |
|                                                                              |
| Reason for Notification:                                                     |
|                                                                              |
| On March 19, 2003, six UF6 cylinders were placed on hold because             |
| Westinghouse questioned if the cylinders were properly tested following      |
| repair. The ANSI N14.1 nameplate had been removed from supporting "feet"     |
| and-welded directly onto the pressure vessel dome. The "U" Stamp had been    |
| replaced with an "R" Stamp and documentation from the shipper indicated that |
| the fillet weld on the dome had undergone dye-penetrant testing. The UF6     |
| cylinder pressure vessel, however, had not undergone hydrostatic testing.    |
|                                                                              |
| The "hold" consisted of a flag in the UF6 cylinder tracking computer         |
| database, which was inserted as a manual edit. The hold flag should have     |
| prevented the cylinders from being transferred into work in process (WIP) to |
| allow processing.  On March 31, 2003 one of  the six cylinders was allowed   |
| by the tracking database to be processed. A second cylinder with the hold    |
| flag was allowed to be processed on April 1, 2003.                           |
|                                                                              |
| Unaware of the failure of the hold flags, the safety analysis proceeded. On  |
| April 10, 2003 NCS and process engineering completed the safety review begun |
| on March 19, 2003 of the nameplate welding using applicable pressure vessel  |
| standards including an on-site interview with a certified boiler code        |
| inspector. The conclusion of the safety review was that the "R" Stamp        |
| cylinders met the ANSI N 14.1 requirements and were acceptable for           |
| processing.                                                                  |
|                                                                              |
| On April 11, 2003, NCS began a review of the sequence of events leading to   |
| the processing of the two hold tagged cylinders. At approximately 18:30      |
| hours April 11, 2003 NCS completed its final interview. Shortly thereafter,  |
| it was determined that there had been a loss of previously documented        |
| double contingency protection. NCS immediately informed the EH&S manager of  |
| the event.                                                                   |
|                                                                              |
| Double Contingency Protection:                                               |
|                                                                              |
| The parameters that directly affect neutron multiplication for the           |
| vaporizers are mass (density) and geometry (level control). A criticality    |
| could be possible in a vaporizer under the following conditions:             |
|                                                                              |
| Sufficient material is discharged from the cylinder into the vaporizer in    |
| order to form a critical UO2F2 H2O density (optimum moderation), and water   |
| slab height increases to a critical height.                                  |
|                                                                              |
| Cylinder  integrity maintains mass control.  The U235 mass control depends   |
| upon maintaining the structural integrity of the cylinder to  ensure that no |
| material is released due to a sudden uncontrollable rupture.                 |
|                                                                              |
| The geometry control consists of ensuring that condensate drains properly    |
| from the vaporizer, and detecting water accumulation should it occur.        |
|                                                                              |
| It has been determined that less than previously documented double           |
| contingency protection remained for the system and that greater than a safe  |
| mass was involved. Double Contingency protection was restored within 4       |
| hours. In accordance with Westinghouse Operating License (SNM-1107),         |
| paragraph 3.7.3 (c.5b), this event satisfies the criterion for a 24-hour     |
| notification.                                                                |
|                                                                              |
| As Found Condition:                                                          |
|                                                                              |
| See "Reason for Notification." As detailed above, the Investigation found    |
| that the cylinders were safe to process. In fact, there never was an actual  |
| safety issue. The event did point out a weakness in our control of UF6       |
| cylinders that will be addressed.                                            |
|                                                                              |
| Summary of Activity:                                                         |
|                                                                              |
| 1) The four remaining cylinders were physically tagged out.                  |
| 2) A complete inventory and inspection of all cylinders on-site was          |
| performed.                                                                   |
| 3) It was verified that no movement of UF6 cylinders onto the site or into   |
| processing will occur for the next week.                                     |
|                                                                              |
| Conclusions:                                                                 |
|                                                                              |
| 1) Loss of double contingency protection occurred. Greater than a safe mass  |
| was involved.                                                                |
| 2) At no time was the health or safety to any employee or member of the      |
| public in jeopardy. No exposure to hazardous material was involved.          |
| 3)The Incident Review Committee (IRC) determined that this is a safety       |
| significant incident in accordance with governing procedures.                |
| 4) Notification was the result of an event, not a deficient NCS analysis.    |
| 5) A causal analysis will be performed.                                      |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   39752       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: PEACH BOTTOM             REGION:  1  |NOTIFICATION DATE: 04/12/2003|
|    UNIT:  [2] [] []                 STATE:  PA |NOTIFICATION TIME: 20:55[EDT]|
|   RXTYPE: [2] GE-4,[3] GE-4                    |EVENT DATE:        04/12/2003|
+------------------------------------------------+EVENT TIME:        18:47[EDT]|
| NRC NOTIFIED BY:  STEVEN SULLIVAN              |LAST UPDATE DATE:  04/12/2003|
|  HQ OPS OFFICER:  JOHN MacKINNON               +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          NON EMERGENCY         |JAMES TRAPP          R1      |
|10 CFR SECTION:                                 |                             |
|ARPS 50.72(b)(2)(iv)(B)  RPS ACTUATION - CRITICA|                             |
|AESF 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 Shutdown     |
|                                                   |                          |
|                                                   |                          |
+------------------------------------------------------------------------------+
                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| AUTOMATIC REACTOR SCRAM- ALL RODS FULLY INSERTED                             |
|                                                                              |
| At 1847 hours on 04/12/03 the Peach Bottom Atomic Power Station Unit 2       |
| experienced an automatic reactor scram and shutdown following an air line    |
| failure which resulted in the closure of the "D" outboard main steam line    |
| isolation valve.  The closure of this valve resulted in a Reactor High       |
| Pressure Automatic Scram Signal.  This caused a actuation of the Alternate   |
| Rod Insertion system on reactor high pressure of 1106 psi.  All rods fully   |
| inserted. Additionally reactor vessel water level lowered to approximately   |
| negative 10 inches which resulted in a RPS and  PCIS Group 2 & 3             |
| isolations.  All systems activated as required. The outage control center is |
| currently staffed and repair/planning and restart preparation activities are |
| in progress.  Peach Bottom Atomic Power Station Unit 2 plant conditions are  |
| currently stable.                                                            |
|                                                                              |
| A copper air line going to the solenoid valve which operated the "D"         |
| outboard main steam isolation valve failed.  Cause of the line failure is    |
| unknown at this time.  The offsite electrical grid is stable and all         |
| emergency core cooling systems are fully operable if needed.                 |
|                                                                              |
| The NRC Resident Inspector was notified of this event by the licensee.       |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   39753       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: SEQUOYAH                 REGION:  2  |NOTIFICATION DATE: 04/12/2003|
|    UNIT:  [] [2] []                 STATE:  TN |NOTIFICATION TIME: 23:50[EDT]|
|   RXTYPE: [1] W-4-LP,[2] W-4-LP                |EVENT DATE:        04/12/2003|
+------------------------------------------------+EVENT TIME:        22:21[EDT]|
| NRC NOTIFIED BY:  MITCHEL TAGGART              |LAST UPDATE DATE:  04/13/2003|
|  HQ OPS OFFICER:  RICH LAURA                   +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          NON EMERGENCY         |BRIAN BONSER         R2      |
|10 CFR SECTION:                                 |                             |
|ARPS 50.72(b)(2)(iv)(B)  RPS ACTUATION - CRITICA|                             |
|AESF 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                                   
+------------------------------------------------------------------------------+
| TURBINE TRIP CAUSES REACTOR TRIP AT SEQOUYAH UNIT 2                          |
|                                                                              |
| "While resetting a turbine trip supervisory module, the unit 2 turbine       |
| tripped from "Turbine High Vibration Turbine Trip" at 22:21. The reactor     |
| tripped as a result of the turbine trip. Investigation is pending concerning |
| the turbine vibration equipment.                                             |
|                                                                              |
| "Auxiliary feed water system initiated as designed. All secondary plant      |
| equipment performed as expected.                                             |
|                                                                              |
| "The plant is being maintained in Mode 3 at NOT/NOP, 547  degrees F and 2235 |
| psig, with auxiliary feed water supplying the Steam Generators and steam     |
| dumps removing the decay heat."                                              |
|                                                                              |
| All control rods inserted into the core with no problems. The NRC Resident   |
| Inspector was notified.                                                      |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   39754       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: SOUTH TEXAS              REGION:  4  |NOTIFICATION DATE: 04/13/2003|
|    UNIT:  [1] [] []                 STATE:  TX |NOTIFICATION TIME: 19:06[EDT]|
|   RXTYPE: [1] W-4-LP,[2] W-4-LP                |EVENT DATE:        04/13/2003|
+------------------------------------------------+EVENT TIME:        16:56[CDT]|
| NRC NOTIFIED BY:  RON GIBBS                    |LAST UPDATE DATE:  04/13/2003|
|  HQ OPS OFFICER:  STEVE SANDIN                 +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          NON EMERGENCY         |DAVID LOVELESS       R4      |
|10 CFR SECTION:                                 |                             |
|ADEG 50.72(b)(3)(ii)(A)  DEGRADED CONDITION     |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR|   INIT RX MODE  |CURR PWR|  CURR RX MODE   |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|1     N          N       0        Cold Shutdown    |0        Cold Shutdown    |
|                                                   |                          |
|                                                   |                          |
+------------------------------------------------------------------------------+
                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| REACTOR VESSEL BOTTOM HEAD DEGRADED CONDITION                                |
|                                                                              |
| "On 4/12/2003, during the Unit 1 11th (1RE11) refueling outage, an           |
| inspection was performed of the vessel bottom head. This bare metal          |
| inspection identified a potential leak indication at the head to penetration |
| interface for Bottom Mounted Instrumentation (BMI) penetrations 1 and 46.    |
| There was a small amount of residue around the outer circumference of the    |
| BMI penetrations. No wastage was observed. Samples of the residue were taken |
| and the area was cleaned with demineralized water. Chemical sample results   |
| available as of 1300 on 4/13/2003 are not conclusive; however, they have     |
| confirmed that the residue found at the Penetration 46 contains boron,       |
| indicating that this could be an RCS leak. The residue removed from          |
| Penetration 1 was characterized as 'gummy' and its composition is still      |
| under investigation. Additional exams are planned to confirm the likely      |
| origin of the residue and to determine the scope of any repairs. There has   |
| been no indication of RCS leakage observed at the BMI penetrations during    |
| previous operational cycles. This notification is being made in accordance   |
| with 10 CFR 50.72(b)(3)(ii)(A)."                                             |
|                                                                              |
| Unit 1 will remain in mode 5 until appropriate corrective actions are        |
| identified.  The licensee informed the NRC resident inspector.               |
+------------------------------------------------------------------------------+