Information Notice 1989-89, Event Notification Worksheets
UNITED STATES
NUCLEAR REGULATORY COMMISSION
OFFICE OF NUCLEAR REACTOR REGULATION
WASHINGTON, D.C. 20555
December 26, 1989 NRC INFORMATION NOTICE NO. 89-89:
EVENT NOTIFICATION WORKSHEETS
Addressees
All holders of operating licenses or construction permits for nuclear power
reactors.
Purpose
This information notice is intended to alert addressees to a recent revision
to the NRC Operations Center's "Event Notification Worksheet" and delineates
the event notification Information that is sought by the NRC Operations Officers.
However, suggestions contained in this information notice do not constitute NRC
requirements; therefore, no specific action or written response is required.
Discussion:
The NRC "Event Notification Worksheet," NRC Form 361, has been revised to
assist the NRC Headquarters Operations Officers in obtaining adequate infor- mation for evaluation of significant events reported to the NRC Operations
Center. The new forms more accurately reflect the event classifications and
the 10 CFR 50.72 categories that must be reported. A copy of the new work- sheet is enclosed for your reference. NRC Form 361 can be ordered from the
NRC Information and Records Management Branch at (301) 492-8138.
The blocks for the "Cause of Failure," "System," and "Component" have been
deleted, and this information is now included under the description section
where it can be more fully described. As in the past, the description is to
provide adequate detail so that the Operations Officer will be able to under- stand the event and its significance. It is recognized that all the information
regarding an event may not be available at the time of notification. However, reports are to be as clear and complete as possible within the time allowed by
the inmediate notification requirements. If significant information not included
in the original report is identified, original information requires correction, or the classification of an event is changed, this information can be reported
in an update notification to the Operations Center when it becomes available.
The back of the form, which is used to collect information on radiological
releases and/or reactor coolant system (RCS) or steam generator (SG) tube
leaks, has been revised to provide a simpler and more structured method of
obtaining and evaluating information pertinent to these types of events.
8912190332 I b
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IN 89-89 December 26, 1989
Addressees
may wish to make copies of the new worksheet available to employees
responsible for reporting event-related information to the NRC to replace
copies of the worksheets provided it Information Notice No. 85-78, "Event
Notification," dated September 23, 1985.
These worksheets or similar event write-ups can be sent to the NRC Operations
Center by facsimile as an aid in the notification process, if so desired. How- ever, neither the use of NRC Form 361 nor the use of facsimile transmittals is
required and in fact is not desired if it would delay the required telephone
notifications to the NRC Operations Center. The NRC Operations Center's
facsimile number is (301) 492-8187.
This information notice requires no specific action or written response. If
you have any questions about the information in this notice, please contact the
technical contacts listed below or the appropriate NRR project manager.
Division of Operational Events Assessment
Office of Nuclear Reactor Regulation
Technical Contacts: R. Smith, AEOD
(301) 492-8087
E. Weiss, AEOD
(301) 492-9005 Attachments:
1.
NRC Form 361, "Event Notification Worksheetm
2.
List of Recently Issued NRC Information Notices
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Attachment 1
IN $9-89 December 26, 1989 NRC rorM 361
UX NUCLEAR REGULATORY COMMISSION
OPERATIONS CENTER
EVENT NOTIFICATION WORKSHEET
NOTIFICATIONTIME
FACILITYORORGANIZATION
UNIT
jCALLERSNAME
CALL BACK
lVENTTIMESZONE
EVENTDATE
144i Non-Emrgency 10 CFR 60.721b)11)
I
_
Ivil-Fi
H
I
_illAI
TS Required SID
iWi
Toxk a
IOWER/MODE BEFORE i OWER/MODE AFTER
_Its)B
TS Deviation
vi
P
Rdleas
(_1)
Degraded Condition
til
0th iHamperin Safe O4
_ iIIAI Uanalyed Coiion4Hr
Non-Essoency 10 CFR 6_.72(b)(2)
EVENT CLASSIFICATIONS
_1lilB
Outsd Deign Bs_
_ _ fiiIICI
Not Covered by OGWENs
11)
ors Wile StD
GENERAL EMERGENCY
_fIllil
Eshrike
fro)
RPAcusatuonbnuml
SITE AREA EMERGENCY.
_fill
Fiood
-111
ESF Actuation
ALERT
_lill
Hurricane
I4iHAl rate SID Capability
UNUSUAL EVENT
fill)
Iriafil_
IUIIBI
71RiR
CapabilIty
_ .72 NON-EMERGENCY
-lii)
Lightning
(11_)101 Controlof Red PRelea
PHYSICAL SECURITY (73.71)
_flil
Tornado
11)(D)
AccIdent MitIgation
TRANSPORTATION
1pill 0th Natural Phenomenon
_
UW AiA
Release>
- X
A_
20.403 MATERIAL/EXPOSURE
Ilv
EC= Discharge to ReS
Ihlvili
Liq Release > 2X App S
OTHER
(vi
Lost ENS
Iv)
Oth
bdiral
IVi
Lest Emerg. A
nsessmen
IvI)
OffsIt Nottiftion
DESCRIPTION
Include: Systems affeted, actualions St their Initiating signals, causes., ffect of event on plant, actions taken or Planned, etc.
NOTIFICATIONS
YES
NO IWILL E
ANYTHING UNUSUAL OR NOT UNDLRSTOOD?
YE
No
NRC RESIDENT
1EXPbainabove)
STATE(s
D
OID ALL SYSTEMS FUNCTION AS REOUIRED7 YES
NO
LOCAL
I_
fIEapnabosvJ
OTHER GOV AGENCIES
MODE OF OPERATION
ESTIMATE FOR
ADDITIONAL INFO
1 EDIAMESS RE LEASE
_
_
-
UNTIL CORRECTED:
RESTART DATE:
ON BACK?
WRC FORM 361 (Us)e8
Attachment 1
December 26, 1989 USNAC OPERATIONS CENTER
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- ereT n"- I"nsu-ssns
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RADIOLOGICAL RELEASES: CHECK OR FILL IN APPLICABLE ITEMS hoc;Jddtaiibhaoln ti ort shoeuld obE rCd ifo ft
dfawciteli
_ LIQUID RELEASE
GASEOUS RELEASE
UNPLANNEDRELEASPLANNED RELEASE
I ONGOING
_
TERMINATED
_
MONITORED
_
UNMONITORED
I
OFFSITE RELEASE
l T. SEXCEEDED
RM ALARMS
AREAS EVACUATED
_ PERSONNEL EXPOSED OR CONTAMINATED
I
OFFSITE PROTECTIVE ACTIONS RECOMMENDED
'Stae releuse path in deicription.
Release Rate 4Chred
% T.1 LIMIT
mOO GUIDE
Total Activity (CG
% TS. LIMIT
HOO GUIDE
Noble On
0.1 atee
1000
10 ubats"
001 a
Particulate
I uthat
I mc
Liquid tetx~,
tritium S dimpho1.
lObMni1 OuCmin
0.I 0
Liquid lutlurm)
0.2 CU/mhn
B Ci
Total Activity
U.
PLANT STACK
CONDENSER/AIR EfJCTOR
SO SLOWDOWN
OTHER
RAD MONITOR READINGS:
ALARM SETPOINTS:
%T.S. LIMIT (iNapl____
FICSOR SG TUBE LEAKS: CHECK OR FILL IN APPLICABLE ITEMS: (weefc dcdteils /exrpeionsihould b co vearedn
as ern
deacwon)tsol
LOCATION OF THE LEAK raj.. SO sr, AWm D.
Nc.-:
LEAK RATE:
UNITS: gpm/gpd
T.S. LIMITS:
SUDDEN OR LONG TERM DEVELOPMENT:
LEAK START DATE:
TIME:
COOLANT ACTIVITY & UNITS: PRIMARY -
SECONDARY-
LIST OF SAFETY RELATED EQUIPMENT NOT OPERATIONAL:
EVENT DESCRIPTION (Continued from front)
Attachment 2
December 26, 1989 LIST OF RECENTLY ISSUED
NRC INFORMATION NOTICES
w
F1ate ot
lInforation
Notice No.
SubJect
89-88 Recent NRI
Testing o0
Valves
Teeiianegi
lssued to
a~aaulws
.
w__
S-Sponsored
f Motor-Operated
89-87
89-45, Supp. 2
89-86
89-85
89-84
89-83
89-82
89-59, Supp. 1
Disabling of Emergency
Diesel Generators by
Their Neutral Ground-Fault
Protection Circuitry
Metalclad, Low-Voltage
Power Circuit Breakers
Refurbished with
Substandard Parts
Type HK Circuit Breakers
Missing Close Latch Anti- Shock Springs.
EPA's Interim Final Rule
on Medical Waste Tracking
and Management
Failure of Ingersoll Rand
Air Start Motors as a Result
of Pinion Gear Assembly
Fitting Problems
Sustained Degraded Voltage
on the Offsite Electrical
Grid and Loss of Other
Generating Stations as
a Result of a Plant Trip
Recent Safety-Related
Incidents at Large
Irradiators
Suppliers of Potentially
Misrepresented Fasteners
12/26/89
12/19/89
12/15/89
12/15/89
12/15/89
12/12/89
12/11/89
12/7/89
12/6/89
All holders of OLs
or CPs for nuclear
power reactors.
All holders of OLs
or CPs for nuclear
power reactors.
All holders of OLs
or CPs for nuclear
power reactors.
All holders of OLs
or CPs for nuclear
power reactors.
All medical, academic, industrial, waste
broker, and waste
disposal site licensees.
All holders of OLs
or CPs for nuclear
power reactors.
All holders of OLs
or CPs for nuclear
power reactors.
All NRC licensees
authorized to
possess and use
sealed sources at
large irradiators.
All holders of OLs
or CPs for nuclear
power reactors.
- Operating License
- Construction Permit
0
. %
i
IN 89-89 December 26, 1989
Addressees
may wish to make copies of the new worksheet available to employees
responsible for reporting event-related information to the NRC to replace
copies of the worksheets provided in Information Notice No. 85-78, "Event
Notification," dated September 23, 1985.
These worksheets or similar event write-ups can be sent to the NRC Operations
Center by facsimile as an aid in the notification process, if so desired.
How- ever, neither the use of NRC Form 361 nor the use of facsimile transmittals is
required and in fact is not desired if it would delay the required telephone
notifications to the NRC Operations Center. The NRC Operations Center's
facsimile number is (301) 492-8187.
This information notice requires no specific action or written response. If
you have any questions about the information in this notice, please contact the
technical contacts listed below or the appropriate NRR project manager.
Charles E. Rossi, Director
Division of Operational Events Assessment
Office of Nuclear Reactor Regulation
Technical Contacts:
R. Smith, AEOD
(301) 492-8087
E. Weiss, AEOD
(301) 492-9005 Attachments:
1. NRC Form 361, "Event Notification Worksheet"
2. List of Recently Issued NRC Information Notices
Document Name:
INFO NOTICE - SMITH, KIESSEL
- SEE PREVIOUS CONCURRENCES
- OGCB:DOEA:NRR
- D/DOA:NRR
RJKiessel
RLSpessard
12/13/89
12/13/89
- RPB:ARM
TechEd
12/14/89
- C/OGCB:DOEi
CHBerlinger
12/18/89
4 IN 89-XX
December xx, 1989 The back of the form, which is used to collect information on radiological
releases and/or reactor coolant system (RCS) or steam generator (SG) tube
leaks, has been revised to provide a simpler and more structured method of
obtaining and evaluating information pertinent to these types of events.
It is suggested that copies of the new worksheet be made available to employees
responsible for reporting event-related information to the NRC to replace
copies of the worksheets provided in Information Notice No. 85-78, dated
September 23, 1985.
These worksheets or similar event write-ups can be sent to the NRC Operations
Center by facsimile as an aid in the notification process, if so desired.
However, neither the use of NRC Form 361 nor the use of facsimile transmittals
is required and in fact is not desired if it would delay the required telephone
notifications to the NRC Operations Center.
The NRC Operations Center's
facsimile number is (301) 492-8187.
This information notice requires no specific action or written response. If
you have any questions about the information in this notice, please contact the
technical contacts listed below or the appropriate NRR project manager.
Charles E. Rossi, Director
Division of Operational Events Assessment
Office of Nuclear Reactor Regulation
Technical Contacts: R. Smith, AEOD
(301) 492-8087
E. Weiss, AEOD
(301) 492-9005 Attachments:
1. NRC Form 361, "Event Notification Worksheet'
2. List of Recently Issued NRC Information Notices
Document Name:
INFO NOTICE - SMITH, KIESSEL
- SEE PREVIOUS CONCURRENCES
Co
- OGCB:DOEA:NRR
- D/DOA:NRR
- RPB:ARM
C/OGCB:DOEA:NRR
D/DOEA:NRR
RJKiessel
RLSpessard
TechEd
CHBerlinger
CERossi
12/13/89
12/13/89
12/14/89 12/L9/89
12/ /89
4;
3/4
-
IN 89-XX
December xx, 1989 The back of the form, used to collect information on radiological releases
and/or RCS or SG tube leaks, has been revised to provide a simpler and more
structured method of obtaining and evaluating information pertinent to these
types of events.
It is suggested that copies of the new worksheet be made available to employees
responsible for reporting event related information to the NRC to replace
copies of the old worksheets provided in IN 85-78 dated September 23, 1985.
These worksheets or similar event write-ups can be sent to the NRC Operations
Center by facsimile as an aid in the notification process, if desired. How- ever, neither the use of NRC Form 361 nor the use of facsimile transmittals is
required, and in fact is not desired if it would delay the required telephone
notifications to the NRC Operations Center. The NRC Operations Center's
facsimile number is (301) 492-8187.
This information notice requires no specific action or written response. If
you have any questions about the information in this notice, please contact the
technical contacts listed below or the appropriate NRR project manager.
Charles E. Rossi, Director
Division of Operational Events Assessment
Office of Nuclear Reactor Regulation
Technical Contacts:
R. Smith, AEOD
(301) 492-8087
E. Weiss, AEOD
(301) 492-9005 Attachment:
List of Recently Issued NRC Information Notices
Document Name:
OGCB:DOEA:NRR
RJKiessel 6 4 t.
- INFO NOTICE - SMITH ,IESSEL
iD A XNRR
RPBt6(
C/OGI
RLSpessard
TechEd
CHBe
12/ /89
12//Y/89 12/
CB:DOEA:NRR
rlinger
/89 D/DOEA:NRR
CERossi
12/ /89