ML13083A102

NRC Form 361C - Gaseous Diffusion Plant Event Notification Worksheet

ML13083A102
Person / Time
Issue date:	05/31/2005
From:	NRC/OCIO/GEMSD/IMSB
To:
References
Download: ML13083A102 (2)

Text

PAGE 1 OF 2 NRC FORM 361C U.S. NUCLEAR REGULATORY COMMISSION (5-2005)

GASEOUS DIFFUSION PLANT OPERATIONS CENTER EVENT NOTIFICATION WORKSHEET EN NUMBER NRC OPERATIONS TELEPHONE NUMBER: PRIMARY 301-816-5100; BACKUPS [1ST] 301-951-0550, [2ND] 301-415-0550, [3RD] 301-415-0553 NRC OPERATIONS FAX NUMBER: 301-816-5151; E-MAIL: hoo1@nrc.gov NOTIFICATION TIME FACILITY OR ORGANIZATION NAME OF CALLER CALL BACK NUMBER EVENT TIME AND ZONE EVENT DATE LOCATION OF EVENT (Include County and State) PORTION OF PLANT AFFECTED EVENT CLASSIFICATIONS INCIDENT REPORTS SITE AREA EMERGENCY 1-Hr. 10 CFR 70.52 1-Hr. 10 CFR 20 SIT/OAEC (a) Loss of SNM/Crit KSNM .1906(d)(1) Surface Contam Levels > Limits BSUR (b) Loss of SNM/Fissile KFIS .1906(d)(2) External Rad Levels > Limits BEXT ALERT ALE/OAEC 1-Hr. 10 CFR 73.71 .2201(a)(1)(i) Lost/Stolen LNM > 1000X App C BLO1 (a)(1) Lost SNM/Spent Fuel Shipment DLOS .2202(a)(1) Pers Overexp > 5 x Limit BOV1 INCIDENT REPORT (see next column) (b)(1) Safeguards Report DDDD .2202(a)(2) Excessive Release > 5 x Limit BRE1 1-Hr. 10 CFR 74.11 24-Hr. 10 CFR 20 (a) Lost/Stolen SNM PAAB .2202(b)(1) Per Overexp/ > Limit BOV2 INFORMATION ONLY NINF 1-Hr. 10 CFR 76.120(a) .2202(b)(2) Excessive Release > 5 x Limit BRE2 (1) Criticality OCRI 30-Day 10 CFR 20 OTHER UNSPECIFIED (see last column) (2) Loss of SNM OLOS 2202(a)(1)(ii) Lost/Stolen LNM > 10 x App C BLO2 REQUIREMENT (3) Theft of SNM ODIV 2-Day 10 CFR 21 (4) Emergency Declared OAEC .21(d)(3)(i) Defect/Noncompliance CCCC 4-Hr. 10 CFR 76.120(b) LOSS OF CRITICALITY CONTROL (see Page 2)

Protect Action Prevented OPRO 4-Hr. NRC BL 91-01 Supp. 1 NBNL 24-Hr. 10 CFR 76.120(c) 24-Hr. NRC BL 91-01 Supp. 1 NBNL (1) Unplanned Contamination OCON OTHER UNSPECIFIED REQUIREMENT (Identify)

(2) Safety Equipment Failure OSAF NONR (3) Med Treat Involving Contamination OMED NONR (4) Fire/Explosion OFIR DESCRIPTION Include: System affected, actuations and their initiating signals, causes, effect of event on plant, actions taken or planned, etc. (Continue on Page 2 or separate sheet(s), as appropriate)

NOTIFICATIONS YES NO WILL BE ANYTHING UNUSUAL OR YES (Explain above) MODE OF OPERATION UNTIL NRC RESIDENT NOT UNDERSTOOD? NO CORRECTED STATE(S) YES DID ALL SYSTEMS FUNCTION LOCAL AS REQUIRED? NO (Explain above)

OTHER GOVERNMENT AGENCIES? ADDITIONAL INFORMATION YES ESTIMATED CORRECTION DATE MEDIA/PRESS RELEASE ON PAGE 2 OR SEPARATE SHEETS NO NRC FORM 361C (5-2005) PRINTED ON RECYCLED PAPER

PAGE 2 OF 2 RADIOLOGICAL / CHEMICAL RELEASES: CHECK OR FILL IN APPLICABLE ITEMS ISOTOPE ACTIVITY PHYSICAL FORM CHEMICAL FORM STACK LIQUID EFFLUENT OTHER MONITOR READING ALARM SETPOINT ONGOING RELEASE PERSONNEL EXPOSURE CONTAMINATION DATA TERMINATED RELEASE NUMBER OF PERSONNEL EXPOSED: NUMBER OF PERSONNEL CONTAMINATED:

OFFSITE RELEASE MAXIMUM EXTERNAL DOSE: MAXIMUM EXTERNAL LEVEL:

ONSITE AREAS EVACUATED MAXIMUM INTERNAL DOSE: MAXIMUM INTERNAL LEVEL:

OFFSITE PROTECTIVE CRITICAL ORGAN (if known): CIRITIAL ORGAN (if known):

ACTION RECOMMENDED DEGRADED CRITICALITY CONTROLS B. DEFICIENT CRITICALITY SAFETY ANALYSIS BASIS FOR THIS REPORT: A. AN EVENT (INDICATE HOW LOG DEFICIENCY EXISTED)

SAFETY SIGNIFICANCE OF EVENTS POTENTIAL CRITICALITY PATHWAYS INVOLVED (BRIEF SCENARIO(S) OF HOW CRITICALITY COULD OCCUR)

CONTROLLED PARAMETERS (MASS, MODERATION, GEOMETRY, CONCENTRATION, ETC.)

ESTIMATED AMOUNT, ENRICHMENT, FORM OF LICENSED MATERIAL (INCLUDE PROCESS LIMIT AND % WORST CASE CRITICAL MASS)

NUCLEAR CRITICALITY SAFETY CONTROL(S) OR CONTROL SYSTEM(S) AND DESCRIPTION OF THE FAILURES OR DEFICIENCIES CORRECTIVE ACTIONS TO RESTORE SAFETY SYSTEMS AND WHEN EACH WAS IMPLEMENTED NRC FORM 361C (5-2005)