ML13083A102
| ML13083A102 | |
| Person / Time | |
|---|---|
| Issue date: | 05/31/2005 |
| From: | NRC/OCIO/GEMSD/IMSB |
| To: | |
| References | |
| Download: ML13083A102 (2) | |
Text
BLO1 SIT/OAEC ALE/OAEC (see next column)
NINF (see last column)
GASEOUS DIFFUSION PLANT EVENT NOTIFICATION WORKSHEET NRC FORM 361C (5-2005)
U.S. NUCLEAR REGULATORY COMMISSION OPERATIONS CENTER EN NUMBER FACILITY OR ORGANIZATION NRC FORM 361C (5-2005)
PRINTED ON RECYCLED PAPER 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 SITE AREA EMERGENCY ALERT INCIDENT REPORT INFORMATION ONLY OTHER UNSPECIFIED REQUIREMENT DESCRIPTION PAGE 1 OF 2 NOTIFICATION TIME INCIDENT REPORTS NOTIFICATIONS YES NO WILL BE ANYTHING UNUSUAL OR NOT UNDERSTOOD?
NRC RESIDENT STATE(S)
LOCAL OTHER GOVERNMENT AGENCIES?
MEDIA/PRESS RELEASE YES (Explain above)
NO DID ALL SYSTEMS FUNCTION AS REQUIRED?
YES NO (Explain above)
ADDITIONAL INFORMATION ON PAGE 2 OR SEPARATE SHEETS YES NO 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 1-Hr. 10 CFR 70.52 KSNM (a) Loss of SNM/Crit (b) Loss of SNM/Fissile KFIS (a)(1) Lost SNM/Spent Fuel Shipment DLOS (b)(1) Safeguards Report DDDD 1-Hr. 10 CFR 73.71 (a) Lost/Stolen SNM PAAB (1) Criticality 1-Hr. 10 CFR 74.11 (2) Loss of SNM OCRI (3) Theft of SNM OLOS 1-Hr. 10 CFR 76.120(a)
(4) Emergency Declared ODIV Protect Action Prevented OAEC 4-Hr. 10 CFR 76.120(b)
OPRO (1) Unplanned Contamination (2) Safety Equipment Failure OCON (3) Med Treat Involving Contamination OSAF 24-Hr. 10 CFR 76.120(c)
(4) Fire/Explosion OMED OFIR 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) 1-Hr. 10 CFR 20 BSUR
.1906(d)(1) Surface Contam Levels > Limits
.1906(d)(2) External Rad Levels > Limits BEXT
.2201(a)(1)(i) Lost/Stolen LNM > 1000X App C
.2202(a)(1) Pers Overexp > 5 x Limit BOV1
.2202(a)(2) Excessive Release > 5 x Limit BRE1 24-Hr. 10 CFR 20 BOV2
.2202(b)(1) Per Overexp/ > Limit
.2202(b)(2) Excessive Release > 5 x Limit BRE2 30-Day 10 CFR 20 BLO2 2202(a)(1)(ii) Lost/Stolen LNM > 10 x App C 2-Day 10 CFR 21
.21(d)(3)(i) Defect/Noncompliance LOSS OF CRITICALITY CONTROL (see Page 2) 4-Hr. NRC BL 91-01 Supp. 1 24-Hr. NRC BL 91-01 Supp. 1 OTHER UNSPECIFIED REQUIREMENT (Identify)
CCCC NBNL NBNL NONR NONR MODE OF OPERATION UNTIL CORRECTED ESTIMATED CORRECTION DATE
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 PERSONNEL EXPOSURE ONGOING RELEASE TERMINATED RELEASE OFFSITE RELEASE ONSITE AREAS EVACUATED OFFSITE PROTECTIVE ACTION RECOMMENDED NUMBER OF PERSONNEL EXPOSED:
NUMBER OF PERSONNEL CONTAMINATED:
MAXIMUM EXTERNAL DOSE:
MAXIMUM EXTERNAL LEVEL:
MAXIMUM INTERNAL DOSE:
MAXIMUM INTERNAL LEVEL:
CRITICAL ORGAN (if known):
CIRITIAL ORGAN (if known):
DEGRADED CRITICALITY CONTROLS A. AN EVENT B. DEFICIENT CRITICALITY SAFETY ANALYSIS (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)
CONTAMINATION DATA BASIS FOR THIS REPORT: