ML20052C947
| ML20052C947 | |
| Person / Time | |
|---|---|
| Site: | Millstone, Dresden, Indian Point, Cooper, Surry, Fort Calhoun, McGuire, 05000000, Trojan, Crane |
| Issue date: | 03/22/1982 |
| From: | NRC |
| To: | |
| Shared Package | |
| ML20052C933 | List: |
| References | |
| FOIA-82-148 NUDOCS 8205060126 | |
| Download: ML20052C947 (4) | |
Text
hiR 22, 1982 LER OUTPUT ON EVENTS INVOLVING INJURIES PAGE 1 FROM 1969 TO THE PRESENT OUTPUT SORTED BY FACILITY AND EVENT DATE j
FACILITY / SYSTEM /
DOCKET NO./
CCMPONENT/ COMP 0HENT SUDCODE/
LER HO./
EVENT DATE/
EVEtiT DESCRIPTI0ti/
I CAUSE/CAUSE SUBCODE/
CONTROL NO./ REPORT DATE/
CAUSE DESCRIPTION /
COMPONENT MANUFACTURER NSSS REPORT TYPE INJURY NUMBER / DESCRIPTION C00PER-1 05000298 110575 (75-32)AN EXPLOSION OCCURRED WHILE ELEVATED RELEASE POINT SUMPCOVERWh GAS RADIDACT WSTE MANAGMNT SYS 75 01L 111775 BEING REMOVED AND A CHECK WAS BEING MADE FOR RADI0 ACTIVITY USING AN AI' VALVES 013782 30-DAY M0tiITOR.ONE PERSON RECEIVED MAJOR BURNS WHILE 5 OTitERS RECEIVED SOME E tiO SUBCOMPONENT PROVIDED GE NOR EXPOSURES.
PERSONNEL ERROR CAUSE SUBCCCE NOT PROVIDED ITEM NOT APPLICABLE AN OFF GAS ISOLATION VALVE HAD BEEN INADVERTEtiTLY LEFT IN THE CLOSED PO ITION BECAUSE OF IMPROPER WIRItiG CAC3ING OFF GAS TO FLOW FROM STEAM JETl EJECTOR TO SUMP AREA. HYDROGEN IGNITED BY SPARK FROM AIR MatiITOR.
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003 OtiE RECEIVED MAJOR BURNS. TWO ONLY MINOR BURtiS DRESDEN-2 05000237 032773 EXPLOSION If4 A TEMPORARY FILTER WHICH WAS BEING USED TO PURGE Tile UNIT GAS RADIDACT WSTE MANAGMNT SYS 73 01L 040573 0FF-GAS PIPING FILTERS 000013 30-DAY SUBCOMPONENT HOT APPLICABLE GE PERS0 TINEL ERROR CAUSE SUBCODE NOT PROVIDED OTifER PEOPLE WERE Ill THE AREA AT TiiEN. URItiE NO MANUFACTURER SPECIFIED TESTS WERE COLLECTED AND SENT FOR ANALYSIS.
WELDING TORCH ABOUT 8 FT. FROM FILTER HOUSING IGNITED LEAKItiG llYDROGEN (
AS FROM THE FILTER HOUSING.
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002 MINOR INJURIES, NatiE OF WilICH INVOLVED RADI0 ACTIVE C0t4TAMIllATION FT. CALHOUN-1 05000285 051680 A COLD PRESSURE TEST WAS BEING PERFORMED ON Tile RCS PRIOR TO UNIT START COOLANT RECIRC SYS + CONTROLS 80-010/01T-0 061780 P.
TEST PRESSURE WAS APPROXIMATELY 180 PSIG.
LEAKAGE WAS DISCOVERED A PUMPS 031635 2-WEEK THE GASKETED JOIllT BETWEEN TiiE PUMP CASING APID THE PUMP COVER ON REACT CENTRIFUGAL COMB R C00LAtiT PUMPS RC-3A, 33, AND 3C.
SUBSEQUEtiT INSPECTION REVEALED TilAT COMPONENT FAILURE SIGNIFICANT CORROSION DAMAGE HAD OCCURRED TO A NUf1BER OF T!!E CLOSURE Si i
i NATURAL Ef1D OF LIFE DS ON ALL THREE PUMPS.
NO TECHNICAL SPECIFICATION LCO'S WERE VIOLATED.
l BYRON JACKSON PUMPS. INC.
LEAKAGE FROM TifE PUMPS WAS FOUND TC BE CAUSED BY DETERIORATION OF Tile F LEXITALLIC GASKETS.
DAMAGE TO CLOSURE STUDS IS BELIEVED TO itAVE BEEN C i
AUSED BY BORIC ACID ATTACK.
AFFECTED PUMTS WERE DISASSEMBLED, DEFr**'V E GASKETS REPLACED, AND tiEW STUDS INSTALLED AS REQUIRED.
002 MINOR IHJURIES DCCURRED DURIliG REPAIR OF PUMPS p
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PAGE 2 MAR 22, 1182 LER DUTPUT OH EVENTS INVOLVIHG INJURIES FROM 1969 TO THE PRESENT CUTPUT SORTED BY FACILITY AND EVENT DATE FACILITY / SYSTEM /
DOCKET NO./
COMPONENT /CCMPONENT SUBCODE/
LER NO./
EVENT DATE/
EVENT DESCRIPTION /
CAUSE/CAUSE SUBCCDE/
CONTROL NO./ REPORT DATE/
CAUSE DESCRIPTION /
COMPOSENT MANUFACTURER NSSS REPORT TYPE INJURY NUMBER / DESCRIPTION INDIAH POINT-3 05000286 061576 (76-3-22(B)) DURING STARTUP TESTING, MCC 3'
. RIPPED AND TRANSFERRED EM REACTIVITY CONTROL SYSTEMS 76 03L 071576 GENCY FEED TO MCC 39 AND RESULTED IN LDSS u.
EMERGENCY DIESEL FOR 19 M CIRCUIT CLOSERS /IHTERRUPTERS 015120 30-DAY
. MCC 39 SUBSEQUENTLY OVERLOADED AND TRIPPED RESULTING IN LOSS OF RCD NO SU3 COMPONENT PROVIDED WEST SITION INDICATION THAT CAUSED 2 TURBINE RUNBACK OF APPROXIMATELY 40MW.
t PERSONNEL ERROR CAUSE SUBCODE NOT PROVIDED
,I WESTINGHOUSE ELECTRIC CORP.
TRIP OF MCC 39 CAUSED BY OVERLOAD OF WESTINGHOUSE AIR CIRCUIT BREAKER, ODEL DS-416. EVENT INITIATED BY TRIP OF MCC 34. CAUSED BY MECHANIC, WHf IHADVERTENTiY CREATED A FAULT IN HO. 32 INSTRUMENT AIR COMPRESSOR.
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003 FLASHBURHS, REQUIRING HOSPITALIZATION FOR TWO MECilAHICS.
MCGUIRE-1 05000369 071081 WHILE IN MODE 3. DURING REPLACEMENT PROCESS OF A DCFECTIVE RESISTANCE 2
COGL ANT RECIRC SYS + CONTROLS 81-105/01T-0 072481 MP DETECTOR (RTD) OH "A" LOOP RID MAHIFOLD, A TECHNICIAH OPEHED MA:tIF0j VALVES 037915 2-WEEK
'S INLET VALVE CAUSING STEAM TO BLOW OUT OPEN VENT 3 DRAIN VALVES. T hit GLO3E WEST REACTOR COOLANT LEAK POSSIBLY VIOLATED TECH. SPEC. 3.;.7.1 1 15 REPORT [
PERSONNEL ERROR LE PER TECH. SPEC. 6.9.1.12(G). BECAUSE OF ACTIONS OF POSI11VE DISPL ACI 2
MAINTENANCE & REPAIR PERSONNEL HT PUMP, AVAILABILITY OF ALL SAFETY INJECTION PUMPS HAD THEY BEEN HEED 8 ONLY HEW FUEL IN CORE, HEALTH 8 SAFETY OF PUBLIC WERE NOT AFFECTED OTHER THE IAE TECHNICIANS MISUNDERSTOOD INSTRUCTIDHS OF THEIR SUPERVISOR 8 A EMPTED TO DO WORK FOR WHICH THEY WERE NEITHER TRAINED OR CUALIFIED, 8(
RE WITHOUT PROPER PROCEDURES.
LEAK MAS ISOLATED BY CLOSING MANIFOLD V)
T & DRAIN VALVES.
IAE TECHNICIANS WILL RECEIVE SPECIAL INSTRUCTION CH f
HICH VALVES THEY ARE ALLOWED TO OPERATE ON THE ENTIRE TAGGING PROCEDUR k
001 STEAM BURN
/ MILLSTONE-1 05000245 121377 DN DECEMBER 13, 1977, 2 HYDROGEN DETONATIONS DCCURRED IN MILLSTONE UNI I
GAS RADIDACT WSTE MANAGMNT SYS 77 01T 122777 1 0FF GAS SYSTEM 8 STACK BASE.
DETOHATIONS RESULTED IN MOMENTARY RADI COMPONENT CODE NOT APPLICABLE 019821 2-WEEK CTIVE RELEASE & IHJURY TO 1 EMPLOYEE.
AS RESULT OF DEIGNATIONS, A SIT SUBCOMPONENT NOT APPLICABLE GE EMERGENCY WAS DECLARED.
CRO-50-245/77-40/1T)
PERSOHNEL ERROR i
CAUSE SUBCODE NOT PROVIDED SEE ATTACHED RESPONSE TO LETTER FROM B.H. GRIER TO D.C. SWITZER, 12,7F l
ITEM NOT APPLICABLE INITIAL HYDROGEN DETOHATIDH WAS CAUSED BY WELDER CAUSING AN ARC STRIK2
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H INSTRUMENT TUBING ASSOCIATED WITH OFF GAS SYSTEM.
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001 H0 SIGNIFICANT INJURIES.
SLIGHT CONCUSSIGH 8 MULTIPLE SKIH ABRASI@
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MAR 23o 1992 LER DUTPUT ON EVENTS INVOLV2HG INJURIES PAGE 5 FROM 1969 TO YHE PRESENT GUVPUT SOP.TED GY FACELITY AND EVENT DATE FACILZTY/ SYSTEM /
DOCKET NO./
COMPONENT / COMPONENT SUGCODE/
LER HO./
EVENT DAYE/
EVENT DESCRYPTTON/
CAUSE/CAUSE SUBCODE/
CCHTROL HO./ REPORT DATE/
CAUSE DESCRIPTION /
COMPONENT MANUFACTURER NSSS REPORT TYPE INJURY NUMBER /DESCRIPTIDH SURRY-1 05000280 072772 TWO EMPLOYEES WERE FATALLY BURNED AS A RESULT OF A SECONDARY SYSTEM (NON OTHER FEAT /STM + POW COHV SYS 72 03L 081672
-RADI0 ACTIVE) STEAM RELEASE INCIDENT. Tile TECHNICIANS WERE IN A SMALL RO PZPES, FITTINGS 002021 30-DAY OM IN THE TURBINE BUILDING AT THE TIME, ATTEMPTING TO INITIATE VENTING T NO SUBCOMPONENT PROVIDED WEST HROUGH THE BACKUP DECAY HEAT RELEASE SYSTEM.
DESZGN/ FABRICATION ERROR CAUSE SUBCODE NOT PROVIDED H0 MANUFACTURER SPECIFIED WHEN THE ATMOSPHERE RELIEF CONTROL VALVE WAS OPENED. THE VALVE DIScilARGE H0ZZL E (41/2" OD) DISENGAGED FROM THE EXHAUST VENT AS A RESULT OF SEVER E REACTION FORCES.
002 TWO MEN WERE FATALLY BURNED BY STEAM.
SURRY-1 05000280 121073 EMERGENCY ACCESS HATCH IN INNER ACCESS DOOR OF PERSONNEL AIR LOCK OPEllED REACYOR CONTAINMENT SYSTEMS 73 01T 122073 W} FILE OUTER DOOR WAS OPEH.
VIOLATION OF CONTAIHildHT INTEGRITY.
STAFF PENETRATIONS,PRIMRY CONTAIHMNT 000675 2-WEEK MEMBER INJURED IN INCIDENT.
DETAILS TO BE REPORTED IN A0-52-73-12.
NG SUBCOMPONENT PROVIDED WEST COMPONENT FAILURE CAUSE SUBCODE NOT PROVIDED H0 MANUFACTURER SPECIFIED UNDER INVESTIGATIOH.
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0 01 MULTIPL E INJURIES WHEN PULLED THROUGH llA TCil.
THREE MIL E ISL AND-2 05000320 032979 WHILE MANIPULATING VALVES CONTROLLING COOLANT FLOW AND IfANDLING LABORATO COOLANT RECIRC SYS + CONTROLS 79-017/12L-0 012380 RY BOTTLES AND FLASKS CONTAINING COOLANT SAMPLES HEALTH PHISICS AND A CH COMPONENT CODE NOT APPLICABLE 027936 30-DAY EMISTRY FOREMAN RECEIVED EXTREMITY EXPOSURES OF S4 AHD 147 REMS. RESPECT SUBCOMPONENT HOT APPLICABLE B+W IVELY.
THE CHEMISTRY FOREMAN ALSO RECEIVED 6 TO 13 REMS TO A SMALL AREA DEFECTIVE PROCEDURES OF SKIH ON HIS HEAD.
FOR FURTHER INFORMATION. SEE MET ED LETTER TO V.
NOT APPLICABLE STELLO DATED AUGUST 21, 1979 (GOL 1094) AND HUREG-0600.
ITEM HOT APPLIFABLE IN ORDER TO COLLECT A SAMPLE OF Tile PRIMARY COOL ANT FOLLOL!ING THE ACCIDE HT AT TMI-2, PERSONNEL HAD TO HANDLE HIGH LEVEL RADI0 ACTIVE SOURCES.
FO l R SUBSEQUENT SAMPLING, DETAILED PROCEDURES WERE DEVELOPED AND INTENSIVE '
TRAINING WAS GIVEN TO STATION SAMPLING PERSONNEL. SHIELDING WAS PROPERLY POSITIONED, AND BETTER DOSIMETRY COVERAGE WAS PROVIDED.
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MAR 22, 1982 LER DUTPUT ON EVENTS INVOLVING INJURIES PAGE 4 FROM 1969 TO THE PRESENT OUTPUT SORTED BY FACILITY AHD EVENT DATE FACILITY / SYSTEM /
DOCKET NO./
COMPONENT / COMPONENT SUBCODE/
LER NO./
EVENT DATE/
EVENT DESCRIPTION /
CAUSE/CAUSE SUBCODE/
CONTROL NO./ REPORT DATE/
CAUSE DESCRIPTIUN/
COMPONENT tiANUFACTURER HSSS REPORT TYPE INJURY NUMBER /DESCR;PTION TROJAN-1 05000344 042081 POWER TO MOTOR CONTROL CENTER (MCC) B2S WAS LOST WHEN A WORKER SHORTED {
AC ONSITE POWER SYS + CONTROLS 81-009/03L-0 051981 HE BUS TO GROUND CAUSING THE FEEDER BREAKER TO OPEN.
THIS MCC NORMALLY CIRCUIT CLOSERS / INTERRUPTERS 037160 30-DAY SUPPLIES CERTAIN ENGINEERED SAFEGUARDS FEATURE (ESF) EQUIPMENT.
AS A R(;
CIRCUIT BREAKER WEST SULT, POWER TO A NUMBER OF ESF COMPONENTS IN ONE TRAIN WAS LOST FOR APP [
PERSONNEL ERROR OXIMATELY ONE HOUR.
MAINTENANCE 8 REPAIR PERSONNEL h
ITE IMPERIAL CORPORATION THE APPARENT CAUSE OF THIS EVENT IS PERSONNEL ERROR.
THE WORKER HAD Til@
METER SET TO THE WRONG FUNCTION.
THIS CAUSED A SHORT TO GROUND AND PNR SE-TO-PHASE FAULTS WHICH TRIPPED THE FEEDER BREAKER TO THE MOTOR CONTR01 CENTER.
001 WKR RECEIVED IST32ND DEG BURNS ON ARM 8 FACE l
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