E-mail from D. Pelton of US NRC to R. Pulsifer of US NRC, … · 2012. 11. 19. · 1. Post LOCA...

16
""O 4'. 1 Pelton, David From: Sent: Tno Peltori, David Mopday, August 18, 2003 8:17 AM 'rmp3@ nrc.gov' FW: River Report 08-18-03 Subject: I've attached today's VY ER summary which includes ER 03-1765 regarding administrative errors made by the licensee in a recent submittal to NRR. Dave Pelton --- Original Message---- From: Taylor, Jim Sent: Monday, August 18, 2003 07:10 To: VTY_River Report Readers Subject: River Report 08-18-03 River Report 08-18-03.pdf (32 XK 1

Transcript of E-mail from D. Pelton of US NRC to R. Pulsifer of US NRC, … · 2012. 11. 19. · 1. Post LOCA...

Page 1: E-mail from D. Pelton of US NRC to R. Pulsifer of US NRC, … · 2012. 11. 19. · 1. Post LOCA Suppression Pool pH -Non-Proprietary version: last page is *page 15 of 19.' Pages 16

""O 4'.

1�

Pelton, David

From:Sent:Tno

Peltori, DavidMopday, August 18, 2003 8:17 AM'rmp3@ nrc.gov'FW: River Report 08-18-03Subject:

I've attached today's VY ER summary which includes ER 03-1765 regarding administrative errors made by the licenseein a recent submittal to NRR.

Dave Pelton

--- Original Message----From: Taylor, JimSent: Monday, August 18, 2003 07:10To: VTY_River Report ReadersSubject: River Report 08-18-03

River Report08-18-03.pdf (32

XK1

Page 2: E-mail from D. Pelton of US NRC to R. Pulsifer of US NRC, … · 2012. 11. 19. · 1. Post LOCA Suppression Pool pH -Non-Proprietary version: last page is *page 15 of 19.' Pages 16

As the River Flows

Date: Unscreened ERs (Sat/Unsat)

Start Time:

Goals:

Finish Time:

Quality, Consistency, Efficiency and Formality:

Validate or initiate initial notification andreviews, BMO requirements, reportability/further review requircd and. event level.

* End of meeting considerations:

Primary Objectives

(F) Formality (NN)(SC) Status Control (WB)(RTG) Risk to Generation (RW)(OB) Obsolescence (AW)(ODMI) Oper Decision Making (CM)(RM) Reactivity Mgmt (IS)

Nuclear Network EntryWhite BoardReworkAdverse WeatherChange ManagementIndustrial Safety

Upcomin! Due ER's

DateMon - 08/18 /003 1

Wed - 08/20/2003 8

Thu.s08/2l2003 5

Fri -08/22/2003 4

Sat - 08123t2003 5

Total 23

* Message of the Day: (to be determined dally) * Action Item Review: (when applicable)

Initiated

20031758 Lack of Controlled Procedure Form Electronic Files creates a HumanPerformance Trap

Affected Systems / Equipment

Initiator: Mark Castronova

MRFFe

Individuals are expected to utilize electronic procedure forns while performaning thier job assignnents. While there are controlled electronic files forprocedures, which include procedure forms, these are read only and do not allow the user to utilize the procedure forms to perform workelectronically. Individual users/groups can (and do) obtain electronic procedure forms from the uncontrolled MS WORD electronic procedure files.These forms can be utilized after confirming they match the current revision of the controlled procedure.

However, there have been Instances where Indiduals have performed work utilizing the wrong revision of electronic procedure forms. Creating andmaintaining controlled procedure forms In electronic format would eliminate this Human Performance Trap.

Assigned To Level . Comments

Monday. August 18, 2003 Unscreened Event Reports Page 1 of 7Monday.Augustl8,2003 Unscreened Event Reports Page 1 of 7

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Initiated 08/15/2003

20031760 Oxygen Injection System shut down results in Action level 1 condition forFeedwater dissolved oxygen

Initiator: Richard Gerdus

MRFF:

At approximately 1630 the oxygen injection system tipped off-ine resulting In a decrease In condensate and feedwater D.O. to approximately 17 ppb.*The problem was noticed In the control room based on fluctuations with the D.O. recorder. A Chemistry technician reset the Oxygen Injection Systemat 1950 at which time Feedwater dissolved oxygen was restored to >30 ppb . Note: Per the EPRI Water Chemistry Guidelines, Action Level I forfeedwater D.O. Is entered when dissolved oxygen Is <30 ppb.

Affected Systems / Equipment

FEEDWATER

Assigned To Level Comments

20031762 Employee Stung By Bee Affected Systems Enuipment

Initiator LINDA TORUNSKI

MRFF:

A bee crawled into the shoe of an employee while the emplae was warldng at her workstation. The bee was then exterminated! An ice pack wasappiled to the sting.

Assigned To Level -Comments

20031763 Minor Discrepancy on Control Room HVAC Chiller (SCH-1) Control Affected Svstems Equipment

Schematic Drawing

Initiator Michael Smaga HEAT VENT& AIRCONDITION

MRFF: SCII-I CHILLER

While reviewing drawing 5920-11064, Rev.0, Control Rocom HVAC Chifler (SCH-1) Control Schematic, itwas discovered that on the drawing Note14 referenced terminal board TB4-4 when it should reference TB4-5. The the description In the notes reference the correct terminal as shown onCWD 1368.

This is a documentation Issue and Is not an equipmemnt operability Issue.

Assigned To Level . Comments

Mondy. ugut 18 203 UscrenedEvet Rport Pae 2of.Monday, August 18, 2003 Unscreened Event Reports Page2 of7

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Initiated 08/15/2003

20031764 Breaker 3V4 control power fuse size in OP 3126 and fuse list are different.Initiator: JIM TAYLOR

MRFF:

Procedure OP 3126 Rev.16 Apendix E page 5 directs replacement of 4 KV SWGR control fuse by Installing 15 amp fuses for the close circuits and35 amp fuses for the trip circuits. The switchgear Contrd circuit fuse selection verification list shows the fuses for breaker 3V4 (8 are listed) as sizeNON-15. CWD 325 shows the fuses as 15 amp fuses.MM 98-033 Installed 15 amp fuses In the affected circuit for breaker coordination. WO 02-001742-000 verified that the proper fuses were installedunder MM 98-033. Refer to attached e-mail for System Engineering operability assessment.

Assigned To Level Comments

Affected Systems / Equipment

4K VOLTS AC ELECTRICAL125 VOLTS DC ELECTRICAL

BUS-3-2 CUBICLE

20031765 NRR correspondence contains administrative errorsInitiator: Ronda Daflucas

MRFF:

W mailed BVY 03-70, 7131103, overnight to Bob Pulsifer. On 8/1103, prior to mailing the original to the DCD, I verified the pages of the calculations.

Following are the errors that were found when packaging the AST submittal for mailing this moming. Bob Pulsifer's copy was mailed out 7/31103prior to Identification of these minor packaging errors.

1. Post LOCA Suppression Pool pH - Non-Proprietary version: last page is *page 15 of 19.' Pages 16 thru 19 were Intentionally deleted, since theyprovided Exhibits 1-4, which were proprietary. Therefore, on the bottom of page 15 of 19, I wrote, 'Thus, pages 16 thru 19 are not provided."Replaced page 15 of 19 with the attached replacement page..

2. Calc VYC 2312, Post LOCA Drywell High Range Monitor Response..., pages 190,191, and 192 were duplicated. We removed these duplicatedpages. Removed these duplicated pages from Pulsifer's copy.

3. Radiological Evaluation of a DBA LOCA, Proprietary Version: Between pages 56 and 57, there Is an unnumbered figure, Inadvertently Inserted Ina few of the copies. This figure was removed, as It is not part of the submittal.

On August 12. the NRR PM, Bob Pulsifer phoned me with Identification of additional errors. His copy (the copy that was sent out after 6 pm 7/31/03to make the deadline) was missing both the non-proprietary and proprietary versions of one of the calcs. He was able to get the caics from DCD.The NRR reviewer noticed In a quick page-through that the appendices in cabc QA06 are labeled 0A05. We are still attempting to get resolution onthis matter from the contractor, Pulstar.

Affected Systems / Enuipment

The number of administrative errors that occurred with the AST submittal is unacceptable.

Licensing should ensure that submittals to the NRC are complete and correct prior to mailing.

Assigned To Level Comments-

Monday, August 18, 2003 Unscreened Event Reports Page 3 of 7Monday, August 18, 2003 Unscreened Event Reports Page 3 of 7

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Initiated I- 308/15/2 003

ACCESS TO MEDICAL RECORDS NOT BEING STORED IN ACCORDANCEWITH PRIVACY ACT REQUIREMENTS

20031766 Affected Systems / Eguipment

Initiator Steve DiMauro

MRFF:

Recent revision to 45 CFR 160, 162 and 164, Health Insurance Portability and Accountability Act of 1996 (HIPM),' (commonly known as thePrivacy Act) requires the security of protected health information while In the custody of entities covered by HIPAA. Entergy fleet-wde policy on thesubject embraces the HIPM standards.Contrary to the guidance as stated, NDE personnel medical records (e. g. eye exams) submitted to the Records Information Management System(RIMS) are not being controlled to limit access.

Assigned To Level Comments

Initiated Od/16/2003,-.

20031767 SYSTEM READS "LOST TEST CARD AS "UNAUTHORIZED Affected Systems / Equipment

Initiator BRIAN LECLAIRE SECURITY EQUIPMENT

MRFF: CPU-I 16-A COMPUTER

THE SECURITY COMPUTER READS THE LOST TEST CARD AS UNAUTHORIZED. THIS MAY CAUSE A CARD THAT IS MARKED ASLOST TO BE MISTAKEN FOR AN UNAUTHORIZED CARD.

Assigned To Level Comments

20031768 rds-1000 level control system failure Affected Systems / Equipment

Initiator! Walter [ Scott ] Beane RADWASTE LIQUID & SOLID

MRFF: RDS-I000-l 0 CABINET

during system startupthe level Indicating system was erratic,not alkyMng the completion of the procedure. levels 1 thru 4 were in and out with hi-hilevel in 90% of the time.

Assigned To Level Comments

Monday. August 18; 2003 Unscreened Event Repats Page 4 of 7

Monday, August18, 2003 Unscreened Event Reports Page 4of 7

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Initiated 108/176/2003

20031769 410 gate openingInitiator: Lance Barton

MRFF:

At 1330 a Secuirty Officer was doing a routine gate opening at the main vehicle access gate. The first gate Is controled by a electric motor andwas opened for him. The secound outside gate is controled by pushing it open manually. In doing this the officer pushed the gate open and wMen itreached the end of its run It bounced back at him. The officer again pushed it open. He then turned to open the the vehicle barrier gate with his backto the sliding gate. The vehicle barrier gate takes a hard pull to get it to initially move. As the officer tugged and started walking with the barrier therolring outer gate started to roll close and the officers left wrist became pinched between the vehicle barrier and the rolling gate. The pain from injurycaused the officer to become light headed. A medical emergency was called and the officer was looked at. The officer refused medical treatment andwas given a Icepack and water. A non motorized gate with no locking device in the open position were contributing factors to this accident.

Affected Systems / Equipment

Assigned To Level Comments

InitiatedxI 1,08 /I7/ 2 0 03- a ..N : 1 , I' .:f %' A' '- . -H -H I-.

I.a-. 08.1 /.00S

20031770 'A' and 'B' Demister Gage Glass Dirty

Initiator JONATHAN PICARD

MRFF:

Affected Systems / Equipment

STANDBY GAS TREATMENT

SBGT-IA

SBGT-l B

SKID

SKID

During AO rounds on 8116/03, the A and B Standby Gas Demister Gage Glass Is dirty. The level Is still readable, but they need to be cleaned.Shift Manager was notified and this Is not an operablility concern. Work Requests have been written.

Assigned To Level Comments

20031771 Fire Detection Panel Trouble. Affected Systems / Equipment

Initiator TOM SCHULTZ FIRE PROTECTION

MRFF: CP-l15-10 PANEL

During AO rounds In the Reactor bldg. a dim zone 4 trouble light was found lit, It was not enough to bring in the control room or reactor buildingtrouble alarms. The system engineer and I & C were notified and an hourly fire watch established per the TRM. WOR #03-058705 was initiated.

Assigned To Level Comments

Mondy. ugut 1.200 UncrenedEvet Reort Pae 5of

Monday, August 18.2003 Unscreened Event Reports Page5 of 7

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Initiated Ax

20031772 Loss of Downstream River Temperature IndicationInitiator BRIAN MCNUTr

MRFF*

ERFIS PTID M037 (Downstream River Temperature) has failed.

Assigned To . Level Comments

Affected Svstems / Equipment

MISC COMPUTER & ERFIS

950-lO COMPUTER

Monday, August 18, 2003 Unscreened Event Repouis Page 6 of 7

Monday, Augustl18, 2003 Unscreened Event Reports Page 6of 7

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ER # EventTitle Lesson-Learned Type Level Resp Dept/ Comments

20031758 Lack of Controlled Procedure Form Electronic Files creates a Human Perrormance Trap

20031760 Oxygen Injection System shut down results in Action level I condition for Feedwaterdissolved oxygen

20031762 Employee Stung By Bee

20031763 Minor Discrepancy on Control Room HVAC Chiller (SCH-l)Control SchematicDrawing

20031764 Breaker 3V4 control power fuse size in OP 3126 and fuse list are different.

20031765 NRR correspondence contains administrative errors

20031766 ACCESS TO MEDICAL RECORDS NOT BEING STORED IN ACCORDANCEWITHl PRIVACY ACT REQUIREMENTS

20031767 SYSTEM READS LOST TEST CARD AS "UNAUrHORIZED

2003176S

20031769

20031770

20031771

20031772

rds-1000 level control system failure

410 gate opening

'A' and 'B' Demister Gage Glass Dirty

Fire Detection Panel Trouble.

Loss of Downstream River Temperature Indication

Monday. August 18.2003 Unscroened Event Reports Page 7 of 7

Monday, August 18, 2003 Unscreened Event Reports Page 7 of 7

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Pelton, David

From: Pelton, DavidSent: Monday, August 18, 2003 8:17 AMTo: '[email protected]: FW: River Report 08-18-03

Bob,

I've attached today's VY ER summary which includes ER 03-1765 regarding administrative errors made by the licenseein a recent submittal to NRR.

Dave Pelton

-Original Message----From: Taylor, JimSent: Monday, August 18, 2003 07:10To: VTY_River Report ReadersSubject: River Report 08-18-03

River Report08-18-03.pdf (32

1

Page 10: E-mail from D. Pelton of US NRC to R. Pulsifer of US NRC, … · 2012. 11. 19. · 1. Post LOCA Suppression Pool pH -Non-Proprietary version: last page is *page 15 of 19.' Pages 16

As the River Flows

Date: Unscreened ERs (Sat/Unsat)

Start Time: Finish Time:

Goals:

Primary Objectives

Quality, Consistency, Efficiency and Formality:

Validate or initiate initial notification andreviews, BMO requirements, reportability/further review required and event level.

* End of meeting considerations:

(F) Formality (NN)(SC) Status Control (WB)(RTG) Risk to Generation (RW)(OB) Obsolescence (AW)(ODMI) Oper Decision Making (CM)(RM) Reactivity Mgmt (IS)

Nuclear Network EntryWhite BoardReworkAdverse WeatherChange ManagementIndustrial Safety

Upcomina Due ER's

Date #Mon- 0818/2003 1

Wed -08/20/2003 8

Thuu-08/21/2003 5

Fri - 08/22/2003 4

Sat - o23/2003 5

Total 23

* Message of the Day: ( to be determined daily) * Action Item Review: (when applicable)

Initiated 8 2 i3

20031758 Lack of Controlled Procedure Form Electronic Files creates a HumanPerformance Trap

Initiator: Mark Castronova

MRFF:

Individuals are expected to utilize electronic procedure forms while performaning thler job assignments. While there are controlled electronic fies forprocedures. which include procedure forms, these are read only and do not allow the user to utilize the procedure forms to perform workelectronically. Individual users/groups can (and do) obtain electronic procedure forms from the uncontrolled MS WORD electronic procedure files.These forms can be utilized after conflrming they match the current revision of the controlled procedure.

However, there have been Instances where indMiduals have performed work utilizing the wrong revision of electronic procedure forms. Creating andmaintaining controlled procedure forms In electronic format would eliminate this Human Performance Trap.

Affected Systems I Equipment

Assigned To Level Comments

Monday, August 18, 2003 Linscreened Event Reports Page 1 of 7

Monday, August 18, 2003 Unscreened Event Reports Page I of 7

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Initiated

Oxygen Injection System shut down results in Action level I condition forFeedwater dissolved oxygen

20031760 Affected Systems / Eguipment

Initiator: Richard Gerdus

MRFF:

At approxdmately 1630 the oxygen injection system tripped off-line resulting in a decrease in condensate and feedwater D.O. to approxdmately 17 ppb.The problem was noticed in the control room based on fluctuations with the D.O. recorder. A Chemistry technician reset the Oxygen Injection Systemat 1950 at which time Feedwater dissolved oxygen was restored to >30 ppb. Note: Per the EPRI Water Chemistry Guidelines, Action Level 1 forfeedwater D.O. is entered when dissolved oxygen Is <30 ppb..

FEEDWATER

Assiuned To Level Comments

20031762 Employee Stung By Bee Affected SystemsI Equipment

Initiator: LINDA TORUNSKI

MRFF:

A bee crawled into the shoe of an employee, whle the employee was working at her workstation. The bee was then extemminatedl An ice pack wasapplied to the sting.

Assigned To Level Comments

20031763 Minor Discrepancy on Control Room HVAC Chiller (SCH-1) Control Affected SystemsI EquipmentSchematic Drawing

Initiator: Michael Smaga HEAT VENT & AIR CONDITION

MRFF: SCil-I CHILLER

While reviewing drawing 5920-11064, Rev.0, Control Rooom HVAC Chiller (SCH-11) Control Schematic, it was discovered that on the drawing Note14 referenced terminal board TB4.4 when it should reference T84-5. The the description in the notes reference the correct terminal as shown onCWD 1368.

This is a documentation issue and is not an equipmemnt operability issue.

Assigned To Level Comments

Mody Auus 18 203_ocendEet eot ae2oMonday, August 18, 2003 Unscreened Event Reports Page 2 of 7

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Initiated

20031764

Initiator JIM

08/15/20

Breaker 3V4 control power fuse size in OP 3126 and fuse list are different.TAYLOR

Affected Systems / Etiupment

4K VOLTS AC ELECTRICAL125 VOLTS DC ELECTRICAL

BUS-3-2 CUBICLEMRFF:

Procedure OP 3126 Rev.16 Apendix E page 5 directs replacement of 4 KV SWGR control fuse by installing 15 amp fuses for the close circuits and35 amp fuses for the trip circuits. The switchgear Control circuit fuse selection verification list shows the fuses for breaker 3V4 (8 are listed) as sizeNON-15. CWD 325 shows the fuses as 15 amp fuses.MM 98-033 Installed 15 amp fuses In the affected circuit for breaker coordination. WO 02-001742-000 verified that the proper fuses were Installedunder MM 98-033. Refer to attached e-mail for System Engineering operability assessment.

Assigned To Level Comments

20031765 NRR correspondence contains administrative errorsInitiator Ronda Daflucas

MRFF:

VY mailed BVY 03-70, 7/31/03, overnight to Bob Pulsifer. On 8/1103, prior to mailing the original to the DCD, I verified the pages of the calculations.

Following are the errors that were found when packaging the AST submittal for mailing this morning. Bob Pulsifer's copy was mailed out 7/31/03prior to Identification of these minor packaging errors.

1. Post LOCA Suppression Pool pH - Non-Proprietary version: last page Is 'page 15 of 19. Pages 16 thru 19 were Intentionally deleted, since theyprovided Exdhibits 1-4, which were proprietary. Therefore, on the bottom of page 15 of 19, I wrote, "Thus, pages 16 thru 19 are not provided."Replaced page 15 of 19 with the attached replacement page.

2. Cat VYC 2312, Post LOCA Drywell High Range Monitor Response.... pages 190, 191, and 192 were duplicated. We removed these duplicatedpages. Remoeed these duplicated pages from Pulsifer's copy.

3. Radiological Evaluation of a DBA LOCA, Proprietary Version: Between pages 56 and 57, there Is an unnumbered figure, inadvertently inserted Ina few of the copies. This figure was removed, as it Is not part of the submittal.

On August 12, the NRR PM, Bob Pulsifer phoned me with Identification of additional errors. His copy (the copy that was sent out after 6 pm 7/31/03to make the deadline) was missing both the non-proprietary and proprietary versions of one of the cabcs. He was able to get the caics from DCD.The NRR reviewer noticed in a quick page-through that the appendices In calc 0A06 are labeled QA05. We are still attempting to get resolution onthis matter from the contractor, Pulstar.

The number of administrative errors that occurred with the AST submittal Is unacceptable.

Licensing should ensure that submittals to the NRC are complete and correct prior to mailing.

Assigned To Level Comments

Affected Systems / Equipment

Mody Auut1.20_ncend vn eot

ae3o

Monday. August 18, 2003 Unscreened Event Reports Page 3 of 7

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Initiated 08/15/2003

20031766 ACCESS TO MEDICAL RECORDS NOT BEING STORED IN ACCORDANCEWITH PRIVACY ACT REQUIREMENTS

Initiator: Steve DiMauro

MRFF :

Recent revision to 45 CFR 160, 162 and 164, Health Insurance Portability and Accountability Act of 1996 (HIPM), (commonly known as thePrivacy Act) requires the security of protected health information while In the custody of entities covered by HIPM. Entergy fleet-wide policy on thesubject embraces the HIPAA standards.Contrary to the guidance as stated, NDE personnel medical records (e. g. eye exams) submitted to the Records Information Management System(RIMS) are not being controlled to limit access.

Assigned To Level Comments

Affected Systems / Equipment

Initiated

20031767 SYSTEM READS "LOST TEST CARD AS "UNAUTHORIZED Affected Systems Equipment

Initiator BRIAN LECLAIRE SECURITY EQUIPMENT

MRFF: CPU-I 16-A COMPUTER

THE SECURITY COMPUTER READS THE LOST TEST CARD AS 'UNAUTHORIZED. THIS MAY CAUSE A CARD THAT IS MARKED ASLOST TO BE MISTAKEN FOR AN UNAUTHORIZED CARD.

Assigned To Level Comments

20031768 rds-1000 level control system failure Affected Systems I Equipment

Initiator Walter [ Scott ] Beane RADWASTE LIQUID & SOLID

MRFF: RDS-1000-10 CABINET

during system startup,the level indicating system was erratic,not allaMng the completion of the procedure. levels 1 thru 4 were In and out with hi-hilevel In 90% of the time.

Assigned To Level Comments

Monday, August 18, 2003 Unscreened Event Reports Page 4 of 7Monday, August 18, 2003 Unscreened Event Reports Page 4 of 7

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Initiated :62 08/16/200320031769 410 gate openingInitiator Lance Barton

MRFF :

At 1330 a Secuirty Officer was doing a routine gate opening at the main vehicle access gate. The first gate is controled by a electric motor andwas opened for him. The secound outside gate Is controled by pushing It open manually. In doing this the officer pushed the gate open and when Itreached the end of its run It bounced back at him. The officer again pushed It open. He then turned to open the the vehicle barrier gate with his backto the sliding gate. The vehicle barrier gate takes a hard pull to get it to Initially move. As the officer tugged and started walking with the barrier therolling outer gate started to roll close and the officers left wrist became pinched between the vehicle barrier and the rolling gate. The pain from Injurycaused the officer to become light headed. A medical emergency was called and the officer was looked at. The officer refused medical treatment andwas given a Icepack and water. A non motorized gate with no locking device in the open position were contributing factors to this accident.

Affected Systems / Equinment

Assigned To Level Comments

Initiated �2K�o871742fio3 �20031770 'A' and 'B' Demister Gage Glass DirtyInitiator: JONATHAN PICARD

MRFF:

Arrected Systems / Equipment

STANDBY GAS TREATMENT

SBGT-IASBGT-I B

SKID

SKID

During AO rounds on 8116/03, the A and B' Standby Gas Demister Gage Glass is dirty. The level Is still readable, but they need to be cleaned.Shift Manager was notified and this is not an operablility concern. Work Requests have been written.

Assigned To Level Comments

20031771 Fire Detection Panel Trouble. Affected Systems / Equipment

Initiator: TOM SCHULTZ FIRE PROTECTION

MRFF: . CrI 15-10 PANEL

During AO rounds in the Reactor bldg. a dim zone 4 trouble light was found lit. It was not enough to bring In the control room or reactor buildingtrouble alarms. The system engineer and I & C were notified and an hourly fire watch established per the TRM. WOR #03-058705 was initiated.

Assigned To Level Comments

Monday,~~~~~~ ~ ~ ~ ~ ~ ~ Auut1,20_isree vn eot ae5o

Monday, August 18, 2003 Unscreened Event Reports Page5 of7

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f V' �

Initiated O8 203

20031772 Loss of Downstream River Temperature IndicationInitiator: BRIAN MCNUI1T

MRFF:

ERFIS PTID M037 (Downstream River Temperature) has failed.

Assigned To Level Comments

Affected Systems / Equipment

MISC COMPUTER & ERFIS

950-10 COMPUrER

Monday. August 18. 2003 Unscreened Event Reports Page 6 of 7Monday, August 18, 2003 Unscreened Event Reports Page 6 of 7

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ER # EventTitle Lesson-Learned Type Level Resp Deot/ Comments

20031758 Lack of Controlled Procedure Form Electronic Files creates a Human Performance Trap

20031760 Oxygen Injection System shut down results in Action level I condition for Feedwaterdissolved oxygen

20031762 Employee Stung By Bee

20031763 Minor Discrepancy on Control Room HVAC Chiller (SCH-1) Control SchematicDrawing

20031764 Breaker 3V4 control power fuse size in OP 3126 and fuse list are different.

20031765 NRR correspondence contains administrative errors

20031766 ACCESS TO MEDICAL RECORDS NOT BEING STORED IN ACCORDANCEWITH PRIVACY ACT REQUIREMENTS

20031767

20031768

20031769

20031770

20031771

20031772

SYSTEM READS "LOST TEST CARD AS UNAUIIIORIZED

rds-1000 level control system failure

410 gate opening

'A' and 'B' Demister Gage Glass Dirty

Fire Detection Panel Trouble.

Loss of Downstream River Temperature Indication

Monday, August 18.2003 Unscreerted Event Reports Page 7 of 7Monday, August 18, 2003 Unscreened Event Reports Page 7of 7