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 I w
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 4,~, " , , e"T.., I w,-- -.W141V , ", r. 1, -w
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 : ENS 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 IN 89-89 December 26, 1989 USNAC OPERATIONS
CENTER e s w 1z"s*ereT n"- I"nsu-ssns
--I., 1_... -.. I ------I----..--
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 Iodine 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 MAIN STEAM LINE 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 IN 89-89 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.OL
- Operating
License CP
- 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