Event Notification Report for January 23, 2001

                    U.S. Nuclear Regulatory Commission
                              Operations Center

                              Event Reports For
                           01/22/2001 - 01/23/2001

                              ** EVENT NUMBERS **

37636  37674  37675  37676  

!!!!!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED  !!!!!!!
+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   37636       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: QUAD CITIES              REGION:  3  |NOTIFICATION DATE: 12/27/2000|
|    UNIT:  [1] [] []                 STATE:  IL |NOTIFICATION TIME: 18:03[EST]|
|   RXTYPE: [1] GE-3,[2] GE-3                    |EVENT DATE:        12/27/2000|
+------------------------------------------------+EVENT TIME:        13:30[CST]|
| NRC NOTIFIED BY:  JEFFREY EASLEY               |LAST UPDATE DATE:  01/22/2001|
|  HQ OPS OFFICER:  FANGIE JONES                 +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          N/A                   |PATRICK HILAND       R3      |
|10 CFR SECTION:                                 |                             |
|AIND 50.72(b)(2)(iii)(D) ACCIDENT MITIGATION    |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR|   INIT RX MODE  |CURR PWR|  CURR RX MODE   |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|1     N          Y       100      Power Operation  |100      Power Operation  |
|                                                   |                          |
|                                                   |                          |
+------------------------------------------------------------------------------+
                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| HIGH PRESSURE CORE INJECTION (HPCI) SYSTEM DISCOVERED INOPERABLE             |
|                                                                              |
| "On 12/27/00 at 1330 hours QCOS 2300-09 (U-1 HPCI Vent Verification) was in  |
| progress following QCOS 2300-11 (CCST/Torus Level Switch Functional          |
| Testing). During the process of vent verification of the U-1 HPCI system,    |
| the vent valves were open approximately 6.5 minutes prior to receiving water |
| through the vent lines; the U-1 HPCI system was found inoperable.            |
| Performance acceptance criteria of QCOS 2300-09 states that venting times    |
| >40 seconds could he construed as a preconditioning action per NRC IN 97-16  |
| and as such the U-1 HPCI system possibly could not have performed its'       |
| safety function prior to the venting that took place on 12/27/00 at 1330.    |
| The last successful vent of the U-1 HPCI system was completed on 11/30/00.   |
| An investigation is underway to try to determine the time of the loss of     |
| fill and the cause. This 4-hour ENS notification is being made in accordance |
| with 10 CFR 50.72(b)(2)(iii)(D)."                                            |
|                                                                              |
| The licensee notified the NRC Resident Inspector.                            |
|                                                                              |
| * * * UPDATE 2052EST ON 1/22/01 FROM MIKE MacLENNAN TO S. SANDIN * * *       |
|                                                                              |
| The licensee is retracting this report based on the following:               |
|                                                                              |
| "This is a retraction of the ENS call made on 12/27/00, event #37636,        |
| concerning the inoperability of the Unit One HPCI system due to an           |
| inadequate fill and vent of the pump discharge line.                         |
|                                                                              |
| "We have completed our evaluation and have determined that HPCI would have   |
| successfully injected coolant to the reactor if the system was initiated in  |
| response to a LOCA."                                                         |
|                                                                              |
| The licensee informed the NRC resident inspector.  Notified R3DO(Creed).     |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Hospital                                         |Event Number:   37674       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG:  WATERBURY HOSPITAL                   |NOTIFICATION DATE: 01/22/2001|
|LICENSEE:  WATERBURY HOSPITAL                   |NOTIFICATION TIME: 16:22[EST]|
|    CITY:  WATERBURY                REGION:  1  |EVENT DATE:        01/18/2001|
|  COUNTY:                            STATE:  CT |EVENT TIME:        16:00[EST]|
|LICENSE#:  06-02406-01           AGREEMENT:  N  |LAST UPDATE DATE:  01/22/2001|
|  DOCKET:                                       |+----------------------------+
|                                                |PERSON          ORGANIZATION |
|                                                |STEVEN DENNIS        R1      |
|                                                |ERIC LEEDS           NMSS    |
+------------------------------------------------+                             |
| NRC NOTIFIED BY:  GERALD RANDALL               |                             |
|  HQ OPS OFFICER:  STEVE SANDIN                 |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          N/A                   |                             |
|10 CFR SECTION:                                 |                             |
|NINF                     INFORMATION ONLY       |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+------------------------------------------------------------------------------+

                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| TREATMENT INVOLVING I-131 TO PREGNANT FEMALE                                 |
|                                                                              |
| In August of 2000, a female patient received 12.15 millicuries I-131 as      |
| prescribed for hyperthyroidism.  The patient when questioned did not         |
| disclose that she was pregnant at the time.  The licensee in discussion with |
| Region I (Shanbaky) on 1/19 was requested to make a voluntary notification   |
| with a written followup report.                                              |
|                                                                              |
| Hoo Note:  Region I issued PNO-I-01-002 to address this report.              |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   37675       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: COOK                     REGION:  3  |NOTIFICATION DATE: 01/22/2001|
|    UNIT:  [] [2] []                 STATE:  MI |NOTIFICATION TIME: 16:35[EST]|
|   RXTYPE: [1] W-4-LP,[2] W-4-LP                |EVENT DATE:        01/22/2001|
+------------------------------------------------+EVENT TIME:        14:05[EST]|
| NRC NOTIFIED BY:  LEE JOHNSON                  |LAST UPDATE DATE:  01/22/2001|
|  HQ OPS OFFICER:  STEVE SANDIN                 +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          N/A                   |JAMES CREED          R3      |
|10 CFR SECTION:                                 |                             |
|ASHU 50.72(b)(1)(i)(A)   PLANT S/D REQD BY TS   |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR|   INIT RX MODE  |CURR PWR|  CURR RX MODE   |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|                                                   |                          |
|2     N          Y       100      Power Operation  |96       Power Operation  |
|                                                   |                          |
+------------------------------------------------------------------------------+
                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| UNIT 2 COMMENCED A UNIT SHUTDOWN FOLLOWING A FAILURE OF ROD POSITION         |
| INDICATION DURING SURVEILLANCE TESTING                                       |
|                                                                              |
| During control rod exercise surveillance testing, shutdown bank "C"          |
| indication failed to respond to rod motion.  Tech Sec 3/4.1.3.1 action b was |
| entered which requires that the unit be placed in mode 3 (Hot Standby)       |
| within 6 hours.  The licensee commenced a shutdown and anticipates having    |
| Unit 2 offline by 1900 hours.  The licensee informed the NRC resident        |
| inspector.                                                                   |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   37676       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: NORTH ANNA               REGION:  2  |NOTIFICATION DATE: 01/23/2001|
|    UNIT:  [1] [] []                 STATE:  VA |NOTIFICATION TIME: 02:24[EST]|
|   RXTYPE: [1] W-3-LP,[2] W-3-LP                |EVENT DATE:        01/23/2001|
+------------------------------------------------+EVENT TIME:        01:46[EST]|
| NRC NOTIFIED BY:  JOHN VOISSEM                 |LAST UPDATE DATE:  01/23/2001|
|  HQ OPS OFFICER:  FANGIE JONES                 +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          UNU                   |RUDOLPH BERNHARD     R2      |
|10 CFR SECTION:                                 |JOHN HANNON          NRR     |
|AAEC                                            |JOSEPH GIITTER       IRO     |
|                                                |BELCHER              FEMA    |
|                                                |                             |
|                                                |                             |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR|   INIT RX MODE  |CURR PWR|  CURR RX MODE   |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|1     N          Y       100      Power Operation  |100      Power Operation  |
|                                                   |                          |
|                                                   |                          |
+------------------------------------------------------------------------------+
                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| UNUSUAL EVENT DECLARED ON LOSS OF ALL ANNUCIATORS FOR GREATER THAN 15        |
| MINUTES                                                                      |
|                                                                              |
| The licensee was conducting daily light checks of annuciators when they did  |
| not clear when the test signal was reset.  The declaration of Unusual Event  |
| was made at 0146 EST in accordance with the Emergency Action Level procedure |
| and entry was also made into the abnormal procedure for the loss of          |
| annuciators.                                                                 |
|                                                                              |
| The plant computer was still available for alarm monitoring and 2 operators  |
| were placed at the control panels for close monitoring of plant conditions.  |
| The plant was maintained at stable conditions.  The watch stations outside   |
| of the control room were augmented to provide additional monitoring of       |
| outside control panel alarms which would not be received in the control      |
| room.  Electricians and Instrumentation Technicians have started             |
| investigating the problem.                                                   |
|                                                                              |
| The licensee notified the NRC Resident Inspector and the state and local     |
| authorities.                                                                 |
|                                                                              |
| * * * UPDATED AT 0242 EST ON O1/23/01 BY JOHN VOISSEM TO FANGIE JONES * * *  |
|                                                                              |
|                                                                              |
| The Unusual Event was terminated at 0237 EST.  The alarm lights cleared on   |
| their own and subsequent test of alarm function was satisfactory.            |
| Additional personnel are in transit to the site to conduct further testing.  |
|                                                                              |
| The licensee will notify the NRC Resident Inspector as well as state and     |
| local authorities.  Notified the R2DO (Rudolph Bernhard), NRR EO ( John      |
| Hannon), IRO Manager (Joseph Giitter), and FEMA (Belcher).                   |
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