Event Notification Report for May 2, 2001
U.S. Nuclear Regulatory Commission
Operations Center
Event Reports For
05/01/2001 - 05/02/2001
** EVENT NUMBERS **
37902 37956 37957
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|Power Reactor |Event Number: 37902 |
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| FACILITY: CRYSTAL RIVER REGION: 2 |NOTIFICATION DATE: 04/09/2001|
| UNIT: [3] [] [] STATE: FL |NOTIFICATION TIME: 11:08[EDT]|
| RXTYPE: [3] B&W-L-LP |EVENT DATE: 04/09/2001|
+------------------------------------------------+EVENT TIME: 09:54[EDT]|
| NRC NOTIFIED BY: RICHARD SWEENEY |LAST UPDATE DATE: 05/01/2001|
| HQ OPS OFFICER: STEVE SANDIN +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: N/A |CAUDLE JULIAN R2 |
|10 CFR SECTION: | |
|*PRE 50.72(b)(2)(xi) OFFSITE NOTIFICATION | |
| | |
| | |
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+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|3 N Y 100 Power Operation |100 Power Operation |
| | |
| | |
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EVENT TEXT
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| OFFSITE NOTIFICATION TO THE NATIONAL MARINE AND FISHERIES SERVICE AS A |
| RESULT OF THE ENDANGERED SEA TURTLES NON-LETHAL TAKE LIMIT BEING EXCEEDED |
| |
| "On April 09, 2001 at 0940 the 40th non-lethal sea turtle take in the |
| biennial period occurred. |
| |
| "In accordance with Crystal River Unit #3 Operating License, Appendix B, |
| Environmental Protection Plan (Non-Radiological), 'Endangered or threatened |
| sea turtles shall be protected in accordance with the Incidental Take |
| Statement issued by the National Marine and Fisheries Service (NMFS).' The |
| NMFS has established numerical limits on live takes, lethal takes causally |
| related to plant operation, and lethal takes not related to plant |
| operations. |
| |
| "The NMFS must be notified within five days whenever: |
| |
| a. The 40th non-lethal take occurs in the biennial period, or |
| b. The third causally related mortality occurs in the biennial period, or |
| c. The sixth non-causally related mortality occurs in the biennial |
| period. |
| |
| "The current biennial period for monitoring sea turtle takes began January |
| 1, 2001. |
| |
| "Thus, in accordance with Crystal Unit #3 Administrative Instruction 571, |
| Sea Turtle Rescue and Handling Guidance, the NMFS must be notified within |
| five days. |
| |
| "In accordance with Crystal River Unit #3 Compliance Procedure 151, External |
| Reporting Requirements, this 40th non-lethal sea turtle take is Reportable |
| as a 4-Hour Report under 10 CFR 50.72(b)(2)(xi) as this event is related to |
| the protection of the environment for which a notification to other |
| government agencies has been or will be made." |
| |
| The licensee will inform the NRC resident inspector. |
| |
| * * * UPDATE 0944EDT ON 4/10/01 FROM R. SWEENEY TO S. SANDIN * * * |
| |
| "On April 10, 2001 at 0859 the 41st non-lethal sea turtle take in the |
| biennial period occurred." |
| |
| The licensee informed the NRC resident inspector. Notified R2DO(Julian). |
| |
| ***** UPDATE RECEIVED AT 0911 ON 04/17/01 FROM CHRISTOPHER PELLERIN TO LEIGH |
| TROCINE ***** |
| |
| The 42nd, non-lethal, sea turtle take in the biennial period occurred at |
| 0810 on April 17, 2001. |
| |
| The licensee notified the NRC resident inspector. The NRC operations |
| officer notified the R2DO (Ernstes). |
| |
| * * * UPDATE 1125 EDT ON 5/1/01 FROM DAVID SCHULKER TO FANGIE JONES * * * |
| |
| "On May 1, 2001 at 0805 a turtle was identified as the 43rd rescued, live |
| sea turtle in this biennial period. This sea turtle will be kept for a |
| short observation period and then safely returned to the environment." |
| |
| The licensee will inform the NRC Resident Inspector and the National |
| Wildlife and Fisheries Service. Notified R2DO(Jay Henson). |
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|Hospital |Event Number: 37956 |
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| REP ORG: HAMOT MEDICAL CENTER |NOTIFICATION DATE: 05/01/2001|
|LICENSEE: HAMOT MEDICAL CENTER |NOTIFICATION TIME: 14:28[EDT]|
| CITY: ERIE REGION: 1 |EVENT DATE: 04/26/2001|
| COUNTY: STATE: PA |EVENT TIME: 15:00[EDT]|
|LICENSE#: 37-00444-02 AGREEMENT: N |LAST UPDATE DATE: 05/01/2001|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |HAROLD GRAY R1 |
| |FREDERICK STURZ NMSS |
+------------------------------------------------+ |
| NRC NOTIFIED BY: DR. LEONARD COOVER | |
| HQ OPS OFFICER: STEVE SANDIN | |
+------------------------------------------------+ |
|EMERGENCY CLASS: N/A | |
|10 CFR SECTION: | |
|LADM 35.33(a) MED MISADMINISTRATION | |
| | |
| | |
| | |
| | |
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EVENT TEXT
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| PATIENT RECEIVED ONLY 110 OF THE 150 MILLICURIES I-131 PRESCRIBED DUE TO |
| TECHNICIAN ERROR |
| |
| A patient undergoing treatment for thyroid cancer was prescribed a dose of |
| 150 millicuries of I-131. The nuclear pharmacy dispensed the dose in three |
| capsules which was confirmed by assay at the hospital. The technician |
| administered the dose at approximately 1500EDT on Thursday, 4/26. The empty |
| container was returned to the nuclear pharmacy on Friday, 4/26. Upon |
| inspection of the returned container on Monday, 4/30, pharmacy personnel |
| found a capsule containing approximately 40 millicuries I-131 stuck inside. |
| The on-staff radiologist and patient were informed. The patient will be |
| monitored for the next six months and a decision involving any additional |
| treatment will be made at that time. The prescribing physician will be |
| informed of the misadministration by the radiologist. The administering |
| technician was administratively disciplined and the issue of delivering dose |
| will be addressed as a training item. |
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|Power Reactor |Event Number: 37957 |
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| FACILITY: WATERFORD REGION: 4 |NOTIFICATION DATE: 05/01/2001|
| UNIT: [3] [] [] STATE: LA |NOTIFICATION TIME: 20:22[EDT]|
| RXTYPE: [3] CE |EVENT DATE: 05/01/2001|
+------------------------------------------------+EVENT TIME: 17:00[CDT]|
| NRC NOTIFIED BY: GORDON PICKERING |LAST UPDATE DATE: 05/01/2001|
| HQ OPS OFFICER: STEVE SANDIN +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: N/A |GAIL GOOD R4 |
|10 CFR SECTION: | |
|*UNA 50.72(b)(3)(ii)(B) UNANALYZED CONDITION | |
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| | |
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+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|3 N Y 100 Power Operation |100 Power Operation |
| | |
| | |
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EVENT TEXT
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| UNANALYZED CONDITION DUE TO INADEQUATE FIRE PROTECTION INVOLVING POWER |
| SUPPLIES FOR EDG FUEL OIL TRANSFER PUMPS |
| |
| "During a review of the site Appendix R program, W3 [Waterford 3] |
| Engineering personnel discovered that the power supplies to both of the |
| Emergency Diesel Generator Fuel Oil Transfer Pumps were not protected in |
| accordance with 10CFR 50 Appendix R. The 480V power cables for both trains |
| were found unprotected in Fire Area RAB 27. A fire in this room could |
| potentially damage both Emergency Diesel Generator Fuel Oil Transfer Pumps |
| power supply cables and would then impact the amount of time the Emergency |
| Diesel Generators could operate. Due to the fire barriers missing on the |
| above equipment and not providing the required amount of separation of safe |
| shutdown trains, this condition is considered an unanalyzed condition that |
| significantly degrades plant safety. This condition is reportable under |
| 10CFR50.72(b)(3)(ii)(B) as an unanalyzed condition that significantly |
| degrades plant safety. |
| |
| "As a compensatory action fire watches have been established for the |
| affected area in accordance with the site Technical Requirements Manual." |
| |
| The licensee informed the NRC resident inspector. |
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