United States Nuclear Regulatory Commission - Protecting People and the Environment

Event Notification Report for June 2, 2011

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
06/01/2011 - 06/02/2011

** EVENT NUMBERS **


46895 46907 46909

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Agreement State Event Number: 46895
Rep Org: NEW YORK STATE DEPT. OF HEALTH
Licensee: NOT PROVIDED
Region: 1
City: NOT PROVIDED State: NY
County:
License #: NOT PROVIDED
Agreement: Y
Docket:
NRC Notified By: ROBERT SNYDER
HQ OPS Officer: HOWIE CROUCH
Notification Date: 05/26/2011
Notification Time: 14:29 [ET]
Event Date: 01/01/2005
Event Time: [EDT]
Last Update Date: 05/26/2011
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
GLENN DENTEL (R1DO)
ANGELA MCINTOSH (FSME)

Event Text

AGREEMENT STATE REPORT - DOSE ADMINISTERED >20% DIFFERENT FROM PRESCRIBED DOSE

The following information was provided by the State of New York via email:

"A patient was prescribed 11 mCi of Iodine-131 for hyperthyroidism but received 7 mCi. Discovered during routine NYS DOH [New York State Department of Health] inspection on 10/18/2007. DOH staff reviewed a memo from the physicist to the RSO discussing the event, but their concern was only that the expiration date on the capsule was 12/28/04 (consultation with the pharmacy after the fact indicated that it was still acceptable to us this dose). A 'left-over' capsule from the previous week (15 mCi on 12/27/2004) with activity of 7 mCi on 01/01/2005 was administered to a patient who was prescribed 11 mCi with the permission of the RSO. Additional dose was ordered and an additional 4 mCi was administered the following day so they RSO did not think it was a misadministration. Follow-up letter from RSO concluded that there was no adverse effect on the patient. Corrective actions included changing procedures and staff training on proper course of action to take in the future and incident reporting requirements. Incident is closed."

New York Report Id No.: NY-11-09

A Medical Event may indicate potential problems in a medical facility's use of radioactive materials. It does not necessarily result in harm to the patient.

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Power Reactor Event Number: 46907
Facility: FARLEY
Region: 2 State: AL
Unit: [1] [2] [ ]
RX Type: [1] W-3-LP,[2] W-3-LP
NRC Notified By: BLAKE MITCHELL
HQ OPS Officer: ERIC SIMPSON
Notification Date: 06/01/2011
Notification Time: 11:08 [ET]
Event Date: 06/01/2011
Event Time: 08:18 [CDT]
Last Update Date: 06/01/2011
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
JOSELITO CALLE (R2DO)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
1 N Y 100 Power Operation 100 Power Operation
2 N Y 100 Power Operation 100 Power Operation

Event Text

TECHNICAL SUPPORT CENTER OUT OF SERVICE DUE TO VENTILATION CONDENSER UNIT FAILURE

"The Technical Support Center (TSC) has been rendered non-functional due to a malfunctioning TSC ventilation system. Investigation into the cause of elevated TSC room temperature led to the discovery of a malfunctioning condensing unit compressor. Repairs to the ventilation system were immediately initiated with high priority.

"Compensatory measures per FNP-0-EIP-6.0 (TSC Setup and Activation) for maintaining emergency assessment, off-site response, and off-site communication capabilities are being put in place. These measures include the conditional relocation of the TSC staff in the event of a declared emergency if the Emergency Director deems the TSC to be uninhabitable."

The NRC Resident Inspector has been notified.

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Power Reactor Event Number: 46909
Facility: WOLF CREEK
Region: 4 State: KS
Unit: [1] [ ] [ ]
RX Type: [1] W-4-LP
NRC Notified By: TIM DUNLOP
HQ OPS Officer: BILL HUFFMAN
Notification Date: 06/01/2011
Notification Time: 17:07 [ET]
Event Date: 06/01/2011
Event Time: 13:15 [CDT]
Last Update Date: 06/01/2011
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(ii)(B) - UNANALYZED CONDITION
50.72(b)(3)(v)(A) - POT UNABLE TO SAFE SD
50.72(b)(3)(v)(B) - POT RHR INOP
Person (Organization):
BLAIR SPITZBERG (R4DO)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
1 N N 0 Hot Standby 0 Hot Standby

Event Text

BOTH TRAINS OF COMPONENT COOLING WATER DECLARED INOPERABLE DUE TO VOIDING

"At 1315 (CDT), while in Mode 3 at normal operating pressure and 552?F, both trains of Component Cooling Water (CCW) were inoperable due to indications of voiding. The 'A' Train CCW had been declared inoperable at 1000 (CDT) when review of pump test data indicated a potential void and Technical Specification LCO 3.7.7, 'Component Cooling Water (CCW) System,' Condition A was entered. At 1315 (CDT), indications of voiding were identified in the common service loop piping, which was aligned to the 'B' Train CCW. The 'B' Train CCW was declared inoperable and the plant entered LCO 3.0.3 due to both CCW Trains being inoperable.

"At 1410 (CDT) plant cool down to Mode 4 was commenced. The 'A' Train CCW has subsequently been vented and void volume is currently within allowable limits for operability. However, further evaluation of this voiding is underway prior to declaring the 'A' Train CCW operable."

The licensee has notified the NRC Resident Inspector.

Page Last Reviewed/Updated Thursday, March 29, 2012
Thursday, March 29, 2012