Event Notification Report for September 07, 1999
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
09/06/1999 - 09/07/1999
EVENT NUMBERS
36132361333630636208
General Information or Other
Event Number: 36132
Rep Org: NC DIVISION OF RADIATION PROTECTION
Licensee: MONDAY INDUSTRIAL CONTRACTORS
Region: 2
City: WILMINGTON State: NC
County:
License #:
Agreement: Y
Docket:
NRC Notified By: SHARN JEFFRIES (NC)
HQ OPS Officer: JOHN MacKINNON
Licensee: MONDAY INDUSTRIAL CONTRACTORS
Region: 2
City: WILMINGTON State: NC
County:
License #:
Agreement: Y
Docket:
NRC Notified By: SHARN JEFFRIES (NC)
HQ OPS Officer: JOHN MacKINNON
Notification Date: 09/07/1999
Notification Time: 14:46 [ET]
Event Date: 09/07/1999
Event Time: 00:00 [EDT]
Last Update Date: 09/07/1999
Notification Time: 14:46 [ET]
Event Date: 09/07/1999
Event Time: 00:00 [EDT]
Last Update Date: 09/07/1999
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
ROBERT HAAG (R2)
DON COOL (NMSS)
ROBERT HAAG (R2)
DON COOL (NMSS)
AGREEMENT STATE REPORT INVOLVING THE LOSS OF TWO (2) EVENLITE EXIT SIGNS CONTAINING TRITIUM
MONDAY INDUSTRIAL CONTRACTORS REPRESENTING GE NUCLEAR ENERGY LOCATED ON CASTLE HAYNE ROAD IN WILMINGTON, NC , ORDERED AND RECEIVED SIX (6) EVENLITE 101 EXIT SIGNS ON 4/20/99. EACH SIGN CONTAINS 6.5 CURIES TRITIUM. THE SIGNS WERE PLACED IN STORAGE AT THE WILMINGTON, NC, LOCATION. A RECENT INVENTORY DETERMINED THAT TWO (2) OF THESE SIGNS ARE MISSING. AT 0945 EDT ON 9/7/99, THE NC DIVISION OF RADIATION PROTECTION WAS INFORMED AS DOCUMENTED IN NC INCIDENT REPORT #99-21.
MONDAY INDUSTRIAL CONTRACTORS REPRESENTING GE NUCLEAR ENERGY LOCATED ON CASTLE HAYNE ROAD IN WILMINGTON, NC , ORDERED AND RECEIVED SIX (6) EVENLITE 101 EXIT SIGNS ON 4/20/99. EACH SIGN CONTAINS 6.5 CURIES TRITIUM. THE SIGNS WERE PLACED IN STORAGE AT THE WILMINGTON, NC, LOCATION. A RECENT INVENTORY DETERMINED THAT TWO (2) OF THESE SIGNS ARE MISSING. AT 0945 EDT ON 9/7/99, THE NC DIVISION OF RADIATION PROTECTION WAS INFORMED AS DOCUMENTED IN NC INCIDENT REPORT #99-21.
Power Reactor
Event Number: 36133
Facility: PALISADES
Region: 3 State: MI
Unit: [1] [] []
RX Type: [1] CE
NRC Notified By: CHARLES BROWN
HQ OPS Officer: STEVE SANDIN
Region: 3 State: MI
Unit: [1] [] []
RX Type: [1] CE
NRC Notified By: CHARLES BROWN
HQ OPS Officer: STEVE SANDIN
Notification Date: 09/07/1999
Notification Time: 16:39 [ET]
Event Date: 09/07/1999
Event Time: 16:25 [EDT]
Last Update Date: 09/07/1999
Notification Time: 16:39 [ET]
Event Date: 09/07/1999
Event Time: 16:25 [EDT]
Last Update Date: 09/07/1999
Emergency Class: UNUSUAL EVENT
10 CFR Section:
50.72(a)(1)(i) - EMERGENCY DECLARED
10 CFR Section:
50.72(a)(1)(i) - EMERGENCY DECLARED
Person (Organization):
MONTE PHILLIPS (R3)
ELINOR ADENSAM (NRR)
CHARLES MILLER (IRO)
CALDWELL (FEMA)
MONTE PHILLIPS (R3)
ELINOR ADENSAM (NRR)
CHARLES MILLER (IRO)
CALDWELL (FEMA)
| Unit | SCRAM Code | RX Crit | Initial PWR | Initial RX Mode | Current PWR | Current RX Mode |
|---|---|---|---|---|---|---|
| 1 | N | Y | 100 | Power Operation | 100 | Power Operation |
UNUSUAL EVENT DECLARED DUE TO A SIGNIFICANT LOSS OF OFFSITE COMMUNICATION CAPABILITY
THE LICENSEE DECLARED ENTERED AN UNUSUAL EVENT AT 1625 EDT BASED ON A SIGNIFICANT LOSS OF OFFSITE COMMUNICATION CAPABILITY. ALL TERRESTRIAL TELEPHONE LAND LINES ARE UNAVAILABLE THROUGHOUT THE COUNTY DUE TO AN APPARENT LINE CUT. THE LICENSEE HAS ONE (1) FUNCTIONING SATELLITE PHONE AVAILABLE WHICH THEY USED TO NOTIFY THE NRC. THE UNIT IS CURRENTLY STABLE. THE LICENSEE NOTIFIED STATE/LOCAL AGENCIES AND THE NRC RESIDENT INSPECTORS.
HOO NOTE: CHECKED WITH D.C. COOK TO VERIFY COMMUNICATIONS. ALSO, PALISADES CAN BE CONTACTED THROUGH THEIR LOAD DISPATCHER USING THE 800 MHZ RADIO.
* * * UPDATE 2033 EDT ON 9/7/99 FROM CHARLES BROWN TO S. SANDIN * * *
THE LICENSEE EXITED THE UNUSUAL EVENT AT 2031 EDT AFTER VERIFYING THAT GTE HAS COMPLETED RESTORATION OF TELECOMMUNICATION SERVICES. THE LICENSEE INFORMED STATE/LOCAL AGENCIES AND THE NRC RESIDENT INSPECTOR. NOTIFIED R3DO (PHILLIPS), NRR EO (ADENSAM), IRO (GIITTER) AND FEMA (SULLIVAN).
THE LICENSEE DECLARED ENTERED AN UNUSUAL EVENT AT 1625 EDT BASED ON A SIGNIFICANT LOSS OF OFFSITE COMMUNICATION CAPABILITY. ALL TERRESTRIAL TELEPHONE LAND LINES ARE UNAVAILABLE THROUGHOUT THE COUNTY DUE TO AN APPARENT LINE CUT. THE LICENSEE HAS ONE (1) FUNCTIONING SATELLITE PHONE AVAILABLE WHICH THEY USED TO NOTIFY THE NRC. THE UNIT IS CURRENTLY STABLE. THE LICENSEE NOTIFIED STATE/LOCAL AGENCIES AND THE NRC RESIDENT INSPECTORS.
HOO NOTE: CHECKED WITH D.C. COOK TO VERIFY COMMUNICATIONS. ALSO, PALISADES CAN BE CONTACTED THROUGH THEIR LOAD DISPATCHER USING THE 800 MHZ RADIO.
* * * UPDATE 2033 EDT ON 9/7/99 FROM CHARLES BROWN TO S. SANDIN * * *
THE LICENSEE EXITED THE UNUSUAL EVENT AT 2031 EDT AFTER VERIFYING THAT GTE HAS COMPLETED RESTORATION OF TELECOMMUNICATION SERVICES. THE LICENSEE INFORMED STATE/LOCAL AGENCIES AND THE NRC RESIDENT INSPECTOR. NOTIFIED R3DO (PHILLIPS), NRR EO (ADENSAM), IRO (GIITTER) AND FEMA (SULLIVAN).
Hospital
Event Number: 36306
Rep Org: ST. JOHN'S HOSPITAL
Licensee: ST. JOHN'S HOSPITAL
Region: 3
City: DETROIT State: MI
County:
License #: 21-03210-01
Agreement: N
Docket:
NRC Notified By: WALTER NIKESCH
HQ OPS Officer: BOB STRANSKY
Licensee: ST. JOHN'S HOSPITAL
Region: 3
City: DETROIT State: MI
County:
License #: 21-03210-01
Agreement: N
Docket:
NRC Notified By: WALTER NIKESCH
HQ OPS Officer: BOB STRANSKY
Notification Date: 10/18/1999
Notification Time: 14:35 [ET]
Event Date: 09/07/1999
Event Time: 00:00 [EDT]
Last Update Date: 10/18/1999
Notification Time: 14:35 [ET]
Event Date: 09/07/1999
Event Time: 00:00 [EDT]
Last Update Date: 10/18/1999
Emergency Class: NON EMERGENCY
10 CFR Section:
35.33 - MED MISADMINISTRATION
10 CFR Section:
35.33 - MED MISADMINISTRATION
Person (Organization):
BRUCE JORGENSEN (R3)
BRIAN SMITH (NMSS)
BRUCE JORGENSEN (R3)
BRIAN SMITH (NMSS)
MEDICAL MISADMINISTRATION
While performing a monthly audit, the licensee discovered that a patient, who had been prescribed a dose of 200 mCi of I-131 for thyroid ablation, was administered a dose of 264 mCi of I-131. The misadministration occurred on 9/7/1999. The attending physician has been informed of the misadministration. The licensee has also contacted NRC Region III (J. Cameron).
While performing a monthly audit, the licensee discovered that a patient, who had been prescribed a dose of 200 mCi of I-131 for thyroid ablation, was administered a dose of 264 mCi of I-131. The misadministration occurred on 9/7/1999. The attending physician has been informed of the misadministration. The licensee has also contacted NRC Region III (J. Cameron).
Power Reactor
Event Number: 36208
Facility: QUAD CITIES
Region: 3 State: IL
Unit: [1] [] []
RX Type: [1] GE-3,[2] GE-3
NRC Notified By: DARYL CLARK
HQ OPS Officer: DICK JOLLIFFE
Region: 3 State: IL
Unit: [1] [] []
RX Type: [1] GE-3,[2] GE-3
NRC Notified By: DARYL CLARK
HQ OPS Officer: DICK JOLLIFFE
Notification Date: 09/21/1999
Notification Time: 20:37 [ET]
Event Date: 09/07/1999
Event Time: 00:14 [CDT]
Last Update Date: 09/21/1999
Notification Time: 20:37 [ET]
Event Date: 09/07/1999
Event Time: 00:14 [CDT]
Last Update Date: 09/21/1999
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(iii)(D) - ACCIDENT MITIGATION
10 CFR Section:
50.72(b)(2)(iii)(D) - ACCIDENT MITIGATION
Person (Organization):
ROGER LANKSBURY (R3)
ROGER LANKSBURY (R3)
| Unit | SCRAM Code | RX Crit | Initial PWR | Initial RX Mode | Current PWR | Current RX Mode |
|---|---|---|---|---|---|---|
| 1 | N | Y | 100 | Power Operation | 100 | Power Operation |
- HPCI SYSTEM INOP DUE TO HPCI STEAM SUPPLY ISOLATION VALVE NOT CLOSING DURING A TEST -
At 0014 CDT on 09/07/99, while performing a High Pressure Coolant Injection (HPCI) steam line flow analog trip system calibration and functional surveillance test, the HPCI steam supply isolation valve (#MO 1-2301-5) failed to close. The licensee entered Tech Spec 3.7.D, Action 1 for an inoperable containment isolation valve, and isolated the HPCI steam supply. This action rendered the HPCI System inoperable and the licensee entered Tech Spec 3.5.A, Action 3. This placed Unit 1 in a 14 day LCO. This event is being reported to the NRC in accordance with 10CFR50.72(b)(2)(iii)(D), a condition that prevented the fulfillment of a safety function.
The valve was repaired and declared operable at 1730 CDT on 09/07/99.
The licensee is continuing to evaluate the reportability of this issue.
The licensee informed the NRC Resident Inspector.
At 0014 CDT on 09/07/99, while performing a High Pressure Coolant Injection (HPCI) steam line flow analog trip system calibration and functional surveillance test, the HPCI steam supply isolation valve (#MO 1-2301-5) failed to close. The licensee entered Tech Spec 3.7.D, Action 1 for an inoperable containment isolation valve, and isolated the HPCI steam supply. This action rendered the HPCI System inoperable and the licensee entered Tech Spec 3.5.A, Action 3. This placed Unit 1 in a 14 day LCO. This event is being reported to the NRC in accordance with 10CFR50.72(b)(2)(iii)(D), a condition that prevented the fulfillment of a safety function.
The valve was repaired and declared operable at 1730 CDT on 09/07/99.
The licensee is continuing to evaluate the reportability of this issue.
The licensee informed the NRC Resident Inspector.