Event Notification Report for April 26, 2001
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
04/25/2001 - 04/26/2001
EVENT NUMBERS
37945379463794737956
Other Nuclear Material
Event Number: 37945
Rep Org: CROWE BUTTE RESOURCES
Licensee: CROWE BUTTE RESOURCES
Region: 4
City: CRAWFORD State: NE
County:
License #: SUA-1534
Agreement: Y
Docket:
NRC Notified By: MIKE GRIFFIN
HQ OPS Officer: DOUG WEAVER
Licensee: CROWE BUTTE RESOURCES
Region: 4
City: CRAWFORD State: NE
County:
License #: SUA-1534
Agreement: Y
Docket:
NRC Notified By: MIKE GRIFFIN
HQ OPS Officer: DOUG WEAVER
Notification Date: 04/26/2001
Notification Time: 15:29 [ET]
Event Date: 04/26/2001
Event Time: 11:30 [CDT]
Last Update Date: 04/26/2001
Notification Time: 15:29 [ET]
Event Date: 04/26/2001
Event Time: 11:30 [CDT]
Last Update Date: 04/26/2001
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
BILL JONES (R4)
JOHN HICKEY (NMSS)
BILL JONES (R4)
JOHN HICKEY (NMSS)
LEAK IN BRINE POND LINER
The licensee has confirmed a leak in the pond liner based on an increase in the conductivity of the water between the inner and outer liners (the leak is in the inner liner). No release to the environment has occurred.
The licensee believes the leak is small based on the increase in conductivity with only a small accompanying increase in water level in the area between the liners.
The licensee will pump down the pond and attempt to find and repair the leak. This could take one to two weeks.
The licensee has confirmed a leak in the pond liner based on an increase in the conductivity of the water between the inner and outer liners (the leak is in the inner liner). No release to the environment has occurred.
The licensee believes the leak is small based on the increase in conductivity with only a small accompanying increase in water level in the area between the liners.
The licensee will pump down the pond and attempt to find and repair the leak. This could take one to two weeks.
Other Nuclear Material
Event Number: 37946
Rep Org: DELAWARE EMERG MANAGEMENT AGENCY
Licensee: UNKNOWN
Region: 1
City: NEW CASTLE State: DE
County:
License #:
Agreement: N
Docket:
NRC Notified By: DAVID HAKE
HQ OPS Officer: DOUG WEAVER
Licensee: UNKNOWN
Region: 1
City: NEW CASTLE State: DE
County:
License #:
Agreement: N
Docket:
NRC Notified By: DAVID HAKE
HQ OPS Officer: DOUG WEAVER
Notification Date: 04/26/2001
Notification Time: 17:36 [ET]
Event Date: 04/26/2001
Event Time: 00:00 [EDT]
Last Update Date: 04/26/2001
Notification Time: 17:36 [ET]
Event Date: 04/26/2001
Event Time: 00:00 [EDT]
Last Update Date: 04/26/2001
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
DAVID SILK (R1)
JOSIE PICCONE (NMSS)
RICHARD WESSMAN (IRO)
DAVID SILK (R1)
JOSIE PICCONE (NMSS)
RICHARD WESSMAN (IRO)
RECOVERY OF TROXLER GAUGE
The Delaware Emergency Management Agency (DEMA) reported the recovery of what appears to be a Troxler moisture density gauge. The gauge was recovered in New Castle, DE just off of I-95. The gauge appears to be intact with the source in the shielded position. No model or serial numbers were available. DEMA requested NRC assistance to remove the gauge. The gauge is isolated pending resolution.
The Delaware Emergency Management Agency (DEMA) reported the recovery of what appears to be a Troxler moisture density gauge. The gauge was recovered in New Castle, DE just off of I-95. The gauge appears to be intact with the source in the shielded position. No model or serial numbers were available. DEMA requested NRC assistance to remove the gauge. The gauge is isolated pending resolution.
!!!!! THIS EVENT HAS BEEN RETRACTED !!!!!
!!!!! THIS EVENT HAS BEEN RETRACTED !!!!!
Power Reactor
Event Number: 37947
Facility: COOPER
Region: 4 State: NE
Unit: [1] [] []
RX Type: [1] GE-4
NRC Notified By: ANDREW OHRABLO
HQ OPS Officer: DOUG WEAVER
Region: 4 State: NE
Unit: [1] [] []
RX Type: [1] GE-4
NRC Notified By: ANDREW OHRABLO
HQ OPS Officer: DOUG WEAVER
Notification Date: 04/26/2001
Notification Time: 22:26 [ET]
Event Date: 04/26/2001
Event Time: 17:45 [CDT]
Last Update Date: 05/21/2001
Notification Time: 22:26 [ET]
Event Date: 04/26/2001
Event Time: 17:45 [CDT]
Last Update Date: 05/21/2001
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(v)(D) - ACCIDENT MITIGATION
10 CFR Section:
50.72(b)(3)(v)(D) - ACCIDENT MITIGATION
Person (Organization):
BILL JONES (R4)
BILL JONES (R4)
| Unit | SCRAM Code | RX Crit | Initial PWR | Initial RX Mode | Current PWR | Current RX Mode |
|---|---|---|---|---|---|---|
| 1 | N | Y | 100 | Power Operation | 100 | Power Operation |
CONTROL ROOM EMERGENCY FILTRATION SYSTEM (CREFS) INOPERABLE
The licensee entered a 7 day LCO when high vibrations were noticed on the booster fan. The fan was declared inoperable and led to CREFS being declared inoperable since it is a single train system. Licensee intends to repair the system prior to expiration of the LCO.
The licensee notified the NRC resident inspector.
* * * RETRACTION ON 05/21/01 AT 1140 ET BY D. VANDERKAMP TAKEN BY MACKINNON * * *
A subsequent engineering evaluation of the fan motor bearings concluded that the motor, even though noisy with elevated vibration levels, was capable of performing it's support role in the Control Room Emergency Filtration System safety related function as required per Technical Specifications. Therefore, this event is being retracted.
R4DO (Mark Shaffer) notified.
The NRC Resident Inspector will be notified of this retraction by the licensee.
The licensee entered a 7 day LCO when high vibrations were noticed on the booster fan. The fan was declared inoperable and led to CREFS being declared inoperable since it is a single train system. Licensee intends to repair the system prior to expiration of the LCO.
The licensee notified the NRC resident inspector.
* * * RETRACTION ON 05/21/01 AT 1140 ET BY D. VANDERKAMP TAKEN BY MACKINNON * * *
A subsequent engineering evaluation of the fan motor bearings concluded that the motor, even though noisy with elevated vibration levels, was capable of performing it's support role in the Control Room Emergency Filtration System safety related function as required per Technical Specifications. Therefore, this event is being retracted.
R4DO (Mark Shaffer) notified.
The NRC Resident Inspector will be notified of this retraction by the licensee.
Hospital
Event Number: 37956
Rep Org: HAMOT MEDICAL CENTER
Licensee: HAMOT MEDICAL CENTER
Region: 1
City: ERIE State: PA
County:
License #: 37-00444-02
Agreement: N
Docket:
NRC Notified By: DR. LEONARD COOVER
HQ OPS Officer: STEVE SANDIN
Licensee: HAMOT MEDICAL CENTER
Region: 1
City: ERIE State: PA
County:
License #: 37-00444-02
Agreement: N
Docket:
NRC Notified By: DR. LEONARD COOVER
HQ OPS Officer: STEVE SANDIN
Notification Date: 05/01/2001
Notification Time: 14:28 [ET]
Event Date: 04/26/2001
Event Time: 15:00 [EDT]
Last Update Date: 05/01/2001
Notification Time: 14:28 [ET]
Event Date: 04/26/2001
Event Time: 15:00 [EDT]
Last Update Date: 05/01/2001
Emergency Class: NON EMERGENCY
10 CFR Section:
35.33 - MED MISADMINISTRATION
10 CFR Section:
35.33 - MED MISADMINISTRATION
Person (Organization):
HAROLD GRAY (R1)
FREDERICK STURZ (NMSS)
HAROLD GRAY (R1)
FREDERICK STURZ (NMSS)
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.
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.