Event Notification Report for May 23, 2001
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
05/22/2001 - 05/23/2001
!!!!! THIS EVENT HAS BEEN RETRACTED !!!!!
!!!!! THIS EVENT HAS BEEN RETRACTED !!!!!
Power Reactor
Event Number: 38026
Facility: FT CALHOUN
Region: 4 State: NE
Unit: [1] [] []
RX Type: [1] CE
NRC Notified By: MATZKE
HQ OPS Officer: CHAUNCEY GOULD
Region: 4 State: NE
Unit: [1] [] []
RX Type: [1] CE
NRC Notified By: MATZKE
HQ OPS Officer: CHAUNCEY GOULD
Notification Date: 05/23/2001
Notification Time: 16:19 [ET]
Event Date: 05/23/2001
Event Time: 14:45 [CDT]
Last Update Date: 05/31/2001
Notification Time: 16:19 [ET]
Event Date: 05/23/2001
Event Time: 14:45 [CDT]
Last Update Date: 05/31/2001
Emergency Class: NON EMERGENCY
10 CFR Section:
73.71(b)(1) - SAFEGUARDS REPORTS
10 CFR Section:
73.71(b)(1) - SAFEGUARDS REPORTS
Person (Organization):
MARK SHAFFER (R4)
MARK SHAFFER (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 |
DISCOVERY OF CRIMINAL ACT INVOLVING INDIVIDUAL GRANTED ACCESS TO THE SITE.
COMPENSATORY MEASURES NOT FULLY IMPLEMENTED
THE NRC RESIDENT INSPECTOR WILL BE NOTIFIED
CONTACT NRC HEADQUARTERS OPERATIONS OFFICER FOR ADDITIONAL INFORMATION
* * * RETRACTED AT 1600 EDT ON 5/31/01 BY ERICK MATZKE TO FANGIE JONES * * *
Further investigation of the issue determined that the event notification was not reportable and retracts the notification of event #38026.
The licensee notified the NRC Resident Inspector. R4DO (Dale Powers) was notified.
COMPENSATORY MEASURES NOT FULLY IMPLEMENTED
THE NRC RESIDENT INSPECTOR WILL BE NOTIFIED
CONTACT NRC HEADQUARTERS OPERATIONS OFFICER FOR ADDITIONAL INFORMATION
* * * RETRACTED AT 1600 EDT ON 5/31/01 BY ERICK MATZKE TO FANGIE JONES * * *
Further investigation of the issue determined that the event notification was not reportable and retracts the notification of event #38026.
The licensee notified the NRC Resident Inspector. R4DO (Dale Powers) was notified.
General Information or Other
Event Number: 38027
Rep Org: CONVAL INC
Licensee: CONVAL INC
Region: 1
City: SOMERS State: CT
County:
License #:
Agreement: N
Docket:
NRC Notified By: CURTIN(via fax)
HQ OPS Officer: CHAUNCEY GOULD
Licensee: CONVAL INC
Region: 1
City: SOMERS State: CT
County:
License #:
Agreement: N
Docket:
NRC Notified By: CURTIN(via fax)
HQ OPS Officer: CHAUNCEY GOULD
Notification Date: 05/23/2001
Notification Time: 17:03 [ET]
Event Date: 05/23/2001
Event Time: 00:00 [EDT]
Last Update Date: 05/23/2001
Notification Time: 17:03 [ET]
Event Date: 05/23/2001
Event Time: 00:00 [EDT]
Last Update Date: 05/23/2001
Emergency Class: NON EMERGENCY
10 CFR Section:
21.21 - UNSPECIFIED PARAGRAPH
10 CFR Section:
21.21 - UNSPECIFIED PARAGRAPH
Person (Organization):
JOHN KINNEMAN (R1)
VERN HODGE fax (NRR)
JOHN KINNEMAN (R1)
VERN HODGE fax (NRR)
NONCOMPLIANCE INVOLVING FLOW COEFFICIENT VALUES OF 366 VALVES OF TWO BODY STYLES SUPPLIED OVER THE COURSE OF 15 YEARS TO TWO NUCLEAR POWER PLANTS IN THE US
The noncompliance involves flow coefficient values (Cv) of 366 valves of' two body styles supplied over the course of 15 years to two nuclear power plants in the United States.
The breakdown is as follows:
GPU, Oyster Creek;
122 Qty.- 1/2" Angle Body Ball Check Valves used in Charging Water Riser Isolation
Niagara Mohawk, Nine Mile Point Unit 1;
114 Qty.- 1/2" Angle Pattern Ball Check Valves used in Charging Water Riser Isolation
130 Qty.- 3/4" Tee Pattern Ball Check Valves used in SCRAM Discharge Riser Isolation
Information was developed that led to an engineering investigation and the May 21, 2001 report by Conval's Quality Assurance Manager, Howard Smith II of the potential safety related noncompliance deviation.
The procurement document specifications for Niagara Mohawk, Nine Mile Point Unit 1 defined a Cv requirement of 3.5 for both the Angle and Tee Pattern Ball Check Valves. The procurement document specifications for GPU, Oyster Creek specified a Cv of 6 for the Angle Pattern Ball Check Valves.
Preliminary laboratory test reports generated during Conval's recent engineering investigation revealed actual Cv values of both valve styles to be below 1.5, significantly lower than those required by the procurement documents.
While there are no indications that the valves will mechanically malfunction, the fluid flow rates permitted in the forward direction will be below those anticipated in the procurement document specifications and, therefore, may constitute a safety related issue according to the intended use of the valves.
There are no nonconforming parts affecting the operation of the valves. The lower Cv values are a consequence of the internal geometry of these Conval valve designs. If requested, Conval's Engineering Manager, David Boyden, will propose a retrofit of parts which, upon user acceptance, could be implemented within 4 weeks following user approval. The changes would significantly increase the flow capacity of the affected valves.
The two (2) nuclear plants affected have been verbally notified of this potential safety related noncompliance deviation.
The noncompliance involves flow coefficient values (Cv) of 366 valves of' two body styles supplied over the course of 15 years to two nuclear power plants in the United States.
The breakdown is as follows:
GPU, Oyster Creek;
122 Qty.- 1/2" Angle Body Ball Check Valves used in Charging Water Riser Isolation
Niagara Mohawk, Nine Mile Point Unit 1;
114 Qty.- 1/2" Angle Pattern Ball Check Valves used in Charging Water Riser Isolation
130 Qty.- 3/4" Tee Pattern Ball Check Valves used in SCRAM Discharge Riser Isolation
Information was developed that led to an engineering investigation and the May 21, 2001 report by Conval's Quality Assurance Manager, Howard Smith II of the potential safety related noncompliance deviation.
The procurement document specifications for Niagara Mohawk, Nine Mile Point Unit 1 defined a Cv requirement of 3.5 for both the Angle and Tee Pattern Ball Check Valves. The procurement document specifications for GPU, Oyster Creek specified a Cv of 6 for the Angle Pattern Ball Check Valves.
Preliminary laboratory test reports generated during Conval's recent engineering investigation revealed actual Cv values of both valve styles to be below 1.5, significantly lower than those required by the procurement documents.
While there are no indications that the valves will mechanically malfunction, the fluid flow rates permitted in the forward direction will be below those anticipated in the procurement document specifications and, therefore, may constitute a safety related issue according to the intended use of the valves.
There are no nonconforming parts affecting the operation of the valves. The lower Cv values are a consequence of the internal geometry of these Conval valve designs. If requested, Conval's Engineering Manager, David Boyden, will propose a retrofit of parts which, upon user acceptance, could be implemented within 4 weeks following user approval. The changes would significantly increase the flow capacity of the affected valves.
The two (2) nuclear plants affected have been verbally notified of this potential safety related noncompliance deviation.
Hospital
Event Number: 38032
Rep Org: UNIVERSITY OF MED. AND DENT. OF NJ
Licensee: UNIVERSITY OF MED. AND DENT. OF NJ
Region: 1
City: NEWARK State: NJ
County:
License #: 29-02957-13
Agreement: N
Docket:
NRC Notified By: LANKA
HQ OPS Officer: BOB STRANSKY
Licensee: UNIVERSITY OF MED. AND DENT. OF NJ
Region: 1
City: NEWARK State: NJ
County:
License #: 29-02957-13
Agreement: N
Docket:
NRC Notified By: LANKA
HQ OPS Officer: BOB STRANSKY
Notification Date: 05/25/2001
Notification Time: 16:21 [ET]
Event Date: 05/23/2001
Event Time: 16:30 [EDT]
Last Update Date: 05/25/2001
Notification Time: 16:21 [ET]
Event Date: 05/23/2001
Event Time: 16:30 [EDT]
Last Update Date: 05/25/2001
Emergency Class: NON EMERGENCY
10 CFR Section:
20.2201(a)(1)(i) - LOST/STOLEN LNM>1000X
10 CFR Section:
20.2201(a)(1)(i) - LOST/STOLEN LNM>1000X
Person (Organization):
JOHN KINNEMAN (R1)
THOMAS ESSIG (NMSS)
JOHN KINNEMAN (R1)
THOMAS ESSIG (NMSS)
MISSING IR-192 SEEDS
On 5/23/01, six ribbons of Ir-192 seeds were implanted into a patient as part of a treatment. When the ribbons were removed from the patient at approximately 1000 on 5/25/01, only five of the six ribbons were recovered. The patient stated that one of the ribbons had come out approximately one hour after implantation and he had discarded it in the trash; however, the doctor had not observed any disturbance to the implantation site during an examination conducted on 5/24/01. The missing ribbon contains nine seeds; each seed contains 0.49 mg Ra equivalent activity.
The licensee has conducted an exhaustive search of the facility but has been unable to locate the missing seeds. In addition, interviews were conducted with housekeeping personnel. The licensee has contacted the NRC Region I office regarding this event.
On 5/23/01, six ribbons of Ir-192 seeds were implanted into a patient as part of a treatment. When the ribbons were removed from the patient at approximately 1000 on 5/25/01, only five of the six ribbons were recovered. The patient stated that one of the ribbons had come out approximately one hour after implantation and he had discarded it in the trash; however, the doctor had not observed any disturbance to the implantation site during an examination conducted on 5/24/01. The missing ribbon contains nine seeds; each seed contains 0.49 mg Ra equivalent activity.
The licensee has conducted an exhaustive search of the facility but has been unable to locate the missing seeds. In addition, interviews were conducted with housekeeping personnel. The licensee has contacted the NRC Region I office regarding this event.