Event Notification Report for June 13, 2001
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
06/12/2001 - 06/13/2001
EVENT NUMBERS
38068380693807038071
Power Reactor
Event Number: 38068
Facility: FERMI
Region: 3 State: MI
Unit: [2] [] []
RX Type: [2] GE-4
NRC Notified By: HARRY B. GILES
HQ OPS Officer: STEVE SANDIN
Region: 3 State: MI
Unit: [2] [] []
RX Type: [2] GE-4
NRC Notified By: HARRY B. GILES
HQ OPS Officer: STEVE SANDIN
Notification Date: 06/13/2001
Notification Time: 11:21 [ET]
Event Date: 06/13/2001
Event Time: 05:30 [EDT]
Last Update Date: 06/13/2001
Notification Time: 11:21 [ET]
Event Date: 06/13/2001
Event Time: 05:30 [EDT]
Last Update Date: 06/13/2001
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(xi) - OFFSITE NOTIFICATION
10 CFR Section:
50.72(b)(2)(xi) - OFFSITE NOTIFICATION
Person (Organization):
ROGER LANKSBURY (R3)
ANNE BOLAND (R2)
JOHN HICKEY (NMSS)
JOHN TAPPERT (NRR)
ROGER LANKSBURY (R3)
ANNE BOLAND (R2)
JOHN HICKEY (NMSS)
JOHN TAPPERT (NRR)
| Unit | SCRAM Code | RX Crit | Initial PWR | Initial RX Mode | Current PWR | Current RX Mode |
|---|---|---|---|---|---|---|
| 2 | N | Y | 100 | Power Operation | 100 | Power Operation |
TRANSPORTATION REPORT INVOLVING RAD WASTE SHIPMENT FROM FERMI TO BARNWELL, SOUTH CAROLINA
"Event notification resulting from an offsite notification of a transportation accident involving a radioactive waste shipment from Fermi 2 to Barnwell, South Carolina. NRC reportable under 10CFR50.72(b)(2)(xi) any event or situation for which notification to other government agencies has been made.
"At approximately 0530 hours on 06-13-2001, a Hittman Transport vehicle transporting Class 'A' radioactive waste material [proper shipping name: Radioactive Material, Low Specific Activity, n.o.s. 7, UN2912, Fissile Excepted, Compacted Dry Active Waste] from Enrico Fermi 2 facility to Barnwell, SC was involved in a vehicle accident west of Columbia, South Carolina.
"Hittman Transport notified the South Carolina Department of Health and Environmental Control at approximately 0805 hours on 06-13-2001 concerning the transportation accident. Hittman Transport also notified Fermi 2 at approximately 0810 hours on 06-13-2001 of the vehicle accident.
"The transportation accident was related to rain storm activity in the area and the driver of a passenger vehicle, responsible for the accident, received a traffic citation for speed too fast for conditions. The tractor suffered minor damage, but once released by the South Carolina State Police was able to be driven approximately 6 miles to a repair facility. No damage was noted to the trailer, shipping cask, or cask tie down equipment at the accident scene
"At the repair facility, a mechanic evaluated the tractor condition and cleared the tractor and trailer for continued service to the Chem Nuclear Consolidation Facility in Barnwell, SC. The driver of the tractor performed a dose rate survey of the trailer and the dose rates were unchanged from the measured values at the Fermi site.
"Fermi 2 does not intend to submit a press release in Michigan since the accident occurred in South Carolina and the proper South Carolina agencies were notified.
"A follow up report is not anticipated, since no damage to the waste shipping cask was noted at the repair facility."
The licensee informed the NRC resident inspector.
"Event notification resulting from an offsite notification of a transportation accident involving a radioactive waste shipment from Fermi 2 to Barnwell, South Carolina. NRC reportable under 10CFR50.72(b)(2)(xi) any event or situation for which notification to other government agencies has been made.
"At approximately 0530 hours on 06-13-2001, a Hittman Transport vehicle transporting Class 'A' radioactive waste material [proper shipping name: Radioactive Material, Low Specific Activity, n.o.s. 7, UN2912, Fissile Excepted, Compacted Dry Active Waste] from Enrico Fermi 2 facility to Barnwell, SC was involved in a vehicle accident west of Columbia, South Carolina.
"Hittman Transport notified the South Carolina Department of Health and Environmental Control at approximately 0805 hours on 06-13-2001 concerning the transportation accident. Hittman Transport also notified Fermi 2 at approximately 0810 hours on 06-13-2001 of the vehicle accident.
"The transportation accident was related to rain storm activity in the area and the driver of a passenger vehicle, responsible for the accident, received a traffic citation for speed too fast for conditions. The tractor suffered minor damage, but once released by the South Carolina State Police was able to be driven approximately 6 miles to a repair facility. No damage was noted to the trailer, shipping cask, or cask tie down equipment at the accident scene
"At the repair facility, a mechanic evaluated the tractor condition and cleared the tractor and trailer for continued service to the Chem Nuclear Consolidation Facility in Barnwell, SC. The driver of the tractor performed a dose rate survey of the trailer and the dose rates were unchanged from the measured values at the Fermi site.
"Fermi 2 does not intend to submit a press release in Michigan since the accident occurred in South Carolina and the proper South Carolina agencies were notified.
"A follow up report is not anticipated, since no damage to the waste shipping cask was noted at the repair facility."
The licensee informed the NRC resident inspector.
Power Reactor
Event Number: 38069
Facility: MONTICELLO
Region: 3 State: MN
Unit: [1] [] []
RX Type: [1] GE-3
NRC Notified By: BRETT WELLER
HQ OPS Officer: DOUG WEAVER
Region: 3 State: MN
Unit: [1] [] []
RX Type: [1] GE-3
NRC Notified By: BRETT WELLER
HQ OPS Officer: DOUG WEAVER
Notification Date: 06/13/2001
Notification Time: 12:31 [ET]
Event Date: 06/13/2001
Event Time: 08:39 [CDT]
Last Update Date: 06/13/2001
Notification Time: 12:31 [ET]
Event Date: 06/13/2001
Event Time: 08:39 [CDT]
Last Update Date: 06/13/2001
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
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 |
PARTIAL LOSS OFFSITE COMMUNICATIONS
On Wednesday, June 13th at 0839, a lightning strike caused a loss of the commercial phone systems at the Monticello Nuclear Plant Site. This affected phones in the control room and Technical Support Center as well as plant paging capabilities. One commercial phone line in the control room, the ENS system, auto-ring hotlines to the State EOC/Duty Officer, fax capabilities and the Radio System to Off-site agencies remained operational. Notification to the State and Local Counties were made informing them of the degraded communication capabilities. The EOF phone system remained operational. All communication systems were restored at approximately 1100 on June 13th.
The licensee informed the NRC resident inspector.
On Wednesday, June 13th at 0839, a lightning strike caused a loss of the commercial phone systems at the Monticello Nuclear Plant Site. This affected phones in the control room and Technical Support Center as well as plant paging capabilities. One commercial phone line in the control room, the ENS system, auto-ring hotlines to the State EOC/Duty Officer, fax capabilities and the Radio System to Off-site agencies remained operational. Notification to the State and Local Counties were made informing them of the degraded communication capabilities. The EOF phone system remained operational. All communication systems were restored at approximately 1100 on June 13th.
The licensee informed the NRC resident inspector.
Power Reactor
Event Number: 38070
Facility: PILGRIM
Region: 1 State: MA
Unit: [1] [] []
RX Type: [1] GE-3
NRC Notified By: ERIC OLSON
HQ OPS Officer: DOUG WEAVER
Region: 1 State: MA
Unit: [1] [] []
RX Type: [1] GE-3
NRC Notified By: ERIC OLSON
HQ OPS Officer: DOUG WEAVER
Notification Date: 06/13/2001
Notification Time: 20:12 [ET]
Event Date: 06/13/2001
Event Time: 19:30 [EDT]
Last Update Date: 06/13/2001
Notification Time: 20:12 [ET]
Event Date: 06/13/2001
Event Time: 19:30 [EDT]
Last Update Date: 06/13/2001
Emergency Class: NON EMERGENCY
10 CFR Section:
70.52(a) - LOSS OF SNM/CRIT
10 CFR Section:
70.52(a) - LOSS OF SNM/CRIT
Person (Organization):
ANIELLO DELLA GRECA (R1)
JOHN HICKEY (NMSS)
DAVID MATTHEWS (NRR)
ANIELLO DELLA GRECA (R1)
JOHN HICKEY (NMSS)
DAVID MATTHEWS (NRR)
| Unit | SCRAM Code | RX Crit | Initial PWR | Initial RX Mode | Current PWR | Current RX Mode |
|---|---|---|---|---|---|---|
| 1 | N | Y | 100 | Power Operation | 100 | Power Operation |
A SMALL QUANTITY OF SPECIAL NUCLEAR MATERIAL UNACCOUNTED FOR
During the process of investigation of the Transverse In-Core Probe (TIP) detector accountability issue reported on 6/8/01 (EN 38059) it has been discovered that one additional detector cannot be readily accounted for. This was discovered during verification of the detectors installed in the TIP machines. The TIP detector is a fission chamber that utilizes approximately 1 mg of enriched uranium and is therefore considered Special Nuclear Material (SNM).
During 1975 to 1986 Pilgrim did not track TIP detectors as SNM due to the detectors containing less than one gram of SNM. It is suspected that during this time frame this detector was changed out. In 1987 a records search was made but did not reveal maintenance performed on this detector. It Is believed that this TIP detector has been properly disposed of as radioactive waste and is not in the public domain. Investigation is continuing.
The licensee notified the NRC resident inspector.
During the process of investigation of the Transverse In-Core Probe (TIP) detector accountability issue reported on 6/8/01 (EN 38059) it has been discovered that one additional detector cannot be readily accounted for. This was discovered during verification of the detectors installed in the TIP machines. The TIP detector is a fission chamber that utilizes approximately 1 mg of enriched uranium and is therefore considered Special Nuclear Material (SNM).
During 1975 to 1986 Pilgrim did not track TIP detectors as SNM due to the detectors containing less than one gram of SNM. It is suspected that during this time frame this detector was changed out. In 1987 a records search was made but did not reveal maintenance performed on this detector. It Is believed that this TIP detector has been properly disposed of as radioactive waste and is not in the public domain. Investigation is continuing.
The licensee notified the NRC resident inspector.
!!!!! THIS EVENT HAS BEEN RETRACTED !!!!!
!!!!! THIS EVENT HAS BEEN RETRACTED !!!!!
Hospital
Event Number: 38071
Rep Org: VIRGINIA CARDIOVASCULAR SPECIALIST
Licensee: VIRGINIA CARDIOVASCULAR SPECIALIST
Region: 2
City: RICHMOND State: VA
County:
License #: 4525406-01
Agreement: N
Docket:
NRC Notified By: YVONNE WEAVER
HQ OPS Officer: FANGIE JONES
Licensee: VIRGINIA CARDIOVASCULAR SPECIALIST
Region: 2
City: RICHMOND State: VA
County:
License #: 4525406-01
Agreement: N
Docket:
NRC Notified By: YVONNE WEAVER
HQ OPS Officer: FANGIE JONES
Notification Date: 06/14/2001
Notification Time: 14:59 [ET]
Event Date: 06/13/2001
Event Time: 14:00 [EDT]
Last Update Date: 06/15/2001
Notification Time: 14:59 [ET]
Event Date: 06/13/2001
Event Time: 14:00 [EDT]
Last Update Date: 06/15/2001
Emergency Class: NON EMERGENCY
10 CFR Section:
35.33 - MED MISADMINISTRATION
10 CFR Section:
35.33 - MED MISADMINISTRATION
Person (Organization):
ANNE BOLAND (R2)
JOHN HICKEY (NMSS)
ANNE BOLAND (R2)
JOHN HICKEY (NMSS)
MEDICAL MISADMINISTRATION - WRONG PATIENT WAS GIVEN DIAGNOSTIC DOSAGE
There were 2 patients in the waiting room with similar names. When the name was called out, the wrong patient answered and was administered the dose of 32.7 mCi of technetium Sestamibi Cardiolyte. Subsequently, it was determined that the wrong patient received the dose. The patient and attending physician have been notified.
A written report will follow.
* * * RETRACTION 0846 6/15/2001 FROM WEAVER TAKEN BY STRANSKY * * *
The licensee is retracting this notification. This event involved a diagnostic dose of technetium and resulted in a dose to the patient which is below the reporting threshold. Notified R2DO (Boland).
There were 2 patients in the waiting room with similar names. When the name was called out, the wrong patient answered and was administered the dose of 32.7 mCi of technetium Sestamibi Cardiolyte. Subsequently, it was determined that the wrong patient received the dose. The patient and attending physician have been notified.
A written report will follow.
* * * RETRACTION 0846 6/15/2001 FROM WEAVER TAKEN BY STRANSKY * * *
The licensee is retracting this notification. This event involved a diagnostic dose of technetium and resulted in a dose to the patient which is below the reporting threshold. Notified R2DO (Boland).