Event Notification Report for August 31, 2001
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
08/30/2001 - 08/31/2001
EVENT NUMBERS
38259382543825638257
!!!!! THIS EVENT HAS BEEN RETRACTED !!!!!
!!!!! THIS EVENT HAS BEEN RETRACTED !!!!!
Power Reactor
Event Number: 38259
Facility: HARRIS
Region: 2 State: NC
Unit: [1] [] []
RX Type: [1] W-3-LP
NRC Notified By: JAMES ABRAHAM
HQ OPS Officer: STEVE SANDIN
Region: 2 State: NC
Unit: [1] [] []
RX Type: [1] W-3-LP
NRC Notified By: JAMES ABRAHAM
HQ OPS Officer: STEVE SANDIN
Notification Date: 09/01/2001
Notification Time: 00:05 [ET]
Event Date: 08/31/2001
Event Time: 23:08 [EDT]
Last Update Date: 09/27/2001
Notification Time: 00:05 [ET]
Event Date: 08/31/2001
Event Time: 23:08 [EDT]
Last Update Date: 09/27/2001
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 LESSER (R2)
MARK LESSER (R2)
| Unit | SCRAM Code | RX Crit | Initial PWR | Initial RX Mode | Current PWR | Current RX Mode |
|---|---|---|---|---|---|---|
| 1 | N | Y | 100 | Power Operation | 100 | Power Operation |
1-HOUR SECURITY REPORT INVOLVED SAFEGUARDS SYSTEM DEGRADATION
Safeguards system degradation related to detection of area boundary. Immediate compensatory measures taken upon discovery. The licensee will inform the NRC resident inspector. Contact the Headquarters Operations Center for additional details.
***** RETRACTION FROM JOHN WARNER TO LEIGH TROCINE AT 1419 ON 09/27/01 *****
The licensee is retracting this event notification. The following text is a portion of a facsimile received from the licensee:
"This condition was promptly compensated for upon discovery. Harris Nuclear Plant performed a 1-hour notification due to this condition. Site personnel have determined that this issue is not reportable in accordance with NRC Generic Letter 91-03. As specified in Generic Letter 91-03, if these events are properly compensated upon discovery in accordance with Regulatory Guide 5.62 and NUREG-1304, they need only be logged. Therefore, Harris Nuclear Plant is retracting EN #38259 due to promptly compensating the condition in accordance with Regulatory Guide 5.62 and NUREG-1304."
(Contact the NRC operations officer for additional information.)
The licensee notified the NRC resident inspector. The NRC operations officer notified the Region 2 Incident Response Center (Jay Henson) and IAT (Roberta Warren).
Safeguards system degradation related to detection of area boundary. Immediate compensatory measures taken upon discovery. The licensee will inform the NRC resident inspector. Contact the Headquarters Operations Center for additional details.
***** RETRACTION FROM JOHN WARNER TO LEIGH TROCINE AT 1419 ON 09/27/01 *****
The licensee is retracting this event notification. The following text is a portion of a facsimile received from the licensee:
"This condition was promptly compensated for upon discovery. Harris Nuclear Plant performed a 1-hour notification due to this condition. Site personnel have determined that this issue is not reportable in accordance with NRC Generic Letter 91-03. As specified in Generic Letter 91-03, if these events are properly compensated upon discovery in accordance with Regulatory Guide 5.62 and NUREG-1304, they need only be logged. Therefore, Harris Nuclear Plant is retracting EN #38259 due to promptly compensating the condition in accordance with Regulatory Guide 5.62 and NUREG-1304."
(Contact the NRC operations officer for additional information.)
The licensee notified the NRC resident inspector. The NRC operations officer notified the Region 2 Incident Response Center (Jay Henson) and IAT (Roberta Warren).
Power Reactor
Event Number: 38254
Facility: SALEM
Region: 1 State: NJ
Unit: [1] [] []
RX Type: [1] W-4-LP,[2] W-4-LP
NRC Notified By: FORD
HQ OPS Officer: CHAUNCEY GOULD
Region: 1 State: NJ
Unit: [1] [] []
RX Type: [1] W-4-LP,[2] W-4-LP
NRC Notified By: FORD
HQ OPS Officer: CHAUNCEY GOULD
Notification Date: 08/31/2001
Notification Time: 08:35 [ET]
Event Date: 08/31/2001
Event Time: 04:55 [EDT]
Last Update Date: 08/31/2001
Notification Time: 08:35 [ET]
Event Date: 08/31/2001
Event Time: 04:55 [EDT]
Last Update Date: 08/31/2001
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):
DAVID LEW (R1)
DAVID LEW (R1)
| Unit | SCRAM Code | RX Crit | Initial PWR | Initial RX Mode | Current PWR | Current RX Mode |
|---|---|---|---|---|---|---|
| 1 | N | Y | 100 | Power Operation | 100 | Power Operation |
NATIONAL MARINE FISHERIES SERVICE NOTIFIED OF THE RECOVERY OF A DEAD LOGGERHEAD TURTLE
A deceased endangered loggerhead turtle was recovered from the circulating water intake trash bars. Based on the condition of the turtle, it was determined to have been deceased for some time and the cause was not directly related to being impinged on the circulating water (cw) trash bars.
The NRC Resident Inspector will be notified along with the National Marine Fisheries Service
A deceased endangered loggerhead turtle was recovered from the circulating water intake trash bars. Based on the condition of the turtle, it was determined to have been deceased for some time and the cause was not directly related to being impinged on the circulating water (cw) trash bars.
The NRC Resident Inspector will be notified along with the National Marine Fisheries Service
General Information or Other
Event Number: 38256
Rep Org: KANSAS DEPT OF HEALTH & ENVIRONMENT
Licensee: UNIVERSITY OF KANSAS HOSPITAL AUTHORITY
Region: 4
City: KANSAS CITY State: KS
County:
License #: 18-C801
Agreement: Y
Docket:
NRC Notified By: TOM CONLEY
HQ OPS Officer: BOB STRANSKY
Licensee: UNIVERSITY OF KANSAS HOSPITAL AUTHORITY
Region: 4
City: KANSAS CITY State: KS
County:
License #: 18-C801
Agreement: Y
Docket:
NRC Notified By: TOM CONLEY
HQ OPS Officer: BOB STRANSKY
Notification Date: 08/31/2001
Notification Time: 13:30 [ET]
Event Date: 08/31/2001
Event Time: 00:00 [CDT]
Last Update Date: 08/31/2001
Notification Time: 13:30 [ET]
Event Date: 08/31/2001
Event Time: 00:00 [CDT]
Last Update Date: 08/31/2001
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
GAIL GOOD (R4)
SUSAN FRANT (NMSS)
GAIL GOOD (R4)
SUSAN FRANT (NMSS)
AGREEMENT STATE REPORT - MEDICAL MISADMINISTRATION
The wrong radiopharmaceutical was administered to a patient, resulting in a dose of 9 rem (90 mSv) to the lower large intestine. A technician had picked up two doses: one Tc-99m dose (prescribed for the patient) and one Ga-67 dose. The technician then engaged in a conversation with another individual, became distracted and inadvertently administered the Ga-67 dose to the patient.
The hospital will be submitting a written report to the state within 15 days.
The wrong radiopharmaceutical was administered to a patient, resulting in a dose of 9 rem (90 mSv) to the lower large intestine. A technician had picked up two doses: one Tc-99m dose (prescribed for the patient) and one Ga-67 dose. The technician then engaged in a conversation with another individual, became distracted and inadvertently administered the Ga-67 dose to the patient.
The hospital will be submitting a written report to the state within 15 days.
General Information or Other
Event Number: 38257
Rep Org: TENNESSEE DIV OF RAD HEALTH
Licensee: HENRY COUNTY MEDICAL CENTER
Region: 2
City: PARIS State: TN
County:
License #:
Agreement: Y
Docket:
NRC Notified By: DEBRA SHULTS (FACSIMILE)
HQ OPS Officer: BOB STRANSKY
Licensee: HENRY COUNTY MEDICAL CENTER
Region: 2
City: PARIS State: TN
County:
License #:
Agreement: Y
Docket:
NRC Notified By: DEBRA SHULTS (FACSIMILE)
HQ OPS Officer: BOB STRANSKY
Notification Date: 08/31/2001
Notification Time: 16:10 [ET]
Event Date: 08/31/2001
Event Time: 00:00 [EDT]
Last Update Date: 08/31/2001
Notification Time: 16:10 [ET]
Event Date: 08/31/2001
Event Time: 00:00 [EDT]
Last Update Date: 08/31/2001
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
MARK LESSER (R2)
MARK LESSER (R2)
AGREEMENT STATE REPORT
"The licensee called to report that 105 iodine-125 seeds totaling 336 millicuries were missing. The seeds were delivered to the hospital by Airborne Express on 8/29/01 and records indicate they were received by a purchasing clerk at approximately 2:00 p.m.. A prostate implant was scheduled for the morning of 8/31/01. When the radiation therapy technologist went to retrieve the seeds from the nuclear medicine department. the nuclear medicine technologist was unaware that any seeds had been delivered to the hospital. The clerk who signed for the seeds is not at the hospital today and on vacation until Tuesday. The housekeeping staff member who cleaned the area on 8/29/01 does not recall seeing any container fitting the description of the one in which the seeds were packaged and delivered. The Nuclear Medicine Department and the Radiology Department have been searched and the package not located. The dumpsters were emptied and sent to the landfill prior to discovery of the missing sources. An investigation is underway at the hospital. State radiation control personnel will conduct an onsite investigation."
"The licensee called to report that 105 iodine-125 seeds totaling 336 millicuries were missing. The seeds were delivered to the hospital by Airborne Express on 8/29/01 and records indicate they were received by a purchasing clerk at approximately 2:00 p.m.. A prostate implant was scheduled for the morning of 8/31/01. When the radiation therapy technologist went to retrieve the seeds from the nuclear medicine department. the nuclear medicine technologist was unaware that any seeds had been delivered to the hospital. The clerk who signed for the seeds is not at the hospital today and on vacation until Tuesday. The housekeeping staff member who cleaned the area on 8/29/01 does not recall seeing any container fitting the description of the one in which the seeds were packaged and delivered. The Nuclear Medicine Department and the Radiology Department have been searched and the package not located. The dumpsters were emptied and sent to the landfill prior to discovery of the missing sources. An investigation is underway at the hospital. State radiation control personnel will conduct an onsite investigation."