Event Notification Report for June 28, 2002
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
06/27/2002 - 06/28/2002
Power Reactor
Event Number: 39025
Facility: FERMI
Region: 3 State: MI
Unit: [2] [] []
RX Type: [2] GE-4
NRC Notified By: HARRY GILES
HQ OPS Officer: GERRY WAIG
Region: 3 State: MI
Unit: [2] [] []
RX Type: [2] GE-4
NRC Notified By: HARRY GILES
HQ OPS Officer: GERRY WAIG
Notification Date: 06/28/2002
Notification Time: 09:47 [ET]
Event Date: 06/28/2002
Event Time: 01:52 [EDT]
Last Update Date: 06/28/2002
Notification Time: 09:47 [ET]
Event Date: 06/28/2002
Event Time: 01:52 [EDT]
Last Update Date: 06/28/2002
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):
CHRISTINE LIPA (R3)
CHRISTINE LIPA (R3)
| Unit | SCRAM Code | RX Crit | Initial PWR | Initial RX Mode | Current PWR | Current RX Mode |
|---|---|---|---|---|---|---|
| 2 | N | Y | 100 | Power Operation | 100 | Power Operation |
POTENTIAL LOSS OF CONTROL CENTER HVAC ACCIDENT MITIGATION CAPABILITY DURING MAINTENANCE ACTIVITIES
" Control Center HVAC access panel opened at 2152 hours on 6-27-02, unfiltered air in-leakage potentially allowed into the operating division of [the] Control Center HVAC , potentially affecting post accident dose assessment per 10 CFR 50.72 (b) (3)(v)(D).
" Control Center access panel closed at 2222 hours on 6-27-02, maintenance activities halted on CCHVAC.
"Tech Spec 3.0.3 entry recognized at 0152 hours 6-28-02. Tech Spec exited within 30 minutes, no actions taken to commence plant shutdown."
The licensee notified the NRC Resident Inspector.
" Control Center HVAC access panel opened at 2152 hours on 6-27-02, unfiltered air in-leakage potentially allowed into the operating division of [the] Control Center HVAC , potentially affecting post accident dose assessment per 10 CFR 50.72 (b) (3)(v)(D).
" Control Center access panel closed at 2222 hours on 6-27-02, maintenance activities halted on CCHVAC.
"Tech Spec 3.0.3 entry recognized at 0152 hours 6-28-02. Tech Spec exited within 30 minutes, no actions taken to commence plant shutdown."
The licensee notified the NRC Resident Inspector.
Power Reactor
Event Number: 39028
Facility: COOK
Region: 3 State: MI
Unit: [1] [2] []
RX Type: [1] W-4-LP,[2] W-4-LP
NRC Notified By: BUD HINCKLEY
HQ OPS Officer: RICH LAURA
Region: 3 State: MI
Unit: [1] [2] []
RX Type: [1] W-4-LP,[2] W-4-LP
NRC Notified By: BUD HINCKLEY
HQ OPS Officer: RICH LAURA
Notification Date: 06/28/2002
Notification Time: 21:12 [ET]
Event Date: 06/28/2002
Event Time: 18:30 [EDT]
Last Update Date: 06/28/2002
Notification Time: 21:12 [ET]
Event Date: 06/28/2002
Event Time: 18:30 [EDT]
Last Update Date: 06/28/2002
Emergency Class:
10 CFR Section:
50.72(b)(2)(xi) - OFFSITE NOTIFICATION
10 CFR Section:
50.72(b)(2)(xi) - OFFSITE NOTIFICATION
Person (Organization):
ANNE MARIE STONE (R3)
ANNE MARIE STONE (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 |
| 2 | N | Y | 100 | Power Operation | 100 | Power Operation |
OFFSITE NOTIFICATION OF OIL SPILL AT DC COOK DURING SWITCHYARD MAINTENANCE
"At 18:30 EDT on 6/28/2002, while transporting the 1-TR-N1-CT2, Unit 1 Palisades to 345 KV Bus #1 Air Blast Breaker 52-Ni Phase #2 Current Transformer, the insulator dropped off the forklift and cracked, causing an oil leak of approximately 25 gallons onto the ground. The Michigan Department of Environmental Quality Pollution Emergency Alert System was notified at 20:15 on 6/28/02, requiring 4-Hr Non-Emergency 10 CFR 50.72 (b)(2)(xi) event notification to be made. There is no impact to plant personnel or operating equipment. A permit has been generated to allow removal of the affected soil for proper disposals"
The licensee was performing maintenance in the switchyard at the time. The current transformer was the old one which was replaced. The oil spill did not directly impact the ongoing maintenance activity.
The NRC resident inspector was notified.
"At 18:30 EDT on 6/28/2002, while transporting the 1-TR-N1-CT2, Unit 1 Palisades to 345 KV Bus #1 Air Blast Breaker 52-Ni Phase #2 Current Transformer, the insulator dropped off the forklift and cracked, causing an oil leak of approximately 25 gallons onto the ground. The Michigan Department of Environmental Quality Pollution Emergency Alert System was notified at 20:15 on 6/28/02, requiring 4-Hr Non-Emergency 10 CFR 50.72 (b)(2)(xi) event notification to be made. There is no impact to plant personnel or operating equipment. A permit has been generated to allow removal of the affected soil for proper disposals"
The licensee was performing maintenance in the switchyard at the time. The current transformer was the old one which was replaced. The oil spill did not directly impact the ongoing maintenance activity.
The NRC resident inspector was notified.
General Information or Other
Event Number: 39138
Rep Org: ALABAMA RADIATION CONTROL
Licensee: UNIVERSITY OF SOUTHERN ALABAMA
Region: 2
City: MOBILE State: AL
County:
License #: 582
Agreement: Y
Docket:
NRC Notified By: JIM McNEES (fax)
HQ OPS Officer: MIKE NORRIS
Licensee: UNIVERSITY OF SOUTHERN ALABAMA
Region: 2
City: MOBILE State: AL
County:
License #: 582
Agreement: Y
Docket:
NRC Notified By: JIM McNEES (fax)
HQ OPS Officer: MIKE NORRIS
Notification Date: 08/19/2002
Notification Time: 16:47 [ET]
Event Date: 06/28/2002
Event Time: 00:00 [CDT]
Last Update Date: 08/19/2002
Notification Time: 16:47 [ET]
Event Date: 06/28/2002
Event Time: 00:00 [CDT]
Last Update Date: 08/19/2002
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
MARK LESSER (R2)
THOMAS ESSIG (NMSS)
MARK LESSER (R2)
THOMAS ESSIG (NMSS)
AGREEMENT STATE REPORT INVOLVING 2 MEDICAL MISADMINISTRATIONS
"Alabama licensee identifies two misadministrations from previous year.
"By telephone notification on June 28, 2002 the University of South Alabama (Alabama Radioactive Material License No. 582) notified the State of Alabama that during their annual Quality Management Program review they identified two possible misadministrations of Iodine-131 from the previous year.
"By letter dated July 8, 2002, and received by the State of Alabama on July 11, 2002, the University of South Alabama confirmed that a review of the records revealed that:
"A. On April 3,2002, a patient was given 3.9 [millicuries] of iodine-131 for a total body diagnostic scan when 3.0 [millicuries] had been prescribed by the authorized user. The administered dose exceeded the prescribed dose by 30%; and
"B. On August 7,2001, a patient was administered 0.702 [millicuries] of iodine-131 for a whole body diagnostic scan when 0.500 [millicuries] had been prescribed by the authorized user. The administered dose exceeded the prescribed dose by 40%.
"In both cases the patients attending physician concluded that these doses had 'no clinical significance to either patient and therefore no untoward effects.' He ordered that this not be reported to the patients.
"According to the licensee, these events occurred because the nuclear medicine staff was operating under a window wider than the 20% maximum deviation allowed in the 420-3-26-.07(2)(m)1.b of the Alabama Rules for Control of Radiation. The licensee stated that the nuclear medicine department had been using criteria from an article published in the Journal of Nuclear Medicine which 'quoted NRC regulations with a greater tolerance.'
"The licensees corrective action was to notify nuclear medicine staff members both verbally and in writing of the current Alabama regulations. The State of Alabama considers the licensee's actions to be appropriate and the matter closed."
"Alabama licensee identifies two misadministrations from previous year.
"By telephone notification on June 28, 2002 the University of South Alabama (Alabama Radioactive Material License No. 582) notified the State of Alabama that during their annual Quality Management Program review they identified two possible misadministrations of Iodine-131 from the previous year.
"By letter dated July 8, 2002, and received by the State of Alabama on July 11, 2002, the University of South Alabama confirmed that a review of the records revealed that:
"A. On April 3,2002, a patient was given 3.9 [millicuries] of iodine-131 for a total body diagnostic scan when 3.0 [millicuries] had been prescribed by the authorized user. The administered dose exceeded the prescribed dose by 30%; and
"B. On August 7,2001, a patient was administered 0.702 [millicuries] of iodine-131 for a whole body diagnostic scan when 0.500 [millicuries] had been prescribed by the authorized user. The administered dose exceeded the prescribed dose by 40%.
"In both cases the patients attending physician concluded that these doses had 'no clinical significance to either patient and therefore no untoward effects.' He ordered that this not be reported to the patients.
"According to the licensee, these events occurred because the nuclear medicine staff was operating under a window wider than the 20% maximum deviation allowed in the 420-3-26-.07(2)(m)1.b of the Alabama Rules for Control of Radiation. The licensee stated that the nuclear medicine department had been using criteria from an article published in the Journal of Nuclear Medicine which 'quoted NRC regulations with a greater tolerance.'
"The licensees corrective action was to notify nuclear medicine staff members both verbally and in writing of the current Alabama regulations. The State of Alabama considers the licensee's actions to be appropriate and the matter closed."