Event Notification Report for June 13, 2003
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
06/12/2003 - 06/13/2003
EVENT NUMBERS
39937399313993239934
Power Reactor
Event Number: 39937
Facility: PEACH BOTTOM
Region: 1 State: PA
Unit: [2] [3] []
RX Type: [2] GE-4,[3] GE-4
NRC Notified By: BREIDENBAUGH
HQ OPS Officer: FANGIE JONES
Region: 1 State: PA
Unit: [2] [3] []
RX Type: [2] GE-4,[3] GE-4
NRC Notified By: BREIDENBAUGH
HQ OPS Officer: FANGIE JONES
Notification Date: 06/14/2003
Notification Time: 02:05 [ET]
Event Date: 06/13/2003
Event Time: 20:21 [EDT]
Last Update Date: 06/14/2003
Notification Time: 02:05 [ET]
Event Date: 06/13/2003
Event Time: 20:21 [EDT]
Last Update Date: 06/14/2003
Emergency Class:
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):
CHRISTOPHER CAHILL (R1)
CHRISTOPHER CAHILL (R1)
| Unit | SCRAM Code | RX Crit | Initial PWR | Initial RX Mode | Current PWR | Current RX Mode |
|---|---|---|---|---|---|---|
| 2 | N | Y | 100 | Power Operation | 100 | Power Operation |
| 3 | N | Y | 100 | Power Operation | 100 | Power Operation |
LOSS OF BOTH OFFSITE POWER SOURCES TO TECHNICAL SUPPORT CENTER
"During severe thunderstorms in the area power was lost to the onsite Technical Support Center (TSC) for approximately 90 minutes. These storms caused both offsite power sources to the TSC to de-energize at 2021. Grid operators began restoration activities immediately and power was restored to the facility at approximately 2200. Investigation is in progress for the cause of the line tripping."
The licensee notified the NRC Resident Inspector.
"During severe thunderstorms in the area power was lost to the onsite Technical Support Center (TSC) for approximately 90 minutes. These storms caused both offsite power sources to the TSC to de-energize at 2021. Grid operators began restoration activities immediately and power was restored to the facility at approximately 2200. Investigation is in progress for the cause of the line tripping."
The licensee notified the NRC Resident Inspector.
Power Reactor
Event Number: 39931
Facility: GRAND GULF
Region: 4 State: MS
Unit: [1] [] []
RX Type: [1] GE-6
NRC Notified By: FRANK WEAVER
HQ OPS Officer: JOHN MacKINNON
Region: 4 State: MS
Unit: [1] [] []
RX Type: [1] GE-6
NRC Notified By: FRANK WEAVER
HQ OPS Officer: JOHN MacKINNON
Notification Date: 06/13/2003
Notification Time: 02:44 [ET]
Event Date: 06/13/2003
Event Time: 00:30 [CDT]
Last Update Date: 06/13/2003
Notification Time: 02:44 [ET]
Event Date: 06/13/2003
Event Time: 00:30 [CDT]
Last Update Date: 06/13/2003
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 GRAVES (R4)
DAVID GRAVES (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 |
EMERGENCY SIREN ACUTATED
"Grand Gulf Control Room was notified by the Louisiana Office of Emergency Preparedness that an Emergency Siren was initiated. There is no reason for this siren to have actuated. The siren has been secured and deenergized. This event is being reported due to the local media broadcasting a no emergency message. The total number of emergency sirens remains above 75%(precent)."
The NRC Resident Inspector was notified of this event by the licensee.
"Grand Gulf Control Room was notified by the Louisiana Office of Emergency Preparedness that an Emergency Siren was initiated. There is no reason for this siren to have actuated. The siren has been secured and deenergized. This event is being reported due to the local media broadcasting a no emergency message. The total number of emergency sirens remains above 75%(precent)."
The NRC Resident Inspector was notified of this event by the licensee.
Power Reactor
Event Number: 39932
Facility: SURRY
Region: 2 State: VA
Unit: [1] [] []
RX Type: [1] W-3-LP,[2] W-3-LP
NRC Notified By: J. SHELL
HQ OPS Officer: JOHN MacKINNON
Region: 2 State: VA
Unit: [1] [] []
RX Type: [1] W-3-LP,[2] W-3-LP
NRC Notified By: J. SHELL
HQ OPS Officer: JOHN MacKINNON
Notification Date: 06/13/2003
Notification Time: 08:51 [ET]
Event Date: 06/13/2003
Event Time: 05:36 [EDT]
Last Update Date: 06/13/2003
Notification Time: 08:51 [ET]
Event Date: 06/13/2003
Event Time: 05:36 [EDT]
Last Update Date: 06/13/2003
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(iv)(B) - RPS ACTUATION - CRITICAL
10 CFR Section:
50.72(b)(2)(iv)(B) - RPS ACTUATION - CRITICAL
Person (Organization):
MARK LESSER (R2)
MARK LESSER (R2)
| Unit | SCRAM Code | RX Crit | Initial PWR | Initial RX Mode | Current PWR | Current RX Mode |
|---|---|---|---|---|---|---|
| 1 | M/R | Y | 1 | Startup | 0 | Hot Shutdown |
MANUALLY REACTOR TRIP DUE TO INDICATION OF MISALIGNED ROD
"While inserting Shutdown Bank "B" during the Rod Swap portion of physics testing, Rod J-7 indicated a rapid drop from approximately 100 steps to 47 steps on the CERPI (Computer Enhanced Rod Position Indication) panel. The reactor operator stopped insertion of "B" shutdown bank and the CERPI indication for rod J-7 remained at 47 steps. The remaining CERPIs in "B" shutdown bank varied from 96 to 100 steps
"I&C and Engineering investigated and found no problems with the CERPI indication. Physics testing was terminated and the reactor was manually tripped and 1-E-0 initiated. All systems functioned as required on the trip. Rod Drop time data from the CERPI program shows all rods in Shutdown Bank "B" had a drop time 1.24 to 1.27 seconds with the exception of J-7, which had a drop time of 1.04 seconds.
"An investigation is ongoing as to the cause of rod J-7 indication."
The NRC Resident Inspector was notified of this event by the licensee.
"While inserting Shutdown Bank "B" during the Rod Swap portion of physics testing, Rod J-7 indicated a rapid drop from approximately 100 steps to 47 steps on the CERPI (Computer Enhanced Rod Position Indication) panel. The reactor operator stopped insertion of "B" shutdown bank and the CERPI indication for rod J-7 remained at 47 steps. The remaining CERPIs in "B" shutdown bank varied from 96 to 100 steps
"I&C and Engineering investigated and found no problems with the CERPI indication. Physics testing was terminated and the reactor was manually tripped and 1-E-0 initiated. All systems functioned as required on the trip. Rod Drop time data from the CERPI program shows all rods in Shutdown Bank "B" had a drop time 1.24 to 1.27 seconds with the exception of J-7, which had a drop time of 1.04 seconds.
"An investigation is ongoing as to the cause of rod J-7 indication."
The NRC Resident Inspector was notified of this event by the licensee.
General Information or Other
Event Number: 39934
Rep Org: TEXAS DEPARTMENT OF HEALTH
Licensee: CHRISTUS SANTA ROSA
Region: 4
City: SAN ANTONIO State: TX
County:
License #: L02237-001
Agreement: Y
Docket:
NRC Notified By: WATKINS
HQ OPS Officer: CHAUNCEY GOULD
Licensee: CHRISTUS SANTA ROSA
Region: 4
City: SAN ANTONIO State: TX
County:
License #: L02237-001
Agreement: Y
Docket:
NRC Notified By: WATKINS
HQ OPS Officer: CHAUNCEY GOULD
Notification Date: 06/13/2003
Notification Time: 14:47 [ET]
Event Date: 06/13/2003
Event Time: 00:00 [CDT]
Last Update Date: 06/13/2003
Notification Time: 14:47 [ET]
Event Date: 06/13/2003
Event Time: 00:00 [CDT]
Last Update Date: 06/13/2003
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
DAVID GRAVES (R4)
TOM ESSIG (NMSS)
DAVID GRAVES (R4)
TOM ESSIG (NMSS)
WRONG DOSAGE ADMINISTERED TO A PATIENT DUE TO HUMAN ERROR
Discovery of right patient/ right radiopharmaceutical but wrong dosage. Patient returned after 48 hours for a scan. Doctor asked the tech for the prescription that was issued. The tech had ordered the wrong dose for the prescribed procedure. A thyroid scan was conducted with 2.3 millicuries of Iodine -131 vs. the required 300 microcuries of I-131. As corrective action any I-131 dose will require concurrence of the physician prior to ordering the dose. The cause was due to human error since the radiopharmacy sent the dose as ordered by the Tech.
Both the referring physician and the patient have been informed of the error. The physician has stated that the dose error has caused no injury to the patient.
Discovery of right patient/ right radiopharmaceutical but wrong dosage. Patient returned after 48 hours for a scan. Doctor asked the tech for the prescription that was issued. The tech had ordered the wrong dose for the prescribed procedure. A thyroid scan was conducted with 2.3 millicuries of Iodine -131 vs. the required 300 microcuries of I-131. As corrective action any I-131 dose will require concurrence of the physician prior to ordering the dose. The cause was due to human error since the radiopharmacy sent the dose as ordered by the Tech.
Both the referring physician and the patient have been informed of the error. The physician has stated that the dose error has caused no injury to the patient.