Event Notification Report for March 30, 2005
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
03/29/2005 - 03/30/2005
EVENT NUMBERS
415574154841549415504155141552
General Information or Other
Event Number: 41557
Rep Org: RI DEPT OF RADIOLOGICAL HEALTH
Licensee: MIRIAM HOSPITAL
Region: 1
City: PROVIDENCE State: RI
County:
License #: 7D-051-01
Agreement: Y
Docket:
NRC Notified By: JACK FERRUOLO
HQ OPS Officer: MARK ABRAMOVITZ
Licensee: MIRIAM HOSPITAL
Region: 1
City: PROVIDENCE State: RI
County:
License #: 7D-051-01
Agreement: Y
Docket:
NRC Notified By: JACK FERRUOLO
HQ OPS Officer: MARK ABRAMOVITZ
Notification Date: 04/01/2005
Notification Time: 13:56 [ET]
Event Date: 03/30/2005
Event Time: 00:00 [EST]
Last Update Date: 04/08/2005
Notification Time: 13:56 [ET]
Event Date: 03/30/2005
Event Time: 00:00 [EST]
Last Update Date: 04/08/2005
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
JAMES TRAPP (R1)
ELMO COLLINS (NMSS)
JAMES TRAPP (R1)
ELMO COLLINS (NMSS)
AGREEMENT STATE - LOST Am-241 SOURCE
An Am-241 sealed source (Serial #: NM-129 received in January 1978) was last inventoried in February 2005.
On the afternoon of March 30, 2005, it was concluded that a wand marker containing 2 mCi of Am-241 was missing. The marker had not been in use and was secured "in storage" in the Nuclear Medicine Hot Lab at the Miriam Hospital. Initially the source was considered to be misplaced. However, on March 30, 2005, the hospital's preliminary investigations had not recovered the source and it was reported as lost. The source is identified as an Am-241 (2mCi) wand formerly used as a marker for an ELCINT camera. The source is in a steel wand and is shielded until a window is opened when used as a marker. It was described as a steel rod with wires out the back end approximately 8 inches long and approximately 0.75 inches in diameter.
The Rhode Island RCA was notified of the incident on March 30, 2005 via a voice message and retrieved by RCA personnel on April 1, 2005 after returning from training out of state. The licensee is continuing a search of each campus in an attempt to retrieve or account for the source.
Event Report ID: RI-05-002
* * * UPDATE 1358 EDT ON 4/8/05 FROM JACK FERRUOLO TO PETE SNYDER VIA FAX * * *
"Investigation conducted on 1 April 05 at RI Hospital Campus of licensee with follow-up at Miriam Campus on 5 April 2006. Findings: Inventory records supported inventory and accountability of source on 11/29/04. Inventory record for 2/16/05 identified the Am-241 source as missing. Notification of RI RCA was not effected until 30 March 05. The source is as described above with the following clarifications: It has a wooden handle at one end-total length of wand increased to approx. 12 inches. A radiation symbol was embossed on the metal portion of the wand, however, the wand was typically placed in a scabbard thus concealing the radiation warning. The Hot tab was confirmed to be locked - key code locking mechanism. The source was stored in a separate waste storage location accessible only from the Hot Lab. All areas in the storage location were checked and the source was not recovered, it is presumed lost and not retrievable. Licensee has scheduled in service with all Nuclear medicine and physics staff to review protocols and to investigate further."
Notified R1DO (Noggle) and NMSS (Leach)
An Am-241 sealed source (Serial #: NM-129 received in January 1978) was last inventoried in February 2005.
On the afternoon of March 30, 2005, it was concluded that a wand marker containing 2 mCi of Am-241 was missing. The marker had not been in use and was secured "in storage" in the Nuclear Medicine Hot Lab at the Miriam Hospital. Initially the source was considered to be misplaced. However, on March 30, 2005, the hospital's preliminary investigations had not recovered the source and it was reported as lost. The source is identified as an Am-241 (2mCi) wand formerly used as a marker for an ELCINT camera. The source is in a steel wand and is shielded until a window is opened when used as a marker. It was described as a steel rod with wires out the back end approximately 8 inches long and approximately 0.75 inches in diameter.
The Rhode Island RCA was notified of the incident on March 30, 2005 via a voice message and retrieved by RCA personnel on April 1, 2005 after returning from training out of state. The licensee is continuing a search of each campus in an attempt to retrieve or account for the source.
Event Report ID: RI-05-002
* * * UPDATE 1358 EDT ON 4/8/05 FROM JACK FERRUOLO TO PETE SNYDER VIA FAX * * *
"Investigation conducted on 1 April 05 at RI Hospital Campus of licensee with follow-up at Miriam Campus on 5 April 2006. Findings: Inventory records supported inventory and accountability of source on 11/29/04. Inventory record for 2/16/05 identified the Am-241 source as missing. Notification of RI RCA was not effected until 30 March 05. The source is as described above with the following clarifications: It has a wooden handle at one end-total length of wand increased to approx. 12 inches. A radiation symbol was embossed on the metal portion of the wand, however, the wand was typically placed in a scabbard thus concealing the radiation warning. The Hot tab was confirmed to be locked - key code locking mechanism. The source was stored in a separate waste storage location accessible only from the Hot Lab. All areas in the storage location were checked and the source was not recovered, it is presumed lost and not retrievable. Licensee has scheduled in service with all Nuclear medicine and physics staff to review protocols and to investigate further."
Notified R1DO (Noggle) and NMSS (Leach)
Power Reactor
Event Number: 41548
Facility: PRAIRIE ISLAND
Region: 3 State: MN
Unit: [] [2] []
RX Type: [1] W-2-LP,[2] W-2-LP
NRC Notified By: BRIAN JOHNSON
HQ OPS Officer: BILL GOTT
Region: 3 State: MN
Unit: [] [2] []
RX Type: [1] W-2-LP,[2] W-2-LP
NRC Notified By: BRIAN JOHNSON
HQ OPS Officer: BILL GOTT
Notification Date: 03/30/2005
Notification Time: 09:35 [ET]
Event Date: 03/30/2005
Event Time: 07:35 [CST]
Last Update Date: 03/30/2005
Notification Time: 09:35 [ET]
Event Date: 03/30/2005
Event Time: 07:35 [CST]
Last Update Date: 03/30/2005
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(i) - PLANT S/D REQD BY TS
10 CFR Section:
50.72(b)(2)(i) - PLANT S/D REQD BY TS
Person (Organization):
KENNETH RIEMER (R3)
KENNETH RIEMER (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 |
TECHNICAL SPECIFICATION SHUTDOWN DUE TO CONTAINMENT FAN COIL UNITS DECLARED INOPERABLE
The following information was obtained from the licensee via facsimile (licensee text in quotes):
"The site determined that previous repairs to 21, 22, and 23 Containment Fan Coil Unit (CFCU) Heat Exchangers were not in compliance with applicable ASME codes. The three CFCUs were declared inoperable per Generic Letter 90-05 for ASME Class II Piping. Shutdown of Unit 2 to Mode 3 commenced at 0735. Code repairs are being performed and the technical specification required shutdown (LCO 3.0.3/3.6.1.B) is expected to be stopped once one CFCU train is returned to operability and the other is isolated to meet technical specification LCO 3.6.1. 'Containment.'"
The licensee notified the NRC Resident Inspector.
The following information was obtained from the licensee via facsimile (licensee text in quotes):
"The site determined that previous repairs to 21, 22, and 23 Containment Fan Coil Unit (CFCU) Heat Exchangers were not in compliance with applicable ASME codes. The three CFCUs were declared inoperable per Generic Letter 90-05 for ASME Class II Piping. Shutdown of Unit 2 to Mode 3 commenced at 0735. Code repairs are being performed and the technical specification required shutdown (LCO 3.0.3/3.6.1.B) is expected to be stopped once one CFCU train is returned to operability and the other is isolated to meet technical specification LCO 3.6.1. 'Containment.'"
The licensee notified the NRC Resident Inspector.
Power Reactor
Event Number: 41549
Facility: SALEM
Region: 1 State: NJ
Unit: [1] [2] []
RX Type: [1] W-4-LP,[2] W-4-LP
NRC Notified By: STEVE SAUER
HQ OPS Officer: JOHN KNOKE
Region: 1 State: NJ
Unit: [1] [2] []
RX Type: [1] W-4-LP,[2] W-4-LP
NRC Notified By: STEVE SAUER
HQ OPS Officer: JOHN KNOKE
Notification Date: 03/30/2005
Notification Time: 14:43 [ET]
Event Date: 03/30/2005
Event Time: 09:00 [EST]
Last Update Date: 03/30/2005
Notification Time: 14:43 [ET]
Event Date: 03/30/2005
Event Time: 09:00 [EST]
Last Update Date: 03/30/2005
Emergency Class: NON EMERGENCY
10 CFR Section:
26.73 - FITNESS FOR DUTY
10 CFR Section:
26.73 - FITNESS FOR DUTY
Person (Organization):
JAMES TRAPP (R1)
JAMES TRAPP (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 |
| 2 | N | Y | 100 | Power Operation | 100 | Power Operation |
FITNESS FOR DUTY REPORT - UNDER INFLUENCE OF ALCOHOL
A non-licensed employee was determined to be under the influence of alcohol during a new employee pre-screening evaluation. The employee never had access to the plant. Contact the Headquarters Operations Officer for additional details.
A non-licensed employee was determined to be under the influence of alcohol during a new employee pre-screening evaluation. The employee never had access to the plant. Contact the Headquarters Operations Officer for additional details.
Power Reactor
Event Number: 41550
Facility: HADDAM NECK
Region: 1 State: CT
Unit: [1] [] []
RX Type: [1] W-4-LP
NRC Notified By: MICHAEL E BACA
HQ OPS Officer: MARK ABRAMOVITZ
Region: 1 State: CT
Unit: [1] [] []
RX Type: [1] W-4-LP
NRC Notified By: MICHAEL E BACA
HQ OPS Officer: MARK ABRAMOVITZ
Notification Date: 03/30/2005
Notification Time: 17:57 [ET]
Event Date: 03/30/2005
Event Time: 16:35 [EST]
Last Update Date: 03/30/2005
Notification Time: 17:57 [ET]
Event Date: 03/30/2005
Event Time: 16:35 [EST]
Last Update Date: 03/30/2005
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):
JAMES TRAPP (R1)
JAMES TRAPP (R1)
| Unit | SCRAM Code | RX Crit | Initial PWR | Initial RX Mode | Current PWR | Current RX Mode |
|---|---|---|---|---|---|---|
| 1 | N | N | 0 | Decommissioned | 0 | Decommissioned |
OFFSITE NOTIFICATION DUE TO DISCOVERY OF LEGACY OIL SPILL
During demolition of the auxiliary building, a 3 cubic yard front end loader picked up a load of dirt which was discolored and had a strong smell of diesel fuel oil. Excavation was suspended for investigation. At this time the extent of the contaminated area is unknown as well as the potential for ground water contamination.
The licensee notified the National Response Center (Report # 754298) as well as the Connecticut Department of Environmental Protection. The licensee will notify NRC Region I.
During demolition of the auxiliary building, a 3 cubic yard front end loader picked up a load of dirt which was discolored and had a strong smell of diesel fuel oil. Excavation was suspended for investigation. At this time the extent of the contaminated area is unknown as well as the potential for ground water contamination.
The licensee notified the National Response Center (Report # 754298) as well as the Connecticut Department of Environmental Protection. The licensee will notify NRC Region I.
Power Reactor
Event Number: 41551
Facility: FERMI
Region: 3 State: MI
Unit: [2] [] []
RX Type: [2] GE-4
NRC Notified By: JEFF YEAGER
HQ OPS Officer: MARK ABRAMOVITZ
Region: 3 State: MI
Unit: [2] [] []
RX Type: [2] GE-4
NRC Notified By: JEFF YEAGER
HQ OPS Officer: MARK ABRAMOVITZ
Notification Date: 03/30/2005
Notification Time: 18:13 [ET]
Event Date: 03/30/2005
Event Time: 16:00 [EST]
Last Update Date: 03/30/2005
Notification Time: 18:13 [ET]
Event Date: 03/30/2005
Event Time: 16:00 [EST]
Last Update Date: 03/30/2005
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(ii)(B) - UNANALYZED CONDITION
10 CFR Section:
50.72(b)(3)(ii)(B) - UNANALYZED CONDITION
Person (Organization):
KENNETH RIEMER (R3)
KENNETH RIEMER (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 |
IDENTIFICATION OF DESIGN AND OPERATING PROCEDURE DEFICIENCIES
The following information was provided by the licensee (licensee text in quotes):
"On March 7, 2005, a condition assessment and resolution document was initiated to document several possible design and operating procedure deficiencies affecting Appendix R and Station Blackout (SBO) events. The deficiencies were identified during development of a proposed modification affecting existing Appendix R and SBO power supplies. On March 30, 2005, it was determined that the applicable Appendix R success criteria could not be assured under all of the postulated scenarios described in the Updated Final Safety Analysis Report (UFSAR). Specifically, during the scenarios where Combustion Turbine Generator (CTG) 11-1 (the dedicated Appendix R alternate power source) or other station CTGs are operating in parallel with the grid, availability of the alternate power source under Appendix R and SBO scenarios cannot be assured. Therefore, this event is being reported under 50.72(b)(3)(ii)(B). Actions to address the potentially affected Appendix R and SBO scenarios were put in place on March 7, 2005, when the deficiencies were identified. The NRC Resident Inspector has been notified."
The following information was provided by the licensee (licensee text in quotes):
"On March 7, 2005, a condition assessment and resolution document was initiated to document several possible design and operating procedure deficiencies affecting Appendix R and Station Blackout (SBO) events. The deficiencies were identified during development of a proposed modification affecting existing Appendix R and SBO power supplies. On March 30, 2005, it was determined that the applicable Appendix R success criteria could not be assured under all of the postulated scenarios described in the Updated Final Safety Analysis Report (UFSAR). Specifically, during the scenarios where Combustion Turbine Generator (CTG) 11-1 (the dedicated Appendix R alternate power source) or other station CTGs are operating in parallel with the grid, availability of the alternate power source under Appendix R and SBO scenarios cannot be assured. Therefore, this event is being reported under 50.72(b)(3)(ii)(B). Actions to address the potentially affected Appendix R and SBO scenarios were put in place on March 7, 2005, when the deficiencies were identified. The NRC Resident Inspector has been notified."
Power Reactor
Event Number: 41552
Facility: TURKEY POINT
Region: 2 State: FL
Unit: [3] [4] []
RX Type: [3] W-3-LP,[4] W-3-LP
NRC Notified By: DANIEL EDDINGER
HQ OPS Officer: MARK ABRAMOVITZ
Region: 2 State: FL
Unit: [3] [4] []
RX Type: [3] W-3-LP,[4] W-3-LP
NRC Notified By: DANIEL EDDINGER
HQ OPS Officer: MARK ABRAMOVITZ
Notification Date: 03/31/2005
Notification Time: 13:00 [ET]
Event Date: 03/30/2005
Event Time: 15:30 [EST]
Last Update Date: 03/31/2005
Notification Time: 13:00 [ET]
Event Date: 03/30/2005
Event Time: 15:30 [EST]
Last Update Date: 03/31/2005
Emergency Class: NON EMERGENCY
10 CFR Section:
26.73 - FITNESS FOR DUTY
10 CFR Section:
26.73 - FITNESS FOR DUTY
Person (Organization):
MALCOLM WIDMANN (R2)
MALCOLM WIDMANN (R2)
| Unit | SCRAM Code | RX Crit | Initial PWR | Initial RX Mode | Current PWR | Current RX Mode |
|---|---|---|---|---|---|---|
| 3 | N | Y | 100 | Power Operation | 100 | Power Operation |
| 4 | N | Y | 60 | Power Operation | 60 | Power Operation |
TWO CONTRACT SUPERVISORS TESTED POSITIVE DURING A RANDOM DRUG TEST
Two contract supervisors had a positive test during a random drug sampling. Both supervisors have had their plant access terminated and were escorted offsite. A review of the work performed by both individuals is in progress. Contact the Headquarters Operations Officer for additional details.
The licensee notified the NRC Resident Inspector.
Two contract supervisors had a positive test during a random drug sampling. Both supervisors have had their plant access terminated and were escorted offsite. A review of the work performed by both individuals is in progress. Contact the Headquarters Operations Officer for additional details.
The licensee notified the NRC Resident Inspector.