Event Notification Report for June 06, 2005
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
06/05/2005 - 06/06/2005
EVENT NUMBERS
41746417474174941750
Power Reactor
Event Number: 41746
Facility: SUSQUEHANNA
Region: 1 State: PA
Unit: [] [2] []
RX Type: [1] GE-4,[2] GE-4
NRC Notified By: GRANT FERNSLER
HQ OPS Officer: MIKE RIPLEY
Region: 1 State: PA
Unit: [] [2] []
RX Type: [1] GE-4,[2] GE-4
NRC Notified By: GRANT FERNSLER
HQ OPS Officer: MIKE RIPLEY
Notification Date: 06/06/2005
Notification Time: 15:44 [ET]
Event Date: 06/06/2005
Event Time: 12:33 [EDT]
Last Update Date: 06/06/2005
Notification Time: 15:44 [ET]
Event Date: 06/06/2005
Event Time: 12:33 [EDT]
Last Update Date: 06/06/2005
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(iv)(B) - RPS ACTUATION - CRITICAL 50.72(b)(2)(xi) - OFFSITE NOTIFICATION 50.72(b)(3)(iv)(A) - VALID SPECIF SYS ACTUATION
10 CFR Section:
50.72(b)(2)(iv)(B) - RPS ACTUATION - CRITICAL 50.72(b)(2)(xi) - OFFSITE NOTIFICATION 50.72(b)(3)(iv)(A) - VALID SPECIF SYS ACTUATION
Person (Organization):
TODD JACKSON (R1)
TODD JACKSON (R1)
| Unit | SCRAM Code | RX Crit | Initial PWR | Initial RX Mode | Current PWR | Current RX Mode |
|---|---|---|---|---|---|---|
| 2 | A/R | Y | 100 | Power Operation | 0 | Hot Shutdown |
AUTOMATIC REACTOR SCRAM DUE TO APPARENT GENERATOR LOAD REJECTION
"At approximately 1233 hours, the Susquehanna Unit Two reactor automatically scrammed due to an apparent generator load reject. All rods inserted, and both reactor recirculation pumps tripped. Reactor water level lowered to -6" causing level 3 (setpoint +13") isolations, and was restored to normal level (+35") by the feedwater system. All isolations at this level occurred as expected. Two steam relief valves opened, then reclosed. Pressure was subsequently controlled via turbine bypass valve operation. All safety systems operated as expected. Some balance of plant loads shutdown apparently due to a voltage perturbation.
"A reactor recirculation pump was restarted to re-establish forced core circulation. The reactor is currently stable in condition 3. An investigation into the cause of the shutdown is underway. Unit One continued power operation.
"The NRC resident inspectors were notified. A press release will occur."
The licensee will be notifying the State of Pennsylvania.
"At approximately 1233 hours, the Susquehanna Unit Two reactor automatically scrammed due to an apparent generator load reject. All rods inserted, and both reactor recirculation pumps tripped. Reactor water level lowered to -6" causing level 3 (setpoint +13") isolations, and was restored to normal level (+35") by the feedwater system. All isolations at this level occurred as expected. Two steam relief valves opened, then reclosed. Pressure was subsequently controlled via turbine bypass valve operation. All safety systems operated as expected. Some balance of plant loads shutdown apparently due to a voltage perturbation.
"A reactor recirculation pump was restarted to re-establish forced core circulation. The reactor is currently stable in condition 3. An investigation into the cause of the shutdown is underway. Unit One continued power operation.
"The NRC resident inspectors were notified. A press release will occur."
The licensee will be notifying the State of Pennsylvania.
Hospital
Event Number: 41747
Rep Org: NATIONAL NAVAL MEDICAL CENTER
Licensee: NATIONAL NAVAL MEDICAL CENTER
Region: 1
City: BETHESDA State: MD
County: MONTGOMERY
License #: 19-08330-03
Agreement: Y
Docket: 030-0693
NRC Notified By: STEVE MILLER
HQ OPS Officer: MARK ABRAMOVITZ
Licensee: NATIONAL NAVAL MEDICAL CENTER
Region: 1
City: BETHESDA State: MD
County: MONTGOMERY
License #: 19-08330-03
Agreement: Y
Docket: 030-0693
NRC Notified By: STEVE MILLER
HQ OPS Officer: MARK ABRAMOVITZ
Notification Date: 06/06/2005
Notification Time: 15:50 [ET]
Event Date: 06/06/2005
Event Time: 10:00 [EDT]
Last Update Date: 06/07/2005
Notification Time: 15:50 [ET]
Event Date: 06/06/2005
Event Time: 10:00 [EDT]
Last Update Date: 06/07/2005
Emergency Class: NON EMERGENCY
10 CFR Section:
36.83(a)(1) - UNSHIELD STUCK SOURCE
10 CFR Section:
36.83(a)(1) - UNSHIELD STUCK SOURCE
Person (Organization):
TODD JACKSON (R1)
TOM ESSIG (NMSS)
TIM MCGINTY (IRD)
TODD JACKSON (R1)
TOM ESSIG (NMSS)
TIM MCGINTY (IRD)
IRRADIATOR SOURCE STUCK OUTSIDE OF WATER SHIELD
Testing was being performed on the panoramic pool irradiator (wet-source storage, cat IV). Two sources were pulled from the water for scram time testing. One of the sources fell back to its storage position however, the second source failed to return to storage. The source is a Co-60 source of approximately 180,000 Curies. The licensee expects to troubleshoot the problem and return the source to its storage location within the next four days (end of the week). The source is stuck eight feet below the water line and the irradiator room is locked.
* * * UPDATE FROM S. MILLER TO HOWIE CROUCH @ 1103 HRS. EDT ON 6/7/05 * * *
Through troubleshooting efforts, the licensee was able to return the stuck source to its normal storage location. There were no exposures as a result of this event or the troubleshooting effort.
Notified R1DO (Jackson), NMSS EO (Hickey) and IRD (McGinty).
Testing was being performed on the panoramic pool irradiator (wet-source storage, cat IV). Two sources were pulled from the water for scram time testing. One of the sources fell back to its storage position however, the second source failed to return to storage. The source is a Co-60 source of approximately 180,000 Curies. The licensee expects to troubleshoot the problem and return the source to its storage location within the next four days (end of the week). The source is stuck eight feet below the water line and the irradiator room is locked.
* * * UPDATE FROM S. MILLER TO HOWIE CROUCH @ 1103 HRS. EDT ON 6/7/05 * * *
Through troubleshooting efforts, the licensee was able to return the stuck source to its normal storage location. There were no exposures as a result of this event or the troubleshooting effort.
Notified R1DO (Jackson), NMSS EO (Hickey) and IRD (McGinty).
General Information or Other
Event Number: 41749
Rep Org: FLORIDA BUREAU OF RADIATION CONTROL
Licensee: MIAMI CHILDREN'S HOSPITAL
Region: 1
City: MIAMI State: FL
County: MIAMI-DADE
License #: 993-1
Agreement: Y
Docket:
NRC Notified By: CHARLES ADAMS
HQ OPS Officer: HOWIE CROUCH
Licensee: MIAMI CHILDREN'S HOSPITAL
Region: 1
City: MIAMI State: FL
County: MIAMI-DADE
License #: 993-1
Agreement: Y
Docket:
NRC Notified By: CHARLES ADAMS
HQ OPS Officer: HOWIE CROUCH
Notification Date: 06/07/2005
Notification Time: 07:37 [ET]
Event Date: 06/06/2005
Event Time: 00:00 [EDT]
Last Update Date: 06/07/2005
Notification Time: 07:37 [ET]
Event Date: 06/06/2005
Event Time: 00:00 [EDT]
Last Update Date: 06/07/2005
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
TODD JACKSON (R1)
TOM ESSIG (NMSS)
TODD JACKSON (R1)
TOM ESSIG (NMSS)
FLORIDA AGREEMENT STATE REPORT - LOST AM-241 SOURCE
The following information was obtained from the State of Florida Bureau of Radiation Control via e-mail:
"Searle marker containing Am-241 source was reported missing from Children's Hospital Miami. Device was bought in early 1980's. This source is in a 'storage only' mode and was last seen during the May 2005 inventory. Florida is investigating."
The device description is a Searle marker, manufacturer and model unknown, serial number ACM-24, containing 14 milliCuries of Am-241.
Florida Incident Number FL05-088
The following information was obtained from the State of Florida Bureau of Radiation Control via e-mail:
"Searle marker containing Am-241 source was reported missing from Children's Hospital Miami. Device was bought in early 1980's. This source is in a 'storage only' mode and was last seen during the May 2005 inventory. Florida is investigating."
The device description is a Searle marker, manufacturer and model unknown, serial number ACM-24, containing 14 milliCuries of Am-241.
Florida Incident Number FL05-088
!!!!! THIS EVENT HAS BEEN RETRACTED !!!!!
!!!!! THIS EVENT HAS BEEN RETRACTED !!!!!
Other Nuclear Material
Event Number: 41750
Rep Org: PENN STATE UNIVERSITY
Licensee: PENN STATE UNIVERSITY
Region: 1
City: UNIVERSITY PARK State: PA
County:
License #: 37-185-4
Agreement: N
Docket:
NRC Notified By: ERIC BOELDT
HQ OPS Officer: BILL GOTT
Licensee: PENN STATE UNIVERSITY
Region: 1
City: UNIVERSITY PARK State: PA
County:
License #: 37-185-4
Agreement: N
Docket:
NRC Notified By: ERIC BOELDT
HQ OPS Officer: BILL GOTT
Notification Date: 06/07/2005
Notification Time: 10:44 [ET]
Event Date: 06/06/2005
Event Time: 11:00 [EDT]
Last Update Date: 02/21/2006
Notification Time: 10:44 [ET]
Event Date: 06/06/2005
Event Time: 11:00 [EDT]
Last Update Date: 02/21/2006
Emergency Class: NON EMERGENCY
10 CFR Section:
20.2201(a)(1)(ii) - LOST/STOLEN LNM>10X
10 CFR Section:
20.2201(a)(1)(ii) - LOST/STOLEN LNM>10X
Person (Organization):
TODD JACKSON (R1)
JOHN HICKEY (NMSS)
CHUCK CAIN (R4)
TODD JACKSON (R1)
JOHN HICKEY (NMSS)
CHUCK CAIN (R4)
LOST OR STOLEN VIAL OF PHOSPHORUS 32
"In accordance with 10 CFR 20.2201 Reports of theft or loss of licensed material [the Penn State University Radiation Safety Officer called] to report missing radioactive material in excess of 10 times the quantity specified in appendix C to part 20. The missing material is one vial of phosphorus-32. The vial contained a nominal 74 MBq (2 milliCuries) of P-32. The material in question was never in the possession of Penn State University.
"On June 4, 2005, a Type-A package containing three vials of radioactive P-32 was shipped from California to Penn State University via FedEx (tracking number 689818990843). When the package arrived at Penn State University on June 6, 2005, it only contained two of the three vials of P-32. When the vendor was contacted by Penn State University personnel, the vendor insisted that the material had been placed inside the package as was indicated on the shipping papers. The Penn State Health Physics Office staff member who opened the package reported that the security seal tape was properly attached and that the package displayed no evidence of tampering.
"The frozen liquid radioactive material that was not received was in the chemical form of Adenosine 5-Triphosphate (gamma P-32) End Labeling (P-32). Lot number J5E32. The package also contained dry ice.
"All other packages in the shipment were double checked to verify that the vial was not present in a separate package. The activity reported on the package's shipping label indicated the that the vial was within the package, the shipping papers indicated that the vial was within the package. The package was shipped by the vendor via FedEx in accordance with their normal procedures."
The licensee does not believe the box was opened or the material misdirected.
Vendor:
MP Biomedicals, Inc
15 Morgan
Irvine, CA
* * * UPDATED AT 0730 EDT ON 6/8/05 BY HUFFMAN TO MAKE A CORRECTION IN THE EVENT HEADER * * *
* * * UPDATED AT 1430 EST ON 2/21/06 FROM CA RAD PGM OFFICE (DONELLE KRAJEWSKI) TO S. SANDIN * * *
Received a call from the State of California Rad Program representative. During a followup investigation by CA, it was determined that only two of the three vials ordered had been shipped. CA would update the original licensee NMED report to show that there was no missing rad material. Notified R4DO(Pick) and NMSS(Morell).
* * * UPDATED AT 1445 EST ON 2/21/06 FROM ERIC BOELDT TO S. SANDIN * * *
Contacted the licensee to provide information received from the State of CA. The licensee is retracting this report based on this information. Notified R1DO(Henderson) and NMSS(Morell).
"In accordance with 10 CFR 20.2201 Reports of theft or loss of licensed material [the Penn State University Radiation Safety Officer called] to report missing radioactive material in excess of 10 times the quantity specified in appendix C to part 20. The missing material is one vial of phosphorus-32. The vial contained a nominal 74 MBq (2 milliCuries) of P-32. The material in question was never in the possession of Penn State University.
"On June 4, 2005, a Type-A package containing three vials of radioactive P-32 was shipped from California to Penn State University via FedEx (tracking number 689818990843). When the package arrived at Penn State University on June 6, 2005, it only contained two of the three vials of P-32. When the vendor was contacted by Penn State University personnel, the vendor insisted that the material had been placed inside the package as was indicated on the shipping papers. The Penn State Health Physics Office staff member who opened the package reported that the security seal tape was properly attached and that the package displayed no evidence of tampering.
"The frozen liquid radioactive material that was not received was in the chemical form of Adenosine 5-Triphosphate (gamma P-32) End Labeling (P-32). Lot number J5E32. The package also contained dry ice.
"All other packages in the shipment were double checked to verify that the vial was not present in a separate package. The activity reported on the package's shipping label indicated the that the vial was within the package, the shipping papers indicated that the vial was within the package. The package was shipped by the vendor via FedEx in accordance with their normal procedures."
The licensee does not believe the box was opened or the material misdirected.
Vendor:
MP Biomedicals, Inc
15 Morgan
Irvine, CA
* * * UPDATED AT 0730 EDT ON 6/8/05 BY HUFFMAN TO MAKE A CORRECTION IN THE EVENT HEADER * * *
* * * UPDATED AT 1430 EST ON 2/21/06 FROM CA RAD PGM OFFICE (DONELLE KRAJEWSKI) TO S. SANDIN * * *
Received a call from the State of California Rad Program representative. During a followup investigation by CA, it was determined that only two of the three vials ordered had been shipped. CA would update the original licensee NMED report to show that there was no missing rad material. Notified R4DO(Pick) and NMSS(Morell).
* * * UPDATED AT 1445 EST ON 2/21/06 FROM ERIC BOELDT TO S. SANDIN * * *
Contacted the licensee to provide information received from the State of CA. The licensee is retracting this report based on this information. Notified R1DO(Henderson) and NMSS(Morell).