Event Notification Report for September 18, 2008
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
09/17/2008 - 09/18/2008
EVENT NUMBERS
44502445034450544663
Power Reactor
Event Number: 44502
Facility: TURKEY POINT
Region: 2 State: FL
Unit: [3] [] []
RX Type: [3] W-3-LP,[4] W-3-LP
NRC Notified By: MICHAEL MURPHY
HQ OPS Officer: JOHN KNOKE
Region: 2 State: FL
Unit: [3] [] []
RX Type: [3] W-3-LP,[4] W-3-LP
NRC Notified By: MICHAEL MURPHY
HQ OPS Officer: JOHN KNOKE
Notification Date: 09/18/2008
Notification Time: 17:31 [ET]
Event Date: 09/18/2008
Event Time: 14:15 [EDT]
Last Update Date: 09/18/2008
Notification Time: 17:31 [ET]
Event Date: 09/18/2008
Event Time: 14:15 [EDT]
Last Update Date: 09/18/2008
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):
MIKE ERNSTES (R2)
MIKE ERNSTES (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 |
OFFSITE NOTIFICATION TO MIAMI-DADE COUNTY DUE TO SPILL
"While moving a battery a forklift punctured a battery cell and sulfuric acid leaked onto the asphalt. The spill was less than 10 gallons and was on a non-permeable surface. The spill was contained, neutralized and cleaned up.
"Under the Specific Conditions of PTN's Industrial Waste Annual Operating Permit with Miami-Dade County all spills are reportable within 4 hours. The spill occurred about 1415 on 9/18/08. The notification to Miami-Dade County Department of Environmental Resource Management (DERM) at 1700 EDT on 9/18/08."
"While moving a battery a forklift punctured a battery cell and sulfuric acid leaked onto the asphalt. The spill was less than 10 gallons and was on a non-permeable surface. The spill was contained, neutralized and cleaned up.
"Under the Specific Conditions of PTN's Industrial Waste Annual Operating Permit with Miami-Dade County all spills are reportable within 4 hours. The spill occurred about 1415 on 9/18/08. The notification to Miami-Dade County Department of Environmental Resource Management (DERM) at 1700 EDT on 9/18/08."
!!!!! THIS EVENT HAS BEEN RETRACTED !!!!!
!!!!! THIS EVENT HAS BEEN RETRACTED !!!!!
Power Reactor
Event Number: 44503
Facility: SUSQUEHANNA
Region: 1 State: PA
Unit: [] [2] []
RX Type: [1] GE-4,[2] GE-4
NRC Notified By: DAVE BORGER
HQ OPS Officer: JEFF ROTTON
Region: 1 State: PA
Unit: [] [2] []
RX Type: [1] GE-4,[2] GE-4
NRC Notified By: DAVE BORGER
HQ OPS Officer: JEFF ROTTON
Notification Date: 09/18/2008
Notification Time: 21:11 [ET]
Event Date: 09/18/2008
Event Time: 18:48 [EDT]
Last Update Date: 11/12/2008
Notification Time: 21:11 [ET]
Event Date: 09/18/2008
Event Time: 18:48 [EDT]
Last Update Date: 11/12/2008
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):
ANTHONY DIMITRIADIS (R1)
ANTHONY DIMITRIADIS (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 |
HPCI INOPERABLE DUE TO MISSING INSULATION
"At 1848 on 09/18/2008, the control room was notified by system engineering that insulation was missing from the bottom of the HPCI turbine that could result in nearby electronic components being subjected to higher than design temperatures. This could challenge the ability of the HPCI system to perform its design function for the prescribed mission times. The condition does not prevent the high pressure coolant injection system from automatically starting and injecting during an accident. The longer term ability of the system to continue to inject is challenged by the existing condition.
"The HPCI system was immediately declared inoperable while engineering continues to evaluate the condition to determine if an actual loss of design function has occurred.
"This is being reported as an event or condition that could have prevented fulfillment of a safety function required to mitigate the consequences of an accident in accordance with 10CFR50.72(b)(3)(v)(D)."
The licensee notified the NRC Resident Inspector.
* * * RETRACTION ON 11/12/2008 AT 1616 FROM MARTIN LICHTNER TO MARK ABRAMOVITZ * * *
"On September 18, 2008, PPL Susquehanna LLC reported a potential loss of the HPCI safety function under the provisions of 10CFR50.72(b)(3)(v)(D). The report was made when it was discovered that insulation was missing from the bottom of the Unit 2 HPCI turbine. This situation raised concerns that increased area temperatures could adversely affect nearby electronic equipment needed to support long-term HPCI operation. A subsequent investigation has determined that all potentially affected components were rated for operation at temperatures greater than those anticipated during HPCI operation with the missing insulation. An additional physical inspection confirmed that there was no abnormal discoloration or visible signs of accelerated thermal aging on the components and wires in question. It has therefore been concluded that HPCI operability had not been impacted by the missing insulation. Accordingly, the loss of safety function reported on September 18th under ENS # 44503 is being retracted. The insulation has since been restored to the HPCI turbine."
The licensee notified the NRC Resident Inspector.
Notified the R1DO (Trapp).
"At 1848 on 09/18/2008, the control room was notified by system engineering that insulation was missing from the bottom of the HPCI turbine that could result in nearby electronic components being subjected to higher than design temperatures. This could challenge the ability of the HPCI system to perform its design function for the prescribed mission times. The condition does not prevent the high pressure coolant injection system from automatically starting and injecting during an accident. The longer term ability of the system to continue to inject is challenged by the existing condition.
"The HPCI system was immediately declared inoperable while engineering continues to evaluate the condition to determine if an actual loss of design function has occurred.
"This is being reported as an event or condition that could have prevented fulfillment of a safety function required to mitigate the consequences of an accident in accordance with 10CFR50.72(b)(3)(v)(D)."
The licensee notified the NRC Resident Inspector.
* * * RETRACTION ON 11/12/2008 AT 1616 FROM MARTIN LICHTNER TO MARK ABRAMOVITZ * * *
"On September 18, 2008, PPL Susquehanna LLC reported a potential loss of the HPCI safety function under the provisions of 10CFR50.72(b)(3)(v)(D). The report was made when it was discovered that insulation was missing from the bottom of the Unit 2 HPCI turbine. This situation raised concerns that increased area temperatures could adversely affect nearby electronic equipment needed to support long-term HPCI operation. A subsequent investigation has determined that all potentially affected components were rated for operation at temperatures greater than those anticipated during HPCI operation with the missing insulation. An additional physical inspection confirmed that there was no abnormal discoloration or visible signs of accelerated thermal aging on the components and wires in question. It has therefore been concluded that HPCI operability had not been impacted by the missing insulation. Accordingly, the loss of safety function reported on September 18th under ENS # 44503 is being retracted. The insulation has since been restored to the HPCI turbine."
The licensee notified the NRC Resident Inspector.
Notified the R1DO (Trapp).
General Information or Other
Event Number: 44505
Rep Org: CALIFORNIA RADIATION CONTROL PRGM
Licensee: NEKTAR THERAPEUTICS
Region: 4
City: SAN CARLOS State: CA
County:
License #: 5767-41
Agreement: Y
Docket:
NRC Notified By: KENT PRENDERGAST
HQ OPS Officer: JOHN KNOKE
Licensee: NEKTAR THERAPEUTICS
Region: 4
City: SAN CARLOS State: CA
County:
License #: 5767-41
Agreement: Y
Docket:
NRC Notified By: KENT PRENDERGAST
HQ OPS Officer: JOHN KNOKE
Notification Date: 09/19/2008
Notification Time: 15:10 [ET]
Event Date: 09/18/2008
Event Time: 17:00 [PDT]
Last Update Date: 09/19/2008
Notification Time: 15:10 [ET]
Event Date: 09/18/2008
Event Time: 17:00 [PDT]
Last Update Date: 09/19/2008
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
GREG PICK (R4)
RICHARD TURTIL (FSME)
GREG PICK (R4)
RICHARD TURTIL (FSME)
AGREEMENT STATE REPORT - LEAKING SOURCE IN GAS CHROMATOGRAPH
"On September 18, 2008, at 5:00pm, the state received a telephone call from the RSO of Nektar Therapeutics that their Aglent Technology gas chromatograph containing generally licensed source is leaking. This notification is based on the swipe test results report from their swipe test laboratory. Source Serial Number U8663, had a confirmed a positive wipe test result of 137,362 DPM which is a result of 0.0619 micro curies/sample.
"The RSO stored the gas chromatograph in a secured locked storage room where the storage is posted with 'Caution Radioactive Material'".
"On September 18, 2008, at 5:00pm, the state received a telephone call from the RSO of Nektar Therapeutics that their Aglent Technology gas chromatograph containing generally licensed source is leaking. This notification is based on the swipe test results report from their swipe test laboratory. Source Serial Number U8663, had a confirmed a positive wipe test result of 137,362 DPM which is a result of 0.0619 micro curies/sample.
"The RSO stored the gas chromatograph in a secured locked storage room where the storage is posted with 'Caution Radioactive Material'".
Hospital
Event Number: 44663
Rep Org: VA NATIONAL HEALTH PHYSICS PROGRAM
Licensee: NEW YORK HEALTHCARE SYSTEM
Region: 1
City: BROOKLYN State: NY
County:
License #: 03233853-01VA
Agreement: Y
Docket:
NRC Notified By: THOMAS E. HUSTON
HQ OPS Officer: BILL HUFFMAN
Licensee: NEW YORK HEALTHCARE SYSTEM
Region: 1
City: BROOKLYN State: NY
County:
License #: 03233853-01VA
Agreement: Y
Docket:
NRC Notified By: THOMAS E. HUSTON
HQ OPS Officer: BILL HUFFMAN
Notification Date: 11/18/2008
Notification Time: 08:53 [ET]
Event Date: 09/18/2008
Event Time: 00:00 [EST]
Last Update Date: 11/18/2008
Notification Time: 08:53 [ET]
Event Date: 09/18/2008
Event Time: 00:00 [EST]
Last Update Date: 11/18/2008
Emergency Class: NON EMERGENCY
10 CFR Section:
35.3045(a)(1) - DOSE <> PRESCRIBED DOSAGE
10 CFR Section:
35.3045(a)(1) - DOSE <> PRESCRIBED DOSAGE
Person (Organization):
KENNETH O'BRIEN (R3)
MICHELE BURGESS (FSME)
KENNETH O'BRIEN (R3)
MICHELE BURGESS (FSME)
TREATMENT SITE DOSE LESS THAN PRESCRIBED
"A medical event is reported for one patient treated by the VA New York Harbor Healthcare System in Brooklyn, New York. The event was discovered November 17, 2008. The basis for this event is that the D90 dose to the treatment site was slightly less than 80% of the prescribed dose. The treatment involved permanent implant prostate brachytherapy using Iodine-125 seeds. The patient implant date was September 18, 2008. A supplemental implant procedure was performed to achieve an acceptable D90. Adverse effects on the patient are not expected from this medical event.
"A 15-day written report of this medical event will be submitted to NRC Region III. We have notified our NRC Project Manager, Cassandra Frazier (NRC Region III) of this event.
"Department of Veterans Affairs has a Master Materials License (MML) from the NRC: License No. 03-23853-01VA. Permits are issued under the MML to VA facilities. VHA permit number of permittee involved in event: Permit No. 31-62892-03. Address of permittee involved in this event: New York Harbor Healthcare System, 800 Poly Place, Brooklyn, New York, 11209."
A Medical Event may indicate potential problems in a medical facilities use of radioactive materials. It does not necessarily result in harm to the patient.
"A medical event is reported for one patient treated by the VA New York Harbor Healthcare System in Brooklyn, New York. The event was discovered November 17, 2008. The basis for this event is that the D90 dose to the treatment site was slightly less than 80% of the prescribed dose. The treatment involved permanent implant prostate brachytherapy using Iodine-125 seeds. The patient implant date was September 18, 2008. A supplemental implant procedure was performed to achieve an acceptable D90. Adverse effects on the patient are not expected from this medical event.
"A 15-day written report of this medical event will be submitted to NRC Region III. We have notified our NRC Project Manager, Cassandra Frazier (NRC Region III) of this event.
"Department of Veterans Affairs has a Master Materials License (MML) from the NRC: License No. 03-23853-01VA. Permits are issued under the MML to VA facilities. VHA permit number of permittee involved in event: Permit No. 31-62892-03. Address of permittee involved in this event: New York Harbor Healthcare System, 800 Poly Place, Brooklyn, New York, 11209."
A Medical Event may indicate potential problems in a medical facilities use of radioactive materials. It does not necessarily result in harm to the patient.