Event Notification Report for May 29, 2012
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
05/28/2012 - 05/29/2012
Agreement State
Event Number: 47983
Rep Org: NC DIV OF RADIATION PROTECTION
Licensee: CAROLINA EAST MEDICAL CENTER
Region: 1
City: NEW BERN State: NC
County:
License #:
Agreement: Y
Docket:
NRC Notified By: RANDY CROWE
HQ OPS Officer: MARK ABRAMOVITZ
Licensee: CAROLINA EAST MEDICAL CENTER
Region: 1
City: NEW BERN State: NC
County:
License #:
Agreement: Y
Docket:
NRC Notified By: RANDY CROWE
HQ OPS Officer: MARK ABRAMOVITZ
Notification Date: 05/31/2012
Notification Time: 18:18 [ET]
Event Date: 05/29/2012
Event Time: 00:00 [EDT]
Last Update Date: 05/31/2012
Notification Time: 18:18 [ET]
Event Date: 05/29/2012
Event Time: 00:00 [EDT]
Last Update Date: 05/31/2012
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
ANTHONY DIMITRIADIS (R1DO)
FSME EVENTS RESOURCE
ANTHONY DIMITRIADIS (R1DO)
FSME EVENTS RESOURCE
AGREEMENT STATE REPORT - PROSTATE SEED MEDICAL EVENT
The following report was received via fax:
"Patient underwent Iodine 125 surgical prostate seed implants (total dose 145 Gy). Initial post operative X-ray film revealed complete seed count. Day zero computed tomography revealed all seeds inferior to true base and resulted in placement in the penile bulb vs. the prostate gland. There were no instrument malfunctions to include the ultrasound. Urologist notified and in-turn patient was immediately notified. Risk to urethra was discussed. Further investigation to occur from NC RPS [North Carolina Radiation Protection Section] Inspectors on Tuesday, June 12, 2012 awaiting the return of the authorized user/physician."
North Carolina incident: 12-37
A Medical Event may indicate potential problems in a medical facility's use of radioactive materials. It does not necessarily result in harm to the patient.
The following report was received via fax:
"Patient underwent Iodine 125 surgical prostate seed implants (total dose 145 Gy). Initial post operative X-ray film revealed complete seed count. Day zero computed tomography revealed all seeds inferior to true base and resulted in placement in the penile bulb vs. the prostate gland. There were no instrument malfunctions to include the ultrasound. Urologist notified and in-turn patient was immediately notified. Risk to urethra was discussed. Further investigation to occur from NC RPS [North Carolina Radiation Protection Section] Inspectors on Tuesday, June 12, 2012 awaiting the return of the authorized user/physician."
North Carolina incident: 12-37
A Medical Event may indicate potential problems in a medical facility's use of radioactive materials. It does not necessarily result in harm to the patient.
Power Reactor
Event Number: 47972
Facility: BROWNS FERRY
Region: 2 State: AL
Unit: [] [] [3]
RX Type: [1] GE-4,[2] GE-4,[3] GE-4
NRC Notified By: DAVID HALL
HQ OPS Officer: VINCE KLCO
Region: 2 State: AL
Unit: [] [] [3]
RX Type: [1] GE-4,[2] GE-4,[3] GE-4
NRC Notified By: DAVID HALL
HQ OPS Officer: VINCE KLCO
Notification Date: 05/29/2012
Notification Time: 07:22 [ET]
Event Date: 05/29/2012
Event Time: 03:31 [CDT]
Last Update Date: 05/29/2012
Notification Time: 07:22 [ET]
Event Date: 05/29/2012
Event Time: 03:31 [CDT]
Last Update Date: 05/29/2012
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(iv)(B) - RPS ACTUATION - CRITICAL 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)(3)(iv)(A) - VALID SPECIF SYS ACTUATION
Person (Organization):
MARVIN SYKES (R2DO)
MARVIN SYKES (R2DO)
| Unit | SCRAM Code | RX Crit | Initial PWR | Initial RX Mode | Current PWR | Current RX Mode |
|---|---|---|---|---|---|---|
| 3 | A/R | Y | 75 | Power Operation | 0 | Power Operation |
AUTOMATIC REACTOR SCRAM DUE TO MAIN GENERATOR LOAD REJECT SIGNAL
"On 5/29/2012 at 0331 [CDT] the Unit 3 reactor scrammed due to turbine control valve fast closure initiated by a load reject signal on the Main Generator. The cause of the load reject signal is Main Transformer differential relay 387T. Reactor power at the time of the SCRAM was approximately 75%. All systems responded as expected to the load reject signal. Main Steam Isolation Valves remained open and reactor pressure is being controlled on the Main Turbine Bypass Valves. No Main Steam Relief Valves lifted during the transient. No Emergency Core Cooling System (ECCS) or Reactor Core Isolation Cooling (RCIC) reactor water level initiation setpoints were reached. Primary Containment Isolation Signals (PCIS) Groups 2, 3, 6 and 8 were received. The lowest reactor water level observed was -41 inches. Reactor water level was restored to and is being controlled by the Feedwater system in the normal band.
"This event is reportable within 4 hours per 10CFR50.72(b)(2)(iv)(B), 'any event or condition that results in actuation of the reactor protection system (RPS) when the reactor is critical except when the actuation results from and is part of a pre-planned sequence during testing or reactor operation.' It is also reportable within 8 hours per 10CFR50.72(b)(3)(iv)(A) and requires an LER within 60 days per 10CFR50.73(a)(2)(iv)(A).
"This event is documented in the station corrective action program on SR# 557947.
"The NRC Resident Inspector has been notified."
All control rods inserted into the reactor core. Electrical power is being back fed from offsite power through the 161 KV feeder line. The reactor is being cooled down within the Technical Specification rates.
"On 5/29/2012 at 0331 [CDT] the Unit 3 reactor scrammed due to turbine control valve fast closure initiated by a load reject signal on the Main Generator. The cause of the load reject signal is Main Transformer differential relay 387T. Reactor power at the time of the SCRAM was approximately 75%. All systems responded as expected to the load reject signal. Main Steam Isolation Valves remained open and reactor pressure is being controlled on the Main Turbine Bypass Valves. No Main Steam Relief Valves lifted during the transient. No Emergency Core Cooling System (ECCS) or Reactor Core Isolation Cooling (RCIC) reactor water level initiation setpoints were reached. Primary Containment Isolation Signals (PCIS) Groups 2, 3, 6 and 8 were received. The lowest reactor water level observed was -41 inches. Reactor water level was restored to and is being controlled by the Feedwater system in the normal band.
"This event is reportable within 4 hours per 10CFR50.72(b)(2)(iv)(B), 'any event or condition that results in actuation of the reactor protection system (RPS) when the reactor is critical except when the actuation results from and is part of a pre-planned sequence during testing or reactor operation.' It is also reportable within 8 hours per 10CFR50.72(b)(3)(iv)(A) and requires an LER within 60 days per 10CFR50.73(a)(2)(iv)(A).
"This event is documented in the station corrective action program on SR# 557947.
"The NRC Resident Inspector has been notified."
All control rods inserted into the reactor core. Electrical power is being back fed from offsite power through the 161 KV feeder line. The reactor is being cooled down within the Technical Specification rates.