Event Notification Report for August 27, 1999
U.S. Nuclear Regulatory Commission
Operations Center
Event Reports For
08/26/1999 - 08/27/1999
** EVENT NUMBERS **
36074 36075 36076 36077 36078
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|Fuel Cycle Facility |Event Number: 36074 |
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| FACILITY: PORTSMOUTH GASEOUS DIFFUSION PLANT |NOTIFICATION DATE: 08/26/1999|
| RXTYPE: URANIUM ENRICHMENT FACILITY |NOTIFICATION TIME: 09:46[EDT]|
| COMMENTS: 2 DEMOCRACY CENTER |EVENT DATE: 08/25/1999|
| 6903 ROCKLEDGE DRIVE |EVENT TIME: 10:30[EDT]|
| BETHESDA, MD 20817 (301)564-3200 |LAST UPDATE DATE: 08/26/1999|
| CITY: PIKETON REGION: 3 +-----------------------------+
| COUNTY: PIKE STATE: OH |PERSON ORGANIZATION |
|LICENSE#: GDP-2 AGREEMENT: N |MELVYN LEACH R3 |
| DOCKET: 0707002 |JOSEPHINE PICCONE NMSS |
+------------------------------------------------+ |
| NRC NOTIFIED BY: RON CRABTREE | |
| HQ OPS OFFICER: WILLIAM POERTNER | |
+------------------------------------------------+ |
|EMERGENCY CLASS: N/A | |
|10 CFR SECTION: | |
|NBNL RESPONSE-BULLETIN | |
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| | |
| | |
| | |
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EVENT TEXT
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| BULLETIN 91-01 24-HOUR REPORT |
| |
| On 8/25/99 at 1030 hours, X-705 Operations personnel discovered that a |
| leaching screen basket for the small parts handtables did not meet the |
| dimensional requirements of NCSA-0705-012. The NCSA requires dimensions of |
| 3.75 inches wide by 24 inches long by 6 inches deep. Additionally, an |
| overflow container for the Group 2 handtable was 18.5 inches tall, while the |
| NCSA requires a maximum height of 17 inches. The Group 2 handtable is |
| presently out of service. This resulted in the loss of one control |
| (geometry) of the double contingency principle. The second (interaction) |
| was maintained. An NCS anomalous condition was entered, and the affected |
| equipment was tagged out of service by 1045 hours; at which time, the |
| controls of NCSA-0705-012 were restored, and the anomalous condition was |
| exited. |
| |
| The loss of the NCS double contingency principle constitutes a 24-hour |
| reportable event in accordance with NRC Bulletin 91-01. |
| |
| There was no loss of hazardous/radioactive material or |
| radioactive/radiological contamination exposure as a result of this event. |
| |
| The NRC resident inspector has been notified. |
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|Power Reactor |Event Number: 36075 |
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| FACILITY: DIABLO CANYON REGION: 4 |NOTIFICATION DATE: 08/26/1999|
| UNIT: [1] [2] [] STATE: CA |NOTIFICATION TIME: 14:06[EDT]|
| RXTYPE: [1] W-4-LP,[2] W-4-LP |EVENT DATE: 08/26/1999|
+------------------------------------------------+EVENT TIME: 10:12[PDT]|
| NRC NOTIFIED BY: DOUGLAS DYE |LAST UPDATE DATE: 08/26/1999|
| HQ OPS OFFICER: WILLIAM POERTNER +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: N/A |PHIL HARRELL R4 |
|10 CFR SECTION: | |
|AESS 50.72(b)(1)(v) EMERGENCY SIREN INOP | |
| | |
| | |
| | |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|1 N Y 100 Power Operation |100 Power Operation |
|2 N Y 100 Power Operation |100 Power Operation |
| | |
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EVENT TEXT
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| EMERGENCY SIRENS INOPERABLE |
| |
| Localized lightning strikes caused a loss of power to 22 of 51 sirens |
| located inside the 10-mile Emergency Planning Zone. Licensee personnel are |
| presently working to reestablish power to the sirens. |
| |
| The NRC resident inspector will be notified. |
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|Hospital |Event Number: 36076 |
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| REP ORG: REYNOLDS ARMY COMMUNITY HOSPITAL |NOTIFICATION DATE: 08/26/1999|
|LICENSEE: REYNOLDS ARMY COMMUNITY HOSPITAL |NOTIFICATION TIME: 15:26[EDT]|
| CITY: FT. SILL REGION: 4 |EVENT DATE: 08/26/1999|
| COUNTY: COMANCHE STATE: OK |EVENT TIME: 09:51[CDT]|
|LICENSE#: 35-10202-01 AGREEMENT: N |LAST UPDATE DATE: 08/26/1999|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |PHIL HARRELL R4 |
| |JOSEPHINE PICCONE NMSS |
+------------------------------------------------+ |
| NRC NOTIFIED BY: ANDREA GRINDSTAFF | |
| HQ OPS OFFICER: STEVE SANDIN | |
+------------------------------------------------+ |
|EMERGENCY CLASS: N/A | |
|10 CFR SECTION: | |
|LADM 35.33(a) MED MISADMINISTRATION | |
| | |
| | |
| | |
| | |
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EVENT TEXT
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| MEDICAL MISADMINISTRATION INVOLVING DIAGNOSTIC DOSE GIVEN TO INCORRECT |
| PATIENT |
| |
| AT APPROXIMATELY 0951CDT ON 8/26/99, AN 18-MONTH OLD INFANT RECEIVED A |
| SINGLE 1 cc DOSE CONTAINING 1.1 mCi OF TECHNETIUM-99m (MDP) INTENDED FOR |
| ANOTHER PATIENT. THE PRESCRIBING PHYSICIAN AND THE INFANT'S PHYSICIAN WERE |
| BOTH INFORMED. THE INFANT'S FAMILY WAS INFORMED BY THEIR PHYSICIAN. THE |
| HOSPITAL ATTRIBUTES THE MISADMINISTRATION TO AN ADMINISTRATIVE ERROR AND |
| DOES NOT EXPECT ANY ADVERSE HEALTH CONSEQUENCES. |
| |
| (CALL THE NRC OPERATIONS OFFICER FOR A LICENSEE CONTACT ADDRESS AND |
| TELEPHONE NUMBER.) |
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|Power Reactor |Event Number: 36077 |
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| FACILITY: GRAND GULF REGION: 4 |NOTIFICATION DATE: 08/26/1999|
| UNIT: [1] [] [] STATE: MS |NOTIFICATION TIME: 15:36[EDT]|
| RXTYPE: [1] GE-6 |EVENT DATE: 08/26/1999|
+------------------------------------------------+EVENT TIME: 14:00[CDT]|
| NRC NOTIFIED BY: DAVID H. HANKS |LAST UPDATE DATE: 08/26/1999|
| HQ OPS OFFICER: STEVE SANDIN +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: N/A |PHIL HARRELL R4 |
|10 CFR SECTION: | |
|APRE 50.72(b)(2)(vi) OFFSITE NOTIFICATION | |
| | |
| | |
| | |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|1 N Y 100 Power Operation |100 Power Operation |
| | |
| | |
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EVENT TEXT
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| UNPLANNED SIREN ACTUATION |
| |
| "ONE UNPLANNED ACTUATION OF A SIREN IN THE OFFSITE ALERT NOTIFICATION SYSTEM |
| OCCURRED. CLAIBORNE COUNTY CIVIL DEFENSE WAS CONTACTED AND NOTIFIED THE |
| CONTROL ROOM AT 1400 [CDT] ON 8/26/99. VERIFICATION OF [THE] CALL-IN WAS |
| PERFORMED. [A] 4-HOUR NON-EMERGENCY CALL-IN [IS] REQUIRED PURSUANT TO [10 |
| CFR] 50.72(b)(2)(vi). THE ALARM OCCURRED NEAR ALCORN UNIVERSITY AT 1245 |
| [CDT] ON 8/26/99 AND TIMED OUT, THEN RESET." |
| |
| THE LICENSEE WILL INFORM THE NRC RESIDENT INSPECTOR. |
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|Power Reactor |Event Number: 36078 |
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| FACILITY: BYRON REGION: 3 |NOTIFICATION DATE: 08/27/1999|
| UNIT: [1] [2] [] STATE: IL |NOTIFICATION TIME: 02:10[EDT]|
| RXTYPE: [1] W-4-LP,[2] W-4-LP |EVENT DATE: 08/26/1999|
+------------------------------------------------+EVENT TIME: 22:30[CDT]|
| NRC NOTIFIED BY: TROY LEAF |LAST UPDATE DATE: 08/27/1999|
| HQ OPS OFFICER: LEIGH TROCINE +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: N/A |MELVYN LEACH R3 |
|10 CFR SECTION: | |
|DDDD 73.71 UNSPECIFIED PARAGRAPH | |
| | |
| | |
| | |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|1 N Y 100 Power Operation |100 Power Operation |
|2 N Y 100 Power Operation |100 Power Operation |
| | |
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EVENT TEXT
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| SAFEGUARDS SYSTEM DEGRADATION RELATED TO POWER SUPPLY FUNCTIONS |
| |
| At 0030 CDT on 08/27/99, it was determined that a security event which |
| occurred at 2230 CDT on 08/26/99 met the reportability requirements of 10 |
| CFR 73.71(b), Part 73, App G, paragraph 1(c). The event involved a |
| safeguards system degradation related to power supply functions. |
| Compensatory measures were taken upon discovery. (Contact the NRC |
| operations officer for additional details and for a site contact telephone |
| number.) |
| |
| The licensee plans to notify the NRC resident inspector. |
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