Event Notification Report for November 2, 1999
U.S. Nuclear Regulatory Commission
Operations Center
Event Reports For
11/01/1999 - 11/02/1999
** EVENT NUMBERS **
35790 36284 36372 36379 36380 36381 36382 36383 36384
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|Fuel Cycle Facility |Event Number: 35790 |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: PADUCAH GASEOUS DIFFUSION PLANT |NOTIFICATION DATE: 06/03/1999|
| RXTYPE: URANIUM ENRICHMENT FACILITY |NOTIFICATION TIME: 14:44[EDT]|
| COMMENTS: 2 DEMOCRACY CENTER |EVENT DATE: 06/02/1999|
| 6903 ROCKLEDGE DRIVE |EVENT TIME: 16:30[CDT]|
| BETHESDA, MD 20817 (301)564-3200 |LAST UPDATE DATE: 11/01/1999|
| CITY: PADUCAH REGION: 3 +-----------------------------+
| COUNTY: McCRACKEN STATE: KY |PERSON ORGANIZATION |
|LICENSE#: GDP-1 AGREEMENT: Y |DAVID HILLS R3 |
| DOCKET: 0707001 |DON COOL NMSS |
+------------------------------------------------+ |
| NRC NOTIFIED BY: THOMAS WHITE | |
| HQ OPS OFFICER: FANGIE JONES | |
+------------------------------------------------+ |
|EMERGENCY CLASS: N/A | |
|10 CFR SECTION: | |
|OCBA 76.120(c)(2)(i) ACCID MT EQUIP FAILS | |
| | |
| | |
| | |
| | |
+------------------------------------------------------------------------------+
EVENT TEXT
+------------------------------------------------------------------------------+
| THREE SPRINKLER SYSTEMS DECLARED INOPERABLE DUE TO CORRODED HEADS (24-hour |
| report) |
| |
| "On 06/02/99 at 1630 CDT, the Plant Shift Superintendent (PSS) was notified |
| that numerous sprinkler heads were corroded, affecting 16 sprinkler systems |
| in C-337 and one system in C-333, such that the ability of the sprinklers to |
| flow sufficient water was called into question. Subsequently, these |
| sprinkler systems were declared inoperable, and TSR-required actions |
| establishing roving fire patrols were initiated. This deficiency was |
| detected during scheduled system inspections conducted by Fire Protection |
| personnel. Currently, functionality of the sprinkler heads has not been |
| fully evaluated by Fire Protection personnel, and the remaining cascade |
| buildings are currently being inspected, and if necessary, this report will |
| be updated to identify any additional areas. It has been determined that |
| this event is reportable under 10CFR76.120(c)(2) as an event in which |
| equipment is disabled or fails to function as designed." The NRC resident |
| inspector has been notified of this event. |
| |
| * * * UPDATE AT 1022 EDT ON 06/04/99 FROM CAGE TO TROCINE * * * |
| |
| "Two sprinkler heads on system D-1 in C-337 and two sprinkler heads on |
| system 27 in C-335 were identified to also be corroded. These were |
| identified to the PSS on 06/03/99 at 1600 CDT and 1601 CDT, respectively, |
| and determined to require an update to this report by the PSS. It has been |
| determined that this event is reportable under 10CFR76.120(c)(2) as an event |
| in which equipment is disabled or fails to function as designed." Paducah |
| personnel notified the NRC resident inspector of this update. The NRC |
| operations officer notified the R3DO (Hills) and NMSS EO (Combs). |
| |
| * * * UPDATE AT 2152 EDT ON 06/17/99 FROM WALKER TO POERTNER * * * |
| |
| "Three sprinkler heads on system C-15 and five sprinkler heads on system B-8 |
| in C-333 were identified to also be corroded. The PSS was notified of this |
| condition at 1300 CDT on 06/17/99 and determined that an update to this |
| report was required. It has been determined that this event is reportable |
| under 10CFR76.120(c)(2) as an event in which equipment is disabled or fails |
| to function as designed." Paducah personnel notified the NRC resident |
| inspector of this update. The NRC operations officer notified the R3DO |
| (Madera). |
| |
| * * * UPDATE 1440 EDT 6/18/1999 FROM UNDERWOOD TAKEN BY STRANSKY * * * |
| |
| "Two sprinkler heads on system C-15 and one sprinkler head on system B-8 in |
| C-333 were identified to have corrosion. The PSS was notified of this |
| condition at 1350 CDT on 06/18/99. The area of the fire patrol for system |
| C-15 was expanded to include the two heads identified as corroded. The one |
| head on system B-8 was in the area already being patrolled. The PSS |
| determined that an update to this report was required." The NRC resident |
| inspector has been informed of this update. Notified R3DO (Madera). |
| |
| * * * UPDATE 1315 EDT 6/25/1999 FROM WALKER TAKEN BY STRANSKY * * * |
| |
| "Two sprinkler heads on system D-8 and three sprinkler heads on system D-7 |
| in C-337 were identified to have corrosion. The PSS was notified of the |
| condition on system D-8 at 0125 CDT on 06/25/99 and at 1019 CDT on 06/25/99 |
| for system D-7. Both systems were immediately declared inoperable and LCO |
| fire patrol actions were implemented. It was determined that an update to |
| this report was required." The NRC resident inspector has been informed of |
| this update. Notified R3DO (Jordan). |
| |
| * * * UPDATE 2119 EDT 7/30/1999 FROM CAGE TAKEN BY STRANSKY * * * |
| |
| "Five sprinkler heads and one sprinkler piping tee on C-337 system D-7 were |
| identified to have corrosion. The PSS was notified of these corroded system |
| parts and declared the system inoperable at 0931 CDT on 07/30/99. LCO |
| required fire patrols of the affected area were initiated. The PSS |
| determined that an update to this event report was required." The NRC |
| resident inspector has been informed of this update. Notified R3DO |
| (Wright). |
| |
| * * * UPDATE 1655 EDT 7/31/1999 FROM WHITE TAKEN BY STRANSKY * * * |
| |
| "Two sprinkler heads on C-337 System D-1 were identified to have corrosion. |
| The PSS was notified of these corroded system parts and declared the system |
| inoperable at 1155 CDT on 7/31/99. LCO required fire patrols of the |
| affected area were initiated. The PSS determined that an update to this |
| report was required." The NRC resident inspector has been informed of this |
| update. Notified R3DO (Wright). |
| |
| * * * UPDATE 1546 EDT 8/10/1999 FROM WHITE TAKEN BY STRANSKY * * * |
| |
| "Two sprinkler heads on C-337 system C-15 were identified to have corrosion. |
| The PSS was notified of these corroded system parts and declared the system |
| inoperable at 1130 CDT on 8/10/99. LCO required fire patrols of the |
| affected area were initiated. The PSS determined that an update to this |
| report was required." The NRC resident inspector has been informed of this |
| update. Notified R3DO (Burgess). |
| |
| * * * UPDATE AT 1154 EDT 8/22/99 FROM WALKER TO POERTNER * * * |
| |
| Four adjacent sprinkler heads on C-333 System B-1 were identified to have |
| corrosion. The PSS was notified of the corroded system parts and declared |
| the system inoperable at 0918 CDT on 8/22/99. LCO required fire patrols |
| were initiated. The PSS determined that an update to this report was |
| required. It has been determined that this event is reportable under |
| 10CFR76.120(c)(2) as an event in which equipment is disabled or fails to |
| function as designed. The NRC resident inspector will be notified. The NRC |
| operations officer notified the R3DO (Clayton). |
| |
| * * * UPDATE 2015 EDT ON 8/28/99 FROM W. F. GAGE TO S. SANDIN * * * |
| |
| "Two adjacent sprinkler heads on C-337 System D-11 were identified to have |
| corrosion. The PSS was notified of these corroded system parts and declared |
| the system inoperable at 1420 CDT on 8/28/99. LCO required fire patrols of |
| the affected area were initiated. The PSS determined that an update to this |
| report was required." |
| Paducah personnel informed the NRC resident inspector. The NRC operations |
| officer notified the R3DO (Leach) and NMSS EO (Piccone). |
| |
| * * * UPDATE 2037 EDT ON 8/29/99 FROM KEVIN BEASLEY TO S. SANDIN * * * |
| |
| "Two adjacent sprinkler heads on C-337 System D-15 were identified to have |
| corrosion and the PSS declared the system inoperable at 0925 [CDT] on |
| 8/29/99. Also two adjacent heads on C-337 System D-10 were identified to |
| have corrosion and the PSS declared the system inoperable at 1450. LCO |
| required fire patrols for both of the affected areas were initiated in the |
| time frame required by TSR. The PSS determined that an update to this |
| report was required." Paducah personnel informed the NRC resident |
| inspector. The NRC operations officer notified the R3DO (Leach) and NMSS EO |
| (Piccone). |
| |
| * * * UPDATE AT 0930 EDT ON 9/1/99 BY ERIC WALKER TO FANGIE JONES * * * |
| |
| Add two adjacent sprinkler heads on C-337 D-14. Paducah personnel informed |
| the NRC Resident Inspector. The NRC operations officer notified the R3DO |
| (David Hills) and NMSS (Robert Pierson). |
| |
| * * * UPDATE AT 1133 EDT ON 9/8/99 BY TOM WHITE TO FANGIE JONES * * * |
| |
| Add two adjacent sprinkler heads on C-331 System 26, system declared |
| inoperable at 2155 CDT on 9/7/99. An LCO required fire patrol for the |
| affected area was initiated in the time frame required by the TSR. Paducah |
| personnel informed the NRC Resident Inspector. The NRC operations officer |
| notified the R3DO (Monte Phillips) and NMSS (Josie Piccone). |
| |
| * * * UPDATE AT 0948 ON 9/30/99 BY ERIC WALKER TO DOUG WEAVER * * * |
| |
| Add two adjacent sprinkler heads on C-333 System B-15 were identified to |
| have corrosion and the PSS declared the system inoperable at 0815 CDT on |
| 9/30/99. An LCO required fire patrol for the affected area was initiated in |
| the time frame required by the TSR. The PSS determined that an update to |
| this report was required. |
| Paducah personnel informed the NRC resident inspector. The NRC operations |
| officer notified the R3DO (Vegel) and NMSS (Cool). |
| |
| * * * UPDATE AT 1600 ON 10/13/99 BY WALKER TO GOULD * * * |
| |
| Two adjacent sprinkler heads on C-333 System A-11 were Identified to have |
| corrosion and the PSS declared the system inoperable at 1307 CDT on |
| 10/13/99. An LCO required fire patrol for the affected area was initiated |
| in the time frame required by the TSR, The PSS determined that an update to |
| this report was required. Paducah personnel informed the NRC resident |
| inspector. The NRC operations officer notified the R3DO (Madera) and NMSS |
| (Moore). |
| |
| * * * UPDATE AT 1520 ON 10/19/99 FROM UNDERWOOD TAKEN BY STRANSKY * * * |
| |
| Six sprinkler heads on C-337 System D-16 were identified to have corrosion |
| and the PSS declared the system inoperable at 1052 CDT on 10/19/99. An LCO |
| required fire patrol for the affected area was initiated in the time frame |
| required by the TSR. The PSS determined that an update to this report was |
| required. The NRC resident inspector has been informed of this update. The |
| NRC Operations Officer notified R3DO (Jorgensen). |
| |
| * * * UPDATE AT 2140 ON 10/19/99 FROM WALKER TAKEN BY STRANSKY * * * |
| |
| Seven sprinkler heads on C-337 System A-7 were identified to have corrosion, |
| and another four had been painted over. In addition, three adjacent |
| sprinkler heads on C-337 System A-8 were identified to have corrosion. The |
| PSS declared the systems inoperable at 1900 CDT on 10/19/99. An LCO |
| required fire patrols for the affected areas were initiated in the time |
| frame required by the TSR. The PSS determined that an update to this report |
| was required. The NRC resident inspector has been informed of this update. |
| The NRC Operations Officer notified R3DO (Wright). |
| |
| * * * UPDATE AT 1713 ON 10/21/99 FROM CAGE TAKEN BY JOLLIFFE * * * |
| |
| Four sprinkler heads on C-337 System A-5, twelve sprinkler heads on C-337 |
| System A-8, three sprinkler heads on C-337 System A-9, and six sprinkler |
| heads on C-337 System B-8 were identified to have corrosion. On 10/21/99, |
| the PSS declared System A-5 and A-9 inoperable at 1028 CDT, System A-8 |
| inoperable at 1227 CDT and System B-8 inoperable at 1406 CDT. An LCO |
| required fire patrol for the affected areas was initiated in the time frame |
| required by the TSR.. The PSS determined that an update to this report was |
| required. The NRC Resident Inspector has been informed of this update. The |
| NRC Operations Officer notified the R3DO Bruce Jorgensen. |
| |
| * * * UPDATE AT 2128 ON 10/22/99 FROM ERIC WALKER TAKEN BY JOLLIFFE * * * |
| |
| At 1400 CDT on 10/22/99, the PSS was notified that numerous corroded |
| sprinkler heads were discovered in C-337 on sprinkler systems B-1, B-3, B-5, |
| B-6, B-7, B-11 and D-17. Due to the number of systems called into question, |
| the PSS declared all of the sprinkler systems in C-337 on the cell floor (a |
| total of 66 systems) inoperable and TSR required actions establishing roving |
| fire patrols were initiated within the required time frame. The PSS |
| determined that an update to this report was required. It has been |
| determined that this event Is reportable under 10CFR76.120(c)(2) as an event |
| in which equipment is disabled or fails to function as designed. |
| The NRC Resident lnspector has been informed of this update. The NRC |
| Operations Officer notified the R3DO Bruce Jorgensen. |
| |
| * * * UPDATE AT 1239 ON 10/24/99 FROM TOM WHITE TAKEN BY JOLLIFFE * * * |
| |
| At 1200 CDT on 10/23/99, the PSS was notified that numerous corroded |
| sprinkler heads were discovered in C-337 on sprinkler systems B-13 and B-14 |
| on the ground floor, The PSS declared these systems inoperable and TSR |
| required actions establishing roving fire patrols were initiated within the |
| required time frame. At 1600 CDT on 10/23/99, the PSS was notified that |
| numerous corroded sprinkler heads were discovered in C-337 on sprinkler |
| systems A-16, B-12, C-8, C-12, C-15, D-5 and D-8 on the cell floor, These |
| systems have already been declared inoperable and fire patrols are already |
| being performed. The PSS determined that an update to this report was |
| required. It has been determined that this event is reportable under |
| I0CFR76.120(c)(2) as an event in which equipment is disabled or fails to |
| function as designed. The NRC resident inspector has been informed of this |
| update. The NRC Operations Officer notified the R3DO Bruce Jorgensen. |
| |
| * * * UPDATE AT 1117 ON 10/25/99 FROM W. F. CAGE TAKEN BY SANDIN * * * |
| |
| At 1940 CDT on 10/24/99, the PSS was notified that numerous corroded |
| sprinkler heads had been discovered on High Pressure Fire Water systems C-4, |
| C-5, C-6 and C-8, located in the C-337 building. These systems had |
| previously been declared inoperable, and fire patrols were already being |
| performed at the time of discovery. The PSS determined that an update to |
| this report was required. It has been determined that this event is |
| reportable under 10CFR76.120(c)(2) as an event in which equipment is |
| disabled or fails to function as designed. |
| The NRC Resident Inspector has been notified of this update. The NRC |
| Operations Officer notified R3DO (Lanksbury) and NMSS (Brain Smith). |
| |
| * * * UPDATE AT 2235 ON 10/27/99 BY WHITE TAKEN BY MACKINNON * * * |
| |
| At 1517 CDT on 10/27/99, the PSS was notified that 9 corroded sprinkler |
| heads had been discovered on High Pressure Fire Water System A-12 located in |
| the C-333 building. This system has been declared inoperable and fire |
| patrols have been initiated. The PSS determined that an update to this |
| report was required. The NRC Resident Inspector has been notified of this |
| update. The NRC Operations Officer notified R3DO (Jordan) and NMSS EO |
| (Hickey). |
| |
| * * * UPDATE AT 2150 ON 10/30/99 BY UNDERWOOD TAKEN BY WEAVER * * * |
| |
| At 1950 CDT on 10/30/99, the PSS was notified that numerous corroded |
| sprinkler heads had been discovered on High Pressure Fire Water Systems A-5, |
| A-9, A-11, C-5, and C-7 in the C-333 building. Reference ATR-1 1999-6699 |
| and 6702. These systems have been declared inoperable and fire patrols have |
| been initiated. Also, due to the number of inoperable sprinkler heads, the |
| remaining systems on the cell floor of C-333 were called into question and |
| declared inoperable. Fire patrols for the entire cell floor have been |
| initialed. The PSS determined that an update to this report was required. |
| The NRC Resident Inspector has been notified of this update. The NRC |
| Operations Officer notified R3DO (Jordan) and NMSS EO (Hickey). |
| |
| * * * UPDATE AT 2111 ON 10/31/99 BY UNDERWOOD TAKEN BY WEAVER * * * |
| |
| At 1412 CDT on 10/31/99, the PSS was notified that five corroded sprinkler |
| heads had been discovered on High Pressure Fire Water System 9 in the C-335 |
| building. There were two adjacent corroded heads discovered in two separate |
| locations and a third individual head at a different location. The system |
| was declared inoperable and fire patrols were initiated. The corroded heads |
| have since been replaced and the system returned to operable status. The |
| NRC Resident Inspector was notified of this update. The NRC Operations |
| Officer notified R3DO (Jordan) and NMSS EO (Hickey). |
| |
| * * * UPDATE AT 2121 ON 11/01/99 BY KEVIN BEASLEY TAKEN BY JOLLIFFE * * * |
| |
| At 0930 CST on 11/01/99, the PSS was notified that three corroded sprinkler |
| heads had been discovered on the High Pressure Fire Water System B-4 in the |
| C-337 building. Two of these sprinkler heads are adjacent. Two adjacent |
| corroded sprinkler heads were also discovered on the High Pressure Fire |
| Water System B-5 in the C-337 building. These systems were declared |
| inoperable and fire patrols were initiated. Work has been initiated to |
| replace the subject heads. The NRC Resident Inspector has been notified of |
| this update. The NRC Operations Officer notified the R3DO Jim Creed. |
+------------------------------------------------------------------------------+
!!!!!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED !!!!!!!
+------------------------------------------------------------------------------+
|Fuel Cycle Facility |Event Number: 36284 |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: PADUCAH GASEOUS DIFFUSION PLANT |NOTIFICATION DATE: 10/13/1999|
| RXTYPE: URANIUM ENRICHMENT FACILITY |NOTIFICATION TIME: 02:50[EDT]|
| COMMENTS: 2 DEMOCRACY CENTER |EVENT DATE: 10/12/1999|
| 6903 ROCKLEDGE DRIVE |EVENT TIME: 02:55[CDT]|
| BETHESDA, MD 20817 (301)564-3200 |LAST UPDATE DATE: 11/01/1999|
| CITY: PADUCAH REGION: 3 +-----------------------------+
| COUNTY: McCRACKEN STATE: KY |PERSON ORGANIZATION |
|LICENSE#: GDP-1 AGREEMENT: Y |JOHN MADERA R3 |
| DOCKET: 0707001 |BRIAN SMITH NMSS |
+------------------------------------------------+ |
| NRC NOTIFIED BY: J. UNDERWOOD | |
| HQ OPS OFFICER: FANGIE JONES | |
+------------------------------------------------+ |
|EMERGENCY CLASS: N/A | |
|10 CFR SECTION: | |
|NLTR LICENSEE 24 HR REPORT | |
| | |
| | |
| | |
| | |
+------------------------------------------------------------------------------+
EVENT TEXT
+------------------------------------------------------------------------------+
| 24 HOUR REPORT - VALID ALARM ON PRIMARY CONDENSATE, A SAFETY SYSTEM |
| |
| "At 0225 CDT on 10/12/99, the PSS office was notified that a Primary |
| Condensate alarm was received on the C-360 position 3 autoclave Water |
| Inventory Control System (WICS). The WICS is required to be operable while |
| heating in mode 5 according to TSR 2.1.4.3. The autoclave was checked |
| according to the alarm response procedure and subsequently removed from |
| service and declared inoperable by the Plant Shift Superintendent. |
| Troubleshooting was initiated and is continuing in order to determine the |
| reason for the alarm. |
| |
| "The safety system actuation is reportable to the NRC as required by Safety |
| Analysis Report, section 6.9, table 1, criteria J.2, Safety System actuation |
| due to a valid signal as a 24-hour event notification." |
| |
| The NRC Resident Inspector has been notified of this event. |
| |
| * * * UPDATE AT 1551 ON 11/01/99 BY FRANK CAGE TO JOLLIFFE * * * |
| |
| "Troubleshooting and testing by System Engineering has determined that this |
| actuation was caused by a short circuit of the primary condensate WICS |
| wiring to its protective conduit. Agitation of the conduit resulted in |
| repeated false alarms on the WICS. Given this finding and the fact that the |
| actuation occurred at a point in the heat cycle beyond the initial heatup |
| and triple point when the maximum condensate is being produced, indicate |
| that the actuation signal was not a result of water backed up in the drain |
| line, which the WICS is designed to protect against. Thus, this is an |
| invalid signal. Actuations caused by invalid signals are not reportable to |
| the NRC." |
| |
| Therefore, this event is being retracted. |
| |
| The NRC Resident Inspector has been notified of this update. The NRC |
| Operations Officer notified the R3DO Jim Creed and the NMSS EO John Hickey. |
| |
| PGDP Problem Report #ATR-99-6175, PGDP Event Report #PAD-1999-112. |
+------------------------------------------------------------------------------+
!!!!!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED !!!!!!!
+------------------------------------------------------------------------------+
|Hospital |Event Number: 36372 |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG: LIBERTY HOSPITAL |NOTIFICATION DATE: 10/29/1999|
|LICENSEE: LIBERTY HOSPITAL |NOTIFICATION TIME: 10:37[EDT]|
| CITY: LIBERTY REGION: 3 |EVENT DATE: 10/27/1999|
| COUNTY: STATE: MO |EVENT TIME: [CDT]|
|LICENSE#: AGREEMENT: N |LAST UPDATE DATE: 11/01/1999|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |MIKE JORDAN R3 |
| | |
+------------------------------------------------+ |
| NRC NOTIFIED BY: TOM BROWN | |
| HQ OPS OFFICER: BOB STRANSKY | |
+------------------------------------------------+ |
|EMERGENCY CLASS: N/A | |
|10 CFR SECTION: | |
|LADM 35.33(a) MED MISADMINISTRATION | |
| | |
| | |
| | |
| | |
+------------------------------------------------------------------------------+
EVENT TEXT
+------------------------------------------------------------------------------+
| MEDICAL MISADMINISTRATION |
| |
| On 10/27/1999, a patient was to receive a dose of 120 Gy (12,000 rad) by way |
| of implanted palladium seeds. The seeds that were ordered and delivered to |
| the hospital had an activity of 1.05 millicuries each, instead of 1.4 |
| millicuries, which would have been needed to obtain the prescribed dose. The |
| physicians treating the patient made a decision to implant the seeds anyway, |
| resulting in a dose of 90 Gy, and to supplement the dose by external beam. |
| However, the written prescription kept in the hot lab was not annotated to |
| include this change in treatment. |
| |
| Therefore, this condition is being reported as a medical misadministration, |
| in that the actual dose was 25% less than that prescribed. The licensee will |
| contact the NRC Region III office regarding this issue. |
| |
| * * * UPDATE AT 1601 ON 11/01/99 BY TOM BROWN TO JOLLIFFE * * * |
| |
| The licensee desires to retract this event since palladium is regulated by |
| the state of Missouri and not the NRC. |
| |
| The NRC Operations Officer notified the R3DO Jim Creed and NMSS EO John |
| Hickey. |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
|Power Reactor |Event Number: 36379 |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: COOK REGION: 3 |NOTIFICATION DATE: 11/01/1999|
| UNIT: [1] [] [] STATE: MI |NOTIFICATION TIME: 01:50[EST]|
| RXTYPE: [1] W-4-LP,[2] W-4-LP |EVENT DATE: 10/31/1999|
+------------------------------------------------+EVENT TIME: 20:30[EST]|
| NRC NOTIFIED BY: MUTZ |LAST UPDATE DATE: 11/01/1999|
| HQ OPS OFFICER: CHAUNCEY GOULD +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: N/A |MIKE JORDAN 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 N 0 Refueling |0 Refueling |
| | |
| | |
+------------------------------------------------------------------------------+
EVENT TEXT
+------------------------------------------------------------------------------+
| SAFEGUARDS DEGRADATION RELATED TO MONITORING A CONTROL ACCESS |
| |
| COMPENSATORY MEASURES TAKEN. |
| |
| THE NRC RESIDENT INSPECTOR WAS NOTIFIED. |
| |
| SEE HOO LOG FOR ADDITIONAL INFORMATION. |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
|General Information or Other |Event Number: 36380 |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG: CRMI |NOTIFICATION DATE: 11/01/1999|
|LICENSEE: LAS PIEDRAS CONSTRUCTION |NOTIFICATION TIME: 08:55[EST]|
| CITY: UTUADO REGION: 2 |EVENT DATE: 10/30/1999|
| COUNTY: STATE: PR |EVENT TIME: 09:00[EST]|
|LICENSE#: 52-25125-01 AGREEMENT: N |LAST UPDATE DATE: 11/01/1999|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |MARK LESSER R2 |
| |FRITZ STURZ EO NMSS |
+------------------------------------------------+ |
| NRC NOTIFIED BY: RHOE (CONSULTANT) | |
| HQ OPS OFFICER: CHAUNCEY GOULD | |
+------------------------------------------------+ |
|EMERGENCY CLASS: N/A | |
|10 CFR SECTION: | |
|BAB1 20.2201(a)(1)(i) LOST/STOLEN LNM>1000X | |
| | |
| | |
| | |
| | |
+------------------------------------------------------------------------------+
EVENT TEXT
+------------------------------------------------------------------------------+
| STOLEN MOISTURE DENSITY GAUGE |
| |
| A CPN MODEL MC-3 SERIAL NUMBER M-351102935 CONTAINING 10 MILLICURIES OF |
| CS-137 AND 50 MILLICURIES OF AM-241 WAS STOLEN FROM LAS PIEDRAS CONSTRUCTION |
| COMPANY'S FACILITIES IN UTUADO, PR. THE LOCAL POLICE DEPARTMENT WAS |
| NOTIFIED AND THERE WILL BE A PRESS RELEASE. |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
|Power Reactor |Event Number: 36381 |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: FARLEY REGION: 2 |NOTIFICATION DATE: 11/01/1999|
| UNIT: [] [2] [] STATE: AL |NOTIFICATION TIME: 09:38[EST]|
| RXTYPE: [1] W-3-LP,[2] W-3-LP |EVENT DATE: 11/01/1999|
+------------------------------------------------+EVENT TIME: 06:30[CST]|
| NRC NOTIFIED BY: WHITE |LAST UPDATE DATE: 11/01/1999|
| HQ OPS OFFICER: CHAUNCEY GOULD +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: N/A |MARK LESSER R2 |
|10 CFR SECTION: | |
|ADAS 50.72(b)(2)(i) DEG/UNANALYZED COND | |
| | |
| | |
| | |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE |
+-----+----------+-------+--------+-----------------+--------+-----------------+
| | |
|2 N N 0 Refueling |0 Refueling |
| | |
+------------------------------------------------------------------------------+
EVENT TEXT
+------------------------------------------------------------------------------+
| STEAM GENERATOR EDDY CURRENT INSPECTION DETECTED TUBE DEGRADATION |
| |
| DURING EDDY CURRENT INSPECTION, THE INSPECTION RESULTS FROM STEAM GENERATORS |
| "2A" AND "2C" WERE IDENTIFIED AS BEING IN THE C-3 INSPECTION CATEGORY PER |
| TECHNICAL SPECIFICATIONS. EDDY CURRENT INSPECTIONS ARE CONTINUING AND IT IS |
| ANTICIPATED THE "2B" WILL LATER BE IDENTIFIED AS BEING IN THE C-3 INJECTION |
| CATEGORY. THE TUBE DEGRADATION WILL REQUIRED TUBE PLUGGING. STEAM |
| GENERATORS MAY BE REPLACED DURING THE NEXT UNIT REFUELING. TO DATE THE |
| PERCENTAGE OF DEFECTIVE TUBES IN S/G "A" - 2.9%, S/G "B" - 0.3% AND S/G "C" |
| - 2.3%. |
| |
| THE NRC RESIDENT INSPECTOR WAS NOTIFIED. |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
|Power Reactor |Event Number: 36382 |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: MCGUIRE REGION: 2 |NOTIFICATION DATE: 11/01/1999|
| UNIT: [1] [2] [] STATE: NC |NOTIFICATION TIME: 16:12[EST]|
| RXTYPE: [1] W-4-LP,[2] W-4-LP |EVENT DATE: 11/01/1999|
+------------------------------------------------+EVENT TIME: 15:41[EST]|
| NRC NOTIFIED BY: CHUCK RARY |LAST UPDATE DATE: 11/01/1999|
| HQ OPS OFFICER: DICK JOLLIFFE +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: N/A |MARK LESSER R2 |
|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 N 0 Cold Shutdown |0 Cold Shutdown |
|2 N Y 100 Power Operation |100 Power Operation |
| | |
+------------------------------------------------------------------------------+
EVENT TEXT
+------------------------------------------------------------------------------+
| - PLANT SECURITY EVENT - |
| |
| Unescorted plant access granted inappropriately. Compensatory measures were |
| immediately taken upon discovery. The licensee plans to notify the NRC |
| Resident Inspector. Contact the NRC Operations Officer for additional |
| details. |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
|General Information or Other |Event Number: 36383 |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG: FORT BLISS, TEXAS |NOTIFICATION DATE: 11/01/1999|
|LICENSEE: FORT BLISS, TEXAS |NOTIFICATION TIME: 16:31[EST]|
| CITY: REGION: 4 |EVENT DATE: 11/01/1999|
| COUNTY: STATE: TX |EVENT TIME: 11:30[CST]|
|LICENSE#: AGREEMENT: Y |LAST UPDATE DATE: 11/01/1999|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |CLAUDE JOHNSON R4 |
| |JAMES CREED R3 |
+------------------------------------------------+JOHN HICKEY NMSS |
| NRC NOTIFIED BY: BRIAN BRENISER | |
| HQ OPS OFFICER: DICK JOLLIFFE | |
+------------------------------------------------+ |
|EMERGENCY CLASS: N/A | |
|10 CFR SECTION: | |
|BAE1 20.2202(b)(1) PERS OVEREXPOSURE | |
| | |
| | |
| | |
| | |
+------------------------------------------------------------------------------+
EVENT TEXT
+------------------------------------------------------------------------------+
| - POTENTIAL CONTAMINATION EVENT - |
| |
| At 1130 CST on 11/01/99, a soldier opened and then closed four chemical |
| agent detectors to determine the presence of their 250 millicurie |
| Americium-241 sources. After closing the fourth detector, the soldier |
| complained of itching and burning of her skin. She was sent to the fort |
| medical hospital to determine if she was contaminated. |
| |
| * * * UPDATE AT 1921 ON 11/01/99 FROM MAJOR COOPER TO JOLLIFFE * * * |
| |
| Fort Bliss Hospital determined that the soldier was not contaminated. The |
| NRC Operations Officer notified Region 4 (Linda Howell) and R3DO (Jim |
| Creed). |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
|General Information or Other |Event Number: 36384 |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG: MALLINCKRODT PHARMACY |NOTIFICATION DATE: 11/01/1999|
|LICENSEE: MALLINCKRODT PHARMACY |NOTIFICATION TIME: 16:40[EST]|
| CITY: PINE BROOK REGION: 1 |EVENT DATE: 11/01/1999|
| COUNTY: STATE: NJ |EVENT TIME: 15:30[EST]|
|LICENSE#: 24-04206-14MD AGREEMENT: N |LAST UPDATE DATE: 11/01/1999|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |MOHAMED SHANBAKY R1 |
| |JOHN HICKEY NMSS |
+------------------------------------------------+ |
| NRC NOTIFIED BY: JASON WILLMAN | |
| HQ OPS OFFICER: DICK JOLLIFFE | |
+------------------------------------------------+ |
|EMERGENCY CLASS: N/A | |
|10 CFR SECTION: | |
|BAE1 20.2202(b)(1) PERS OVEREXPOSURE | |
| | |
| | |
| | |
| | |
+------------------------------------------------------------------------------+
EVENT TEXT
+------------------------------------------------------------------------------+
| - HANDLES OF TRANSPORT PACKAGES CONTAMINATED - |
| |
| Carlos Express Company transported two packages of limited quantities of |
| technetium-99m from St Joseph Hospital and Medical Center in Patterson, NJ, |
| to Mallinckrodt Pharmacy in Pine Brook, NJ. An NRC Region 1 inspector |
| surveyed the packages upon arrival in Pine Brook and found two hot spots on |
| the packages (2 mR/hr on each package handle). Wipe tests determined |
| 130,000 DPM on one handle and 100,000 DPM on the second handle. There was |
| no radiation above background on the transport truck or the driver. The |
| licensee isolated the packages, notified Carlos Express and St Joseph |
| Hospital and Medical Center, and is continuing to investigate this incident. |
+------------------------------------------------------------------------------+
Page Last Reviewed/Updated Thursday, March 25, 2021
Page Last Reviewed/Updated Thursday, March 25, 2021