Event Notification Report for December 22, 1999
U.S. Nuclear Regulatory Commission Operations Center Event Reports For 12/21/1999 - 12/22/1999 ** EVENT NUMBERS ** 36530 36531 36532 +------------------------------------------------------------------------------+ |General Information or Other |Event Number: 36530 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | REP ORG: LONGVIEW INSPECTIONS |NOTIFICATION DATE: 12/21/1999| |LICENSEE: LONGVIEW INSPECTIONS |NOTIFICATION TIME: 10:36[EST]| | CITY: BROOMFIELD REGION: 3 |EVENT DATE: 12/20/1999| | COUNTY: STATE: WI |EVENT TIME: 17:00[CST]| |LICENSE#: 4227593-01 AGREEMENT: N |LAST UPDATE DATE: 12/21/1999| | DOCKET: |+----------------------------+ | |PERSON ORGANIZATION | | |THOMAS KOZAK R3 | | |BRIAN SMITH EO NMSS | +------------------------------------------------+JOHN DAVIDSON IAT NMSS | | NRC NOTIFIED BY: WALLANDER |RON ALBERT IAT NRR | | HQ OPS OFFICER: CHAUNCEY GOULD | | +------------------------------------------------+ | |EMERGENCY CLASS: N/A | | |10 CFR SECTION: | | |BAD1 20.2202(a)(1) PERS OVEREXPOSURE | | | | | | | | | | | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | POSSIBLE INTENTIONAL OVEREXPOSURE OF AN EMPLOYEE'S TLD BADGE | | | | THE LICENSEE REPORTED THAT A RADIOGRAPHER'S TLD BADGE WAS OVEREXPOSED FOR | | THE MONTH OF OCTOBER. THE READING FROM THE TLD WAS 77 REM. (NORMAL | | READINGS RANGE FROM 100 mREM-300 mREM.) THEY HAVE STARTED AN INVESTIGATION | | AND HAVE COMMENCED INTERVIEWS WITH INDIVIDUALS THAT WORKED WITH THIS PERSON. | | SINCE THE WORK HAS BEEN COMPLETED, ALL OF THE WORKERS WERE LAID OFF, AND | | THEY STILL HAVE ADDITIONAL PERSONS TO LOCATE AND INTERVIEW. | | | | (CALL THE NRC OPERATIONS OFFICER FOR PRELIMINARY CONCLUSIONS AND A LICENSEE | | CONTACT TELEPHONE NUMBER.) | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ |General Information or Other |Event Number: 36531 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | REP ORG: TEXAS DEPARTMENT OF HEALTH |NOTIFICATION DATE: 12/21/1999| |LICENSEE: UNIVERSITY OF TEXAS |NOTIFICATION TIME: 16:30[EST]| | CITY: GALVESTON REGION: 4 |EVENT DATE: 12/16/1999| | COUNTY: STATE: TX |EVENT TIME: 12:00[CST]| |LICENSE#: AGREEMENT: Y |LAST UPDATE DATE: 12/21/1999| | DOCKET: |+----------------------------+ | |PERSON ORGANIZATION | | |WILLIAM JOHNSON R4 | | |SUSAN SHANKMAN NMSS | +------------------------------------------------+ | | NRC NOTIFIED BY: HELEN WATKINS | | | HQ OPS OFFICER: DOUG WEAVER | | +------------------------------------------------+ | |EMERGENCY CLASS: N/A | | |10 CFR SECTION: | | |NAGR AGREEMENT STATE | | | | | | | | | | | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | AGREEMENT STATE REPORT - MEDICAL MISADMINISTRATION | | | | The University of Texas Medical Branch at Galveston reported a | | misadministration to the State of Texas on 12/20/99. The misadministration | | involved the first patient for an I-131 anti B1 research protocol, sponsored | | by Coulter. The prescribed therapeutic dose was 55.4 mCi I-131 anti B1. | | It was discovered on the morning of 12/20/99 that the infusion bag contained | | a significant residual activity due to the bag apparently not being flushed | | into the patient. As a result the patient only received 46.7 mCi I-131; 84% | | of the intended dose. | | | | The sponsor of the research project and the patients referring physician | | have been notified. Since this is a research protocol, it is not known what | | the significance of this under dosing will be to the patient's treatment. | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ |Power Reactor |Event Number: 36532 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | FACILITY: OCONEE REGION: 2 |NOTIFICATION DATE: 12/21/1999| | UNIT: [] [2] [] STATE: SC |NOTIFICATION TIME: 19:34[EST]| | RXTYPE: [1] B&W-L-LP,[2] B&W-L-LP,[3] B&W-L-L|EVENT DATE: 12/21/1999| +------------------------------------------------+EVENT TIME: 18:52[EST]| | NRC NOTIFIED BY: NEIL CONSTANCE |LAST UPDATE DATE: 12/21/1999| | HQ OPS OFFICER: DOUG WEAVER +-----------------------------+ +------------------------------------------------+PERSON ORGANIZATION | |EMERGENCY CLASS: N/A |CHARLES OGLE R2 | |10 CFR SECTION: | | |ARPS 50.72(b)(2)(ii) RPS ACTUATION | | | | | | | | | | | +-----+----------+-------+--------+-----------------+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ | | | |2 N Y 100 Power Operation |0 Hot Standby | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | REACTOR SCRAM ON HIGH REACTOR SYSTEM PRESSURE | | | | "Unit 2 tripped on RCS high pressure at 1852. The Reactor Protection System | | (RPS) setpoint of 2345 psig was exceeded, resulting in an RPS actuation and | | tripping [of] all CRD breakers. RCS pressure peaked at 2378 psig. The | | initiating event was a transient on the secondary plant that affected heat | | removal capabilities. Post-trip response was normal. The plant is | | presently in mode 3 with a trip investigation in progress." | | | | No primary Power-Operated Relief valves or code safety valves lifted. | | Secondary side code safeties lifted as expected on a trip. All valves shut, | | but two have minor leakage. The plant is stable in mode 3 with RCPs running | | and decay heat being removed via the Steam Generators to the main | | condenser. | | | | The NRC resident inspector was notified. | +------------------------------------------------------------------------------+
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