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Event Notification Report for January 31, 2000

U.S. Nuclear Regulatory Commission
Operations Center

EVENT REPORTS FOR
01/30/2000 - 01/31/2000

EVENT NUMBERS
366423664436645366463664736740

Power Reactor
Event Number: 36642
Facility: KEWAUNEE
Region: 3     State: WI
Unit: [1] [] []
RX Type: [1] W-2-LP
NRC Notified By: GARY HARRINGTON
HQ OPS Officer: LEIGH TROCINE
Notification Date: 01/31/2000
Notification Time: 10:10 [ET]
Event Date: 01/31/2000
Event Time: 08:15 [CST]
Last Update Date: 01/31/2000
Emergency Class: NON EMERGENCY
10 CFR Section:
73.71(b)(1) - SAFEGUARDS REPORTS
Person (Organization):
TONY VEGEL (R3)
Power Reactor Unit Info
Unit SCRAM Code RX Crit Initial PWR Initial RX Mode Current PWR Current RX Mode
1 N Y 97 Power Operation 97 Power Operation
Event Text
SECURITY EVENT

Unescorted access granted improperly to former plant employee. The licensee notified the NRC resident inspector. Contact the NRC Operations Center for additional details.


Power Reactor
Event Number: 36644
Facility: HADDAM NECK
Region: 1     State: CT
Unit: [1] [] []
RX Type: [1] W-4-LP
NRC Notified By: CAMPBELL
HQ OPS Officer: CHAUNCEY GOULD
Notification Date: 01/31/2000
Notification Time: 13:22 [ET]
Event Date: 01/31/2000
Event Time: 11:45 [EST]
Last Update Date: 01/31/2000
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(vi) - OFFSITE NOTIFICATION
Person (Organization):
TONY DIMITRIADIS (R1)
Power Reactor Unit Info
Unit SCRAM Code RX Crit Initial PWR Initial RX Mode Current PWR Current RX Mode
1 N N 0 Decommissioned 0 Decommissioned
Event Text
NOTIFICATION OF AN OIL SPILL TO THE STATE OF CONNECTICUT DEPARTMENT OF ENVIRONMENTAL PROTECTION, NATIONAL RESPONSE CENTER, AND THE U.S. COAST GUARD.

THE LICENSEE HAD A MOTOR OIL SPILL OF ~1/2 CUP TO A STORM DRAIN SYSTEM WHICH CONNECTS TO THE CONNECTICUT RIVER. THE SPILL IS BEING CLEANED UP, AND OFFSITE NOTIFICATIONS WERE MADE.

THE LICENSEE HAS NO NRC RESIDENT INSPECTOR


Power Reactor
Event Number: 36645
Facility: QUAD CITIES
Region: 3     State: IL
Unit: [] [2] []
RX Type: [1] GE-3,[2] GE-3
NRC Notified By: MACLENNAN
HQ OPS Officer: CHAUNCEY GOULD
Notification Date: 01/31/2000
Notification Time: 14:18 [ET]
Event Date: 01/31/2000
Event Time: 10:05 [CST]
Last Update Date: 01/31/2000
Emergency Class: NON EMERGENCY
10 CFR Section:
Person (Organization):
TONY VEGEL (R3)
DAVID MATTHEWS (NRR)
FRANK CONGEL (IRO)
MINDY LANDAU (PAO)
Power Reactor Unit Info
Unit SCRAM Code RX Crit Initial PWR Initial RX Mode Current PWR Current RX Mode
2 N N 0 Cold Shutdown 0 Cold Shutdown
Event Text
VOLUNTARY REPORT OF A MEDIA RESPONSE RELATED TO CALL-OUT OF LOCAL FIRE DEPARTMENT

At 1005 hours (CST) on January 31, 2000, the control room received a report of a small explosion in the Unit 2 pipeway between the main steam isolation valve (MSIV) room and the low-pressure heater bay. Control room personnel, in accordance with station procedures, notified the local (Cordova, IL) fire department of an explosion and possible fire. There were no personnel injuries, no equipment damage, and no fire.

As a result of the call to the fire department, local law enforcement agencies and two television stations responded to the site. The two television stations were KWQC (TV-6) (NBC) and WQAD (TV-8) (ABC). For a period of time, the state road in the vicinity of the plant was closed by law enforcement agencies.

The cause of the report to the control room was a very loud, sudden noise that resulted when a nylon bag containing small oxygen and acetylene bottles and hoses was opened. The sound was most likely the result of the ignition of a small amount of oxygen and acetylene trapped in the bag. Although no notification was made or planned for local media or law enforcement support, personnel from both of these areas were dispatched to the site. There were no injuries or fire. No equipment was affected. This notification is being made voluntarily.

The NRC Resident Inspector was notified, and there will be no media releases.


General Information or Other
Event Number: 36646
Rep Org: PENNSYLVANIA STATE UNIVERSITY
Licensee: PENNSYLVANIA STATE UNIVERSITY
Region: 1
City: UNIVERSITY PARK   State: PA
County: CENTRE
License #: 3718504
Agreement: N
Docket:
NRC Notified By: BOELDT
HQ OPS Officer: CHAUNCEY GOULD
Notification Date: 01/31/2000
Notification Time: 16:52 [ET]
Event Date: 01/31/2000
Event Time: 16:00 [EST]
Last Update Date: 01/31/2000
Emergency Class: NON EMERGENCY
10 CFR Section:
20.2201(a)(1)(i) - LOST/STOLEN LNM>1000X
Person (Organization):
TONY DIMITRIADIS (R1)
LARRY CAMPER (NMSS)
FRANK CONGEL (IRO)
Event Text
REPORT OF A STOLEN TRITIUM EXIT SIGN

THE PENNSYLVANIA STATE UNIVERSITY REPORTED THAT A TRITIUM EXIT SIGN WAS STOLEN FROM A BUILDING ON THEIR NEW KENSINGTON CAMPUS NEAR PITTSBURGH, PA, SOME TIME BETWEEN 01/28/00 AND 01/31/00. THE SIGN CONTAINS APPROXIMATELY 19 CURIES OF TRITIUM. THEY ARE CONTINUING THE SEARCH AND PLAN TO NOTIFY THE LOCAL AUTHORITIES.


Power Reactor
Event Number: 36647
Facility: FITZPATRICK
Region: 1     State: NY
Unit: [1] [] []
RX Type: [1] GE-4
NRC Notified By: ALLEN
HQ OPS Officer: CHAUNCEY GOULD
Notification Date: 01/31/2000
Notification Time: 17:12 [ET]
Event Date: 01/31/2000
Event Time: 17:00 [EST]
Last Update Date: 01/31/2000
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(iii)(D) - ACCIDENT MITIGATION
Person (Organization):
TONY DIMITRIADIS (R1)
Power Reactor Unit Info
Unit SCRAM Code RX Crit Initial PWR Initial RX Mode Current PWR Current RX Mode
1 N Y 60 Power Operation 60 Power Operation
Event Text
HIGH PRESSURE COOLANT INJECTION (HPCI) SYSTEM DECLARED INOPERABLE, THEREBY ENTERING THE PLANT INTO A 7-DAY LCO ACTION STATEMENT

DURING A HPCI SURVEILLANCE TEST, HPCI WAS DECLARED INOPERABLE DUE TO FLOW AND SPEED ANOMALIES. THIS CONDITION ENTERS THE PLANT INTO A 7-DAY LCO TO RETURN HPCI TO AN OPERABLE CONDITION OR BE IN COLD SHUTDOWN WITHIN 24 HOURS. THESE ANOMALIES HAVE OCCURRED IN THE PAST SEVERAL MONTHS, WHICH IS THE REASON FOR THE INCREASED SURVEILLANCE TESTING. DURING TODAY'S SURVEILLANCE, THE PUMP SPEED JUMPED FOR NO APPARENT REASON FOR <1 MIN BEFORE RETURNING TO NORMAL SPEED. THIS IS THE FIRST TIME THEY HAVE SEEN THIS ANOMALY FOR 2 MONTHS. THEY HAVE NOT DETERMINED THE CAUSE FOR THE INCREASE IN PRESSURE AND SPEED, BUT THEY WILL BE TROUBLESHOOTING THE PUMP.

THE NRC RESIDENT INSPECTOR WILL BE NOTIFIED BY THE LICENSEE.


Hospital
Event Number: 36740
Rep Org: FL BUREAU OF RADIATION CONTROL
Licensee: HALIFAX MEDICAL CENTER
Region: 2
City: DAYTONA BEACH   State: FL
County:
License #: FL-194-3
Agreement: Y
Docket:
NRC Notified By: CHARLIE ADAMS
HQ OPS Officer: DICK JOLLIFFE
Notification Date: 03/01/2000
Notification Time: 08:58 [ET]
Event Date: 01/31/2000
Event Time: 12:00 [EST]
Last Update Date: 03/01/2000
Emergency Class: NON EMERGENCY
10 CFR Section:
35.33 - MED MISADMINISTRATION
Person (Organization):
LEN WERT (R2)
BRIAN SMITH (NMSS)
Event Text
- MEDICAL MISADMINISTRATION EVENT IN AN AGREEMENT STATE -

On 01/31/00, during the second of three applicator treatments of 3.43 curies of Ir-192 at Halifax Medical Center, Daytona Beach, FL, the hospital therapist switched the location numbers and the patient was treated at a location of 898 mm instead of 989 mm. The result was that the majority of the dose went to the wrong treatment site. The maximum dose received was 1600 Rads. The doctor and the patient have been notified. No damage to the patient is expected. The patient has since completed the full course of treatments which were compensated for the error. A written report has been filed with Florida. This incident is still under investigation by Florida. Florida Incident Number FL00-018.