Event Notification Report for February 8, 2000
U.S. Nuclear Regulatory Commission
Operations Center
Event Reports For
02/07/2000 - 02/08/2000
** EVENT NUMBERS **
36666 36667 36668 36669
+------------------------------------------------------------------------------+
|Power Reactor |Event Number: 36666 |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: MONTICELLO REGION: 3 |NOTIFICATION DATE: 02/07/2000|
| UNIT: [1] [] [] STATE: MN |NOTIFICATION TIME: 03:11[EST]|
| RXTYPE: [1] GE-3 |EVENT DATE: 02/07/2000|
+------------------------------------------------+EVENT TIME: 00:55[CST]|
| NRC NOTIFIED BY: KEVIN PEDERSON |LAST UPDATE DATE: 02/07/2000|
| HQ OPS OFFICER: DOUG WEAVER +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: N/A |TONY VEGEL R3 |
|10 CFR SECTION: | |
|AESF 50.72(b)(2)(ii) ESF ACTUATION | |
| | |
| | |
| | |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|1 N N 0 Refueling |0 Refueling |
| | |
| | |
+------------------------------------------------------------------------------+
EVENT TEXT
+------------------------------------------------------------------------------+
| ESF ACTUATION - RECIRC SAMPLE ISOLATION VALVES |
| |
| During the performance of standby liquid control refueling tests, a signal |
| is sent to the reactor water cleanup isolation valves and the recirc sample |
| valves. The procedure addresses the RWCU valves, but not the recirc sample |
| valves. Since the outboard sample valve was secured (tagged) open, it |
| unexpectedly closed upon initiation of the standby liquid control system. |
| |
| The valves were returned to their pre-test positions. |
| |
| The licensee will notify the NRC resident inspector. |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
|Power Reactor |Event Number: 36667 |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: DRESDEN REGION: 3 |NOTIFICATION DATE: 02/07/2000|
| UNIT: [1] [2] [] STATE: IL |NOTIFICATION TIME: 04:28[EST]|
| RXTYPE: [1] GE-1,[2] GE-3,[3] GE-3 |EVENT DATE: 02/07/2000|
+------------------------------------------------+EVENT TIME: 02:40[CST]|
| NRC NOTIFIED BY: DAVE KLIMECK |LAST UPDATE DATE: 02/07/2000|
| HQ OPS OFFICER: DOUG WEAVER +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: N/A |TONY VEGEL 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 |
| | |
+------------------------------------------------------------------------------+
EVENT TEXT
+------------------------------------------------------------------------------+
| Minimum security personnel staffing requirements not met. Immediate |
| compensatory actions taken upon discovery. The licensee will notify the |
| NRC resident inspector. Additional details of this event may be obtained by |
| contacting the NRC operations officer. |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
|Hospital |Event Number: 36668 |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG: ST. ANTHONY MEDICAL CENTER |NOTIFICATION DATE: 02/07/2000|
|LICENSEE: ST. ANTHONY MEDICAL CENTER |NOTIFICATION TIME: 17:14[EST]|
| CITY: CROWN POINT REGION: 3 |EVENT DATE: 02/07/2000|
| COUNTY: STATE: IN |EVENT TIME: 09:00[CST]|
|LICENSE#: 13-15933-01 AGREEMENT: N |LAST UPDATE DATE: 02/07/2000|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |MICHAEL PARKER R3 |
| |JOE HOLONICH NMSS |
+------------------------------------------------+ |
| NRC NOTIFIED BY: RAM BASAVATIA | |
| HQ OPS OFFICER: BOB STRANSKY | |
+------------------------------------------------+ |
|EMERGENCY CLASS: N/A | |
|10 CFR SECTION: | |
|LADM 35.33(a) MED MISADMINISTRATION | |
| | |
| | |
| | |
| | |
+------------------------------------------------------------------------------+
EVENT TEXT
+------------------------------------------------------------------------------+
| MEDICAL MISADMINISTRATION |
| |
| A patient, who was prescribed a dose of 100 �Ci I-131 for a thyroid scan, |
| was administered a dose of 500 �Ci I-131. The patient was released before |
| the error was discovered. The patient has since been contacted and is |
| returning to the hospital to be administered KI (potassium iodide) to limit |
| the uptake of radioiodine in the thyroid. The licensee radiation safety |
| officer did not provide an estimate of the thyroid dose, but stated that |
| whole body dose would be approximately 31 rads without administration of |
| KI. |
| |
| The patient's attending physician will be informed of this |
| misadministration. The licensee has already contacted NRC Region III (T. |
| Go). |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
|Power Reactor |Event Number: 36669 |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: FARLEY REGION: 2 |NOTIFICATION DATE: 02/07/2000|
| UNIT: [] [2] [] STATE: AL |NOTIFICATION TIME: 18:56[EST]|
| RXTYPE: [1] W-3-LP,[2] W-3-LP |EVENT DATE: 02/07/2000|
+------------------------------------------------+EVENT TIME: 14:30[CST]|
| NRC NOTIFIED BY: BILL ARNES |LAST UPDATE DATE: 02/07/2000|
| HQ OPS OFFICER: BOB STRANSKY +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: N/A |KERRY LANDIS R2 |
|10 CFR SECTION: | |
|AINA 50.72(b)(2)(iii)(A) POT UNABLE TO SAFE SD | |
| | |
| | |
| | |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE |
+-----+----------+-------+--------+-----------------+--------+-----------------+
| | |
|2 N Y 100 Power Operation |100 Power Operation |
| | |
+------------------------------------------------------------------------------+
EVENT TEXT
+------------------------------------------------------------------------------+
| POTENTIAL ENTRY INTO TECHNICAL SPECIFICATION 3.0.5 |
| |
| While the 'A' emergency diesel generator (EDG) was out of service for |
| maintenance, the licensee determined that the 'B' service water booster pump |
| had previously been removed from service due to its breaker repeatedly |
| tripping on overcurrent. The 'B' service water booster pump may be attendant |
| equipment for the 'B' service water train. The licensee is currently |
| performing an attendant equipment evaluation of the 'B' service water |
| booster pump. This condition may have required that the unit enter Technical |
| Specification 3.0.5. |
| |
| The NRC resident inspector has been informed of this event by the licensee. |
+------------------------------------------------------------------------------+
Page Last Reviewed/Updated Wednesday, March 24, 2021