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.  |
+------------------------------------------------------------------------------+


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