Event Notification Report for March 21, 2000
U.S. Nuclear Regulatory Commission
Operations Center
Event Reports For
03/20/2000 - 03/21/2000
** EVENT NUMBERS **
35022 36813 36814 36815 36816 36817 36818 36819
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|General Information or Other |Event Number: 35022 |
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| REP ORG: STATE OF FLORIDA |NOTIFICATION DATE: 11/12/1998|
|LICENSEE: BECHTEL ENGINEERING |NOTIFICATION TIME: 10:25[EST]|
| CITY: DELAND REGION: 2 |EVENT DATE: 11/10/1998|
| COUNTY: STATE: FL |EVENT TIME: 06:30[EST]|
|LICENSE#: 2057-1 AGREEMENT: Y |LAST UPDATE DATE: 03/20/2000|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |CAUDLE JULIAN R2 |
| |DONALD COOL NMSS |
+------------------------------------------------+ |
| NRC NOTIFIED BY: JERRY EAKINS | |
| HQ OPS OFFICER: BOB STRANSKY | |
+------------------------------------------------+ |
|EMERGENCY CLASS: N/A | |
|10 CFR SECTION: | |
|NAGR AGREEMENT STATE | |
| | |
| | |
| | |
| | |
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EVENT TEXT
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| AGREEMENT STATE REPORT REGARDING THEFT OF SOIL MOISTURE/DENSITY GAUGE |
| |
| THE STATE OF FLORIDA BUREAU OF RADIATION CONTROL REPORTED THE FOLLOWING |
| EVENT FROM A STATE LICENSEE (BECHTEL ENGINEERING): |
| |
| A TROXLER MODEL 3440 MOISTURE/DENSITY GAUGE (SERIAL NO. 16346), CONTAINING |
| ONE 8 mCi Cs-137 SOURCE AND ONE 40mCi Am-Be SOURCE, WAS STOLEN FROM THE BACK |
| OF A COMPANY TRUCK PARKED IN THE COMPANY PARKING LOT. THE THEFT OCCURRED |
| SOMETIME BETWEEN 0500 AND 0630 ON 11/10/98. THE GAUGE WAS LOCATED IN ITS |
| SHIPPING CONTAINER, WHICH WAS CHAINED TO THE BED OF THE TRUCK. HOWEVER, THE |
| CONTAINER'S LOCK HASP WAS BROKEN AND THE GAUGE WAS REMOVED FROM THE |
| CONTAINER. THE DELAND POLICE DEPARTMENT RESPONDED TO THE SCENE. |
| |
| |
| * * * UPDATE ON 3/20/00 BY STORMANT, RECEIVED BY WEAVER * * * |
| |
| On 17 Mar 2000, the owner was notified that the missing gauge was in the |
| Deland Police Department evidence room. It had been recovered in Nov 99 in |
| a house full of stolen items. The source handle was still locked. A leak |
| check has been accomplished. The owner has already replaced this gauge, but |
| still has room on his license for another gauge. Final disposition of the |
| gauge will occur after consultation with the owner's insurance company. |
| |
| The Operations Center notified the RDO (Belisle) and NMSS EO (SHERBINI) |
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|Power Reactor |Event Number: 36813 |
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| FACILITY: CATAWBA REGION: 2 |NOTIFICATION DATE: 03/20/2000|
| UNIT: [] [2] [] STATE: SC |NOTIFICATION TIME: 05:02[EST]|
| RXTYPE: [1] W-4-LP,[2] W-4-LP |EVENT DATE: 03/20/2000|
+------------------------------------------------+EVENT TIME: 04:15[EST]|
| NRC NOTIFIED BY: DON BRADELY |LAST UPDATE DATE: 03/20/2000|
| HQ OPS OFFICER: DOUG WEAVER +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: N/A |AL BELISLE R2 |
|10 CFR SECTION: | |
|AMED 50.72(b)(2)(v) OFFSITE MEDICAL | |
| | |
| | |
| | |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE |
+-----+----------+-------+--------+-----------------+--------+-----------------+
| | |
|2 N N 0 Refueling |0 Refueling |
| | |
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EVENT TEXT
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| OFFSITE TRANSPORTATION OF A POTENTIALLY CONTAMINATED WORKER |
| |
| "A vendor support employee was injured due to a fall (approximately 6 to 8 |
| feet) in Unit 2 lower containment. The individual was supporting reactor |
| coolant pump work. Due to injuries, the individual could not be fully |
| frisked for contamination. Until further determination, individual is |
| considered potentially contaminated and is being transported offsite to the |
| local medical facility." |
| |
| The licensee will notify the NRC resident inspector. |
| |
| * * * UPDATE AT 0930 ON 3/20/00, BY BREWER RECEIVED BY WEAVER * * * |
| |
| This is a follow-up pertaining to the notification of 0500 today concerning |
| the transport of a potentially contaminated worker to an off-site medical |
| facility. The injured individual was NOT contaminated, however the harness |
| and nylon choker used to lift the injured man has some low level fixed |
| contamination. This material has been transported back to the site and all |
| areas of the hospital and the transport vehicle have been surveyed clean. |
| |
| The licensee informed the NRC resident inspector. |
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|Fuel Cycle Facility |Event Number: 36814 |
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| FACILITY: COMBUSTION ENGINEERING INC. |NOTIFICATION DATE: 03/20/2000|
| RXTYPE: URANIUM FUEL FABRICATION |NOTIFICATION TIME: 08:46[EST]|
| COMMENTS: LEU CONVERSION (UF6 to UO2) |EVENT DATE: 03/19/2000|
| COMMERCIAL LWR FUEL |EVENT TIME: 07:50[CST]|
| |LAST UPDATE DATE: 03/20/2000|
| CITY: HEMATITE REGION: 3 +-----------------------------+
| COUNTY: JEFFERSON STATE: MO |PERSON ORGANIZATION |
|LICENSE#: SNM-33 AGREEMENT: N |GEOFFREY WRIGHT R3 |
| DOCKET: 07000036 |BRIAN SMITH NMSS |
+------------------------------------------------+ |
| NRC NOTIFIED BY: ROBERT SHARKEY | |
| HQ OPS OFFICER: DOUG WEAVER | |
+------------------------------------------------+ |
|EMERGENCY CLASS: N/A | |
|10 CFR SECTION: | |
|NBNL RESPONSE-BULLETIN | |
| | |
| | |
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EVENT TEXT
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| 24 HOUR BULLETIN 91-01 REPORT |
| |
| At approximately 0750 on 03/19/2000, a water leak was discovered above and |
| adjacent to the Erbia master blender. The water leak was from the building |
| outer roof and around an I-beam that penetrates the secondary roof. The |
| blender was undergoing maintenance and was emptied of Special Nuclear |
| Material (SNM). An open filter housing on the blending was immediately |
| covered with plastic. The blender was currently empty and visually verified |
| to contain less than a safe mass of uranium. Furthermore, no water was |
| detected inside the blender. Thus, no unsafe condition existed. However, |
| the blender will remain out of service until the moderation barriers are |
| reestablished. |
| |
| POTENTIAL CRITICALITY PATHWAYS INVOLVED (BRIEF SCENARIO(S) OF HOW |
| CRITICALITY COULD OCCUR: |
| |
| If the blender contained greater than a safe mass of uranium and greater |
| than 11 liters of water entered the blender. |
| |
| CONTROLLED PARAMETERS: |
| |
| Moderation is the primary controlled parameter. Normally, there are at |
| least three barriers to isolate the contents of the blender from moderators: |
| two independent overhead roofs and the closed blender vessel. In this case |
| |
| the blender was empty (<5 kg) and shutdown for maintenance. Therefore, mass |
| control was also in place for the blender. |
| |
| ESTIMATED AMOUNT, ENRICHMENT, FORM OF LICENSE MATERIAL: |
| |
| Approximately 5 kg of residual U02 powder was present in the filter housing |
| of the blender. The maximum enrichment was 4.0% U-235 and the corresponding |
| safe mass is 24 kg U02. The contents were poisoned with approximately 8% |
| erbium. |
| |
| CORRECTIVE ACTIONS TO RESTORE SAFETY SYSTEM AND WHEN EACH WAS IMPLEMENTED: |
| |
| The system will remain out of service with less than a safe mass until the |
| event investigation is completed and the overhead barriers are successfully |
| repaired. |
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|Hospital |Event Number: 36815 |
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| REP ORG: CARDIOLOGY ASSOC OF FAIRFIELD CO. |NOTIFICATION DATE: 03/20/2000|
|LICENSEE: CARDIOLOGY ASSOCIATES OF FAIRFIELD CO|NOTIFICATION TIME: 09:44[EST]|
| CITY: NORWALK REGION: 1 |EVENT DATE: 03/20/2000|
| COUNTY: STATE: CT |EVENT TIME: [EST]|
|LICENSE#: 06-077795-01 AGREEMENT: N |LAST UPDATE DATE: 03/20/2000|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |LAURIE PELUSO R1 |
| |BRIAN SMITH NMSS |
+------------------------------------------------+ |
| NRC NOTIFIED BY: STUART KORCHIN | |
| HQ OPS OFFICER: STEVE SANDIN | |
+------------------------------------------------+ |
|EMERGENCY CLASS: N/A | |
|10 CFR SECTION: | |
|BAAA 20.1906(d) SURFACE CONT/ EXT RAD | |
| | |
| | |
| | |
| | |
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EVENT TEXT
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| EXTERNAL RADIATION LEVELS EXCEEDING THE LIMITS OF 10 CFR 71.47 |
| |
| CARDIOLOGY ASSOCIATES OF FAIRFIELD COUNTY LOCATED AT 40 CROSS STREET IN |
| NORWLAK, CT, RECEIVED A PACKAGE FROM SYNCOR INTERNATIONAL IN STAMFORD, CT, |
| LABELED WHITE I WHICH MEASURED 40 mR/HR (EXTERIOR SWIPE READ 38 DPM). THIS |
| EXCEEDS THE EXTERNAL RADIATION LEVELS ALLOWED FOR WHITE I. THE PACKAGE |
| CONTAINED SEVERAL LEAD PIGS OF TECHNETIUM-99m , ONE OF WHICH WAS |
| CONTAMINATED READING 5652 DPM USING A SWIPE. THE LICENSEE NOTIFIED THE |
| SYNCOR INTERNATIONAL AND THE NRC REGION I OFFICE (SHANBAKY). |
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|Hospital |Event Number: 36816 |
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| REP ORG: GARDEN STATE CANCER CENTER |NOTIFICATION DATE: 03/20/2000|
|LICENSEE: GARDEN STATE CANCER CENTER |NOTIFICATION TIME: 11:55[EST]|
| CITY: BELLVILLE REGION: 1 |EVENT DATE: 03/20/2000|
| COUNTY: STATE: NJ |EVENT TIME: [EST]|
|LICENSE#: 29-28554-01 AGREEMENT: N |LAST UPDATE DATE: 03/20/2000|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |LOUIS MANNING R1 |
| |DON COOL NMSS |
+------------------------------------------------+ |
| NRC NOTIFIED BY: TOM JACKSON | |
| HQ OPS OFFICER: STEVE SANDIN | |
+------------------------------------------------+ |
|EMERGENCY CLASS: N/A | |
|10 CFR SECTION: | |
|LADM 35.33(a) MED MISADMINISTRATION | |
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EVENT TEXT
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| MEDICAL MISADMINISTRATION INVOLVING TREATMENT PROTOCOL |
| |
| IN DECEMBER 1999 A FEMALE PATIENT UNDERGOING A CANCER TREATMENT REGIME WAS |
| PRESCRIBED A THERAPEUTIC DOSE OF 20 mCi Y-90 (YTTRIUM). THE COVERING |
| PHYSICIAN TERMINATED THE TREATMENT AFTER 2 mCi WAS ADMINISTERED DUE TO A |
| PROTOCOL ISSUE THAT REQUIRED THE PHYSICIAN VERIFY "MIRROR IMAGING" OF THE |
| TREATMENT SITE WITH THE CAT SCANS. NO ADVERSE HEALTH EFFECTS WERE |
| EXPERIENCED BY THE PATIENT. THE PATIENT SUBSEQUENTLY RECEIVED THE |
| PRESCRIBED DOSE. |
| |
| THE LICENSEE HAD DISCUSSIONS WITH REGION I (JIM DWYER) CONCERNING THIS |
| REPORT. |
| |
| CALL THE HEADQUARTERS OPERATIONS CENTER FOR CONTACT INFORMATION. |
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|Power Reactor |Event Number: 36817 |
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| FACILITY: RIVER BEND REGION: 4 |NOTIFICATION DATE: 03/20/2000|
| UNIT: [1] [] [] STATE: LA |NOTIFICATION TIME: 17:03[EST]|
| RXTYPE: [1] GE-6 |EVENT DATE: 03/20/2000|
+------------------------------------------------+EVENT TIME: 15:05[CST]|
| NRC NOTIFIED BY: TOM LYNCH |LAST UPDATE DATE: 03/20/2000|
| HQ OPS OFFICER: BOB STRANSKY +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: N/A |LAWRENCE YANDELL R4 |
|10 CFR SECTION: | |
|DDDD 73.71 UNSPECIFIED PARAGRAPH | |
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| | |
| | |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|1 N N 0 Refueling |0 Refueling |
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| | |
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EVENT TEXT
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| SECURITY REPORT |
| |
| A contact employee attempted to bring contraband into the Protected Area. |
| Immediate compensatory actions were taken upon discovery. The licensee |
| notified the NRC resident inspector. Contact the NRC Operations Center for |
| additional details. |
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|Other Nuclear Material |Event Number: 36818 |
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| REP ORG: TEMPLE UNIVERSITY |NOTIFICATION DATE: 03/20/2000|
|LICENSEE: TEMPLE UNIVERSITY |NOTIFICATION TIME: 17:07[EST]|
| CITY: PHILADELPHIA REGION: 1 |EVENT DATE: 03/20/2000|
| COUNTY: STATE: PA |EVENT TIME: 12:00[EST]|
|LICENSE#: 37-00697-31 AGREEMENT: N |LAST UPDATE DATE: 03/20/2000|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |LOUIS MANNING R1 |
| |WAYNE HODGES NMSS |
+------------------------------------------------+ |
| NRC NOTIFIED BY: KURT BODISON | |
| HQ OPS OFFICER: BOB STRANSKY | |
+------------------------------------------------+ |
|EMERGENCY CLASS: N/A | |
|10 CFR SECTION: | |
|BAAA 20.1906(d) SURFACE CONT/ EXT RAD | |
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| | |
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EVENT TEXT
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| PACKAGE RECEIVED WITH EXTERNAL RADIAITON READING GREATER THAN LIMIT |
| |
| A shipment of phosphorus-32 from New England Nuclear was received with an |
| external radiation reading in excess of that permitted by the shipping |
| label. The package was labeled with a Radioactive White I placard, but the |
| licensee obtained a radiation reading of 225 mrem/hr on contact, using an |
| ionization detector with the beta window uncovered. No external |
| contamination was observed, although some contamination of the vial within |
| the lead shield was found. The licensee believes that the shipment contains |
| more than the specified 1 mCi of P-32, and that the high radiation reading |
| is the result of bremsstrahlung. The shipment is being returned to the |
| vendor. |
| |
| The licensee has already contacted NRC Region I regarding this event. |
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|Power Reactor |Event Number: 36819 |
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| FACILITY: SEQUOYAH REGION: 2 |NOTIFICATION DATE: 03/21/2000|
| UNIT: [1] [] [] STATE: TN |NOTIFICATION TIME: 06:15[EST]|
| RXTYPE: [1] W-4-LP,[2] W-4-LP |EVENT DATE: 03/21/2000|
+------------------------------------------------+EVENT TIME: 04:40[EST]|
| NRC NOTIFIED BY: BILL HARRIS |LAST UPDATE DATE: 03/21/2000|
| HQ OPS OFFICER: DOUG WEAVER +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: N/A |AL BELISLE R2 |
|10 CFR SECTION: | |
|ARPS 50.72(b)(2)(ii) RPS ACTUATION | |
|AESF 50.72(b)(2)(ii) ESF ACTUATION | |
| | |
| | |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|1 A/R Y 75 Power Operation |0 Hot Standby |
| | |
| | |
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EVENT TEXT
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| TURBINE TRIP - REACTOR TRIP |
| |
| An electrical fault on the main generator caused a turbine trip and an |
| anticipatory reactor trip. All rods fully inserted and the plant response |
| to the trip was as expected. Decay heat is being removed by dumping steam |
| to the main condenser. Auxiliary Feedwater started as expected. Reactor |
| coolant pumps are running. Offsite power and the emergency diesel |
| generators are operable. |
| |
| The licensee is investigating the cause of the turbine trip. The licensee |
| notified the NRC resident inspector. |
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