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Event Notification Report for May 18, 2000

                    U.S. Nuclear Regulatory Commission
                              Operations Center

                              Event Reports For
                           05/17/2000 - 05/18/2000

                              ** EVENT NUMBERS **

36944  37000  37008  37009  

!!!!!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED  !!!!!!!
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|Power Reactor                                    |Event Number:   36944       |
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| FACILITY: PRAIRIE ISLAND           REGION:  3  |NOTIFICATION DATE: 04/29/2000|
|    UNIT:  [] [2] []                 STATE:  MN |NOTIFICATION TIME: 12:48[EDT]|
|   RXTYPE: [1] W-2-LP,[2] W-2-LP                |EVENT DATE:        04/29/2000|
+------------------------------------------------+EVENT TIME:        09:45[CDT]|
| NRC NOTIFIED BY:  BILL MATHER                  |LAST UPDATE DATE:  05/17/2000|
|  HQ OPS OFFICER:  LEIGH TROCINE                +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          N/A                   |GARY SHEAR           R3      |
|10 CFR SECTION:                                 |                             |
|ADAS 50.72(b)(2)(i)      DEG/UNANALYZED COND    |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR|   INIT RX MODE  |CURR PWR|  CURR RX MODE   |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|                                                   |                          |
|2     N          N       0        Hot Shutdown     |0        Hot Shutdown     |
|                                                   |                          |
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                                   EVENT TEXT                                   
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| DETERMINATION THAT DUAL INDICATION ON FEEDWATER CONTAINMENT ISOLATION VALVES |
| (WHILE IN THE CLOSED POSITION) MAY RESULT IN THEM BEING DEGRADED             |
|                                                                              |
| The following text is a portion of a facsimile received from the licensee:   |
|                                                                              |
| "While shutting down [the] Unit 2 reactor for a refueling shutdown, leakage  |
| past the main feedwater control valves required shutting the feedwater       |
| containment isolation (CI) valves to [the] 21 and 22 steam generators (S/G)  |
| [in order] to maintain S/G level.  With the CI valves in the closed          |
| position, the limit switch that provides a white status light on the         |
| containment isolation panel indicated the valves to be closed.  The other    |
| limit [switches] that [provide] a red (open) and green (closed) indication   |
| for both valves were both on dual indication.  S/G levels were controlled    |
| with the CI valves close.  The dual indication on the CI valves while in the |
| closed position may result in them being degraded.  Containment integrity    |
| isolations per operation procedures [were] implemented.  Further engineering |
| evaluations and repairs will follow."                                        |
|                                                                              |
| The licensee stated that a unit cooldown was in progress as part of a        |
| refueling outage which began shortly prior to midnight.  (Refer to event     |
| #36942 for additional information.)                                          |
|                                                                              |
| The licensee plans to notify the NRC resident inspector.                     |
|                                                                              |
| * * * RETRACTED AT 1530 EDT ON 5/17/00 BY ELLISON TO FANGIE JONES * * *      |
|                                                                              |
| "Event Notification #36944 on April 29, 2000 documented a situation during   |
| unit cooldown where dual indication (both open and closed positions) on both |
| feedwater containment isolation valves brought into doubt the actual         |
| position of the valves and their ability to perform their design bases       |
| functions. Further evaluation of the actual positions of the valves, their   |
| ability to stop flow, and their design bases functions led to the conclusion |
| that the valves did meet the required functions at the time and were capable |
| of meeting all design bases required functions. Therefore, Event             |
| Notification #36944 is being withdrawn."                                     |
|                                                                              |
| The licensee will notify the NRC Resident Inspector.  The Headquarters       |
| Operations Officer notified the R3DO (John Madera).                          |
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!!!!!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED  !!!!!!!
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|Power Reactor                                    |Event Number:   37000       |
+------------------------------------------------------------------------------+
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| FACILITY: GRAND GULF               REGION:  4  |NOTIFICATION DATE: 05/14/2000|
|    UNIT:  [1] [] []                 STATE:  MS |NOTIFICATION TIME: 20:01[EDT]|
|   RXTYPE: [1] GE-6                             |EVENT DATE:        05/14/2000|
+------------------------------------------------+EVENT TIME:        15:05[CDT]|
| NRC NOTIFIED BY:  HANKS                        |LAST UPDATE DATE:  05/17/2000|
|  HQ OPS OFFICER:  CHAUNCEY GOULD               +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          N/A                   |CHARLES CAIN         R4      |
|10 CFR SECTION:                                 |                             |
|AIND 50.72(b)(2)(iii)(D) ACCIDENT MITIGATION    |                             |
|NLCO                     TECH SPEC LCO A/S      |                             |
|                                                |                             |
|                                                |                             |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR|   INIT RX MODE  |CURR PWR|  CURR RX MODE   |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|1     N          Y       100      Power Operation  |100      Power Operation  |
|                                                   |                          |
|                                                   |                          |
+------------------------------------------------------------------------------+
                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| THE LICENSEE DECLARED THE DIVISION 3 EMERGENCY DIESEL GENERATOR (EDG)        |
| INOPERABLE AND THE PLANT ENTERED AN LCO ACTION STATEMENT.                    |
|                                                                              |
| THE DIVISION 3 EDG WAS DECLARED INOPERABLE DUE TO THE SOAK BACK PUMP         |
| (SUPPLIES LUBE OIL TO THE DIESEL SO THAT IT IS READY TO START) TRIP FAILURE. |
| THE CAUSE OF THE FAILURE IS A FAULTY RELAY FOR THE PUMP.  THEY WILL REPLACE  |
| THIS RELAY.  THIS EDG SUPPORTS THE HIGH PRESSURE CORE SPRAY (HPCS) SYSTEM    |
| FOR SAFETY FUNCTIONS.  THE HPCS SYSTEM HAS NOT BEEN DECLARED INOPERABLE AND  |
| THE DIVISION 3 EDG IS STILL FUNCTIONAL.  THE PLANT HAS 12 HOURS TO BE IN     |
| CONDITION 3 AND 36 HOURS TO BE IN CONDITION 4.                               |
|                                                                              |
| THE NRC RESIDENT INSPECTOR WAS NOTIFIED.                                     |
|                                                                              |
| * * * RETRACTED AT 1155 EDT ON 5/17/00 BY CHRIS MILLER TO FANGIE JONES * *   |
| *                                                                            |
|                                                                              |
| The licensee is retracting this event notification, after further review, it |
| was determined that this event was not reportable as there was a 72 hour     |
| delay before action to shut down the plant became necessary.  Offsite power  |
| was in service and the other EDG was available and in accordance with Tech   |
| Specs the licensee had 72 hours to restore the EDG before further action was |
| necessary  The Division 2 EDG was returned to service well within the 72     |
| hours.                                                                       |
|                                                                              |
| The licensee informed the NRC Resident Inspector.  The R4DO (Bill Jones) was |
| notified by the NRC Operations Officer.                                      |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   37008       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: CLINTON                  REGION:  3  |NOTIFICATION DATE: 05/17/2000|
|    UNIT:  [1] [] []                 STATE:  IL |NOTIFICATION TIME: 12:56[EDT]|
|   RXTYPE: [1] GE-6                             |EVENT DATE:        05/17/2000|
+------------------------------------------------+EVENT TIME:        09:14[CDT]|
| NRC NOTIFIED BY:  VINCE PATTEN                 |LAST UPDATE DATE:  05/17/2000|
|  HQ OPS OFFICER:  FANGIE JONES                 +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          N/A                   |JOHN MADERA          R3      |
|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     M/R        Y       100      Power Operation  |0        Hot Shutdown     |
|                                                   |                          |
|                                                   |                          |
+------------------------------------------------------------------------------+
                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| MANUAL REACTOR TRIP AFTER LOSS OF TWO CONDENSATE PUMPS                       |
|                                                                              |
| The licensee was performing preventative maintenance on electrical equipment |
| when an error caused the loss of the '1B' 4160 volt non-vital bus.  When the |
| bus deenergized, two condensate pumps were lost resulting in loss of feed to |
| the reactor.  The operators manually scrammed the reactor, all rods fully    |
| inserted and the plant is stable in Mode 3 with level control from the       |
| balance of the condensate and feed system.  Pressure control  is by RCIC     |
| supplemented by SRVs as needed.  The plant is continuing to Cold Shutdown    |
| and an investigation into the initiating event is pending.                   |
|                                                                              |
| A press release is planned by the licensee.  The licensee has notified the   |
| local and state authorities as well as the NRC Resident Inspector.           |
|                                                                              |
| * * * UPDATE AT 1547 EDT ON 5/17/00 BY VINCE PATTEN TO FANGIE JONES * * *    |
|                                                                              |
| During the plant cooldown received a MSIV closure signal due to low vacuum   |
| as a result of breaking vacuum as a result of loss of seal steam to the main |
| turbine.                                                                     |
|                                                                              |
| RHR reject to radwaste, 1E12-F049, automatically isolated on a level 3       |
| signal due to momentary reactor vessel level  shrink from SRV operations.    |
|                                                                              |
| The licensee is continuing to cooldown the plant.  Pressure control is being |
| maintained by RCIC and SRVs.  Level control is being maintained with control |
| rod drive (CRD) with level at 29.7 " (about 2 " below normal).               |
|                                                                              |
| The licensee notified the NRC Resident Inspector.  The Headquarters          |
| Operations Officer notified the R3DO (John Madera).                          |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Hospital                                         |Event Number:   37009       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG:  INDIANA UNIVERSITY MEDICAL CENTER    |NOTIFICATION DATE: 05/17/2000|
|LICENSEE:  INDIANA UNIVERSITY MEDICAL CENTER    |NOTIFICATION TIME: 15:41[EDT]|
|    CITY:  INDIANAPOLIS             REGION:  3  |EVENT DATE:        04/18/2000|
|  COUNTY:                            STATE:  IN |EVENT TIME:             [CST]|
|LICENSE#:  13-02752-03           AGREEMENT:  N  |LAST UPDATE DATE:  05/17/2000|
|  DOCKET:                                       |+----------------------------+
|                                                |PERSON          ORGANIZATION |
|                                                |JOHN MADERA          R3      |
|                                                |BILL REAMER          NMSS    |
+------------------------------------------------+                             |
| NRC NOTIFIED BY:  MACK RICHARD                 |                             |
|  HQ OPS OFFICER:  FANGIE JONES                 |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          N/A                   |                             |
|10 CFR SECTION:                                 |                             |
|BAB2 20.2201(a)(1)(ii)   LOST/STOLEN LNM>10X    |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
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                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| LOST ONE SEED CONTAINING 0.5 MILLICURIE IRIDIUM-192                          |
|                                                                              |
| After applicator removal and the seeds were inventoried, it was determined   |
| that one seed out of sixty four seeds was missing.  Each of the seeds        |
| contained 0.5 mCi of Ir-192.  A survey of the patient and room did not find  |
| the missing seed.  An investigation is ongoing to find the lost seed.  It is |
| possible that the right number of seeds were not implanted.  The applicator  |
| was removed with the seed intact, the seeds are contained in ribbons and the |
| ribbons are retained in the applicator, making it unlikely that the seed     |
| would have been lost during the treatment.                                   |
|                                                                              |
| The patient has been discharged and there is no problem with dose            |
| administered with one seed missing at the beginning.  Also, there is little  |
| safety implications to the public.                                           |
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