United States Nuclear Regulatory Commission - Protecting People and the Environment
Home > NRC Library > Document Collections > Reports Associated With Events > Event Notification Reports > 2000

Event Notification Report for June 16, 2000

                    U.S. Nuclear Regulatory Commission
                              Operations Center

                              Event Reports For
                           06/15/2000 - 06/16/2000

                              ** EVENT NUMBERS **

37084  37085  37086  37087  37088  

+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   37084       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: BRUNSWICK                REGION:  2  |NOTIFICATION DATE: 06/15/2000|
|    UNIT:  [1] [2] []                STATE:  NC |NOTIFICATION TIME: 07:51[EDT]|
|   RXTYPE: [1] GE-4,[2] GE-4                    |EVENT DATE:        06/15/2000|
+------------------------------------------------+EVENT TIME:        06:57[EDT]|
| NRC NOTIFIED BY:  JOE COSTA                    |LAST UPDATE DATE:  06/15/2000|
|  HQ OPS OFFICER:  FANGIE JONES                 +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          N/A                   |RUDOLPH BERNHARD     R2      |
|10 CFR SECTION:                                 |                             |
|AESS 50.72(b)(1)(v)      EMERGENCY SIREN INOP   |                             |
|APRE 50.72(b)(2)(vi)     OFFSITE NOTIFICATION   |                             |
|                                                |                             |
|                                                |                             |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|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                                   
+------------------------------------------------------------------------------+
| LOSS OF NINE EMERGENCY OFFSITE SIRENS DUE TO LOSS OF LOCAL POWER             |
|                                                                              |
| The licensee was notified that at 0657 EDT that nine of the offsite          |
| emergency warning sirens were deenergized at 0408 EDT due to local power     |
| outage and were inoperable for greater than one hour.  Six were restored in  |
| 1 hour and 16 minutes and the other three were restored in 2 hours and 16    |
| minutes.  All sirens are now operable.                                       |
|                                                                              |
| The licensee notified the NRC Resident Inspector and the State authorities.  |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|General Information or Other                     |Event Number:   37085       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG:  FLORIDA BUREAU OF RADIATION CONTROL  |NOTIFICATION DATE: 06/15/2000|
|LICENSEE:  PROFESSIONAL SERVICE INDUSTRIES INC  |NOTIFICATION TIME: 10:25[EDT]|
|    CITY:  TAMPA                    REGION:  2  |EVENT DATE:        06/14/2000|
|  COUNTY:                            STATE:  FL |EVENT TIME:        09:00[EDT]|
|LICENSE#:  22-12                 AGREEMENT:  Y  |LAST UPDATE DATE:  06/15/2000|
|  DOCKET:                                       |+----------------------------+
|                                                |PERSON          ORGANIZATION |
|                                                |RUDOLPH BERNHARD     R2      |
|                                                |                             |
+------------------------------------------------+                             |
| NRC NOTIFIED BY:  CHARLES ADAMS (FACSIMILE)    |                             |
|  HQ OPS OFFICER:  BOB STRANSKY                 |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          N/A                   |                             |
|10 CFR SECTION:                                 |                             |
|NAGR                     AGREEMENT STATE        |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+------------------------------------------------------------------------------+

                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| AGREEMENT STATE REPORT                                                       |
|                                                                              |
| The State of Florida Bureau of Radiation Control reported that a Troxler     |
| soil moisture/density gauge (Model 3430, Serial #30059), containing 8 mCi of |
| Cs-137 and 40 mCi of Am-241/Be, had been stolen from a state licensee. The   |
| licensee reported that the gauge was stolen from a temporary job site        |
| between the hours of 6 p.m. on 6/13/00 and 9 a.m. on 6/14/00. The chain link |
| fence surrounding the site was not damaged, but the door to the shed had     |
| been pried open. The lock on the storage locker containing the container and |
| gauge had been cut. The gauge and container were the only items taken. The   |
| Hillsborough Sheriff's Office and the Florida Bureau of Radiation Control    |
| are investigating. The Sheriff's Office is planning to issue a press         |
| release.                                                                     |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Hospital                                         |Event Number:   37086       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG:  SIOUX VALLEY HOSPITAL                |NOTIFICATION DATE: 06/15/2000|
|LICENSEE:  SIOUX VALLEY HOSPITAL                |NOTIFICATION TIME: 13:52[EDT]|
|    CITY:  SIOUX FALLS              REGION:  4  |EVENT DATE:        04/04/2000|
|  COUNTY:                            STATE:  SD |EVENT TIME:        12:30[MDT]|
|LICENSE#:  40-12378-01           AGREEMENT:  N  |LAST UPDATE DATE:  06/15/2000|
|  DOCKET:                                       |+----------------------------+
|                                                |PERSON          ORGANIZATION |
|                                                |LINDA SMITH          R4      |
|                                                |DON COOL             NMSS    |
+------------------------------------------------+                             |
| NRC NOTIFIED BY:  DOUG WARNER                  |                             |
|  HQ OPS OFFICER:  STEVE SANDIN                 |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          N/A                   |                             |
|10 CFR SECTION:                                 |                             |
|LADM 35.33(a)            MED MISADMINISTRATION  |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+------------------------------------------------------------------------------+

                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| PATIENT  DID NOT RECEIVE THERAPEUTIC DOSE OF I-131 AS PRESCRIBED             |
|                                                                              |
| On 4/4/2000 at 1230 hours a patient undergoing treatment for thyroid cancer  |
| did not receive the 100 mCi of I-131 as stated in the written instructions.  |
| The Patient Appointment Center misinterpreted the instruction "100mCi I-131  |
| followed by a whole body scan" to mean "I-131 whole body scan."  A           |
| diagnostic administration of 4.26 mCi I-131  was given for the whole body    |
| scan.  The whole body scan results were reviewed and the prescribing         |
| physician concluded that the therapeutic dose was not required.  The patient |
| was informed.  The Heath Physicist consultant to the hospital reviewed the   |
| incident and advised the hospital that the error was recordable but not      |
| reportable.  This report is being made following an inspection by NRC Region |
| 4 (J. Cruz).                                                                 |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   37087       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: CLINTON                  REGION:  3  |NOTIFICATION DATE: 06/15/2000|
|    UNIT:  [1] [] []                 STATE:  IL |NOTIFICATION TIME: 21:54[EDT]|
|   RXTYPE: [1] GE-6                             |EVENT DATE:        06/15/2000|
+------------------------------------------------+EVENT TIME:        19:15[CDT]|
| NRC NOTIFIED BY:  MARSHALL FUNKHOUSER          |LAST UPDATE DATE:  06/15/2000|
|  HQ OPS OFFICER:  STEVE SANDIN                 +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          N/A                   |DAVID HILLS          R3      |
|10 CFR SECTION:                                 |                             |
|AIND 50.72(b)(2)(iii)(D) ACCIDENT MITIGATION    |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|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                                   
+------------------------------------------------------------------------------+
| HIGH PRESSURE CORE SPRAY (HPCS) DECLARED INOPERABLE DUE TO INCOMPLETE POST   |
| MODIFICATION TESTING OF IT'S ASSOCIATED DIESEL GENERATOR                     |
|                                                                              |
| "At 1915 on 6/15/00 a Engineering review of a plant modification to the      |
| Division 3 Diesel Generator (DG) determined that the Post Modification       |
| Testing did not verify proper operation of the Loss of Off-Site Power (LOOP) |
| circuitry. This modification had only been performed to Division 3 DG and    |
| therefore Division 1 and 2 DG's are not affected. Division 3 DG provides     |
| power to the High Pressure Core Spray (HPCS) pump. The failure of Division 3 |
| DG to operate during a LOOP would have prevented HPCS from operating. The    |
| loss of a single train safety system such as HPCS is reportable under        |
| 10CFR50.72(b)(2)(iii)(D)."                                                   |
|                                                                              |
| The plant modification involved rewiring the electrical circuit to correct   |
| for a degraded voltage condition and was completed on 1/24/99.  Post         |
| modification testing was completed on 1/31/99.  HPCS has been declared       |
| inoperable but is available, if needed, pending completion of additional     |
| testing.  The licensee will inform the NRC Resident Inspector.               |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   37088       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: SUMMER                   REGION:  2  |NOTIFICATION DATE: 06/15/2000|
|    UNIT:  [1] [] []                 STATE:  SC |NOTIFICATION TIME: 22:10[EDT]|
|   RXTYPE: [1] W-3-LP                           |EVENT DATE:        06/15/2000|
+------------------------------------------------+EVENT TIME:        21:37[EDT]|
| NRC NOTIFIED BY:  DAN GOLDSTON                 |LAST UPDATE DATE:  06/15/2000|
|  HQ OPS OFFICER:  STEVE SANDIN                 +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          N/A                   |RUDOLPH BERNHARD     R2      |
|10 CFR SECTION:                                 |                             |
|ASHU 50.72(b)(1)(i)(A)   PLANT S/D REQD BY TS   |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR|   INIT RX MODE  |CURR PWR|  CURR RX MODE   |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|1     N          Y       100      Power Operation  |99       Power Operation  |
|                                                   |                          |
|                                                   |                          |
+------------------------------------------------------------------------------+
                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| UNIT COMMENCED A CONTROLLED TECH SPEC REQUIRED SHUTDOWN TO MODE 2 FOR        |
| REPAIRS                                                                      |
|                                                                              |
| "The 'C' steam generator Feedwater Isolation Valve, XVG1611C, air operator   |
| developed an air leak and was declared inoperable 6/13/00 at 1549EDT.        |
| Efforts to stop the leak were unsuccessful.  At 2137EDT on 6/15/00 a         |
| controlled power reduction to mode 2 was started.  Current plans are to      |
| repair the operator in mode 2 and return to power operation."                |
|                                                                              |
| The air leak is ongoing with the affected valve in use (open).  The licensee |
| anticipates entering mode 2 by 0600EDT on 6/16/00 and has informed the NRC   |
| Resident Inspector.                                                          |
+------------------------------------------------------------------------------+