Event Notification Report for January 19, 2001
U.S. Nuclear Regulatory Commission
Operations Center
Event Reports For
01/18/2001 - 01/19/2001
** EVENT NUMBERS **
37362 37666 37668 37669 37670
!!!!!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED !!!!!!!
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|Power Reactor |Event Number: 37362 |
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| FACILITY: RIVER BEND REGION: 4 |NOTIFICATION DATE: 09/21/2000|
| UNIT: [1] [] [] STATE: LA |NOTIFICATION TIME: 16:15[EDT]|
| RXTYPE: [1] GE-6 |EVENT DATE: 09/21/2000|
+------------------------------------------------+EVENT TIME: 11:38[CDT]|
| NRC NOTIFIED BY: DONALD CHASE |LAST UPDATE DATE: 01/18/2001|
| HQ OPS OFFICER: FANGIE JONES +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: N/A |JEFF SHACKELFORD R4 |
|10 CFR SECTION: | |
|AINA 50.72(b)(2)(iii)(A) POT UNABLE TO SAFE SD | |
|AINB 50.72(b)(2)(iii)(B) POT RHR INOP | |
|AINC 50.72(b)(2)(iii)(C) POT UNCNTRL RAD REL | |
|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 |
| | |
| | |
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EVENT TEXT
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| POSSIBILITY THAT BOTH DIVISION 1 AND 2 DIESEL GENERATORS WERE INOPERABLE FOR |
| 9 HOURS |
| |
| "This condition deals with a past Reportability issue. During a condition |
| report review for Functional Failure/Maintenance Preventable Functional |
| Failure determination (FF/MPFF), River Bend has determined that both Standby |
| Diesel Generators may have been inoperable at the same time. |
| |
| "A failure in a light socket related to the Division I Diesel Generator |
| created a functional failure in that during a seismic event, the breaker |
| logic for the Division I diesel generator output breaker could have been |
| affected in such a way that the breaker would not close. The failed light |
| socket was identified and corrected on 9/5/00 as part of work to replace the |
| light bulb. Since the MAI on the light bulb failure was written on 8/22/00, |
| it is assumed that the socket failure occurred at that time. |
| |
| "During the same time period, a lube oil leak developed on the Division II |
| oil supply which has been determined to be a functional failure. The damaged |
| oil line was replaced on 8/30/00. |
| |
| "Therefore, based on the functional failure determinations, there is an |
| overlapping period of approximately 9 hours that the Division I and II |
| diesel generators may not have been capable of performing their design bases |
| function. |
| |
| "This report is being made based on the information available at this time. |
| River Bend will continue to evaluate the condition associated with the |
| potential Division I inoperability and will assess the reportability of this |
| condition further based on the results of that evaluation." |
| |
| The licensee notified the NRC Resident Inspector. |
| |
| * * * UPDATE AT 1317 ON 1/18/2001 BY WYMORE, RECEIVED BY WEAVER * * * |
| |
| The original conclusion assumed that the two light socket wires in the |
| Division I panel which were dislodged but still energized would come into |
| contact during a seismic event and potentially blow a fuse in the safety bus |
| breaker control circuit. A detailed mockup was tested to the RBS seismic |
| response curves. The wires never contacted each other and there was no |
| short circuit. A seismic event would not have caused a breaker control |
| failure as had been assumed. |
| |
| The results of the seismic test indicates that the Division I diesel |
| generator was fully capable of responding to an automatic start signal |
| despite the damaged light base and loose wiring. |
| |
| Based on the observed condition and the seismic test data obtained, a |
| determination was made that there was no concurrent time of inoperability |
| for Division I and Division II diesel generators. Division I diesel |
| generator was out-of-service for approximately 4 hours on September 5, 2000, |
| to replace the light socket and some adjacent wiring. Division II diesel |
| generator was out-of-service on August 30, 2000, to repair the lube oil |
| pipe. |
| |
| Based on this information, the condition is not reportable and the 50.72 |
| report is retracted. |
| |
| The licensee notified the NRC resident inspector. The HOO notified the R4DO |
| (Kennedy). |
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|General Information or Other |Event Number: 37666 |
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| REP ORG: TEXAS DEPARTMENT OF HEALTH |NOTIFICATION DATE: 01/17/2001|
|LICENSEE: REED ENGINEERING GROUP |NOTIFICATION TIME: 16:20[EST]|
| CITY: SAN ANTONIO REGION: 4 |EVENT DATE: 12/20/2000|
| COUNTY: STATE: TX |EVENT TIME: 12:00[CST]|
|LICENSE#: AGREEMENT: Y |LAST UPDATE DATE: 01/18/2001|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |KRISS KENNEDY R4 |
| |DON COOL, EO NMSS |
+------------------------------------------------+ |
| NRC NOTIFIED BY: JAMES H. OGDEN JR. | |
| HQ OPS OFFICER: JOHN MacKINNON | |
+------------------------------------------------+ |
|EMERGENCY CLASS: N/A | |
|10 CFR SECTION: | |
|NAGR AGREEMENT STATE | |
| | |
| | |
| | |
| | |
+------------------------------------------------------------------------------+
EVENT TEXT
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| LOST HUMBOLDT 5001EZ NUCLEAR GAUGE |
| |
| This is an initial notification of a lost nuclear gauge. The gauge was lost |
| on December 20, 2000, while being transported in an unsecured manner and not |
| in it's transport case. The gauge was a one month old Humboldt 5001EZ. The |
| gauge was probably lost along Highway 90 and 36th Street in San Antonio, |
| Texas. A Police Report was filed (Report # 00805997/01). The operator |
| performed an extensive search for the gauge along the highway. A notice was |
| posted in the San Antonio Express News with a reward offered. The gauge has |
| not been recovered to date. Investigation is on going. |
| |
| Further details will be sent as they are received at the Texas Department of |
| Health. |
| |
| * * * UPDATE 0818 1/18/2001FROM OGDEN TAKEN BY STRANSKY * * * |
| |
| A representative of the Texas Department of Health called the Operations |
| Center to correct and clarify the initial report. The gauge is a Humboldt |
| 5001EZ, not a 5001EX as initally reported. Additionally, the Texas licensee |
| is Reed Engineering Group of Houston. [HOO Note: the text of the initial |
| report above has been corrected.] |
| |
| Notified R4DO (Kennedy). |
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|Power Reactor |Event Number: 37668 |
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| FACILITY: KEWAUNEE REGION: 3 |NOTIFICATION DATE: 01/18/2001|
| UNIT: [1] [] [] STATE: WI |NOTIFICATION TIME: 13:51[EST]|
| RXTYPE: [1] W-2-LP |EVENT DATE: 01/18/2001|
+------------------------------------------------+EVENT TIME: 12:00[CST]|
| NRC NOTIFIED BY: TIM SMITH |LAST UPDATE DATE: 01/18/2001|
| HQ OPS OFFICER: DOUG WEAVER +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: N/A |ROGER LANKSBURY R3 |
|10 CFR SECTION: | |
|AOUT 50.72(b)(1)(ii)(B) OUTSIDE DESIGN BASIS | |
| | |
| | |
| | |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|1 N Y 97 Power Operation |97 Power Operation |
| | |
| | |
+------------------------------------------------------------------------------+
EVENT TEXT
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| FIRE BARRIER DOOR MAY NOT HAVE BEEN PERIODICALLY TESTED |
| |
| On 1/15/2001, it was discovered that an appendix R fire barrier door may not |
| have been periodically tested according to requirements. On 1/18/2001, |
| during functional testing, the subject door failed to close completely. |
| The subject door is a normally open door that by design should automatically |
| close when a temperature sensitive fusible link is actuated. When tested |
| the door closed to all but the last two to three inches of travel. Under |
| the presumption that the door is required to close completely to fulfill |
| it's design function this event is conservatively being reported as a |
| failure to meet Kewaunee's Appendix R design basis. |
| |
| The licensee notified the NRC resident inspector. |
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|General Information or Other |Event Number: 37669 |
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| REP ORG: GEORGIA RADIOACTIVE MATERIAL PGM |NOTIFICATION DATE: 01/18/2001|
|LICENSEE: ST. JOSEPH'S HOSPITAL, INC. |NOTIFICATION TIME: 15:59[EST]|
| CITY: SAVANNAH REGION: 2 |EVENT DATE: 01/17/2001|
| COUNTY: STATE: GA |EVENT TIME: 12:00[EST]|
|LICENSE#: GA 48-1 AGREEMENT: Y |LAST UPDATE DATE: 01/18/2001|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |WALTER RODGERS R2 |
| |ERIC LEEDS NMSS |
+------------------------------------------------+ |
| NRC NOTIFIED BY: ELIZABETH DRINNON | |
| HQ OPS OFFICER: DOUG WEAVER | |
+------------------------------------------------+ |
|EMERGENCY CLASS: N/A | |
|10 CFR SECTION: | |
|NAGR AGREEMENT STATE | |
| | |
| | |
| | |
| | |
+------------------------------------------------------------------------------+
EVENT TEXT
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| AGREEMENT STATE REPORT |
| |
| "Novoste Beta-Cath System, A1000 Series, device ejected the source train |
| just prior to treating a patient. The shielded bailout box was used and |
| most of the sources went immediately into the bailout box. All remaining |
| sources were located and placed in the bailout box. The patient was removed |
| from the room when the incident occurred. No misadministration occurred as |
| patient treatment had been completed and no sources remained in the patient. |
| The incident occurred on the 25th use of the device (device has a built in |
| counter). Licensee contacted the manufacturer of the device on the day of |
| the incident. Physicist and Radiologist were present during incident. |
| Isotope: Strontium 90 Amount of Activity: < 300 millicuries" |
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|Power Reactor |Event Number: 37670 |
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| FACILITY: MILLSTONE REGION: 1 |NOTIFICATION DATE: 01/18/2001|
| UNIT: [] [2] [] STATE: CT |NOTIFICATION TIME: 21:22[EST]|
| RXTYPE: [1] GE-3,[2] CE,[3] W-4-LP |EVENT DATE: 01/18/2001|
+------------------------------------------------+EVENT TIME: 20:40[EST]|
| NRC NOTIFIED BY: TERRY ARNETT |LAST UPDATE DATE: 01/18/2001|
| HQ OPS OFFICER: DOUG WEAVER +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: N/A |RICHARD BARKLEY R1 |
|10 CFR SECTION: | |
|AARC 50.72(b)(1)(v) OTHER ASMT/COMM INOP | |
| | |
| | |
| | |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|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
+------------------------------------------------------------------------------+
| EMERGENCY OPERATIONS FACILITY HIGH RADIATION FILTRATION SYSTEM INOPERABLE |
| |
| Work in progress to modify the High Rad Filtration System left the system |
| inoperable. The modification is intended to make the system auto restart |
| after a loss of power event. Workers left the job site with the |
| modification incomplete, thus rendering the system inoperable. Workers have |
| been called back to the site to either restore the system or complete the |
| modification. |
| |
| Operators were following up on an annunciator that alarmed at 1730 and |
| discovered that some work had been done on the system. |
| |
| The licensee notified the NRC resident inspector and state and local |
| governments. |
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