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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 THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED  !!!!!!!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).                                                                   |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|General Information or Other                     |Event Number:   37666       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| 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                                   
+------------------------------------------------------------------------------+
| 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).                                                     |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   37668       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| 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                                   
+------------------------------------------------------------------------------+
| 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.                            |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|General Information or Other                     |Event Number:   37669       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| 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                                   
+------------------------------------------------------------------------------+
| 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"               |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   37670       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| 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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