Event Notification Report for January 22, 2001
U.S. Nuclear Regulatory Commission
Operations Center
Event Reports For
01/19/2001 - 01/22/2001
** EVENT NUMBERS **
37671 37672 37673
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|Power Reactor |Event Number: 37671 |
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| FACILITY: NORTH ANNA REGION: 2 |NOTIFICATION DATE: 01/19/2001|
| UNIT: [] [2] [] STATE: VA |NOTIFICATION TIME: 11:58[EST]|
| RXTYPE: [1] W-3-LP,[2] W-3-LP |EVENT DATE: 01/19/2001|
+------------------------------------------------+EVENT TIME: 11:45[EST]|
| NRC NOTIFIED BY: ALEX BLANCHARD |LAST UPDATE DATE: 01/19/2001|
| HQ OPS OFFICER: STEVE SANDIN +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: UNU |LOUIS REYES R2 |
|10 CFR SECTION: |BOB DENNIG EO |
| |JOSEPH GIITTER IRO |
| |SULLIVAN FEMA |
| | |
| | |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE |
+-----+----------+-------+--------+-----------------+--------+-----------------+
| | |
|2 N Y 99 Power Operation |99 Power Operation |
| | |
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EVENT TEXT
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| UNIT 2 DECLARED AN UNUSUAL EVENT BASED ON IDENTIFIED REACTOR COOLANT SYSTEM |
| (RCA) LEAKAGE > 10 GPM |
| |
| At 1145EST on 1/19/01, Unit 2 declared an Unusual Event based on RCS leakage |
| of 10.0015 gpm. The location of the leakage is the "C" loop unit bypass |
| valve 2-RC-MOV-2587. The leakage is through the packing leakoff line to the |
| primary drain tank. There are minor elevated rad levels in the stripper |
| cubicle where the drain tank is located. HP personnel are monitoring this |
| area. The licensee expects to have Unit 2 offline by 1600EST today. Tech |
| Spec 3.4.6.2 requires that identified RCS leakage be less than 10 gpm or |
| that the unit be placed in cold shutdown by 0300EST on 1/21/01. The |
| licensee anticipates completing repairs while in mode 3 at which time they |
| will exit the Unusual Event. |
| |
| The licensee informed both state/local agencies and the NRC resident |
| inspector. |
| |
| * * * UPDATE AT 2314 on 1/19/01, BY BROWN, RECEIVED BY WEAVER * * * |
| |
| 2-RC-MOV-2587 was opened electrically and manually backseated. This reduced |
| RCS leakage below 10 gpm and the unusual event was terminated at 2323EST. |
| The plant is stable in mode 3 and the licensee is developing a plan to |
| repair the valve. Repairs may be done with the plant in mode 3. The |
| licensee will notify the NRC resident inspector. |
| |
| The operations center notified the RDO (Rodgers); EO (Leeds); FEMA |
| (Steindurf) |
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|Hospital |Event Number: 37672 |
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| REP ORG: FROEDTERT MEMORIAL LUTHERAN HOSP |NOTIFICATION DATE: 01/19/2001|
|LICENSEE: FROEDTERT MEMORIAL LUTHERAN HOSP |NOTIFICATION TIME: 16:59[EST]|
| CITY: MILWAUKEE REGION: 3 |EVENT DATE: 01/17/2001|
| COUNTY: STATE: WI |EVENT TIME: 18:30[CST]|
|LICENSE#: 48-04193 AGREEMENT: N |LAST UPDATE DATE: 01/19/2001|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |ROGER LANKSBURY R3 |
| |ERIC LEEDS NMSS |
+------------------------------------------------+ |
| NRC NOTIFIED BY: MARCUM MARTZ | |
| HQ OPS OFFICER: DOUG WEAVER | |
+------------------------------------------------+ |
|EMERGENCY CLASS: N/A | |
|10 CFR SECTION: | |
|LADM 35.33(a) MED MISADMINISTRATION | |
| | |
| | |
| | |
| | |
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EVENT TEXT
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| POTENTIAL MEDICAL MISADMINISTRATION |
| |
| A patient being treated with a Leksell gamma system model 23004 type B |
| received a treatment to the wrong site. The intended dose or dose delivered |
| were not available. The dose was delivered to the wrong location because |
| the head frame had been installed in the wrong position. The correct site |
| was subsequently treated. The hospital is in the process of informing the |
| patient and the referring physician. The attending physician did not |
| believe the mistake would pose a problem to the patient. |
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|Power Reactor |Event Number: 37673 |
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+------------------------------------------------------------------------------+
| FACILITY: COOPER REGION: 4 |NOTIFICATION DATE: 01/21/2001|
| UNIT: [1] [] [] STATE: NE |NOTIFICATION TIME: 18:29[EST]|
| RXTYPE: [1] GE-4 |EVENT DATE: 01/21/2001|
+------------------------------------------------+EVENT TIME: 15:28[CST]|
| NRC NOTIFIED BY: WILLIAM GREEN |LAST UPDATE DATE: 01/21/2001|
| HQ OPS OFFICER: DOUG WEAVER +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: N/A |KRISS KENNEDY R4 |
|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
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| CONTROL ROOM EMERGENCY FILTRATION SYSTEM INOPERABLE |
| |
| At 1528 the Control Room Emergency Filtration System (CREFS) was declared |
| inoperable when fire door H305 was noted to hang open instead of fully |
| closing when personnel passed through the door. BLDG-DOOR-H305 is a |
| Control Room Envelope Door. CREFS is a single train system. When CREFS |
| was determined to be inoperable Technical Specification LCO 3.7.4 condition |
| A was entered. This LCO requires the restoration of CREFS to OPERABLE |
| status within 7 days or be in MODE 3 within 12 hours and MODE 4 within 36 |
| hours. |
| |
| Following the transfer of CREFS to DIV 1 power at 13:30, it was subsequently |
| noted that the control room blast doors seemed harder to open than normal. |
| The ventilation lineup for the Control Building was verified to be correct. |
| During this verification it was determined that BLDG-DOOR-H305 would not |
| operate properly and the door and CREFS were declared inoperable. |
| |
| Ventilation flow through other Control Room Boundary Doors appears [to]be |
| abnormal for the present ventilation lineup. A Fire Watch has been |
| stationed at BLDG-DOOR-H305. A Problem Identification Report has been |
| initiated to identify that BLDG-DOOR-H305 will not close by itself from the |
| fully open position. The ventilation lineup has not been changed since the |
| discovery of this condition for evidence preservation. The Ventilation |
| System Engineer is responding to the Site to assist with troubleshooting of |
| the ventilation system. |
| |
| The licensee notified the NRC resident inspector. |
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Page Last Reviewed/Updated Wednesday, March 24, 2021
Page Last Reviewed/Updated Wednesday, March 24, 2021