Event Notification Report for February 14, 2001
U.S. Nuclear Regulatory Commission
Operations Center
Event Reports For
02/13/2001 - 02/14/2001
** EVENT NUMBERS **
37731 37737 37738 37739 37740 37741 37742 37743
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|Other Nuclear Material |Event Number: 37731 |
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| REP ORG: U.S. ARMY |NOTIFICATION DATE: 02/09/2001|
|LICENSEE: U.S. ARMY |NOTIFICATION TIME: 11:19[EST]|
| CITY: REGION: 3 |EVENT DATE: 02/08/2001|
| COUNTY: STATE: IL |EVENT TIME: [CST]|
|LICENSE#: 12-00722-06 AGREEMENT: Y |LAST UPDATE DATE: 02/13/2001|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |KEN BROCKMAN R4 |
| |DR. COOL NMSS |
+------------------------------------------------+BRENT CLAYTON R3 |
| NRC NOTIFIED BY: JOYCE KUYKENDALL | |
| HQ OPS OFFICER: DOUG WEAVER | |
+------------------------------------------------+ |
|EMERGENCY CLASS: N/A | |
|10 CFR SECTION: | |
|BAB1 20.2201(a)(1)(i) LOST/STOLEN LNM>1000X | |
| | |
| | |
| | |
| | |
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EVENT TEXT
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| LOST SOURCE AT FT. RILEY, KANSAS |
| |
| The U.S. Army Aberdeen Proving Grounds reported the loss of a chemical agent |
| detector, model number M43A1. The detector contains 300 microcuries of |
| Am-241. The exact date, time and circumstances of the loss are not known. |
| |
| * * * UPDATE 1150EST ON 2/13/01 FROM JEFF HAVENNER TO S. SANDIN * * * |
| |
| The Rock Island Depot updated this report to provide the following |
| additional details: The detector was lost during an Infantry training |
| exercise. The unit involved is currently at Ft. Irwin, CA and unavailable |
| for questioning. The RSO at Ft. Riley intends to conduct a search of the |
| exercise area when the snow melts. Notified R1DO(Anderson), R3DO(Phillips) |
| and NMSS(Sturz). |
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|General Information or Other |Event Number: 37737 |
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| REP ORG: MA RADIATION CONTROL PROGRAM |NOTIFICATION DATE: 02/13/2001|
|LICENSEE: AEATECH QSA, INC. |NOTIFICATION TIME: 10:00[EST]|
| CITY: REGION: 1 |EVENT DATE: 02/12/2001|
| COUNTY: STATE: MA |EVENT TIME: 14:45[EST]|
|LICENSE#: 12-8361 AGREEMENT: Y |LAST UPDATE DATE: 02/13/2001|
| DOCKET: 99-0014 |+----------------------------+
| |PERSON ORGANIZATION |
| |CLIFFORD ANDERSON R1 |
| |GREG PICK R4 |
+------------------------------------------------+FREDRICK STURZ NMSS |
| NRC NOTIFIED BY: ROBERT GALLAGHAR | |
| HQ OPS OFFICER: JOHN MacKINNON | |
+------------------------------------------------+ |
|EMERGENCY CLASS: N/A | |
|10 CFR SECTION: | |
|NAGR AGREEMENT STATE | |
| | |
| | |
| | |
| | |
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EVENT TEXT
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| SEALED SOURCE DELIVERED TO THE INCORRECT ADDRESS |
| |
| On 01/25/01 AEA Technology QSA, Inc., shipped a packaged 500 mCi |
| promethium-147 sealed source via FED EX to Impact Systems located in Los |
| Gatos, CA. On 02/01/2001 Impact Systems called AEA Technology QSA asking |
| where the package was. AEA Technology QSA, Inc., contacted FED EX and was |
| informed that the package had been delivered to Fastech Integration, Inc., |
| located at 101 Albright St., Los Gatos, CA. |
| |
| FED EX went back to the address to reclaim the package and to complete the |
| delivery to Impact Systems. FED EX said that they would notify AEA |
| Technology QSA, Inc., and let them know if there was a problem. |
| |
| AEA Technology QSA, Inc., received a second call from Impact Systems on |
| 02/07/01 asking where the package was. AEA Technology QSA, Inc., |
| immediately contacted FED EX on 02/07/01. On 02/12/01 FED EX informed AEA |
| Technology QSA, Inc., that they had gone back to Fastech Integration, Inc., |
| and spoke to the individual who has signed for the package, but the receiver |
| stated she did not have the package. |
| |
| The State of Massachusetts informed the State of California of this event |
| and are still following up on this event. |
| |
| * * * UPDATE AT 1511 EST ON 2/13/01 BY ROBERT GALLAGHAR TO FANGIE JONES * * |
| * |
| |
| The source has been located by Fastech Integration, Inc. and delivered to |
| Impact Systems, the company that ordered the source. The package was |
| intact. The State of Massachusetts will inform the State of California of |
| the event update. |
| |
| The R1DO (Clifford Anderson), R4DO (Greg Pick), and NMSS (Fred Sturz) have |
| been informed. |
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|Power Reactor |Event Number: 37738 |
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| FACILITY: SAINT LUCIE REGION: 2 |NOTIFICATION DATE: 02/13/2001|
| UNIT: [1] [2] [] STATE: FL |NOTIFICATION TIME: 10:57[EST]|
| RXTYPE: [1] CE,[2] CE |EVENT DATE: 02/13/2001|
+------------------------------------------------+EVENT TIME: 10:40[EST]|
| NRC NOTIFIED BY: JACK BREEN |LAST UPDATE DATE: 02/13/2001|
| HQ OPS OFFICER: JOHN MacKINNON +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: N/A |KEN BARR R2 |
|10 CFR SECTION: | |
|*PRE 50.72(b)(2)(xi) 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 |
| | |
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EVENT TEXT
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| FLORIDA FISH AND WILDLIFE CONSERVATION COMMISSION WAS NOTIFIED THAT A SICK |
| SEA TURTLE NEEDED REHABILITATION. |
| |
| The licensee rescued a sea turtle from the intake canal. As a result, the |
| licensee notified the Florida Fish and Wildlife Conservation Commission that |
| the turtle had been rescued and needed rehabilitation. |
| |
| The resident inspector was notified of this event by the licensee. |
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|General Information or Other |Event Number: 37739 |
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| REP ORG: COOPER POWER SYSTEMS INC |NOTIFICATION DATE: 02/13/2001|
|LICENSEE: COOPER POWER SYSTEMS INC |NOTIFICATION TIME: 11:53[EST]|
| CITY: FRANKSVILLE REGION: 3 |EVENT DATE: 01/18/2001|
| COUNTY: STATE: WI |EVENT TIME: [CST]|
|LICENSE#: 48-173-83-02 AGREEMENT: N |LAST UPDATE DATE: 02/13/2001|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |MONTE PHILLIPS R3 |
| |FRITZ STURZ NMSS |
+------------------------------------------------+ |
| NRC NOTIFIED BY: OWEN | |
| HQ OPS OFFICER: CHAUNCEY GOULD | |
+------------------------------------------------+ |
|EMERGENCY CLASS: N/A | |
|10 CFR SECTION: | |
|BAB2 20.2201(a)(1)(ii) LOST/STOLEN LNM>10X | |
| | |
| | |
| | |
| | |
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EVENT TEXT
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| THE LICENSEE REPORTED A MISSING ELECTRON CAPTURE DETECTOR |
| |
| During a physical inventory of radiation sources, the licensee reported that |
| an electron capture detector for a gas chromatograph, used in a chem lab, |
| was missing on the last inventory performed on 01/18/01. The device was a |
| PerkinElmer model PE009-0282 serial # 1648 containing Ni-63 <15 millicuries. |
| A search was made, but the device did not show up. It was last inventoried |
| approximately three years ago. |
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|Hospital |Event Number: 37740 |
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| REP ORG: UNION HOSPITAL |NOTIFICATION DATE: 02/13/2001|
|LICENSEE: UNION HOSPITAL |NOTIFICATION TIME: 15:42[EST]|
| CITY: TERRE HAUTE REGION: 3 |EVENT DATE: 02/13/2001|
| COUNTY: VIGO STATE: IN |EVENT TIME: [CST]|
|LICENSE#: 12-16457-01 AGREEMENT: N |LAST UPDATE DATE: 02/13/2001|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |MONTE PHILLIPS R3 |
| |E. WILLIAM BRACH NMSS |
+------------------------------------------------+ |
| NRC NOTIFIED BY: DEAN TAYLOR | |
| 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
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| LOST SOURCE - SEED USED FOR PROSTATE PROCEDURE |
| |
| The hospital discovered that one seed out of 110 seeds, apparent activity is |
| .311 mCi I-125 (full activity is .587 mCi) was missing after the completion |
| of an implant procedure. An extensive search of the operating room, |
| equipment, drains, laundry, and hallways failed to discover the missing |
| seed. The patient was scanned and the best analysis is that the patient |
| received the proper number of seeds. There is little or no threat to the |
| public health or safety. The hospital contacted NRC Region 3. |
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|General Information or Other |Event Number: 37741 |
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| REP ORG: ARIZONA RADIATION REGULATORY AGENCY |NOTIFICATION DATE: 02/13/2001|
|LICENSEE: RICKER-ATKINSON-McBEE & ASSOC. |NOTIFICATION TIME: 17:11[EST]|
| CITY: REGION: 4 |EVENT DATE: 02/13/2001|
| COUNTY: STATE: AZ |EVENT TIME: [MST]|
|LICENSE#: 07-406 AGREEMENT: Y |LAST UPDATE DATE: 02/13/2001|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |GREG PICK R4 |
| |E. WILLIAM BRACH NMSS |
+------------------------------------------------+ |
| NRC NOTIFIED BY: WILLIAM WRIGHT | |
| HQ OPS OFFICER: FANGIE JONES | |
+------------------------------------------------+ |
|EMERGENCY CLASS: N/A | |
|10 CFR SECTION: | |
|NAGR AGREEMENT STATE | |
| | |
| | |
| | |
| | |
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EVENT TEXT
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| AGREEMENT STATE REPORT OF A STOLEN TROXLER GAUGE |
| |
| "This first notice constitutes EARLY notice of events of POSSIBLE safety or |
| public interest significance. The information is that which is available |
| after preliminary investigation and is basically all that is known by the |
| Agency Staff at this time. |
| |
| "Date: 02/13/01 |
| Time: 0430-0815 AM, MST |
| First Notice No. 01-01: |
| |
| "Arizona Licensee: Ricker-Atkinson-McBee & Assoc. |
| License: No. 07-406 |
| |
| "Description of the event: Between the hours of 0430 AM and 0815 AM a |
| Troxler Moisture Density Gauge, Model #3440, S/N 26981 was stolen from the |
| licensee's facility while locked and chained in the bed of the users 2000 |
| Dodge Dakota Pickup Truck, Arizona Lic. #523FCY. The gauge and scatter block |
| were removed from the transport case and the case remained in the pickup. A |
| reward of $500.00 is being offered by the licensee upon return of the |
| gauge. |
| |
| "The states of Utah, California, Colorado, New Mexico, and U.S. NRC Region |
| IV, USNRC-DC, USFBI and the governor's office are being informed of this |
| incident." |
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|Power Reactor |Event Number: 37742 |
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| FACILITY: WATERFORD REGION: 4 |NOTIFICATION DATE: 02/13/2001|
| UNIT: [3] [] [] STATE: LA |NOTIFICATION TIME: 21:18[EST]|
| RXTYPE: [3] CE |EVENT DATE: 02/13/2001|
+------------------------------------------------+EVENT TIME: 16:54[CST]|
| NRC NOTIFIED BY: CHARLES DeDEAUX |LAST UPDATE DATE: 02/13/2001|
| HQ OPS OFFICER: FANGIE JONES +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: N/A |GREG PICK R4 |
|10 CFR SECTION: | |
|*RPS 50.72(b)(2)(iv)(B) RPS ACTUATION - CRITICA| |
|*ESF 50.72(b)(3)(iv)(A) VALID SPECIF SYS ACTUAT| |
| | |
| | |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|3 A/R Y 82 Power Operation |0 Hot Standby |
| | |
| | |
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EVENT TEXT
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| AUTOMATIC REACTOR TRIP DURING TURBINE VALVE TESTING |
| |
| "On 2/13/2001 at 1654 CST Waterford 3 sustained a reactor trip from 82% RTP. |
| The reactor trip was most probably caused by variable over power trip, which |
| is a core protection calculator auxiliary trip. Actuation of the emergency |
| feedwater system also occurred due to shrinkage of coolant in the steam |
| generator caused by the reactor trip; however, no emergency feedwater was |
| actually fed into the steam generators. Actuation of the emergency feedwater |
| system is a normal occurrence following a reactor trip. This condition is |
| reportable under 10CFR50.72(b)(2)(iv)(B), any event or condition that |
| results in actuation of the reactor protection system when the reactor is |
| critical, which is a 4 hour report; and 10CFR50.72(b)(3)(iv)(A), any event |
| or condition that results in valid actuation of the emergency feedwater |
| system, which is an 8 hour report. At the time of the trip Waterford 3 was |
| performing turbine valve testing per OP-903-007. Governor Valve 3 was being |
| tested and sporadically started opening and closing." |
| |
| The plant is stable in Hot Standby with excess heat removed via forced |
| circulation to the steam generators and steam released through the bypasses |
| to the main condensers. |
| |
| The licensee notified the NRC Resident Inspector. |
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|Power Reactor |Event Number: 37743 |
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| FACILITY: INDIAN POINT REGION: 1 |NOTIFICATION DATE: 02/14/2001|
| UNIT: [2] [] [] STATE: NY |NOTIFICATION TIME: 02:51[EST]|
| RXTYPE: [2] W-4-LP,[3] W-4-LP |EVENT DATE: 02/14/2001|
+------------------------------------------------+EVENT TIME: 01:50[EST]|
| NRC NOTIFIED BY: MARK LEONE |LAST UPDATE DATE: 02/14/2001|
| HQ OPS OFFICER: LEIGH TROCINE +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: N/A |CLIFFORD ANDERSON R1 |
|10 CFR SECTION: | NRR |
|*ESF 50.72(b)(3)(iv)(A) VALID SPECIF SYS ACTUAT| |
| | |
| | |
| | |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|2 N Y 100 Power Operation |100 Power Operation |
| | |
| | |
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EVENT TEXT
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| THE LOSS OF A 480-VOLT BUS DUE TO A PERSONNEL ERROR DURING SURVEILLANCE |
| TESTING RESULTED IN THE AUTOMATIC START OF THREE EMERGENCY DIESEL |
| GENERATORS. |
| |
| At 0150 on 02/14/01, 480-volt bus 3A was lost due to incorrect operation of |
| a switch during performance of a surveillance test. An individual |
| performing the test needed to simultaneously hold a switch in the bypass |
| position while a test button was pressed, and the switch was not held in the |
| correct position. As a result, an undervoltage signal was inserted on the |
| bus when the test button was pushed, and all three emergency diesel |
| generators automatically started as designed. |
| |
| The licensee stated that the emergency diesel generators do not |
| automatically load on the loss of an internal bus and that all automatic |
| functions operated properly. The licensee also stated that the loss of any |
| 480-volt bus places the unit in a shutdown action statement in accordance |
| with Technical Specification 3.0.1. However, power (via an emergency diesel |
| generator) was restored to the bus in accordance with procedures at 0215, |
| and restoration of power satisfied the action statement requirements in |
| Technical Specification 3.0.1 within 25 minutes. The licensee is currently |
| in the process of restoring normal bus power supply. |
| |
| The licensee stated that bus 3A is one of the power supplies for the 22 |
| safety injection pump. This bus also supplies power to the 21 residual heat |
| removal pump, 22 and 25 service water pumps, 24 fan cooler unit, 21 |
| auxiliary boiler feed pump, 22 charging pump, 21 backup heater for the |
| pressurizer, and 23 instrument bus (via the 23 battery charger). |
| |
| The licensee plans to notify the NRC resident inspector and applicable |
| government agencies. The licensee may also issue a press release. |
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