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Event Notification Report for April 18, 2001

U.S. Nuclear Regulatory Commission
Operations Center

EVENT REPORTS FOR
04/17/2001 - 04/18/2001

EVENT NUMBERS
379283792937926

Power Reactor
Event Number: 37928
Facility: HARRIS
Region: 2     State: NC
Unit: [1] [] []
RX Type: [1] W-3-LP
NRC Notified By: LARRY TAYLOR
HQ OPS Officer: BOB STRANSKY
Notification Date: 04/18/2001
Notification Time: 17:45 [ET]
Event Date: 04/18/2001
Event Time: 14:05 [EDT]
Last Update Date: 04/18/2001
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(ii)(B) - UNANALYZED CONDITION
Person (Organization):
KERRY LANDIS (R2)
Power Reactor Unit Info
Unit SCRAM Code RX Crit Initial PWR Initial RX Mode Current PWR Current RX Mode
1 N Y 100 Power Operation 100 Power Operation
Event Text
SAFE SHUTDOWN TRAIN ELECTRICAL SEPARATION NOT ADEQUATE

"HNP is in mode one, 100% power and stable. HNP personnel have determined during an engineering review that fuses intended to maintain safe shutdown train separation in the event of a fire in the 'A' Switchgear room are not capable of performing their intended function due to a design error. A fire in one fire area could result in the inability to isolate a Pressurizer Power Operated Relief Valve (PORV) and associated block valve. These fuses were intended to protect against this condition by isolating the PORV Block Valve circuit on an electrical short due to a fire. These fuses provide power for indication on the plant computer only.

"The fuses creating this condition have been removed restoring proper train separation."

The NRC resident inspector has been informed of this event by the licensee.


General Information or Other
Event Number: 37929
Rep Org: FLORIDA BUREAU OF RADIATION CONTROL
Licensee: RADIATION ONCOLOGY OF PALM BEACH
Region: 2
City: WEST PALM BEACH   State: FL
County: PALM BEACH
License #: 2842-1
Agreement: Y
Docket:
NRC Notified By: FACSIMILE
HQ OPS Officer: DOUG WEAVER
Notification Date: 04/19/2001
Notification Time: 11:53 [ET]
Event Date: 04/18/2001
Event Time: 00:00 [EDT]
Last Update Date: 04/19/2001
Emergency Class: NON EMERGENCY
10 CFR Section:
Person (Organization):
KERRY LANDIS (R2)
DONALD COOL (NMSS)
Event Text
The following is the text from a facsimile sent by the Florida Bureau of Radiation Control.

In November 2000, the licensee switched to metal needles requiring a new/different type of transfer tube for the Nucletron HDR unit which is used to treat prostrate cancer patients. The new transfer tube was 1400mm long. The previous tube was 1200mm long. Licensee physicist had a family emergency and left the country. Replacement physicists were performing QA /QC on the HDR to treat a prostate patient when they noticed that the dwell position of the HDR unit was programmed to a 1200mm distance. Since November it is possible that 18 prostrate patients may have essentially not been treated if the source really stopped 200 mm short. Each patient received 3-4 HDR fractions and an external beam (linear accelerator dose). Licensee has not yet been able to talk to their physicist and will not use the transfer tube until resolved. Florida will conduct an on-site investigation next week.


Power Reactor
Event Number: 37926
Facility: TURKEY POINT
Region: 2     State: FL
Unit: [3] [] []
RX Type: [3] W-3-LP,[4] W-3-LP
NRC Notified By: DAVID MORRIS
HQ OPS Officer: LEIGH TROCINE
Notification Date: 04/18/2001
Notification Time: 12:38 [ET]
Event Date: 04/18/2001
Event Time: 11:50 [EDT]
Last Update Date: 04/18/2001
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(xi) - OFFSITE NOTIFICATION
Person (Organization):
KERRY LANDIS (R2)
Power Reactor Unit Info
Unit SCRAM Code RX Crit Initial PWR Initial RX Mode Current PWR Current RX Mode
3 N Y 100 Power Operation 100 Power Operation
Event Text
PLANNED OFFSITE NOTIFICATION REGARDING THE DISCOVERY OF A DEAD AMERICAN CROCODILE

The following text is a portion of a facsimile received from the licensee:

"[At 1150 on 04/18/01, the licensee was] notified by Land Utilization of a deceased American Crocodile. [It was] discovered at [the] far west end of the cooling canals. [The] State of Florida will be notified by Land Utilization later today."

The licensee notified the NRC resident inspector and plans to notify the State. It was reported that the State may inform other federal agencies.