Event Notification Report for April 20, 2001
U.S. Nuclear Regulatory Commission Operations Center Event Reports For 04/19/2001 - 04/20/2001 ** EVENT NUMBERS ** 37929 37930 37931 37932 37933 +------------------------------------------------------------------------------+ |General Information or Other |Event Number: 37929 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | REP ORG: FLORIDA BUREAU OF RADIATION CONTROL |NOTIFICATION DATE: 04/19/2001| |LICENSEE: RADIATION ONCOLOGY OF PALM BEACH |NOTIFICATION TIME: 11:53[EDT]| | CITY: WEST PALM BEACH REGION: 2 |EVENT DATE: 04/18/2001| | COUNTY: PALM BEACH STATE: FL |EVENT TIME: [EDT]| |LICENSE#: 2842-1 AGREEMENT: Y |LAST UPDATE DATE: 04/19/2001| | DOCKET: |+----------------------------+ | |PERSON ORGANIZATION | | |KERRY LANDIS R2 | | |DONALD COOL NMSS | +------------------------------------------------+ | | NRC NOTIFIED BY: FACSIMILE | | | HQ OPS OFFICER: DOUG WEAVER | | +------------------------------------------------+ | |EMERGENCY CLASS: N/A | | |10 CFR SECTION: | | |NAGR AGREEMENT STATE | | | | | | | | | | | | | | +------------------------------------------------------------------------------+ 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. | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ |General Information or Other |Event Number: 37930 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | REP ORG: ARIZONA RADIATION REGULATORY AGENCY |NOTIFICATION DATE: 04/19/2001| |LICENSEE: KLEINFELDER, INC. |NOTIFICATION TIME: 12:45[EDT]| | CITY: TEMPE REGION: 4 |EVENT DATE: 04/19/2001| | COUNTY: STATE: AZ |EVENT TIME: 05:00[MST]| |LICENSE#: 7-409 AGREEMENT: Y |LAST UPDATE DATE: 04/19/2001| | DOCKET: |+----------------------------+ | |PERSON ORGANIZATION | | |CHARLES MARSCHALL R4 | | |DONALD COOL NMSS | +------------------------------------------------+ | | NRC NOTIFIED BY: FACSIMILE | | | HQ OPS OFFICER: DOUG WEAVER | | +------------------------------------------------+ | |EMERGENCY CLASS: N/A | | |10 CFR SECTION: | | |NAGR AGREEMENT STATE | | | | | | | | | | | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | THEFT OF MOISTURE/DENSITY GAUGE | | | | On 19 April 2001, the licensee reported the theft of a Campbell-Pacific | | moisture/density gauge, model CPN MC3, serial number M370403663, from the | | Foxtree Apartments, northwest corner of McKellips and Scottsdale Roads, | | Tempe, Arizona. The gauge was locked in its transport container chained in | | the back of a 1999 Dodge Ram 1500, 2WD Quad Cab pickup, Arizona license CA | | 63664. The truck itself was stolen early in the morning of 19 April. The | | theft has been reported to the Tempe police. A reward is being offered. | | The gauge contains approximately 8 millicuries of cesium 137 and 40 | | millicuries of americium-beryllium. | | | | The State will notify the FBI, Mexico, and the states of Colorado, Nevada, | | Utah, New Mexico and California. | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ |Power Reactor |Event Number: 37931 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | FACILITY: MCGUIRE REGION: 2 |NOTIFICATION DATE: 04/19/2001| | UNIT: [1] [2] [] STATE: NC |NOTIFICATION TIME: 14:09[EDT]| | RXTYPE: [1] W-4-LP,[2] W-4-LP |EVENT DATE: 04/19/2001| +------------------------------------------------+EVENT TIME: 12:30[EDT]| | NRC NOTIFIED BY: DON CRISP |LAST UPDATE DATE: 04/19/2001| | HQ OPS OFFICER: DOUG WEAVER +-----------------------------+ +------------------------------------------------+PERSON ORGANIZATION | |EMERGENCY CLASS: N/A |KERRY LANDIS R2 | |10 CFR SECTION: | | |HFIT 26.73 FITNESS FOR DUTY | | | | | | | | | | | +-----+----------+-------+--------+-----------------+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ |1 N Y 80 Power Operation |80 Power Operation | |2 N Y 100 Power Operation |100 Power Operation | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | A licensed employee was determined to be under the influence of alcohol | | during a for cause test. The employee's access to the plant has been | | suspended. NRC employees may contact the operations center for additional | | details. | | | | The licensee notified the NRC resident inspector. | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ |Other Nuclear Material |Event Number: 37932 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | REP ORG: U.S. ARMY |NOTIFICATION DATE: 04/19/2001| |LICENSEE: U.S. ARMY |NOTIFICATION TIME: 15:52[EDT]| | CITY: ROCK ISLAND REGION: 3 |EVENT DATE: 04/17/2001| | COUNTY: STATE: IL |EVENT TIME: [CDT]| |LICENSE#: 12-00722-06 AGREEMENT: Y |LAST UPDATE DATE: 04/19/2001| | DOCKET: |+----------------------------+ | |PERSON ORGANIZATION | | |RONALD GARDNER R3 | | |CHARLES MARSCHALL R4 | +------------------------------------------------+JOSEPHINE PICCONE NMSS | | NRC NOTIFIED BY: JEFF HAVENER | | | HQ OPS OFFICER: DOUG WEAVER | | +------------------------------------------------+ | |EMERGENCY CLASS: N/A | | |10 CFR SECTION: | | |BAB1 20.2201(a)(1)(i) LOST/STOLEN LNM>1000X | | | | | | | | | | | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | LOST TRITIUM SOURCE | | | | The U.S. Army reported the loss of a 1.6 Ci H-3 source. The source is part | | of an M64A1 Sight. The sight was undamaged and double bagged in plastic | | bags and then placed inside two cardboard boxes, the outer box was | | unlabeled. The sight was then transported to a local landfill in Jennings | | Parish, LA. The licensee was unable to locate the sight at the landfill. | | The licensee will notify the State of Louisiana. | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ |Power Reactor |Event Number: 37933 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | FACILITY: KEWAUNEE REGION: 3 |NOTIFICATION DATE: 04/19/2001| | UNIT: [1] [] [] STATE: WI |NOTIFICATION TIME: 17:24[EDT]| | RXTYPE: [1] W-2-LP |EVENT DATE: 04/19/2001| +------------------------------------------------+EVENT TIME: 14:40[CDT]| | NRC NOTIFIED BY: BRADLY MCMAHON |LAST UPDATE DATE: 04/19/2001| | HQ OPS OFFICER: DOUG WEAVER +-----------------------------+ +------------------------------------------------+PERSON ORGANIZATION | |EMERGENCY CLASS: N/A |RONALD GARDNER R3 | |10 CFR SECTION: | | |*UNA 50.72(b)(3)(ii)(B) UNANALYZED COND OP | | | | | | | | | | | +-----+----------+-------+--------+-----------------+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ |1 N Y 96 Power Operation |96 Power Operation | | | | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | DEGRADED APPENDIX "R" FIRE BARRIER | | | | While conducting a walk down inspection of 10CFR50 Appendix R Barriers, two | | degraded gypsum walls were identified. The two walls are intended to serve | | as three hour rated Appendix R barriers. The inspection of the walls | | revealed that a segment of the walls approximately 6 feet by 6 inches was | | not constructed as | | required. The two walls provide separation of safe shutdown equipment in | | the event of an Appendix R design basis fire. The walls separate the | | charging pumps, a dedicated shutdown system component, from the safety | | injection pumps which are alternate shutdown system equipment. | | | | Although the walls are not constructed as designed, they appear to be | | completed to about 75% of design and are judged capable of providing some | | protection. Nevertheless, the walls are declared inoperable and | | compensatory actions according to the Kewaunee Fire Plan have been | | initiated. The walls are declared inoperable due to not having any | | documented analysis to support the design basis rating. | | | | The licensee notified the NRC resident inspector. | +------------------------------------------------------------------------------+
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Page Last Reviewed/Updated Thursday, March 25, 2021