Event Notification Report for May 14, 2001
U.S. Nuclear Regulatory Commission
Operations Center
Event Reports For
05/11/2001 - 05/14/2001
** EVENT NUMBERS **
37802 37834 37985 37986 37987
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|General Information or Other |Event Number: 37802 |
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| REP ORG: KANSAS DEPT OF HEALTH & ENVIRONMENT |NOTIFICATION DATE: 03/02/2001|
|LICENSEE: HUTCHINSON HOSPITAL CORPORATION |NOTIFICATION TIME: 17:45[EST]|
| CITY: HUTCHINSON REGION: 4 |EVENT DATE: 03/02/2001|
| COUNTY: STATE: KS |EVENT TIME: [CST]|
|LICENSE#: 19-B081-01 AGREEMENT: Y |LAST UPDATE DATE: 05/11/2001|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |LINDA HOWELL R4 |
| |JOSEPH HOLONICH NMSS |
+------------------------------------------------+ |
| NRC NOTIFIED BY: JAMES HARRIS | |
| HQ OPS OFFICER: STEVE SANDIN | |
+------------------------------------------------+ |
|EMERGENCY CLASS: N/A | |
|10 CFR SECTION: | |
|NAGR AGREEMENT STATE | |
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| | |
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EVENT TEXT
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| AGREEMENT STATE REPORT INVOLVING POTENTIAL OVEREXPOSURE |
| |
| The Kansas Department of Health and Environment was notified by Hutchinson |
| Hospital Corporation that a Cardiologist may have received an overexposure. |
| The source and extent of the potential overexposure are under investigation. |
| This is Kansas Case Number KS010006. This report will be updated when more |
| details are available. |
| |
| * * * UPDATE AT 1230 EDT ON 5/11/01 BY JAMES HARRIS TO FANGIE JONES * * * |
| |
| "The event report by the licensee shows an interventional cardiologist |
| received 10,115 mrem for the year 2000. The exposure was due to x-ray and |
| not the radioactive material program at the hospital. The is the only |
| physician in the area who performs these procedures and he performs more |
| than 600 procedures in a year. Observations of the physician show the |
| portable shielding, because of its design or limitations in placement, may |
| have been a detriment to the procedure and therefore was not used or |
| improperly used in many cases. |
| |
| "Corrective actions: New shielding with a better design has been purchased. |
| A new shield curtain has been purchased to better control the side scatter |
| from the x-ray tube. New lead equivalent glasses have been purchased. |
| Shielding has been added to the x-ray head to harden the beam and reduce low |
| energy scatter. The safety staff is providing increased oversight." |
| |
| The R4DO (Jeff Shackelford) and NMSS (John Hickey) have been notified. |
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!!!!!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED !!!!!!!
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|Power Reactor |Event Number: 37834 |
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| FACILITY: FITZPATRICK REGION: 1 |NOTIFICATION DATE: 03/13/2001|
| UNIT: [1] [] [] STATE: NY |NOTIFICATION TIME: 18:07[EST]|
| RXTYPE: [1] GE-4 |EVENT DATE: 03/13/2001|
+------------------------------------------------+EVENT TIME: 14:45[EST]|
| NRC NOTIFIED BY: JOHN HODDY |LAST UPDATE DATE: 05/11/2001|
| HQ OPS OFFICER: STEVE SANDIN +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: N/A |PETE ESELGROTH R1 |
|10 CFR SECTION: | |
|*IND 50.72(b)(3)(v)(D) ACCIDENT MITIGATION | |
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+-----+----------+-------+--------+-----------------+--------+-----------------+
|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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| HIGH PRESSURE COOLANT INJECTION (HPCI) DECLARED INOPERABLE DUE EXCESSIVE |
| MOISTURE IN LUBE OIL |
| |
| "At approximately 1100 hours, operators observed oil puddled around the HPCI |
| lube oil sump vents and observed a slightly higher than normal sump level. |
| The system engineer was consulted and recommended lowering sump level and |
| sampling for moisture. |
| |
| "At 1445, water was observed in the sample taken from the HPCI lube oil |
| sump. The amount of water observed (approximately 1/2 gallon) was such that |
| compliance with a maximum recommended lube oil moisture content of 5% could |
| not be assured. A conservative decision was made to declare HPCI |
| inoperable. The system is inoperable but available. The plant is in a |
| 7-day LCO per T.S. 3.5.C." |
| |
| The licensee informed the NRC resident inspector. |
| |
| ***** RETRACTION RECEIVED AT 0933 ON 05/11/01 FROM ART ZAREMBA TO LEIGH |
| TROCINE ***** |
| |
| The initial notification regarded the HPCI system being declared inoperable |
| because of an unknown quantity of water in the lube oil sump. The licensee |
| subsequently drained, cleaned, and refilled the lube oil sump and determined |
| exactly how much water intrusion had occurred. The licensee's engineering |
| evaluation determined that the technical requirements were not exceeded |
| (based on the acceptance criteria for the percentage of water in the system) |
| and that the HPCI system was in fact operable. Therefore, the licensee is |
| retracting this event notification. |
| |
| The licensee notified the NRC resident inspector. The NRC operations |
| officer notified the R1DO (Cook). |
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|General Information or Other |Event Number: 37985 |
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| REP ORG: INOVISION |NOTIFICATION DATE: 05/11/2001|
|LICENSEE: INOVISION |NOTIFICATION TIME: 15:05[EDT]|
| CITY: CLEVELAND REGION: 3 |EVENT DATE: 05/10/2001|
| COUNTY: STATE: OH |EVENT TIME: [EDT]|
|LICENSE#: AGREEMENT: Y |LAST UPDATE DATE: 05/11/2001|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |VERN HODGE (FAX) NRR |
| | |
+------------------------------------------------+ |
| NRC NOTIFIED BY: JANICE BROWNLEE | |
| HQ OPS OFFICER: FANGIE JONES | |
+------------------------------------------------+ |
|EMERGENCY CLASS: N/A | |
|10 CFR SECTION: | |
|CCCC 21.21 UNSPECIFIED PARAGRAPH | |
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EVENT TEXT
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| 10 CFR 21 REPORT - INTERIM REPORT ABOUT R-11 MONITOR PROBLEM |
| |
| The following is taken from a faxed report: |
| |
| Deviation being evaluated: An R-11 Monitor installed in Korea has been |
| reported as having a rapid increase in displayed concentration and analog |
| output values. Initial evaluation of the problem indicates the cause may be |
| in one of the base 960 firmware modules, which are also installed in some US |
| nuclear power plants. The significance of the problem is still under |
| evaluation to determine if it could create a substantial safety hazard. The |
| initial report was received on March 15, 2001. |
| |
| Evaluation information to date: The problem is a rapid increase in displayed |
| concentration and analog output values. The problem is not apparent at low |
| levels of activity where low count rates and statistical variation mask the |
| increase. When activity is near the upper range of the monitor, this spike |
| in calculated activity has triggered radiation alarms and could place the |
| channel into over range. The spiking in activity is believed to be due to |
| the microprocessor being unable to read and clear a register within the |
| allotted time. This results in a higher accumulated count value when the |
| register is finally read. Since the problem is directly related to processor |
| workload, the problem is most likely to occur in a complex channel |
| configuration with multiple detectors (such as a PIG or Extended Range) and |
| where the microprocessor is highly tasked with RMS computer or isolator |
| communications. |
| |
| For single range channels, the result of the spike would be a false |
| radiation alarm and possibly an over range condition as well, although this |
| has not been reported to the best of our knowledge. The other possibility is |
| that this situation could occur on an Extended Range monitor thereby placing |
| the channel in 'accident' or high range mode. If this occurs, the normal |
| range is shut down and/or by-passed. If the accident range detector is |
| brought online below its minimum operating range and the normal range |
| detector is shut down, an unmonitored release might be possible. |
| |
| A more detailed analysis of the firmware in specific channels is needed to |
| determine if this last condition is possible. |
| |
| The possible defect is believed at this time to only affect Model 960 |
| firmware modules upgraded or purchased since 1992. |
| |
| Evaluation completion date: July 10. 2001 |
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|Fuel Cycle Facility |Event Number: 37986 |
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| FACILITY: FRAMATOME ANP RICHLAND |NOTIFICATION DATE: 05/12/2001|
| RXTYPE: URANIUM FUEL FABRICATION |NOTIFICATION TIME: 09:55[EDT]|
| COMMENTS: LEU CONVERSION |EVENT DATE: 05/12/2001|
| FABRICATION & SCRAP RECOVERY |EVENT TIME: 05:29[PDT]|
| COMMERCIAL LWR FUEL |LAST UPDATE DATE: 05/12/2001|
| CITY: RICHLAND REGION: 4 +-----------------------------+
| COUNTY: BENTON STATE: WA |PERSON ORGANIZATION |
|LICENSE#: SNM-1227 AGREEMENT: Y |JEFF SHACKELFORD R4 |
| DOCKET: 07001257 |C.W. (BILL) REAMER NMSS |
+------------------------------------------------+JOSEPH HOLONICH IRO |
| NRC NOTIFIED BY: LOREN MAAS |JASINSKI OPA |
| HQ OPS OFFICER: BOB STRANSKY |HEYMAN FEMA |
+------------------------------------------------+WIEGEL EPA |
|EMERGENCY CLASS: ALE | |
|10 CFR SECTION: | |
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EVENT TEXT
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| ALERT DECLARED AND TERMINATED DUE TO INADVERTENT CRITICALITY ALARM |
| ACTIVATION |
| |
| "Maintenance personnel were changing out nuclear criticality detectors |
| (NCDs) as part of an annual PM. Maintenance personnel in central guard |
| station inadvertently turned the alarm key in an out-of-order sequence, |
| causing the criticality alarm system to sound. The error was corrected |
| immediately. The alarm system is fully in service." |
| |
| The licensee stated that no actual criticality occurred. |
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|Power Reactor |Event Number: 37987 |
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| FACILITY: MAINE YANKEE REGION: 1 |NOTIFICATION DATE: 05/14/2001|
| UNIT: [1] [] [] STATE: ME |NOTIFICATION TIME: 02:21[EDT]|
| RXTYPE: [1] CE |EVENT DATE: 05/14/2001|
+------------------------------------------------+EVENT TIME: 00:20[EDT]|
| NRC NOTIFIED BY: TERRY WHITE |LAST UPDATE DATE: 05/14/2001|
| HQ OPS OFFICER: BOB STRANSKY +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: N/A |WILLIAM COOK R1 |
|10 CFR SECTION: | |
|*PRE 50.72(b)(2)(xi) OFFSITE NOTIFICATION | |
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+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|1 N N 0 Decommissioned |0 Decommissioned |
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EVENT TEXT
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| OFFSITE NOTIFICATION DUE TO DIESEL FUEL SPILL ONSITE |
| |
| The licensee notified the Maine Department of Environmental Protection |
| regarding the spillage of approximately 25 gallons of diesel fuel. The fuel |
| oil was spilled when the fuel tank of a truck was punctured as it was |
| driving over a temporary ramp. The spill has been contained. |
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