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Event Notification Report for May 18, 2001

                    U.S. Nuclear Regulatory Commission
                              Operations Center

                              Event Reports For
                           05/17/2001 - 05/18/2001

                              ** EVENT NUMBERS **

38000  38001  38002  38003  38004  38005  38006  

+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   38000       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: SURRY                    REGION:  2  |NOTIFICATION DATE: 05/17/2001|
|    UNIT:  [1] [2] []                STATE:  VA |NOTIFICATION TIME: 01:38[EDT]|
|   RXTYPE: [1] W-3-LP,[2] W-3-LP                |EVENT DATE:        05/16/2001|
+------------------------------------------------+EVENT TIME:        22:59[EDT]|
| NRC NOTIFIED BY:  TIM WESPHALL                 |LAST UPDATE DATE:  05/17/2001|
|  HQ OPS OFFICER:  DOUG WEAVER                  +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          N/A                   |CHARLES R. OGLE      R2      |
|10 CFR SECTION:                                 |                             |
|*COM 50.72(b)(3)(xiii)   LOSS COMM/ASMT/RESPONSE|                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|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          N       0        Cold Shutdown    |0        Cold Shutdown    |
|                                                   |                          |
+------------------------------------------------------------------------------+
                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| SAFETY PARAMETER DISPLAY SYSTEM (SPDS) INOPERABLE                            |
|                                                                              |
| At 2259 hours on 5/16/01,  the SPDS portion of the Emergency Response        |
| Facilities Computer System (ERFCS) was noted to be inoperable because the    |
| system time was not updating.   The Technical Support Center (TSC) keyboard  |
| is not available nor is the Control Room Unit keyboard available for either  |
| Unit.   Both Local Emergency Operations Facility (LEOF) and Central          |
| Emergency Operations Facility (CEOF) SPDS data links were unavailable.       |
| Initial indication of loss of ERFCS function was computer linkage failure at |
| 2159 hours on 5/16/01.  The ERFCS was rebooted satisfactorily with a new     |
| power supply.   All portions of the system were noted to be functioning      |
| correctly at 0120 hours on 5/17/01.                                          |
|                                                                              |
| The licensee notified the NRC resident inspector.                            |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   38001       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: WATERFORD                REGION:  4  |NOTIFICATION DATE: 05/17/2001|
|    UNIT:  [3] [] []                 STATE:  LA |NOTIFICATION TIME: 07:21[EDT]|
|   RXTYPE: [3] CE                               |EVENT DATE:        05/17/2001|
+------------------------------------------------+EVENT TIME:        05:47[CDT]|
| NRC NOTIFIED BY:  HO NGUYEN                    |LAST UPDATE DATE:  05/17/2001|
|  HQ OPS OFFICER:  DOUG WEAVER                  +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          UNU                   |BLAIR SPITZBERG      R4      |
|10 CFR SECTION:                                 |ROBERT SKELTON       NRR     |
|DDDD 73.71               UNSPECIFIED PARAGRAPH  |BOB PIERSON          NMSS    |
|                                                |GAIL GOOD            R4      |
|                                                |BAGWELL              FEMA    |
|                                                |ZWOLINSKI            NRR     |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR|   INIT RX MODE  |CURR PWR|  CURR RX MODE   |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|3     N          Y       100      Power Operation  |100      Power Operation  |
|                                                   |                          |
|                                                   |                          |
+------------------------------------------------------------------------------+
                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| UNUSUAL EVENT DECLARED - UNAUTHORIZED ACCESS INTO THE PROTECTED AREA.        |
|                                                                              |
| Immediate compensatory actions taken upon discovery.  The licensee contacted |
| the St. Charles Parish Sheriff's Office.   The NRC resident inspector was    |
| notified.  The unusual event was declared at 0547 and terminated at 0556.    |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|General Information or Other                     |Event Number:   38002       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG:  MD DEPT OF THE ENVIRONMENT           |NOTIFICATION DATE: 05/17/2001|
|LICENSEE:  FRANKLIN SQUARE HOSPITAL             |NOTIFICATION TIME: 08:19[EDT]|
|    CITY:  BALTIMORE                REGION:  1  |EVENT DATE:        05/10/2001|
|  COUNTY:                            STATE:  MD |EVENT TIME:        14:30[EDT]|
|LICENSE#:                        AGREEMENT:  Y  |LAST UPDATE DATE:  05/17/2001|
|  DOCKET:                                       |+----------------------------+
|                                                |PERSON          ORGANIZATION |
|                                                |JOHN ROGGE           R1      |
|                                                |JOHN HICKEY          NMSS    |
+------------------------------------------------+                             |
| NRC NOTIFIED BY:  ALAN JACOBSON                |                             |
|  HQ OPS OFFICER:  DOUG WEAVER                  |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          N/A                   |                             |
|10 CFR SECTION:                                 |                             |
|NAGR                     AGREEMENT STATE        |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+------------------------------------------------------------------------------+

                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| MEDICAL MISADMINISTRATION                                                    |
|                                                                              |
| On Tuesday, May 8, at 4:30 PM, at Franklin Square Hospital a patient was     |
| given a vaginal implant consisting of 10 ribbons each with 8 Ir-192 seeds.   |
| The activity per seed was about .495 mgRaEq,  for a total implant of 39.6    |
| mgRaEq (71.0 mCi).  The intent was to deliver 60 cGy/hr to the periphery of  |
| the implanted treatment volume (4 cm diameter 8 cm long, for V= 100 cm3) for |
| 50 hours for a total implant dose of 3000 cGy. This dose was to add to the   |
| already delivered external beam dose to that volume of 4500 cGy, for a total |
| of 7500 cGy.                                                                 |
|                                                                              |
| The patient was checked by the physician on Wednesday at 2:30 PM (after 22   |
| hours) and all the needles were in place. The next check by the physician    |
| was at the time of removal, at 6:30 PM on Thursday.  He found one needle     |
| with its ribbon of 8 seeds lying loosely on the folds of the bed sheet by    |
| the patient's hip,  and 3 additional needles had also backed out by about 3  |
| cm from their implanted positions.  The patient was judged to be unable to   |
| describe the circumstances of the displacements.                             |
|                                                                              |
| Computer reconstruction showed that the reduction in the total tumor dose    |
| from the ribbon displacements was less than 10% and affected less than 15%   |
| of the implanted volume.  And the corresponding increase in the position of  |
| the 50% isodose line at the other end of the implant was only about .5 cm.   |
| The physician has stated that he believes the patient had adequate           |
| brachytherapy treatment, and that no further interventions would be          |
| necessary.  As for the dose to the patient from the dislodged ribbon, the    |
| physician has stated that there should not be significant dose to any        |
| viscera but to the skin and soft tissues.  He does not think it has clinical |
| significance for this patient.                                               |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   38003       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: INDIAN POINT             REGION:  1  |NOTIFICATION DATE: 05/17/2001|
|    UNIT:  [] [3] []                 STATE:  NY |NOTIFICATION TIME: 11:43[EDT]|
|   RXTYPE: [2] W-4-LP,[3] W-4-LP                |EVENT DATE:        04/16/2001|
+------------------------------------------------+EVENT TIME:        14:15[EDT]|
| NRC NOTIFIED BY:  BRIAN ROKES                  |LAST UPDATE DATE:  05/17/2001|
|  HQ OPS OFFICER:  JOHN MacKINNON               +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          N/A                   |JOHN ROGGE           R1      |
|10 CFR SECTION:                                 |                             |
|HFIT 26.73               FITNESS FOR DUTY       |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR|   INIT RX MODE  |CURR PWR|  CURR RX MODE   |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|                                                   |                          |
|3     N          N       0        Refueling        |0        Cold Shutdown    |
|                                                   |                          |
+------------------------------------------------------------------------------+
                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| FOR CAUSE TESTING                                                            |
|                                                                              |
| A non-licensed employee was determined to be under the influence of illegal  |
| drugs during for cause testing.  The employee's unescorted access to the     |
| plant has been terminated.                                                   |
|                                                                              |
| Ask the HOO of further information                                           |
|                                                                              |
| The NRC Resident Inspector will be notified of this event by the licensee.   |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   38004       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: BRUNSWICK                REGION:  2  |NOTIFICATION DATE: 05/17/2001|
|    UNIT:  [1] [] []                 STATE:  NC |NOTIFICATION TIME: 13:47[EDT]|
|   RXTYPE: [1] GE-4,[2] GE-4                    |EVENT DATE:        03/22/2001|
+------------------------------------------------+EVENT TIME:        07:07[EDT]|
| NRC NOTIFIED BY:  CHARLES ELBERFELD            |LAST UPDATE DATE:  05/17/2001|
|  HQ OPS OFFICER:  JOHN MacKINNON               +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          N/A                   |CHARLES R. OGLE      R2      |
|10 CFR SECTION:                                 |                             |
|*INV 50.73(a)(1)         INVALID SPECIF SYSTEM A|                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|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                                   
+------------------------------------------------------------------------------+
| This report is being made in accordance with 50.73a)(1), which states, in    |
| part, "In the case of an invalid actuation reported under 50.73 (a)(2)(iv), |
| other than actuation of the reactor protection system (RPS) when the reactor |
| is critical, the licensee may, at its option, provide a telephone            |
| notification to the NRC Operations Center within 60 days after discovery of  |
| the event instead of submitting a written LER." These invalid actuations are |
| being reported under 50.73 (a)(2)(iv)(A).                                   |
|                                                                              |
| On March 22, 2001, at 0707 hours, during the performance of Maintenance      |
| Surveillance Test (1MST-DG13R), "DG-3 Loading Test," steps performed out of  |
| sequence resulted in invalid actuation of Primary Containment Isolation      |
| system (PCIS) Group 6 valves and Secondary Containment Isolation dampers due |
| to interruption of electrical power to the Emergency Bus E3. During a "dry   |
| run" of the test, instrumentation and controls technicians inserted the      |
| actual test signals before the Unit 1 "CAC Purge Vent Isol Ovrd Switch,"     |
| 1-CAC-CS-5519, was placed in the "OVERRIDE" position, as required by the     |
| procedure. The purpose of placing the switch in the "OVERRIDE" position is   |
| to prevent a P015 Group 6 isolation, Secondary Containment isolation, and    |
| Standby Gas Treatment (SBGT) system actuations when Emergency Bus E3 is      |
| de-energized as part of the test. The actuations of PCIS Group 6 valves and  |
| Secondary Containment Isolation dampers were complete and the affected       |
| equipment responded as designed to the invalid signal (i.e., the valves and  |
| dampers that were open, at the time of the event, closed). At 0715 hours,    |
| Emergency Bus E3 was energized by its normal power source. By 0726 hours,    |
| the PCIS Group 6 isolation logic was reset, the Reactor Building Ventilation |
| system was returned to service (i.e., the Secondary Containment isolation    |
| was reset), and both SBGT trains A and B were placed in standby.             |
|                                                                              |
| PCIS Group 6 valves include isolation valves from the Containment Atmosphere |
| Control, Containment Atmosphere Dilution, Containment Atmosphere Monitoring, |
| and Post Accident Sampling systems. Discussion of the causes and corrective  |
| actions associated with this event are documented in the corrective action   |
| program in AR 29889.                                                         |
|                                                                              |
| The NRC Resident Inspector was notified of this 60-Day report by the         |
| licensee.                                                                    |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   38005       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: INDIAN POINT             REGION:  1  |NOTIFICATION DATE: 05/17/2001|
|    UNIT:  [] [3] []                 STATE:  NY |NOTIFICATION TIME: 14:46[EDT]|
|   RXTYPE: [2] W-4-LP,[3] W-4-LP                |EVENT DATE:        05/08/2001|
+------------------------------------------------+EVENT TIME:        02:10[EDT]|
| NRC NOTIFIED BY:  FIRTH                        |LAST UPDATE DATE:  05/17/2001|
|  HQ OPS OFFICER:  CHAUNCEY GOULD               +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          N/A                   |JOHN ROGGE           R1      |
|10 CFR SECTION:                                 |JOHN TAPPERT         NRR     |
|*INB 50.72(b)(3)(v)(B)   POT RHR INOP           |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR|   INIT RX MODE  |CURR PWR|  CURR RX MODE   |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|                                                   |                          |
|3     N          N       0        Refueling        |0        Refueling        |
|                                                   |                          |
+------------------------------------------------------------------------------+
                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| INTERRUPTION OF THE COOLING FUNCTION PERFORMED BY THE PRIMARY LOOP OF THE    |
| BACKUP SPENT FUEL POOL COOLING SYSTEM OCCURRED FOR 20 MINS.                  |
|                                                                              |
| "On May 8, 2001 P3 was in RO-11, and the reactor was de-fueled with all      |
| discharged fuel in the Spent Fuel Pool (SFP).  SFP cooling was provided by   |
| the Backup Spent Fuel Pool Cooling system (B/U SFPCS) because the normal     |
| Spent Fuel Cooling system was out of service for maintenance.   At           |
| approximately 0210 hours on May 8, 2001, the water supply to the secondary   |
| loop of the B/U SFPCS was interrupted due to a loss of power involving P3's  |
| demineralized water source.  This water interruption subsequently caused a   |
| low differential pressure trip of the primary loop pump of the B/U SFPCS.    |
| Operator response re-gained the dernineralized water supply to the secondary |
| loop.   SFP cooling from this system was restored.   The cooling function    |
| performed by the primary loop of the B/U SFPCS was interrupted for           |
| approximately 20 minutes total.   A Root Cause Team investigation was        |
| commenced the morning of May 8, 2001 to review this event.  This event is    |
| being considered potentially reportable under 10 CFR 50.72 (b)(3)(v)(B).     |
| Investigation into the cause and reportability of this event is ongoing and  |
| this ENS report is being made at this time due to the continuing             |
| investigation of reportability."                                             |
|                                                                              |
| Temperature increased from 151 to 155F.                                     |
|                                                                              |
| The NRC Resident Inspector was notified along with state and local agencies. |
| Their US Congressman was also notified.                                      |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   38006       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: OCONEE                   REGION:  2  |NOTIFICATION DATE: 05/17/2001|
|    UNIT:  [1] [2] [3]               STATE:  SC |NOTIFICATION TIME: 22:14[EDT]|
|   RXTYPE: [1] B&W-L-LP,[2] B&W-L-LP,[3] B&W-L-L|EVENT DATE:        05/17/2001|
+------------------------------------------------+EVENT TIME:        20:40[EDT]|
| NRC NOTIFIED BY:  BALDWIN                      |LAST UPDATE DATE:  05/17/2001|
|  HQ OPS OFFICER:  CHAUNCEY GOULD               +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          N/A                   |CHARLES R. OGLE      R2      |
|10 CFR SECTION:                                 |RICHARD ROSANO       IAT     |
|*PRE 50.72(b)(2)(xi)     OFFSITE NOTIFICATION   |CHUCK CASTO          R2      |
|                                                |ROBERTA WARREN       IAT     |
|                                                |                             |
|                                                |                             |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|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          N       0        Refueling        |0        Refueling        |
|3     N          Y       100      Power Operation  |100      Power Operation  |
+------------------------------------------------------------------------------+
                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| NOTIFICATION OF THE OCONEE COUNTY SHERIFF'S OFFICE                           |
|                                                                              |
| The switchboard was notified by an individual of a possible bomb threat      |
| concerning the Oconee site that was left on her home answering machine.  The |
| licensee notified the Oconee County Sheriffs Department to investigate.  No  |
| other law enforcement agencies have been notified.  They do not consider it  |
| a credible threat.                                                           |
|                                                                              |
| The NRC Resident Inspector will be notified.                                 |
+------------------------------------------------------------------------------+