Event Notification Report for June 18, 2001
U.S. Nuclear Regulatory Commission
Operations Center
Event Reports For
06/15/2001 - 06/18/2001
** EVENT NUMBERS **
37936 38071 38073 38074
!!!!!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED !!!!!!!
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|Power Reactor |Event Number: 37936 |
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| FACILITY: CALLAWAY REGION: 4 |NOTIFICATION DATE: 04/21/2001|
| UNIT: [1] [] [] STATE: MO |NOTIFICATION TIME: 02:31[EDT]|
| RXTYPE: [1] W-4-LP |EVENT DATE: 04/20/2001|
+------------------------------------------------+EVENT TIME: 19:31[CDT]|
| NRC NOTIFIED BY: SCOTT MAGLIO |LAST UPDATE DATE: 06/15/2001|
| HQ OPS OFFICER: LEIGH TROCINE +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: NON EMERGENCY |CHARLES MARSCHALL R4 |
|10 CFR SECTION: | |
|AESF 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 |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|1 N N 0 Refueling |0 Refueling |
| | |
| | |
+------------------------------------------------------------------------------+
EVENT TEXT
+------------------------------------------------------------------------------+
| UNANTICIPATED EMERGENCY DIESEL GENERATOR START DURING THE PERFORMANCE OF |
| TESTING |
| |
| The following text is a portion of a facsimile received from the licensee: |
| |
| "This is notification of valid system actuation in accordance with |
| 10CFR50.72(b)(3)(iv)(A)." |
| |
| "At 1931 [CDT] on 04/20/01, the 'B' emergency diesel generator (EDG) |
| automatically started during testing of the local emergency start |
| pushbutton. This was conducted as part of a pre-planned test for |
| restoration following maintenance. However, during the test, the system |
| actuated in a way that was not part of the planned test. Initial test of |
| the signal was unsuccessful, and the start signal was not reset prior to |
| restoring the EDG to the standby lineup. Subsequently, when the start |
| failure relay was locally reset, the EDG automatically started." |
| |
| "The unit was in no MODE at the time of the actuation." |
| |
| The licensee plans to notify the NRC resident inspector. |
| |
| * * * UPDATE ON 06/15/01 @ 0829 BY BARTON TO GOULD * * * RETRACTION |
| |
| The following text is a portion of a facsimile received from the licensee: |
| |
| "[...] After further review, it has been determined that this event is not |
| reportable. At the time of the event, the 'B' Emergency Diesel Generator |
| had been properly removed from service for engine governor modification and |
| was being tested prior to be declared operable. The signal generated was |
| part of a test procedure and an invalid signal, thus not satisfying the |
| reporting requirements of 10CFR50.72(b)(3)(iv)(A). In addition, since the |
| signal was invalid and the 'B' Emergency Diesel Generator had been properly |
| removed from service, a Licensee Event Report is not required within sixty |
| days per 10CFR50.73(a)(2)(iv)(A). Callaway considers this event not |
| reportable and is therefore retracting this event report recorded as Event |
| #37936." |
| |
| The licensee plans to notify the NRC resident inspector. The Reg 4 RDO |
| (Pellet) was notified by the NRC operations officer. |
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!!!!!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED !!!!!!!
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|Hospital |Event Number: 38071 |
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| REP ORG: VIRGINIA CARDIOVASCULAR SPECIALIST |NOTIFICATION DATE: 06/14/2001|
|LICENSEE: VIRGINIA CARDIOVASCULAR SPECIALIST |NOTIFICATION TIME: 14:59[EDT]|
| CITY: RICHMOND REGION: 2 |EVENT DATE: 06/13/2001|
| COUNTY: STATE: VA |EVENT TIME: 14:00[EDT]|
|LICENSE#: 4525406-01 AGREEMENT: N |LAST UPDATE DATE: 06/15/2001|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |ANNE BOLAND R2 |
| |JOHN HICKEY NMSS |
+------------------------------------------------+ |
| NRC NOTIFIED BY: YVONNE WEAVER | |
| HQ OPS OFFICER: FANGIE JONES | |
+------------------------------------------------+ |
|EMERGENCY CLASS: NON EMERGENCY | |
|10 CFR SECTION: | |
|LADM 35.33(a) MED MISADMINISTRATION | |
| | |
| | |
| | |
| | |
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EVENT TEXT
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| MEDICAL MISADMINISTRATION - WRONG PATIENT WAS GIVEN DIAGNOSTIC DOSAGE |
| |
| There were 2 patients in the waiting room with similar names. When the name |
| was called out, the wrong patient answered and was administered the dose of |
| 32.7 mCi of technetium Sestamibi Cardiolyte. Subsequently, it was |
| determined that the wrong patient received the dose. The patient and |
| attending physician have been notified. |
| |
| A written report will follow. |
| |
| * * * RETRACTION 0846 6/15/2001 FROM WEAVER TAKEN BY STRANSKY * * * |
| |
| The licensee is retracting this notification. This event involved a |
| diagnostic dose of technetium and resulted in a dose to the patient which is |
| below the reporting threshold. Notified R2DO (Boland). |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
|Power Reactor |Event Number: 38073 |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: COMANCHE PEAK REGION: 4 |NOTIFICATION DATE: 06/15/2001|
| UNIT: [1] [2] [] STATE: TX |NOTIFICATION TIME: 11:18[EDT]|
| RXTYPE: [1] W-4-LP,[2] W-4-LP |EVENT DATE: 06/15/2001|
+------------------------------------------------+EVENT TIME: 09:00[CDT]|
| NRC NOTIFIED BY: TOM BAIN |LAST UPDATE DATE: 06/15/2001|
| HQ OPS OFFICER: BOB STRANSKY +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: NON EMERGENCY |DAVE LOVELESS R4 |
|10 CFR SECTION: | |
|APRE 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 |
| | |
+------------------------------------------------------------------------------+
EVENT TEXT
+------------------------------------------------------------------------------+
| OFFSITE NOTIFICATION DUE TO ACID SPILL ONSITE |
| |
| "At 0900 hrs Comanche Peak reported a spill of approximately 550 gallons of |
| Hydroxy Ethylidene Diphosphonic Acid (Trade name 'Thru Guard') to the Texas |
| Natural Resource Conservation Committee (TNRCC). The spill occurred at 0030 |
| hrs. on 6/15/01 when a thunderstorm moving through the area caused the level |
| gauge glass of the outside storage tank to separate from the tank. An |
| estimated 20 gal of the spilled acid reached Squaw Creek Reservoir before |
| the spill was contained. |
| |
| "Clean up activities were completed at 0800 hrs on 6/15/01." |
| |
| The NRC resident inspector has been informed of this notification by the |
| licensee. |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
|Power Reactor |Event Number: 38074 |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: ZION REGION: 3 |NOTIFICATION DATE: 06/15/2001|
| UNIT: [1] [2] [] STATE: IL |NOTIFICATION TIME: 11:20[EDT]|
| RXTYPE: [1] W-4-LP,[2] W-4-LP |EVENT DATE: 06/15/2001|
+------------------------------------------------+EVENT TIME: 08:15[CDT]|
| NRC NOTIFIED BY: RODE |LAST UPDATE DATE: 06/15/2001|
| HQ OPS OFFICER: CHAUNCEY GOULD +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: NON EMERGENCY |ROGER LANKSBURY R3 |
|10 CFR SECTION: |BILL BEECHER PAO |
|NONR OTHER UNSPEC REQMNT |TOM BERGMAN EDO |
| | |
| | |
| | |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|1 N N 0 Decommissioned |0 Decommissioned |
|2 N N 0 Decommissioned |0 Decommissioned |
| | |
+------------------------------------------------------------------------------+
EVENT TEXT
+------------------------------------------------------------------------------+
| PRESS RELEASE WILL BE MADE BY THE LICENSEE ABOUT AN ON-SITE FIRE |
| |
| A fire in a non-radiological area (computer UPS inverter cabinet in the |
| turbine building) occurred with no injuries to personnel. The fire was |
| contained and extinguished within 30 mins by off-site fire department. |
| Notification to the NRC was made due to unexpected significant press |
| coverage and subsequent corporate press release to be issued. |
| |
| The NRC resident inspector was notified. |
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