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Event Notification Report for June 19, 2001

                    U.S. Nuclear Regulatory Commission
                              Operations Center

                              Event Reports For
                           06/18/2001 - 06/19/2001

                              ** EVENT NUMBERS **

38072  38075  38076  38077  38078  

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|General Information or Other                     |Event Number:   38072       |
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| REP ORG:  ARKANSAS DEPARTMENT OF HEALTH        |NOTIFICATION DATE: 06/14/2001|
|LICENSEE:  R. D. PLANT CONTRACTING              |NOTIFICATION TIME: 16:09[EDT]|
|    CITY:  MURFREESBORO             REGION:  4  |EVENT DATE:        06/14/2001|
|  COUNTY:                            STATE:  AR |EVENT TIME:        10:00[CDT]|
|LICENSE#:  ARK756BP0405          AGREEMENT:  Y  |LAST UPDATE DATE:  06/18/2001|
|  DOCKET:                                       |+----------------------------+
|                                                |PERSON          ORGANIZATION |
|                                                |JOHN PELLET          R4      |
|                                                |JOHN HICKEY          NMSS    |
+------------------------------------------------+                             |
| NRC NOTIFIED BY:  DAVID SNELLINGS              |                             |
|  HQ OPS OFFICER:  FANGIE JONES                 |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          NON EMERGENCY         |                             |
|10 CFR SECTION:                                 |                             |
|NAGR                     AGREEMENT STATE        |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
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                                   EVENT TEXT                                   
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| AGREEMENT STATE REPORT - MISSING TROXLER SURFACE DENSITY GAUGE               |
|                                                                              |
| The licensee notified the State of Arkansas about 10:00 AM CDT today         |
| 6/14/01, that a Troxler Model 4640B surface density gauge, containing 8 mCi  |
| of Cs-137, was missing from the back of his truck.  The gauge was known to   |
| be chained and locked in the back of the truck last night (6/13/01) around   |
| 7:00 PM CDT.  The chain and lock are still in the truck, undamaged.  The     |
| Howard County Sheriff's Department and Hope Arkansas Police have been        |
| notified of the missing gauge.  There will be a press release sent to state  |
| police, surrounding states and local authorities.  NRC Region 4 (Vivian      |
| Campbell) has been notified.                                                 |
|                                                                              |
|                                                                              |
| * * * UPDATE ON 6/18/01 @1514 BY BRADLEY TO GOULD * * *                      |
|                                                                              |
| The licensee reported to the State (6/18/01 @ 0740) that the gauge had been  |
| returned early this morning intact and not damaged.                          |
|                                                                              |
| The Reg 4 RDO(Loveless) and the NMSS EO(Fred Brown)                          |
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|Power Reactor                                    |Event Number:   38075       |
+------------------------------------------------------------------------------+
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| FACILITY: PRAIRIE ISLAND           REGION:  3  |NOTIFICATION DATE: 06/18/2001|
|    UNIT:  [1] [] []                 STATE:  MN |NOTIFICATION TIME: 10:13[EDT]|
|   RXTYPE: [1] W-2-LP,[2] W-2-LP                |EVENT DATE:        06/18/2001|
+------------------------------------------------+EVENT TIME:        02:04[CDT]|
| NRC NOTIFIED BY:  TODD STRAIN                  |LAST UPDATE DATE:  06/18/2001|
|  HQ OPS OFFICER:  FANGIE JONES                 +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          NON EMERGENCY         |ROGER LANKSBURY      R3      |
|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          Y       100      Power Operation  |100      Power Operation  |
|                                                   |                          |
|                                                   |                          |
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                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| VITAL BUS SOURCE SEQUENCER ACTIVATED ON LOSS OF NORMAL POWER SUPPLY          |
|                                                                              |
| "This is a notification of an unplanned automatic actuation of the Unit 1    |
| 4.16 kV Sfgds Bus 16 (B-train) source sequencer. Severe weather resulted in  |
| an electrical grid disturbance which caused 4.16 kV Bkr CT11-1 to open,      |
| subsequently rendering the normal Bus 16 offsite 4.16 kV source (CT11) from  |
| 345 kV Bus 1 to Unit 1 to be lost. CT11 transformer is a 13.8 to 4.16 kV     |
| step-down transformer. Nothing appears to be wrong with the CT11             |
| transformer. The sequencer operated as designed and transferred Bus 16 to    |
| its backup 4.16 kV offsite source (1R).                                      |
|                                                                              |
| "Charging and letdown were lost during this transient, and subsequently      |
| restored. Two (2) of the 4 Cooling Tower Pumps and associated Cooling Towers |
| were also lost and remain out of service. B train Sfgds Control Room         |
| ventilation was also lost during the transient. This resulted in a temporary |
| dual unit 7 day LCO entry per TS 3.13.A.2, which was subsequently exited     |
| when the operability of the ventilation system was restored.                 |
|                                                                              |
| "The plant is currently in a Unit 1 7 day LCO per TS 3.7.B2., and            |
| investigating the cause of Bkr CT11-1 opening."                              |
|                                                                              |
| The licensee notified the NRC Resident Inspector.                            |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|General Information or Other                     |Event Number:   38076       |
+------------------------------------------------------------------------------+
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| REP ORG:  ILLINOIS DEPT OF NUCLEAR SAFETY      |NOTIFICATION DATE: 06/18/2001|
|LICENSEE:  EVANSTON NORTHWESTERN HOSPITAL       |NOTIFICATION TIME: 11:37[EDT]|
|    CITY:  CHICAGO                  REGION:  3  |EVENT DATE:        06/14/2001|
|  COUNTY:                            STATE:  IL |EVENT TIME:        11:30[CDT]|
|LICENSE#:  IL1248-02             AGREEMENT:  Y  |LAST UPDATE DATE:  06/18/2001|
|  DOCKET:                                       |+----------------------------+
|                                                |PERSON          ORGANIZATION |
|                                                |MONTE PHILLIPS       R3      |
|                                                |JOHN HICKEY          NMSS    |
+------------------------------------------------+                             |
| NRC NOTIFIED BY:  MCCANDLESS                   |                             |
|  HQ OPS OFFICER:  CHAUNCEY GOULD               |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          NON EMERGENCY         |                             |
|10 CFR SECTION:                                 |                             |
|NAGR                     AGREEMENT STATE        |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
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                                   EVENT TEXT                                   
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| ILLINOIS LICENSEE REPORTED TO THE STATE THAT THEY HAD A MEDICAL              |
| MISADMINISTRATION                                                            |
|                                                                              |
| The Evanston Northwestern Hospital reported that they had a medical          |
| misadministration(while performing an IVB event) when they were unprepared   |
| with the second syringe after the primary syringe ran out of water.  This    |
| resulted in an increase in treatment time by 23% (prescribed treatment time  |
| was 206 mins and actual time was 253.4mins).  The isotope used was Sr-90     |
| with an activity of 1.2 GBq.                                                 |
|                                                                              |
| The following fax was received after the initial telephone report:           |
|                                                                              |
| "[Northwestern Hospital] called [the Illinois Department of Nuclear Safety]  |
| at 11:33 to report that they had an IVB event this morning using the Novoste |
| device. Apparently they ran out of water in the primary syringe and were not |
| prepared with a secondary syringe to replace it. This caused an increase in  |
| the treatment time by 23%. The prescribed treatment time was 3 minutes and   |
| 26 seconds. [Northwestern Hospital] was unclear if the sources moved during  |
| the syringe change-out procedure. He is not on-site but he will call with    |
| additional details once he returns to the hospital. The isotope involved is  |
| Sr-90 with an activity of 1.2 GBq."                                          |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   38077       |
+------------------------------------------------------------------------------+
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| FACILITY: PEACH BOTTOM             REGION:  1  |NOTIFICATION DATE: 06/18/2001|
|    UNIT:  [2] [3] []                STATE:  PA |NOTIFICATION TIME: 11:39[EDT]|
|   RXTYPE: [2] GE-4,[3] GE-4                    |EVENT DATE:        06/18/2001|
+------------------------------------------------+EVENT TIME:        03:15[EDT]|
| NRC NOTIFIED BY:  CHRIS COSTANSO               |LAST UPDATE DATE:  06/18/2001|
|  HQ OPS OFFICER:  FANGIE JONES                 +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          NON EMERGENCY         |JAMES TRAPP          R1      |
|10 CFR SECTION:                                 |                             |
|AIND 50.72(b)(3)(v)(D)   ACCIDENT MITIGATION    |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR|   INIT RX MODE  |CURR PWR|  CURR RX MODE   |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|2     N          Y       100      Power Operation  |100      Power Operation  |
|3     N          Y       100      Power Operation  |100      Power Operation  |
|                                                   |                          |
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                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| BREAKER CONTROL SWITCHES NOT PROPERLY ALIGNED                                |
|                                                                              |
| "This report is being made under the reporting requirement in                |
| 10CFR50.72(b)(3)(vi) to describe an event or condition that could have       |
| prevented the fulfillment of a safety function.                              |
|                                                                              |
| "On June 18. 2001, at approximately 0315, an offsite power supply to two of  |
| four emergency buses on both Units 2 and 3 was lost. All four emergency      |
| buses automatically transferred to their respective alternate supply per     |
| design                                                                       |
|                                                                              |
| "The restoration procedure subsequently directed the crew to 'green flag'    |
| the tripped breakers. The purpose of the procedural step was to align the    |
| breaker switch with the actual position of the breaker. The procedure,       |
| however, did not direct the crew to 'red flag' the alternate breakers which  |
| automatically closed (i.e. match the switch position to the actual breaker   |
| position). This created a condition in the electrical logic which would have |
| prevented two of four emergency buses from automatically receiving power     |
| from their respective diesel generators in the event of a design basis       |
| accident.                                                                    |
|                                                                              |
| "Once discovered, the crew 'red flagged' the alternate breakers and restored |
| diesel generator operability.                                                |
|                                                                              |
| "The restoration procedures have been revised to prevent this condition from |
| reoccurring.                                                                 |
|                                                                              |
| "The NRC resident has been informed."                                        |
|                                                                              |
| The condition existed for about 3 hours, at which time the breaker switches  |
| were placed in the 'red flagged' position as required.  An investigation is  |
| ongoing to determine the cause of the initial power loss.                    |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   38078       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: SALEM                    REGION:  1  |NOTIFICATION DATE: 06/18/2001|
|    UNIT:  [] [2] []                 STATE:  NJ |NOTIFICATION TIME: 14:44[EDT]|
|   RXTYPE: [1] W-4-LP,[2] W-4-LP                |EVENT DATE:        06/18/2001|
+------------------------------------------------+EVENT TIME:        14:10[EDT]|
| NRC NOTIFIED BY:  MCKUNE                       |LAST UPDATE DATE:  06/18/2001|
|  HQ OPS OFFICER:  CHAUNCEY GOULD               +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          UNUSUAL EVENT         |JAMES TRAPP          R1      |
|10 CFR SECTION:                                 |RICHARD WESSMAN      IRO     |
|AAEC 50.72(a) (1) (i)    EMERGENCY DECLARED     |TAD MARSH            EO      |
|                                                |EACHES               FEMA    |
|                                                |                             |
|                                                |                             |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR|   INIT RX MODE  |CURR PWR|  CURR RX MODE   |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|                                                   |                          |
|2     N          Y       100      Power Operation  |100      Power Operation  |
|                                                   |                          |
+------------------------------------------------------------------------------+
                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| PLANT DECLARED AN UNUSUAL EVENT DUE TO A TOXIC FUME RELEASE LIMITING ACCESS  |
| TO THE AREA                                                                  |
|                                                                              |
| During chemical unloading of sulfuric acid from a truck trailer, excessive   |
| acid fumes came from the tank, which was located in the turbine building.    |
| The chemistry technician supporting the delivery experienced throat and      |
| respiratory irritation and was transported to the hospital for examination.  |
| The delivery was stopped at the time of discovery and access to the area has |
| been limited.  An investigation as to the cause is in progress.  The         |
| licensee will notify the NRC Resident Inspector and has notified the New     |
| Jersey, Delaware and Lower Alloways Creek Township Police Departments.       |
|                                                                              |
| * * * UPDATE ON 6/18/01 @ 1832 BY MCGREGER TO GOULD * * *                    |
|                                                                              |
| The NOUE was terminated at 1828 since there no longer is any leakage being   |
| detected.  They believe the leak was from a vent path, since no breech was   |
| detected.                                                                    |
|                                                                              |
| The NRC Resident Inspector will be notified.                                 |
|                                                                              |
| The Reg 1 RDO(Trap), EO(Matthews) and FEMA(Belcher) were notified.           |
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