Event Notification Report for July 19, 2001
U.S. Nuclear Regulatory Commission
Operations Center
Event Reports For
07/18/2001 - 07/19/2001
** EVENT NUMBERS **
38148 38149 38150 38151 38152
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|Power Reactor |Event Number: 38148 |
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| FACILITY: COMANCHE PEAK REGION: 4 |NOTIFICATION DATE: 07/18/2001|
| UNIT: [] [2] [] STATE: TX |NOTIFICATION TIME: 10:42[EDT]|
| RXTYPE: [1] W-4-LP,[2] W-4-LP |EVENT DATE: 07/18/2001|
+------------------------------------------------+EVENT TIME: 07:59[CDT]|
| NRC NOTIFIED BY: RAUL MARTINEZ |LAST UPDATE DATE: 07/18/2001|
| HQ OPS OFFICER: STEVE SANDIN +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: NON EMERGENCY |WILLIAM JOHNSON R4 |
|10 CFR SECTION: | |
|ARPS 50.72(b)(2)(iv)(B) RPS ACTUATION - CRITICA| |
|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 |
+-----+----------+-------+--------+-----------------+--------+-----------------+
| | |
|2 A/R Y 100 Power Operation |0 Hot Standby |
| | |
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EVENT TEXT
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| AUTOMATIC REACTOR TRIP ON TURBINE TRIP DURING RESTORATION OF AMSAC ALARM |
| |
| "During restoration of AMSAC [Accident Mitigation System Actuation |
| Circuitry] to restore a trouble alarm, a spurious turbine trip signal was |
| generated, causing a reactor trip from 100% power. AFW [Auxiliary |
| Feedwater] actuation followed the reactor trip and the MSIV's [Main Steam |
| Isolation Vales] were closed for temperature control." |
| |
| All control rods fully inserted. Unit 2 is currently stable at normal |
| operating pressure and temperature (NOP, NOT) using the Atmospheric Dumps |
| and both motor-driven AFW pumps for decay heat removal. There is no known |
| primary-to-secondary tube leakage and samples confirm less than minimum |
| detectable activity (less than MDA). Operators are in the process of |
| re-opening the MSIV's to place the main condenser back in service. |
| All electrical buses remained energized throughout the event. |
| |
| The licensee notified the NRC resident inspector and does not plan a press |
| release. |
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|Fuel Cycle Facility |Event Number: 38149 |
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| FACILITY: PORTSMOUTH GASEOUS DIFFUSION PLANT |NOTIFICATION DATE: 07/18/2001|
| RXTYPE: URANIUM ENRICHMENT FACILITY |NOTIFICATION TIME: 13:05[EDT]|
| COMMENTS: 2 DEMOCRACY CENTER |EVENT DATE: 07/17/2001|
| 6903 ROCKLEDGE DRIVE |EVENT TIME: 15:30[EDT]|
| BETHESDA, MD 20817 (301)564-3200 |LAST UPDATE DATE: 07/18/2001|
| CITY: PIKETON REGION: 3 +-----------------------------+
| COUNTY: PIKE STATE: OH |PERSON ORGANIZATION |
|LICENSE#: GDP-2 AGREEMENT: N |BRUCE JORGENSEN R3 |
| DOCKET: 0707002 |BRIAN SMITH NMSS |
+------------------------------------------------+ |
| NRC NOTIFIED BY: SALYERS | |
| HQ OPS OFFICER: CHAUNCEY GOULD | |
+------------------------------------------------+ |
|EMERGENCY CLASS: NON EMERGENCY | |
|10 CFR SECTION: | |
|OCBA 76.120(c)(2) SAFETY EQUIPMENT FAILUR| |
| | |
| | |
| | |
| | |
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EVENT TEXT
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| HIGH PRESSURE FIRE WATER SPRINKLER SYSTEM DECLARED INOPERABLE |
| |
| On 7/17/01 at approximately 1530 hrs, the Plant Shift Superintendent (PSS) |
| was notified that during a Fire Protection Engineering assessment/inspection |
| that High Pressure Fire Water (HPFW) sprinkler system #165 in the X-333 |
| Building contained five adjacent sprinkler heads with visible corrosion |
| deposits. Previous engineering reviews have concluded that the system under |
| this condition would not be capable of meeting the Technical Safety |
| Requirements (TSR) to maintain operability. |
| |
| The PSS declared the affected sprinkler system inoperable and TSR required |
| actions were implemented. |
| |
| The NRC Resident Inspector was notified along with the DOE Representative. |
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|General Information or Other |Event Number: 38150 |
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| REP ORG: MATHY CONSTRUCTION CO |NOTIFICATION DATE: 07/18/2001|
|LICENSEE: MATHY CONSTRUCTION CO |NOTIFICATION TIME: 15:11[EDT]|
| CITY: ONALASKA REGION: 3 |EVENT DATE: 07/18/2001|
| COUNTY: STATE: WI |EVENT TIME: 12:00[CDT]|
|LICENSE#: 4818722-01 AGREEMENT: N |LAST UPDATE DATE: 07/18/2001|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |BRUCE JORGENSEN R3 |
| |SUSAN FRANT NMSS |
+------------------------------------------------+ |
| NRC NOTIFIED BY: DUKATZ | |
| HQ OPS OFFICER: CHAUNCEY GOULD | |
+------------------------------------------------+ |
|EMERGENCY CLASS: NON EMERGENCY | |
|10 CFR SECTION: | |
|BAB2 20.2201(a)(1)(ii) LOST/STOLEN LNM>10X | |
| | |
| | |
| | |
| | |
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EVENT TEXT
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| THE LICENSEE REPORTED THEIR TROXLER GAUGE WAS STOLEN |
| |
| The licensee reported that a Troxler moisture density gauge model 3440 |
| serial #26689 containing 8 millicuries of Cs and 40 millicuries of Am/Be was |
| stolen from the back of a truck in Barabo, WI. This occurred within 5-10 |
| minutes when the driver entered a store to use the bathroom and buy some |
| ice. The licensee will notify the local police and the State. |
| |
| * * * UPDATE ON 7/18/01 @ 1553 FROM DUKATZ TO GOULD * * * |
| |
| The local police contacted the licensee @ 1550 to inform them the gauge was |
| located. There was no damage and the gauge was intact. Licensee has sent a |
| technician to retrieve the gauge. |
| |
| Regon 3 (Darrel Wiedeman) and NMSS (Susan Frant) have been informed. |
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|General Information or Other |Event Number: 38151 |
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| REP ORG: COLORADO DEPT OF HEALTH |NOTIFICATION DATE: 07/18/2001|
|LICENSEE: BOLDER COMMUNITY HOSPITAL |NOTIFICATION TIME: 15:30[EDT]|
| CITY: BOLDER REGION: 4 |EVENT DATE: 06/09/2001|
| COUNTY: STATE: CO |EVENT TIME: [MDT]|
|LICENSE#: 262-01 AGREEMENT: Y |LAST UPDATE DATE: 07/18/2001|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |DAVID GRAVES R4 |
| |SUSAN FRANT NMSS |
+------------------------------------------------+ |
| NRC NOTIFIED BY: JACOBI (BY FAX) | |
| 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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| AGREEMENT STATE REPORT - LEAKING SEALED SOURCE |
| |
| The following is taken from a faxed report: |
| |
| "We have recently experienced an incident resulting in the compromising of |
| the shielding around an Iodine-125 prostate implant seed (sealed source). |
| This report is filed per the requirements of RH 458 |
| |
| "On June 5, 2001, during the course of an I-125 seed implant of a patient's |
| prostate gland an Iodine-125 seed which was thought to have been implanted |
| was instead withdrawn with the implant plunger back into a position partly |
| in the implant applicator and partly in the seed cartridge. This seed |
| position will not allow the cartridge to be removed normally from the |
| implant applicator. A GM counter (thin end window) survey was performed |
| over that section of the implant applicator but the presence of the seed was |
| not detected. The cartridge was then forcefully removed from the applicator. |
| The applicator was rinsed into a stainless steel basin to remove blood clots |
| that were present. The routine survey at the end of the procedure indicated |
| that a seed was present in this washbasin. A bent seed was found in a |
| blood clot. When the seed was removed from the basin, a survey of the basin |
| indicated that the water was also contaminated. It was concluded that the |
| shielding around the seed had been compromised. |
| |
| "The contents of the rinse basin were poured into a plastic container that |
| could be sealed. All equipment, which had come in contact with the seeds, |
| was surveyed and cleaned until wipe tests demonstrated that removable |
| contamination had been reduced to less than 200 dpm. The sealed plastic |
| container containing the contaminated liquid, and all of the cleaning |
| materials were placed in our long-term waste storage facility for decay. |
| Absorbent material was added to this container on July 11th to soak up any |
| remaining liquid and eliminate any potential spill hazard over the two years |
| (10 half-lives) this container will be in storage. |
| |
| "The two individuals most closely involved in extracting the seed cartridge |
| and performing the cleanup were given thyroid bioassay exams in the week |
| immediately following the incident. Those exams were negative. The patient |
| was given the same exam approximately one month following the procedure that |
| indicated an uptake of 0.2 � 0.09 �Ci corrected to the day of the implant. |
| If this uptake is real and not the result of radiation scatter from his |
| active prostate seed implant (87 seeds, 22.3 mCi on the day of the thyroid |
| scan), this would result in a radiation dose to the thyroid of not more that |
| 0.8 cGy. This radiation dose has no clinical significance. |
| |
| "Corrective Actions: This incident occurred because the applicator plunger, |
| which most likely had a blood clot adhering at the point normally in contact |
| with the iodine-125 seed, extracted the seed previously pushed into the |
| prostate gland. The seed, believed to have been implanted, instead came to |
| rest across the space between the applicator body and the seed cartridge. A |
| GM survey of the applicator body and cartridge combination failed to detect |
| the presence of the seed. The seed was damaged when the cartridge was |
| forcefully withdrawn. |
| |
| "This incident could have been averted using the following procedure: |
| |
| 1. Assume that any cartridge jam is caused by an unaccounted for I-125 |
| seed. |
| 2. Remove the implant needle from the applicator body. (If there is believed |
| to be only one seed involved in the jam, the applicator body may be surveyed |
| by directing the sensitive portion of the GM detector down the barrel of the |
| applicator previously occupied by the implant needle. The GM detector may |
| not be sensitive enough to detect radiation though the sides of the |
| applicator body.) |
| 3. Place the body of the applicator with the cartridge still in place, into |
| the rinse pan. |
| 4. Advance the plunger slowly through the seed cartridge until the seed is |
| visible and can be rinsed away from the body of the applicator. (This may |
| requite lifting the cartridge plunger to allow the applicator plunger past |
| such that it can traverse the full extent of the cartridge.) If the |
| cartridge is not empty the seed causing the jam will be pushed out by |
| another seed so two seeds will deposit in the rinse basin. |
| 5. Withdraw the applicator plunger completely and remove the seed cartridge |
| normally. |
| 6. NEVER forcefully remove a seed cartridge! |
| |
| "All individuals involved In this incident have reviewed this procedure." |
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|Power Reactor |Event Number: 38152 |
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| FACILITY: POINT BEACH REGION: 3 |NOTIFICATION DATE: 07/19/2001|
| UNIT: [1] [] [] STATE: WI |NOTIFICATION TIME: 05:16[EDT]|
| RXTYPE: [1] W-2-LP,[2] W-2-LP |EVENT DATE: 07/19/2001|
+------------------------------------------------+EVENT TIME: 03:00[CDT]|
| NRC NOTIFIED BY: RYAN RODE |LAST UPDATE DATE: 07/19/2001|
| HQ OPS OFFICER: FANGIE JONES +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: NON EMERGENCY |BRUCE JORGENSEN R3 |
|10 CFR SECTION: | |
|ASHU 50.72(b)(2)(i) PLANT S/D REQD BY TS | |
| | |
| | |
| | |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|1 N Y 100 Power Operation |90 Power Operation |
| | |
| | |
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EVENT TEXT
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| TECH SPEC REQUIRED SHUTDOWN DUE TO TIME LIMIT ON NON-SAFETY POWER TO |
| INSTRUMENT BUS |
| |
| The licensee entered Technical Specification 15.3.7(b)(1)(j) at 1900 CDT on |
| 7/18/2001, which allowed 8 hours to restore electrical power from a safety |
| powered bus to the Unit 1 instrument bus. Non-safety power was provided |
| when a problem caused an automatic transfer. At 0300 CDT on 7/19/2001 a |
| Technical Specification required shutdown was commenced. The plant has 6 |
| hours to reach Hot Shutdown and another 44 hours to reach Cold Shutdown. |
| The licensee has been and continues to research the problem and does not |
| know when safety power will be restored to the instrument bus. |
| |
| The licensee notified the NRC Resident Inspector. |
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