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Event Notification Report for September 10, 2001

                    U.S. Nuclear Regulatory Commission
                              Operations Center

                              Event Reports For
                           09/07/2001 - 09/10/2001

                              ** EVENT NUMBERS **

38268  38269  38270  38271  

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|Power Reactor                                    |Event Number:   38268       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: COLUMBIA GENERATING STATIREGION:  4  |NOTIFICATION DATE: 09/07/2001|
|    UNIT:  [2] [] []                 STATE:  WA |NOTIFICATION TIME: 00:47[EDT]|
|   RXTYPE: [2] GE-5                             |EVENT DATE:        09/06/2001|
+------------------------------------------------+EVENT TIME:        17:38[PDT]|
| NRC NOTIFIED BY:  WILLIAM BAKER                |LAST UPDATE DATE:  09/07/2001|
|  HQ OPS OFFICER:  FANGIE JONES                 +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          NON EMERGENCY         |LINDA SMITH          R4      |
|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  |
|                                                   |                          |
|                                                   |                          |
+------------------------------------------------------------------------------+
                                   EVENT TEXT                                   
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| REACTOR CORE ISOLATION COOLING SYSTEM MADE INOPERABLE                        |
|                                                                              |
| "Columbia Generating Station Reactor Core Isolation Cooing (RCIC) system has |
| been isolated and made inoperable per Technical Specification 3.5.3 and      |
| unavailable due to manual closure of the RCIC turbine trip valve.  The       |
| manual closure of the RCIC turbine trip valve was required due to the loss   |
| of automatic trip capability of the turbine trip valve [due to a solenoid    |
| failure].  This loss of automatic trip capability under postulated           |
| conditions could cause a water hammer event significant enough to threaten   |
| primary containment.                                                         |
|                                                                              |
| "The RCIC system is a single train system and is listed in plant procedures  |
| as an Engineered Safety Feature (ESF).                                       |
|                                                                              |
| "The RCIC system will function automatically or manually to inject water     |
| into the RPV if manually returned to service."                               |
|                                                                              |
| The licensee notified the NRC Resident Inspector.                            |
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+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   38269       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: LASALLE                  REGION:  3  |NOTIFICATION DATE: 09/07/2001|
|    UNIT:  [] [2] []                 STATE:  IL |NOTIFICATION TIME: 03:30[EDT]|
|   RXTYPE: [1] GE-5,[2] GE-5                    |EVENT DATE:        09/07/2001|
+------------------------------------------------+EVENT TIME:        00:24[CDT]|
| NRC NOTIFIED BY:  MICHAEL FITZPATRICK          |LAST UPDATE DATE:  09/07/2001|
|  HQ OPS OFFICER:  FANGIE JONES                 +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          NON EMERGENCY         |MARK RING            R3      |
|10 CFR SECTION:                                 |                             |
|ARPS 50.72(b)(2)(iv)(B)  RPS ACTUATION - CRITICA|                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR|   INIT RX MODE  |CURR PWR|  CURR RX MODE   |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|                                                   |                          |
|2     M/R        Y       72       Power Operation  |0        Hot Shutdown     |
|                                                   |                          |
+------------------------------------------------------------------------------+
                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| MANUAL REACTOR SCRAM DUE TO 2 LOW PRESSURE HEATER STRINGS ISOLATING          |
|                                                                              |
| The following is taken from a facsimile report:                              |
|                                                                              |
| This report is being made per 10CFR50.72(b)(2)(iv)(B) RPS actuation (scram)  |
| (4 hour notification for U-2).                                               |
|                                                                              |
| At 12:24 AM CDT, Friday 9/7/01, U-2 was manually scrammed. The initiating    |
| event was a loss of 2 of 3 Low Pressure Feedwater Heater Strings. A high     |
| level condition was initially received in the 21A Low Pressure Heater, which |
| caused the Condensate System inlet and outlet isolation valves to the 2A Low |
| Pressure Heater String to close. Subsequently, a high level condition was    |
| also received in the 21C Low Pressure Heater, which caused the Condensate    |
| System inlet and outlet isolation valves to the 2C Low Pressure Heater       |
| String to close. With a second Low Pressure Heater String isolated, Unit 2   |
| was manually scrammed in accordance with LaSalle Procedure LOA-HD-201,       |
| "Heater Drain System Trouble".                                               |
|                                                                              |
| All systems operated as designed. There were no ECCS actuations or Primary   |
| Containment isolations. The lowest Reactor level reached was minus 20 inches |
| (141 inches above the top of active fuel) and was recovered to normal level  |
| using feedwater. Reactor pressure responded normally. No Safety Relief       |
| Valves actuated. All Control Rods fully inserted.                            |
|                                                                              |
| The NRC Resident Inspector has been notified.                                |
|                                                                              |
| The cause of the Low Pressure Heater String loss is being investigated at    |
| this time.                                                                   |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Hospital                                         |Event Number:   38270       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG:  MADISION MEMORIAL HOSPITAL           |NOTIFICATION DATE: 09/07/2001|
|LICENSEE:  MADISON MEMORIAL HOSPITAL            |NOTIFICATION TIME: 18:03[EDT]|
|    CITY:  REXBURG                  REGION:  4  |EVENT DATE:        09/06/2001|
|  COUNTY:                            STATE:  ID |EVENT TIME:        13:30[MDT]|
|LICENSE#:  1127358-01            AGREEMENT:  N  |LAST UPDATE DATE:  09/07/2001|
|  DOCKET:                                       |+----------------------------+
|                                                |PERSON          ORGANIZATION |
|                                                |LINDA SMITH          R4      |
|                                                |M. WAYNE HODGES      NMSS    |
+------------------------------------------------+                             |
| NRC NOTIFIED BY:  J. WALKER                    |                             |
|  HQ OPS OFFICER:  JOHN MacKINNON               |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          NON EMERGENCY         |                             |
|10 CFR SECTION:                                 |                             |
|LADM 35.33(a)            MED MISADMINISTRATION  |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+------------------------------------------------------------------------------+

                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| PATIENT GIVEN TECHNETIUM-99 MDP INSTEAD OF MYOVIEW.                          |
|                                                                              |
| Nuclear Medicine Technologist placed a vial that he thought contained        |
| technetium-99 myoview into a carrier and took it across the hallway.  He     |
| administered 32.2 millicuries of technetium-99 MDP instead of 32.2           |
| millicuries of technetium-99 myoview to a patient walking on a tread mill.   |
| The nuclear Medicine Technologist discovered that the patient received the   |
| incorrect technetium while imaging the patient.  The Nuclear Medicine        |
| technologist notified the radiologist of the error but has not contacted the |
| patient or the patients physician. The patient's physician left for the      |
| weekend after the technetium-99 myoview had been administered to the         |
| patient.   No harm to the patient due to incorrect technetium given to the   |
| patient.                                                                     |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|General Information or Other                     |Event Number:   38271       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG:  NEW MEXICO RAD CONTROL PROGRAM       |NOTIFICATION DATE: 09/07/2001|
|LICENSEE:  WESTERN TECHNOLOGIES                 |NOTIFICATION TIME: 18:31[EDT]|
|    CITY:  CUBA                     REGION:  4  |EVENT DATE:        09/06/2001|
|  COUNTY:                            STATE:  NM |EVENT TIME:        11:00[MDT]|
|LICENSE#:  DM 244-29             AGREEMENT:  Y  |LAST UPDATE DATE:  09/07/2001|
|  DOCKET:                                       |+----------------------------+
|                                                |PERSON          ORGANIZATION |
|                                                |LINDA SMITH          R4      |
|                                                |M. WAYNE HODGES      NMSS    |
+------------------------------------------------+                             |
| NRC NOTIFIED BY:  SHERRY MILLER                |                             |
|  HQ OPS OFFICER:  JOHN MacKINNON               |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          NON EMERGENCY         |                             |
|10 CFR SECTION:                                 |                             |
|NAGR                     AGREEMENT STATE        |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+------------------------------------------------------------------------------+

                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| MISSING TROXLER DENSITY GAUGE.                                               |
|                                                                              |
|                                                                              |
| Western Technologies, out of Albuquerque, accidentally left a 3430 Troxler   |
| moisture density gauge at mile marker 49 on US highway 550.   The moisture   |
| density gauge was out of its transport case laying on the side of the        |
| highway when the it was left behind. The driver immediately, within an hour, |
| returned to the location and discovered that the gauge was missing.  State   |
| of New Mexico has recommended to the licensee that they offer a reward for   |
| the missing gauge.                                                           |
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