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 |
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| 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 |
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| 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 |
| | |
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EVENT TEXT
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| 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. |
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|Hospital |Event Number: 38270 |
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| 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 | |
| | |
| | |
| | |
| | |
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EVENT TEXT
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| 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. |
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|General Information or Other |Event Number: 38271 |
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| 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
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| 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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