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 +------------------------------------------------------------------------------+ |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 +------------------------------------------------------------------------------+ | 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. | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ |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. | +------------------------------------------------------------------------------+
Page Last Reviewed/Updated Thursday, March 25, 2021
Page Last Reviewed/Updated Thursday, March 25, 2021