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Event Notification Report for September 13, 2001

                    U.S. Nuclear Regulatory Commission
                              Operations Center

                              Event Reports For
                           09/12/2001 - 09/13/2001

                              ** EVENT NUMBERS **

38265  38271  38275  38279  38280  38281  38282  

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|Fuel Cycle Facility                              |Event Number:   38265       |
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| FACILITY: PADUCAH GASEOUS DIFFUSION PLANT      |NOTIFICATION DATE: 09/04/2001|
|   RXTYPE: URANIUM ENRICHMENT FACILITY          |NOTIFICATION TIME: 18:09[EDT]|
| COMMENTS: 2 DEMOCRACY CENTER                   |EVENT DATE:        09/04/2001|
|           6903 ROCKLEDGE DRIVE                 |EVENT TIME:        14:00[CDT]|
|           BETHESDA, MD 20817    (301)564-3200  |LAST UPDATE DATE:  09/12/2001|
|    CITY:  PADUCAH                  REGION:  3  +-----------------------------+
|  COUNTY:  McCRACKEN                 STATE:  KY |PERSON          ORGANIZATION |
|LICENSE#:  GDP-1                 AGREEMENT:  Y  |MARK RING            R3      |
|  DOCKET:  0707001                              |M. WAYNE HODGES      NMSS    |
+------------------------------------------------+                             |
| NRC NOTIFIED BY:  UNDERWOOD                    |                             |
|  HQ OPS OFFICER:  CHAUNCEY GOULD               |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          NON EMERGENCY         |                             |
|10 CFR SECTION:                                 |                             |
|NBNL                     RESPONSE-BULLETIN      |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
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                                   EVENT TEXT                                   
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| 24-HOUR 91-01 BULLETIN RESPONSE                                              |
|                                                                              |
| At 1400, on 9/4/01, the Plant Shift Superintendent (PSS) was notified of an  |
| NCSA violation that had occurred at the C-355 air plant.  Immediately after  |
| switching drying units at the air plant, a high-high moisture alarm was      |
| received.  The alarm indicated air moisture content greater than 1300 ppm    |
| water, violating NCSA GEN-10-01.  NCSA GEN-010 credits the dry air system    |
| for producing dry air with moisture content of less than 1300 ppm.  The      |
| purpose of this requirement is to prevent exposure of fissile uranium        |
| deposits to a moderating environment.   No equipment containing fissile      |
| material was exposed to high moisture content plant air at the time of the   |
| alarm or following receipt of the alarm.                                     |
|                                                                              |
| Since one leg of double contingency was lost, this is being reported to the  |
| NRC as a 24-hr. event report.                                                |
|                                                                              |
| SAFETY SIGNIFICANCE OF EVENTS:                                               |
| There was no purging of equipment containing fissile material in progress at |
| the time of the moisture excursion.  Although a parameter was exceeded, the  |
| proper response to the alarm was taken prior to resuming buffering of        |
| purging equipment containing fissile material.                               |
|                                                                              |
| POTENTIAL CRITICALITY PATHWAYS INVOLVED(BRIEF SCENARIO(S) OF HOW CRITICALITY |
| COULD OCCUR:                                                                 |
| In order for a criticality to be possible. Operations personnel would have   |
| had to fail to respond to the alarm. In addition, a fissile deposit          |
| containing greater than a critical mass and absorbing greater than 10 kg of  |
| water would have had to be present.                                          |
|                                                                              |
| CONTROLLED PARAMETERS (MASS, MODERATION. GEOMETRY, CONCENTRATION. ETC:       |
| Double contingency for this scenario is established by implementing two      |
| controls on moderation.                                                      |
|                                                                              |
| ESTIMATED AMOUNT, ENRICHMENT, FORM OF LICENSED MATERIAL (INCLUDE PROCESS     |
| LIMIT AND % WORST CASE CRITICAL MASS):                                       |
| n/a                                                                          |
|                                                                              |
| NUCLEAR CRITICALITY SAFETY CONTROL(S) OR CONTROL SYSTEM(S) AND DESCRIPTION   |
| OF THE FAILURES OR  DEFICIENCIES:                                            |
| Double contingency for this scenario is established by implementing two      |
| controls on moderation.                                                      |
|                                                                              |
| The first leg of double contingency Is based on receiving a high-high        |
| moisture alarm indicating a moisture content greater than 1300 ppm water and |
| ceasing buffering and purging operations in response to the alarm. This      |
| control was not violated.                                                    |
|                                                                              |
| The second leg of double contingency is based on the dry air system          |
| producing plant air with a moisture content less than 1300 ppm water. Since  |
| the moisture content was confirmed to be greater than 1300 ppm, this process |
| condition was exceeded and double contingency was not maintained.            |
|                                                                              |
| Since double contingency is based on two controls on moderation, double      |
| contingency was not maintained.                                              |
|                                                                              |
| CORRECTIVE ACTIONS TO RESTORE SAFETY SYSTEMS AND WHEN EACH WAS IMPLEMENTED:  |
| No corrective actions implemented. Proper procedure response was performed.  |
|                                                                              |
| The NRC Resident Inspector was notified.                                     |
|                                                                              |
| * * * UPDATE ON 09/12/01 AT 1455 ET BY PITTMAN TAKEN BY MACKINNON * * *      |
|                                                                              |
| Criticality Safety Incident Report NCS-INC-01-022 has been revised to        |
| include information from EN-C-826-01-039 that documented that the moisture   |
| content did not exceed the NCS limit of 1300 ppm.  Since the moisture limit  |
| for the plant air system was not exceeded, no violation occurred. R3DO       |
| (Sonia Burgess) notified.                                                    |
|                                                                              |
| The NRC Resident Inspector was notified of this update by the certificate    |
| holder.                                                                      |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|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:  09/12/2001|
|  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        |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
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                                   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.                                                           |
|                                                                              |
| * * * UPDATE 1851 9/12/2001 FROM MILLER TAKEN BY STRANSKY * * *              |
|                                                                              |
| The state reported that the missing gauge has been recovered. Notified R4DO  |
| (Shaffer).                                                                   |
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!!!!!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED  !!!!!!!
+------------------------------------------------------------------------------+
|Hospital                                         |Event Number:   38275       |
+------------------------------------------------------------------------------+
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| REP ORG:  CLARK MEMORIAL HOSPITAL              |NOTIFICATION DATE: 09/11/2001|
|LICENSEE:  CLARK MEMORIAL HOSPITAL              |NOTIFICATION TIME: 15:17[EDT]|
|    CITY:  JEFFERSIONVILLE          REGION:  3  |EVENT DATE:        09/11/2001|
|  COUNTY:                            STATE:  IN |EVENT TIME:        07:00[CST]|
|LICENSE#:  1312367-01            AGREEMENT:  N  |LAST UPDATE DATE:  09/12/2001|
|  DOCKET:                                       |+----------------------------+
|                                                |PERSON          ORGANIZATION |
|                                                |SONIA BURGESS        R3      |
|                                                |MELVYN LEACH         NMSS    |
+------------------------------------------------+                             |
| NRC NOTIFIED BY:  TRINNA WALKER                |                             |
|  HQ OPS OFFICER:  JOHN MacKINNON               |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          NON EMERGENCY         |                             |
|10 CFR SECTION:                                 |                             |
|BAB1 20.2201(a)(1)(i)    LOST/STOLEN LNM>1000X  |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
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                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| MISSING 94 PALLADIUM SEEDS.                                                  |
|                                                                              |
| Licensee received, in the mail, a box containing 94 palladium seeds with a   |
| total activity of 119.14 millicuries on Friday, 09/0701 at approximately     |
| 1200 ET. The box containing the seeds was locked in the Hot Lab at           |
| approximately 1700 hours on 09/07/01.  Saturday morning it was noticed that  |
| the box containing the palladium seeds was missing.  It was assumed that the |
| box of seeds had been picked up.  Today, 09/11/01,  at 0700 hours a          |
| Radiation Physicist came to pick up the box of palladium seeds.  At this     |
| time it was realized that the seeds were missing.  A search of the hospital  |
| areas, trash, etc., was  performed and the seeds were not found.  The        |
| hospital security and the Jeffersonville Police department were notified of  |
| the missing palladium seeds.                                                 |
|                                                                              |
|                                                                              |
| * * RETRACTION ON 09/12/01 AT 0943ET BY TRINNA WALKER TAKEN BY MACKINNON * * |
| *                                                                            |
|                                                                              |
| This event is being retracted since a cyclotron was used to irradiate the    |
| palladium seeds.                                                             |
| R3DO (Sonia Burgess) notified.                                               |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   38279       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: BRAIDWOOD                REGION:  3  |NOTIFICATION DATE: 09/12/2001|
|    UNIT:  [1] [2] []                STATE:  IL |NOTIFICATION TIME: 16:36[EDT]|
|   RXTYPE: [1] W-4-LP,[2] W-4-LP                |EVENT DATE:        09/12/2001|
+------------------------------------------------+EVENT TIME:        08:00[CDT]|
| NRC NOTIFIED BY:  BRIAN SCHIPIOUR              |LAST UPDATE DATE:  09/12/2001|
|  HQ OPS OFFICER:  JOHN MacKINNON               +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          NON EMERGENCY         |SONIA BURGESS        R3      |
|10 CFR SECTION:                                 |                             |
|HFIT 26.73               FITNESS FOR DUTY       |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR|   INIT RX MODE  |CURR PWR|  CURR RX MODE   |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|1     N          Y       90       Power Operation  |90       Power Operation  |
|2     N          Y       96       Power Operation  |96       Power Operation  |
|                                                   |                          |
+------------------------------------------------------------------------------+
                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| ACCESS DENIED                                                                |
|                                                                              |
| A contract employee was determined to be under the influence of alcohol      |
| during a for-cause test.  The employee's access to the plant has been        |
| denied.                                                                      |
|                                                                              |
| The NRC Resident Inspector was notified of this event by the licensee.       |
|                                                                              |
|                                                                              |
| Contact the Headquarters Operation Center for further details.               |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   38280       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: COLUMBIA GENERATING STATIREGION:  4  |NOTIFICATION DATE: 09/12/2001|
|    UNIT:  [2] [] []                 STATE:  WA |NOTIFICATION TIME: 19:57[EDT]|
|   RXTYPE: [2] GE-5                             |EVENT DATE:        09/12/2001|
+------------------------------------------------+EVENT TIME:        08:17[PDT]|
| NRC NOTIFIED BY:  ROBERT SHERMAN               |LAST UPDATE DATE:  09/12/2001|
|  HQ OPS OFFICER:  BOB STRANSKY                 +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          NON EMERGENCY         |MARK SHAFFER         R4      |
|10 CFR SECTION:                                 |                             |
|HFIT 26.73               FITNESS FOR DUTY       |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|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                                   
+------------------------------------------------------------------------------+
| FITNESS FOR DUTY REPORT                                                      |
|                                                                              |
| A licensed employee was determined to be under the influence of alcohol      |
| during a for-cause test. The employee's access to the plant has been         |
| terminated. The NRC resident inspector has been informed of this event by    |
| the licensee.                                                                |
|                                                                              |
| Contact the NRC Operations Center for additional details.                    |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   38281       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: OCONEE                   REGION:  2  |NOTIFICATION DATE: 09/12/2001|
|    UNIT:  [1] [] []                 STATE:  SC |NOTIFICATION TIME: 20:53[EDT]|
|   RXTYPE: [1] B&W-L-LP,[2] B&W-L-LP,[3] B&W-L-L|EVENT DATE:        09/12/2001|
+------------------------------------------------+EVENT TIME:        18:13[EDT]|
| NRC NOTIFIED BY:  PHILLIP NORTH                |LAST UPDATE DATE:  09/12/2001|
|  HQ OPS OFFICER:  FANGIE JONES                 +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          NON EMERGENCY         |JOHN MONNINGER       R2      |
|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   |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|1     A/R        Y       100      Power Operation  |0        Hot Standby      |
|                                                   |                          |
|                                                   |                          |
+------------------------------------------------------------------------------+
                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| AUTOMATIC REACTOR TRIP DUE TO TURBINE/GENERATOR TRIP                         |
|                                                                              |
| The plant sustained a turbine/generator trip resulting in a reactor trip,    |
| all rods inserted fully, all systems functioned as required unless otherwise |
| noted, and the plant is stable in MODE 3 (Hot Standby).  Main feedwater was  |
| lost due to a loss of power to the secondary pumps.  Power is being supplied |
| from the startup transformer, reactor coolant system is in forced            |
| circulation, emergency feedwater is supplying the steam generators, and      |
| turbine bypass valves to the condensers are providing a heat sink.           |
|                                                                              |
| The licensee is investigating the cause of the turbine/generator trip and    |
| the loss of power to the secondary pumps.                                    |
|                                                                              |
| The licensee notified the NRC Resident Inspector.                            |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   38282       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: VERMONT YANKEE           REGION:  1  |NOTIFICATION DATE: 09/13/2001|
|    UNIT:  [1] [] []                 STATE:  VT |NOTIFICATION TIME: 02:00[EDT]|
|   RXTYPE: [1] GE-4                             |EVENT DATE:        09/13/2001|
+------------------------------------------------+EVENT TIME:             [EDT]|
| NRC NOTIFIED BY:  BRIAN COPPERTHITE            |LAST UPDATE DATE:  09/13/2001|
|  HQ OPS OFFICER:  FANGIE JONES                 +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          NON EMERGENCY         |STEVE BARR           R1      |
|10 CFR SECTION:                                 |GLENN TRACEY         IAT     |
|NINF                     INFORMATION ONLY       |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR|   INIT RX MODE  |CURR PWR|  CURR RX MODE   |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|1     N          Y       100      Power Operation  |100      Power Operation  |
|                                                   |                          |
|                                                   |                          |
+------------------------------------------------------------------------------+
                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| INFORMATION REPORT IN ACCORDANCE WITH NRC INFORMATION NOTICE 98-35           |
|                                                                              |
| A suspicious vehicle was noted in area around the plant site.  Immediate     |
| compensatory actions were taken upon discovery.                              |
|                                                                              |
| Contact HOO for further details.                                             |
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