Event Notification Report for October 23, 2001
U.S. Nuclear Regulatory Commission
Operations Center
Event Reports For
10/22/2001 - 10/23/2001
** EVENT NUMBERS **
38411 38412 38413 38414 38415 38416
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|Power Reactor |Event Number: 38411 |
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| FACILITY: FARLEY REGION: 2 |NOTIFICATION DATE: 10/21/2001|
| UNIT: [1] [2] [] STATE: AL |NOTIFICATION TIME: 19:41[EDT]|
| RXTYPE: [1] W-3-LP,[2] W-3-LP |EVENT DATE: 10/21/2001|
+------------------------------------------------+EVENT TIME: 18:20[CDT]|
| NRC NOTIFIED BY: ROBERT FUCICH |LAST UPDATE DATE: 10/22/2001|
| HQ OPS OFFICER: BOB STRANSKY +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: NON EMERGENCY |R2 IRC TEAM MANAGER R2 |
|10 CFR SECTION: | |
|ACOM 50.72(b)(3)(xiii) LOSS COMM/ASMT/RESPONSE| |
| | |
| | |
| | |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE
|
+-----+----------+-------+--------+-----------------+--------+-----------------+
|1 N N 0 Refueling |0 Refueling |
|2 N Y 100 Power Operation |100 Power Operation |
| | |
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EVENT TEXT
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| LOSS OF SOME OFFSITE COMMUNICATIONS |
| |
| The licensee reported that the Emergency Notification Network, used to |
| contact state and local government agencies, is currently inoperable. The |
| licensee has confirmed that commercial telephone communication with these |
| agencies is still possible. The NRC resident inspector will be informed of |
| this condition by the licensee. |
| |
| * * * UPDATE 0139EDT ON 10/22/01 FROM ROBERT FUCICH TO S. SANDIN * * * |
| |
| The licensee restored the Emergency Notification Network to service at |
| 0039CDT. Notified R2IRC. |
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!!!!!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED !!!!!!!
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|Hospital |Event Number: 38412 |
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| REP ORG: CABELL HUNTINGTON HOSPITAL |NOTIFICATION DATE: 10/22/2001|
|LICENSEE: CABELL HUNTINGTON HOSPITAL |NOTIFICATION TIME: 08:16[EDT]|
| CITY: HUNTINGTON REGION: 2 |EVENT DATE: 10/22/2001|
| COUNTY: STATE: WV |EVENT TIME: [EDT]|
|LICENSE#: 47-00404-02 AGREEMENT: N |LAST UPDATE DATE: 10/22/2001|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |R2 IRC TEAM MANAGER R2 |
| |PAT RATHBUN NMSS |
+------------------------------------------------+ |
| NRC NOTIFIED BY: FRED PEATROSS | |
| HQ OPS OFFICER: STEVE SANDIN | |
+------------------------------------------------+ |
|EMERGENCY CLASS: NON EMERGENCY | |
|10 CFR SECTION: | |
|LADM 35.33(a) MED MISADMINISTRATION | |
| | |
| | |
| | |
| | |
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EVENT TEXT
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| MEDICAL MISADMINISTRATION INVOLVING A DIAGNOSTIC GIVEN TO THE WRONG
PATIENT |
| |
| At approximately 1400EDT on Friday,10/19/01, a 12.2 millicurie Tc-99m |
| cardiolite dose for a resting cardiolite study was administered to a 70-year |
| old female patient. The technologist administering the diagnostic dose |
| relied on oral confirmation as to the patient's identity since the patient's |
| wristband was missing. The patient responded "right" several times when |
| asked if she was patient "x." When she was taken to the treadmill area she |
| identified herself as patient "y." The Director of Nuclear Medicine was |
| informed this morning when he returned to work of the error and has informed |
| the referring physician. The patient will be notified later today. There |
| are no adverse effects anticipated from this incident. Corrective action |
| includes verification of identity using wristbands. |
| |
| * * * UPDATE 1205EDT ON 10/22/01 FROM PEATROSS TO S. SANDIN * * * |
| |
| The licensee is retracting this report in that it does not meet the criteria |
| for reporting as a misadministration. Notified R2IRC and NMSS(Frant). |
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|Other Nuclear Material |Event Number: 38413 |
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| REP ORG: UNDERWOOD ENGINEERING |NOTIFICATION DATE: 10/22/2001|
|LICENSEE: UNDERWOOD ENGINEERING |NOTIFICATION TIME: 11:10[EDT]|
| CITY: MT. EPHRAIM REGION: 1 |EVENT DATE: 10/22/2001|
| COUNTY: STATE: NJ |EVENT TIME: 07:45[EDT]|
|LICENSE#: 29-23425-01 AGREEMENT: N |LAST UPDATE DATE: 10/22/2001|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |R1 IRC TEAM MANAGER R1 |
| |SUSAN FRANT NMSS |
+------------------------------------------------+ |
| NRC NOTIFIED BY: CRIS OSLUND | |
| HQ OPS OFFICER: STEVE SANDIN | |
+------------------------------------------------+ |
|EMERGENCY CLASS: NON EMERGENCY | |
|10 CFR SECTION: | |
|BAB1 20.2201(a)(1)(i) LOST/STOLEN LNM>1000X | |
| | |
| | |
| | |
| | |
+------------------------------------------------------------------------------+
EVENT TEXT
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| REPORT INVOLVING A STOLEN TROXLER GAUGE |
| |
| A Troxler Gauge, Model 3430 S/N 31156, containing 8 millicuries Cs-137 and |
| 40 millicuries Am-241/Be was stolen from the bed of a company truck at a |
| construction site on Ruan Street, off of Frankfurt, in the northeast |
| District of Philadelphia, PA. The employee parked the truck at |
| approximately 0730EDT and discovered both the gauge and it's case missing at |
| 0745EDT when he returned. The device was properly stowed for transport with |
| indication of forcible removal. The licensee notified both Troxler and the |
| Philadelphia Police Department. |
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|General Information or Other |Event Number: 38414 |
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| REP ORG: TEXAS DEPARTMENT OF HEALTH |NOTIFICATION DATE: 10/22/2001|
|LICENSEE: QTE GROUP, INC. |NOTIFICATION TIME: 12:00[EDT]|
| CITY: GARLAND REGION: 4 |EVENT DATE: 09/29/2001|
| COUNTY: STATE: TX |EVENT TIME: 08:30[CDT]|
|LICENSE#: L05222 AGREEMENT: Y |LAST UPDATE DATE: 10/22/2001|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |WILLIAM JOHNSON R4 |
| |SUSAN FRANT NMSS |
+------------------------------------------------+ |
| NRC NOTIFIED BY: HELEN WATKINS (via fax) | |
| HQ OPS OFFICER: STEVE SANDIN | |
+------------------------------------------------+ |
|EMERGENCY CLASS: NON EMERGENCY | |
|10 CFR SECTION: | |
|NAGR AGREEMENT STATE | |
| | |
| | |
| | |
| | |
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EVENT TEXT
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| AGREEMENT STATE REPORT INVOLVING A STOLEN TROXLER GAUGE |
| |
| The following is a portion of a fax received from the Texas Department of |
| Health: |
| |
| "On the morning of September 29, 2001, [a] QTE technician picked up Troxler |
| Gauge [Model 3440] SN:30229 from office to perform test on a project in |
| Garland at 8:30 a.m. On his way to project he realized that he forgot his |
| wallet and returned home to pick it up. After returning to his pickup (1998 |
| Chevy S-10 - Silver), he noticed that the lock was cut and the gauge had |
| been stolen (approximately 8:00 a.m.). Source numbers are (CS-137: |
| 750-4377) and (AM-241: 47-27208)." |
| |
| The licensee notified the City of Garland Police Department (Report Number |
| R028859) and the Texas Department of Health (Texas Incident Number I-7816). |
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|General Information or Other |Event Number: 38415 |
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| REP ORG: OHIO BUREAU OF RADIATION PROTECTION |NOTIFICATION DATE:
10/22/2001|
|LICENSEE: BOWSER-MORNER, INC |NOTIFICATION TIME: 12:02[EDT]|
| CITY: TOLEDO REGION: 3 |EVENT DATE: 10/22/2001|
| COUNTY: STATE: OH |EVENT TIME: [EDT]|
|LICENSE#: OH-3121058000 AGREEMENT: Y |LAST UPDATE DATE: 10/22/2001|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |BRENT CLAYTON R3 |
| |SUSAN FRANT NMSS |
+------------------------------------------------+ |
| NRC NOTIFIED BY: SNEE | |
| 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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| THE STATE REPORTED A STOLEN TROXLER MOISTURE/DENSITY GAUGE FROM ONE
OF THEIR |
| LICENSEES |
| |
| Bowser-Morner, Inc (State of Ohio licensee) reported the theft of a Troxler |
| moisture/density gauge (model 3430, serial 31270) containing a 1.44 GBq |
| (38.9 mCi Am-Be sealed source and a 0.28 GBq (7.7 mCi) Cs-137 sealed source. |
| The gauge was stolen from the back of a truck parked at an employee's |
| residence in Toledo, Ohio. The gauge was stolen in the time period between |
| the evening of 10/20/01 and the morning of 10/22/01. The handle of the gauge |
| case had been pried off, leaving the handle and locked chain. The licensee |
| notified the Toledo and Oregon, Ohio police departments. |
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|Power Reactor |Event Number: 38416 |
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| FACILITY: THREE MILE ISLAND REGION: 1 |NOTIFICATION DATE: 10/22/2001|
| UNIT: [1] [] [] STATE: PA |NOTIFICATION TIME: 18:48[EDT]|
| RXTYPE: [1] B&W-L-LP,[2] B&W-L-LP |EVENT DATE: 10/22/2001|
+------------------------------------------------+EVENT TIME: 13:57[EDT]|
| NRC NOTIFIED BY: MILLER |LAST UPDATE DATE: 10/22/2001|
| HQ OPS OFFICER: CHAUNCEY GOULD +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: NON EMERGENCY |R1 IRC TEAM MANAGER R1 |
|10 CFR SECTION: |WILLIAM BECKNER NRR |
|ADEG 50.72(b)(3)(ii)(A) DEGRADED CONDITION | |
| | |
| | |
| | |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE
|
+-----+----------+-------+--------+-----------------+--------+-----------------+
|1 N N 0 Refueling |0 Refueling |
| | |
| | |
+------------------------------------------------------------------------------+
EVENT TEXT
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| DISCOVERY OF A THROUGH-WALL LEAK AROUND 3 (THREE) CONTROL ROD DRIVE
|
| MECHANISM NOZZLES (REACTOR COOLANT SYSTEM PRESSURE BOUNDARY LEAK)
|
| |
| On October 11 and 12, 2001, following shutdown for a scheduled refueling |
| outage, Three Mile Island Unit 1 (TMI-1) performed a visual inspection of |
| the Reactor Vessel (RV) Control Rod Drive Mechanism (CRDM) nozzles per NRC |
| Bulletin 2001-01. The inspection revealed evidence of boric acid buildup |
| around 12 CRDM nozzles. No other CRDM nozzles showed similar boron buildup. |
| After the RV head was removed and placed on the storage stand, additional |
| inspections were performed. At approximately 1357 on October 22, 2001, |
| Engineering evaluation of the visual inspection, Liquid Penetrant Test (PT) |
| data and Ultrasonic Test (UT) data identified through-wall indications on |
| three CRDM nozzles. This engineering evaluation concluded that the visual |
| indications around CRDMs 44, 35, and 37 indicate a Reactor Coolant System |
| (RCS) pressure boundary leak. The inspection is not yet completed, thus |
| additional CRDM through-wall indications may be identified. This condition |
| is consistent with industry experience with Primary Water Stress Corrosion |
| Cracking (PWSCC) in similar components that have been evaluated as part of |
| the NRC Generic Letter 97-01 and NRC Bulletin 2001-01. Additional nozzles |
| may be examined by UT in accordance with TMl-1's response to NRC Bulletin |
| 2001-01. This condition did not pose a significant safety risk during plant |
| operation. TMl-1 plans to perform CRDM nozzle repairs during the current |
| refueling outage. Since the condition resulted in leakage through the RCS |
| pressure boundary, it is being reported as a non-emergency [8-hour] report |
| in accordance with 10 CFR 50.72(b)(3) (ii)(A) and 50.73(a)(2)(ii) (A). |
| |
| The NRC resident inspector has been notified. |
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