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 . +------------------------------------------------------------------------------+ |Power Reactor |Event Number: 38411 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | 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 | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | 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. | +------------------------------------------------------------------------------+ . !!!!!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED !!!!!!! +------------------------------------------------------------------------------+ |Hospital |Event Number: 38412 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | 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 | | | | | | | | | | | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | 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). | +------------------------------------------------------------------------------+ . +------------------------------------------------------------------------------+ |Other Nuclear Material |Event Number: 38413 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | 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 +------------------------------------------------------------------------------+ | 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. | +------------------------------------------------------------------------------+ . +------------------------------------------------------------------------------+ |General Information or Other |Event Number: 38414 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | 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 | | | | | | | | | | | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | 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). | +------------------------------------------------------------------------------+ . +------------------------------------------------------------------------------+ |General Information or Other |Event Number: 38415 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | 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 | | | | | | | | | | | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | 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. | +------------------------------------------------------------------------------+ . +------------------------------------------------------------------------------+ |Power Reactor |Event Number: 38416 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | 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 +------------------------------------------------------------------------------+ | 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. | +------------------------------------------------------------------------------+ .
Page Last Reviewed/Updated Thursday, March 25, 2021
Page Last Reviewed/Updated Thursday, March 25, 2021