United States Nuclear Regulatory Commission - Protecting People and the Environment
Home > NRC Library > Document Collections > Reports Associated With Events > Event Notification Reports > 2001

Event Notification Report for November 9, 2001

                         
                    U.S. Nuclear Regulatory Commission
                              Operations Center

                              Event Reports For
                           11/08/2001 - 11/09/2001

                              ** EVENT NUMBERS **

38479  38480  38482  38483  38484  38485  38486  
.
+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   38479       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: SAINT LUCIE              REGION:  2  |NOTIFICATION DATE: 11/08/2001|
|    UNIT:  [1] [2] []                STATE:  FL |NOTIFICATION TIME: 10:39[EST]|
|   RXTYPE: [1] CE,[2] CE                        |EVENT DATE:        11/08/2001|
+------------------------------------------------+EVENT TIME:        10:39[EST]|
| NRC NOTIFIED BY:  KORTH                        |LAST UPDATE DATE:  11/08/2001|
|  HQ OPS OFFICER:  CHAUNCEY GOULD               +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          NON EMERGENCY         |R2 IRC TEAM MANAGER  R2      |
|10 CFR SECTION:                                 |                             |
|APRE 50.72(b)(2)(xi)     OFFSITE NOTIFICATION   |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR|   INIT RX MODE  |CURR PWR|  CURR RX MODE  
|
+-----+----------+-------+--------+-----------------+--------+-----------------+
|1     N          Y       100      Power Operation  |100      Power Operation  |
|2     N          Y       100      Power Operation  |100      Power Operation  |
|                                                   |                          |
+------------------------------------------------------------------------------+
                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| THE LICENSEE NOTIFIED THE STATE THAT TWO DEAD SEA TURTLES WERE
DISCOVERED IN |
| THE INTAKE CANAL                                                             |
|                                                                              |
| At approximately 0800 on 11/8/01 two dead sea turtles(one green and one      |
| loggerhead) were recovered from the licensee's intake canal.  Pursuant to    |
| the sea turtle permit, the Florida Department of Environmental               |
| Protection(FDEP) was notified at approximately 0845.  Both turtles           |
| apparently drowned below the surface of the 5" mesh barrier net.  The        |
| carcasses will be turned over to the FWCC.                                   |
|                                                                              |
| The NRC Resident Inspector and the FDEP were notified.                       |
+------------------------------------------------------------------------------+
.
+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   38480       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: SAINT LUCIE              REGION:  2  |NOTIFICATION DATE: 11/08/2001|
|    UNIT:  [1] [2] []                STATE:  FL |NOTIFICATION TIME: 14:00[EST]|
|   RXTYPE: [1] CE,[2] CE                        |EVENT DATE:        11/08/2001|
+------------------------------------------------+EVENT TIME:        13:05[EST]|
| NRC NOTIFIED BY:  JACK BREEN                   |LAST UPDATE DATE:  11/08/2001|
|  HQ OPS OFFICER:  STEVE SANDIN                 +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          NON EMERGENCY         |R2 IRC TEAM MANAGER  R2      |
|10 CFR SECTION:                                 |                             |
|APRE 50.72(b)(2)(xi)     OFFSITE NOTIFICATION   |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR|   INIT RX MODE  |CURR PWR|  CURR RX MODE  
|
+-----+----------+-------+--------+-----------------+--------+-----------------+
|1     N          N       0        Hot Standby      |0        Hot Standby      |
|2     N          Y       100      Power Operation  |100      Power Operation  |
|                                                   |                          |
+------------------------------------------------------------------------------+
                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| THE LICENSEE NOTIFIED THE STATE OF A DEAD SEA TURTLE DISCOVERED IN THE      
|
| INTAKE CANAL                                                                 |
|                                                                              |
| "At approximately 1230, one dead sea turtle was recovered from the St. Lucie |
| Intake Canal.  Pursuant to the sea turtle permit the Florida Department of   |
| Environmental Protection (FDEP) was notified at 1305.  The notification of   |
| FDEP necessitates a four (4) hour non-emergency notification of [the] NRC    |
| per 10CFR50.72(b)(2)(xi)."                                                   |
|                                                                              |
| The licensee informed the State of Florida and will inform the NRC Resident  |
| Inspector.                                                                   |
|                                                                              |
| HOO Note:  See previous event #38479.                                        |
+------------------------------------------------------------------------------+
.
+------------------------------------------------------------------------------+
|Hospital                                         |Event Number:   38482       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG:  UNIVERSITY OF PENNSYLVANIA           |NOTIFICATION DATE: 11/08/2001|
|LICENSEE:  UNIVERSITY OF PENNSYLVANIA           |NOTIFICATION TIME: 16:05[EST]|
|    CITY:  PHILADELPHA              REGION:  1  |EVENT DATE:        11/08/2001|
|  COUNTY:                            STATE:  PA |EVENT TIME:        15:15[EST]|
|LICENSE#:  37-00118-07           AGREEMENT:  N  |LAST UPDATE DATE:  11/08/2001|
|  DOCKET:                                       |+----------------------------+
|                                                |PERSON          ORGANIZATION |
|                                                |R1 IRC TEAM MANAGER  R1      |
|                                                |DON COOL             NMSS    |
+------------------------------------------------+                             |
| NRC NOTIFIED BY:  FORREST                      |                             |
|  HQ OPS OFFICER:  CHAUNCEY GOULD               |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          NON EMERGENCY         |                             |
|10 CFR SECTION:                                 |                             |
|LADM 35.33(a)            MED MISADMINISTRATION  |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+------------------------------------------------------------------------------+

                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| THE LICENSEE REPORTED A MEDICAL MISADMINISTRATION OCCURRED DURING          
 |
| THERAPEUTIC TREATMENT                                                        |
|                                                                              |
| At approximately 2:45 pm on November 7, 2001, a physician, an authorized     |
| user in Nuclear Medicine, began administration of a Y-90 therapeutic         |
| radiopharmaceutical dose in accordance with the written directive for the    |
| treatment.                                                                   |
|                                                                              |
| The administration system used a saline flush followed by an air flush to    |
| administer the radiopharmaceutical.  During the air flush at approximately   |
| 3:15 pm, fluid was observed on the top of the second dose vial.  To avoid    |
| infusing a potentially non-sterile dose, the doctor stopped the dose         |
| administration before the entire dose was infused.  Based on post infusion   |
| measurements of the dose vials, the patient received approximately 80 mCi    |
| instead of the prescribed 120 mCi.                                           |
|                                                                              |
| The administrating physician informed the patient on November 7, 2001 that   |
| because of the administration problem, the total prescribed dose was not     |
| administered. The referring physician will be notified.                      |
|                                                                              |
| There are no expected harmful effects as a result of this treatment. The     |
| treatment protocol requires the subject to receive three separate 120 mCi    |
| doses of the Y-90 radiopharmaceutical. This was the patient's second         |
| treatment.                                                                   |
+------------------------------------------------------------------------------+
.
+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   38483       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: SAINT LUCIE              REGION:  2  |NOTIFICATION DATE: 11/08/2001|
|    UNIT:  [1] [] []                 STATE:  FL |NOTIFICATION TIME: 16:30[EST]|
|   RXTYPE: [1] CE,[2] CE                        |EVENT DATE:        11/08/2001|
+------------------------------------------------+EVENT TIME:        12:40[EST]|
| NRC NOTIFIED BY:  JIM TOTTON                   |LAST UPDATE DATE:  11/08/2001|
|  HQ OPS OFFICER:  STEVE SANDIN                 +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          NON EMERGENCY         |R2 IRC TEAM MANAGER  R2      |
|10 CFR SECTION:                                 |                             |
|NINF                     INFORMATION ONLY       |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR|   INIT RX MODE  |CURR PWR|  CURR RX MODE  
|
+-----+----------+-------+--------+-----------------+--------+-----------------+
|1     M/R        Y       100      Power Operation  |0        Hot Standby      |
|                                                   |                          |
|                                                   |                          |
+------------------------------------------------------------------------------+
                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| INFORMATION REPORT INVOLVING A CONTROLLED PLANT SHUTDOWN FOR REPAIRS 
       |
|                                                                              |
| "A controlled plant shutdown was performed due to a small (1 inch or less)   |
| steam leak on 'B' main steam header.  The leak originated from a 1 inch      |
| drain line located upstream of the 'B' MSIV.  The Unit was shutdown in       |
| accordance with plant procedures.  A plant cooldown to mode 5 is in progress |
| to affect repairs."                                                          |
|                                                                              |
| The licensee informed the NRC Resident Inspector.                            |
+------------------------------------------------------------------------------+
.
+------------------------------------------------------------------------------+
|General Information or Other                     |Event Number:   38484       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG:  CONAM                                |NOTIFICATION DATE: 11/08/2001|
|LICENSEE:  CONAM                                |NOTIFICATION TIME: 16:52[EST]|
|    CITY:  GLEN DALE HTS.           REGION:  3  |EVENT DATE:        11/08/2001|
|  COUNTY:                            STATE:  IL |EVENT TIME:        09:35[CST]|
|LICENSE#:  12-16559-02           AGREEMENT:  Y  |LAST UPDATE DATE:  11/08/2001|
|  DOCKET:                                       |+----------------------------+
|                                                |PERSON          ORGANIZATION |
|                                                |R3 IRC TEAM MANAGER  R3      |
|                                                |R1 IRC TEAM MANAGER  R1      |
+------------------------------------------------+PATRICIA HOLAHAN     NMSS    |
| NRC NOTIFIED BY:  SLACK                        |                             |
|  HQ OPS OFFICER:  CHAUNCEY GOULD               |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          NON EMERGENCY         |                             |
|10 CFR SECTION:                                 |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+------------------------------------------------------------------------------+

                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| THE CONAM COMPANY REPORTED THAT ONE OF THEIR RADIOGRAPH CAMERAS HAD
A SOURCE |
| THAT BECAME STUCK                                                            |
|                                                                              |
| An Iridium - 192 AEA model 660B radiography camera in use at the Sunoco      |
| refinery at Gerard Pt. Philadelphia, Pa. had the source get stuck while the  |
| licensee was retracting it into the camera.  The source was moved in and out |
| of the camera a few times before it finally was fully retracted into the     |
| camera.  No one was overexposed and the camera will be returned to the       |
| manufacturer for inspection and repair.  They believe the cause was due to a |
| locking problem in the camera.                                               |
+------------------------------------------------------------------------------+
.
+------------------------------------------------------------------------------+
|Fuel Cycle Facility                              |Event Number:   38485       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: PORTSMOUTH GASEOUS DIFFUSION PLANT   |NOTIFICATION DATE:
11/08/2001|
|   RXTYPE: URANIUM ENRICHMENT FACILITY          |NOTIFICATION TIME: 22:35[EST]|
| COMMENTS: 2 DEMOCRACY CENTER                   |EVENT DATE:        11/08/2001|
|           6903 ROCKLEDGE DRIVE                 |EVENT TIME:        10:45[EST]|
|           BETHESDA, MD 20817    (301)564-3200  |LAST UPDATE DATE:  11/08/2001|
|    CITY:  PIKETON                  REGION:  3  +-----------------------------+
|  COUNTY:  PIKE                      STATE:  OH |PERSON          ORGANIZATION |
|LICENSE#:  GDP-2                 AGREEMENT:  N  |R3 IRC TEAM MANAGER  R3      |
|  DOCKET:  0707002                              |                             |
+------------------------------------------------+                             |
| NRC NOTIFIED BY:  KEITH VANDERPOOL             |                             |
|  HQ OPS OFFICER:  STEVE SANDIN                 |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          NON EMERGENCY         |                             |
|10 CFR SECTION:                                 |                             |
|OCBA 76.120(c)(2)        SAFETY EQUIPMENT FAILUR|                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+------------------------------------------------------------------------------+

                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| SAFETY SYSTEM DISCOVERED INOPERABLE DURING SURVEILLANCE TEST                 |
|                                                                              |
| "At 1045 hours maintenance personnel identified the failure of the safety    |
| system component in the X-760 building.  During the scheduled TSR            |
| surveillance, maintenance on the X-760 Criticality Accident Alarm System     |
| (CAAS), maintenance personnel identified that the associated nitrogen horns  |
| would not have functioned as designed.  Post maintenance testing of the      |
| associated nitrogen horn identified that the horns would not sound as        |
| required due to a gross leak at the block manifold.  Repairs and a           |
| successful post maintenance test were completed under the direction of the   |
| System Engineer.  The Plant Shift Superintendent (PSS) has directed a random |
| check of the site CAAS facilities be conducted to ensure this condition does |
| not exist elsewhere.  The X-760 CAAS remains inoperable pending the          |
| completion of the requested engineering evaluation to address the gross leak |
| condition causing the safety system failure."                                |
|                                                                              |
| Operations informed both the NRC Resident Inspector and the DOE Site         |
| Representative.                                                              |
+------------------------------------------------------------------------------+
.
+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   38486       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: BEAVER VALLEY            REGION:  1  |NOTIFICATION DATE: 11/09/2001|
|    UNIT:  [1] [] []                 STATE:  PA |NOTIFICATION TIME: 01:08[EST]|
|   RXTYPE: [1] W-3-LP,[2] W-3-LP                |EVENT DATE:        11/08/2001|
+------------------------------------------------+EVENT TIME:        20:57[EST]|
| NRC NOTIFIED BY:  RONALD GREEN                 |LAST UPDATE DATE:  11/09/2001|
|  HQ OPS OFFICER:  BOB STRANSKY                 +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          NON EMERGENCY         |R1 IRC TEAM MANAGER  R1      |
|10 CFR SECTION:                                 |                             |
|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        N       0        Startup          |0        Hot Standby      |
|                                                   |                          |
|                                                   |                          |
+------------------------------------------------------------------------------+
                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| AUTOMATIC REACTOR TRIP DURING UNIT STARTUP                                   |
|                                                                              |
| "During a reactor start up, BVPS Unit One Reactor tripped prior to reaching  |
| criticality.  The apparent cause of the trip is a blown control power fuse   |
| on Intermediate Range Nuclear Instrument channel N36.  The blown fuse caused |
| actuation of the Intermediate Range high level trip.  All control rods fully |
| inserted.  All equipment properly functioned.  Unit One is presently in mode |
| three at normal temperature and pressure.  Decay heat removal is through the |
| steam bypass valves to the main condenser as it was throughout the event.  A |
| main feed pump is supplying feedwater through the bypass feedwater           |
| regulating valves."                                                          |
|                                                                              |
| The NRC resident inspector has been informed of this event by the licensee.  |
+------------------------------------------------------------------------------+
.