Event Notification Report for November 30, 2001
U.S. Nuclear Regulatory Commission
Operations Center
Event Reports For
11/29/2001 - 11/30/2001
** EVENT NUMBERS **
38520 38522 38523 38524 38525
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|General Information or Other |Event Number: 38520 |
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| REP ORG: TENNESSEE DIV OF RAD HEALTH |NOTIFICATION DATE: 11/28/2001|
|LICENSEE: TRI-STATE TESTING AND DRILLING, INC. |NOTIFICATION TIME: 11:50[EST]|
| CITY: CHATTANOOGA REGION: 2 |EVENT DATE: 11/28/2001|
| COUNTY: STATE: TN |EVENT TIME: 06:00[EST]|
|LICENSE#: R-33105 AGREEMENT: Y |LAST UPDATE DATE: 11/28/2001|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |EDWARD MCALPINE R2 |
| |FRED BROWN NMSS |
+------------------------------------------------+ |
| NRC NOTIFIED BY: DEBRA SHULTS (fax) | |
| HQ OPS OFFICER: LEIGH TROCINE | |
+------------------------------------------------+ |
|EMERGENCY CLASS: NON EMERGENCY | |
|10 CFR SECTION: | |
|NAGR AGREEMENT STATE | |
| | |
| | |
| | |
| | |
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EVENT TEXT
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| AGREEMENT STATE REPORT REGARDING A TRI-STATE TESTING AND DRILLING, IN C.
|
| TROXLER MOISTURE DENSITY GAUGE STOLEN IN CHATTANOOGA, TENNESSEE
|
| |
| The following text is a portion of a facsimile received from the State of |
| Tennessee, Department of Environment and Conservation, Division of |
| Radiological Health: |
| |
| "Event Report ID No.: TN-01-217" |
| |
| "License Number: R-33105" |
| |
| "Licensee: Tri-State Testing and Drilling, Inc." |
| |
| "Event date and time: November 28, 2001, approx. 0600 EST" |
| |
| "Event location: Chattanooga, TN" |
| |
| "Event type: Stolen moisture density gauge" |
| |
| "Notifications: Tennessee Emergency Management Agency, USNRC Region II, |
| Alabama Office of Radiation Control, Georgia Radioactive Materials Program, |
| Chattanooga Police Department" |
| |
| "Media interest: None at this time. A press release is being issued by |
| TDEC." |
| |
| "Event description: Tri-State Testing and Drilling. Inc. reported a Troxler |
| moisture density gauge, Model 3440, SN 17252, containing 8 millicuris of |
| Cesium-137 and 40 millicuries of Americium-241:Beryllium, was stolen from |
| the bed of a pickup truck early this morning. The gauge was chained in the |
| back of the truck parked at an employees residence. Thieves cut the chain |
| and removed the locked container. State DRH inspectors are onsite |
| investigating at this time." |
| |
| (Call the NRC operations officer for contact information.) |
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|Other Nuclear Material |Event Number: 38522 |
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| REP ORG: US GEOLOGICAL SURVEY |NOTIFICATION DATE: 11/29/2001|
|LICENSEE: US GEOLOGICAL SURVEY |NOTIFICATION TIME: 11:00[EST]|
| CITY: DENVER REGION: 4 |EVENT DATE: 11/19/2001|
| COUNTY: STATE: CO |EVENT TIME: [MST]|
|LICENSE#: 05-01399-08 AGREEMENT: Y |LAST UPDATE DATE: 11/29/2001|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |WILLIAM JOHNSON R4 |
| |FRED BROWN NMSS |
+------------------------------------------------+ |
| NRC NOTIFIED BY: DARRELL LILES | |
| HQ OPS OFFICER: STEVE SANDIN | |
+------------------------------------------------+ |
|EMERGENCY CLASS: NON EMERGENCY | |
|10 CFR SECTION: | |
|NONR OTHER UNSPEC REQMNT | |
| | |
| | |
| | |
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EVENT TEXT
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| RADIOACTIVE SHIPMENT SHIPPED AS EXCEPTED PACKAGE - LIMITED
QUANTITYINSTEAD |
| OF DOT 7A YELLOW II |
| |
| The following text describes a mislabeled package shipped via FedEx: |
| |
| "Summary of Incident: |
| |
| 11/19/2001: Samples were irradiated for McCrone & Associates Inc. by the US |
| Geological Survey TRIGA Reactor staff. (Facility license R-1 13, docket |
| 50-274). After irradiation, the samples were surveyed with an ion chamber |
| and analyzed with a germanium detector for nuclide determination. The ion |
| chamber had been response checked that morning. The samples were packaged in |
| Type A shipping container (juice can) that was placed inside a cardboard |
| box. Radiation surveys on the package were conducted using the same ion |
| chamber as before, and contamination surveys were also conducted. All |
| radiation/contamination surveys and isotope activities indicated an excepted |
| package-limited quantity radioactive shipment. These readings were |
| consistent with prior sample irradiations performed for McCrone & |
| Associates. The package, reading 0.42 mr/hr on the surface was sent from |
| Denver, CO to McCrone and Associates Inc (in a Chicago suburb) via FedEx |
| overnight. |
| |
| 11/20/2001: McCrone's Radiation Safety Officer notified USGS Reactor staff |
| that the package containing the samples had been received and the surface of |
| the box read 4 mr/hr with their Geiger-Mueller pancake detector. No |
| contamination was found on the package. The package was opened only to |
| remove the paperwork and then was placed behind lead shielding. |
| |
| The calibration of the USGS meter that was used to survey the outgoing |
| package was checked and the meter was found to be defective. A good USGS |
| ion chamber was sent via FedEx overnight to McCrone to get comparison |
| readings. |
| |
| 11/21/2001: Radiation readings were taken on top of the Type A container |
| (inner package) with McCrone's detector (3.0 mr/hr) and with USGS detector |
| (1.8 mr/hr). |
| |
| Calculations were performed to estimate the radiation levels on the surface |
| of the package and the transport index when it was shipped. These |
| calculations were based on the half-life of Na-24, the predominant isotope, |
| and the readings taken by McCrone & Associates approximately 19 hours after |
| the package was shipped by USGS. These calculations indicate the package |
| read approximately 5.8 mr/hr on the surface and had a transport index of 0.1 |
| at the time of shipment. With a transport index of 0.1 and shipment time of |
| 19 hours (allowing 5 hours for flight) a person at one meter from the |
| package the total 14 hours would receive 1.4 mrem. We believe this |
| calculation represents a very conservative maximum exposure received from |
| the package by any one individual during the shipment. |
| |
| FedEx was notified of the mislabeled package (Harold Brooks with the |
| Dangerous Goods Department). The State of Illinois has also been notified by |
| McCrone and Associates personnel. The shipping department of the USGS at the |
| Denver Federal Center has also been notified of the incident. |
| |
| Conclusions: |
| |
| No radioactivity was released from the package. FedEx workers received an |
| estimated 1.4 person-mrems during shipment of this package. |
| |
| Follow-up: |
| |
| Further investigations will be performed to determine actions that can be |
| taken to prevent similar incidents from occurring in the future. A |
| comprehensive written report will be submitted by December 3, 2001." |
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|General Information or Other |Event Number: 38523 |
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| REP ORG: LOUISIANA RADIATION PROTECTION DIV |NOTIFICATION DATE: 11/29/2001|
|LICENSEE: ROMAGOSA ONCOLOGY |NOTIFICATION TIME: 16:45[EST]|
| CITY: NEW IBERIA REGION: 4 |EVENT DATE: 11/28/2001|
| COUNTY: STATE: LA |EVENT TIME: [CST]|
|LICENSE#: LA-0978-L01 AGREEMENT: Y |LAST UPDATE DATE: 11/29/2001|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |WILLIAM JOHNSON R4 |
| |LARRY CAMPER NMSS |
+------------------------------------------------+ |
| NRC NOTIFIED BY: BLACKWELL (FAX) | |
| 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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| STATE LICENSEE REPORTED A MEDICAL MISADMINISTRATION |
| |
| A patient was being treated with a brachytherapy dose of Ir-192. The Ir-192 |
| was 6.6 Ci. The facility was performing multiple fractions. Each fraction |
| was supposed to be 440 centigray. Fraction 5 of 6 was 269 centigray, which |
| is more than a 20% difference. The individual making the notification |
| stated that another directive would be written for the sixth fraction so |
| that the patient receives the full 2640 centigray dose. |
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|General Information or Other |Event Number: 38524 |
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| REP ORG: TEXAS DEPARTMENT OF HEALTH |NOTIFICATION DATE: 11/29/2001|
|LICENSEE: COMPUTALOG WIRELINE PRODUCTS INC |NOTIFICATION TIME:
16:48[EST]|
| CITY: HOUSTON REGION: 4 |EVENT DATE: 11/29/2001|
| COUNTY: STATE: TX |EVENT TIME: 06:50[CST]|
|LICENSE#: L00747 AGREEMENT: Y |LAST UPDATE DATE: 11/29/2001|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |WILLIAM JOHNSON R4 |
| |LARRY CAMPER NMSS |
+------------------------------------------------+ |
| NRC NOTIFIED BY: OGDEN | |
| 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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| TRANSPORTATION INCIDENT INVOLVING A TEXAS STATE LICENSEE |
| |
| Ice on bridge caused car in left lane to loose control. Car following |
| swerved into right lane in front of wireline truck traveling approximately |
| 30 mph. Truck could have hit car or move to edge of road, which it did and |
| ended up in the ditch. The truck laid over on it's right side with minor |
| damage to right side of the vehicle - mirror and glass. No damage to |
| sources which were secured in Pigs welded to the floor and wall of the |
| vehicle. The vehicle is to be up-righted and towed to Houston for repairs. |
| RSO for Licensee is on-site and has assessed sources as un-damaged and |
| secure in their storage Pigs. The sources carried by the truck are a Well |
| logging calibration stick(Ra-226), calibration bar(Am-241/Be/Cs-137), a |
| Cs-137 well logging source and a Am-241/Be well logging source. Only minor |
| injuries were received by the two occupants of the truck. Activity readings |
| were normal for the truck. |
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|Power Reactor |Event Number: 38525 |
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| FACILITY: POINT BEACH REGION: 3 |NOTIFICATION DATE: 11/29/2001|
| UNIT: [1] [2] [] STATE: WI |NOTIFICATION TIME: 18:07[EST]|
| RXTYPE: [1] W-2-LP,[2] W-2-LP |EVENT DATE: 11/29/2001|
+------------------------------------------------+EVENT TIME: 15:38[CST]|
| NRC NOTIFIED BY: MEYER |LAST UPDATE DATE: 11/29/2001|
| HQ OPS OFFICER: CHAUNCEY GOULD +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: NON EMERGENCY |BRUCE JORGENSEN R3 |
|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
|
+-----+----------+-------+--------+-----------------+--------+-----------------+
|1 N Y 100 Power Operation |100 Power Operation |
|2 N Y 100 Power Operation |100 Power Operation |
| | |
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EVENT TEXT
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| A LOSS OF INSTRUMENT AIR MAY CAUSE A POTENTIAL COMMON MODE FAILURE FOR
ALL |
| AUXILIARY FEEDWATER PUMPS. |
| |
| Instrument Air (IA) can be lost primarily by two failure mechanisms. The |
| first, and most likely, is a loss of off-site power where the IA and Service |
| Air (SA) compressors are stripped from the bus and not automatically |
| re-loaded. The second less likely scenario is a random loss of the |
| instrument air system due to equipment failure without potential for short |
| term recovery. When IA is lost, the minimum flow recirculation valves for |
| AFW fail closed. |
| |
| During these two transients, the AFW pumps will start injecting into the |
| steam generators. Early in the EOP's, the operator is directed to control |
| flow to the steam generators to maintain desired level. This may include |
| shutting off flow to one or both steam generators if level is above the |
| desired band. If flow from any auxiliary feed pump is reduced too low (as |
| would occur if the auxiliary feed regulating valves are closed) without |
| functional recirculation valves, the pump will fail in a very short period |
| of time. This common mode of failure (common loss of instrument air and |
| common response to high steam generator level) could result in simultaneous |
| failure of all AFW pumps. |
| |
| The Auxiliary Feedwater system has passed all required testing and is |
| currently fully operable and capable of performing its safety function. It |
| is only under the specific circumstances outlined above that a failure of |
| Auxiliary Feedwater may occur. The licensee is taking interim corrective |
| actions in the form of Operating Crew briefs to ensure Auxiliary Feedwater |
| is not damaged under Loss of Air conditions and is evaluating procedural and |
| equipment design changes to provide a permanent correction to Aux. |
| Feedwater. |
| |
| The NRC Resident Inspector will be notified. |
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Page Last Reviewed/Updated Thursday, March 25, 2021
Page Last Reviewed/Updated Thursday, March 25, 2021