Event Notification Report for December 20, 2001
U.S. Nuclear Regulatory Commission Operations Center Event Reports For 12/19/2001 - 12/20/2001 ** EVENT NUMBERS ** 38581 38582 38583 38584 38585 38586 . +------------------------------------------------------------------------------+ |Power Reactor |Event Number: 38581 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | FACILITY: FT CALHOUN REGION: 4 |NOTIFICATION DATE: 12/19/2001| | UNIT: [1] [] [] STATE: NE |NOTIFICATION TIME: 04:47[EST]| | RXTYPE: [1] CE |EVENT DATE: 12/19/2001| +------------------------------------------------+EVENT TIME: 02:50[CST]| | NRC NOTIFIED BY: CHRISTENSEN |LAST UPDATE DATE: 12/19/2001| | HQ OPS OFFICER: CHAUNCEY GOULD +-----------------------------+ +------------------------------------------------+PERSON ORGANIZATION | |EMERGENCY CLASS: NON EMERGENCY |GARY SANBORN R4 | |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 | | | | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | LOCAL FIRE DEPARTMENT NOTIFIED OF A FIRE ONSITE | | | | A fire alarm was received @ 0248 CST on 12/19/01 for room-22 safety | | injection pump room. An inspection showed heavy smoke at entrance to | | room. The plant fire brigade was manned and personnel entered the room. | | The fire source was an extension cord, connected to some heaters, which | | started some anti-contamination clothing on fire. The fire was identified @ | | 0306 CST and declared out @ 0308 CST. The Blair Fire Department was | | notified @ 0250 CST and responded to the site. No entry was made to the | | Protected Area, as the fire was out upon their arrival. The licensee is | | still investigating the cause. | | | | The NRC Resident Inspector was notified. | +------------------------------------------------------------------------------+ . +------------------------------------------------------------------------------+ |General Information or Other |Event Number: 38582 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | REP ORG: COLORADO DEPT OF HEALTH |NOTIFICATION DATE: 12/19/2001| |LICENSEE: EXEMPLA ST. JOSEPH HOSPITAL |NOTIFICATION TIME: 10:36[EST]| | CITY: DENVER REGION: 4 |EVENT DATE: 12/13/2001| | COUNTY: STATE: CO |EVENT TIME: [MST]| |LICENSE#: 38-33A AGREEMENT: Y |LAST UPDATE DATE: 12/19/2001| | DOCKET: |+----------------------------+ | |PERSON ORGANIZATION | | |GARY SANBORN R4 | | |DON COOL NMSS | +------------------------------------------------+ | | NRC NOTIFIED BY: EGIDI | | | HQ OPS OFFICER: CHAUNCEY GOULD | | +------------------------------------------------+ | |EMERGENCY CLASS: NON EMERGENCY | | |10 CFR SECTION: | | |NAGR AGREEMENT STATE | | | | | | | | | | | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | THE COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT REPORTED A POSSIBLE | | MEDICAL MISADMINISTRATION BY ONE OF THEIR LICENSEES | | | | This occurred during a therapeutic administration of strontium - 90 when the | | catheter being used shifted about 15 mm and ended up in the aorta instead of | | a blood vessel. When the catheter was initially placed and the sources were | | driven out, on the initial 30 second check everything was ok, but on the | | second 30 second check, the catheter looked like it had moved, so the source | | was retracted and the catheter repositioned. The source was out for | | approximately 1 minute 15 seconds. After the repositioning the full | | treatment(23 gray) was given to the patient. The patient was notified | | through the referring physician. | +------------------------------------------------------------------------------+ . +------------------------------------------------------------------------------+ |General Information or Other |Event Number: 38583 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | REP ORG: CENTRAL SOYA COMPANY |NOTIFICATION DATE: 12/19/2001| |LICENSEE: CENTRAL SOYA COMPANY |NOTIFICATION TIME: 12:15[EST]| | CITY: INDIANAPOLIS REGION: 3 |EVENT DATE: 12/14/2001| | COUNTY: STATE: IN |EVENT TIME: [CST]| |LICENSE#: AGREEMENT: N |LAST UPDATE DATE: 12/19/2001| | DOCKET: |+----------------------------+ | |PERSON ORGANIZATION | | |MONTE PHILLIPS R3 | | |JOHN HICKEY NMSS | +------------------------------------------------+ | | NRC NOTIFIED BY: TOM ANDORFER | | | HQ OPS OFFICER: STEVE SANDIN | | +------------------------------------------------+ | |EMERGENCY CLASS: NON EMERGENCY | | |10 CFR SECTION: | | |BAB1 20.2201(a)(1)(i) LOST/STOLEN LNM>1000X | | | | | | | | | | | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | NUMEROUS GENERAL LICENSE TRITIUM EXIT SIGNS FOUND MISSING | | | | During a review of tritium exit signs on hand, the licensee discovered that | | 28 of the 33 were missing. The 33 tritium signs shown in possession include | | 24 manufactured by Self Powered, Inc (Qty 8 - Model 700C with 4700 | | millicuries activity/each received on 2/15/89 and Qty 16 - Model 710 with | | 25,000 millicuries activity/each received on 5/15/88) and 9 manufactured by | | NRD LLC (Model T4001 with 8400 millicuries activity/each received on | | 5/15/93). The missing signs include 19 Self Powered units (specific models | | not identified at time of report) and all 9 NRD units. The facility in | | Indianapolis where these signs were installed experienced an explosion and | | fire in 1993 and was subsequently demolitioned in 1996. The licensee | | contacted NRC Region 3(Andrea Cook) and was advised to submit a written | | report. | | | | * * * UPDATE 1459EST ON 12/19/01 FROM TOM ANDORFER TO S. SANDIN * * * | | | | The licensee updated their notification to identify that the 5 exit signs in | | possession are the model 710. Notified R3DO(Phillips) and NMSS(Turner). | +------------------------------------------------------------------------------+ . +------------------------------------------------------------------------------+ |Other Nuclear Material |Event Number: 38584 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | REP ORG: US ARMY |NOTIFICATION DATE: 12/19/2001| |LICENSEE: US ARMY |NOTIFICATION TIME: 16:33[EST]| | CITY: ABERDEEN REGION: 1 |EVENT DATE: 12/19/2001| | COUNTY: STATE: MD |EVENT TIME: [EST]| |LICENSE#: 19-30563-01 AGREEMENT: Y |LAST UPDATE DATE: 12/19/2001| | DOCKET: |+----------------------------+ | |PERSON ORGANIZATION | | |JOHN KINNEMAN R1 | | |JOHN HICKEY NMSS | +------------------------------------------------+ | | NRC NOTIFIED BY: JOYCE KUYKENDALL | | | HQ OPS OFFICER: STEVE SANDIN | | +------------------------------------------------+ | |EMERGENCY CLASS: NON EMERGENCY | | |10 CFR SECTION: | | |BAB1 20.2201(a)(1)(i) LOST/STOLEN LNM>1000X | | | | | | | | | | | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | CHEMICAL AGENT MONITOR FAILED ANNUAL LEAK TEST | | | | A Chemical Agent Monitor containing a 15 millicurie Ni-63 source failed the | | annual leak test. The swipe analyzed at the laboratory in Maryland measured | | .006 microcuries which exceeds the .005 microcurie limit. The device was | | manufactured by Environmental Technology Group, serial number 316-C-Q-2205, | | and is currently in Pirmasens, Germany. Corrective action will be to double | | bag and dispose of it as radwaste. | +------------------------------------------------------------------------------+ . +------------------------------------------------------------------------------+ |Power Reactor |Event Number: 38585 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | FACILITY: CALLAWAY REGION: 4 |NOTIFICATION DATE: 12/19/2001| | UNIT: [1] [] [] STATE: MO |NOTIFICATION TIME: 19:12[EST]| | RXTYPE: [1] W-4-LP |EVENT DATE: 12/19/2001| +------------------------------------------------+EVENT TIME: 16:00[CST]| | NRC NOTIFIED BY: BRUCE SCHOENBACH |LAST UPDATE DATE: 12/19/2001| | HQ OPS OFFICER: STEVE SANDIN +-----------------------------+ +------------------------------------------------+PERSON ORGANIZATION | |EMERGENCY CLASS: NON EMERGENCY |GARY SANBORN R4 | |10 CFR SECTION: | | |AINA 50.72(b)(3)(v)(A) POT UNABLE TO SAFE SD | | |AINB 50.72(b)(3)(v)(B) POT RHR INOP | | |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 | | | | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | EVENT OR CONDITION THAT COULD HAVE PREVENTED FULFILLMENT OF A SAFETY | | FUNCTION | | | | "The Callaway Plant Final Safety Analysis-Site Addenda, Chapter 2.4 | | specifies controls to ensure site drainage paths are maintained to prevent | | flooding of the safety related facilities during postulated design basis | | precipitation events. Controls are specifically established to ensure | | modifications to site grading and roadway elevations are evaluated to ensure | | the Probable Maximum Precipitation (PMP) design basis is not adversely | | affected and the safety-related structures are protected from flooding. | | | | "During installation of highway barriers at the site perimeter on December | | 19, 2001, it was determined that the barrier installation had not been | | properly evaluated to ensure the PMP design basis was not adversely | | impacted. | | | | "It was concluded this event was reportable per 10 CFR 50.72(b)(3)(v) | | because the barrier configuration, in conjunction with PMP conditions could | | have prevented the fulfillment of the safety function of structures or | | systems due to flooding. | | | | "Immediate actions have been initiated to remove the barriers, thus | | restoring site grading and road elevations. These actions are targeted for | | completion within the next twelve-hour shift. In addition, current weather | | conditions are clear, with no precipitation forecast for the next 24 hours. | | | | "The NRC Resident Inspector was notified of this event by the licensee." | +------------------------------------------------------------------------------+ . +------------------------------------------------------------------------------+ |Power Reactor |Event Number: 38586 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | FACILITY: WATTS BAR REGION: 2 |NOTIFICATION DATE: 12/20/2001| | UNIT: [1] [] [] STATE: TN |NOTIFICATION TIME: 02:15[EST]| | RXTYPE: [1] W-4-LP,[2] W-4-LP |EVENT DATE: 12/19/2001| +------------------------------------------------+EVENT TIME: 23:19[EST]| | NRC NOTIFIED BY: HUNT |LAST UPDATE DATE: 12/20/2001| | HQ OPS OFFICER: CHAUNCEY GOULD +-----------------------------+ +------------------------------------------------+PERSON ORGANIZATION | |EMERGENCY CLASS: NON EMERGENCY |LEONARD WERT 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 +------------------------------------------------------------------------------+ | REACTOR AUTO TRIP FROM 100% POWER ON AMSAC SIGNAL | | | | While operating at 100% power, the Watts Bar Unit 1 reactor automatically | | tripped at 2319 EST on December 19, 2001, due to an AMSAC signal which | | resulted in a turbine/reactor trip. All control rods fully inserted | | properly and the Auxiliary Feedwater (AFW) System started, as required, in | | response to the AMSAC signal and the reactor trip. The steam generator | | levels were at normal levels prior to the trip. No ECCS actuation occurred | | and no relief valves lifted. The cause of the AMSAC signal is under | | investigation. | | | | The NRC Resident Inspector was notified. | +------------------------------------------------------------------------------+ .
Page Last Reviewed/Updated Thursday, March 25, 2021
Page Last Reviewed/Updated Thursday, March 25, 2021