Event Notification Report for December 21, 2001
*** NOT FOR PUBLIC DISTRIBUTION *** U.S. Nuclear Regulatory Commission Operations Center Event Reports For 12/20/2001 - 12/21/2001 ** EVENT NUMBERS ** 38463 38586 38587 38588 . !!!!!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED !!!!!!! +------------------------------------------------------------------------------+ |Power Reactor |Event Number: 38463 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | FACILITY: VERMONT YANKEE REGION: 1 |NOTIFICATION DATE: 11/04/2001| | UNIT: [1] [] [] STATE: VT |NOTIFICATION TIME: 13:44[EST]| | RXTYPE: [1] GE-4 |EVENT DATE: 11/04/2001| +------------------------------------------------+EVENT TIME: 11:42[EST]| | NRC NOTIFIED BY: DENNIS MAY |LAST UPDATE DATE: 12/20/2001| | HQ OPS OFFICER: STEVE SANDIN +-----------------------------+ +------------------------------------------------+PERSON ORGANIZATION | |EMERGENCY CLASS: NON EMERGENCY |R1 IRC TEAM MANAGER R1 | |10 CFR SECTION: | | |ADEG 50.72(b)(3)(ii)(A) DEGRADED CONDITION | | |AINC 50.72(b)(3)(v)(C) POT UNCNTRL RAD REL | | | | | | | | +-----+----------+-------+--------+-----------------+--------+-----------------+ |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 +------------------------------------------------------------------------------+ | LOSS OF CONTAINMENT INTEGRITY | | | | "At 0525[EST] the Control Room received a low flow alarm as a result of a | | leaking 1/4 inch fitting on the 'B' Hydrogen/Oxygen analyzer. At 1142[EST] | | it was determined, as a result of a leak rate test, that the maximum | | allowable test leak rate (La) was potentially exceeded. The system was | | isolated within 5 minutes of receiving the alarm. A 24 hour hour shutdown | | LCO (TS 3.7.A.8) was entered at 0525[EST] and exited at 0530[EST]." | | | | The licensee will inform both the State of Vermont and the NRC Resident | | Inspector. | | | | Hoo Note: A similar problem related to this particular monitor was reported | | on 10/30/01 - see event #38444. | | | | * * * UPDATE 1317EST ON 12/20/01 FROM KELLY ROBINSON TO S. SANDIN * * * | | | | The licensee is retracting this report based on the following: | | | | "Systems Engineering completed a Technical Evaluation (2001-061) on November | | 20, 2001 which concluded, 'When the combined minimum pathway flow (89 scfh) | | is added to the resultant, the value is less than 0.6La (193 .674 scfh). The | | condition that existed (i.e., the crack before tightening, the discovered | | condition) did not compromise Primary Containment Integrity. The results are | | conservative.' | | | | "This Technical Evaluation demonstrates that the Technical Specification for | | system leakage and combined minimum pathway were not exceeded. Primary | | Containment was capable of performing and fulfilling its specified safety | | function, without operator intervention. | | | | "Therefore, ENS Event Number 38463, made on 11/04/01, is being retracted." | | | | The licensee will inform the NRC Resident Inspector. Notified | | R1DO(Kinneman). | +------------------------------------------------------------------------------+ . +------------------------------------------------------------------------------+ |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(ATWS MITIGATING SYSTEM ACTUATION | | CIRCUITRY) 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. | +------------------------------------------------------------------------------+ . +------------------------------------------------------------------------------+ |Hospital |Event Number: 38587 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | REP ORG: PARK VIEW HOSPITAL |NOTIFICATION DATE: 12/20/2001| |LICENSEE: PARK VIEW HOSPITAL |NOTIFICATION TIME: 11:09[EST]| | CITY: FT. WAYNE REGION: 3 |EVENT DATE: 12/19/2001| | COUNTY: STATE: IN |EVENT TIME: [CST]| |LICENSE#: 13-01284-02 AGREEMENT: N |LAST UPDATE DATE: 12/20/2001| | DOCKET: |+----------------------------+ | |PERSON ORGANIZATION | | |MONTE PHILLIPS R3 | | |JOHN HICKEY NMSS | +------------------------------------------------+ | | NRC NOTIFIED BY: AGNEW | | | HQ OPS OFFICER: CHAUNCEY GOULD | | +------------------------------------------------+ | |EMERGENCY CLASS: NON EMERGENCY | | |10 CFR SECTION: | | |LADM 35.33(a) MED MISADMINISTRATION | | | | | | | | | | | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | POSSIBLE MEDICAL MISADMINISTRATION COULD HAVE OCCURRED DURING THERAPEUTIC | | TREATMENT IN 1998 | | | | A radiopharmacy (Spectrum Co.) supplied the hospital with incorrectly | | calibrated doses of Samarium - 153 which were used in 1998 during | | three(4/15/98, 6/3/98 and 6/10/98) therapeutic treatments for bone pain. | | The supplier believes the doses may be 20-30% less than what was calculated. | | They are currently performing calculations to determine what the doses were | | and have already reported this problem to the NRC. The hospital was | | notified on 12/19/01 of this calculation error. | +------------------------------------------------------------------------------+ . +------------------------------------------------------------------------------+ |General Information or Other |Event Number: 38588 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | REP ORG: LOUISIANA RADIATION PROTECTION DIV |NOTIFICATION DATE: 12/20/2001| |LICENSEE: ANGELO IAFRATE CONSTRUCTION, LLC |NOTIFICATION TIME: 11:12[EST]| | CITY: NEW ORLEANS REGION: 4 |EVENT DATE: 12/19/2001| | COUNTY: STATE: LA |EVENT TIME: 14:00[CST]| |LICENSE#: LA-7159-L01 AGREEMENT: Y |LAST UPDATE DATE: 12/20/2001| | DOCKET: |+----------------------------+ | |PERSON ORGANIZATION | | |GARY SANBORN R4 | | |SUSAN FRANT NMSS | +------------------------------------------------+ | | NRC NOTIFIED BY: SCOTT BLACKWELL | | | HQ OPS OFFICER: STEVE SANDIN | | +------------------------------------------------+ | |EMERGENCY CLASS: NON EMERGENCY | | |10 CFR SECTION: | | |NAGR AGREEMENT STATE | | | | | | | | | | | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | AGREEMENT STATE REPORT INVOLVING A STOLEN TROXLER DENSITY GAUGE | | | | "Angelo Iafrate was using a Troxler Nuclear Density Gauge to measure the | | density of back fill dirt on a construction site on Napoleon Avenue in New | | Orleans, LA. Between 12:00PM and 2:00PM the Density gauge was discovered | | missing. The Density gauge was a Troxler Model 3450 and the serial number is | | 180. It has a 8.0 mCi source of Cs-137 and a 40.0 mCi source of Am-241Be. | | The last leak test was performed on July 17, 2001. The facility called the | | New Orleans Police Department on December 19. 2001, after discovering the | | gauge was missing. | | | | "Louisiana Department of Environmental Quality Event Report ID No.: | | LA010018" | +------------------------------------------------------------------------------+ .
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Page Last Reviewed/Updated Thursday, March 25, 2021