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
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!!!!!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED !!!!!!!
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|Power Reactor |Event Number: 38463 |
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| 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
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| 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). |
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|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
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| 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. |
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|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
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| 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. |
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|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
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| 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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