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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 THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED  !!!!!!!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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