Event Notification Report for January 9, 2002
U.S. Nuclear Regulatory Commission Operations Center Event Reports For 01/08/2002 - 01/09/2002 ** EVENT NUMBERS ** 38613 38614 38615 38616 38617 38618 !!!!!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED !!!!!!! +------------------------------------------------------------------------------+ |Power Reactor |Event Number: 38613 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | FACILITY: COOPER REGION: 4 |NOTIFICATION DATE: 01/08/2002| | UNIT: [1] [] [] STATE: NE |NOTIFICATION TIME: 03:15[EST]| | RXTYPE: [1] GE-4 |EVENT DATE: 01/08/2002| +------------------------------------------------+EVENT TIME: 01:20[CST]| | NRC NOTIFIED BY: HANCE |LAST UPDATE DATE: 01/08/2002| | HQ OPS OFFICER: CHAUNCEY GOULD +-----------------------------+ +------------------------------------------------+PERSON ORGANIZATION | |EMERGENCY CLASS: NON EMERGENCY |MARK SHAFFER R4 | |10 CFR SECTION: | | |DDDD 73.71 UNSPECIFIED PARAGRAPH | | | | | | | | | | | +-----+----------+-------+--------+-----------------+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ |1 N Y 94 Power Operation |94 Power Operation | | | | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | SAFEGUARDS SYSTEM DEGRADATION RELATED TO AN AREA DOOR. | | | | A safeguards system degradation related to an area door was discovered. | | Compensatory measures were put in place within 10 minutes. (Contact the HOO | | for additional information.) | | | | The NRC Resident Inspector will be notified. | | | | ***** RETRACTION FROM ANDREW OHRABLO TO LEIGH TROCINE AT 1727 EST ON | | 01/08/02 ***** | | | | The licensee is retracting this event notification because it was determined | | to be loggable only. (Contact the NRC operations officer for additional | | details.) | | | | The following text is a portion of a facsimile received from the licensee: | | | | "Additionally, the power level stated on the original event notification was | | 100%. Power level both before and after was 94%." | | | | The licensee notified the NRC resident inspector. The NRC operations | | officer notified the R4DO (Chuck Cain). | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ |General Information or Other |Event Number: 38614 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | REP ORG: FLORIDA BUREAU OF RADIATION CONTROL |NOTIFICATION DATE: 01/08/2002| |LICENSEE: SOUTH BROWARD HOSPITAL DISTRICT |NOTIFICATION TIME: 10:09[EST]| | CITY: HOLLYWOOD REGION: 2 |EVENT DATE: 01/04/2002| | COUNTY: STATE: FL |EVENT TIME: 00:00[EST]| |LICENSE#: 008-1 AGREEMENT: Y |LAST UPDATE DATE: 01/08/2002| | DOCKET: |+----------------------------+ | |PERSON ORGANIZATION | | |THOMAS DECKER R2 | | |ANITA TURNER NMSS | +------------------------------------------------+ | | NRC NOTIFIED BY: ADAMS | | | HQ OPS OFFICER: CHAUNCEY GOULD | | +------------------------------------------------+ | |EMERGENCY CLASS: NON EMERGENCY | | |10 CFR SECTION: | | |NAGR AGREEMENT STATE | | | | | | | | | | | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | AGREEMENT STATE - MEDICAL MISADMINISTRATION | | | | Patient was undergoing a Pterygium treatment to the eye lid on January 4, | | 2002. This was the 3rd session and it was to be a 44 second session | | delivering a dose of 1,000 rad. A nurse, who was timing the exposure using | | a stop watch, was distracted by all the activity going on in the area and | | the exposure actually lasted one minute and 49 seconds. A dose of 2,480 | | rads was delivered a 148% overexposure. The patient and the physician have | | been notified. Worst case is that the patient's eye may have some scar | | tissue form. Licensee is buying new stop watches with audio alarms and is | | giving in-service training to nurses. This office was notified the on | | January 4, 2002 by phone. Licensee will submit a written report within 15 | | days. Further action is referred to Radioactive Materials. | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ |General Information or Other |Event Number: 38615 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | REP ORG: LOUISIANA RADIATION PROTECTION DIV |NOTIFICATION DATE: 01/08/2002| |LICENSEE: HOLDEN X-RAY SERVICE |NOTIFICATION TIME: 12:10[EST]| | CITY: REGION: 4 |EVENT DATE: 12/17/2001| | COUNTY: STATE: LA |EVENT TIME: [CST]| |LICENSE#: LA-4440-L01 AGREEMENT: Y |LAST UPDATE DATE: 01/08/2002| | DOCKET: |+----------------------------+ | |PERSON ORGANIZATION | | |CHUCK CAIN R4 | | |FRED BROWN NMSS | +------------------------------------------------+ | | NRC NOTIFIED BY: BLACKWELL VIA FAX | | | HQ OPS OFFICER: BOB STRANSKY | | +------------------------------------------------+ | |EMERGENCY CLASS: NON EMERGENCY | | |10 CFR SECTION: | | |NAGR AGREEMENT STATE | | | | | | | | | | | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | AGREEMENT STATE REPORT | | | | "Event Report ID No.; LA010019 | | "License No.: LA-4440-L01 | | "Licensee: Holden X-Ray Service | | "Event date and Time: 12/17/01 at 14:27. Report faxed to Holden | | "Event Location: NA | | "Event type: Excessive-exposure to Industrial Radiographer | | | | "Notifications: Holden X-Ray notified the Department. The letter is dated | | December 26, 2001. The Department received the letter on January 3, 2002. I | | received a copy of the letter on January 7, 2002. | | | | "Event description; [individual] received a Deep dose of 6873 mrem, Lens | | dose of 6873 mrem, and a shallow dose of 6629 mrem as of November 9, 2001 | | for the 2001 year. He was using Iridium 192 with source strengths up to 93 | | Curies. [Individual] was working a lot towards the end of the year." | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ |Power Reactor |Event Number: 38616 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | FACILITY: HADDAM NECK REGION: 1 |NOTIFICATION DATE: 01/08/2002| | UNIT: [1] [] [] STATE: CT |NOTIFICATION TIME: 13:08[EST]| | RXTYPE: [1] W-4-LP |EVENT DATE: 01/08/2002| +------------------------------------------------+EVENT TIME: 12:55[EST]| | NRC NOTIFIED BY: MICHAEL BACA |LAST UPDATE DATE: 01/08/2002| | HQ OPS OFFICER: LEIGH TROCINE +-----------------------------+ +------------------------------------------------+PERSON ORGANIZATION | |EMERGENCY CLASS: NON EMERGENCY |RONALD BELLAMY R1 | |10 CFR SECTION: | | |HFIT 26.73 FITNESS FOR DUTY | | | | | | | | | | | +-----+----------+-------+--------+-----------------+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ |1 N N 0 Decommissioned |0 Decommissioned | | | | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | POSITIVE RANDOM FITNESS-FOR-DUTY TEST | | | | A contract supervisor tested positive for cocaine during a random | | fitness-for-duty test. The individual's site access has been denied, and a | | review of the individual's work activities is underway. (Contact the NRC | | operations officer for additional event details and for a site contact | | telephone number.) | | | | The licensee notified the NRC Region 1 office (John Ray) and the State | | Department of Environmental Protection. | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ |Power Reactor |Event Number: 38617 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | FACILITY: FERMI REGION: 3 |NOTIFICATION DATE: 01/08/2002| | UNIT: [2] [] [] STATE: MI |NOTIFICATION TIME: 14:47[EST]| | RXTYPE: [2] GE-4 |EVENT DATE: 01/08/2002| +------------------------------------------------+EVENT TIME: 13:05[EST]| | NRC NOTIFIED BY: DAVID COSEO |LAST UPDATE DATE: 01/08/2002| | HQ OPS OFFICER: LEIGH TROCINE +-----------------------------+ +------------------------------------------------+PERSON ORGANIZATION | |EMERGENCY CLASS: NON EMERGENCY |DAVID HILLS 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 | +-----+----------+-------+--------+-----------------+--------+-----------------+ |2 N Y 100 Power Operation |100 Power Operation | | | | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | SLOW RESPONSE TIME DURING A HIGH PRESSURE COOLANT INJECTION (HPCI) PUMP TIME | | RESPONSE SURVEILLANCE | | | | The following text is a portion of a facsimile received from the licensee: | | | | "On 01/08/02 at 1305 hrs, while performing a HPCI pump time response | | surveillance, the HPCI pump achieved rated pressure and flow in 31.5 | | seconds. This exceeded the acceptance criteria of <29 seconds. HPCI was | | declared inoperable due to this surveillance failure. Plant personnel are | | evaluating the data to determine the cause of the failure. All other | | [emergency core cooling system (ECCS)] equipment and [reactor core isolation | | cooling (RCIC)] are operable. This is being reported under | | 10CFR50.72(b)(3)(v)(D)." | | | | The licensee notified the NRC resident inspector. | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ |Power Reactor |Event Number: 38618 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | FACILITY: POINT BEACH REGION: 3 |NOTIFICATION DATE: 01/08/2002| | UNIT: [1] [2] [] STATE: WI |NOTIFICATION TIME: 17:25[EST]| | RXTYPE: [1] W-2-LP,[2] W-2-LP |EVENT DATE: 01/08/2002| +------------------------------------------------+EVENT TIME: 09:08[CST]| | NRC NOTIFIED BY: RICK ROBBINS |LAST UPDATE DATE: 01/08/2002| | HQ OPS OFFICER: LEIGH TROCINE +-----------------------------+ +------------------------------------------------+PERSON ORGANIZATION | |EMERGENCY CLASS: NON EMERGENCY |DAVID HILLS R3 | |10 CFR SECTION: | | |AUNA 50.72(b)(3)(ii)(B) UNANALYZED CONDITION | | | | | | | | | | | +-----+----------+-------+--------+-----------------+--------+-----------------+ |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 | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | DISCOVERY OF A POTENTIAL UNANALYZED CONDITION INVOLVING AN APPENDIX R SAFE | | SHUTDOWN FIRE ANALYSIS | | | | The following text is a portion of a facsimile received from the licensee: | | | | "While investigating fire risk scenarios associated with the auxiliary | | feedwater system (see EN #38541), a potential unanalyzed condition involving | | an Appendix R safe shutdown fire analysis was discovered. The problem | | involves the availability of sufficient AFW flow capacity for a fire in the | | Central 26' and 46' areas of the Primary Auxiliary Building (Fire Area | | A01-B/Fire Zones 187 [and] 237)." | | | | "Cables and equipment associated with all [four] AFW pumps (both turbine- | | and motor-driven pumps) are located in this fire area. A fire in this area | | could potentially cause a loss of normal Steam Generator instrumentation for | | both units. This would require shutdown of both units. An alternate cable | | routing is available for only the Red channel of instrumentation. This | | channel is only available for the 'B' train steam generators. Therefore, | | the present Appendix R Safe Shutdown Analysis assumes this shutdown would be | | accomplished using the 'B' steam generators for each unit and the P38B | | motor-driven AFW pump, which feeds the 'B' steam generator in each unit, | | along with the use of manual actions to mitigate the fire damage to cables | | associated with valves and instruments. The nominal capacity of this AFW | | pump is 200 GPM." | | | | "An Appendix R calculation shows that approximately 200 gal/min is required | | during the initial start-up of AFW flow to maintain sufficient heat removal | | capability for one unit. Under the current conditions with procedural | | controls, only the one motor-driven AFW pump is made available, [and] there | | may not be enough capacity to provide adequate decay heat removal for both | | units. Without sufficient AFW flow, the Appendix R performance requirement | | of 10 CFR [Part] 50, Appendix R III.G.L.2.c, which requires the reactor heat | | removal function shall be capable of achieving and maintaining decay heat | | removal, may not be met. This condition is potentially an unanalyzed | | Appendix R situation." | | | | "As a compensatory measure, fire rounds are being conducted in the fire | | areas affected." | | | | The licensee notified the NRC resident inspector. | +------------------------------------------------------------------------------+
Page Last Reviewed/Updated Wednesday, March 24, 2021
Page Last Reviewed/Updated Wednesday, March 24, 2021