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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 THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED  !!!!!!!
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|Power Reactor                                    |Event Number:   38613       |
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| 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  |
|                                                   |                          |
|                                                   |                          |
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                                   EVENT TEXT                                   
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| 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).                                      |
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|General Information or Other                     |Event Number:   38614       |
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| 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        |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
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                                   EVENT TEXT                                   
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| 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.                 |
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|General Information or Other                     |Event Number:   38615       |
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| 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        |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
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                                   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."         |
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|Power Reactor                                    |Event Number:   38616       |
+------------------------------------------------------------------------------+
                         
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| 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                                   
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| 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.                                      |
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|Power Reactor                                    |Event Number:   38617       |
+------------------------------------------------------------------------------+
                         
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| 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       |
+------------------------------------------------------------------------------+
                         
+------------------------------------------------------------------------------+
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| 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.                            |
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