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 THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED !!!!!!!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
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| 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 |
| | |
| | |
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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 |
| | |
| | |
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EVENT TEXT
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| 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. |
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|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 |
| | |
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EVENT TEXT
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| 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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