Event Notification Report for February 25, 2002
U.S. Nuclear Regulatory Commission
Operations Center
Event Reports For
02/22/2002 - 02/25/2002
** EVENT NUMBERS **
38704 38716 38717 38718 38719 38720 38721 38722
!!!!!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED !!!!!!!
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|Fuel Cycle Facility |Event Number: 38704 |
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| FACILITY: PADUCAH GASEOUS DIFFUSION PLANT |NOTIFICATION DATE: 02/16/2002|
| RXTYPE: URANIUM ENRICHMENT FACILITY |NOTIFICATION TIME: 11:11[EST]|
| COMMENTS: 2 DEMOCRACY CENTER |EVENT DATE: 02/15/2002|
| 6903 ROCKLEDGE DRIVE |EVENT TIME: 22:00[CST]|
| BETHESDA, MD 20817 (301)564-3200 |LAST UPDATE DATE: 02/22/2002|
| CITY: PADUCAH REGION: 3 +-----------------------------+
| COUNTY: McCRACKEN STATE: KY |PERSON ORGANIZATION |
|LICENSE#: GDP-1 AGREEMENT: Y |ANTON VEGEL R3 |
| DOCKET: 0707001 |SUSAN FRANT NMSS |
+------------------------------------------------+ |
| NRC NOTIFIED BY: KEVIN BEASLEY | |
| HQ OPS OFFICER: FANGIE JONES | |
+------------------------------------------------+ |
|EMERGENCY CLASS: NON EMERGENCY | |
|10 CFR SECTION: | |
|OCBA 76.120(c)(2) SAFETY EQUIPMENT FAILUR| |
| | |
| | |
| | |
| | |
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EVENT TEXT
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| SAFETY EQUIPMENT FAILURE - PROCESS GAS LEAK DETECTION FAILURE |
| |
| "At 2200 CST, on 02-15-02 the Plant Shift Superintendent (PSS) was notified |
| of a failure of the Process Gas Leak Detector (PGLD) system in the C-333 |
| building. During above atmospheric operation a PGLD alarm was received in |
| the Area Control Room [ACR] on C-333 Unit 4 Cell 4. An operator responded |
| to the local cell panel to investigate according to the alarm response |
| procedure. Upon arriving at the cell panel the operator discovered that the |
| Ready light was not Illuminated on the PGLD panel. At this time the |
| operator attempted to test fire the PGLD system, however the system would |
| not respond. The Front Line Mgr. and the PSS were immediately notified of |
| the system failure. At this time, required TSR 2.4.4.1 LCO continuous smoke |
| watches were put in place in the affected areas until repair of the system |
| was completed. Following replacement of the power supply by Instrument |
| Maintenance and testing by Operations, ten Unit 4 Cell 4 PGLD system was |
| declared operable by the PSS at 2340 CST. At this time the TSR required |
| smoke watches were discontinued. |
| |
| "The PGLD system is designed to detect the leakage of process gas from the |
| process system and is required to be operable while operating in Cascade |
| Mode 2 (Above Atmospheric Pressure). Due to the failure of this TSR |
| required system; the PSS has determined that this is reportable as a 24 hour |
| Event Report. |
| |
| "The NRC Resident inspector has been notified of this event." |
| |
| * * * RETRACTED AT 0346 EST ON 02/22/02 BY ERIC WALKER TO FANGIE JONES * * * |
| |
| |
| "This event has been retracted. Even though the power loss causes the system |
| to be incapable of annunciating additional alarms from this system in the |
| ACR, the same is true when a PGLD head actuates in response to smoke. The |
| system Is designed to alert operators of a release or loss of system power. |
| Operator response and the initiation of a smoke watch provide the safety |
| function after the initial alarm is annunciated. The NRC resident inspector |
| has been notified of this update." |
| |
| The R3DO (Bruce Jorgensen) and NMSS EO (E. William Brach) have been |
| notified. |
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|General Information or Other |Event Number: 38716 |
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| REP ORG: UTAH DIVISION OF RADIATION CONTROL |NOTIFICATION DATE:
02/22/2002|
|LICENSEE: ENVIROCARE OF UTAH, INC. |NOTIFICATION TIME: 13:58[EST]|
| CITY: SALT LAKE CITY REGION: 4 |EVENT DATE: 02/21/2002|
| COUNTY: STATE: UT |EVENT TIME: [MST]|
|LICENSE#: UT 2300249 AGREEMENT: Y |LAST UPDATE DATE: 02/22/2002|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |LINDA HOWELL R4 |
| |DOUG BROADDUS |
+------------------------------------------------+ |
| NRC NOTIFIED BY: JULIE FELICE (VIA FAX) | |
| HQ OPS OFFICER: STEVE SANDIN | |
+------------------------------------------------+ |
|EMERGENCY CLASS: NON EMERGENCY | |
|10 CFR SECTION: | |
|NAGR AGREEMENT STATE | |
| | |
| | |
| | |
| | |
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EVENT TEXT
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| AGREEMENT STATE REPORT INVOLVING POTENTIAL SALE OF CONTAMINATED
TOOLS TO THE |
| GENERAL PUBLIC |
| |
| The Utah Department of Environmental Quality issued an Information Notice on |
| February 21, 2002, (text below) concerning the potential of radiologically |
| contaminated tools in Tooele County. |
| |
| "A recent investigation involving Envirocare of Utah, a commercial low-level |
| radioactive waste site in western Tooele County, has revealed that a former |
| employee of Envirocare's contractor, Broken Arrow Inc., removed contaminated |
| tools that were to be disposed of as waste from the Envirocare facility and |
| eventually sold the tools to Oquirrh Trading Company, a pawn shop located in |
| Tooele, Utah. Records of the Trading Company have revealed the potential |
| for a number of tools to have been sold to the public. The period of time |
| of concern is from January to December 2001. The tools involved may include |
| large ratchet and socket sets, large crescent wrenches and other hand tools. |
| The tools may or may not be marked with U.S., U.S. CCC, US EC and may be |
| painted red. Some of these contaminated tools were recently recovered by |
| inspectors of the Division of Radiation Control at the Trading Company. |
| Citizens who may have purchased tools at the Trading Company during the |
| period January 2001 - December 2001 may have their tools assessed at the |
| Tooele County Health Department, 151 North Main, Tooele beginning Wednesday, |
| February 27, 2002, from 10:00 am. - 5:00 p.m., Thursday, February 28, 2002, |
| and Monday, March 4, 2002, from 1:00 p.m. - 7:00 p.m.. Tools suspected to |
| be contaminated should be handled as little as possible and wrapped in a |
| plastic bag to be brought to the Health Department offices for assessment. |
| Persons handling suspected tools should wash their hands afterwards. If |
| tools are determined to be contaminated, local and state environmental |
| health officials will arrange for their proper disposal. |
| |
| "'While we do not believe these contaminated tools present any significant |
| health threat to members of the public, it is prudent to make sure that |
| these tools are rounded up and properly disposed,' said Bill Sinclair, |
| Director of the Division of Radiation Control. 'We are happy to provide |
| facilities and cooperate with the Department of Environmental Quality in |
| assuring that our Tooele citizens can have the opportunity to assess if |
| there is a problem with tools that may have been purchased at the Trading |
| Company,' stated Myron Batman of the Tooele County Health Department. |
| |
| "Division of Radiation Control inspectors have visited all pawn shops in |
| Tooele County and are satisfied that this problem is confined to the one |
| business. The investigation is continuing and if the problem is more |
| widespread, additional information will be issued as necessary." |
| |
| UT Event Report ID No.: UT-02-0001. Call the Headquarters Operations |
| Officer for contact information. |
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|Hospital |Event Number: 38717 |
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| REP ORG: DANBURY HOSPITAL |NOTIFICATION DATE: 02/22/2002|
|LICENSEE: DANBURY HOSPITAL |NOTIFICATION TIME: 16:11[EST]|
| CITY: NORWALK REGION: 1 |EVENT DATE: 02/22/2002|
| COUNTY: FAIRFIELD STATE: CT |EVENT TIME: 14:00[EST]|
|LICENSE#: 06854401 AGREEMENT: N |LAST UPDATE DATE: 02/22/2002|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |MICHAEL MODES R1 |
| |FRED BROWN NMSS |
+------------------------------------------------+ |
| NRC NOTIFIED BY: CARNIE GEE | |
| HQ OPS OFFICER: GERRY WAIG | |
+------------------------------------------------+ |
|EMERGENCY CLASS: NON EMERGENCY | |
|10 CFR SECTION: | |
|LADM 35.33(a) MED MISADMINISTRATION | |
| | |
| | |
| | |
| | |
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EVENT TEXT
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| MEDICAL MISADMINISTRATION INVOLVING UNDERDOSE TO CANCER PATIENT
|
| |
| A female patient undergoing brachytherapy treatment for cancer at the |
| Danbury Hospital in Norwalk, CT, was prescribed 4600 Rad using a Cs-137 |
| source. One of the five seeds (21.23 mg Radium equivalent) was found in a |
| trash can. This resulted in an estimated delivered dose of 3458 Rad which |
| is 24.8% less than prescribed. All hospital staff entering the area where |
| the trash can was located had personal dosimetry such that no unmonitored |
| exposures occurred. The licensee is conducting a review to determine |
| appropriate corrective actions. The prescribing physician has been informed |
| by the hospital. The licensee notified RI Office(Bhalla). Call the |
| Headquarters Operations Officer for contact information. |
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|Power Reactor |Event Number: 38718 |
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| FACILITY: POINT BEACH REGION: 3 |NOTIFICATION DATE: 02/22/2002|
| UNIT: [] [2] [] STATE: WI |NOTIFICATION TIME: 17:18[EST]|
| RXTYPE: [1] W-2-LP,[2] W-2-LP |EVENT DATE: 02/22/2002|
+------------------------------------------------+EVENT TIME: 14:48[CST]|
| NRC NOTIFIED BY: MIKE MEYER |LAST UPDATE DATE: 02/22/2002|
| HQ OPS OFFICER: GERRY WAIG +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: NON EMERGENCY |BRUCE JORGENSEN R3 |
|10 CFR SECTION: | |
|ASHU 50.72(b)(2)(i) PLANT S/D REQD BY TS | |
| | |
| | |
| | |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE
|
+-----+----------+-------+--------+-----------------+--------+-----------------+
| | |
|2 N Y 100 Power Operation |80 Power Operation |
| | |
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EVENT TEXT
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| UNIT 2 COMMENCED A TS REQUIRED SHUTDOWN AFTER DECLARING A SI PUMP
|
| INOPERABLE |
| |
| "On February 20, 2002, at approximately 0100 CST. OI-163, 'SI, RHR, and CS |
| Pump Runs,' was being performed on Safety Injection (SI) pump 2P-15B. This |
| procedure is used to bump the pump to ensure bearing lubrication as a |
| preventive maintenance activity. When the pump was started, motor current |
| increased as normal, but then decayed to less than 10 amps. Additionally, |
| the pump appeared to develop no discharge pressure. In the field, the |
| auxiliary operator noted a loud bang near the end of the coastdown and |
| further noted excessive seal leakage. At approximately 0105 CST, SI pump |
| 2P-15B was declared inoperable, LCO 3.5.2 was declared not met, and TS |
| Action Condition A.1 was entered. Tech Spec LCO 3.5.2. ECCS-Operating, |
| requires two ECCS trains to be operable in Modes 1, 2, and 3. LCO 3.5.2, |
| Condition A, requires an inoperable ECCS train to be restored to an operable |
| status within 72 hours. |
| |
| "Subsequent inspection of the pump following disassembly of the casing |
| revealed damage to the rotating element, the coupling and shaft keys between |
| the pump and the motor, the pump internal wear rings, and other components. |
| At this time, we believe the pump damage was due to gas binding in the pump |
| as a result of back leakage through two check valves. This allowed nitrogen |
| saturated water from the 'A' SI accumulator to migrate to the 2P-15B pump. |
| Repair of the pump has proceeded with the expectation that the pump would be |
| repaired, tested and returned to service prior to the expiration of the 72 |
| hours allowed in the action statement. However, as of approximately 1400 |
| CST, we determined that we were unlikely to complete the remaining repairs |
| and the required pump testing before the expiration of the action statement. |
| Accordingly, at that time activities were initiated to commence a shutdown |
| of PBNP Unit 2 and at approximately 1448 CST the shutdown of the unit was |
| initiated." |
| |
| The licensee is decreasing power at 30%/hr and anticipates entry into Mode 3 |
| at approximately 1930CST. The licensee informed the NRC Resident |
| Inspector. |
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|Power Reactor |Event Number: 38719 |
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| FACILITY: TURKEY POINT REGION: 2 |NOTIFICATION DATE: 02/22/2002|
| UNIT: [3] [] [] STATE: FL |NOTIFICATION TIME: 17:34[EST]|
| RXTYPE: [3] W-3-LP,[4] W-3-LP |EVENT DATE: 02/22/2002|
+------------------------------------------------+EVENT TIME: 15:00[EST]|
| NRC NOTIFIED BY: B. ADAMS |LAST UPDATE DATE: 02/22/2002|
| HQ OPS OFFICER: STEVE SANDIN +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: NON EMERGENCY |LEONARD WERT R2 |
|10 CFR SECTION: | |
|ACOM 50.72(b)(3)(xiii) LOSS COMM/ASMT/RESPONSE| |
| | |
| | |
| | |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE
|
+-----+----------+-------+--------+-----------------+--------+-----------------+
|3 N Y 100 Power Operation |100 Power Operation |
| | |
| | |
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EVENT TEXT
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| LOSS OF ASSESSMENT CAPABILITY DUE TO FAILURE OF THE ERDADS SYSTEM
|
| |
| "A failure of the ERDADS [Emergency Response Data Acquisition and Display |
| System] computer due to errors in the primary and backup systems. This |
| resulted in the loss of all ERDADS data. The failure also resulted in the |
| loss of offsite communications capability (ERDADS link)." |
| |
| The licensee informed the NRC Resident Inspector. |
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|Fuel Cycle Facility |Event Number: 38720 |
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| FACILITY: PADUCAH GASEOUS DIFFUSION PLANT |NOTIFICATION DATE: 02/23/2002|
| RXTYPE: URANIUM ENRICHMENT FACILITY |NOTIFICATION TIME: 10:58[EST]|
| COMMENTS: 2 DEMOCRACY CENTER |EVENT DATE: 02/22/2002|
| 6903 ROCKLEDGE DRIVE |EVENT TIME: 16:30[CST]|
| BETHESDA, MD 20817 (301)564-3200 |LAST UPDATE DATE: 02/23/2002|
| CITY: PADUCAH REGION: 3 +-----------------------------+
| COUNTY: McCRACKEN STATE: KY |PERSON ORGANIZATION |
|LICENSE#: GDP-1 AGREEMENT: Y |BRUCE JORGENSEN R3 |
| DOCKET: 0707001 |E. WILLIAM BRACH NMSS |
+------------------------------------------------+ |
| NRC NOTIFIED BY: WHITE | |
| HQ OPS OFFICER: CHAUNCEY GOULD | |
+------------------------------------------------+ |
|EMERGENCY CLASS: NON EMERGENCY | |
|10 CFR SECTION: | |
|NONR OTHER UNSPEC REQMNT | |
| | |
| | |
| | |
| | |
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EVENT TEXT
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| ACTIVATION OF THE WATER INVENTORY CONTROL SYSTEM |
| |
| At 1630 CST, on 2/22/02 the Plant Shift Superintendent (PSS) was notified of |
| an activation of the Water Inventory Control System (WICS) on #1 autoclave |
| in the C-360 building. Approximately 50 minutes into the heat cycle, the |
| Hi Primary Condensate alarm was received, and steam supply to the autoclave |
| was automatically isolated. Operators investigated the alarm. The |
| autoclave was removed from service, and the WICS was declared inoperable. |
| Further investigation will be performed by the System Engineer and |
| Instrument Maintenance to determine the exact cause of the alarm. The |
| purpose of the WICS is to limit the amount of water in the autoclave and is |
| a safety system required by TSR 2.1.4.3. |
| |
| The PSS determined that this event is a 24 Hour Event Report due to a valid |
| automatic activation of a Q safety system. |
| |
| The NRC Senior Resident Inspector has been notified of this event. |
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|Power Reactor |Event Number: 38721 |
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| FACILITY: INDIAN POINT REGION: 1 |NOTIFICATION DATE: 02/23/2002|
| UNIT: [2] [] [] STATE: NY |NOTIFICATION TIME: 16:40[EST]|
| RXTYPE: [2] W-4-LP,[3] W-4-LP |EVENT DATE: 02/23/2002|
+------------------------------------------------+EVENT TIME: 16:25[EST]|
| NRC NOTIFIED BY: PHIL SANTINI |LAST UPDATE DATE: 02/23/2002|
| HQ OPS OFFICER: STEVE SANDIN +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: NON EMERGENCY |MICHAEL MODES R1 |
|10 CFR SECTION: |MICHAEL CASE NRR |
|APRE 50.72(b)(2)(xi) OFFSITE NOTIFICATION | |
| | |
| | |
| | |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|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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| OFFSITE NOTIFICATION TO STATE POLICE |
| |
| "At 10:45, [the Control Room] received notification from Shift Security |
| Supervisor that at 09:45 a security officer on duty in the central alarm |
| station was escorted offsite and remanded to State Police for questioning |
| following an apparent incident of horseplay with a duty weapon. The |
| security officer surrendered his weapons to company security personnel and |
| was immediately relieved of duty. The Shift Security Supervisor notified |
| the USNRC Region I security inspector at approximately 11:00. The security |
| force remained fully staffed throughout this event and remains fully |
| staffed." |
| |
| The licensee determined that the notification to the State Police was |
| reportable as an offsite notification per 10CFR50.72(b)(2)(xi) at 1625EST. |
| The NRC Resident Inspector was informed of this report by the licensee. |
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|Power Reactor |Event Number: 38722 |
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| FACILITY: HATCH REGION: 2 |NOTIFICATION DATE: 02/25/2002|
| UNIT: [1] [] [] STATE: GA |NOTIFICATION TIME: 04:25[EST]|
| RXTYPE: [1] GE-4,[2] GE-4 |EVENT DATE: 02/25/2002|
+------------------------------------------------+EVENT TIME: 04:15[EST]|
| NRC NOTIFIED BY: STONE |LAST UPDATE DATE: 02/25/2002|
| HQ OPS OFFICER: CHAUNCEY GOULD +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: NON EMERGENCY |LEONARD WERT R2 |
|10 CFR SECTION: | |
|ACOM 50.72(b)(3)(xiii) LOSS COMM/ASMT/RESPONSE| |
| | |
| | |
| | |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE
|
+-----+----------+-------+--------+-----------------+--------+-----------------+
|1 N Y 95 Power Operation |95 Power Operation |
| | |
| | |
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EVENT TEXT
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| SAFETY PARAMETER DISPLAY SYSTEM (SPDS) OUT OF SERVICE |
| |
| The SPDS was removed from service for the purpose of implementing a |
| modification to replace the system. The primary means of monitoring the |
| critical parameters remains available to the operating crew and they will |
| continue to be able to perform the necessary actions regarding emergency |
| assessment. |
| |
| The NRC Resident Inspector will be notified. |
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Page Last Reviewed/Updated Wednesday, March 24, 2021