United States Nuclear Regulatory Commission - Protecting People and the Environment
Home > NRC Library > Document Collections > Reports Associated With Events > Event Notification Reports > 2002

Event Notification Report for March 29, 2002

                         
                    U.S. Nuclear Regulatory Commission
                              Operations Center

                              Event Reports For
                           03/28/2002 - 03/29/2002

                              ** EVENT NUMBERS **

38809  38810  38811  38812  38813  38814  38815  38816  

+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   38809       |
+------------------------------------------------------------------------------+
                         
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: DRESDEN                  REGION:  3  |NOTIFICATION DATE: 03/28/2002|
|    UNIT:  [] [2] [3]                STATE:  IL |NOTIFICATION TIME: 01:24[EST]|
|   RXTYPE: [1] GE-1,[2] GE-3,[3] GE-3           |EVENT DATE:        03/27/2002|
+------------------------------------------------+EVENT TIME:        22:30[CST]|
| NRC NOTIFIED BY:  BROCK                        |LAST UPDATE DATE:  03/28/2002|
|  HQ OPS OFFICER:  CHAUNCEY GOULD               +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          NON EMERGENCY         |BRUCE BURGESS        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  
|
+-----+----------+-------+--------+-----------------+--------+-----------------+
|                                                   |                          |
|2     N          Y       95       Power Operation  |95       Power Operation  |
|3     N          Y       100      Power Operation  |100      Power Operation  |
+------------------------------------------------------------------------------+
                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| SPURIOUS OPERATION OF THE REACTOR HEAD VENT VALVES IN THE SAFE
SHUTDOWN      |
| REPORT(SSR) IS NOT CONSISTENT WITH THE NRC SAFETY EVALUATION REPORT.       
 |
|                                                                              |
|                                                                              |
| Specifically the Section 3.4.3 of the SER states that spurious operation of  |
| the Reactor Head Vent (RHV) valves {SO-2(3)-0220-46 ann SO-2(3)-0220-47}     |
| which would result in Reactor Coolant inventory loss, will be prevented by a |
| pre-fire action to ensure closure by removing power from these valves.       |
| However, the current SSR dispositions this postulated concern based upon the |
| assumption that spurious operation of greater than one normally closed valve |
| in a series combination is not considered a credible failure mode except for |
| high/low pressure systems.   As a result, there is no pre-fire action to     |
| ensure closure by removing power to RHV valves.  The documentation (FPR      |
| revision and 50.59) that supports the change in the licensing position of    |
| these valves from that described in the SER to the current SSR has not been  |
| located.                                                                     |
|                                                                              |
| A review was performed on the Fire Protection Report (FPR) which includes    |
| the Fire Hazard Analysis & Safe Shutdown Analysis, to evaluate the options   |
| for additional sources of water to address the loss of reactor inventory     |
| from the spurious actions of the reactor head vent valves.  This review      |
| indicated that no specific circuit analysis was performed to determine what  |
| other available sources of water could be used for makeup of reactor         |
| inventory via the reactor head vent valves spurious operation.  Therefore,   |
| in the event of a fire in the various assumed Appendix R fire zones, a       |
| qualified makeup source would not be available to mitigate the inventory     |
| loss introduced by the spurious operation of both RHV valves.                |
|                                                                              |
| Fuses have been pulled to remove power to and close a RHV valve on both Unit |
| 2 and Unit 3 to comply with the SER. The action puts the plant in the        |
| configuration required if the RHV valves are considered a high-low pressure  |
| boundary. Completion of this action restores the plants compliance with the  |
| referenced SER.                                                              |
|                                                                              |
| Dresden Engineering will perform an evaluation that documents the RHV valves |
| as a high-low pressure boundary and that the actions taken above are         |
| adequate to mitigate the multiple spurious failures which must be postulated |
| when these valves are considered a high/low pressure boundary.   A revision  |
| to the FPR will be made to document the results of this evaluation.          |
|                                                                              |
| The NRC Resident Inspector will be notified.                                 |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   38810       |
+------------------------------------------------------------------------------+
                         
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: HATCH                    REGION:  2  |NOTIFICATION DATE: 03/28/2002|
|    UNIT:  [] [2] []                 STATE:  GA |NOTIFICATION TIME: 09:54[EST]|
|   RXTYPE: [1] GE-4,[2] GE-4                    |EVENT DATE:        03/28/2002|
+------------------------------------------------+EVENT TIME:        03:00[EST]|
| NRC NOTIFIED BY:  ED BURKETT                   |LAST UPDATE DATE:  03/28/2002|
|  HQ OPS OFFICER:  MIKE NORRIS                  +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          NON EMERGENCY         |CAROLYN EVANS        R2      |
|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                                   
+------------------------------------------------------------------------------+
| SINGLE TRAIN HPCI DECLARED OOS                                               |
|                                                                              |
| "During valve surveillance testing, Motor Operated Valve 2E41F104 failed to  |
| indicate OPEN.  This is one of two in-line Primary Containment Isolation     |
| Valves (PCIV) that provide vacuum breaker isolation capability for the High  |
| Pressure Coolant Injection (HPCI) Steam Turbine Exhaust line. This failure   |
| resulted in the PCIV being declared INOPERABLE at 0300 on 03-28-2002. To     |
| comply with TS 3.6.1.3.B.1, the companion PCIV, 2E41F111, was CLOSED and     |
| deactivated. This resulted in the HPCI system being declared INOPERABLE,     |
| requiring a notification per 10CFR 50.72 for failure of a single train       |
| system. The HPCI system was scheduled to be removed from service for         |
| pre-planned maintenance, however, the failure of the 2E41F104 was not part   |
| of the pre-planned maintenance activities. The HPCI system has been removed  |
| from service, as scheduled, for performance of the pre-planned maintenance   |
| work.                                                                        |
|                                                                              |
| "As of 0904, the 2E41F104 has been repaired, the equipment clearance         |
| restored, and the valve has been satisfactorily functionally tested.         |
| Complete functional testing and return to service of the HPCI system is in   |
| progress, but has not been completed at this time. It is expected that the   |
| HPCI system will be returned to service today (03-28-2002)."                 |
|                                                                              |
| The NRC Resident has been notified.                                          |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|General Information or Other                     |Event Number:   38811       |
+------------------------------------------------------------------------------+
                         
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG:  LOUISIANA RADIATION PROTECTION DIV   |NOTIFICATION DATE: 03/28/2002|
|LICENSEE:  TERREBONNE GENERAL MEDICAL CENTER    |NOTIFICATION TIME:
11:08[EST]|
|    CITY:  HOUMA                    REGION:  4  |EVENT DATE:        03/27/2002|
|  COUNTY:                            STATE:  LA |EVENT TIME:             [CST]|
|LICENSE#:  LA-2762-L01           AGREEMENT:  Y  |LAST UPDATE DATE:  03/28/2002|
|  DOCKET:                                       |+----------------------------+
|                                                |PERSON          ORGANIZATION |
|                                                |CHUCK CAIN           R4      |
|                                                |JOHN HICKEY          NMSS    |
+------------------------------------------------+                             |
| NRC NOTIFIED BY:  SCOOT BLACKWELL              |                             |
|  HQ OPS OFFICER:  MIKE NORRIS                  |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          NON EMERGENCY         |                             |
|10 CFR SECTION:                                 |                             |
|NAGR                     AGREEMENT STATE        |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+------------------------------------------------------------------------------+

                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| MEDICAL MISADMINISTRATION                                                    |
| On March 21, 2002, the physician ordered a Resting Myoview scan on a         |
| patient. This patient was assigned a different room and the Nuclear Medicine |
| department was not notified. When the technologist went to inject the        |
| patient he verbally identified the patient and injected the wrong patient    |
| with 20.6 mCi of Tc-99m Myoview. The technologist has suppose to identify    |
| the patient by the ID bracelet but did not. The technologist was been        |
| retrained in the procedure. This misadministration was discovered when the   |
| correct patient was called in for the scan and the patient had not been      |
| injected. The patient that received the misadministration was notified.      |
| There was no apparent harm or injury to the patient. The patient that        |
| received the misadministration was not suppose to be injected with           |
| radiopharmaceuticals at all. The physician received enough information from  |
| the stress test on the correct patient so that patient did not need to be    |
| injected again.                                                              |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|General Information or Other                     |Event Number:   38812       |
+------------------------------------------------------------------------------+
                         
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG:  CALIFORNIA RADIATION CONTROL PRGM    |NOTIFICATION DATE:
03/28/2002|
|LICENSEE:  CALIFORNIA RADIAITION CONTROL        |NOTIFICATION TIME: 12:52[EST]|
|    CITY:  LONG BEACH               REGION:  4  |EVENT DATE:        03/28/2002|
|  COUNTY:                            STATE:  CA |EVENT TIME:             [PST]|
|LICENSE#:  CA4165                AGREEMENT:  Y  |LAST UPDATE DATE:  03/28/2002|
|  DOCKET:                                       |+----------------------------+
|                                                |PERSON          ORGANIZATION |
|                                                |CHUCK CAIN           R4      |
|                                                |JOHN HICKEY          NMSS    |
+------------------------------------------------+                             |
| NRC NOTIFIED BY:  ROBERT GREGER                |                             |
|  HQ OPS OFFICER:  RICH LAURA                   |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          NON EMERGENCY         |                             |
|10 CFR SECTION:                                 |                             |
|NAGR                     AGREEMENT STATE        |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+------------------------------------------------------------------------------+

                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| AGREEMENT STATE REPORT FOR STOLEN MOISTURE DENSITY GAGE                      |
|                                                                              |
| "Just received word of a moisture density gauge that was stolen overnight.   |
| Licensee is #4165-37 North County Compaction Engineering Inc., from          |
| Escondido, CA. [ ]. The device is a CPN, model MC-1, S/N M14065450 stolen    |
| from the cab of the operator's truck which he did take to his residence in   |
| Long Beach, CA. Police report filed. The                                     |
| gauge contains nominally 10 mCi of Cs-137 and 30 mCi of Am-241.  The         |
| licensee will place an announcement in the local paper describing [the]      |
| device and offering a reward for the return of the gauge."                   |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|General Information or Other                     |Event Number:   38813       |
+------------------------------------------------------------------------------+
                         
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG:  ILLINOIS DEPT OF NUCLEAR SAFETY      |NOTIFICATION DATE: 03/28/2002|
|LICENSEE:  SHOLLE CORPORATION                   |NOTIFICATION TIME: 13:39[EST]|
|    CITY:  NORTHLAKE                REGION:  3  |EVENT DATE:        03/27/2002|
|  COUNTY:                            STATE:  IL |EVENT TIME:             [CST]|
|LICENSE#:  9201385               AGREEMENT:  Y  |LAST UPDATE DATE:  03/28/2002|
|  DOCKET:                                       |+----------------------------+
|                                                |PERSON          ORGANIZATION |
|                                                |BRUCE BURGESS        R3      |
|                                                |JOHN HICKEY          NMSS    |
+------------------------------------------------+                             |
| NRC NOTIFIED BY:  JOE KLINGER                  |                             |
|  HQ OPS OFFICER:  MIKE NORRIS                  |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          NON EMERGENCY         |                             |
|10 CFR SECTION:                                 |                             |
|NAGR                     AGREEMENT STATE        |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+------------------------------------------------------------------------------+

                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| AGREEMENT STATE REPORT FOR A LOST GAUGE                                      |
|                                                                              |
| "A general licensee reported the loss of an NDC Infrared Engineering Model   |
| 103, serial no. 773, containing 100 mCi of Am-241. The gauging device was    |
| initially installed in 1982. The general licensee is a manufacturer of       |
| packaging products. The device was apparently installed at one time in a     |
| plastic extruder line. In November 2000 it was reported to the Department as |
| being on the laminator in the plant. While performing the inventory for the  |
| most recent Departmental self-inspection, the licensee was unable to account |
| for this device. Licensee states that it conducted an extensive              |
| investigation of the circumstances surrounding the disappearance of the      |
| device. Their investigation continues and they will file the required report |
| as soon as possible. The department's investigation is ongoing."             |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|General Information or Other                     |Event Number:   38814       |
+------------------------------------------------------------------------------+
                         
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG:  ILLINOIS DEPT OF NUCLEAR SAFETY      |NOTIFICATION DATE: 03/28/2002|
|LICENSEE:  NASCOTE INDUSTRIES, INC              |NOTIFICATION TIME: 13:39[EST]|
|    CITY:  NASHVILLE                REGION:  3  |EVENT DATE:        03/27/2002|
|  COUNTY:                            STATE:  IL |EVENT TIME:             [CST]|
|LICENSE#:  GENERAL               AGREEMENT:  Y  |LAST UPDATE DATE:  03/28/2002|
|  DOCKET:                                       |+----------------------------+
|                                                |PERSON          ORGANIZATION |
|                                                |BRUCE BURGESS        R3      |
|                                                |JOHN HICKEY          NMSS    |
+------------------------------------------------+                             |
| NRC NOTIFIED BY:  JOE KLINGER                  |                             |
|  HQ OPS OFFICER:  MIKE NORRIS                  |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          NON EMERGENCY         |                             |
|10 CFR SECTION:                                 |                             |
|NAGR                     AGREEMENT STATE        |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+------------------------------------------------------------------------------+

                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| AGREEMENT STATE REPORT FOR LOSS OF STATIC ELIMINATOR                         |
|                                                                              |
| "General licensee reported the loss of a Po-210 static eliminator device.    |
| The Licensee presumes that the device was recently lost during routine       |
| manufacturing operations.  The device is manufactured by NRD and is Model    |
| P-2021, Serial no. A2BA986 containing approximately 2 mCi of Po-210.  The    |
| Licensee will continue to search and file the required written report."      |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   38815       |
+------------------------------------------------------------------------------+
                         
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: RIVER BEND               REGION:  4  |NOTIFICATION DATE: 03/28/2002|
|    UNIT:  [1] [] []                 STATE:  LA |NOTIFICATION TIME: 20:30[EST]|
|   RXTYPE: [1] GE-6                             |EVENT DATE:        03/28/2002|
+------------------------------------------------+EVENT TIME:        16:43[CST]|
| NRC NOTIFIED BY:  KISHOR L. CHAPANERI          |LAST UPDATE DATE:  03/28/2002|
|  HQ OPS OFFICER:  STEVE SANDIN                 +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          NON EMERGENCY         |CHUCK CAIN           R4      |
|10 CFR SECTION:                                 |                             |
|APRE 50.72(b)(2)(xi)     OFFSITE NOTIFICATION   |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|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                                   
+------------------------------------------------------------------------------+
| OFFSITE NOTIFICATIONS  DUE TO UNPLANNED EMERGENCY SIREN ACTUATION           
|
|                                                                              |
| "At  1643, it was discovered that a single River Bend Station Emergency      |
| Siren located in East Baton Rouge Parish had intermittently sounded. A       |
| notification was made to the Louisiana Office of Emergency Preparedness and  |
| a subsequent message is to be broadcast on local radio stations informing    |
| the public that this is an equipment related issue with this siren and no    |
| emergency exists."                                                           |
|                                                                              |
| The licensee informed state/local agencies and the NRC resident inspector.   |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|General Information or Other                     |Event Number:   38816       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG:  NC DIV OF RADIATION PROTECTION       |NOTIFICATION DATE: 03/28/2002|
|LICENSEE:  THOMPSON-ARTHUR DIVISION APAC-CAROLIN|NOTIFICATION TIME:
23:00[EST]|
|    CITY:  GREENSBORO               REGION:  2  |EVENT DATE:        03/28/2002|
|  COUNTY:                            STATE:  NC |EVENT TIME:             [EST]|
|LICENSE#:  041-039               AGREEMENT:  Y  |LAST UPDATE DATE:  03/28/2002|
|  DOCKET:                                       |+----------------------------+
|                                                |PERSON          ORGANIZATION |
|                                                |CAROLYN EVANS        R2      |
|                                                |PATRICIA HOLAHAN     NMSS    |
+------------------------------------------------+                             |
| NRC NOTIFIED BY:  LEE COX                      |                             |
|  HQ OPS OFFICER:  STEVE SANDIN                 |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          NON EMERGENCY         |                             |
|10 CFR SECTION:                                 |                             |
|NAGR                     AGREEMENT STATE        |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+------------------------------------------------------------------------------+

                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| AGREEMENT STATE REPORT INVOLVING A STOLEN TROXLER MOISTURE DENSITY
GAUGE     |
|                                                                              |
| The following is the text from a NC Department of Environment and Natural    |
| Resources News Release:                                                      |
|                                                                              |
| "A truck stolen about 4:30 this afternoon in Forsyth County was transporting |
| an instrument containing eight millicuries of Cesium-137, a radioactive      |
| material that is a potential health and safety risk if handled improperly or |
| broken open.                                                                 |
|                                                                              |
| "The truck is a white Ford F150. The instrument is a Troxler brand portable  |
| moisture density gauge model 4640B.  It is yellow and has a stainless steel  |
| handle with a radiation symbol protruding from a heavy base.  It is about    |
| 20-30 pounds and 24x12x14 inches. Its serial number is 1996. The gauge was   |
| in a yellow box 24x12 inches and marked as containing radioactive material.  |
| The box should be locked and chained to the truck.                           |
|                                                                              |
| "The gauge uses radioactive materials to test conditions of soil and asphalt |
| during construction.  Any health risk would occur only if a person were      |
| directly exposed to the sealed radioactive source inside the instrument.     |
|                                                                              |
| "Employees of Thompson-Arthur Division APAC-Carolina, Inc., a paving company |
| in Greensboro, left the truck unattended. The company's license with the     |
| state Division of Radiation Protection requires that the instrument not be   |
| left unsecured.                                                              |
|                                                                              |
| "Anyone who believes he or she has found the truck, box or gauge should stay |
| at least ten feet away and contact the local sheriffs office, police         |
| department or state highway patrol immediately."                             |
|                                                                              |
| NC Incident No. 02-12.                                                       |
+------------------------------------------------------------------------------+