Event Notification Report for June 13, 2002
U.S. Nuclear Regulatory Commission Operations Center Event Reports For 06/12/2002 - 06/13/2002 ** EVENT NUMBERS ** 38972 38973 38974 38980 38981 38982 38983 38984 38986 38987 +------------------------------------------------------------------------------+ |General Information or Other |Event Number: 38972 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | REP ORG: ARKANSAS DEPARTMENT OF HEALTH |NOTIFICATION DATE: 06/07/2002| |LICENSEE: ALBEMARLE CORPORATION |NOTIFICATION TIME: 17:07[EDT]| | CITY: MAGNOLIA REGION: 4 |EVENT DATE: 06/06/2002| | COUNTY: STATE: AR |EVENT TIME: [CDT]| |LICENSE#: ARK-717-BP AGREEMENT: Y |LAST UPDATE DATE: 06/07/2002| | DOCKET: |+----------------------------+ | |PERSON ORGANIZATION | | |JOHN PELLET R4 | | |THOMAS ESSIG NMSS | +------------------------------------------------+ | | NRC NOTIFIED BY: JARED THOMPSON | | | HQ OPS OFFICER: FANGIE JONES | | +------------------------------------------------+ | |EMERGENCY CLASS: NON EMERGENCY | | |10 CFR SECTION: | | |NAGR AGREEMENT STATE | | | | | | | | | | | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | AGREEMENT STATE REPORT - SOURCE NOT ATTACHED TO SOURCE ROD | | | | "On June 6, 2002 at 4:30 p.m. the Arkansas Department of Health was notified | | by Albemarle Corporation in Magnolia, Arkansas that a fixed density gauge | | source had been damaged. Albemarle has Arkansas Radioactive Material License | | ARK-717-BP-11-99. The device is a Ronan Engineering Company Model SA-15 | | containing two 5 millicuries sources of Cesium-137. The device was locked | | out on June 3, 2002. On June 6, 2002 while the source housing was being | | adjusted it was noted that the source rod was in a different configuration. | | Radiation surveys were performed and it appeared that one of the 5 | | millicuries sources was not attached to the source rod. The immediate area | | was secured and access has been restricted. Albemarle has contacted a | | consultant to assist in retrieval and packaging of the source for return to | | the manufacturer. | | | | "The Department has sent two inspectors to the facility to investigate and | | assess the Incident on June 7, 2002. It appears that there may have been | | personnel radiation exposure due to this incident. This incident is under | | investigation." | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ |General Information or Other |Event Number: 38973 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | REP ORG: SC DIV OF HEALTH & ENV CONTROL |NOTIFICATION DATE: 06/08/2002| |LICENSEE: ISOMEDIX CORPORATIONS |NOTIFICATION TIME: 13:50[EDT]| | CITY: SPARTANBURG REGION: 2 |EVENT DATE: 06/07/2002| | COUNTY: STATE: SC |EVENT TIME: 21:15[EDT]| |LICENSE#: 267 AGREEMENT: Y |LAST UPDATE DATE: 06/08/2002| | DOCKET: |+----------------------------+ | |PERSON ORGANIZATION | | |BRIAN BONSER R2 | | |THOMAS ESSIG NMSS | +------------------------------------------------+ | | NRC NOTIFIED BY: JAMES PETERSON | | | HQ OPS OFFICER: FANGIE JONES | | +------------------------------------------------+ | |EMERGENCY CLASS: NON EMERGENCY | | |10 CFR SECTION: | | |NAGR AGREEMENT STATE | | | | | | | | | | | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | AGREEMENT STATE REPORT - EMPLOYEE DEATH DUE TO NONNUCLEAR ACCIDENT | | | | With the source in the stored position, an employee of Isomedix Operations, | | entered the sterilization chamber of the irradiator to try freeing some | | jammed product carriers. The employee was killed when his head was caught | | between the carriers as they moved together. | | | | This report is made as a conservative measure as this was not nuclear | | related, but occurred at a licensee's facility. | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ |General Information or Other |Event Number: 38974 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | REP ORG: CALIFORNIA RADIATION CONTROL PRGM |NOTIFICATION DATE: 06/10/2002| |LICENSEE: UCLA HARBOR MEDICAL CENTER |NOTIFICATION TIME: 12:40[EDT]| | CITY: REGION: 4 |EVENT DATE: 06/10/2002| | COUNTY: LOS ANGELAS STATE: CA |EVENT TIME: [PDT]| |LICENSE#: 0359-19 AGREEMENT: Y |LAST UPDATE DATE: 06/10/2002| | DOCKET: |+----------------------------+ | |PERSON ORGANIZATION | | |ANTHONY GODY R4 | | |FRED BROWN 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 OF MEDICAL MISADMINISTRATION | | | | "Patient who was suppose to receive 32 millicuries I-131 was given 120 | | millicuries I-131. As patient's thyroid was to be ablated anyway, no ill | | effects to patient. The doctor gave her the wrong dose." | | | | The cause of the misadministration is being reviewed at the time of the | | report. | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ |Other Nuclear Material |Event Number: 38980 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | REP ORG: US ARMY |NOTIFICATION DATE: 06/12/2002| |LICENSEE: US ARMY |NOTIFICATION TIME: 09:28[EDT]| | CITY: ABERDEEN REGION: 1 |EVENT DATE: 06/11/2002| | COUNTY: STATE: MD |EVENT TIME: [EDT]| |LICENSE#: 19-30563-01 AGREEMENT: Y |LAST UPDATE DATE: 06/12/2002| | DOCKET: |+----------------------------+ | |PERSON ORGANIZATION | | |LAWRENCE DOERFLEIN R1 | | |DON COOL NMSS | +------------------------------------------------+ | | NRC NOTIFIED BY: JOYCE KUYKENDALL | | | HQ OPS OFFICER: LEIGH TROCINE | | +------------------------------------------------+ | |EMERGENCY CLASS: NON EMERGENCY | | |10 CFR SECTION: | | |BLO1 20.2201(a)(1)(i) LOST/STOLEN LNM>1000X | | | | | | | | | | | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | LOSS OF ONE CHEMICAL DETECTOR AT A TRAINING SITE IN SEOMOUL CITY, SOUTH | | KOREA | | | | A chemical detector containing 300 microcuries of americium-241 was lost at | | the site of a training activity in Seomoul City, South Korea. An | | investigation is currently ongoing. The detector was verified to be missing | | on 06/11/02. | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ |Other Nuclear Material |Event Number: 38981 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | REP ORG: US ARMY |NOTIFICATION DATE: 06/12/2002| |LICENSEE: US ARMY |NOTIFICATION TIME: 09:28[EDT]| | CITY: ABERDEEN REGION: 1 |EVENT DATE: 06/12/2002| | COUNTY: STATE: MD |EVENT TIME: [EDT]| |LICENSE#: AGREEMENT: Y |LAST UPDATE DATE: 06/12/2002| | DOCKET: |+----------------------------+ | |PERSON ORGANIZATION | | |LAWRENCE DOERFLEIN R1 | | |ANTHONY GODY R4 | +------------------------------------------------+DON COOL NMSS | | NRC NOTIFIED BY: JOYCE KUYKENDALL | | | HQ OPS OFFICER: LEIGH TROCINE | | +------------------------------------------------+ | |EMERGENCY CLASS: NON EMERGENCY | | |10 CFR SECTION: | | |BLO2 20.2201(a)(1)(ii) LOST/STOLEN LNM>10X | | | | | | | | | | | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | LOSS OF FOUR DETECTORS AT FORT HOOD, TEXAS | | | | Four detectors each containing 15 millicuries of nickel-63 were lost at Fort | | Hood, Texas. On 05/29/02, Fort Hood received the report that the detectors | | might be missing. Apparently, they were misplaced during preparations to | | send them to a maintenance shop for wipe testing. The detectors were | | verified to be missing on 06/05/02, and Fort Hood notified Aberdeen on | | 06/11/02. | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ |Power Reactor |Event Number: 38982 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | FACILITY: DUANE ARNOLD REGION: 3 |NOTIFICATION DATE: 06/12/2002| | UNIT: [1] [] [] STATE: IA |NOTIFICATION TIME: 14:03[EDT]| | RXTYPE: [1] GE-4 |EVENT DATE: 06/12/2002| +------------------------------------------------+EVENT TIME: 11:38[CDT]| | NRC NOTIFIED BY: MIKE DAVIS |LAST UPDATE DATE: 06/12/2002| | HQ OPS OFFICER: RICH LAURA +-----------------------------+ +------------------------------------------------+PERSON ORGANIZATION | |EMERGENCY CLASS: NON EMERGENCY |KENNETH RIEMER R3 | |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 93.6 Power Operation |93.6 Power Operation | | | | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | OFFSITE NOTIFICATION AT DUANE ARNOLD DUE TO A SMALL OIL SPILL | | | | "Notified Iowa DNR, Linn County Sheriff, and the US National Coast Guard | | National Response Center of a reportable spill of petroleum oil into the | | Cedar River (sheen on the river) per applicable reporting procedures. While | | performing river water supply pit cleaning, the cleaning pump leaked about 1 | | pint of oil into the Cedar River. The pump has been removed from the river." | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ |Power Reactor |Event Number: 38983 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | FACILITY: COOK REGION: 3 |NOTIFICATION DATE: 06/12/2002| | UNIT: [1] [2] [] STATE: MI |NOTIFICATION TIME: 14:17[EDT]| | RXTYPE: [1] W-4-LP,[2] W-4-LP |EVENT DATE: 06/12/2002| +------------------------------------------------+EVENT TIME: 14:05[EDT]| | NRC NOTIFIED BY: T. BURRIS |LAST UPDATE DATE: 06/13/2002| | HQ OPS OFFICER: RICH LAURA +-----------------------------+ +------------------------------------------------+PERSON ORGANIZATION | |EMERGENCY CLASS: ALERT |JAMES CALDWELL R3 | |10 CFR SECTION: |JON JOHNSON NRR | |AAEC 50.72(a) (1) (i) EMERGENCY DECLARED |TERENCE REIS NRR | | |DON MARKSBERRY RCT | | |TIM MCGINTY DIRO | | |RICHARD WESSMAN DIRO | +-----+----------+-------+--------+-----------------+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ |1 N Y 69 Power Operation |69 Power Operation | |2 N Y 100 Power Operation |100 Power Operation | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | ALERT DECLARED AT DC COOK DUE TO FIRE IN SWITCHYARD | | | | The licensee reported an explosion and subsequent fire that occurred in the | | station's 345-kV electrical switchyard. Neither reactor plant was directly | | affected by the event and both remained at power. The licensee declared an | | Alert at 1405 based on the switchyard fire potentially affecting safety | | related equipment such as the reserve power to safety-related electrical | | buses. Several switchyard breakers tripped open at 1345 placing the units in | | TS 3.0.5. One injury was reported. Planned maintenance was in progress in | | the switchyard at the time of the event. | | | | The NRC entered the Monitoring Phase of Normal Mode at 1447 EDT on | | 06/12/02. | | | | Notified the Chairman's office (Mike Tschiltz), USDA (K. Barrett), EPA NRC | | (Ms. Edwards), EPA EOC (T. Tanner), DOE (T. Yates), FEMA (C. Cleveland), HHS | | (Carol Cleveland), and OHS (D. Edwards). | | | | ***** UPDATE AT 1730 EDT ON 06/12/02 ***** | | | | A Commissioners' assistants briefing was held at 1730 EDT. Participants | | included: NRR (J. Johnson, S. Collins), DIRO (R. Wessman), EDO (H. Nieh), | | HQ PAO (W. Beecher), OSATP (P. Lohaus), IP (J. Dunn-Lee), CA (L. Gerke), | | SECY (A. Bates), Comm. Meserve (M. Tschiltz), Comm. Dicus (Kerri Kavanaugh), | | Comm. Merrifield (J. Thoma), and Comm. Diaz (D. Simpkins). | | | | ***** UPDATE FROM JIM KOBYRA TO LEIGH TROCINE AT 2354 EDT ON 06/12/02 ***** | | | | At 2157, the licensee declared the Unit 2 east essential service water pump | | operable, and Unit 2 exited Technical Specification 3.0.5 at that time. | | Unit 1 exited Technical Specification 3.0.5 approximately 5 minutes earlier. | | At 2347, both units exited Technical Specification 3.8.1.1 when the licensee | | restored transformer 4 to serve the Unit 2 reserve auxiliary transformers | | and isolated it from Unit 1 (which is being fed by transformer 5). As a | | result, the licensee terminated the Alert and exited the Emergency Plan at | | 2354 EDT on 06/12/02. | | | | The licensee plans to notify the NRC resident inspectors, State of Michigan, | | and Berrien County. | | | | The NRC exited the Monitoring Phase of Normal Mode at 2355 on 06/12/02. | | | | The NRC operations center notified the R3DO (Jim Creed), NRR EO (Bill | | Bateman), DIRO (Tim McGinty), PAO (Bill Beecher), EDO (Ho Nieh), Chairman's | | office (Mike Tschiltz), USDA (Lori Thomas and Kathleen Barrett), EPA via the | | National Response Center (Ms. Arsenault), DOE (Odell Bartlett), FEMA (Al | | Austin), HHS (Karen Cleveland), and OHS (Ron Brahm). | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ |Power Reactor |Event Number: 38984 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | FACILITY: COOK REGION: 3 |NOTIFICATION DATE: 06/12/2002| | UNIT: [1] [2] [] STATE: MI |NOTIFICATION TIME: 16:24[EDT]| | RXTYPE: [1] W-4-LP,[2] W-4-LP |EVENT DATE: 06/12/2002| +------------------------------------------------+EVENT TIME: 15:34[EDT]| | NRC NOTIFIED BY: RICK JERVEY |LAST UPDATE DATE: 06/12/2002| | HQ OPS OFFICER: RICH LAURA +-----------------------------+ +------------------------------------------------+PERSON ORGANIZATION | |EMERGENCY CLASS: NON EMERGENCY |TIM MCGINTY IRO | |10 CFR SECTION: |JIM CALDWELL R3 | |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 69 Power Operation |69 Power Operation | |2 N Y 100 Power Operation |100 Power Operation | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | OFFSITE NOTIFICATION DUE TO OIL SPILL | | | | Licensee notified the Michigan Department of Environmental Quality of a | | spill of greater than 5 gallons of oil due to a switchyard breaker explosion | | and fire. | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ |Fuel Cycle Facility |Event Number: 38986 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | FACILITY: PADUCAH GASEOUS DIFFUSION PLANT |NOTIFICATION DATE: 06/12/2002| | RXTYPE: URANIUM ENRICHMENT FACILITY |NOTIFICATION TIME: 21:53[EDT]| | COMMENTS: 2 DEMOCRACY CENTER |EVENT DATE: 06/12/2002| | 6903 ROCKLEDGE DRIVE |EVENT TIME: 06:30[CDT]| | BETHESDA, MD 20817 (301)564-3200 |LAST UPDATE DATE: 06/12/2002| | CITY: PADUCAH REGION: 3 +-----------------------------+ | COUNTY: McCRACKEN STATE: KY |PERSON ORGANIZATION | |LICENSE#: GDP-1 AGREEMENT: Y |JAMES CREED R3 | | DOCKET: 0707001 |LARRY CAMPER NMSS | +------------------------------------------------+ | | NRC NOTIFIED BY: K. BEASLEY | | | HQ OPS OFFICER: RICH LAURA | | +------------------------------------------------+ | |EMERGENCY CLASS: NON EMERGENCY | | |10 CFR SECTION: | | |NBNL RESPONSE-BULLETIN | | | | | | | | | | | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | 24 HOUR BULLETIN 91-01 REPORT AT PADUCAH | | | | "At 0820 CDT, on 6-12-02 the Plant Shift Superintendent was notified of an | | NCS violation that had occurred in the C-335 process building. The | | calibrated AQ-NCS pressure chart recorders for C and E surge drum banks had | | previously failed. As a result of this failure the shiftly pressure checks | | were performed using non AQ-NCS pressure instrumentation and therefore were | | not valid. The purpose of the pressure check is to identify if wet air | | inleakage has begun on surge drum bank. An alternate AQ-NCS pressure | | instrument has now been connected to the system and follow-up pressure | | readings have been taken. The pressure readings indicate there has been no | | wet air inleakage. The required checks have been restarted. Double | | contingency has been restored. | | | | "This is an event is which a violation of the double contingency principle | | occurred and where double contingency was re-established within four hours | | of the initial observation of the event. The NRC Resident Inspector has been | | notified of this event. | | | | "SAFETY SIGNIFICANCE OF EVENTS: Although pressure readings were taken on a | | shiftly basis, these readings were not valid because the instrumentation | | used was not AQ-NCS. Therefore double contingency was not maintained. | | | | "POTENTIAL CRITICALITY PATHWAYS INVOLVED: In order for a criticality to be | | possible a surge drum would have to contain a critical mass of UO2F2 in an | | unfavorable geometry, wet air inleakage would need to occur, and the uranium | | mass would have to be sufficiently moderated. | | | | "CONTROLLED PARAMETERS: Double contingency is maintained by implementing two | | controls on moderation. | | | | "NUCLEAR CRITICALITY Y SAFETY CONTROL(S): The first leg of double | | contingency is based on maintaining the integrity of the surge drum system | | against wet air inleakage. This integrity is assured by an SRI for the | | unlikely breach of the surge drum system. Structural integrity of the drum | | is intact, therefore this SRI is maintained. The second leg of double | | contingency is based on the performance of the shiftly pressure checks of an | | AQ-NCS instrument as an indication of wet air inleakage. The required checks | | were performed using an uncalibrated instrument. Since an uncalibrated | | instrument was used, the shiftly checks were invalid resulting in a loss of | | this control. Since there are two controls on one parameter, double | | contingency was not maintained. | | | | "CORRECTIVE ACTIONS: 1) Isolate the affected surge drum banks until the | | original pressure indication equipment is repaired. The drums were isolated | | at 1025 CDT on 6-12-02. 2) Connect AQ-NCS pressure indication equipment and | | monitor in accordance with procedure CP4-CO-CN6069 until the original | | pressure indication equipment is repaired. An alternate AQ-NCS approved | | instrument was connected, and readings were taken at 1040 CDT on 6-12-02." | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ |Power Reactor |Event Number: 38987 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | FACILITY: CALVERT CLIFFS REGION: 1 |NOTIFICATION DATE: 06/13/2002| | UNIT: [1] [2] [] STATE: MD |NOTIFICATION TIME: 00:57[EDT]| | RXTYPE: [1] CE,[2] CE |EVENT DATE: 06/12/2002| +------------------------------------------------+EVENT TIME: 23:41[EDT]| | NRC NOTIFIED BY: BRUCE SHICK |LAST UPDATE DATE: 06/13/2002| | HQ OPS OFFICER: LEIGH TROCINE +-----------------------------+ +------------------------------------------------+PERSON ORGANIZATION | |EMERGENCY CLASS: NON EMERGENCY |LAWRENCE DOERFLEIN R1 | |10 CFR SECTION: |FEMA, DOE, USDA, HHS FAX | |APRE 50.72(b)(2)(xi) OFFSITE NOTIFICATION |EPA, DOT (via NRC) FAX | | | | | | | | | | +-----+----------+-------+--------+-----------------+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ |1 N N 0 Cold Shutdown |0 Cold Shutdown | |2 N Y 100 Power Operation |100 Power Operation | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | OFFSITE NOTIFICATION REGARDING A RELEASE OF RAW SEWAGE TO THE CHESAPEAKE | | BAY | | | | The licensee reported that an air leak caused a level detector in a large | | inlet pumping well to fail low. As a result, the sump pumps stopped and did | | not restart when actual level reached the high level setpoint. The inlet | | sump of the onsite sewage treatment plant subsequently overflowed, and raw | | sewage was released to the Chesapeake Bay. | | | | The licensee estimates that the quantity of raw sewage involved was between | | 2,500 and 7,200 gallons. Additional calculations are currently being | | performed. The level detector malfunctioned has since been repaired. | | | | The licensee notified the NRC resident inspector and local county and plans | | to notify the Maryland Department of Environmental Protection. | +------------------------------------------------------------------------------+
Page Last Reviewed/Updated Wednesday, March 24, 2021
Page Last Reviewed/Updated Wednesday, March 24, 2021