Event Notification Report for August 9, 2002
U.S. Nuclear Regulatory Commission
Operations Center
Event Reports For
08/08/2002 - 08/09/2002
** EVENT NUMBERS **
38602 39113 39119 39120
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|Power Reactor |Event Number: 38602 |
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| FACILITY: CRYSTAL RIVER REGION: 2 |NOTIFICATION DATE: 01/01/2002|
| UNIT: [3] [] [] STATE: FL |NOTIFICATION TIME: 10:08[EST]|
| RXTYPE: [3] B&W-L-LP |EVENT DATE: 01/01/2002|
+------------------------------------------------+EVENT TIME: 09:19[EST]|
| NRC NOTIFIED BY: BILL BANDHAUER |LAST UPDATE DATE: 08/08/2002|
| HQ OPS OFFICER: FANGIE JONES +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: NON EMERGENCY |ANNE BOLAND R2 |
|10 CFR SECTION: | |
|APRE 50.72(b)(2)(xi) OFFSITE NOTIFICATION | |
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| | |
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+-----+----------+-------+--------+-----------------+--------+-----------------+
|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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| OFFSITE NOTIFICATION DUE RESCUED SEA TURTLE |
| |
| EN #37902 started the biennial report period. |
| |
| On January 1, 2002 at 0919, a rescued sea turtle was identified as a green |
| sea turtle. This is the 62nd rescue of a live sea turtle at Crystal River |
| Unit 3 (CR-3) in this biennial period. Notification to the National Marine |
| Fisheries Service and the Florida Fish and Wildlife Conservation Commission. |
| |
| |
| The licensee intends to notify the NRC Resident Inspector. |
| |
| * * * UPDATE ON 1/05/02 @ 1002 BY RAWLS TO GOULD * * * |
| |
| On January 5, 2002, at 0720, a rescued sea turtle was identified as a |
| Loggerhead Sea Turtle. This is the 63rd rescue of a live sea turtle at |
| Crystal River Unit 3 (CR3) in this biennial period. This is reportable as a |
| 4-hour report under 10 CFR 50.72(b)(2)(xi) as this event is related to the |
| protection of the environment for which a notification to other government |
| agencies (National Marine Fisheries Service and Florida Fish and Wildlife |
| Conservation Commission) has been or will be made. |
| |
| The NRC Resident Inspector was notified. |
| |
| Reg 2 RDO (Decker) was notified. |
| |
| * * * UPDATE ON 01/09/02 @ 1107 EST BY ANDY BARNES TAKEN BY MACKINNON * * * |
| |
| On January 9, 2002, at 0838, a rescued sea turtle was identified as a Kemp's |
| Ridley Sea Turtle. This is the 64th rescue of a live turtle at Crystal River |
| Unit 3 (CR-3) in this biennial period. This is reportable as a 4-hour 10 CFR |
| 50.72(b)(2)(xi) as this event is related to the protection of the |
| environment for which a notification to other government agencies (National |
| Marine Fisheries Service and Florida Fish and Wildlife Conservation |
| Commission) has been or will be made. |
| |
| The NRC Resident Inspector was notified. |
| |
| Reg 2 (Brian Bonser) was notified. |
| |
| * * * UPDATE ON 02/17/02 at 0940 EST BY RICKY RAWLS TO FANGIE JONES * * * |
| |
| "On February 17, 2002 at 0820, a rescued injured sea turtle was identified |
| as a Kemp's Ridley Sea Turtle. The injury will require transportation to |
| Clearwater Marine Science Center or Florida Fish and Wildlife Conservation |
| Refuge. The Injury appears to be from a boat propeller. This is the 65th |
| rescue of a live sea turtle at Crystal River Unit 3 (CR-3) in this biennial |
| period. This is Reportable as a 4-Hour Report under 10 CFR 50.72(b)(2)(xi) |
| as this event is related to the protection of the environment for which a |
| notification to other government agencies (National Marine Fisheries Service |
| and Florida Fish and Wildlife Conservation Commission) has been or will be |
| made. This Is an update to event 38602." |
| |
| The NRC Resident Inspector will be notified. R2DO (Stephen Cahill) has been |
| notified. |
| |
| * * * UPDATE ON 03/01/02 AT 1122 EST BY RICKY RAWLS TO GERRY WAIG * * * |
| |
| "On March 1, 2002 at 0952, a healthy rescued sea turtle was identified as a |
| Green Sea Turtle. This is the 66th rescue of a live sea turtle at Crystal |
| River Unit 3 (CR-3) in this biennial period. This is Reportable as a 4-Hour |
| Report under 10 CFR 50.72(b)(2)(xi) as this event is related to the |
| protection of the environment for which a notification to other government |
| agencies (National Marine Fisheries Service and Florida Fish and Wildlife |
| Conservation Commission) has been or will be made. This is an update to |
| event 38602." |
| |
| The NRC Resident Inspector was notified. R2DO (Julian) was notified. |
| |
| * * * UPDATE ON 03/07/02 AT 1114 EST BY CHUCK MORRIS TO MIKE NORRIS * * * |
| |
| "On March 7, 2002 at 0835, two healthy sea turtles rescued at CR#3 were |
| identified as Green Sea Turtles. These are the 67th and 68th live sea turtle |
| rescues at the Crystal River Energy Complex in this biennial period. This is |
| Reportable as a 4-Hour Report under 10 CFR 50.72(b)(2)(xi) as this event is |
| related to the protection of the environment for which a notification to |
| other government agencies (National Marine Fisheries Service and Florida |
| Fish and Wildlife Conservation Commission) has been or will be made. This is |
| an update to event 38602." |
| |
| The NRC Resident Inspector was notified. R2DO (Henson) was notified. |
| |
| * * * UPDATE ON 04/02/02 at 0408 EST BY RICKY RAWLS TO FANGIE JONES * * * |
| |
| "On April 2, 2002 at 0236, two sea turtles previously rescued at CR#3 intake |
| area were identified by FPC Mariculture staff as Kemp Ridley Sea Turtles. |
| One of the turtles appears to be in distress and may require transportation |
| to Clearwater Marine Science Center of Florida Fish and Wildlife |
| Conservation Refuge. These are the 69th and 70th live sea turtle rescues at |
| the Crystal River Energy Complex in this biennial period. This is Reportable |
| as a 4-Hour Report under 10 CFR 50.72(b)(2)(xi) as this event is related to |
| the protection of the environment for which a notification to other |
| government agencies (National Marine Fisheries Service and Florida Fish and |
| Wildlife Conservation Commission) has been or will be made. This is an |
| update to event 38602." |
| |
| The NRC Resident Inspector will be notified. The R2DO (Carolyn Evans) was |
| notified. |
| |
| ***** UPDATE AT 1023 EDT ON 05/19/02 FROM PELLERIN TO LEIGH TROCINE ***** |
| |
| The following text is a portion of a facsimile received from the licensee: |
| |
| "On May 19, 2002, at 0916, a sea turtle previously rescued at CR#3 intake |
| area was identified by FPC Mariculture staff as Green Sea Turtle. This is |
| the 71st live sea turtle rescue at the Crystal River Energy Complex in this |
| biennial period. This is Reportable as a 4-Hour Report under 10 CFR |
| 50.72(b)(2)(xi) as this event is related to the protection of the |
| environment for which a notification to other government agencies (National |
| Marine Fisheries Service and Florida Fish and Wildlife Conservation |
| Commission) has been or will be made. This is an update to event 38602." |
| |
| The licensee plans to notify the National Marine Fisheries Service and |
| Florida Fish and Wildlife Conservation Commission and the NRC resident |
| inspector. The NRC operations officer notified the R2DO (Paul |
| Fredrickson). |
| |
| * * * UPDATE 1816 EDT ON 5/28/02 FROM BERRY FOSTER TO S. SANDIN * * * |
| |
| "On May 28, 2002 at 1700, a sea turtle previously rescued at CR#3 intake |
| area was identified by FPC Mariculture staff as a Green Sea Turtle. This is |
| the 72nd live sea turtle rescue at the Crystal River Energy Complex in this |
| biennial period. The turtle is being transported to the Clearwater Marine |
| Science Center. This is Reportable as a 4-Hour Report under 10 CFR 50.72 (b) |
| (2) (xi) as this event is related to the protection of the environment for |
| which a notification to other government agencies (National Marine Fisheries |
| Service and Florida Fish and Wildlife Conservation Commission) has been or |
| will be made. This is an update to event 38602." |
| |
| The licensee will inform the NRC Resident Inspector. Notified |
| R2DO(Landis). |
| |
| * * * UPDATE 1602 EDT ON 5/31/02 FROM BILL BANDHAUER TO MIKE NORRIS * * * |
| |
| "On May 30, 2002 at 1323, a sea turtle previously rescued at CR#3 intake |
| area was identified by FPC Mariculture staff as a Kemp's Ridley Sea Turtle. |
| This is the 72nd live sea turtle rescue at the Crystal River Energy Complex |
| in this biennial period. (Note: The sequential numbering of the live sea |
| turtle takes has been modified to reflect the actual live sea turtle takes, |
| On 4/02/02, a live rescue of two turtles was reported, however, one of the |
| turtles died and was reclassified as a non-causal mortality, which is |
| non-reportable). This event is Reportable as a 4-Hour Report under 10 CFR |
| 50.72(b) (2) (xi) as this event is related to the protection of the |
| environment for which a notification to other government agencies (National |
| Marine Fisheries Service and Florida Fish and Wildlife Conservation |
| Commission) has been or will be made. This is an update to event 38602." |
| |
| The NRC Resident Inspector has been notified. Notified R2DO (Landis). |
| |
| *****UPDATE AT 13:58 EDT ON 7/18/02 FROM SWEENEY TO LAURA***** |
| |
| An offsite notification to the State regarding a green sea turtle that was |
| rescued from the CR#3 intake area by the FPC Mariculture staff. |
| |
| The NRC resident inspector was notified. Notified R2DO (C. Payne). |
| |
| * * * UPDATE 1126 EDT ON 8/1/02 FROM BILL BANDHAUER TO FANGIE JONES * * * |
| |
| "At 0915 on August 1,2002, a dead sea turtle recovered at the CR#3 intake |
| area was identified by FPC Mariculture staff as a Kemps Ridley Turtle. FPC |
| determined that the cause of death was non-causally related to the operation |
| of CR3. This is the 7th dead Kemps Ridley Turtle recovery at the Crystal |
| River Energy Complex in this biennial period. The threshold for reporting |
| non-causal sea turtle deaths is 6 in a biennial period. This event is |
| Reportable as a 4-Hour Report under 10 CFR 50.72 (b) (2) (xi) as this event |
| is related to the protection of the environment for which a notification to |
| other government agencies (National Marine Fisheries Service and Florida |
| Fish and Wildlife Conservation Commission) will be made. This is an update |
| to event 38602." |
| |
| The licensee intends to notify the NRC Resident Inspector. The R2DO (Mike |
| Ernstes) has been notified. |
| |
| * * * UPDATE 1529 EDT ON 8/8/02 FROM DAN DeBOER TO GERRY WAIG * * * |
| |
| "At 1234 on August 8, 2002, FPC determined that the dead Kemps-Ridley sea |
| turtle recovered at 1930 on May 11, 2002, at the Crystal River Unit 3 intake |
| area was reportable as a 4-Hour Report under 10 CFR 50.72 (b) (2) (xi). This |
| event is related to the protection of the environment for which a |
| notification to other government agencies (National Marine Fisheries Service |
| and Florida Fish and Wildlife Conservation Commission) has been made. At |
| 1347 on May 13, 2002 the FPC Mariculture Center determined that the cause of |
| death was non-causally related to the operation of Crystal River Unit 3. |
| This was the 6th non-causal dead turtle recovery at the Crystal River Energy |
| Complex in this biennial period. The threshold for reporting non-causal sea |
| turtle deaths is 6 in a biennial period. This is an update to event 38602." |
| |
| The licensee notified the NRC Resident Inspector. The R2DO (Claude Julian) |
| has been notified. |
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|General Information or Other |Event Number: 39113 |
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| REP ORG: COLORADO DEPT OF HEALTH |NOTIFICATION DATE: 08/06/2002|
|LICENSEE: CENTURA HEALTH PENRONSE ST. FRANCIS H|NOTIFICATION TIME: 13:30[EDT]|
| CITY: COLORADO SPRINGS REGION: 4 |EVENT DATE: 08/02/2002|
| COUNTY: STATE: CO |EVENT TIME: [MDT]|
|LICENSE#: 197-02 AGREEMENT: Y |LAST UPDATE DATE: 08/06/2002|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |CHUCK CAIN R4 |
| |JOHN HICKEY NMSS |
+------------------------------------------------+ |
| NRC NOTIFIED BY: TIMOTHY BONZER | |
| 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 A MEDICAL MISADMINISTRATION |
| |
| "I received a call from Gerald White, of Colorado Associates in Medical |
| Physics (CAMP) late on Friday August 2, 2002. He called to report a medical |
| administration that occurred at Centura Health Penrose St. Francis Hospital |
| in Colorado Springs (RML 197-02) earlier that day concerning a high dose |
| rate afterloader (HDR) treatment. |
| |
| "Apparently, an incorrect catheter length was entered into the software for |
| the HDR unit, resulting in the patient receiving zero therapy dose. Since |
| the source left the housing, there was an exposure to the patient. |
| |
| "The physician is determining the path forward with respect to treatment. We |
| are awaiting more information from CAMP. I sent them an e-mail yesterday |
| evening (8/5/02) requesting more Information." |
| |
| Colorado Department of Public Health and Environment, Laboratory and |
| Radiation Services Division, Report Number M03-01. |
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|General Information or Other |Event Number: 39119 |
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| REP ORG: ADVANCE TESTING CO |NOTIFICATION DATE: 08/08/2002|
|LICENSEE: ADVANCE TESTING CO |NOTIFICATION TIME: 12:34[EDT]|
| CITY: FAIRFIELD REGION: 1 |EVENT DATE: 08/06/2002|
| COUNTY: FAIRFIELD STATE: CT |EVENT TIME: 14:30[EDT]|
|LICENSE#: 2434-3468 NY AGREEMENT: N |LAST UPDATE DATE: 08/08/2002|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |DANIEL HOLODY R1 |
| |FRED BROWN NMSS |
+------------------------------------------------+ |
| NRC NOTIFIED BY: CHRISTOPHER BROWER | |
| HQ OPS OFFICER: GERRY WAIG | |
+------------------------------------------------+ |
|EMERGENCY CLASS: NON EMERGENCY | |
|10 CFR SECTION: | |
|NINF INFORMATION ONLY | |
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EVENT TEXT
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| TROXLER MOISTURE DENSITY GAUGE DAMAGED |
| |
| During a paving job at the intersection of Route 95 and Route 7 in |
| Fairfield, CT, a Troxler Moisture Density Gauge, Model # 3411B, Serial |
| #16237, was run over by an asphalt roller. The gauge contains 8 millicuries |
| of cesium 137 and 40 millicuries of Am-241/Be. The damaged Troxler Gauge was |
| removed from the asphalt and placed in a secure container. The area was |
| isolated and surveyed for contamination. No contamination was identified. |
| The licensee notified the Connecticut Department of Transportation and NRC |
| Region 1 of the event. |
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|Hospital |Event Number: 39120 |
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| REP ORG: FLETCHER ALLEN HEALTH CARE |NOTIFICATION DATE: 08/08/2002|
|LICENSEE: FLETCHER ALLEN HEALTH CARE |NOTIFICATION TIME: 14:13[EDT]|
| CITY: BURLINGTON REGION: 1 |EVENT DATE: 08/06/2002|
| COUNTY: STATE: VT |EVENT TIME: 14:00[EDT]|
|LICENSE#: 441018703 AGREEMENT: N |LAST UPDATE DATE: 08/08/2002|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |DANIEL HOLODY R1 |
| |FRED BROWN NMSS |
+------------------------------------------------+ |
| NRC NOTIFIED BY: MOORE | |
| HQ OPS OFFICER: CHAUNCEY GOULD | |
+------------------------------------------------+ |
|EMERGENCY CLASS: NON EMERGENCY | |
|10 CFR SECTION: | |
|LADM 35.33 MED MISADMINISTRATION | |
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EVENT TEXT
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| MEDICAL MISADMINISTRATION DUE TO EQUIPMENT PROBLEMS |
| |
| A patient receiving brachytherapy treatment received partial treatment due |
| to a fault error message for the guidance intervascular brachytherapy |
| system. This resulted in the wire being withdrawn too soon and the patient |
| only receiving 76 centigrays when the prescribed treatment was 2000 |
| centigrays. The patient and physician were notified and the patient was |
| retreated. NRC Region I was notified by the licensee on 8/6/02 by voice |
| mail. |
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