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Event Notification Report for August 12, 2002

                        
                    U.S. Nuclear Regulatory Commission
                              Operations Center

                              Event Reports For
                           08/09/2002 - 08/12/2002

                              ** EVENT NUMBERS **

39113  39116  39117  39121  39122  39123  

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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:   39116       |
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| REP ORG:  NC DIV OF RADIATION PROTECTION       |NOTIFICATION DATE: 08/07/2002|
|LICENSEE:  BUNNELL-LAMMONS ENGINEERING INC.     |NOTIFICATION TIME: 11:17[EDT]|
|    CITY:  WINSTON-SALEM            REGION:  2  |EVENT DATE:        08/06/2002|
|  COUNTY:                            STATE:  NC |EVENT TIME:        10:10[EDT]|
|LICENSE#:                        AGREEMENT:  Y  |LAST UPDATE DATE:  08/07/2002|
|  DOCKET:                                       |+----------------------------+
|                                                |PERSON          ORGANIZATION |
|                                                |CAUDLE JULIAN        R2      |
|                                                |JOHN HICKEY          NMSS    |
+------------------------------------------------+                             |
| NRC NOTIFIED BY:  LEE COX                      |                             |
|  HQ OPS OFFICER:  RICH LAURA                   |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          NON EMERGENCY         |                             |
|10 CFR SECTION:                                 |                             |
|NAGR                     AGREEMENT STATE        |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
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                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| AGREEMENT STATE REPORT ON STOLEN GAUGE                                       |
|                                                                              |
| "Gauge operator went to dinner around 20:30 on 08-06-02 and confirmed seeing |
| the CPN model MC-3 gauge locked in its case and chained and locked to the    |
| bed of his truck parked outside his hotel room. At 21:30 the operator        |
| returned to the truck to get some cigarettes and discovered that the gauge   |
| had been stolen. The chain had been cut with bolt cutters and the lock was   |
| still intact. The operator stated that the case the gauge was contained in   |
| also was locked. He immediately contacted the RSO, emergency management and  |
| the local police."                                                           |
|                                                                              |
| The licensee also reported the gauge was a moisture density gauge, CPN Model |
| MC-3 and contained 11 millicuries of CS-137 and 50 millicuries of AM-241.    |
| The theft occurred in the parking lot of the Super 8 Motel located at 200    |
| Mercantile Drive, Winston-Salem, NC  27105.  NC Incident Number:  02-28.     |
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|General Information or Other                     |Event Number:   39117       |
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| REP ORG:  MA RADIATION CONTROL PROGRAM         |NOTIFICATION DATE: 08/07/2002|
|LICENSEE:  STARMET NMI                          |NOTIFICATION TIME: 13:13[EDT]|
|    CITY:  CONCORD                  REGION:  1  |EVENT DATE:        08/06/2002|
|  COUNTY:                            STATE:  MA |EVENT TIME:        05:30[EDT]|
|LICENSE#:  SU-1453               AGREEMENT:  Y  |LAST UPDATE DATE:  08/07/2002|
|  DOCKET:                                       |+----------------------------+
|                                                |PERSON          ORGANIZATION |
|                                                |DANIEL HOLODY        R1      |
|                                                |CHARLES MILLER       NMSS    |
+------------------------------------------------+                             |
| NRC NOTIFIED BY:  KENATH TRAEGDE               |                             |
|  HQ OPS OFFICER:  FANGIE JONES                 |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          NON EMERGENCY         |                             |
|10 CFR SECTION:                                 |                             |
|NAGR                     AGREEMENT STATE        |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
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                                   EVENT TEXT                                   
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| AGREEMENT STATE REPORT - FIRE IN DUST COLLECTION SYSTEM                      |
|                                                                              |
| "A fire occurred at approximately 5:30 am on 8/6/02 in the Torit Dust        |
| Collection System.  The fire burned in this system for approximately 5       |
| minutes until extinguished by the temperature activated fire suppression     |
| system.  This dust collection system filters air from a number of processing |
| system rooms, including the Wastewater Evaporator Room.  It consists of a    |
| series of 24 cartridges in an enclosed filtration system.  The fire was      |
| confined to this system.                                                     |
|                                                                              |
| "There was no additional exposure to plant personnel.  It is not expected    |
| that any releases occurred that exceeded regulatory limits.  The isotope of  |
| concern is depleted uranium in aerosol particulate sized form.  Air samples  |
| taken in the Wastewater Evaporator Room during the event resulted in an air  |
| concentration of approximately 1E-14 microcuries/cubic centimeter of         |
| depleted uranium in aerosol form (micron sized particles).                   |
|                                                                              |
| "The Wastewater Evaporator System and dust collection system are shut down   |
| until the damage from the fire can be evaluated and repaired.  The filters   |
| in the dust collection system will be extracted and counted for              |
| radioactivity as soon as the extent of damage is evaluated and the systems   |
| can be opened.  The sample filters in the affected stack have been extracted |
| and counted.  Preliminary counting of the stack filters demonstrate that a   |
| release had not occurred.  Final results from filtration counting will not   |
| be available for approximately 48 hours to allow for the decay of radon."    |
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|Power Reactor                                    |Event Number:   39121       |
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| FACILITY: NORTH ANNA               REGION:  2  |NOTIFICATION DATE: 08/09/2002|
|    UNIT:  [1] [2] []                STATE:  VA |NOTIFICATION TIME: 12:31[EDT]|
|   RXTYPE: [1] W-3-LP,[2] W-3-LP                |EVENT DATE:        08/09/2002|
+------------------------------------------------+EVENT TIME:        12:10[EDT]|
| NRC NOTIFIED BY:  WILLIAMS                     |LAST UPDATE DATE:  08/09/2002|
|  HQ OPS OFFICER:  CHAUNCEY GOULD               +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          UNUSUAL EVENT         |CAUDLE JULIAN        R2      |
|10 CFR SECTION:                                 |BOB DENNIG           EO      |
|AAEC 50.72(a) (1) (i)    EMERGENCY DECLARED     |RICHARD WESSMAN      IRO     |
|                                                |BUTCH STINEDURF      FEMA    |
|                                                |                             |
|                                                |                             |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR|   INIT RX MODE  |CURR PWR|  CURR RX MODE   |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|1     N          Y       100      Power Operation  |100      Power Operation  |
|2     N          Y       100      Power Operation  |100      Power Operation  |
|                                                   |                          |
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                                   EVENT TEXT                                   
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| NOUE DECLARED DUE TO LOW  WATER LEVEL IN LAKE ANNA                           |
|                                                                              |
| The plant declared an NOUE due to lake level falling below 246' which was    |
| caused by lack of rainfall.  This level may continue to decrease if the      |
| drought continues.  If the level reaches 244', they will enter TS 3.7.5.1    |
| requiring the plant to be in hot standby within 6 hours and cold shutdown    |
| within 30 hours at which time they can exit the NOUE.   However, if the      |
| level increases to 246.4' they will also exit the NOUE.                      |
|                                                                              |
| The NRC Resident Inspector was notified along with State and Local agencies. |
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|Other Nuclear Material                           |Event Number:   39122       |
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| REP ORG:  ROCKBESTOS SURPRENANT CABLE CORP     |NOTIFICATION DATE: 08/09/2002|
|LICENSEE:                                       |NOTIFICATION TIME: 13:12[EDT]|
|    CITY:  EAST GRANBY              REGION:  1  |EVENT DATE:        07/24/2002|
|  COUNTY:                            STATE:  CT |EVENT TIME:             [EDT]|
|LICENSE#:                        AGREEMENT:  N  |LAST UPDATE DATE:  08/09/2002|
|  DOCKET:                                       |+----------------------------+
|                                                |PERSON          ORGANIZATION |
|                                                |DANIEL HOLODY        R1      |
|                                                |CAUDLE JULIAN        R2      |
+------------------------------------------------+BRENT CLAYTON        R3      |
| NRC NOTIFIED BY:  RICHARD C. BROWN             |CHUCK CAIN           R4      |
|  HQ OPS OFFICER:  GERRY WAIG                   |CYNTHIA CARPENTER    NRR     |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          NON EMERGENCY         |                             |
|10 CFR SECTION:                                 |                             |
|CCCC 21.21               UNSPECIFIED PARAGRAPH  |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
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                                   EVENT TEXT                                   
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| NOTIFICATION UNDER 10 CFR PART 21 OF FAILURE OF ELECTRIC CABLE TO COMPLY     |
| WITH REQUIREMENTS                                                            |
|                                                                              |
| The following text is a portion of a facsimile received from Rockbestos      |
| Surprenant Cable Corp.:                                                      |
|                                                                              |
| "This letter shall serve as the initial notification by                      |
| Rockbestos-Surprenant Cable Corp. that a basic component supplied for use in |
| nuclear power plants may contain a defect or fail to comply, which is        |
| reportable under the requirements of 10 CFR 21.                              |
|                                                                              |
| "Written notification shall be provided by September 8, 2002.                |
|                                                                              |
| "The following information is supplied in accordance with the requirements   |
| of 10 CFR 21.                                                                |
|                                                                              |
| "I.       Name and address of individual informing the Commission:           |
|                                                                              |
| Richard C. Brown-Quality Assurance Manager                                   |
| The Rockbestos-Surprenant Cable Corp.                                        |
| 20 Bradley Park Road                                                         |
| East Granby, CT 06026                                                        |
|                                                                              |
| "II.      Identification of the basic component supplied which fails to      |
| comply or contains a defect:                                                 |
|                                                                              |
| "The cable identified below failed to comply with the vertical tray flame    |
| test when subjected to the requirements as described in IEEE-383-1974        |
| section 2.5.4:                                                               |
|                                                                              |
| 2/C 14 AWG 600V Firewall SR (Silicone Rubber) with overall Rockhide braid    |
| Sales Order: 52727                                                           |
| Shop Order: 220557                                                           |
| Item: C643385                                                                |
| Reel No.: 02F0693G                                                           |
|                                                                              |
| "This cable was subsequently placed in an MRB location an[d] issued a        |
| nonconformance report on 7/24/02.                                            |
|                                                                              |
| "III.    Identification of the firm supplying the basic component which      |
| fails to comply or contains a defect:                                        |
|                                                                              |
| " The Rockbestos-Surprenant Cable Corp.. East Granby, CT facility            |
|                                                                              |
| "IV.    Nature of the defect or failure to comply and the safety hazard      |
| which is created:                                                            |
|                                                                              |
| "Nature of Defect: Incorrect lacquer material applied to overall Rockhide    |
| braid.                                                                       |
| Potential Hazard: The lacquer material applied to the overall Rockhide braid |
| may contribute to the                                                        |
| propagation of  flame, resulting in a burn of the entire length of the tray  |
| as described in IEEE-383-1974                                                |
| section 2.5.4.                                                               |
|                                                                              |
| "V.    The date on which the information of such defect or failure to comply |
| was obtained:                                                                |
|                                                                              |
| "On the basis of our testing and evaluation it was determined on 7/24/02     |
| that a defect or failure to comply as                                        |
| defined by 10 CFR  21 existed.                                               |
|                                                                              |
| "VI.    The number and location of all basic components which contain a      |
| defect or fails to comply:                                                   |
|                                                                              |
| "Our initial investigation indicates that the affected cables are limited to |
| eight part numbers/shipments of                                              |
| multiconductor Firewall SR (Silicone Rubber) cables with overall Rockhide    |
| braid manufactured from 1999                                                 |
| through July 2002.                                                           |
|                                                                              |
| "VII.   The corrective action which has been, is being, or will be taken;    |
| the name of the individual or organization                                   |
| responsible for the action; and the length of time that has been or will be  |
| taken to complete the action:                                                |
|                                                                              |
| "Production and shipment of all Firewall SR (Silicone Rubber) cables with    |
| overall Rockhide braid was                                                   |
| stopped on 7/24/02 and all cables in house were identified and               |
| nonconformance reports issued as a result                                    |
| of the flame test failure.                                                   |
|                                                                              |
| "Manufacturing instructions and bills of material for all Firewall SR        |
| (Silicone Rubber) with overall Rockhide                                      |
| braid products are being reviewed to ensure that all process documents       |
| specify approved lacquers.                                                   |
|                                                                              |
| "After review by Applications Engineering, samples of the 2/C 14 AWG         |
| nonconforming cables were  over                                              |
| braided and lacquered with approved lacquers, and again subjected to the     |
| vertical tray flame test of                                                  |
| IEEE-383-1974 section 2.5.4. These samples successfully withstood the        |
| requirements of the standard.                                                |
| Processing documents for the 2/C 14 AWG and other constructions which were   |
| in production, were                                                          |
| subsequently issued temporary engineering changes allowing  over braid and   |
| subsequent lacquer with                                                      |
| approved materials.                                                          |
|                                                                              |
| "An additional cable sample of 3/C 12 AWG 600V Firewall SR (Silicone Rubber) |
| without the  over braid  and                                                 |
| utilizing an approved lacquer, was subjected to; and successfully withstood  |
| the vertical tray flame test                                                 |
| requirements of IEEE- 383-1974 section 2.5.4.                                |
|                                                                              |
| "Further flame testing of Firewall SR (Silicone Rubber) cables with overall  |
| Rockhide braid is planned on                                                 |
| various  sizes and configurations to determine the extent of the failure     |
| mode,                                                                        |
|                                                                              |
| "Production and shipment of cables have resumed for those products           |
| originally placed on hold after                                              |
| acceptable results were obtained for the vertical tray flame test as         |
| described in IEEE 383-1974 section                                           |
| 2.54.                                                                        |
|                                                                              |
| "VIII.  Any advice related to the defect or failure to comply about the      |
| basic component that has been, is being, or                                  |
| will be given to purchasers:                                                 |
|                                                                              |
| "Purchasers of Firewall SR (Silicone Rubber) products that were manufactured |
| with the overall Rockhide                                                    |
| braid and lacquer from 1999 through July 2002 will be notified of the        |
| failure mode described above by                                              |
| letter on 8/12/02. Purchasers will be requested to stop any current or       |
| planned installation of the                                                  |
| aforementioned cables and to notify Rockbestos-Surprenant Cable Corp. for    |
| return of any cables not                                                     |
| installed. Advice related to installed cables will be provided based on the  |
| installed conditions.                                                        |
|                                                                              |
| "The following personnel may be contacted regarding the preceding            |
| notification:                                                                |
|                                                                              |
| James Morganelli                                                             |
| Senior Quality Engineer                                                      |
| (860) 653-8319                                                               |
|                                                                              |
| Richard Brown                                                                |
| Quality Assurance Manager                                                    |
| (860) 653-8322                                                               |
|                                                                              |
| Robert Konnik                                                                |
| Director of Applications Engineering                                         |
| (860) 653-8340"                                                              |
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|Power Reactor                                    |Event Number:   39123       |
+------------------------------------------------------------------------------+
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| FACILITY: PILGRIM                  REGION:  1  |NOTIFICATION DATE: 08/09/2002|
|    UNIT:  [1] [] []                 STATE:  MA |NOTIFICATION TIME: 16:54[EDT]|
|   RXTYPE: [1] GE-3                             |EVENT DATE:        08/09/2002|
+------------------------------------------------+EVENT TIME:        16:00[EDT]|
| NRC NOTIFIED BY:  BRIAN LEWIS                  |LAST UPDATE DATE:  08/09/2002|
|  HQ OPS OFFICER:  GERRY WAIG                   +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          NON EMERGENCY         |DANIEL HOLODY        R1      |
|10 CFR SECTION:                                 |                             |
|AINA 50.72(b)(3)(v)(A)   POT UNABLE TO SAFE SD  |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|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                                   
+------------------------------------------------------------------------------+
| INOPERABLE REACTOR CORE ISOLATION COOLING (RCIC) SYSTEM                      |
|                                                                              |
| The RCIC System was declared inoperable and the plant entered a 14 day       |
| Limiting Condition for Operation (LCO) per Technical Specification 3.5.D.    |
| The system was declared inoperable due to an oil leak discovered on the RCIC |
| pump during operability testing. The source of the oil leak is under         |
| investigation.                                                               |
|                                                                              |
| The licensee notified the NRC Resident Inspector.                            |
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