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
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| 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 |
| | |
| | |
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EVENT TEXT
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| 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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