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 +------------------------------------------------------------------------------+ |General Information or Other |Event Number: 39113 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | 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 | | | | | | | | | | | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | 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. | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ |General Information or Other |Event Number: 39116 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | 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 | | | | | | | | | | | | | | +------------------------------------------------------------------------------+ 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. | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ |General Information or Other |Event Number: 39117 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | 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 | | | | | | | | | | | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | 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." | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ |Power Reactor |Event Number: 39121 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | 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 | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | 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. | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ |Other Nuclear Material |Event Number: 39122 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | 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 | | | | | | | | | | | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | 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" | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ |Power Reactor |Event Number: 39123 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | 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. | +------------------------------------------------------------------------------+
Page Last Reviewed/Updated Wednesday, March 24, 2021
Page Last Reviewed/Updated Wednesday, March 24, 2021