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Event Notification Report for August 22, 2002


                    U.S. Nuclear Regulatory Commission
                              Operations Center

                              Event Reports For
                           08/21/2002 - 08/22/2002

                              ** EVENT NUMBERS **

39082  39134  39137  39138  39140  39142  

!!!!!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED  !!!!!!!
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|Power Reactor                                    |Event Number:   39082       |
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| FACILITY: FITZPATRICK              REGION:  1  |NOTIFICATION DATE: 07/22/2002|
|    UNIT:  [1] [] []                 STATE:  NY |NOTIFICATION TIME: 19:14[EDT]|
|   RXTYPE: [1] GE-4                             |EVENT DATE:        07/22/2002|
+------------------------------------------------+EVENT TIME:        17:10[EDT]|
| NRC NOTIFIED BY:  GENE DORMAN                  |LAST UPDATE DATE:  08/21/2002|
|  HQ OPS OFFICER:  LEIGH TROCINE                +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          NON EMERGENCY         |RICHARD CONTE        R1      |
|10 CFR SECTION:                                 |                             |
|AIND 50.72(b)(3)(v)(D)   ACCIDENT MITIGATION    |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|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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| DISCOVERY OF A HIGH PRESSURE COOLANT INJECTION (HPCI) FLOW CONTROLLER        |
| INDICATION OF 500 GPM DURING RESTORATION FROM A CORE SPRAY SYSTEM            |
| SURVEILLANCE TEST AND WITH THE HPCI SYSTEM IN STANDBY                        |
|                                                                              |
| The following text is a portion of a facsimile received from the licensee:   |
|                                                                              |
| "During restoration from surveillance testing on the 'B' core spray system,  |
| the flow controller for the HPCI system (23FI-108-1) was observed to be      |
| reading 500 gpm with the HPCI system in standby.  The HPCI system was        |
| declared inoperable, and [Technical Specification] 3.5.C.1.b was entered     |
| requiring [either] restoration of 'B' core spray or HPCI to operable status  |
| within 24 hours or [commencement of a unit] shutdown.  'B' core spray was    |
| restored to operability at 1732, and the plant exited [Technical             |
| Specification] 3.5.C.1.b and entered [Technical Specification] 3.5.C.1.a     |
| placing the plant in a [7-day limiting condition for operation (LCO)]."      |
|                                                                              |
| "Since no actuations occurred and [since] no shutdown was initiated, this is |
| only reportable under 10CFR50.72(b)(3) criteria, specifically 10 CFR         |
| 50.72(b)(3)(v)(D).  This is based on the guidance in NUREG 1022, Rev. 2.     |
| Since HPCI is a single train system, even though [technical specifications]  |
| allow a 7-day LCO, declaring HPCI [inoperable] is reportable."               |
|                                                                              |
| "The only unusual/not understood thing associated with this is the flow      |
| indication of 500 gpm.  There were no actuations required so all equipment   |
| functioned and continues to function as expected.  There are no radiological |
| releases associated with this event."                                        |
|                                                                              |
| The licensee plans to notify the NRC resident inspector.                     |
|                                                                              |
|                                                                              |
| ****RETRACTION ON 08/21/02 AT 0959 ET BY RICH PLASSE TAKEN BY                |
| MACKINNON*****                                                               |
|                                                                              |
| "During troubleshooting, it was noted that manipulation of terminal screws   |
| on one of the components caused a step output change similar in magnitude to |
| that observed on the indicator.  Components were replaced and the instrument |
| calibrations re-performed, with the resulting indication returning to        |
| normal.  A review of plant data indicated that an intermittent indication    |
| problem was evident in the instrument loop after April 30, 2002, when        |
| maintenance had been performed that included the replacement of several      |
| instrument loop components.  Thus, it appears that the intermittent problem  |
| began as a result of this maintenance activity.                              |
|                                                                              |
| "Based on the review of both calibration information as well as satisfactory |
| performance of the two HPCI System surveillances during the affected time    |
| frames (including when HPCI was in the "faulted condition"), it was          |
| determined that the observed condition had no impact on the capability of    |
| the HPCI System to perform its safety function, and thus the system remained |
| operable.  Therefore, the above referenced notification is being retracted". |
| NRC R1DO (Cliff Anderson) notified.                                          |
|                                                                              |
|                                                                              |
| The NRC Resident Inspector was notified of this Retraction by the licensee.  |
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|General Information or Other                     |Event Number:   39134       |
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| REP ORG:  MA RADIATION CONTROL PROGRAM         |NOTIFICATION DATE: 08/16/2002|
|LICENSEE:  BRISTOL-MYERS SQUIBB MEDICAL IMAGING |NOTIFICATION TIME: 11:02[EDT]|
|    CITY:  BILLERICA                REGION:  1  |EVENT DATE:        08/14/2002|
|  COUNTY:                            STATE:  MA |EVENT TIME:             [EDT]|
|LICENSE#:  60-0088               AGREEMENT:  Y  |LAST UPDATE DATE:  08/16/2002|
|  DOCKET:                                       |+----------------------------+
|                                                |PERSON          ORGANIZATION |
|                                                |GLENN MEYER          R1      |
|                                                |C.W. (BILL) REAMER   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 - PERSONNEL OVER EXPOSURE                             |
|                                                                              |
| "Cyclotron chemistry technician received 4.56 rem TEDE in one week.  The     |
| worker's exposure for the calendar year is now 5.79 rem.  The cause of the   |
| additional exposure is related to work performed directly with cyclotron     |
| target material.  This exposure was incurred over a period of one week.  The |
| details of the event are under investigation."                               |
|                                                                              |
| The exposure took place the week of July 28 to August 4, 2002.               |
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|General Information or Other                     |Event Number:   39137       |
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| REP ORG:  WA DIVISION OF RADIATION PROTECTION  |NOTIFICATION DATE: 08/19/2002|
|LICENSEE:  URS CORPORATION                      |NOTIFICATION TIME: 16:33[EDT]|
|    CITY:  CENTRALIA                REGION:  4  |EVENT DATE:        08/19/2002|
|  COUNTY:                            STATE:  WA |EVENT TIME:             [PDT]|
|LICENSE#:  WN-I0172-1            AGREEMENT:  Y  |LAST UPDATE DATE:  08/19/2002|
|  DOCKET:                                       |+----------------------------+
|                                                |PERSON          ORGANIZATION |
|                                                |WILLIAM JOHNSON      R4      |
|                                                |THOMAS ESSIG         NMSS    |
+------------------------------------------------+                             |
| NRC NOTIFIED BY:  TERRY C. FRAZEE (e-mail)     |                             |
|  HQ OPS OFFICER:  MIKE NORRIS                  |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          NON EMERGENCY         |                             |
|10 CFR SECTION:                                 |                             |
|NAGR                     AGREEMENT STATE        |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
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                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| AGREEMENT STATE REPORT INVOLVING THEFT OF MOISTURE/DENSITY GAUGE             |
|                                                                              |
| "The licensee reported the theft of a Campbell Pacific Nuclear               |
| moisture/density gauge (model MC-1DRP, serial number MD01005902). The gauge  |
| contained a 1.85 GBq (50 [millicuries]) Am-Be source and a 0.37 GBq (10      |
| [millicuries]) Cs-137 source. An authorized user had been working at a       |
| temporary job site for two weeks. On Sunday, August 18 at 8:00 p.m. the      |
| authorized user parked his pick-up truck in the parking lot of a local motel |
| in Centralia. The gauge was in back under the locked canopy, but visible.    |
| The gauge box was locked but not secured within the bed of the truck. When   |
| the authorized user went out to his truck at 6:00 a.m. on Monday the 19th    |
| the gauge was gone. The back window of the canopy had been forced open.      |
| Nothing else was missing from the truck (not much else of value was in the   |
| truck). The theft was reported to the Centralia police and to the licensee's |
| RSO. The RSO notified the Department."                                       |
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+------------------------------------------------------------------------------+
|General Information or Other                     |Event Number:   39138       |
+------------------------------------------------------------------------------+
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| REP ORG:  ALABAMA RADIATION CONTROL            |NOTIFICATION DATE: 08/19/2002|
|LICENSEE:  UNIVERSITY OF SOUTHERN ALABAMA       |NOTIFICATION TIME: 16:47[EDT]|
|    CITY:  MOBILE                   REGION:  2  |EVENT DATE:        06/28/2002|
|  COUNTY:                            STATE:  AL |EVENT TIME:             [CDT]|
|LICENSE#:  582                   AGREEMENT:  Y  |LAST UPDATE DATE:  08/19/2002|
|  DOCKET:                                       |+----------------------------+
|                                                |PERSON          ORGANIZATION |
|                                                |MARK LESSER          R2      |
|                                                |THOMAS ESSIG         NMSS    |
+------------------------------------------------+                             |
| NRC NOTIFIED BY:  JIM McNEES (fax)             |                             |
|  HQ OPS OFFICER:  MIKE NORRIS                  |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          NON EMERGENCY         |                             |
|10 CFR SECTION:                                 |                             |
|NAGR                     AGREEMENT STATE        |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
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                                   EVENT TEXT                                   
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| AGREEMENT STATE REPORT INVOLVING 2 MEDICAL MISADMINISTRATIONS                |
|                                                                              |
| "Alabama licensee identifies two misadministrations from previous year.      |
|                                                                              |
| "By telephone notification on June 28, 2002 the University of South Alabama  |
| (Alabama Radioactive Material License No. 582) notified the State of Alabama |
| that during their annual Quality Management Program review they identified   |
| two possible misadministrations of Iodine-131 from the previous year.        |
|                                                                              |
| "By letter dated July 8, 2002, and received by the State of Alabama on July  |
| 11, 2002, the University of South Alabama confirmed that a review of the     |
| records revealed that:                                                       |
|                                                                              |
| "A. On April 3,2002, a patient was given 3.9 [millicuries] of iodine-131 for |
| a total body diagnostic scan when 3.0 [millicuries] had been prescribed by   |
| the authorized user. The administered dose exceeded the prescribed dose by   |
| 30%; and                                                                     |
|                                                                              |
| "B. On August 7,2001, a patient was administered 0.702 [millicuries] of      |
| iodine-131 for a whole body diagnostic scan when 0.500 [millicuries] had     |
| been prescribed by the authorized user. The administered dose exceeded the   |
| prescribed dose by 40%.                                                      |
|                                                                              |
| "In both cases the patients attending physician concluded that these doses   |
| had 'no clinical significance to either patient and therefore no untoward    |
| effects.'  He ordered that this not be reported to the patients.             |
|                                                                              |
| "According to the licensee, these events occurred because the nuclear        |
| medicine staff was operating under a window wider than the 20% maximum       |
| deviation allowed in the 420-3-26-.07(2)(m)1.b of the Alabama Rules for      |
| Control of Radiation. The licensee stated that the nuclear medicine          |
| department had been using criteria from an article published in the Journal  |
| of Nuclear Medicine which 'quoted NRC regulations with a greater             |
| tolerance.'                                                                  |
|                                                                              |
| "The licensees corrective action was to notify nuclear medicine staff        |
| members both verbally and in writing of the current Alabama regulations. The |
| State of Alabama considers the licensee's actions to be appropriate and the  |
| matter closed."                                                              |
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+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   39140       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: FARLEY                   REGION:  2  |NOTIFICATION DATE: 08/21/2002|
|    UNIT:  [1] [] []                 STATE:  AL |NOTIFICATION TIME: 08:59[EDT]|
|   RXTYPE: [1] W-3-LP,[2] W-3-LP                |EVENT DATE:        08/21/2002|
+------------------------------------------------+EVENT TIME:        07:30[CDT]|
| NRC NOTIFIED BY:  PETE WEBB                    |LAST UPDATE DATE:  08/21/2002|
|  HQ OPS OFFICER:  JOHN MacKINNON               +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          UNUSUAL EVENT         |KEN BARR             R2      |
|10 CFR SECTION:                                 |JOSEPH HOLONICH      IRO     |
|AAEC 50.72(a) (1) (i)    EMERGENCY DECLARED     |TERRY REIS           NRR     |
|                                                |KEN CIBOCH           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  |
|                                                   |                          |
|                                                   |                          |
+------------------------------------------------------------------------------+
                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| UNUSUAL EVENT DECLARED DUE TO FIRE AFFECTING EMERGENCY CORE COOLING SYSTEM   |
|                                                                              |
|                                                                              |
| Loss of "A" Train Service Water as a result of a fire on the "1C"  Service   |
| Water pump.  The "1C" pump tripped and the "1A" Service Water was out of     |
| service for maintenance.  Fire was out at 0724 CDT.  Actions being taken to  |
| restore the "A" Train Service Water.   The "1B" Service Water pump remained  |
| running during the entire event.  System pressure remained at required       |
| value.                                                                       |
|                                                                              |
| The Fire Protection System for the "1C" Service Water pump actuated and      |
| extinguished the fire.  When the fire brigade arrived the fire was already   |
| out. The licensee did not need offsite help for the fire.   "B" Train        |
| Service Water is operating.                                                  |
| The licensee notified State and local officials of the declaration of an     |
| Unusual Event.                                                               |
|                                                                              |
| The NRC Resident Inspector was notified of this event by the licensee.       |
|                                                                              |
|                                                                              |
| ****UPDATE AT 0931 ET ON 08/21/02 BY BOB VANDERBYE TAKEN BY MACKINNON****    |
|                                                                              |
| Unusual event has been terminated at 0814 CT as a result that there was no   |
| fire and the plant is stable. No fire was seen but a large arc was seen when |
| the "1C" Service Water pump tripped.  State and Local officials will be      |
| notified by the licensee that the Unusual event was terminated at 0814 CT.   |
| R2DO (Ken Barr), NRR EO (Terry Reis), & FEMA (Ken Ciboch) notified.          |
|                                                                              |
| The NRC Resident Inspector will be notified by the licensee.                 |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   39142       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: CALLAWAY                 REGION:  4  |NOTIFICATION DATE: 08/21/2002|
|    UNIT:  [1] [] []                 STATE:  MO |NOTIFICATION TIME: 21:03[EDT]|
|   RXTYPE: [1] W-4-LP                           |EVENT DATE:        08/21/2002|
+------------------------------------------------+EVENT TIME:        14:00[CDT]|
| NRC NOTIFIED BY:  EURMAN HENSON                |LAST UPDATE DATE:  08/21/2002|
|  HQ OPS OFFICER:  MIKE NORRIS                  +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          NON EMERGENCY         |WILLIAM JOHNSON      R4      |
|10 CFR SECTION:                                 |                             |
|AUNA 50.72(b)(3)(ii)(B)  UNANALYZED CONDITION   |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|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                                   
+------------------------------------------------------------------------------+
| UNANALYZED CONDITION REGARDING RCS BORATION REQUIREMENTS                     |
|                                                                              |
| "On August 21, 2002, with Callaway Plant in Mode 1 at 100 % power, it was    |
| determined that a potential unanalyzed condition had existed regarding       |
| Reactor Coolant System (RCS) boration requirements when in Mode 3 below the  |
| P-11 setpoint of 1970 psig RCS pressure. During an extent of condition       |
| review, a concern had been identified regarding the Westinghouse analysis of |
| Steam Line Breaks in Mode 3 below P-11. In order to conclude that acceptable |
| core performance results would be obtained for a lower Mode 3 Steam Line     |
| Break, the Westinghouse analyses assumes that the plant is borated to cold   |
| shutdown conditions prior to blocking P-11. Discussions with Westinghouse    |
| confirmed this requirement was applicable to Callaway. Callaway Plant        |
| procedures did not specifically require that the plant be maintained at Cold |
| Shutdown boron concentrations with P-11 blocked. A historical review         |
| documented that the Callaway Plant shutdown twice within the last three      |
| years. During these shutdowns, the plant maneuvered through Mode 3 below     |
| P-11 once during each plant shutdown and once during each plant startup.     |
|                                                                              |
| "A review of historical data is being conducted for those periods to         |
| establish actual boron concentrations versus calculated requirements for     |
| past conditions. Preliminary reviews for three of those periods have been    |
| completed and document actual boron concentrations of 1397 ppm or greater.   |
|                                                                              |
| "This condition is being reported as an unanalyzed condition until           |
| historical reviews determine otherwise. Compensatory actions taken included  |
| determining a boron concentration that would satisfy accident analysis       |
| requirements for present plant conditions and revising Callaway Plant        |
| procedures to require boration to specified boron concentrations for Mode 3  |
| operation with P-11 blocked."                                                |
|                                                                              |
| P-11(Pressurizer SI Block Permissive) enables BLOCK switches to allow the    |
| operator to block low Pressurizer pressure SI.                               |
|                                                                              |
| The NRC Resident Inspector has been notified.  The Licensee has discussed    |
| this condition with Wolf Creek.                                              |
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