Event Notification Report for August 23, 2002
U.S. Nuclear Regulatory Commission
Operations Center
Event Reports For
08/22/2002 - 08/23/2002
** EVENT NUMBERS **
39067 39136 39137 39138 39143 39144 39145
!!!!!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED !!!!!!!
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|Power Reactor |Event Number: 39067 |
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| FACILITY: HOPE CREEK REGION: 1 |NOTIFICATION DATE: 07/16/2002|
| UNIT: [1] [] [] STATE: NJ |NOTIFICATION TIME: 18:15[EDT]|
| RXTYPE: [1] GE-4 |EVENT DATE: 07/16/2002|
+------------------------------------------------+EVENT TIME: 13:19[EDT]|
| NRC NOTIFIED BY: DANIEL J. BOYLE |LAST UPDATE DATE: 08/22/2002|
| HQ OPS OFFICER: STEVE SANDIN +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: NON EMERGENCY |JAMES LINVILLE 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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| TECH SPEC 3.0.3 ENTERED AFTER DECLARING BOTH TRAINS OF CONTROL ROOM |
| VENTILATION INOPERABLE |
| |
| "On 7/16/02 at 1319 hours, the Hope Creek Generating Station experienced a |
| trip of the in-service 'B' train of Control Room Ventilation and it's |
| associated Chiller. The standby 'A' Train attempted to start, but it's |
| chilled water pump tripped precluding a successful start. This condition |
| rendered both trains of Control Room Emergency Filtration INOPERABLE. In |
| accordance with Technical Specifications 3.7.2, both trains were declared |
| Inoperable and Technical Specification 3.0.3 was entered. At 1400 hours the |
| 'B' Control Room Ventilation train was successfully restored to service and |
| Operable status and Technical Specification 3.0.3 was exited. This event is |
| being reported in accordance with 10CFR50.72(b)(3)(v) because both trains of |
| Control Room Emergency filtration were unavailable for approximately 40 |
| minutes. There was no power reduction associated with this event. No |
| additional safety related equipment was inoperable at the time of the |
| event. |
| |
| "The initiating condition is still under investigation, but is believed to |
| have been induced as the result of an associated cooling coil fill evolution |
| that caused a low head tank level and potential air induction that resulted |
| in the trip of the in-service cooling train and subsequently the standby |
| train. As of the time of this report the 'A' Control Room Emergency |
| Filtration Train is still inoperable pending completion of fill and vent of |
| the supporting chilled water system." |
| |
| The licensee will inform the Lower Alloways Creek Township and has informed |
| the NRC Resident Inspector. |
| |
| ***RETRACTION ON 08/22/02 AT 1021 ET BY ERV PARKER TAKEN BY MACKINNON**** |
| |
| "Subsequent evaluation determined that if a postulated accident had occurred |
| during the time that both trains of the Control Room Emergency Ventilation |
| system were INOPERABLE, control room dose would be less than the acceptance |
| criteria specified in 10CFR50.67 and Regulatory Guide 1.183 and bounded by |
| our current analysis. The site boundary doses are not affected. The dose |
| impact of the condition as it existed would be bounded by the current |
| analysis. Thus, the safety function would have been fulfilled, and the |
| notification event number 39067 is retracted" R1DO (Cliff Anderson) |
| notified. |
| |
| The NRC Resident Inspector will be notified of this event by the licensee. |
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!!!!!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED !!!!!!!
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|Power Reactor |Event Number: 39136 |
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| FACILITY: NINE MILE POINT REGION: 1 |NOTIFICATION DATE: 08/19/2002|
| UNIT: [] [2] [] STATE: NY |NOTIFICATION TIME: 10:36[EDT]|
| RXTYPE: [1] GE-2,[2] GE-5 |EVENT DATE: 08/19/2002|
+------------------------------------------------+EVENT TIME: 02:32[EDT]|
| NRC NOTIFIED BY: ELI DRAGOMER |LAST UPDATE DATE: 08/22/2002|
| HQ OPS OFFICER: RICH LAURA +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: NON EMERGENCY |CLIFFORD ANDERSON R1 |
|10 CFR SECTION: | |
|AINC 50.72(b)(3)(v)(C) POT UNCNTRL RAD REL | |
| | |
| | |
| | |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE |
+-----+----------+-------+--------+-----------------+--------+-----------------+
| | |
|2 N Y 100 Power Operation |100 Power Operation |
| | |
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EVENT TEXT
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| REACTOR BUILDING EMERGENCY RECIRCULATION UNIT COOLER ANOMALY IDENTIFIED |
| DURING ROUTINE SURVEILLANCE TEST |
| |
| "On August 19, 2002 at 0232, Reactor Building Emergency Recirculation Unit |
| Cooler, 2HVR*413A, was declared inoperable due to Reactor Building Emergency |
| Recirculation Unit Cooler Inlet Damper, 2HVR*AOD6A, not reaching its full |
| open position during testing. Failure of 2HVR*AOD6A to fully open may affect |
| the flow-rate through the Reactor Building Emergency Recirculation Unit |
| Cooler and may prevent the Standby Gas Treatment System from performing its |
| Post-LOCA Secondary Containment drawdown function. The manual operating |
| mechanism was returned to its withdrawn position and 2HVR*AOD6A was verified |
| to be capable of being fully opened. Opposite train components were |
| inspected to confirm that a similar condition does not exist on Train "B". |
| This notification is being made as a conservative measure. Evaluation |
| coritinues into the actual affect on Post-LOCA drawdown function." |
| |
| The NRC Resident Inspector was notified. |
| |
| * * * 1410EDT on 8/22/02 from Dave Richardson to S. Sandin * * * |
| |
| The licensee is retracting this report based on the following: |
| |
| "The purpose of this communication is to retract event report number 39136 |
| which was initiated at 1030 hours on 08-19-2002, by Nine Mile Point Unit 2. |
| This event, reported under 10CFR50.72 (b)(3)(v)(C), involved unplanned |
| inoperability of a Reactor Building Emergency recirculation unit cooler due |
| to its inlet damper being found partially overridden shut. |
| |
| "Evaluation revealed that, when called upon to reposition to its emergency |
| position, the damper was approximately 97% open. Based on Engineering |
| analysis, with the damper in this position, there is 'no appreciable |
| increase in system resistance' that would adversely impact the HVR (reactor |
| building ventilation) or GTS (standby gas treatment) system flowrates. As a |
| result, this condition would not have precluded the aforementioned systems |
| from performing their respective safety functions." |
| |
| The licensee informed the NRC Resident Inspector. Notified R1DO(Anderson). |
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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
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| 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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|Hospital |Event Number: 39143 |
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| REP ORG: VA NATIONAL HEALTH PHYSICS PRGM |NOTIFICATION DATE: 08/22/2002|
|LICENSEE: VA MEDICAL CENTER |NOTIFICATION TIME: 12:34[EDT]|
| CITY: NORTH PORT REGION: 1 |EVENT DATE: 08/20/2002|
| COUNTY: STATE: NY |EVENT TIME: [EDT]|
|LICENSE#: 31-13511-05 AGREEMENT: Y |LAST UPDATE DATE: 08/22/2002|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |CLIFFORD ANDERSON R1 |
| |FRED BROWN NMSS |
+------------------------------------------------+ |
| NRC NOTIFIED BY: GARY WILLIAMS | |
| HQ OPS OFFICER: FANGIE JONES | |
+------------------------------------------------+ |
|EMERGENCY CLASS: NON EMERGENCY | |
|10 CFR SECTION: | |
|LADM 35.33 MED MISADMINISTRATION | |
|ISAF 30.50(b)(2) SAFETY EQUIPMENT FAILUR| |
| | |
| | |
| | |
+------------------------------------------------------------------------------+
EVENT TEXT
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| REPORT OF POSSIBLE MISADMINISTRATION AND/OR SAFETY EQUIPMENT FAILURE |
| |
| On 8/20/02 a patient was being prepared for treatment in a Co-60 teletherapy |
| unit by two technicians when the beam turned on with no operator action. |
| The beam was on for about 50 seconds. The event is being investigated and |
| the unit has been placed out-of-service. It is unknown at this time whether |
| the patient was in position or not and received an exposure to the right or |
| wrong site. The investigation will determine if there was an actual |
| misadministration, exposure to the wrong area. The two technicians' |
| dosimeters were processed and the results showed no exposure in excess of |
| limits, actual reading was 20 millirem for both badges. |
| |
| The licensee will update this report when more information is determined. |
+------------------------------------------------------------------------------+
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|Power Reactor |Event Number: 39144 |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: MILLSTONE REGION: 1 |NOTIFICATION DATE: 08/22/2002|
| UNIT: [] [] [3] STATE: CT |NOTIFICATION TIME: 17:06[EDT]|
| RXTYPE: [1] GE-3,[2] CE,[3] W-4-LP |EVENT DATE: 08/22/2002|
+------------------------------------------------+EVENT TIME: 16:33[EDT]|
| NRC NOTIFIED BY: MICHAEL MARTELL |LAST UPDATE DATE: 08/22/2002|
| HQ OPS OFFICER: FANGIE JONES +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: NON EMERGENCY |CLIFFORD ANDERSON R1 |
|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 |
+-----+----------+-------+--------+-----------------+--------+-----------------+
| | |
| | |
|3 N Y 95 Power Operation |95 Power Operation |
+------------------------------------------------------------------------------+
EVENT TEXT
+------------------------------------------------------------------------------+
| UNANALYZED CONDITION CONCERNING STEAM GENERATOR ATMOSPHERIC RELIEF VALVE |
| BYPASS VALVES |
| |
| Historical analysis deficiencies associated with the steam generator |
| atmospheric dump bypass valves, a condition that during a fire could cause |
| seriously degrade the safety of the plant. |
| |
| "The system affected is main steam, there are no actuation signals. The |
| cause is historical analysis deficiencies. There are no affects on the |
| plant. There are no actions taken or planned at this time and there is no |
| additional information. The NRC Resident Inspector was notified. The State |
| and Local Authorities have been notified." |
+------------------------------------------------------------------------------+
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|Power Reactor |Event Number: 39145 |
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| FACILITY: MCGUIRE REGION: 2 |NOTIFICATION DATE: 08/22/2002|
| UNIT: [] [2] [] STATE: NC |NOTIFICATION TIME: 17:25[EDT]|
| RXTYPE: [1] W-4-LP,[2] W-4-LP |EVENT DATE: 08/22/2002|
+------------------------------------------------+EVENT TIME: 16:50[EDT]|
| NRC NOTIFIED BY: DENNIS MOORE |LAST UPDATE DATE: 08/22/2002|
| HQ OPS OFFICER: STEVE SANDIN +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: UNUSUAL EVENT |KEN BARR R2 |
|10 CFR SECTION: |JOHN HANNON NRR |
|AAEC 50.72(a) (1) (i) EMERGENCY DECLARED |JOSEPH HOLONICH IRO |
|APRE 50.72(b)(2)(xi) OFFSITE NOTIFICATION |KEN CIBOCH FEMA |
|ARPS 50.72(b)(2)(iv)(B) RPS ACTUATION - CRITICA| |
|AESF 50.72(b)(3)(iv)(A) VALID SPECIF SYS ACTUAT| |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE |
+-----+----------+-------+--------+-----------------+--------+-----------------+
| | |
|2 M/R Y 100 Power Operation |0 Hot Standby |
| | |
+------------------------------------------------------------------------------+
EVENT TEXT
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| UNIT 2 DECLARED AN UNUSUAL EVENT DUE TO A FIRE IN THE TURBINE BUILDING |
| |
| "Fire in Turbine Building at H2 Dryer lasting for greater than 15 minutes. |
| Fire out at 1655 [hours]. Fire reported at 1633 [hours]." |
| |
| The Fire Brigade responded and extinguished the fire. The Hydrogen Dryer |
| has been isolated. Offsite assistance was not requested. There were no |
| injuries reported. A preliminary assessment revealed extensive damage to |
| the Hydrogen Dryer as a result of the fire. The cause of the fire is under |
| investigation. There were no maintenance activities, e.g., welding, in |
| progress at the time. |
| |
| Operators manually tripped Unit 2. All rods fully inserted. The plant |
| responded as expected. No secondary reliefs lifted. Auxiliary Feedwater |
| autostarted to maintain Steam Generator water levels. The Main Condenser is |
| in-service removing decay heat via the main steam dumps. Cooldown limits |
| were not exceeded during the transient. Unit 2 will remain in mode 3 |
| pending completion of the investigation. |
| |
| The licensee informed state/local agencies and the NRC Resident Inspector. |
| |
| * * * UPDATED AT 1855 EDT ON 8/22/02 BY DENNIS MOORE TO FANGIE JONES * * * |
| |
| Unusual Event terminated at 1830 EDT. The fire extinguished when the |
| hydrogen isolation valve was closed, automatic sprinkler system actuated |
| which allowed personnel access to the isolation valve. |
| |
| The licensee notified the NRC Resident Inspector. Notified the R2DO (Ken |
| Barr), NRR EO (John Hannon), IRO (Joe Holonich), and FEMA (David Barden). |
| |
| * * * UPDATED AT 2023EDT ON 8/22/02 BY WAYNE HOYLE TO S. SANDIN * * * |
| |
| The licensee furnished the following additional information: |
| |
| "On August 22, 2002 at 1636 hours, a manual reactor trip was initiated on |
| McGuire Unit 2 in response to a fire in a hydrogen dryer in the hydrogen |
| supply to the Unit 2 Turbine Generator. As a result of the fire, the |
| hydrogen supply to the turbine generator experienced a low pressure |
| condition and plant operators manually tripped the reactor (RPS Actuation) |
| to prevent damage to the turbine generator. Following the trip, the Unit 2 |
| Auxiliary Feedwater Pumps started due to loss of Unit 2 Main Feedwater Pumps |
| (Auxiliary Feedwater System Actuation). Subsequent to the start of the Unit |
| 2 Auxiliary Feedwater Pumps, the 2C Steam Generator experienced a HI-HI |
| water level. Level was restored and the water level in all four Steam |
| Generators is currently in the normal band for existing plant conditions. |
| |
| "The fire in the Unit 2 hydrogen dryer has been extinguished. Plant |
| equipment necessary to safely shutdown Unit 2 operated correctly and the |
| Unit is stable and in Mode 3. The Unit 2 Auxiliary Feedwater Pumps are still |
| running supplying the Steam Generators. An investigation into the cause of |
| the fire is in progress. |
| |
| "The NRC Resident Inspector has been notified." |
| |
| Notified R2DO(Barr). |
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