Event Notification Report for October 24, 2002
U.S. Nuclear Regulatory Commission
Operations Center
Event Reports For
10/23/2002 - 10/24/2002
** EVENT NUMBERS **
39311 39312 39315 39316
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|Power Reactor |Event Number: 39311 |
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| FACILITY: PERRY REGION: 3 |NOTIFICATION DATE: 10/23/2002|
| UNIT: [1] [] [] STATE: OH |NOTIFICATION TIME: 12:15[EDT]|
| RXTYPE: [1] GE-6 |EVENT DATE: 10/23/2002|
+------------------------------------------------+EVENT TIME: 11:13[EDT]|
| NRC NOTIFIED BY: TOM VEITCH |LAST UPDATE DATE: 10/23/2002|
| HQ OPS OFFICER: FANGIE JONES +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: NON EMERGENCY |CHRISTINE LIPA R3 |
|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 98 Power Operation |98 Power Operation |
| | |
| | |
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EVENT TEXT
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| HIGH PRESSURE CORE SPRAY FAILED TO START ON DEMAND |
| |
| The licensee was in the process of conducting normal testing when attempting |
| to start the High Pressure Core Spray Pump, it did not start. The problem |
| is being investigated at this time. This notification is being made per 10 |
| CFR 50.72(b)(3)(v)(D) under accident mitigation. |
| |
| The licensee notified the NRC Resident Inspector. |
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|Hospital |Event Number: 39312 |
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| REP ORG: TENET HEALTH SYSTEMS GRADUATE |NOTIFICATION DATE: 10/23/2002|
|LICENSEE: TENET HEALTH SYSTEMS GRADUATE |NOTIFICATION TIME: 16:38[EDT]|
| CITY: PHILADELPHIA REGION: 1 |EVENT DATE: 10/22/2002|
| COUNTY: STATE: PA |EVENT TIME: 10:00[EDT]|
|LICENSE#: 37-28359-01 AGREEMENT: N |LAST UPDATE DATE: 10/23/2002|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |FRANK COSTELLO R1 |
| |MELVYN LEACH NMSS |
+------------------------------------------------+ |
| NRC NOTIFIED BY: KENT LAMBERT | |
| HQ OPS OFFICER: GERRY WAIG | |
+------------------------------------------------+ |
|EMERGENCY CLASS: NON EMERGENCY | |
|10 CFR SECTION: | |
|LADM 35.33 MED MISADMINISTRATION | |
| | |
| | |
| | |
| | |
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EVENT TEXT
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| MEDICAL MISADMINISTRATION-SOURCE RUPTURE DURING REMOVAL |
| |
| A 830 microcurie Iodine 125 brachytherapy source ruptured while it was being |
| withdrawn from a patient's bladder during a prostate implant. The seed was |
| removed and the patient's bladder was flushed. The flush solution measured |
| 0.2 microcuries. Follow-up actions include evaluation of possible patient |
| thyroid uptake and investigation to determine why the retrieval mechanism |
| ruptured the source. The patient and prescribing physician have been |
| informed of this event. The licensee also notified NRC Region 1 of the |
| event. |
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|Fuel Cycle Facility |Event Number: 39315 |
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| FACILITY: PORTSMOUTH GASEOUS DIFFUSION PLANT |NOTIFICATION DATE: 10/23/2002|
| RXTYPE: URANIUM ENRICHMENT FACILITY |NOTIFICATION TIME: 20:18[EDT]|
| COMMENTS: 2 DEMOCRACY CENTER |EVENT DATE: 10/23/2002|
| 6903 ROCKLEDGE DRIVE |EVENT TIME: 11:08[EDT]|
| BETHESDA, MD 20817 (301)564-3200 |LAST UPDATE DATE: 10/23/2002|
| CITY: PIKETON REGION: 3 +-----------------------------+
| COUNTY: PIKE STATE: OH |PERSON ORGANIZATION |
|LICENSE#: GDP-2 AGREEMENT: N |BRUCE BURGESS R3 |
| DOCKET: 0707002 |MELVYN LEACH NMSS |
+------------------------------------------------+ |
| NRC NOTIFIED BY: RICK LARSON | |
| HQ OPS OFFICER: GERRY WAIG | |
+------------------------------------------------+ |
|EMERGENCY CLASS: NON EMERGENCY | |
|10 CFR SECTION: | |
|NBNL RESPONSE-BULLETIN | |
| | |
| | |
| | |
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EVENT TEXT
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| 91-01 RESPONSE BULLETIN 24 HOUR REPORT- LOSS OF ONE CONTROL (GEOMETRY) |
| |
| "On 10/23/02 @ 1108 hours, The Plant Shift Superintendent (PSS) was notified |
| of a violation of NCSA-0705_035 Control #23 in the X-705 Tunnel Basement |
| Area. Control #23 states in part, 'At no time shall the depth of standing |
| liquid, covering the entire floor area, exceed a depth of 1.7 inches.' |
| Operations Personnel reported that as a result of a failure of the Facility |
| Condensate System, the entire floor was covered by Non-Fissile Liquid |
| greater than 1.7 inches in depth, thus constituting a loss of one Control |
| (Geometry). All other Double Contingency Controls (Concentration, |
| Interaction, and Other Passive Designs) were maintained throughout this |
| event. The Failed System has been isolated and all Uranium Bearing Material |
| Evolutions have been suspended pending repairs to the failed Facility |
| Condensate System. |
| |
| "SAFETY SIGNIFICANCE OF EVENTS: |
| This event has a low safety significance. The majority (99%) of the liquid |
| on the floor area is overflowing steam condensate tank. The only credible |
| way for additional Uranium bearing solution to be added to the liquid on the |
| floor is for a fissile solution storage bank to catastrophically fail. All |
| uranium bearing solution evolutions in this work area have been suspended |
| pending repairs. |
| |
| "POTENTIAL CRITICALLY PATHWAYS INVOLVED (BRIEF SCENARIO[S] OF HOW |
| CRITICALITY COULD OCCUR): |
| One filled fissile solution storage bank fails while filled with fully |
| enriched saturated U02F2 solution and all of the solution empties onto the |
| floor of the tunnel basement floor mixing with the existing liquid to a |
| minimum depth of 2 inches everywhere on the floor. |
| |
| "CONTROLLED PARAMETERS (MASS, MODERATION, GEOMETRY, CONCENTRATION, ETC.): |
| The NCSA/NCSE controlled the floor of the tunnel basement area (Geometry), |
| the condition of the floor of the tunnel basement (Geometry), and the depth |
| of standing liquid allowed on the floor of the tunnel basement area. |
| |
| "ESTIMATED AMOUNT, ENRICHMENT, FORM OF LICENSED MATERIAL (INCLUDE PROCESS |
| LIMIT AND % WORST CASE OF CRITICAL MASS): |
| Less than [. . .] grams of U-235 in the standing liquid on the floor of the |
| tunnel basement area with a maximum enrichment of [. . .] wt% of U-235. |
| |
| "NUCLEAR CRITICALITY SAFETY CONTROL(S) OR CONTROL SYSTEM(S) AND DESCRIPTION |
| OF THE FAILURES OR DEFICIENCIES: |
| The depth of standing liquid, as measured at the deepest location, exceeded |
| the allowed depth of 1.7 inches. |
| |
| "CORRECTIVE ACTIONS TO RESTORE SAFETY SYSTEM AND WHEN EACH WAS IMPLEMENTED: |
| No Safety System Activation resulted. All uranium bearing solution |
| evolutions were suspended at 1108 hours as a result of this event and will |
| remain as such pending repairs to the Facility Condensate System." |
| |
| The licensee has notified the NRC Resident Inspector and the onsite DOE |
| Representative of the event. |
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|Power Reactor |Event Number: 39316 |
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| FACILITY: SAINT LUCIE REGION: 2 |NOTIFICATION DATE: 10/24/2002|
| UNIT: [1] [] [] STATE: FL |NOTIFICATION TIME: 04:48[EDT]|
| RXTYPE: [1] CE,[2] CE |EVENT DATE: 10/24/2002|
+------------------------------------------------+EVENT TIME: 01:22[EDT]|
| NRC NOTIFIED BY: CALVIN WARD |LAST UPDATE DATE: 10/24/2002|
| HQ OPS OFFICER: STEVE SANDIN +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: NON EMERGENCY |ROBERT HAAG R2 |
|10 CFR SECTION: | |
|ARPS 50.72(b)(2)(iv)(B) RPS ACTUATION - CRITICA| |
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| | |
| | |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|1 M/R Y 7 Power Operation |0 Hot Standby |
| | |
| | |
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EVENT TEXT
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| UNIT 1 MANUALLY TRIPPED DUE TO DECREASING STEAM GENERATOR WATER LEVEL |
| |
| "While performing a Plant Startup, following a refueling outage, a manual |
| reactor trip was initiated due to decreasing Steam Generator Level. The trip |
| occurred at 0122 hours. A main feedwater pump was being placed in service |
| just prior to the trip. The auxiliary Feedwater system was placed in |
| service per plant procedures. The cause for decreasing S/G level is being |
| investigated." |
| |
| All rods fully inserted. |
| |
| The licensee informed the NRC resident inspector. |
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