Event Notification Report for November 15, 2002
U.S. Nuclear Regulatory Commission Operations Center Event Reports For 11/14/2002 - 11/15/2002 ** EVENT NUMBERS ** 39366 39369 39370 39373 39374 +------------------------------------------------------------------------------+ |General Information or Other |Event Number: 39366 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | REP ORG: KENTUCKY DEPT OF RADIATION CONTROL |NOTIFICATION DATE: 11/12/2002| |LICENSEE: HUNTINGTON TESTING AND TECHNOLOGY INC|NOTIFICATION TIME: 16:30[EST]| | CITY: GHENT REGION: 2 |EVENT DATE: 10/18/2002| | COUNTY: STATE: KY |EVENT TIME: 07:30[CST]| |LICENSE#: 201-551-05 AGREEMENT: Y |LAST UPDATE DATE: 11/12/2002| | DOCKET: |+----------------------------+ | |PERSON ORGANIZATION | | |LEONARD WERT R2 | | |FRED BROWN NMSS | +------------------------------------------------+ | | NRC NOTIFIED BY: BOB JOHNSON | | | HQ OPS OFFICER: RICH LAURA | | +------------------------------------------------+ | |EMERGENCY CLASS: NON EMERGENCY | | |10 CFR SECTION: | | |NAGR AGREEMENT STATE | | | | | | | | | | | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | KY AGREEMENT STATE REPORT INVOLVING AN OVER EXPOSURE OF A RADIOGRAPHER | | | | "This letter is notification of an overexposure incident that occurred on | | October 8, 2002 in Ghent, Kentucky. The licensee involved was Huntington | | Testing & Technology Inc.. Kentucky Radioactive Material License Number | | 201-551-05. The incident occurred while performing radiography at Kentucky | | Utilities. The radiography source was 103 Ci [Curies] of Ir-192 [Iridium], | | housed in a 660 B Camera, S/N B2954. The licensee's interpretation of the | | reporting criteria resulted in late notification thirty (30) days after the | | incident. That information was not only delayed, but also incomplete | | requiring further development before the State of Kentucky could forward | | this report. | | | | "At approximately 7:00 a.m., on October 18, 2002, when reeling in the | | radiography source after an exposure, it was not fully retracted, nor | | recognized for approximately three (3) minutes by the radiographer who had | | entered the area. Upon realization that the source was not fully retracted, | | the radiographer immediately left the area, extended the source and then | | retracted it to the housed position. The RSO [Radiation Safety Officer] was | | contacted and the radiographer removed from any radiological work. | | | | "The radiographer's dosimetry was immediately sent to Landauer for | | processing. The result of his exposure was 4.86 Rem whole body, in addition | | to his year-to-date exposure of 1.4 Rem, for total yearly whole body | | exposure of 6.26 Rem. These numbers appear to be close estimates, ending | | further evaluation of the radiographer's position in relation to the exposed | | source. Initial reports indicate a survey instrument failure, and failure of | | the radiographer to monitor the instrumentation and position indicator to | | ensure retraction of the radiography source. | | | | "Further evaluation of the cause of this incident and final dose estimates | | will be forwarded ending further investigation." | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ |Power Reactor |Event Number: 39369 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | FACILITY: OCONEE REGION: 2 |NOTIFICATION DATE: 11/14/2002| | UNIT: [] [] [3] STATE: SC |NOTIFICATION TIME: 05:24[EST]| | RXTYPE: [1] B&W-L-LP,[2] B&W-L-LP,[3] B&W-L-L|EVENT DATE: 11/14/2002| +------------------------------------------------+EVENT TIME: 04:19[EST]| | NRC NOTIFIED BY: NEIL CONSTANCE |LAST UPDATE DATE: 11/14/2002| | HQ OPS OFFICER: HOWIE CROUCH +-----------------------------+ +------------------------------------------------+PERSON ORGANIZATION | |EMERGENCY CLASS: NON EMERGENCY |LEONARD WERT R2 | |10 CFR SECTION: | | |ARPS 50.72(b)(2)(iv)(B) RPS ACTUATION - CRITICA| | | | | | | | | | | +-----+----------+-------+--------+-----------------+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ | | | | | | |3 A/R Y 100 Power Operation |0 Hot Standby | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | AUTOMATIC REACTOR TRIP DUE TO TURBINE TRIP | | | | "The Moisture Separator drain tanks each provide a trip signal to the main | | turbine on a high level on 2 [of] 3 level switches. At 0419 [EST], 2 [of] 3 | | level switches indicated a high level in the 3A Moisture Separator Drain | | Tank Level, resulting in a MT [Main Turbine] trip and anticipatory RPS trip. | | Post-trip response was normal." | | | | All rods inserted into the core. No PORV's lifted. No ECCS actuation. The | | cause of the heater drain system upset is under investigation. | | | | The licensee notified the NRC Resident Inspector. | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ |Power Reactor |Event Number: 39370 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | FACILITY: ARKANSAS NUCLEAR REGION: 4 |NOTIFICATION DATE: 11/14/2002| | UNIT: [1] [2] [] STATE: AR |NOTIFICATION TIME: 11:33[EST]| | RXTYPE: [1] B&W-L-LP,[2] CE |EVENT DATE: 11/14/2002| +------------------------------------------------+EVENT TIME: 07:45[CST]| | NRC NOTIFIED BY: TOM SCOTT |LAST UPDATE DATE: 11/14/2002| | HQ OPS OFFICER: HOWIE CROUCH +-----------------------------+ +------------------------------------------------+PERSON ORGANIZATION | |EMERGENCY CLASS: NON EMERGENCY |CHUCK CAIN R4 | |10 CFR SECTION: | | |APRE 50.72(b)(2)(xi) OFFSITE NOTIFICATION | | | | | | | | | | | +-----+----------+-------+--------+-----------------+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ |1 N Y 85 Power Operation |85 Power Operation | |2 N Y 100 Power Operation |100 Power Operation | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | OFFSITE NOTIFICATION DUE TO SIREN MALFUNCTION | | | | "At 07:45 [CST] on 11/14/02, ANO Security received offsite calls from an | | off-duty security officer and the Pope County 911 Office regarding actuation | | of up to 3 emergency sirens in the Russellville area. The sirens silenced | | automatically approximately 3 minutes later after they timed out. | | Information provided by the duty Emergency Planner indicated the cause of | | the sirens was attributed to a power fluctuation in East Russellville area. | | The Arkansas Department of Health was contacted and is responding to | | determine if any corrective maintenance is required. The 911 Office is | | getting multiple calls from concerned citizens about the sirens. Local | | radio stations have been made aware of the event and are periodically | | broadcasting that there is nothing to worry about in an attempt to inform | | local residents." | | | | Licensee notified the NRC Resident Inspector. | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ |Hospital |Event Number: 39373 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | REP ORG: RESEARCH MEDICAL CENTER |NOTIFICATION DATE: 11/14/2002| |LICENSEE: RESEARCH MEDICAL CENTER |NOTIFICATION TIME: 15:40[EST]| | CITY: KANSAS CITY REGION: 3 |EVENT DATE: 11/14/2002| | COUNTY: STATE: MO |EVENT TIME: 12:00[CST]| |LICENSE#: 24-18625-01 AGREEMENT: N |LAST UPDATE DATE: 11/14/2002| | DOCKET: |+----------------------------+ | |PERSON ORGANIZATION | | |BRUCE BURGESS R3 | | | | +------------------------------------------------+ | | NRC NOTIFIED BY: STEPHEN SLACK | | | HQ OPS OFFICER: ERIC THOMAS | | +------------------------------------------------+ | |EMERGENCY CLASS: NON EMERGENCY | | |10 CFR SECTION: | | |BLO2 20.2201(a)(1)(ii) LOST/STOLEN LNM>10X | | | | | | | | | | | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | LOST I-125 SOURCE, SLIGHTLY < .5 MILLICURIES, TO BE IMPLANTED IN A PATIENT | | | | Following prostate implantation procedure, radiograph showed fewer seeds | | than believed to have been implanted in the patient (1 seed short). Room, | | trash, and linens were all surveyed and nothing found. The authorized user | | believes that the lost seed may have migrated to another location in the | | patient's body, possibly carried off by one of the surrounding blood | | vessels. | | | | X-ray and CT scans of the immediate area of the implantation did not reveal | | location of the lost seed. No further scans of the patient are planned. | | | | Research Medical Center | | 2316 E. Meyer Blvd. | | Kansas City, MO 64132 | | | | Notified Bruce Burgess, R3DO | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ |Power Reactor |Event Number: 39374 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | FACILITY: SOUTH TEXAS REGION: 4 |NOTIFICATION DATE: 11/14/2002| | UNIT: [1] [2] [] STATE: TX |NOTIFICATION TIME: 18:10[EST]| | RXTYPE: [1] W-4-LP,[2] W-4-LP |EVENT DATE: 11/14/2002| +------------------------------------------------+EVENT TIME: [CST]| | NRC NOTIFIED BY: KLAY KLIMPLE |LAST UPDATE DATE: 11/14/2002| | HQ OPS OFFICER: ERIC THOMAS +-----------------------------+ +------------------------------------------------+PERSON ORGANIZATION | |EMERGENCY CLASS: NON EMERGENCY |CHUCK CAIN R4 | |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 | |2 N N 0 Refueling |0 Refueling | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | ELECTRICAL AUXILIARY BUILDING SUPPLY FAN TRIP | | | | "The Unit 2 Train C Electrical Auxiliary Building Supply Fan tripped on | | overload current shortly after starling on Nov 1 2002. The fan then tripped | | two more times on overload during subsequent troubleshooting. It was | | determined that the fan overloads for all 3 trains of EAB HVAC in both units | | were set low such that these fans may trip under reduced grid voltage | | conditions. All fan overloads were reset at a higher value to protect the | | motor and allow acceptable performance during the range of design grid | | voltage conditions. | | | | "The design safety function of these fans is to ensure the environmental | | requirements of vital equipment are satisfied under analyzed conditions | | including transients and postulated accidents. Since this condition existed | | prior to correcting the fan overload setpoint value, it was determined to be | | a condition that could have prevented fulfillment of a safety function. | | Therefore, this condition is reportable under 10CFR50.72(b)(3)(v). | | | | "This condition is susceptible during reduced grid voltage conditions. | | Further evaluation is in progress and expected to demonstrate that the | | reduced grid voltage condition occurs during a limited period of time over | | the operating cycle. Therefore, it is believed that the analysis will | | conclude that this event is of low safety significance." | | | | The NRC Resident Inspector was notified of this event. | +------------------------------------------------------------------------------+
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Page Last Reviewed/Updated Thursday, March 25, 2021