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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  

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|General Information or Other                     |Event Number:   39366       |
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| 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        |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
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                                   EVENT TEXT                                   
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| 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."                             |
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|Power Reactor                                    |Event Number:   39369       |
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| 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      |
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                                   EVENT TEXT                                   
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| 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.                            |
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|Power Reactor                                    |Event Number:   39370       |
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| 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  |
|                                                   |                          |
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                                   EVENT TEXT                                   
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| 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.                                |
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|Hospital                                         |Event Number:   39373       |
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| 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    |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
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                                   EVENT TEXT                                   
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| 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                                                 |
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|Power Reactor                                    |Event Number:   39374       |
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| 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        |
|                                                   |                          |
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                                   EVENT TEXT                                   
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| 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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