Event Notification Report for November 20, 2002
U.S. Nuclear Regulatory Commission
Operations Center
Event Reports For
11/19/2002 - 11/20/2002
** EVENT NUMBERS **
39371 39372 39380 39383 39384 39385
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|General Information or Other |Event Number: 39371 |
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| REP ORG: FLORIDA BUREAU OF RADIATION CONTROL |NOTIFICATION DATE: 11/14/2002|
|LICENSEE: GEOVERSE INC |NOTIFICATION TIME: 08:12[EST]|
| CITY: SUNRISE REGION: 2 |EVENT DATE: 11/13/2002|
| COUNTY: STATE: FL |EVENT TIME: 15:00[EST]|
|LICENSE#: 2540-1 AGREEMENT: Y |LAST UPDATE DATE: 11/14/2002|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |LEONARD WERT R2 |
| |DON COOL NMSS |
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| NRC NOTIFIED BY: E-MAIL | |
| HQ OPS OFFICER: CHAUNCEY GOULD | |
+------------------------------------------------+ |
|EMERGENCY CLASS: NON EMERGENCY | |
|10 CFR SECTION: | |
|NAGR AGREEMENT STATE | |
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EVENT TEXT
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| STOLEN SOIL MOISTURE DENSITY GAUGE |
| |
| The state licensee notified the State of Florida of a soil moisture density |
| gauge that was stolen from the back of a pickup truck located at a temporary |
| worksite. The gauge was last seen between 1500 and 1700 [EST]. The gauge |
| which was a Troxler model 3430 serial # 24277 with activity of 8mCi |
| [millicuries] of Cs-137 and 40 mCi [millicuries] of Am-241/Be had been |
| chained to the truck. A police report was made and a reward is being |
| offered and the state is investigating. |
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|General Information or Other |Event Number: 39372 |
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| REP ORG: LOUISIANA RADIATION PROTECTION DIV |NOTIFICATION DATE: 11/14/2002|
|LICENSEE: BYRD REGIONAL HOSPITAL |NOTIFICATION TIME: 15:00[EST]|
| CITY: LEESVILLE REGION: 4 |EVENT DATE: 11/08/2002|
| COUNTY: STATE: LA |EVENT TIME: [CST]|
|LICENSE#: LA-1431-L01 AGREEMENT: Y |LAST UPDATE DATE: 11/14/2002|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |CHUCK CAIN R4 |
| |TOM ESSIG NMSS |
+------------------------------------------------+ |
| NRC NOTIFIED BY: SCOTT BLACKWELL (VIA FAX) | |
| HQ OPS OFFICER: STEVE SANDIN | |
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|EMERGENCY CLASS: NON EMERGENCY | |
|10 CFR SECTION: | |
|NAGR AGREEMENT STATE | |
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EVENT TEXT
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| AGREEMENT STATE REPORT INVOLVING MEDICAL MISADMINISTRATION |
| |
| On November 8, 2002, a patient at the Byrd Regional Hospital located in |
| Leesville, LA, "received a 26 millicurie dose of Tc-99 Sestamibi instead of |
| a 25 millicurie dose of Tc-99 MDP. This occurred [when] the technologist |
| picked up the wrong syringe from the 'hot lab.' The technologist immediately |
| notified the Radiation Safety Officer once he discovered what happened. |
| There appears to be no adverse effects to the patient. The patient did |
| receive the correct dose on November 12, 2002. The technologist will review |
| the facilities procedures to prevent this type of incident from occurring |
| again. The facility notified the doctor, patient, and the Louisiana |
| Department of Environmental Quality (DEQ)." |
| |
| Louisiana event report ID No.: LA020015 |
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|Power Reactor |Event Number: 39380 |
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| FACILITY: SOUTH TEXAS REGION: 4 |NOTIFICATION DATE: 11/16/2002|
| UNIT: [1] [] [] STATE: TX |NOTIFICATION TIME: 22:49[EST]|
| RXTYPE: [1] W-4-LP,[2] W-4-LP |EVENT DATE: 11/16/2002|
+------------------------------------------------+EVENT TIME: 20:42[CST]|
| NRC NOTIFIED BY: JOHN PIERCE |LAST UPDATE DATE: 11/19/2002|
| HQ OPS OFFICER: STEVE SANDIN +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: NON EMERGENCY |CHUCK CAIN R4 |
|10 CFR SECTION: |ELLIS MERSCHOFF R4 |
|ARPS 50.72(b)(2)(iv)(B) RPS ACTUATION - CRITICA|ELMO COLLINS R4 |
|AESF 50.72(b)(3)(iv)(A) VALID SPECIF SYS ACTUAT| |
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| | |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|1 M/R Y 100 Power Operation |0 Hot Standby |
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EVENT TEXT
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| UNIT 1 EXPERIENCED A MANUAL REACTOR TRIP DUE TO A LOSS OF OPEN LOOP COOLING |
| WATER |
| |
| "The South Texas Project makes the following 4 hour non-emergency report of |
| a manual Reactor Protection System actuation per 10CFR50.72.b.2.ii. |
| |
| "At 20:42 on 11/16/02 Unit 1 reactor was manually tripped due to a loss of |
| open loop cooling water. Reports indicated flooding in the circulating |
| water intake structure due to a problem with circulating water pump #11, |
| which caused the loss of open loop cooling." |
| |
| Operators received a loss of open loop cooling which supplies auxiliary |
| cooling to the main generator. Per procedure, Unit 1 was manually tripped. |
| Upon investigation, a 4-6 inch crack in circulating water pump #11 housing |
| was discovered. A preliminary review indicates that water may have |
| electrically shorted the three operating open loop cooling pumps which are |
| also located in the intake structure. |
| |
| Unit 1 is currently stable in mode 3 with all auxiliary feedwater pumps in |
| service. Vacuum in the main condenser is presently 27 inches with both |
| circulating water pumps 13 and 14 operating. All rods fully inserted. |
| Normal offsite power is available and no electrical buses were lost as a |
| result of the flooding although electrical maintenance is investigating |
| several electrical ground alarms. The licensee reviewed their Emergency |
| Plan and determined that the criteria for declaration of an NOUE was not |
| satisfied. The licensee notified the NRC resident inspector and does not |
| plan on a press release at this time. |
| |
| * * * UPDATE ON 11/19/02 AT 1741 EST FROM GREG JANAK TO HOWIE CROUCH * * * |
| |
| This is a supplemental notification to EVENT # 39380 which was for a 4 hour |
| non-emergency report of a manual Reactor Protection System Actuation. |
| |
| At 20:42 [CST] on 11/16/02 following the Unit 1 manual reactor trip, the |
| Auxiliary Feedwater System actuated as expected on Steam Generator low-low |
| water level. This is being reported under 10CFR50.72(b)(3)(iv)(A). |
| |
| Licensee reported that lowest steam generator water level observed was 17% |
| on one steam generator. |
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|Power Reactor |Event Number: 39383 |
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| FACILITY: CATAWBA REGION: 2 |NOTIFICATION DATE: 11/19/2002|
| UNIT: [1] [2] [] STATE: SC |NOTIFICATION TIME: 09:57[EST]|
| RXTYPE: [1] W-4-LP,[2] W-4-LP |EVENT DATE: 11/19/2002|
+------------------------------------------------+EVENT TIME: 08:25[EST]|
| NRC NOTIFIED BY: TOM POETZSCH |LAST UPDATE DATE: 11/19/2002|
| HQ OPS OFFICER: ARLON COSTA +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: NON EMERGENCY |DAVID AYRES R2 |
|10 CFR SECTION: | |
|APRE 50.72(b)(2)(xi) OFFSITE NOTIFICATION | |
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+-----+----------+-------+--------+-----------------+--------+-----------------+
|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 Y 100 Power Operation |100 Power Operation |
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EVENT TEXT
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| OFFSITE NOTIFICATION TO LOCAL LAW ENFORCEMENT |
| |
| Notifications were made to the York County Police and State Wildlife Agency |
| by the Licensee. |
| |
| Refer to the HOO Log for additional information. |
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|Power Reactor |Event Number: 39384 |
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| FACILITY: CALLAWAY REGION: 4 |NOTIFICATION DATE: 11/19/2002|
| UNIT: [1] [] [] STATE: MO |NOTIFICATION TIME: 14:35[EST]|
| RXTYPE: [1] W-4-LP |EVENT DATE: 11/19/2002|
+------------------------------------------------+EVENT TIME: 10:30[CST]|
| NRC NOTIFIED BY: E.W. HENSON |LAST UPDATE DATE: 11/19/2002|
| HQ OPS OFFICER: HOWIE CROUCH +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: NON EMERGENCY |DALE POWERS R4 |
|10 CFR SECTION: | |
|APRE 50.72(b)(2)(xi) OFFSITE NOTIFICATION | |
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+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|1 N N 0 Cold Shutdown |0 Cold Shutdown |
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EVENT TEXT
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| OFFSITE NOTIFICATION TO STATE AND LOCAL AUTHORITIES DUE TO OFFSITE EVENT |
| |
| As a precautionary measure, licensee notified federal, state and local |
| agencies of an event that occurred in the local community. There was no |
| impact on plant operations. |
| |
| Licensee informed NRC Resident Inspector. |
| |
| Refer to the HOO Log for additional details. |
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|Hospital |Event Number: 39385 |
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| REP ORG: RESEARCH MEDICAL CENTER |NOTIFICATION DATE: 11/19/2002|
|LICENSEE: RESEARCH MEDICAL CENTER |NOTIFICATION TIME: 17:02[EST]|
| CITY: Kansas City REGION: 3 |EVENT DATE: 10/11/2002|
| COUNTY: STATE: MO |EVENT TIME: [CST]|
|LICENSE#: 24-18625-01 AGREEMENT: N |LAST UPDATE DATE: 11/19/2002|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |C.W. (BILL) REAMER NMSS |
| |BRENT CLAYTON R3 |
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| NRC NOTIFIED BY: STEPHEN SLACK | |
| HQ OPS OFFICER: HOWIE CROUCH | |
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|EMERGENCY CLASS: NON EMERGENCY | |
|10 CFR SECTION: | |
|LDIF 35.3045(a)(1) DOSE <> PRESCRIBED DOSA| |
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EVENT TEXT
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| NOTIFICATION OF MEDICAL EVENT INVOLVING DIAGNOSTIC OVERDOSE OF IODINE-131 |
| |
| Research Medical Center reported that they had a diagnostic |
| misadministration that occurred on 10/11/02. The event was reported after |
| it was discovered by an auditor. |
| |
| The patient was administered 3.6 millicuries of I-131 instead of the |
| prescribed dose of 3.0 millicuries. The iodine was being administered for a |
| whole body scan for thyroid carcinoma. |
| |
| The patient and referring physician will be notified by the licensee. |
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