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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    |
+------------------------------------------------+                             |
| 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                 |                             |
+------------------------------------------------+                             |
|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|                             |
|                                                |                             |
|                                                |                             |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|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   |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|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   |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR|   INIT RX MODE  |CURR PWR|  CURR RX MODE   |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|1     N          N       0        Cold Shutdown    |0        Cold Shutdown    |
|                                                   |                          |
|                                                   |                          |
+------------------------------------------------------------------------------+
                                   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      |
+------------------------------------------------+                             |
| NRC NOTIFIED BY:  STEPHEN SLACK                |                             |
|  HQ OPS OFFICER:  HOWIE CROUCH                 |                             |
+------------------------------------------------+                             |
|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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