Event Notification Report for December 18, 2002
U.S. Nuclear Regulatory Commission
Operations Center
Event Reports For
12/17/2002 - 12/18/2002
** EVENT NUMBERS **
39442 39451 39452 39453 39454 39455 39456
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|General Information or Other |Event Number: 39442 |
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| REP ORG: IOWA DEPARTMENT OF PUBLIC HEALTH |NOTIFICATION DATE: 12/12/2002|
|LICENSEE: IOWA METHODIST MEDICAL CENTER |NOTIFICATION TIME: 15:57[EST]|
| CITY: DES MOINES REGION: 3 |EVENT DATE: 12/03/2002|
| COUNTY: STATE: IA |EVENT TIME: [CST]|
|LICENSE#: 0310-1-77-HDR AGREEMENT: Y |LAST UPDATE DATE: 12/12/2002|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |PATRICK HILAND R3 |
| |JIM LYNCH R3 |
+------------------------------------------------+TOM ESSIG NMSS |
| NRC NOTIFIED BY: GEORGE JOHNS | |
| HQ OPS OFFICER: MIKE NORRIS | |
+------------------------------------------------+ |
|EMERGENCY CLASS: NON EMERGENCY | |
|10 CFR SECTION: | |
|NAGR AGREEMENT STATE | |
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| | |
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| | |
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EVENT TEXT
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| AGREEMENT STATE REPORT INVOLVING MEDICAL MISADMINISTRATION |
| |
| "The licensee reported a medical misadministration involving a High Dose |
| Rate Afterloader. The patient treatment plan required 20 steps in a |
| treatment with the stepping distance of 0.5 centimeters. The licensee |
| reported that the stepping distance was actually 1.0 centimeter. (The cause |
| of the deviation has not yet been determined.) The deviation resulted in |
| an unplanned dose to an unintended site. The exposure was to 10 centimeters |
| outside the planned treatment area. The dose has not yet been determined." |
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|Power Reactor |Event Number: 39451 |
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| FACILITY: MAINE YANKEE REGION: 1 |NOTIFICATION DATE: 12/17/2002|
| UNIT: [1] [] [] STATE: ME |NOTIFICATION TIME: 09:57[EST]|
| RXTYPE: [1] CE |EVENT DATE: 12/17/2002|
+------------------------------------------------+EVENT TIME: 06:50[EST]|
| NRC NOTIFIED BY: BILL BRYANT |LAST UPDATE DATE: 12/17/2002|
| HQ OPS OFFICER: HOWIE CROUCH +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: NON EMERGENCY |DANIEL HOLODY R1 |
|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 Decommissioned |0 Decommissioned |
| | |
| | |
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EVENT TEXT
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| OFFSITE NOTIFICATION DUE TO DUCK HUNTERS NEAR PLANT SITE |
| |
| Notified by the licensee that they made offsite notifications to the FBI, |
| Maine Game Warden, and the Lincoln County, Maine Sheriff's Office due to |
| duck hunters shooting in the direction of the plant from an island 50-100 |
| feet away from plant property. There were no injuries to plant personnel |
| and no damage to plant property. The hunters were approached by plant |
| security personnel and subsequently found another place to hunt. |
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|Other Nuclear Material |Event Number: 39452 |
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| REP ORG: COLORADO DEPT OF HEALTH |NOTIFICATION DATE: 12/17/2002|
|LICENSEE: PSI CORPORATION |NOTIFICATION TIME: 10:52[EST]|
| CITY: WHEAT RIDGE REGION: 4 |EVENT DATE: 12/17/2002|
| COUNTY: STATE: CO |EVENT TIME: [MST]|
|LICENSE#: 928-02 AGREEMENT: Y |LAST UPDATE DATE: 12/17/2002|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |LINDA HOWELL R4 |
| |LARRY CAMPER NMSS |
+------------------------------------------------+ |
| NRC NOTIFIED BY: PHILIP EGIDI | |
| HQ OPS OFFICER: HOWIE CROUCH | |
+------------------------------------------------+ |
|EMERGENCY CLASS: NON EMERGENCY | |
|10 CFR SECTION: | |
|NAGR AGREEMENT STATE | |
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EVENT TEXT
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| AGREEMENT STATE REPORT DUE TO LOST TROXLER DENSITY GAUGE |
| |
| "At about 4:45 PM [CST] our time last evening (12/16/02) we received a call |
| from PSI Corporate in Illinois. Their Colorado license number is 928-02 for |
| the Wheat Ridge Office. They reported a lost moisture-density gauge which |
| apparently fell out of the back of a truck on a highway construction project |
| located on Hwy 85, between Hwy 7 & 136th earlier in the day. According to |
| the RSO [Radiation Safety Officer], the technician admitted that the device |
| was not secured in the back of the truck during movement. It is not clear |
| yet whether the tailgate was down or not. PSI reported the gauge loss to |
| CSP [Colorado State Police] and Adam's County [Sheriff's Office]. They have |
| also issued a reward for the return of the device. Visual Inspection of the |
| shoulder and median failed to find the device, which was reported to be in |
| the case. RSO claims that the case is clearly marked with PSI's phone |
| number and address, and is properly labeled according to regulatory |
| requirements. |
| |
| "It is a Troxler 3411-B, SN 12179." |
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|Power Reactor |Event Number: 39453 |
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| FACILITY: SEABROOK REGION: 1 |NOTIFICATION DATE: 12/17/2002|
| UNIT: [1] [] [] STATE: NH |NOTIFICATION TIME: 10:59[EST]|
| RXTYPE: [1] W-4-LP |EVENT DATE: 12/17/2002|
+------------------------------------------------+EVENT TIME: 06:55[EST]|
| NRC NOTIFIED BY: R. STRICKLAND |LAST UPDATE DATE: 12/17/2002|
| HQ OPS OFFICER: GERRY WAIG +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: NON EMERGENCY |DANIEL HOLODY R1 |
|10 CFR SECTION: | |
|ACOM 50.72(b)(3)(xiii) LOSS COMM/ASMT/RESPONSE| |
| | |
| | |
| | |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|1 N Y 100 Power Operation |100 Power Operation |
| | |
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EVENT TEXT
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| SEABROOK EMERGENCY OFF-SITE SIRENS INOPERABLE |
| |
| "There was a simultaneous inoperability of Mass. Emerg. Mgt. Agency |
| Framingham and Tewksbury Region 1 siren activation equipment for [greater |
| than] 1 hour. This is reportable per 10 CFR 50.72 (b)(3)xiii. |
| This condition has been corrected (~0900 today). |
| Both systems relied on a single uninterruptable power supply which had |
| failed. This single failure vulnerability was previously identified and is |
| scheduled to be modified in Jan. 2003." |
| |
| The licensee notified the NRC Resident Inspector of this event. |
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|Power Reactor |Event Number: 39454 |
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| FACILITY: CATAWBA REGION: 2 |NOTIFICATION DATE: 12/17/2002|
| UNIT: [1] [] [] STATE: SC |NOTIFICATION TIME: 12:24[EST]|
| RXTYPE: [1] W-4-LP,[2] W-4-LP |EVENT DATE: 10/29/2002|
+------------------------------------------------+EVENT TIME: 09:17[EST]|
| NRC NOTIFIED BY: DON BRADLEY |LAST UPDATE DATE: 12/17/2002|
| HQ OPS OFFICER: GERRY WAIG +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: NON EMERGENCY |PAUL FREDRICKSON R2 |
|10 CFR SECTION: | |
|AINV 50.73(a)(1) INVALID SPECIF SYSTEM A| |
| | |
| | |
| | |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|1 N Y 100 Power Operation |100 Power Operation |
| | |
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EVENT TEXT
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| 60 - DAY OPTIONAL 10 CFR 50.73 REPORT - INVALID ACTUATION OF THE AFW SYSTEM |
| |
| "60 DAY REPORT - INVALID ACTUATION OF SPECIFIED SYSTEM - This 60-day |
| optional report as allowed by 10 CFR 50.73(a)(1), is being made under the |
| reporting requirement in 10 CFR 50.73 (a)(2)(iv)(A) to describe an invalid |
| actuation of a specified system, specifically the Auxiliary Feedwater (AFW) |
| system. On October 29, 2002, at 0917, with Unit 1 in MODE 1 at 100% power, |
| an invalid signal was generated on Train A of the AFW system during |
| auxiliary safeguards testing. During the performance of resistance checks, |
| technicians reported hearing relay chattering inside the # 1 AFW pump |
| turbine control panel. Following the autostart of the 1A motor driven AFW |
| pump, increased AFW flow was noted for steam generators 1A and 1B. This was |
| indicative that valves in Train A of the AFW system had automatically |
| repositioned, in addition to the 1A motor driven pump automatically |
| starting. The pump was subsequently secured and the AFW system was returned |
| to standby readiness. This was considered a partial system/train actuation. |
| During this event, the AFW system performed as expected. This event was |
| entered into the site specific corrective action program for resolution." |
| |
| The NRC Resident Inspector will be notified of the event by the licensee. |
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|Other Nuclear Material |Event Number: 39455 |
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| REP ORG: STEEL OF WEST VIRGINIA |NOTIFICATION DATE: 12/17/2002|
|LICENSEE: STEEL OF WEST VIRGINIA |NOTIFICATION TIME: 13:45[EST]|
| CITY: HUNTINGTON REGION: 2 |EVENT DATE: 12/16/2002|
| COUNTY: CABELL STATE: WV |EVENT TIME: 13:00[EST]|
|LICENSE#: 47-16310-02 AGREEMENT: N |LAST UPDATE DATE: 12/17/2002|
| DOCKET: 03028692 |+----------------------------+
| |PERSON ORGANIZATION |
| |PAUL FREDRICKSON R2 |
| |TOM ESSIG NMSS |
+------------------------------------------------+ |
| NRC NOTIFIED BY: STEVE POWELL | |
| HQ OPS OFFICER: MIKE RIPLEY | |
+------------------------------------------------+ |
|EMERGENCY CLASS: NON EMERGENCY | |
|10 CFR SECTION: | |
|ISAF 30.50(b)(2) SAFETY EQUIPMENT FAILUR| |
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EVENT TEXT
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| DAMAGED SOURCE HOLDER ON STEEL LEVEL GAUGE |
| |
| At 1345 EST on 12/17/02, the licensee reported that at approximately 1300 |
| EST on 12/16/02, a radioactive source holder on a molten steel level gauge |
| was damaged from molten metal at the Steel of West Virginia facility in |
| Huntington, WV. The gauge is a Kay-Ray, Model # 7060SD, Serial # S93K0407. |
| The gauge contains 500 millicuries of cesium-137. The molten metal |
| penetrated the outer casing on the holder and melted the lead shielding. |
| The holder was placed in a shielded container and moved to a secure |
| location. The licensee is making arrangements for disposal. A radiation |
| survey of the area was conducted and no contamination or abnormal readings |
| were detected. The licensee notified NRC Region 2. |
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|Power Reactor |Event Number: 39456 |
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| FACILITY: CALLAWAY REGION: 4 |NOTIFICATION DATE: 12/17/2002|
| UNIT: [1] [] [] STATE: MO |NOTIFICATION TIME: 15:12[EST]|
| RXTYPE: [1] W-4-LP |EVENT DATE: 12/17/2002|
+------------------------------------------------+EVENT TIME: 12:40[CST]|
| NRC NOTIFIED BY: EURMAN HENSON |LAST UPDATE DATE: 12/17/2002|
| HQ OPS OFFICER: GERRY WAIG +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: NON EMERGENCY |LINDA HOWELL 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 Hot Standby |0 Hot Standby |
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EVENT TEXT
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| OFFSITE NOTIFICATION TO STATE OF PLANT OUTAGE EXCEEDING 3 DAYS |
| |
| At 1240, 12/17/02, Callaway Plant notified the Missouri Public Service |
| Commission (MPSC) of a forced outage lasting longer than three days. This |
| notification was performed in accordance with 4CSR240-20.080(3)(B) and |
| included the following information: |
| |
| On Saturday, December 14, 2002, at 0420 the Callaway Plant shutdown while |
| preparing to secure a condensate pump located in the non-radioactive |
| secondary system. While shutdown, problems were discovered with a steam |
| driven auxiliary feedwater pump and these problems had to be corrected prior |
| to returning the plant to service. Repairs to the steam driven auxiliary |
| feedwater pump have been completed and it is anticipated that the Callaway |
| Plant will return to service on December 17, 2002. |
| |
| This ENS notification is being made in accordance with I0CFR50.72(b)(2)(xi) |
| for notification to another government agency. |
| |
| The licensee has notified the NRC Resident Inspector of this event. |
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