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Event Notification Report for April 4, 2003
U.S. Nuclear Regulatory Commission Operations Center Event Reports For 04/03/2003 - 04/04/2003 ** EVENT NUMBERS ** 39577 39717 39718 39724 39725 39726 39727 39728 !!!!!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED !!!!!!! +------------------------------------------------------------------------------+ |Fuel Cycle Facility |Event Number: 39577 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | FACILITY: PORTSMOUTH GASEOUS DIFFUSION PLANT |NOTIFICATION DATE: 02/11/2003| | RXTYPE: URANIUM ENRICHMENT FACILITY |NOTIFICATION TIME: 06:16[EST]| | COMMENTS: 2 DEMOCRACY CENTER |EVENT DATE: 02/10/2003| | 6903 ROCKLEDGE DRIVE |EVENT TIME: 16:20[EST]| | BETHESDA, MD 20817 (301)564-3200 |LAST UPDATE DATE: 04/03/2003| | CITY: PIKETON REGION: 3 +-----------------------------+ | COUNTY: PIKE STATE: OH |PERSON ORGANIZATION | |LICENSE#: GDP-2 AGREEMENT: N |SONIA BURGESS R3 | | DOCKET: 0707002 |MELVYN LEACH NMSS | +------------------------------------------------+Patrick Hiland IRO | | NRC NOTIFIED BY: Gary Salyers | | | HQ OPS OFFICER: YAMIR DIAZ | | +------------------------------------------------+ | |EMERGENCY CLASS: NON EMERGENCY | | |10 CFR SECTION: | | |NONR OTHER UNSPEC REQMNT | | | | | | | | | | | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | STEAM VALVE SHUTDOWN DUE TO HIGH CONDENSATE LEVEL | | | | "At 1620 hrs, Autoclave (AC) #2 in the X-344 Facility experienced a Steam | | Shutdown due to high condensate level alarms (A) and (B) actuating. The AC | | was in applicable TSR MODE IV 'Feeding, Transfer or Sampling' when the | | actuation occurred. This is considered a valid actuation of a 'Q' Safety | | System. The autoclave was placed in MODE VII 'Shutdown' and declared | | inoperable by the Plant Shift Superintendent (PSS). An investigation is | | underway to determine the cause of the actuation. No release of radioactive | | material occurred as a result of the incident. This event is being | | reported in accordance with UE2-RA-RE1030 Appendix D. J. 2. Safety Equipment | | Actuations." | | | | The Autoclave (AC) lost one of four trains. This event was caused by | | operator error. A root cause investigation is planned by the licensee. | | | | The licensee notified the NRC resident inspector. | | | | *** EVENT RETRACTED ON 4/3/2003 AT 1521 EST BY STEVE MAY TO ERIC THOMAS | | *** | | | | "Nuclear Regulatory Affairs (NRA) reviewed the basis for the above event | | notification and determined that the notification can be retracted. The | | high condensate level alarms actuated in mode VIII (containment), which is | | not an applicable mode." | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ |General Information or Other |Event Number: 39717 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | REP ORG: TEXAS DEPARTMENT OF HEALTH |NOTIFICATION DATE: 04/01/2003| |LICENSEE: CTL/THOMPSON TEXAS, LLC |NOTIFICATION TIME: 12:49[EST]| | CITY: Dallas REGION: 4 |EVENT DATE: 03/31/2003| | COUNTY: STATE: TX |EVENT TIME: 20:00[CST]| |LICENSE#: L04900-001 AGREEMENT: Y |LAST UPDATE DATE: 04/01/2003| | DOCKET: |+----------------------------+ | |PERSON ORGANIZATION | | |ANTHONY GODY R4 | | |SUSAN FRANT NMSS | +------------------------------------------------+JOHN DAVIDSON IAT | | NRC NOTIFIED BY: JIM OGDEN | | | HQ OPS OFFICER: HOWIE CROUCH | | +------------------------------------------------+ | |EMERGENCY CLASS: NON EMERGENCY | | |10 CFR SECTION: | | |NAGR AGREEMENT STATE | | | | | | | | | | | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | AGREEMENT STATE REPORT - STOLEN MOISTURE DENSITY GAUGE | | | | The following information was received from the Texas Department of Health, | | Bureau of Radiation Control via facsimile: | | | | "The gauge operator was working a night assignment. After completion he | | took his company vehicle to the company office to complete paperwork at | | approximately 11:20 p.m. After completion of the paperwork he returned to | | his vehicle at approximately 11:40 p.m. and discovered that his assigned CPN | | nuclear density gauge (Model MC1-DR, Serial No. MD0129983) with two sealed | | radiation sources: a 10 millicurie Amersham, Model CPN 131, cesium-137 | | capsule, Serial No. 2870, that is engraved on the source rod as "CS9983" | | (source type plus the last four digits of the gauge Serial No.); and a 50 | | millicurie Amersham, Model CPN131, americium-241/beryllium, Serial No. 0992, | | that is engraved on the gauge's internal source pedestal as "AM9983" (source | | type plus the last four digits of the gauge Serial No.), was missing from | | the truck. The Licensee's security chain had been cut and was left in the | | vehicle. The 'red' transport case had been locked but the Licensee reports | | finding a piece of it's lock, also cut, in the bed of the truck. However, | | the transport case was also missing. In addition, the gauge's rod handle was | | also locked within the case before the gauge was stolen. The Licensee also | | reported that nothing except the gauge and it's case were removed from the | | truck. This Agency has searched Agency Open Records requests back through | | January 2002, with no suspicious request noted." | | | | There is no media attention at this time. The Licensee is considering | | whether or not to post a reward for return of the gauge. | +------------------------------------------------------------------------------+ !!!!!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED !!!!!!! +------------------------------------------------------------------------------+ |Power Reactor |Event Number: 39718 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | FACILITY: COLUMBIA GENERATING STATIREGION: 4 |NOTIFICATION DATE: 04/01/2003| | UNIT: [2] [] [] STATE: WA |NOTIFICATION TIME: 13:53[EST]| | RXTYPE: [2] GE-5 |EVENT DATE: 04/01/2003| +------------------------------------------------+EVENT TIME: 10:50[PST]| | NRC NOTIFIED BY: FRED SCHILL |LAST UPDATE DATE: 04/03/2003| | HQ OPS OFFICER: HOWIE CROUCH +-----------------------------+ +------------------------------------------------+PERSON ORGANIZATION | |EMERGENCY CLASS: NON EMERGENCY |ANTHONY GODY R4 | |10 CFR SECTION: |JOHN DAVIDSON IAT | |DDDD 73.71(b)(1) SAFEGUARDS REPORTS | | | | | | | | | | | +-----+----------+-------+--------+-----------------+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ |2 N Y 97 Power Operation |97 Power Operation | | | | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | VULNERABILITY DISCOVERED IN A SAFEGUARD SYSTEM AT COLUMBIA GENERATING | | STATION | | | | Immediate compensatory measures taken upon discovery. | | | | Licensee will notify the NRC Resident Inspector. | | | | Contact the Headquarters Operations Officer for additional details. | | | | *** EVENT RETRACTED AT 1723 EST ON 4/3/03 BY CHESTER GREEN TO ERIC THOMAS | | *** | | | | A review revealed that the vulnerability mentioned in the original report | | does not exist. | | | | The licensee notified the NRC Resident Inspector. | | | | Contact the Headquarters Operations Officer for additional details. | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ |Power Reactor |Event Number: 39724 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | FACILITY: HADDAM NECK REGION: 1 |NOTIFICATION DATE: 04/03/2003| | UNIT: [1] [] [] STATE: CT |NOTIFICATION TIME: 12:30[EST]| | RXTYPE: [1] W-4-LP |EVENT DATE: 04/03/2003| +------------------------------------------------+EVENT TIME: 10:55[EST]| | NRC NOTIFIED BY: JOHN BOWER |LAST UPDATE DATE: 04/03/2003| | HQ OPS OFFICER: ERIC THOMAS +-----------------------------+ +------------------------------------------------+PERSON ORGANIZATION | |EMERGENCY CLASS: NON EMERGENCY |RONALD BELLAMY 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 | | | | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | OFFSITE NOTIFICATION | | | | During a safety walkdown at the old Emergency Operating Facility, a small | | amount (approximately 1 quart) of oil was discovered in the soil around an | | energized transformer. The leakage probably occurred over a long period of | | time, as there was no current leakage noted. The soil that contained the | | oil was remediated, and a sample was sent off for PCB testing. The licensee | | stuck a container under the transformer to gather any more leakage that | | might occur. The licensee was unsure whether the transformer belonged to | | them or to the local utility. This event was reported to the NRC because | | the licensee notified the state of Connecticut. | | | | The licensee notified the NRC Resident Inspector. | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ |Hospital |Event Number: 39725 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | REP ORG: DEACONESS HOSPITAL |NOTIFICATION DATE: 04/03/2003| |LICENSEE: DEACONESS HOSPITAL |NOTIFICATION TIME: 16:35[EST]| | CITY: EVANSVILLE REGION: 3 |EVENT DATE: 03/28/2003| | COUNTY: STATE: IN |EVENT TIME: 11:00[CST]| |LICENSE#: 13-00142-02 AGREEMENT: N |LAST UPDATE DATE: 04/03/2003| | DOCKET: |+----------------------------+ | |PERSON ORGANIZATION | | |BRENT CLAYTON R3 | | |TRISH HOLAHAN NMSS | +------------------------------------------------+ | | NRC NOTIFIED BY: DENISE BEAN | | | HQ OPS OFFICER: RICH LAURA | | +------------------------------------------------+ | |EMERGENCY CLASS: NON EMERGENCY | | |10 CFR SECTION: | | |LDIF 35.3045(a)(1) DOSE <> PRESCRIBED DOSA| | | | | | | | | | | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | MEDICAL EVENT AT DEACONESS HOSPITAL IN INDIANA | | | | A medical event occurred on 3/28/03 at 11:00 CST when a 9 year old patient | | received an actual dose of 400 microcuries of I-131, for a thyroid scan and | | uptake, instead of a planned dose of 4 microcuries of I-131. The error | | occurred when the patient couldn't swallow the capsule and the hospital | | ordered a liquid form of the radioisotope. The wrong dosage was ordered | | from the radiopharmacy. The error was not discovered until after the dosage | | had been administered. The hospital indicated they did not expect any | | significant adverse health effect. The hospital was performing some more | | detailed calculations involving this event. A review was initiated to | | clearly identify the cause and initiate corrective actions to prevent | | recurrence. | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ |Power Reactor |Event Number: 39726 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | FACILITY: POINT BEACH REGION: 3 |NOTIFICATION DATE: 04/03/2003| | UNIT: [1] [2] [] STATE: WI |NOTIFICATION TIME: 18:05[EST]| | RXTYPE: [1] W-2-LP,[2] W-2-LP |EVENT DATE: 04/03/2003| +------------------------------------------------+EVENT TIME: 14:56[CST]| | NRC NOTIFIED BY: RYAN RODE |LAST UPDATE DATE: 04/04/2003| | HQ OPS OFFICER: ERIC THOMAS +-----------------------------+ +------------------------------------------------+PERSON ORGANIZATION | |EMERGENCY CLASS: NON EMERGENCY |BRENT CLAYTON R3 | |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 97 Power Operation |97 Power Operation | |2 N Y 97 Power Operation |97 Power Operation | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | PARTIAL LOSS OF COMMUNICATIONS | | | | "On 4/3/03 at 1456, due to adverse weather conditions, power was lost to the | | Site Boundary Control Center. This resulted in a loss of ENS FTS 2000 | | Communication System in the TSC and Control Room. This event is reportable | | per Duty and Call Superintendent Handbook DOS 2.1.1 Section 4.7, | | Clarification of NUREG-1022 Section 3.2.13, Loss of EP Capabilities. | | Commercial phone lines are fully functional." | | | | The licensee informed the NRC Resident Inspector, as well as state and local | | authorities. | | | | | | * * * UPDATE ON 4/4/03 @ 0145 BY RAASCH TO GOULD * * * | | | | At 2309 on 4/3/03, the EP Manager reported from the EOF that all phones are | | lost in the EOF. This event is reportable per Duty and Call Superintendent | | Handbook DCS 2.1.1 section 4.7, clarification of NUREG - 1022, section | | 3.2.13 loss of EP capabilities. | | | | At 2315 on 4/3/03, power was restored to the EOF. Communication | | capabilities from the EOF, TSC and Control Room ENS phones are restored. | | | | The Resident Inspector will be notified. Region 3 RDO(Clayton) was | | notified. | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ |Power Reactor |Event Number: 39727 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | FACILITY: KEWAUNEE REGION: 3 |NOTIFICATION DATE: 04/03/2003| | UNIT: [1] [] [] STATE: WI |NOTIFICATION TIME: 18:16[EST]| | RXTYPE: [1] W-2-LP |EVENT DATE: 04/03/2003| +------------------------------------------------+EVENT TIME: 16:05[CST]| | NRC NOTIFIED BY: ETHAN TREPTOW |LAST UPDATE DATE: 04/03/2003| | HQ OPS OFFICER: RICH LAURA +-----------------------------+ +------------------------------------------------+PERSON ORGANIZATION | |EMERGENCY CLASS: NON EMERGENCY |BRENT CLAYTON R3 | |10 CFR SECTION: | | |APRE 50.72(b)(2)(xi) OFFSITE NOTIFICATION | | |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 85 Power Operation |85 Power Operation | | | | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | UNPLANNED SIREN OUTAGE DUE TO ADVERSE WEATHER AND OFFSITE NOTIFICATION AT | | KEWAUNEE | | | | "At 1605 on April 3, 2003 it was reported to the Control Room that greater | | than 50% siren population coverage was lost. The percent siren coverage | | population lost is 50.03%. The lost siren coverage is due to weather related | | power outages. Crews have been dispatched and are working to restore power | | to the affected sirens. | | | | "Additionally, substation Line Y-51 is out-of-service due to the weather | | conditions. Three of the four off-site power lines remain available. | | | | "The plant is currently in the process of reducing power for a refueling | | outage. | | | | "This is being reported under 10 CFR 50.72(b)(3)(xiii) as any event that | | results in a major loss of emergency assessment capability, offsite response | | capability, or offsite communications capability (loss of greater than 50% | | of emergency sirens). It is also being reported under 10 CFR 50.72(b)(2)(xi) | | as any event or situation, related to the health and safety of the public or | | onsite personnel, or protection of the environment, for which a news release | | is planned or notification to other government agencies has been or will be | | made." | | | | The NRC Inspector was notified. | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ |Power Reactor |Event Number: 39728 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | FACILITY: MONTICELLO REGION: 3 |NOTIFICATION DATE: 04/04/2003| | UNIT: [1] [] [] STATE: MN |NOTIFICATION TIME: 00:18[EST]| | RXTYPE: [1] GE-3 |EVENT DATE: 04/03/2003| +------------------------------------------------+EVENT TIME: 22:05[CST]| | NRC NOTIFIED BY: SAND |LAST UPDATE DATE: 04/04/2003| | HQ OPS OFFICER: CHAUNCEY GOULD +-----------------------------+ +------------------------------------------------+PERSON ORGANIZATION | |EMERGENCY CLASS: NON EMERGENCY |BRENT CLAYTON R3 | |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 | | | | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | FALSE ACTIVATION OF PUBLIC ALERT SYSTEM | | | | The plant had a false activation of the Public Alert Notification System | | (PANS) by the Sherbune County Sheriff's Department. Sherbune County | | personnel stated that they had accidentally triggered the system that | | resulted in the sirens in both Sherbune and Wright counties to sound. Both | | counties performed a signal cancellation and the sirens were silenced within | | 5 - 10 minutes. | | | | The NRC Resident Inspector was notified along with the state and local | | agencies. | +------------------------------------------------------------------------------+