Event Notification Report for January 26, 2005
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
01/25/2005 - 01/26/2005
General Information or Other
Event Number: 41478
Rep Org: LOUISIANA RADIATION PROTECTION DIV
Licensee: TULANE UNIVERSITY
Region: 4
City: NEW ORLEANS State: LA
County:
License #: LA-004-L01
Agreement: Y
Docket:
NRC Notified By: JOSEPH NOBLE
HQ OPS Officer: JEFF ROTTON
Licensee: TULANE UNIVERSITY
Region: 4
City: NEW ORLEANS State: LA
County:
License #: LA-004-L01
Agreement: Y
Docket:
NRC Notified By: JOSEPH NOBLE
HQ OPS Officer: JEFF ROTTON
Notification Date: 03/10/2005
Notification Time: 10:18 [ET]
Event Date: 01/26/2005
Event Time: 00:00 [CST]
Last Update Date: 03/10/2005
Notification Time: 10:18 [ET]
Event Date: 01/26/2005
Event Time: 00:00 [CST]
Last Update Date: 03/10/2005
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
TROY PRUETT (R4)
LAWRENCE KOKAJKO (NMSS)
TROY PRUETT (R4)
LAWRENCE KOKAJKO (NMSS)
AGREEMENT STATE REPORT - MEDICAL EVENT
The following information was provided by the licensee to the State of Louisiana (licensee text in quotes):
"The following incident took place on 1/26/05 in the Tulane Hospital/Clinic Nuclear Medicine area.
" A patient was to be administered 5[milliCuries] of I-131 for a total body scan in order to look for thyroid metastases. Due to an error in transcription of the order, a student technologist injected a 27 [millicuries] Tc-99m MDP bone scan. The resulting Effective Dose Equivalents were 0.675 rad to the bone and 0.189 rad to the total body.
"The patient was notified of the error and the correct radiopharmaceutical later administered. The senior technologist was reprimanded by the Radiology Department Head for not properly supervising the procedure."
The physician was notified.
The State of Louisiana Department of Environmental Quality will be conducting their own investigation.
The following information was provided by the licensee to the State of Louisiana (licensee text in quotes):
"The following incident took place on 1/26/05 in the Tulane Hospital/Clinic Nuclear Medicine area.
" A patient was to be administered 5[milliCuries] of I-131 for a total body scan in order to look for thyroid metastases. Due to an error in transcription of the order, a student technologist injected a 27 [millicuries] Tc-99m MDP bone scan. The resulting Effective Dose Equivalents were 0.675 rad to the bone and 0.189 rad to the total body.
"The patient was notified of the error and the correct radiopharmaceutical later administered. The senior technologist was reprimanded by the Radiology Department Head for not properly supervising the procedure."
The physician was notified.
The State of Louisiana Department of Environmental Quality will be conducting their own investigation.
Power Reactor
Event Number: 41359
Facility: SALEM
Region: 1 State: NJ
Unit: [1] [2] []
RX Type: [1] W-4-LP,[2] W-4-LP
NRC Notified By: FRANK SOENS
HQ OPS Officer: JOHN MacKINNON
Region: 1 State: NJ
Unit: [1] [2] []
RX Type: [1] W-4-LP,[2] W-4-LP
NRC Notified By: FRANK SOENS
HQ OPS Officer: JOHN MacKINNON
Notification Date: 01/26/2005
Notification Time: 17:46 [ET]
Event Date: 01/26/2005
Event Time: 15:50 [EST]
Last Update Date: 01/26/2005
Notification Time: 17:46 [ET]
Event Date: 01/26/2005
Event Time: 15:50 [EST]
Last Update Date: 01/26/2005
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(v)(A) - POT UNABLE TO SAFE SD
10 CFR Section:
50.72(b)(3)(v)(A) - POT UNABLE TO SAFE SD
Person (Organization):
WILLIAM COOK (R1)
WILLIAM COOK (R1)
| Unit | SCRAM Code | RX Crit | Initial PWR | Initial RX Mode | Current PWR | Current RX Mode |
|---|---|---|---|---|---|---|
| 1 | N | Y | 100 | Power Operation | 100 | Power Operation |
| 2 | N | Y | 100 | Power Operation | 100 | Power Operation |
POTENTIAL FOR CARBON DIOXIDE MIGRATION INTO 4160/460 VOLT SWITCHGEAR ROOMS
"An Engineering Evaluation was initiated to assess the potential for CO2 [carbon dioxide] migration in the event of a CO2 fire suppression system discharge in the Salem Unit 1 and 2 - 4160 volt or 460 volt Switchgear Rooms or Lower Electrical Penetration Areas. The results presented in the evaluation conservatively identified that when CO2 systems are discharged, CO2 migration can result in concentrations in some adjacent areas that would require the use of self-contained breathing apparatus (SCBAs) for entry, or in some cases should be restricted to transit activities only.
"Some of these adjacent areas are required to be accessible by operators to perform manual actions in the plant to achieve and maintain safe shutdown. Based on the time line established in the Salem Manual Action Feasibility Studies for operator actions in the response to a fire in a Switchgear Room, the ability to shutdown the plant in the event of a fire concurrent with a CO2 discharge could be impacted.
"The immediate action is to isolate the CO2 system and implement the necessary compensatory measure for the inoperable CO2 system as delineated within Station Fire protection program. With the CO2 systems isolated, the ability to safely shutdown the plant in the event of a fire in these areas is restored. Additional actions are being evaluated at this time to restore the CO2 system.
"This event is being reported in accordance with 10CFR50.72(b)(3)(v) and Salem Unit 2 License Condition 2.I. No ESF, ECCS or safety related equipment has been impacted by this condition. Both Units remain at 100% power. There were no personnel injuries associated with this condition."
Lower Alloway Creek Township and the State of New Jersey will be notified.
The NRC Resident Inspector was notified of this event by the licensee.
"An Engineering Evaluation was initiated to assess the potential for CO2 [carbon dioxide] migration in the event of a CO2 fire suppression system discharge in the Salem Unit 1 and 2 - 4160 volt or 460 volt Switchgear Rooms or Lower Electrical Penetration Areas. The results presented in the evaluation conservatively identified that when CO2 systems are discharged, CO2 migration can result in concentrations in some adjacent areas that would require the use of self-contained breathing apparatus (SCBAs) for entry, or in some cases should be restricted to transit activities only.
"Some of these adjacent areas are required to be accessible by operators to perform manual actions in the plant to achieve and maintain safe shutdown. Based on the time line established in the Salem Manual Action Feasibility Studies for operator actions in the response to a fire in a Switchgear Room, the ability to shutdown the plant in the event of a fire concurrent with a CO2 discharge could be impacted.
"The immediate action is to isolate the CO2 system and implement the necessary compensatory measure for the inoperable CO2 system as delineated within Station Fire protection program. With the CO2 systems isolated, the ability to safely shutdown the plant in the event of a fire in these areas is restored. Additional actions are being evaluated at this time to restore the CO2 system.
"This event is being reported in accordance with 10CFR50.72(b)(3)(v) and Salem Unit 2 License Condition 2.I. No ESF, ECCS or safety related equipment has been impacted by this condition. Both Units remain at 100% power. There were no personnel injuries associated with this condition."
Lower Alloway Creek Township and the State of New Jersey will be notified.
The NRC Resident Inspector was notified of this event by the licensee.
General Information or Other
Event Number: 41360
Rep Org: FLORIDA BUREAU OF RADIATION CONTROL
Licensee: CORRADINO GROUP
Region: 1
City: WEST PALM BEACH State: FL
County:
License #: 2770-1
Agreement: Y
Docket:
NRC Notified By: C. ADAMS (VIA E-MAIL)
HQ OPS Officer: BILL HUFFMAN
Licensee: CORRADINO GROUP
Region: 1
City: WEST PALM BEACH State: FL
County:
License #: 2770-1
Agreement: Y
Docket:
NRC Notified By: C. ADAMS (VIA E-MAIL)
HQ OPS Officer: BILL HUFFMAN
Notification Date: 01/26/2005
Notification Time: 18:00 [ET]
Event Date: 01/26/2005
Event Time: 00:00 [EST]
Last Update Date: 01/26/2005
Notification Time: 18:00 [ET]
Event Date: 01/26/2005
Event Time: 00:00 [EST]
Last Update Date: 01/26/2005
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
WILLIAM COOK (R1)
THOMAS DECKER (R2)
LARRY CAMPER (NMSS)
JOHN KINNEMAN (R1)
MCDONALD (DHS)
WILLIAM COOK (R1)
THOMAS DECKER (R2)
LARRY CAMPER (NMSS)
JOHN KINNEMAN (R1)
MCDONALD (DHS)
AGREEMENT STATE REPORT PROVIDING INFORMATION ABOUT AN EVENT OF MEDIA INTEREST
The Florida Bureau of Radiation Control provided the following report via e-mail to the NRC:
"[The] West Palm Beach Fire Department received a call about an electrical fire at [a West Palm Beach business] location. There was not an active fire [when the Fire Department reached the incident site] but an electrical smell [was] in the air. While in the [incident] building location, the FPD radiation dosimeters [worn by the Fire Department responders] indicated a [radioactive] source in a storage locker. [Based on the detected radiation], a one city block was evacuated and an area around the site of ten city blocks was sealed off. "
[The licensee was authorized to posses Troxler type gauges at the site for its business activities which were stored at the location where the Fire Department had responded.]
"Investigators [from the Florida Bureau of Radiation Control] arrived on scene and noted proper signage on the door [of the incident location] for a temporary work site [storing Troxler type gauges]. Licensee representatives opened [the] storage container [with the Troxler type gauges] to verify that the gauges were inside [and intact]. The emergency is in the process of being terminated. The [State] of Florida will continue its investigation."
There was never any actual fire or release of any radioactive material during the course of this event.
Florida Report FL05-016
The Florida Bureau of Radiation Control provided the following report via e-mail to the NRC:
"[The] West Palm Beach Fire Department received a call about an electrical fire at [a West Palm Beach business] location. There was not an active fire [when the Fire Department reached the incident site] but an electrical smell [was] in the air. While in the [incident] building location, the FPD radiation dosimeters [worn by the Fire Department responders] indicated a [radioactive] source in a storage locker. [Based on the detected radiation], a one city block was evacuated and an area around the site of ten city blocks was sealed off. "
[The licensee was authorized to posses Troxler type gauges at the site for its business activities which were stored at the location where the Fire Department had responded.]
"Investigators [from the Florida Bureau of Radiation Control] arrived on scene and noted proper signage on the door [of the incident location] for a temporary work site [storing Troxler type gauges]. Licensee representatives opened [the] storage container [with the Troxler type gauges] to verify that the gauges were inside [and intact]. The emergency is in the process of being terminated. The [State] of Florida will continue its investigation."
There was never any actual fire or release of any radioactive material during the course of this event.
Florida Report FL05-016