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Event Notification Report for September 30, 2005

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
09/29/2005 - 09/30/2005

** EVENT NUMBERS **


41886 42014 42016 42018 42019 42024 42025

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!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED !!!!!
Power Reactor Event Number: 41886
Facility: COOPER
Region: 4 State: NE
Unit: [1] [ ] [ ]
RX Type: [1] GE-4
NRC Notified By: STEVE NORRIS
HQ OPS Officer: JEFF ROTTON
Notification Date: 08/02/2005
Notification Time: 14:42 [ET]
Event Date: 08/02/2005
Event Time: 08:40 [CDT]
Last Update Date: 09/29/2005
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(v)(D) - ACCIDENT MITIGATION
Person (Organization):
DALE POWERS (R4)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
1 N Y 100 Power Operation 100 Power Operation

Event Text

ECCS SYSTEMS INOPERABLE DUE TO EXCESSIVE REACTOR EQUIPMENT COOLING SYSTEM LEAKAGE

"This notification is being made pursuant to 50.72(b)(3)(v)[D- Accident Mitigation] as a loss of safety function due to unplanned inoperability of HPCI and both Low Pressure ECCS systems caused by inoperability of both REC subsystems.

"At 08:40 CDT, Cooper Nuclear Station [CNS] declared both REC (Reactor Equipment Cooling) subsystems inoperable due to excessive leakage from REC system. CNS was in the process of tagging out the north east quad fan coil unit (FCU) for planned maintenance to replace an REC drain valve on the FCU. After commencing draining the FCU, the building operator noted excessive leakage at the drain. A check of REC system out-leakage determined that allowable REC leakage limits had been exceeded. Both REC subsystems were subsequently declared inoperable. REC is a support system for HPCI, RCIC, and all Low Pressure ECCS systems; therefore HPCI, RCIC, and all Low Pressure ECCS systems were declared inoperable.

"At 09:08, the REC drain valve was closed terminating the REC system leakage. REC, HPCI, RCIC, and all Low Pressure ECCS systems were subsequently declared operable."

The licensee notified the NRC Resident Inspector.

*** UPDATE FROM E. McCUTCHEN TO J. KNOKE AT 15:35 EDT ON 09/29/05 ***

" This notification is being made to retract Event Notification 41886 that reported a loss of safety function due to the unplanned inoperability of HPCI and both Low Pressure ECCS systems caused by inoperability of both REC (Reactor Equipment Cooling) subsystems. Upon further evaluation, CNS determined that ECCS safety functions were not lost. The evaluation provided reasonable assurance that initiation of Service Water Backup system to ECCS area coolers would have maintained the ability of ECCS to perform their safety functions if the REC Surge Tank had reached its low level alarm."

The licensee will notify the NRC Resident Inspector. The unit is operating at 100% / Mode 1. Notified R4DO (Spitzberg)

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General Information or Other Event Number: 42014
Rep Org: OHIO BUREAU OF RADIATION PROTECTION
Licensee: DOCTORS OHIOHEALTH CORP.
Region: 3
City: COLUMBUS State: OH
County:
License #: 02120250020
Agreement: Y
Docket:
NRC Notified By: MIKE SNEE
HQ OPS Officer: STEVE SANDIN
Notification Date: 09/26/2005
Notification Time: 11:30 [ET]
Event Date: 09/24/2005
Event Time: [EDT]
Last Update Date: 09/26/2005
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
DAVID HILLS (R3)
TOM ESSIG (NMSS)

Event Text

AGREEMENT STATE REPORT INVOLVING MISSING I-131 SHIPMENT

"The Ohio Department of Health was notified by Doctors OhioHealth Corporation on September 26 of a missing 25 millicurie I-131 capsule. The I-131 capsule was to be delivered to the Doctors OhioHealth Corporation Columbus, Ohio location for a thyroid therapy September 26, 2005, at 9 a.m.

"The capsule was delivered on Saturday by AirNet but not to the Doctors OhioHealth Corporation location. The person who signed for the I-131 on Saturday, September 24 is not employed by Doctors OhioHealth Corporation. Security at Doctors OhioHealth Corporation and AirNet are trying to locate the I-131 capsule as of 9:30 a.m. Monday September 26th, 2005. The I-131 was sent to Doctors OhioHealth Corporation from Anazao Health in Tampa, Florida via AirNet. The Ohio Department of Health is currently attempting to track the missing I-131 capsule."

OH Reference Number: 05-114.

Less than the quantity of an IAEA Category 3 source.

Sources that are 'Less than IAEA Category 3 sources,' are either sources that are very unlikely to cause permanent injury to individuals or contain a very small amount of radioactive material that would not cause any permanent injury.

For some of these sources, such as moisture density gauges or thickness gauges that are IAEA Category 4, the amount of unshielded radioactive material, if not safely managed or securely protected, could possibly - although it is unlikely - temporarily injure someone who handled it or were otherwise in contact with it, or who were close to it for a period of many weeks.

*** UPDATE ON 09/26/05 AT 1147 EDT BY MIKE SNEE TO MACKINNON ****

"The I-131 capsule was located by AirNet in the Hazmat trailer at Rickenbacher Airport in Columbus, Ohio. The material was never delivered to the hospital as originally reported. AirNet will deliver the material to the hospital today, September 26."

R3DO (David Hills) and NMSS (Tom Essig) notified of the update.

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General Information or Other Event Number: 42016
Rep Org: ALABAMA RADIATION CONTROL
Licensee: BAPTIST MEDICAL CENTER
Region: 1
City: BIRMINGHAM State: AL
County:
License #:
Agreement: Y
Docket:
NRC Notified By: DAVID WALTER
HQ OPS Officer: JOHN MacKINNON
Notification Date: 09/26/2005
Notification Time: 16:00 [ET]
Event Date: 09/26/2005
Event Time: 13:45 [CDT]
Last Update Date: 09/26/2005
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
CHRISTOPHER CAHILL (R1)
LYDIA CHANG (NMSS)

Event Text

ALABAMA AGREEMENT STATE REPORT - IODINE-125 CONTAMINATION

"[The State of Alabama Department of Public Health] Received a call from Baptist Medical Center -Princeton, Birmingham, Alabama, that they had found I-125 contamination during the post-operative clean-up of an I-125 prostate seed implant therapy. Licensee indicated that they were not sure that there was a leaking seed inserted into the patient. None of the seeds remaining after the procedure were leaking. The licensee performed a thyroid scan on the patient on 9/22/05, which showed that there was an uptake. Potassium iodide was administered at that time. The Seeds are Model ProstaSeed I125-SL, distributed by Mantor Brachytherapy. The applicator is MICK Model 200TP. The licensee is performing dose assessment to include in their written report."

Event ID Number: AL-05-48

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General Information or Other Event Number: 42018
Rep Org: TENNESSEE DIV OF RAD HEALTH
Licensee: B&W ENGINEERING
Region: 1
City: MEMPHIS State: TN
County:
License #: R-79222-B06
Agreement: Y
Docket:
NRC Notified By: BILLY FREEMAN
HQ OPS Officer: JOHN MacKINNON
Notification Date: 09/27/2005
Notification Time: 14:39 [ET]
Event Date: 09/24/2005
Event Time: [EDT]
Last Update Date: 09/27/2005
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
CHRISTOPHER CAHILL (R1)
GREGG MORELL (NMSS)
JIM WHITNEY email (TAS)

Event Text

TENNESSEE AGREEMENT STATE REPORT - STOLEN MOISTURE DENSITY GAUGE

A Troxler 3430 portable gauge was stolen from the home of an employee of B&W Engineering between mid-day Saturday, 9/24/05 and Monday morning, 9/26/05. The retractable source rod on the gauge was locked, the gauge was in a yellow plastic shipping container which was also locked. The locked gauge in the locked shipping container were located in a locked storage shed behind the employee's home located in Memphis, TN.

The gauge is owned by B&W Engineering, Memphis TN. The Radiation Safety Officer for B&W Engineering said that he had contacted the North Memphis Police Dept., but they told him that the employee from whom the gauge was stolen would have to file a police report personally.

TN Dept. of Environment & Conservation contacted Tennessee Emergency Management Agency (TEMA) and reported the occurrence to them. TEMA said they would contact the Shelby Co. Emergency Management Agency as soon as they hung up. TN Dept. of Environment & Conservation then called Memphis Police Dept., North Precinct and reported the occurrence to them. TN Dept. of Environment & Conservation then reported the occurrence to the Arkansas Radiation Control Program, they said they might issue a press release. TN Dept. of Environment & Conservation then reported the occurrence to the Mississippi Division of Radiological Health. TN Dept. of Environment & Conservation reported to occurrence to Duncan White , NRC Region l. TN Dept. of Environment & Conservation then received a call back from the Memphis Police Dept. who said that they would contact the RSO for B&W and try to file a police report regarding the theft.

Troxler Model 3430 contains 8 millicuries of Cs-137 ands 40 millicuries of Am-241/Be.

Incident Report number TN-05-109


Less than the quantity of a IAEA Category 3 source.

Sources that are "Less than IAEA Category 3 sources," are either sources that are very unlikely to cause permanent injury to individuals or contain a very small amount of radioactive material that would not cause any permanent injury.

For some of these sources, such as moisture density gauges or thickness gauges that are IAEA Category 4, the amount of unshielded radioactive material, if not safely managed or securely protected, could possibly - although it is unlikely - temporarily injure someone who handled it or were otherwise in contact with it, or who were close to it for a period of many weeks.

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General Information or Other Event Number: 42019
Rep Org: CALIFORNIA RADIATION CONTROL PRGM
Licensee: GEOTECHNICAL ENGINEERING INC
Region: 4
City: BRENTWOOD State: CA
County:
License #: 4674-01
Agreement: Y
Docket:
NRC Notified By: NIKA HEWADIKARAM
HQ OPS Officer: BILL GOTT
Notification Date: 09/27/2005
Notification Time: 15:36 [ET]
Event Date: 09/20/2005
Event Time: [PDT]
Last Update Date: 09/27/2005
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
BLAIR SPITZBERG (R4)
GREG MORELL (NMSS)

Event Text

AGREEMENT STATE REPORT - DAMAGED MOISTURE DENSITY GAUGE

The State provided the following information via email:

"On September 20, 2005, a Troxler moisture density gauge, S/N 8161 was run over by a compactor at a job site in Brentwood. According to the report (fax on 9/21/05 and letter dated 9/21/05) provided by the licensee, the gauge shell and base were in pieces. The rod was in one piece but was bent out of shape. The RSO was not available on 9/20/05 and he was immediately notified of the incident. The technician transported the damaged gauge to the Pacific Nuclear Technology (PNT) of Antioch for disposal. The leak test performed on 9/20/05 at PNT indicated no contamination.

"The inspector learned of this incident on 9/27/05 and contacted the licensee and PNT to get further information. According to PNT, the rod was not in the shielded position when it was transported to their location. RHB will perform an investigation to try to determine the cause of this incident."

Incident number: 092105

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Power Reactor Event Number: 42024
Facility: MILLSTONE
Region: 1 State: CT
Unit: [ ] [ ] [3]
RX Type: [1] GE-3,[2] CE,[3] W-4-LP
NRC Notified By: FRED NYGARD
HQ OPS Officer: BILL HUFFMAN
Notification Date: 09/29/2005
Notification Time: 14:49 [ET]
Event Date: 09/29/2005
Event Time: 13:10 [EDT]
Last Update Date: 09/29/2005
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(iv)(B) - RPS ACTUATION - CRITICAL
50.72(b)(3)(iv)(A) - VALID SPECIF SYS ACTUATION
Person (Organization):
CHRISTOPHER CAHILL (R1)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
3 M/R Y 100 Power Operation 0 Hot Standby

Event Text

MANUAL REACTOR TRIP DUE TO LOSS OF CIRCULATING WATER PUMPS

The licensee reported that high wind and wave action at the site has resulted in sea weed and related debris buildup at the Unit 3 intake structure. The traveling screens were unable to keep pace with the debris buildup and two out of six circulating water pumps tripped on high differential pressure across the traveling screens. Based on procedural requirements, the licensee is required to manually trip the plant due to the loss of the two circ water pumps. The reactor trip was characterized as uncomplicated with all systems functioning as required. All rods fully inserted. No primary or secondary relief valves lifted. Auxiliary feedwater automatically started as expected and is supplying cooling water to the steam generators. Decay heat is being discharged to the condenser via the turbine bypass valves. The plant is stable in hot standby at no-load temperature and pressure. The plant trip had no impact on Unit 2. The debris buildup on the Unit 2 intake is being monitored but is less of a problem due to the orientation of the Unit 2 intake structure.

The NRC Resident Inspector has been notified by the licensee. The licensee has also notified State and local authorities and has made a press release.

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Power Reactor Event Number: 42025
Facility: DUANE ARNOLD
Region: 3 State: IA
Unit: [1] [ ] [ ]
RX Type: [1] GE-4
NRC Notified By: DAVID ECKERT
HQ OPS Officer: BILL HUFFMAN
Notification Date: 09/29/2005
Notification Time: 18:13 [ET]
Event Date: 09/29/2005
Event Time: 15:34 [CDT]
Last Update Date: 09/29/2005
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(v)(D) - ACCIDENT MITIGATION
Person (Organization):
DAVID HILLS (R3)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
1 N Y 96 Power Operation 96 Power Operation

Event Text

HIGH PRESSURE COOLANT INJECTION (HPCI) DECLARED INOPERABLE

"During venting of the HPCI discharge line, a steady stream of water was not obtained. Venting was conducted for approximately 30 minutes.

"HPCI was declared inoperable as Surveillance Requirement SR 3.5.1.1 (for verifying ECCS injection subsystem piping is filled with water from the pump discharge valve to the injection valve) was unable to be satisfied.

"This unplanned HPCI System inoperability is reportable under 10 CFR 50.72(b)(3)(v)(D) as a single train failure that could have prevented the fulfillment of a safety function of structures or systems designed to mitigate the consequences of an accident."

The licensee stated that the cause of the venting problem is still under investigation. The HPCI inoperability places the licensee into a 14 day LCO.

The NRC resident has been notified.

Page Last Reviewed/Updated Friday, March 30, 2012
Friday, March 30, 2012