United States Nuclear Regulatory Commission - Protecting People and the Environment
Home > NRC Library > Document Collections > Reports Associated with Events > Event Notification Reports > 2008 > February 8

Event Notification Report for February 8, 2008

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
02/07/2008 - 02/08/2008

** EVENT NUMBERS **


43936 43950 43968 43969

To top of page
Power Reactor Event Number: 43936
Facility: TURKEY POINT
Region: 2 State: FL
Unit: [ ] [4] [ ]
RX Type: [3] W-3-LP,[4] W-3-LP
NRC Notified By: ERIC JUERGENS
HQ OPS Officer: HOWIE CROUCH
Notification Date: 01/27/2008
Notification Time: 20:24 [ET]
Event Date: 01/27/2008
Event Time: 15:17 [EST]
Last Update Date: 02/07/2008
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
BINOY DESAI (R2)

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

Event Text

EMERGENCY RESPONSE DATA SYSTEM LINK TO NRC UNAVAILABLE

"At 1517 [hrs. EST] on 1/27/08, it was determined [that] the Emergency Response Data System (ERDS) link to the NRC was unavailable from Unit 4. ERDS link remains unreliable at this time.

"Notification is based on 'A major loss of emergency assessment capability' per 10CFR50.72(b)(3)(xiii), specifically a loss of the ability to supply ERDS data for greater than 30 minutes"

The licensee will be notifying the NRC Resident Inspector.

This is a recurring event. See Event Numbers 43877, 43902, and 43924.

* * * UPDATE AT 1900 EST ON 02/07/08 FROM MARK JONES TO S. SANDIN * * *

The licensee provided the following information as an update:

"At 1517 on 1/27/2008 it was determined that the Emergency Response Data System (ERDS) link to the NRC was unavailable from Turkey Point Unit #4. An emergency notification based on 'A major loss of emergency assessment capability' per 10CFR50.72(b)(3)(xiii) was made at 2024 EST on 1/27/2008. Refer to EN#43936.

"The Unit 4 Emergency Response Data System (ERDS) link to the NRC was returned to operable status at 1800 EST on 2/7/2008."

The licensee informed the NRC Resident Inspector. Notified R2DO (Musser).

To top of page
General Information or Other Event Number: 43950
Rep Org: WISCONSIN RADIATION PROTECTION
Licensee: AURORA HEALTH CARE METRO INC
Region: 3
City: MILWAUKEE State: WI
County:
License #: 79-1281-01
Agreement: Y
Docket:
NRC Notified By: JASON HUNT
HQ OPS Officer: JOE O'HARA
Notification Date: 02/01/2008
Notification Time: 11:11 [ET]
Event Date: 01/31/2008
Event Time: 12:30 [CST]
Last Update Date: 02/01/2008
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
CHRISTINE LIPA (R3)
SANDRA WASTLER (FSME)

Event Text

AGREEMENT STATE REPORT - EQUIPMENT SAFETY FAILURE

"On Thursday, January 31, 2008 during a treatment of a patient an event occurred with the licensee's Leksell Gamma Knife Stereotactic teletherapy treatment unit (Model 24001 Type C).

"The patient treatment plan called for three exposure fractions. The first fraction was initiated at 10:25 a.m., without incident. After the normal termination time of treatment, the couch retracted fully and the patient's head was withdrawn from the unit. However, the shielding doors on the unit did not close. An Authorized Medical Physicist (AMP) then entered the treatment room, walked behind the unit, and closed the shielding doors manually. The licensee estimates that the AMP received an exposure of no more than 0.0083 mrem while closing the shielding doors. The patient was removed from the treatment room and a radiation survey was conducted to verify that the shielding doors had closed completely.

"Elekta was contacted (12:30 p.m. 01/31/08) and a service representative arrived and completed an evaluation of the Gamma Knife and could find no faults in any aspect of the Gamma Knife system operation. A decision was made by the Authorized User to complete the last two exposure factions. The remaining shots were successfully completed.

"The patient did not receive a radiation dose deviating from the written directive from the shielding doors not closing. The licensee was in constant contact with DHFS throughout this incident. This event will be followed up by DHFS on the next scheduled inspection (02/19/08).

"Event Report ID No WI-08-01

"License No.: 79-1281-01

"Event Type: HFS 157.13(17)(b)2.a - 'Equipment is disabled or thus to function as designed'"

To top of page
Power Reactor Event Number: 43968
Facility: HATCH
Region: 2 State: GA
Unit: [1] [2] [ ]
RX Type: [1] GE-4,[2] GE-4
NRC Notified By: EDWEN URQUHART
HQ OPS Officer: JOE O'HARA
Notification Date: 02/07/2008
Notification Time: 05:16 [ET]
Event Date: 02/07/2008
Event Time: 03:40 [EST]
Last Update Date: 02/07/2008
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
RANDY MUSSER (R2)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
1 N N 0 Cold Shutdown 0 Cold Shutdown
2 N Y 100 Power Operation 100 Power Operation

Event Text

OSC HVAC SYSTEM DID NOT START AS REQUIRED

"In preparation for scheduled Motor Control Center (MCC) cleaning activities, the Health Physics normal HVAC system had to be shutdown and the Health Physics emergency HVAC was to be started while the MCC that supplies power to the normal HVAC would be out of service. When the emergency HVAC system was started per the system operating procedure (34S0-Z41-006-0), the air handling unit (1Z41-B100) started, but neither compressor units (1Z41-B101) started. Maintenance has been notified and is currently working to restore the system to operable status.

"This event is reportable per 10CFR50,72 (b)(3)(xiii) as described in NUREG-1022, rev. 2 as an emergency facility (Plant Hatch Operational Support Center) is affected with the Health Physics emergency HVAC out of service.

"Update: maintenance cleaned electrical contactors and have both compressors running at 0436 hours."

The licensee notified the NRC Resident Inspector.

To top of page
Power Reactor Event Number: 43969
Facility: HATCH
Region: 2 State: GA
Unit: [1] [ ] [ ]
RX Type: [1] GE-4,[2] GE-4
NRC Notified By: TONY SPRING
HQ OPS Officer: PETE SNYDER
Notification Date: 02/07/2008
Notification Time: 08:16 [ET]
Event Date: 02/07/2008
Event Time: 02:30 [EST]
Last Update Date: 02/07/2008
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xii) - OFFSITE MEDICAL
Person (Organization):
RANDY MUSSER (R2)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
1 N N 0 Refueling 0 Refueling

Event Text

INJURED CARPENTER TRANSPORTED TO APPLING COUNTY HOSPITAL

"At 0230 EST an injured contract worker who was potentially contaminated was transported by ambulance to an offsite medical facility. The contract employee fell approximately 15 feet from a scaffold in the Unit 1 condenser bay. Unit 1 is presently shutdown (Mode 5) for a refueling outage. The worker was placed on a stretcher for transport and was partially frisked prior to release. However, due to concerns for a potential back injury, the worker was not removed from the stretcher for a back survey and was transported, with HP escort, as a contaminated person. After arriving at the hospital, a complete survey was performed and the worker was found to be free of contamination."

The licensee notified the NRC Resident Inspector.

Page Last Reviewed/Updated Thursday, March 29, 2012
Thursday, March 29, 2012