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Event Notification Report for May 14, 2008

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
05/13/2008 - 05/14/2008

** EVENT NUMBERS **


41052 42717 44192 44193 44206 44207 44208 44211

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Fuel Cycle Facility Event Number: 41052
Facility: BWX TECHNOLOGIES
RX Type: URANIUM FUEL FABRICATION
Comments: HEU FABRICATION & SCRAP
Region: 2
City: LYNCHBURG State: VA
County: CAMPBELL
License #: SNM-42
Agreement: N
Docket: 070-27
NRC Notified By: MYRTLE AKRES
HQ OPS Officer: MIKE RIPLEY
Notification Date: 09/17/2004
Notification Time: 14:38 [ET]
Event Date: 09/17/2004
Event Time: 14:34 [EDT]
Last Update Date: 05/13/2008
Emergency Class: ALERT
10 CFR Section:
70.32(i) - EMERGENCY DECLARED
Person (Organization):
ANNE BOLAND (R2)
BILL TRAVERS (R2)
TOM ESSIG (NMSS)
BETH HAYDEN (OPA)
PETE WILSON (NSIR)
BILL OUTLAW (OC)
KEN SWEETSER (FEMA)
JAKE FALCONE (DHS)
LORI THOMAS (USDA)
WATCH OFFICER (DOE)

Event Text

ALERT DECLARED DUE TO TORNADO WARNINGS FOR CAMPBELL COUNTY, VIRGINIA

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THIS IS NOT A NEW REPORT.

This event report was originally withheld from public release under the NRC's policy for protecting sensitive unclassified information. The NRC has reevaluated this policy and is now making this event report available to the public with suitable redactions.
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Tornado Warnings were issued for Campbell County, Virginia and an Alert was declared at 1434 EDT. The facility activated its Emergency Operations Center, secured operations and materials, and subsequently sheltered employees. The NRC was not placed in a Response Mode.

Additional notifications: EPA/NRC (Melby), HHS (Roger)

* * * UPDATE AT 1521 EDT ON 09/17/04 FROM MYRTLE AKRES TO MIKE RIPLEY * * *

The Tornado Warnings were cancelled, and the Alert was terminated.

Notified RDO (Boland), NMSS EO (Essig), IRD Manager (Wilson), OC (Outlaw), PAO (Hayden), DHS, FEMA, DOE, EPA/NRC, USDA, and HHS.

* * * UPDATE ON 05/13/08 BY J.KOZAL * * *

THIS IS NOT A NEW REPORT.

This event report was originally withheld from public release under the NRC's policy for protecting sensitive unclassified information. The NRC has reevaluated this policy and is now making this event report available to the public with suitable redactions.
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Fuel Cycle Facility Event Number: 42717
Facility: BWX TECHNOLOGIES
RX Type: URANIUM FUEL FABRICATION
Comments: HEU FABRICATION & SCRAP
Region: 2
City: LYNCHBURG State: VA
County: CAMPBELL
License #: SNM-42
Agreement: N
Docket: 070-27
NRC Notified By: LEAH MORRELL
HQ OPS Officer: JEFF ROTTON
Notification Date: 07/20/2006
Notification Time: 17:18 [ET]
Event Date: 07/17/2006
Event Time: 15:29 [EDT]
Last Update Date: 05/13/2008
Emergency Class: NON EMERGENCY
10 CFR Section:
PART 70 APP A (c) - OFFSITE NOTIFICATION/NEWS REL
Person (Organization):
MIKE ERNSTES (R2)
LAWRENCE KOKAJKO (NMSS)

Event Text

MEDIA INQUIRY REGARDING BWXT REORGANIZATION

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THIS IS NOT A NEW REPORT.

This event report was originally withheld from public release under the NRC's policy for protecting sensitive unclassified information. The NRC has reevaluated this policy and is now making this event report available to the public with suitable redactions.
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"This concurrent report is being made to the NRC as a result of a 'media inquiry only' statements that were released to the following organizations: WDBJ 7, WSET 13, and The News & Advance. All of these entities are local news agencies in the Central Virginia area. The press release that was provided is attached. The media inquiry is the result of a recent press release concerning BWXT's reorganization.

Licensee Press Release Text:

"(Lynchburg, Va) - BWX Technologies, Inc. (BWXT) recently announced the consolidation of its two nuclear manufacturing facilities, the Nuclear Products Division (NPD, Lynchburg, Va.) and the Nuclear Equipment Division (NED, Barberton, Ohio and Mount Vernon, Ind.), into one organization named the Nuclear Operations Division (NOD). The consolidation is designed to facilitate stronger efficiencies in management and overhead functions in executing the work BWXT performs in manufacturing nuclear components for the U.S. Department of Energy. The restructuring also positions BWXT to be more cost competitive in emerging nuclear markets.

"As a result of the consolidation, BWXT will reduce its salaried workforce at NPD, NED and BWXT Services, Inc, by approximately 100 people during the months of August and September 2006.

"To help mitigate any need for an involuntary reduction, a Voluntary Reduction in Force (VRIF) program, which includes an enhanced severance package, has been offered to all salaried employees at the three sites."

The licensee has notified the NRC Resident Inspector.

* * * UPDATE ON 05/13/08 BY J.KOZAL * * *

THIS IS NOT A NEW REPORT.

This event report was originally withheld from public release under the NRC's policy for protecting sensitive unclassified information. The NRC has reevaluated this policy and is now making this event report available to the public with suitable redactions.
***********************************************************************************************************************************

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Hospital Event Number: 44192
Rep Org: BRIDGEPORT HOSPITAL
Licensee: BRIDGEPORT HOSPITAL
Region: 1
City: BRIDGEPORT State: CT
County:
License #: 06-01060-01
Agreement: N
Docket:
NRC Notified By: DAVID WISHCO
HQ OPS Officer: PETE SNYDER
Notification Date: 05/08/2008
Notification Time: 09:31 [ET]
Event Date: 05/08/2008
Event Time: [EDT]
Last Update Date: 05/08/2008
Emergency Class: NON EMERGENCY
10 CFR Section:
35.3045(a)(1) - DOSE <> PRESCRIBED DOSAGE
Person (Organization):
ART BURRITT (R1)
MICHELE BURGESS (FSME)

Event Text

BRACHYTHERAPY UNDERDOSE TO 2 PATIENTS

The licensee discovered that 2 patients received underdoses from brachytherapy in January 2008. The underdoses were discovered May 7, 2008. The cause was related to a change in the input made to the treatment planning computer involving the magnification factor. The prescribed doses were 5500 centigray to the cervix of both patients and delivered dose was 2550 centigray. The patient's prescribing physician and oncologist have been informed and discussions are underway to determine future actions. The patients have not yet been informed.

A "Medical Event" may indicate potential problems in a medical facility's use of radioactive materials. It does not necessarily result in harm to the patient.

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General Information or Other Event Number: 44193
Rep Org: KENTUCKY DEPT OF RADIATION CONTROL
Licensee: NORTON SUBURBAN HOSPITAL
Region: 1
City: LOUISVILLE State: KY
County:
License #: 202-099-26
Agreement: Y
Docket:
NRC Notified By: ANGELA BRITTON
HQ OPS Officer: BILL HUFFMAN
Notification Date: 05/08/2008
Notification Time: 15:18 [ET]
Event Date: 04/28/2008
Event Time: [CDT]
Last Update Date: 05/08/2008
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
ART BURRITT (R1)
TERRANCE REIS (FSME)

Event Text

KENTUCKY AGREEMENT STATE REPORT - MEDICAL EVENT - PATIENT RECEIVED INCORRECT DOSE OF I-131

A patient was prescribed a dosimetric Bexxar I-131 dose of 5 mCuries for a lymphatic cancer uptake study. The patient received an I-131 dose of 44.5 mCuries that was actually intended for another patient.

The Doctor has notified the patient. The patient had taken a thyroid block prior to the misadministration. No adverse consequences are expected to the patient. The patient was subsequently given a therapeutic dose of I-131 which was adjusted to account for the misadministration of the dosimetric amount.

The State of Kentucky Radiation Health Department investigation is in progress.

A "Medical Event" may indicate potential problems in a medical facility's use of radioactive materials. It does not necessarily result in harm to the patient.

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Power Reactor Event Number: 44206
Facility: NINE MILE POINT
Region: 1 State: NY
Unit: [1] [ ] [ ]
RX Type: [1] GE-2,[2] GE-5
NRC Notified By: JERRY HELKER
HQ OPS Officer: BILL HUFFMAN
Notification Date: 05/13/2008
Notification Time: 08:59 [ET]
Event Date: 05/13/2008
Event Time: 08:25 [EDT]
Last Update Date: 05/13/2008
Emergency Class: UNUSUAL EVENT
10 CFR Section:
50.72(a) (1) (i) - EMERGENCY DECLARED
50.72(b)(3)(iv)(A) - VALID SPECIF SYS ACTUATION
50.72(b)(3)(v)(D) - ACCIDENT MITIGATION
Person (Organization):
PAUL KROHN (R1)
SAM COLLINS (R1 R)
ERIC LEEDS (NRR)
JOHN THORP (NRR)
BRIAN McDERMOTT (IRD)
PAUL KROHN (R1)
LYNN (DHS)
DWIGHT (FEMA)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
1 N Y 100 Power Operation 92 Power Operation

Event Text

UNUSUAL EVENT DECLARED DUE TO LOSS OF OFFSITE POWER

At 0806 EDT, a loss of offsite power occurred when the 115 KV line #4 was lost combined with the unavailability of 115 KV line #1 which was out of service at the time for planned maintenance. Both EDGs started and loaded on the safety busses as expected. The licensee declared an Unusual Event at 0825 EDT per EAL 6.1.1 based on loss of offsite power for greater than 15 minutes.

The Unit 1 recirc pump #13 tripped as a result of the event and spent fuel pool cooling was also lost. The licensee remained at power and there was no impact on Nine Mile Unit 2.

Power for 115 KV line #1 was restored at 0845 EDT. Cause of the loss of Line #4 is still under investigation.

The reactor is stable and the safety busses continue to be power by the EDGs. Restoration of a normal electrical power lineup and termination of the UE is still under review.

The licensee notified the NRC Resident Inspector, the State, and local authorities.

* * * UPDATE AT 10:29 EDT ON 5/13/08 FROM HELKER TO HUFFMAN * * *

The licensee terminated the Unusual Event at 10:22 EDT based on restoration of offsite power to safety bus 103 from line #1. Bus 102 still remains energized by the EDG at this time. Investigation into the loss of line #4 continues. The loss of line #4 has been attributed to a Fitzpatrick protective relay 87B actuation for the B phase differential current. Investigation continues.

The NRC Resident has been notified by the licensee.

NRR EO (Thorp), Rg 1 (Dentel), IRD (McDermott), R1DO (Krohn), DHS (Dwight) and FEMA (McKentry) notified.

* * * UPDATE AT 12:53 EDT ON 5/13/08 FROM HELKER TO SNYDER * * *

"This condition is also reportable under 10 CFR 50.72(b)(3)(v)(D) 'Any event or condition that at the time of discovery could have prevented fulfillment of a safety function of systems that are needed to mitigate the consequences of an accident.' Specifically, both offsite power 115 KV lines were not available.

"The second paragraph which applies is 10 CFR 50.72(b)(3)(iv)(B) 'Any event or condition that results in the valid actuation of the systems listed in paragraph (b)(3)(iv)(B).' Specifically, the auto start of the Emergency Diesel Generators on a valid loss of offsite power signal.

"The cause of the loss of line 4 is still being investigated. Offsite power has been restored to onsite buses including PB 102, 103 and 101."

The licensee will notify the NRC Resident Inspector of this update.

Notified R1DO (Krohn).

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Power Reactor Event Number: 44207
Facility: FT CALHOUN
Region: 4 State: NE
Unit: [1] [ ] [ ]
RX Type: [1] CE
NRC Notified By: ERICK MATZKE
HQ OPS Officer: PETE SNYDER
Notification Date: 05/13/2008
Notification Time: 14:25 [ET]
Event Date: 05/14/2008
Event Time: 05:00 [CDT]
Last Update Date: 05/13/2008
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
DALE POWERS (R4)

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

Event Text

EMERGENCY SIREN OUTAGE FOR UPGRADE

"Fort Calhoun Station will be experiencing a partial loss of emergency communications and notification capabilities on Wednesday, May 14, 2008. Omaha Public Power District will be completing an upgrade to the main radio system from approximately 05:00 - 09:00, Wednesday, May 14, 2008. During this time, mobility over the radio system (mostly rural use) and the Fort Calhoun Station Alert and Notification System (ANS) sirens will be out of service.

"Emergency Planning will notify the affected counties to have their back-up plan for the [alert and notification system] in place during that time.

"Post Maintenance Silent Testing will be performed upon completion of radio maintenance to verify siren communications."

The licensee notified the NRC Resident Inspector.

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Hospital Event Number: 44208
Rep Org: VA HOSPITAL OF WEST PALM BEACH FL
Licensee: DEPARTMENT OF VETERANS AFFAIRS
Region: 4
City: NORTH LITTLE ROCK State: AR
County:
License #: 03-23853-01VA
Agreement: Y
Docket:
NRC Notified By: THOMAS HUSTON
HQ OPS Officer: PETE SNYDER
Notification Date: 05/13/2008
Notification Time: 14:57 [ET]
Event Date: 05/13/2008
Event Time: 12:15 [CDT]
Last Update Date: 05/13/2008
Emergency Class: NON EMERGENCY
10 CFR Section:
20.1906(d)(1) - SURFACE CONTAM LEVELS > LIMITS
Person (Organization):
PAUL KROHN (R1)
HIRONORI PETERSON (R3)
REBECCA TADESSEE (FSME)

Event Text

"[The Department of Veterans Affairs called] to report receipt of one package of radioactive material with removable surface contamination on the outside of the package greater than the limits in 10 CFR 71.87(i).

"The package was received at approximately 12:15 PM Eastern Time (ET), May 13, 2008 by the VA Medical Center in West Palm Beach, FL.

"A wipe test performed on the external surface of the package around 12:30 PM ET indicated a removable contamination level of 42 dpm/cm2 as compared to the regulatory limit of 22 dpm/cm2.

"The package contained a PET radioactive drug with Fluorine-18 (F-18) shipped from Cardinal Health of Jupiter, Florida. The vendor/shipper also serves as the delivery carrier. The shipper/delivery carrier was notified of the contaminated package at approximately 12:55 PM ET by the VA Medical Center's Radiation Safety Officer.

"Spectral measurements indicated that the contaminant involved is F-18. The package did not appear to be damaged. The package is being held for radiological decay and will be returned to the vendor in a couple of days."

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Power Reactor Event Number: 44211
Facility: MONTICELLO
Region: 3 State: MN
Unit: [1] [ ] [ ]
RX Type: [1] GE-3
NRC Notified By: WILLIAM STANG
HQ OPS Officer: JEFF ROTTON
Notification Date: 05/13/2008
Notification Time: 19:13 [ET]
Event Date: 04/03/2008
Event Time: 06:25 [CDT]
Last Update Date: 05/13/2008
Emergency Class: NON EMERGENCY
10 CFR Section:
50.73(a)(1) - INVALID SPECIF SYSTEM ACTUATION
Person (Organization):
HIRONORI PETERSON (R3)

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

INVALID ACTUATION OF A SBGT DURING ANNUNCIATOR TEST

"Monticello Nuclear Generating Plant is making a telephone report in accordance with 10 CFR 50.73(a)(2)(iv)(A) Invalid Partial Actuation of the Standby Gas Treatment and Secondary Containment Isolation Systems due to an inappropriate operator action. This report is being made in lieu of a written Licensee Event Report.

"At 0825 on 04/03/2008, an operator was performing an annunciator test of the Control Room panels and inappropriately pushed the 'A' Standby Gas Treatment system 'Test' pushbutton instead of the 'Lamp Test' pushbutton. He then immediately pushed the 'Reset' pushbutton which reset the Standby Gas Treatment train. The inappropriate actuation of the 'A' Standby Gas Treatment System resulted in the 'A' train momentarily starting, causing ventilation fans V-EF-10 and V-MZ-6 to trip. The immediate resetting of the system by depressing the 'Reset' pushbutton prevented a full secondary containment isolation.

"All systems started and functioned successfully.

"The cause of the invalid signal was the operator actuating the system by depressing the 'Test' pushbutton instead of the 'Lamp Test' pushbutton.

"The NRC Resident Inspector was notified of this event report."

After the invalid actuation was completed, all systems affected were reset and returned to normal lineup.

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