Event Notification Report for December 04, 2008
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
12/03/2008 - 12/04/2008
Power Reactor
Event Number: 44698
Facility: FERMI
Region: 3 State: MI
Unit: [2] [] []
RX Type: [2] GE-4
NRC Notified By: G. MILLER
HQ OPS Officer: JOE O'HARA
Region: 3 State: MI
Unit: [2] [] []
RX Type: [2] GE-4
NRC Notified By: G. MILLER
HQ OPS Officer: JOE O'HARA
Notification Date: 12/05/2008
Notification Time: 00:21 [ET]
Event Date: 12/04/2008
Event Time: 21:18 [EST]
Last Update Date: 12/05/2008
Notification Time: 00:21 [ET]
Event Date: 12/04/2008
Event Time: 21:18 [EST]
Last Update Date: 12/05/2008
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(v)(D) - ACCIDENT MITIGATION
10 CFR Section:
50.72(b)(3)(v)(D) - ACCIDENT MITIGATION
Person (Organization):
MICHAEL KUNOWSKI (R3)
MICHAEL KUNOWSKI (R3)
| Unit | SCRAM Code | RX Crit | Initial PWR | Initial RX Mode | Current PWR | Current RX Mode |
|---|---|---|---|---|---|---|
| 2 | N | Y | 100 | Power Operation | 100 | Power Operation |
UNPLANNED HPCI INOPERABILITY
"On December 4, 2008 at 1735 during steam line warming as part of a planned HPCI pump and valve surveillance, a 4 hour Limiting Condition for Operation was entered for the HPCl Steam Supply Outboard Isolation Valve Bypass Valve (E4150F600) per LCO 3.6.1.3 with the action being to isolate the penetration. This was due to abnormal indications observed from the Main Control Room during movement of the valve.
"On December 4, 2008 at 2118, unplanned HPCI inoperability occurred due to isolating the HPCI Steam Supply Inboard Isolation Valve (E4150F002) to satisfy LCO 3.6.1.3 1 for the HPCI Steam Supply Outboard Isolation Valve Bypass Valve (E4150F600) inoperability. A 14 day LCO was entered for HPCI per LCO 3.5.1. This report is being made pursuant to 10CFR50.72(b)(3)(v)(D) as a condition that at the time of discovery could have prevented the fulfillment of a safety function to mitigate the consequences of an accident based on loss of a single train safety system.
"The NRC Resident Inspector has been notified."
"On December 4, 2008 at 1735 during steam line warming as part of a planned HPCI pump and valve surveillance, a 4 hour Limiting Condition for Operation was entered for the HPCl Steam Supply Outboard Isolation Valve Bypass Valve (E4150F600) per LCO 3.6.1.3 with the action being to isolate the penetration. This was due to abnormal indications observed from the Main Control Room during movement of the valve.
"On December 4, 2008 at 2118, unplanned HPCI inoperability occurred due to isolating the HPCI Steam Supply Inboard Isolation Valve (E4150F002) to satisfy LCO 3.6.1.3 1 for the HPCI Steam Supply Outboard Isolation Valve Bypass Valve (E4150F600) inoperability. A 14 day LCO was entered for HPCI per LCO 3.5.1. This report is being made pursuant to 10CFR50.72(b)(3)(v)(D) as a condition that at the time of discovery could have prevented the fulfillment of a safety function to mitigate the consequences of an accident based on loss of a single train safety system.
"The NRC Resident Inspector has been notified."
Power Reactor
Event Number: 44696
Facility: TURKEY POINT
Region: 2 State: FL
Unit: [3] [4] []
RX Type: [3] W-3-LP,[4] W-3-LP
NRC Notified By: DEWEY BARROW
HQ OPS Officer: VINCE KLCO
Region: 2 State: FL
Unit: [3] [4] []
RX Type: [3] W-3-LP,[4] W-3-LP
NRC Notified By: DEWEY BARROW
HQ OPS Officer: VINCE KLCO
Notification Date: 12/04/2008
Notification Time: 16:12 [ET]
Event Date: 12/04/2008
Event Time: 15:15 [EST]
Last Update Date: 12/05/2008
Notification Time: 16:12 [ET]
Event Date: 12/04/2008
Event Time: 15:15 [EST]
Last Update Date: 12/05/2008
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(xi) - OFFSITE NOTIFICATION
10 CFR Section:
50.72(b)(2)(xi) - OFFSITE NOTIFICATION
Person (Organization):
ROBERT HAAG (R2)
MARVIN SYKES e-mail (R2)
ROBERT HAAG (R2)
MARVIN SYKES e-mail (R2)
| Unit | SCRAM Code | RX Crit | Initial PWR | Initial RX Mode | Current PWR | Current RX Mode |
|---|---|---|---|---|---|---|
| 3 | N | Y | 100 | Power Operation | 100 | Power Operation |
| 4 | N | Y | 100 | Power Operation | 100 | Power Operation |
OFFSITE REQUEST FOR LAW ENFORCEMENT ASSISTANCE INVOLVING AN UNDENTIFIED SUBSTANCE
"[A] small plastic bag containing an unknown white powder substance was discovered inside the Turkey Point Nuclear Station protected area. Miami-Dade Police Department was contacted for evaluation of the substance. The contents of the bag were taken into the custody of Miami-Dade Police. At 1515 the site was notified that the substance had been determined to be baby powder and that outside agencies have been notified for threat evaluation.
"Outside agencies that were contacted [by the licensee] include Miami Dade County Hazardous Material Division, Miami Dade County Emergency Operations Center, State of Florida Emergency Operations Center, Department of Homeland Security and Federal Bureau of Investigations."
The licensee contacted the NRC Resident Inspector.
* * * UPDATE FROM DEWEY BARROW TO VINCE KLCO ON 12/05/08 AT 1410 * * *
This update is being made to clarify the second paragraph regarding notification of outside agencies. The licensee initially contacted the Miami-Dade Police Department who then contacted the identified outside agencies.
Notified R2DO (Robert Haag)
"[A] small plastic bag containing an unknown white powder substance was discovered inside the Turkey Point Nuclear Station protected area. Miami-Dade Police Department was contacted for evaluation of the substance. The contents of the bag were taken into the custody of Miami-Dade Police. At 1515 the site was notified that the substance had been determined to be baby powder and that outside agencies have been notified for threat evaluation.
"Outside agencies that were contacted [by the licensee] include Miami Dade County Hazardous Material Division, Miami Dade County Emergency Operations Center, State of Florida Emergency Operations Center, Department of Homeland Security and Federal Bureau of Investigations."
The licensee contacted the NRC Resident Inspector.
* * * UPDATE FROM DEWEY BARROW TO VINCE KLCO ON 12/05/08 AT 1410 * * *
This update is being made to clarify the second paragraph regarding notification of outside agencies. The licensee initially contacted the Miami-Dade Police Department who then contacted the identified outside agencies.
Notified R2DO (Robert Haag)
General Information or Other
Event Number: 44800
Rep Org: PA BUREAU OF RADIATION PROTECTION
Licensee: UNIVERSITY OF PITTSBURGH MEDICAL CENTER
Region: 1
City: PITTSBURGH State: PA
County:
License #: PA-0190
Agreement: Y
Docket:
NRC Notified By: DAVID ALLARD
HQ OPS Officer: HOWIE CROUCH
Licensee: UNIVERSITY OF PITTSBURGH MEDICAL CENTER
Region: 1
City: PITTSBURGH State: PA
County:
License #: PA-0190
Agreement: Y
Docket:
NRC Notified By: DAVID ALLARD
HQ OPS Officer: HOWIE CROUCH
Notification Date: 01/22/2009
Notification Time: 17:04 [ET]
Event Date: 12/04/2008
Event Time: 00:00 [EST]
Last Update Date: 01/23/2009
Notification Time: 17:04 [ET]
Event Date: 12/04/2008
Event Time: 00:00 [EST]
Last Update Date: 01/23/2009
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
WILLIAM COOK (R1)
LYDIA CHANG (FSME)
WILLIAM COOK (R1)
LYDIA CHANG (FSME)
AGREEMENT STATE REPORT - DOSE ADMINISTERED TO PATIENT WAS LESS THAN 50% OF PRESCRIBED DOSE
The following information was obtained from the Commonwealth of Pennsylvania via email:
"Dose administered to patient was only 44% of the prescribed amount of Y90.
"Cause: the treatment catheter became occluded and prevented further delivery of the Y-90 microspheres to the patient. It is not known what caused the occlusion. A later radiation survey of the catheter indicated a relative increased amount of radioactivity within the last 2cm from the tip. The catheter will be sent to the manufacturer for further analysis.
"Effect to the Patient: None
"Notifications : The referring physician was verbally notified of the medical event by the Authorized User. The referring physician verbally notified the patient.
"Corrective Action: Equipment returned to manufacturer for repair or disposal."
Dose given was 5.3 mCi of Y-90. Dose intended was 12.1 mCi.
PA Reference Number: PA080033
A Medical Event may indicate potential problems in a medical facilities use of radioactive materials. It does not necessarily result in harm to the patient.
The following information was obtained from the Commonwealth of Pennsylvania via email:
"Dose administered to patient was only 44% of the prescribed amount of Y90.
"Cause: the treatment catheter became occluded and prevented further delivery of the Y-90 microspheres to the patient. It is not known what caused the occlusion. A later radiation survey of the catheter indicated a relative increased amount of radioactivity within the last 2cm from the tip. The catheter will be sent to the manufacturer for further analysis.
"Effect to the Patient: None
"Notifications : The referring physician was verbally notified of the medical event by the Authorized User. The referring physician verbally notified the patient.
"Corrective Action: Equipment returned to manufacturer for repair or disposal."
Dose given was 5.3 mCi of Y-90. Dose intended was 12.1 mCi.
PA Reference Number: PA080033
A Medical Event may indicate potential problems in a medical facilities use of radioactive materials. It does not necessarily result in harm to the patient.