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Event Notification Report for July 28, 2011

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
07/27/2011 - 07/28/2011

** EVENT NUMBERS **


47090 47099 47100 47102 47103 47104

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!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED !!!!!
Agreement State Event Number: 47090
Rep Org: WISCONSIN RADIATION PROTECTION
Licensee: UW-MADISON
Region: 3
City: MADISON State: WI
County:
License #: 025-1323-01
Agreement: Y
Docket:
NRC Notified By: CHRIS TIMMERMAN
HQ OPS Officer: STEVE SANDIN
Notification Date: 07/22/2011
Notification Time: 16:29 [ET]
Event Date: 07/21/2011
Event Time: [CDT]
Last Update Date: 07/26/2011
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
ERIC DUNCAN (R3DO)
DUNCAN WHITE (FSME)

Event Text

AGREEMENT STATE REPORT INVOLVING A PATIENT RECEIVING AN INCORRECT DOSAGE OF I-131

The following report was received from the State of Wisconsin via fax:

"The Wisconsin Department of Health Services (DHS) received a phone call from the Radiation Safety Officer (RSO) on July 22, 2011 that a patient received the wrong dose of I-131 on July 21, 2011. The patient was scheduled for a diagnostic procedure involving 8 mCi of I-131, but instead received a 150 mCi therapeutic dose of I-131.

"DHS will be conducting an investigation on July 26, 2011 and the licensee will be submitting a 15 day written report concerning the medical event."

Wisconsin Event Report ID No.: WI10010

* * * RETRACTION ON 7/26/11 AT 1405 EDT VIA FAX TO HUFFMAN FROM TIMMERMAN * * *

"This is an update to [the State of Wisconsin] Event Notification WI-10010. On July 26, 2011, the licensee informed [the Wisconsin Department of Health Services] that the reported medical event on July 22, 2011 involving a patient that received 150 mCi dose of I-131 on July 21, 2011, was an internal miscommunication. Upon review of the written directive and speaking with UW-Madison staff, DHS has verified that the patient received an I-131 therapeutic dose as prescribed on the written directive.

"This medical event is retracted."

R3DO (Giessner) and FSME EO (McIntosh) notified.

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Fuel Cycle Facility Event Number: 47099
Facility: PADUCAH GASEOUS DIFFUSION PLANT
RX Type: URANIUM ENRICHMENT FACILITY
Comments: 2 DEMOCRACY CENTER
                   6903 ROCKLEDGE DRIVE
                   BETHESDA, MD 20817 (301)564-3200
Region: 2
City: PADUCAH State: KY
County: McCRACKEN
License #: GDP-1
Agreement: Y
Docket: 0707001
NRC Notified By: KEN WALLACE
HQ OPS Officer: DONALD NORWOOD
Notification Date: 07/27/2011
Notification Time: 05:43 [ET]
Event Date: 07/27/2011
Event Time: 04:15 [CDT]
Last Update Date: 07/27/2011
Emergency Class: ALERT
10 CFR Section:
76.120(a)(4) - EMERGENCY DECLARED
OTHER UNSPEC REQMNT
Person (Organization):
ALAN BLAMEY (R2DO)
JANE MARSHALL (IRD)
CATHERINE HANEY (NMSS)
VICTOR McCREE (RA2)
DHS ()
FEMA ()
DOE ()
EPA ()
USDA ()
HHS ()

Event Text

ALERT DECLARED DUE TO ONSITE RELEASE OF FLUORINE/CHLORINATED FLUORINE GAS MIXTURE

At 0415 CDT while changing out a cylinder of Fluorine/CL3 gas mixture in the C350 building, apparently a gasket failure occurred and an uncontrolled release of the gas mixture began. The licensee estimates that at the time the release began, there was approximately 160 lbs. of material in the cylinder. The release continues at this time. The C350 building was evacuated. There were no personnel injuries as a result of this event. No offsite assistance is being requested by the licensee. The local emergency squad is responding.

The licensee notified the NRC Resident Inspector.


* * * UPDATE FROM MIKE BOREN AND GREG BARNA TO DONALD NORWOOD AT 0631 EDT ON 7/27/2011 * * *

The licensee believes, but has not verified at this time, that the gas leak has been stopped. A 'shelter in place' order has been issued for the following buildings: C337, C337a, C360, C335, C635 and C631. Samples exterior to building C350 are negative. Samples interior to building C350 still show residue and fog in the building.

The licensee notified the NRC Resident Inspector.


* * * UPDATE FROM MIKE BOREN TO DONALD NORWOOD AT 0714 EDT ON 7/27/2011 * * *

The licensee has verified that the leak has been stopped.


* * * UPDATE FROM GREG BARNA TO DONALD NORWOOD AT 0726 EDT ON 7/27/2011 * * *

At 0615 CDT, an employee that was involved with the cylinder change-out and response to the event was transported to the onsite medical facility. He was complaining of a burning sensation to his right arm.

At 0625 CDT, samples obtained both inside and outside of building C350 were negative.

The licensee notified the NRC Resident Inspector.


* * * UPDATE FROM GREG BARNA TO DONALD NORWOOD AT 0736 EDT ON 7/27/2011 * * *

At 0631 CDT, the licensee has terminated the Alert. The licensee is controlling access to building C350 for investigation. The licensee has setup a recovery team.

As a precautionary measure, a second individual that was involved in the cylinder change-out was also transported to the onsite medical facility.

The licensee notified the NRC Resident Inspector.

Notified R2DO (Blamey), NMSS EO (Habighorst), IRD MOC (Marshall), DHS (Arnold), FEMA (Hollis), DOE (Connally), EPA (Brett), USDA, and HHS (Jones).


* * * UPDATE FROM DEREK WARFORD TO HOWIE CROUCH AT 0916 EDT ON 7/27/2011 * * *

"On 7/27/11 at 0710 [CDT], the Paducah Gaseous Diffusion Plant decided to issue a press release describing the Alert issued by the plant earlier in the morning. The Alert issued on a chlorine trifluoride (CIF3) release in the C-350 facility was declared on 07/27/11 at 0415 [CDT] and terminated
on 07/27/11 at 0631 [CDT].
.
"This event is reportable under Criteria P in Appendix D of USEC procedure UE2-RA-RE1030 as any event or situation, related to the health and safety of the public or on-site personnel, or protection of the environment, for which a news release is planned or notification to other government agencies has been or will be made.

"The NRC Senior Resident Inspector has been notified of this event."

Notified R2DO (Blamey), NMSS EO (Habighorst) and PAO (Harrington).

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Power Reactor Event Number: 47100
Facility: PRAIRIE ISLAND
Region: 3 State: MN
Unit: [1] [2] [ ]
RX Type: [1] W-2-LP,[2] W-2-LP
NRC Notified By: STEPHEN SEILHYMER
HQ OPS Officer: BILL HUFFMAN
Notification Date: 07/27/2011
Notification Time: 11:54 [ET]
Event Date: 07/27/2011
Event Time: 09:04 [CDT]
Last Update Date: 07/27/2011
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(xi) - OFFSITE NOTIFICATION
Person (Organization):
DAVE PASSEHL (R3DO)

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

Event Text

OFFSITE NOTIFICATION OF SIREN ACTIVATION BY LIGHTNING STRIKE

"At approximately 0904 CDT on July 27, 2011, the licensee was notified of an inadvertent activation of emergency siren (G-03) in the township of Welch, MN. The site contacted the siren vendor. It was determined that the siren was damaged by a lightning strike and has since been deactivated after sounding for approximately 35 minutes. The Goodhue County Sheriff's department received calls from some area residents. The siren remains out of service and is the only siren out of service within the 10 mile Emergency Planning Zone (EPZ)."

The licensee stated that the vendor is working on repair of the siren.

The licensee has notified local authorities and the NRC Resident has been informed.

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Power Reactor Event Number: 47102
Facility: INDIAN POINT
Region: 1 State: NY
Unit: [2] [ ] [ ]
RX Type: [2] W-4-LP,[3] W-4-LP
NRC Notified By: LUKE HEDGES
HQ OPS Officer: BILL HUFFMAN
Notification Date: 07/27/2011
Notification Time: 14:46 [ET]
Event Date: 07/27/2011
Event Time: 12:29 [EDT]
Last Update Date: 07/27/2011
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(xi) - OFFSITE NOTIFICATION
Person (Organization):
PAMELA HENDERSON (R1DO)

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

Event Text

OFFSITE NOTIFICATION OF A SMALL OIL SPILL

"Unit 2 control room was notified of a small hydraulic oil spill (less than 1 quart) from a construction truck to a gravel parking lot. [The licensee] made notifications to the New York Department of Environment Conservation [DEC] and the Westchester Department of Health. The spill was cleaned up by 1400 [EDT] on 7/27/11. The spill report number to the DEC is #1104806."

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

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Power Reactor Event Number: 47103
Facility: SAINT LUCIE
Region: 2 State: FL
Unit: [1] [ ] [ ]
RX Type: [1] CE,[2] CE
NRC Notified By: TIM MILLER
HQ OPS Officer: HOWIE CROUCH
Notification Date: 07/28/2011
Notification Time: 01:00 [ET]
Event Date: 07/27/2011
Event Time: 20:59 [EDT]
Last Update Date: 07/28/2011
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
ALAN BLAMEY (R2DO)

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

LOSS OF BOTH TRAINS OF EMERGENCY RESPONSE DATA SYSTEM DUE TO LOSS OF PLANT PROCESS COMPUTERS

"At 2059 [hrs. EDT] on 7/27/11, St. Lucie Unit 1 lost both the 'A' and 'B' computer trains associated with Emergency Response Data Acquisition and Display System (ERDADS). Attempts to restore either train have been unsuccessful. The cause of the failure is not known and continues to be investigated.

"This is reportable in accordance with 10CFR 50.72(b)(3)(xiii) due to a major loss of emergency assessment capability for greater than one hour."

The loss of the plant process computers also resulted in the loss of the Safety Parameter Display System. Redundant indicators are available to operators.

The licensee has notified the NRC Resident Inspector.

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Power Reactor Event Number: 47104
Facility: HATCH
Region: 2 State: GA
Unit: [1] [2] [ ]
RX Type: [1] GE-4,[2] GE-4
NRC Notified By: AL MANNING
HQ OPS Officer: JOE O'HARA
Notification Date: 07/28/2011
Notification Time: 02:53 [ET]
Event Date: 07/27/2011
Event Time: 23:20 [EDT]
Last Update Date: 07/28/2011
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
ALAN BLAMEY (R2DO)

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

Event Text

NON-FUNCTIONAL TECHNICAL SUPPORT CENTER (TSC) CLIMATE CONTROL SYSTEM

"The Technical Support Center climate control system was found to be nonfunctional on 7/27/11 at 2320. System repair is in progress at this time. The time period that the Technical Support Center climate control system was nonfunctional has exceeded the 30 minute limit that is delineated in the Technical Requirements Manual section T3.10.1. This event is reportable per 10CFR50.72(b)(3)(xiii) as described in NUREG 1022, Rev. 1 since this issue affected an emergency response facility. Also, this 8 hour notification is being made in accordance with the Technical Requirements Manual section T3.10.1.B.2.

"The alternate Technical Support Center facility remains functional."

The NRC Resident Inspector has been notified.

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