U.S. Nuclear Regulatory Commission
Operations Center
Event Reports For
04/22/2003 - 04/23/2003
** EVENT NUMBERS **
39768 39769 39781 39782 39783 39784
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|Power Reactor |Event Number: 39768 |
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| FACILITY: INDIAN POINT REGION: 1 |NOTIFICATION DATE: 04/17/2003|
| UNIT: [2] [3] [] STATE: NY |NOTIFICATION TIME: 17:34[EDT]|
| RXTYPE: [2] W-4-LP,[3] W-4-LP |EVENT DATE: 04/17/2003|
+------------------------------------------------+EVENT TIME: 14:35[EDT]|
| NRC NOTIFIED BY: JOHN BAKER |LAST UPDATE DATE: 04/22/2003|
| HQ OPS OFFICER: HOWIE CROUCH +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: NON EMERGENCY |DAVID SILK R1 |
|10 CFR SECTION: | |
|ACOM 50.72(b)(3)(xiii) LOSS COMM/ASMT/RESPONSE| |
| | |
| | |
| | |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|2 N Y 100 Power Operation |100 Power Operation |
|3 N N 0 Cold Shutdown |0 Cold Shutdown |
| | |
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EVENT TEXT
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| LOSS OF 9 OUT OF 16 EMERGENCY SIRENS IN ORANGE COUNTY |
| |
| The following information was obtained from the Licensee via facsimile: |
| |
| "On April 17, 2003, at 1435 hours, it was determined that 9 out of 16 |
| emergency sirens in Orange County were out of service due to a transmission |
| line failure. Unit 2 was at 100% power and Unit 3 was shutdown. This results |
| in a degraded emergency siren notification system in one of the four |
| counties covered by the emergency plan which is reportable under 10 CFR |
| 50.72(b)(3)(xiii). The emergency plan had route alerting and public radio |
| announcements available as necessary to notify the public in-lieu of the |
| non-operational sirens. Restoration of the sirens occurred at 1709 hours. |
| The county was notified." |
| |
| The transmission line failure caused a loss of two substations which powered |
| the affected sirens. |
| |
| The NRC Resident Inspector will be notified by the Licensee. |
| |
| ***UPDATE ON 04/22/03 AT 1626 HOURS BY G. KELLER TAKEN BY MACKINNON*** |
| |
| At 1230 hours on April 22, 2003, during the review of the computer records |
| for the loss of sirens previously reported on Thursday, April 17, 2003, it |
| was determined that, at 1636 hours, two additional sirens in Putnam county |
| could not be sounded. The loss of signal was not immediately evident and |
| was due to the loss of power to repeater R-257 in Rockland county. This |
| resulted in Putnam county having less than 90% of the sirens available. |
| |
| At the time of the event this resulted in a degraded emergency siren |
| notification system of an additional county covered by the emergency plan |
| which is also reportable under 10 CFR 50.72(b)(3)(xiii). The emergency plan |
| had route alerting and public radio announcements available as necessary to |
| notify the public in lieu of the non-operational sirens. Restoration of the |
| sirens occurred at 1659 hours. The State of New York and the county were |
| notified. NRC R1DO (H. Gray) notified. |
| |
| The NRC Resident Inspector was notified of this update by the licensee. |
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|General Information or Other |Event Number: 39769 |
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| REP ORG: OHIO BUREAU OF RADIATION PROTECTION |NOTIFICATION DATE: 04/18/2003|
|LICENSEE: SOLAR TESTING LABORATORIES |NOTIFICATION TIME: 09:31[EDT]|
| CITY: BROOKLYN HEIGHTS REGION: 3 |EVENT DATE: 04/18/2003|
| COUNTY: STATE: OH |EVENT TIME: [EDT]|
|LICENSE#: OH31210180065 AGREEMENT: Y |LAST UPDATE DATE: 04/18/2003|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |THOMAS KOZAK R3 |
| |MATT KORMANN TAT |
+------------------------------------------------+FRED BROWN NMSS |
| NRC NOTIFIED BY: MIKE SNEE | |
| HQ OPS OFFICER: MIKE RIPLEY | |
+------------------------------------------------+ |
|EMERGENCY CLASS: NON EMERGENCY | |
|10 CFR SECTION: | |
|NAGR AGREEMENT STATE | |
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EVENT TEXT
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| THEFT AND RECOVERY OF MOISTURE DENSITY GAUGE |
| |
| The following information was received via facsimile from the Ohio |
| Department of Health: |
| |
| The licensee reported the theft and recovery of a Humboldt Scientific |
| moisture/density gauge (model 5001, serial #750) containing a 44 millicurie |
| Am-Be source and a 11 millicurie Cs-137 source. The gauge was stolen during |
| the early hours of April 18, 2003 from the back of a truck parked at an |
| employee's residence in Brooklyn Heights, Ohio. The truck and gauge case was |
| broken into. The licensee notified police and the Ohio Department of |
| Health. At 8:45 AM on April 18, the employee discovered the gauge on the |
| side of the road a short distance from his residence where the theft |
| occurred. The gauge did not appear to be damaged. |
| |
| Notified R3DO (T. Kozak), NMSS (F. Brown), NSIR IAT (M. Kormann) |
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|Fuel Cycle Facility |Event Number: 39781 |
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| FACILITY: PORTSMOUTH GASEOUS DIFFUSION PLANT |NOTIFICATION DATE: 04/22/2003|
| RXTYPE: URANIUM ENRICHMENT FACILITY |NOTIFICATION TIME: 15:10[EDT]|
| COMMENTS: 2 DEMOCRACY CENTER |EVENT DATE: 04/22/2003|
| 6903 ROCKLEDGE DRIVE |EVENT TIME: 14:51[EDT]|
| BETHESDA, MD 20817 (301)564-3200 |LAST UPDATE DATE: 04/22/2003|
| CITY: PIKETON REGION: 3 +-----------------------------+
| COUNTY: PIKE STATE: OH |PERSON ORGANIZATION |
|LICENSE#: GDP-2 AGREEMENT: N |MONTE PHILLIPS R3 |
| DOCKET: 0707002 |TRISH HOLAHAN NMSS |
+------------------------------------------------+ |
| NRC NOTIFIED BY: ERIC SPAETH | |
| HQ OPS OFFICER: JOHN MacKINNON | |
+------------------------------------------------+ |
|EMERGENCY CLASS: NON EMERGENCY | |
|10 CFR SECTION: | |
|NONR OTHER UNSPEC REQMNT | |
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| | |
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EVENT TEXT
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| OFFSITE NOTIFICATION TO THE OHIO EMERGENCY PROTECTION AGENCY |
| |
| "On 04/22/03 at 1341 hours, while taking # 3 boiler off line, the average |
| opacity reading was above 20% on two occasions within a one-hour period. |
| This requires a verbal notification to the Ohio Environmental Protection |
| Agency (OEPA). |
| |
| "At 1451 hours, the Plant Shift Superintendent notified OEPA of the X-600 |
| Steam Plant opacity exceedance. UE-RA-RE1030, App. D, section P, requires a |
| 4 hour NRC event when other government agencies are notified." |
| |
| The NRC Resident Inspector was notified of this event by the licensee. |
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|Hospital |Event Number: 39782 |
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| REP ORG: HARTFORD HOSPITAL |NOTIFICATION DATE: 04/22/2003|
|LICENSEE: HARTFORD HOSPITAL |NOTIFICATION TIME: 15:12[EDT]|
| CITY: HARTFORD REGION: 1 |EVENT DATE: 04/18/2003|
| COUNTY: STATE: CT |EVENT TIME: 16:00[EDT]|
|LICENSE#: 06-00253-04 AGREEMENT: N |LAST UPDATE DATE: 04/22/2003|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |HAROLD GRAY R1 |
| |JOHN GREEVES |
+------------------------------------------------+ |
| NRC NOTIFIED BY: PETER J. MAS | |
| HQ OPS OFFICER: DICK JOLLIFFE | |
+------------------------------------------------+ |
|EMERGENCY CLASS: | |
|10 CFR SECTION: | |
|LDIF 35.3045(a)(1) DOSE <> PRESCRIBED DOSA| |
| | |
| | |
| | |
| | |
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EVENT TEXT
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| SOURCES INCORRECTLY POSITIONED IN A PATIENT. |
| |
| The following is submitted as a medical event record for Hartford Hospital, |
| Hartford, CT. This occurred late Friday, April 18, 2003 and it involved the |
| use of the 3.5 French, 40 mm Novoste Beta-Cath unit with a Beta-Rail |
| catheter. Novoste had a representative onsite to provide training to the |
| interventional cardiologist. The radiation oncologist and the medical |
| physics staff were experienced in the handling of the 3.5 French Beta-Cath |
| unit. The Novoste representative was not in the cath lab operatory at the |
| time of the insertion of the Beta-Rail catheter, or, of the sources. He was |
| observing from the adjacent control area and he thought the interventional |
| cardiologist understood the markings on the new style catheter. The |
| interventional cardiologist imaged the patient (using fluoroscopy) and |
| determined that the sources were incorrectly positioned. At approximately |
| 60 seconds into the treatment, the sources were withdrawn. The catheter was |
| correctly positioned and the sources were reinserted for the accurate |
| treatment of the cardiac vessel. No adverse effects were seen to occur to |
| the patient, and, none are expected to occur. A written report will be |
| submitted to the Region I offices within 15 days as required. |
| |
| Notified R1DO Harold Gray and NMSS EO John Greeves. |
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|Other Nuclear Material |Event Number: 39783 |
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| REP ORG: US ARMY ROCK ISLAND |NOTIFICATION DATE: 04/22/2003|
|LICENSEE: US ARMY ROCK ISLAND |NOTIFICATION TIME: 16:14[EDT]|
| CITY: NEWTON FALLS REGION: 3 |EVENT DATE: 04/22/2003|
| COUNTY: STATE: OH |EVENT TIME: 12:00[EDT]|
|LICENSE#: 12-00722-06 AGREEMENT: Y |LAST UPDATE DATE: 04/22/2003|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |MONTE PHILLIPS R3 |
| |JOHN GREEVES NMSS |
+------------------------------------------------+ |
| NRC NOTIFIED BY: JEFF HAVENNER | |
| HQ OPS OFFICER: JOHN MacKINNON | |
+------------------------------------------------+ |
|EMERGENCY CLASS: NON EMERGENCY | |
|10 CFR SECTION: | |
|ICON 30.50(b)(1) UNPLANNED CONTAMINATION| |
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EVENT TEXT
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| M1A1 COLLIMATOR TRITIUM FILLED TUBE FOUND BROKEN. |
| |
| This event probably occurred the weekend of April 19-20, 2003 at the Ohio |
| National Guard facility located in Newton Falls, Ohio. |
| |
| Ohio National Guard were unpacking an M109 Howitzer issue box at the |
| receiving dock. The guardsmen were placing the unpacked packing material in |
| a dumpster. As they were unpacking the box they noticed broken glass inside |
| the plastic bag containing a collimator, which contains a 10 curie source. |
| The National Guard contacted the on site Radiation Safety Officer (RSO). |
| The RSO wipe tested the collimator and its case, then double bagged it and |
| placed it into the radiation storage shed located outside of the shop. They |
| then wiped tested and double bagged all packing materials associated with |
| the crate and retrieved the packing materials from the dumpster. Wipe tests |
| of all affected areas were also taken and submitted to Radiological |
| Engineering Laboratory for analysis. Analysis results indicated significant |
| contamination within the storage area. |
| |
| The Ohio Army National Guard RSO is being provided with the analysis results |
| and decontamination procedures. They have also been advised to place those |
| individuals closely involved with the significant contamination, on tritium |
| bioassay program until it can be determined whether tritium exposure |
| occurred or until tritium levels are eliminated. |
| |
| Decontamination procedures will be performed and contamination radiation |
| surveys of all affected areas accomplished until contamination levels are |
| reduced to acceptable levels or eliminated. |
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|Power Reactor |Event Number: 39784 |
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| FACILITY: LIMERICK REGION: 1 |NOTIFICATION DATE: 04/23/2003|
| UNIT: [1] [] [] STATE: PA |NOTIFICATION TIME: 05:29[EDT]|
| RXTYPE: [1] GE-4,[2] GE-4 |EVENT DATE: 04/23/2003|
+------------------------------------------------+EVENT TIME: 02:07[EDT]|
| NRC NOTIFIED BY: TOM DOUGHERTY |LAST UPDATE DATE: 04/23/2003|
| HQ OPS OFFICER: ERIC THOMAS +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: NON EMERGENCY |HAROLD GRAY R1 |
|10 CFR SECTION: | |
|ACCS 50.72(b)(2)(iv)(A) ECCS INJECTION | |
|ARPS 50.72(b)(2)(iv)(B) RPS ACTUATION - CRITICA| |
|AESF 50.72(b)(3)(iv)(A) VALID SPECIF SYS ACTUAT| |
| | |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|1 M/R Y 100 Power Operation |0 Hot Shutdown |
| | |
| | |
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EVENT TEXT
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| RPS ACTUATION WHILE CRITICAL |
| |
| "At 0207 EDT on April 23, 2003, a loss of feedwater occurred on Unit 1. |
| Operators initiated a manual reactor scram at 15 [inches] RPV level (auto |
| scram signal = 12.5 [inches]). The high pressure coolant injection (HPCI) |
| and reactor core isolation coolant (RCIC) systems initiated as designed at |
| -38 [inches], and injected into the RPV. RPV level was restored to the |
| normal band, HPCI and RCIC secured, and a reactor feed pump was returned to |
| service. The following isolation signals were received; Groups IB, IIA, |
| IIC, III, VIB, VIC, VIIB, VIIIB, and HVAC. RPV and containment parameters |
| are normal with an RPV cooldown in progress. |
| |
| "The loss of feed resulted from sequential trips of all 3 reactor feed pumps |
| on low suction pressure due to an apparent isolation of the condensate deep |
| bed demineralizers. The cause is under investigation." |
| |
| The licensee notified the NRC Resident Inspector. |
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