U.S. Nuclear Regulatory Commission
Operations Center
Event Reports For
04/03/2003 - 04/04/2003
** EVENT NUMBERS **
39577 39717 39718 39724 39725 39726 39727 39728
!!!!!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED !!!!!!!
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|Fuel Cycle Facility |Event Number: 39577 |
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| FACILITY: PORTSMOUTH GASEOUS DIFFUSION PLANT |NOTIFICATION DATE: 02/11/2003|
| RXTYPE: URANIUM ENRICHMENT FACILITY |NOTIFICATION TIME: 06:16[EST]|
| COMMENTS: 2 DEMOCRACY CENTER |EVENT DATE: 02/10/2003|
| 6903 ROCKLEDGE DRIVE |EVENT TIME: 16:20[EST]|
| BETHESDA, MD 20817 (301)564-3200 |LAST UPDATE DATE: 04/03/2003|
| CITY: PIKETON REGION: 3 +-----------------------------+
| COUNTY: PIKE STATE: OH |PERSON ORGANIZATION |
|LICENSE#: GDP-2 AGREEMENT: N |SONIA BURGESS R3 |
| DOCKET: 0707002 |MELVYN LEACH NMSS |
+------------------------------------------------+Patrick Hiland IRO |
| NRC NOTIFIED BY: Gary Salyers | |
| HQ OPS OFFICER: YAMIR DIAZ | |
+------------------------------------------------+ |
|EMERGENCY CLASS: NON EMERGENCY | |
|10 CFR SECTION: | |
|NONR OTHER UNSPEC REQMNT | |
| | |
| | |
| | |
| | |
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EVENT TEXT
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| STEAM VALVE SHUTDOWN DUE TO HIGH CONDENSATE LEVEL |
| |
| "At 1620 hrs, Autoclave (AC) #2 in the X-344 Facility experienced a Steam |
| Shutdown due to high condensate level alarms (A) and (B) actuating. The AC |
| was in applicable TSR MODE IV 'Feeding, Transfer or Sampling' when the |
| actuation occurred. This is considered a valid actuation of a 'Q' Safety |
| System. The autoclave was placed in MODE VII 'Shutdown' and declared |
| inoperable by the Plant Shift Superintendent (PSS). An investigation is |
| underway to determine the cause of the actuation. No release of radioactive |
| material occurred as a result of the incident. This event is being |
| reported in accordance with UE2-RA-RE1030 Appendix D. J. 2. Safety Equipment |
| Actuations." |
| |
| The Autoclave (AC) lost one of four trains. This event was caused by |
| operator error. A root cause investigation is planned by the licensee. |
| |
| The licensee notified the NRC resident inspector. |
| |
| *** EVENT RETRACTED ON 4/3/2003 AT 1521 EST BY STEVE MAY TO ERIC THOMAS |
| *** |
| |
| "Nuclear Regulatory Affairs (NRA) reviewed the basis for the above event |
| notification and determined that the notification can be retracted. The |
| high condensate level alarms actuated in mode VIII (containment), which is |
| not an applicable mode." |
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|General Information or Other |Event Number: 39717 |
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| REP ORG: TEXAS DEPARTMENT OF HEALTH |NOTIFICATION DATE: 04/01/2003|
|LICENSEE: CTL/THOMPSON TEXAS, LLC |NOTIFICATION TIME: 12:49[EST]|
| CITY: Dallas REGION: 4 |EVENT DATE: 03/31/2003|
| COUNTY: STATE: TX |EVENT TIME: 20:00[CST]|
|LICENSE#: L04900-001 AGREEMENT: Y |LAST UPDATE DATE: 04/01/2003|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |ANTHONY GODY R4 |
| |SUSAN FRANT NMSS |
+------------------------------------------------+JOHN DAVIDSON IAT |
| NRC NOTIFIED BY: JIM OGDEN | |
| HQ OPS OFFICER: HOWIE CROUCH | |
+------------------------------------------------+ |
|EMERGENCY CLASS: NON EMERGENCY | |
|10 CFR SECTION: | |
|NAGR AGREEMENT STATE | |
| | |
| | |
| | |
| | |
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EVENT TEXT
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| AGREEMENT STATE REPORT - STOLEN MOISTURE DENSITY GAUGE |
| |
| The following information was received from the Texas Department of Health, |
| Bureau of Radiation Control via facsimile: |
| |
| "The gauge operator was working a night assignment. After completion he |
| took his company vehicle to the company office to complete paperwork at |
| approximately 11:20 p.m. After completion of the paperwork he returned to |
| his vehicle at approximately 11:40 p.m. and discovered that his assigned CPN |
| nuclear density gauge (Model MC1-DR, Serial No. MD0129983) with two sealed |
| radiation sources: a 10 millicurie Amersham, Model CPN 131, cesium-137 |
| capsule, Serial No. 2870, that is engraved on the source rod as "CS9983" |
| (source type plus the last four digits of the gauge Serial No.); and a 50 |
| millicurie Amersham, Model CPN131, americium-241/beryllium, Serial No. 0992, |
| that is engraved on the gauge's internal source pedestal as "AM9983" (source |
| type plus the last four digits of the gauge Serial No.), was missing from |
| the truck. The Licensee's security chain had been cut and was left in the |
| vehicle. The 'red' transport case had been locked but the Licensee reports |
| finding a piece of it's lock, also cut, in the bed of the truck. However, |
| the transport case was also missing. In addition, the gauge's rod handle was |
| also locked within the case before the gauge was stolen. The Licensee also |
| reported that nothing except the gauge and it's case were removed from the |
| truck. This Agency has searched Agency Open Records requests back through |
| January 2002, with no suspicious request noted." |
| |
| There is no media attention at this time. The Licensee is considering |
| whether or not to post a reward for return of the gauge. |
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!!!!!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED !!!!!!!
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|Power Reactor |Event Number: 39718 |
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| FACILITY: COLUMBIA GENERATING STATIREGION: 4 |NOTIFICATION DATE: 04/01/2003|
| UNIT: [2] [] [] STATE: WA |NOTIFICATION TIME: 13:53[EST]|
| RXTYPE: [2] GE-5 |EVENT DATE: 04/01/2003|
+------------------------------------------------+EVENT TIME: 10:50[PST]|
| NRC NOTIFIED BY: FRED SCHILL |LAST UPDATE DATE: 04/03/2003|
| HQ OPS OFFICER: HOWIE CROUCH +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: NON EMERGENCY |ANTHONY GODY R4 |
|10 CFR SECTION: |JOHN DAVIDSON IAT |
|DDDD 73.71(b)(1) SAFEGUARDS REPORTS | |
| | |
| | |
| | |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|2 N Y 97 Power Operation |97 Power Operation |
| | |
| | |
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EVENT TEXT
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| VULNERABILITY DISCOVERED IN A SAFEGUARD SYSTEM AT COLUMBIA GENERATING |
| STATION |
| |
| Immediate compensatory measures taken upon discovery. |
| |
| Licensee will notify the NRC Resident Inspector. |
| |
| Contact the Headquarters Operations Officer for additional details. |
| |
| *** EVENT RETRACTED AT 1723 EST ON 4/3/03 BY CHESTER GREEN TO ERIC THOMAS |
| *** |
| |
| A review revealed that the vulnerability mentioned in the original report |
| does not exist. |
| |
| The licensee notified the NRC Resident Inspector. |
| |
| Contact the Headquarters Operations Officer for additional details. |
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|Power Reactor |Event Number: 39724 |
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| FACILITY: HADDAM NECK REGION: 1 |NOTIFICATION DATE: 04/03/2003|
| UNIT: [1] [] [] STATE: CT |NOTIFICATION TIME: 12:30[EST]|
| RXTYPE: [1] W-4-LP |EVENT DATE: 04/03/2003|
+------------------------------------------------+EVENT TIME: 10:55[EST]|
| NRC NOTIFIED BY: JOHN BOWER |LAST UPDATE DATE: 04/03/2003|
| HQ OPS OFFICER: ERIC THOMAS +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: NON EMERGENCY |RONALD BELLAMY R1 |
|10 CFR SECTION: | |
|APRE 50.72(b)(2)(xi) OFFSITE NOTIFICATION | |
| | |
| | |
| | |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|1 N N 0 Decommissioned |0 Decommissioned |
| | |
| | |
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EVENT TEXT
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| OFFSITE NOTIFICATION |
| |
| During a safety walkdown at the old Emergency Operating Facility, a small |
| amount (approximately 1 quart) of oil was discovered in the soil around an |
| energized transformer. The leakage probably occurred over a long period of |
| time, as there was no current leakage noted. The soil that contained the |
| oil was remediated, and a sample was sent off for PCB testing. The licensee |
| stuck a container under the transformer to gather any more leakage that |
| might occur. The licensee was unsure whether the transformer belonged to |
| them or to the local utility. This event was reported to the NRC because |
| the licensee notified the state of Connecticut. |
| |
| The licensee notified the NRC Resident Inspector. |
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|Hospital |Event Number: 39725 |
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| REP ORG: DEACONESS HOSPITAL |NOTIFICATION DATE: 04/03/2003|
|LICENSEE: DEACONESS HOSPITAL |NOTIFICATION TIME: 16:35[EST]|
| CITY: EVANSVILLE REGION: 3 |EVENT DATE: 03/28/2003|
| COUNTY: STATE: IN |EVENT TIME: 11:00[CST]|
|LICENSE#: 13-00142-02 AGREEMENT: N |LAST UPDATE DATE: 04/03/2003|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |BRENT CLAYTON R3 |
| |TRISH HOLAHAN NMSS |
+------------------------------------------------+ |
| NRC NOTIFIED BY: DENISE BEAN | |
| HQ OPS OFFICER: RICH LAURA | |
+------------------------------------------------+ |
|EMERGENCY CLASS: NON EMERGENCY | |
|10 CFR SECTION: | |
|LDIF 35.3045(a)(1) DOSE <> PRESCRIBED DOSA| |
| | |
| | |
| | |
| | |
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EVENT TEXT
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| MEDICAL EVENT AT DEACONESS HOSPITAL IN INDIANA |
| |
| A medical event occurred on 3/28/03 at 11:00 CST when a 9 year old patient |
| received an actual dose of 400 microcuries of I-131, for a thyroid scan and |
| uptake, instead of a planned dose of 4 microcuries of I-131. The error |
| occurred when the patient couldn't swallow the capsule and the hospital |
| ordered a liquid form of the radioisotope. The wrong dosage was ordered |
| from the radiopharmacy. The error was not discovered until after the dosage |
| had been administered. The hospital indicated they did not expect any |
| significant adverse health effect. The hospital was performing some more |
| detailed calculations involving this event. A review was initiated to |
| clearly identify the cause and initiate corrective actions to prevent |
| recurrence. |
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|Power Reactor |Event Number: 39726 |
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| FACILITY: POINT BEACH REGION: 3 |NOTIFICATION DATE: 04/03/2003|
| UNIT: [1] [2] [] STATE: WI |NOTIFICATION TIME: 18:05[EST]|
| RXTYPE: [1] W-2-LP,[2] W-2-LP |EVENT DATE: 04/03/2003|
+------------------------------------------------+EVENT TIME: 14:56[CST]|
| NRC NOTIFIED BY: RYAN RODE |LAST UPDATE DATE: 04/04/2003|
| HQ OPS OFFICER: ERIC THOMAS +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: NON EMERGENCY |BRENT CLAYTON R3 |
|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 |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|1 N Y 97 Power Operation |97 Power Operation |
|2 N Y 97 Power Operation |97 Power Operation |
| | |
+------------------------------------------------------------------------------+
EVENT TEXT
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| PARTIAL LOSS OF COMMUNICATIONS |
| |
| "On 4/3/03 at 1456, due to adverse weather conditions, power was lost to the |
| Site Boundary Control Center. This resulted in a loss of ENS FTS 2000 |
| Communication System in the TSC and Control Room. This event is reportable |
| per Duty and Call Superintendent Handbook DOS 2.1.1 Section 4.7, |
| Clarification of NUREG-1022 Section 3.2.13, Loss of EP Capabilities. |
| Commercial phone lines are fully functional." |
| |
| The licensee informed the NRC Resident Inspector, as well as state and local |
| authorities. |
| |
| |
| * * * UPDATE ON 4/4/03 @ 0145 BY RAASCH TO GOULD * * * |
| |
| At 2309 on 4/3/03, the EP Manager reported from the EOF that all phones are |
| lost in the EOF. This event is reportable per Duty and Call Superintendent |
| Handbook DCS 2.1.1 section 4.7, clarification of NUREG - 1022, section |
| 3.2.13 loss of EP capabilities. |
| |
| At 2315 on 4/3/03, power was restored to the EOF. Communication |
| capabilities from the EOF, TSC and Control Room ENS phones are restored. |
| |
| The Resident Inspector will be notified. Region 3 RDO(Clayton) was |
| notified. |
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|Power Reactor |Event Number: 39727 |
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| FACILITY: KEWAUNEE REGION: 3 |NOTIFICATION DATE: 04/03/2003|
| UNIT: [1] [] [] STATE: WI |NOTIFICATION TIME: 18:16[EST]|
| RXTYPE: [1] W-2-LP |EVENT DATE: 04/03/2003|
+------------------------------------------------+EVENT TIME: 16:05[CST]|
| NRC NOTIFIED BY: ETHAN TREPTOW |LAST UPDATE DATE: 04/03/2003|
| HQ OPS OFFICER: RICH LAURA +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: NON EMERGENCY |BRENT CLAYTON R3 |
|10 CFR SECTION: | |
|APRE 50.72(b)(2)(xi) OFFSITE NOTIFICATION | |
|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 |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|1 N Y 85 Power Operation |85 Power Operation |
| | |
| | |
+------------------------------------------------------------------------------+
EVENT TEXT
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| UNPLANNED SIREN OUTAGE DUE TO ADVERSE WEATHER AND OFFSITE NOTIFICATION AT |
| KEWAUNEE |
| |
| "At 1605 on April 3, 2003 it was reported to the Control Room that greater |
| than 50% siren population coverage was lost. The percent siren coverage |
| population lost is 50.03%. The lost siren coverage is due to weather related |
| power outages. Crews have been dispatched and are working to restore power |
| to the affected sirens. |
| |
| "Additionally, substation Line Y-51 is out-of-service due to the weather |
| conditions. Three of the four off-site power lines remain available. |
| |
| "The plant is currently in the process of reducing power for a refueling |
| outage. |
| |
| "This is being reported under 10 CFR 50.72(b)(3)(xiii) as any event that |
| results in a major loss of emergency assessment capability, offsite response |
| capability, or offsite communications capability (loss of greater than 50% |
| of emergency sirens). It is also being reported under 10 CFR 50.72(b)(2)(xi) |
| as any event or situation, related to the health and safety of the public or |
| onsite 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 Inspector was notified. |
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|Power Reactor |Event Number: 39728 |
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| FACILITY: MONTICELLO REGION: 3 |NOTIFICATION DATE: 04/04/2003|
| UNIT: [1] [] [] STATE: MN |NOTIFICATION TIME: 00:18[EST]|
| RXTYPE: [1] GE-3 |EVENT DATE: 04/03/2003|
+------------------------------------------------+EVENT TIME: 22:05[CST]|
| NRC NOTIFIED BY: SAND |LAST UPDATE DATE: 04/04/2003|
| HQ OPS OFFICER: CHAUNCEY GOULD +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: NON EMERGENCY |BRENT CLAYTON R3 |
|10 CFR SECTION: | |
|APRE 50.72(b)(2)(xi) OFFSITE NOTIFICATION | |
| | |
| | |
| | |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|1 N Y 100 Power Operation |100 Power Operation |
| | |
| | |
+------------------------------------------------------------------------------+
EVENT TEXT
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| FALSE ACTIVATION OF PUBLIC ALERT SYSTEM |
| |
| The plant had a false activation of the Public Alert Notification System |
| (PANS) by the Sherbune County Sheriff's Department. Sherbune County |
| personnel stated that they had accidentally triggered the system that |
| resulted in the sirens in both Sherbune and Wright counties to sound. Both |
| counties performed a signal cancellation and the sirens were silenced within |
| 5 - 10 minutes. |
| |
| The NRC Resident Inspector was notified along with the state and local |
| agencies. |
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