U.S. Nuclear Regulatory Commission
Operations Center
Event Reports For
06/02/2003 - 06/03/2003
** EVENT NUMBERS **
39892 39899 39900
+------------------------------------------------------------------------------+
|General Information or Other |Event Number: 39892 |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG: ARIZONA RADIATION REGULATORY AGENCY |NOTIFICATION DATE: 05/29/2003|
|LICENSEE: Phoenix Baptist Hospital & Medical Ce|NOTIFICATION TIME: 17:19[EDT]|
| CITY: PHOENIX REGION: 4 |EVENT DATE: 05/27/2003|
| COUNTY: STATE: AZ |EVENT TIME: [MST]|
|LICENSE#: 070-146 AGREEMENT: Y |LAST UPDATE DATE: 05/30/2003|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |KRISS KENNEDY R4 |
| |MELVYN LEACH NMSS |
+------------------------------------------------+ |
| NRC NOTIFIED BY: WILLIAM A. WRIGHT | |
| HQ OPS OFFICER: HOWIE CROUCH | |
+------------------------------------------------+ |
|EMERGENCY CLASS: NON EMERGENCY | |
|10 CFR SECTION: | |
|NAGR AGREEMENT STATE | |
| | |
| | |
| | |
| | |
+------------------------------------------------------------------------------+
EVENT TEXT
+------------------------------------------------------------------------------+
| AGREEMENT STATE REPORT - ARIZONA |
| |
| The following information was obtained from the Arizona Radiation Regulatory |
| Agency via facsimile: |
| |
| "On May 27, 2003, a patient was administered 27 mCi of Iodine-131 (Iodide) |
| instead of the prescribed dose of 5 mCi. Initial investigation indicates |
| that Medi-Physics Inc. had mistakenly sent a 27 mCi dose designated for AMI |
| to Phoenix Baptist Hospital and the 5 mCi dose for Phoenix Baptist Hospital |
| to AMI. It appears that the 27 mCi dose had been accurately assayed by the |
| Technician, had been noted to differ from the requested 5 mCi, but had been |
| administered to the patient anyway. It should also be noted that the |
| patient had a thyroid ablation procedure conducted previously. Medi-Physics |
| Inc. and Phoenix Baptist Hospital are investigating the situation and a |
| report from each will be forthcoming. |
| |
| "The Agency and licensees will continue to investigate this occurrence and |
| report further." |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
|Fuel Cycle Facility |Event Number: 39899 |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: HONEYWELL INTERNATIONAL, INC. |NOTIFICATION DATE: 06/02/2003|
| RXTYPE: URANIUM HEXAFLUORIDE PRODUCTION |NOTIFICATION TIME: 11:50[EDT]|
| COMMENTS: UF6 CONVERSION (DRY PROCESS) |EVENT DATE: 06/02/2003|
| |EVENT TIME: 09:00[CDT]|
| |LAST UPDATE DATE: 06/02/2003|
| CITY: METROPOLIS REGION: 3 +-----------------------------+
| COUNTY: MASSAC STATE: IL |PERSON ORGANIZATION |
|LICENSE#: SUB-526 AGREEMENT: Y |KENNETH O'BRIEN R3 |
| DOCKET: 04003392 |TOM ESSIG NMSS |
+------------------------------------------------+ |
| NRC NOTIFIED BY: M. GINZEL | |
| HQ OPS OFFICER: JOHN MacKINNON | |
+------------------------------------------------+ |
|EMERGENCY CLASS: NON EMERGENCY | |
|10 CFR SECTION: | |
|JSAF 40.60(b)(2) SAFETY EQUIPMENT FAILUR| |
| | |
| | |
| | |
| | |
+------------------------------------------------------------------------------+
EVENT TEXT
+------------------------------------------------------------------------------+
| LINE BREAK IN FIRE PROTECTION SYSTEM |
| |
| |
| While adding a new component, Hydrogen Fluoride Mitigation Tower (sprays |
| water on an HF release), to their fire protection system when an underground |
| line break to the fire protection system occurred between the Fluorine Plant |
| and the Feeds Material Building. The fire protection system line break was |
| isolated via valves and the water leak was stopped. Proper Fire Protection |
| System pressure has been restored. All Safety system are covered by the Fire |
| Protection System. |
| |
| NRC Residents Inspectors at Paducah were notified of this event by Honeywell |
| International. |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
|Power Reactor |Event Number: 39900 |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: CALVERT CLIFFS REGION: 1 |NOTIFICATION DATE: 06/02/2003|
| UNIT: [1] [2] [] STATE: MD |NOTIFICATION TIME: 15:28[EDT]|
| RXTYPE: [1] CE,[2] CE |EVENT DATE: 06/02/2003|
+------------------------------------------------+EVENT TIME: 14:00[EDT]|
| NRC NOTIFIED BY: BRUCE SHICK |LAST UPDATE DATE: 06/02/2003|
| HQ OPS OFFICER: JOHN MacKINNON +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: NON EMERGENCY |JAMES LINVILLE R1 |
|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 100 Power Operation |100 Power Operation |
|2 N Y 100 Power Operation |100 Power Operation |
| | |
+------------------------------------------------------------------------------+
EVENT TEXT
+------------------------------------------------------------------------------+
| WEEKLY SILENT EMERGENCY SIREN TEST FAILED |
| |
| The weekly silent testing of St Marys county failed to transmit the test |
| signal resulting in 17 out of 17 emergency siren test failures. St Marys |
| county will have to perform route alerting until the emergency sirens have |
| been restored to service. |
| |
| The NRC Resident Inspector was notified of this event by the licensee. |
+------------------------------------------------------------------------------+
