U.S. Nuclear Regulatory Commission
Operations Center
Event Reports For
03/26/2003 - 03/27/2003
** EVENT NUMBERS **
39685 39689 39701 39702 39703 39704
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|General Information or Other |Event Number: 39685 |
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| REP ORG: TEXAS DEPARTMENT OF HEALTH |NOTIFICATION DATE: 03/21/2003|
|LICENSEE: LAW ENGINEERING & ENVIRONMENTAL SERVI|NOTIFICATION TIME: 11:58[EST]|
| CITY: FORT WORTH REGION: 4 |EVENT DATE: 03/21/2003|
| COUNTY: STATE: TX |EVENT TIME: 03:40[CST]|
|LICENSE#: L05490-000 AGREEMENT: Y |LAST UPDATE DATE: 03/21/2003|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |CLAUDE JOHNSON R4 |
| |LARRY CAMPER NMSS |
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| NRC NOTIFIED BY: JAMES H. OGDEN, JR. | |
| HQ OPS OFFICER: ARLON COSTA | |
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|EMERGENCY CLASS: NON EMERGENCY | |
|10 CFR SECTION: | |
|NAGR AGREEMENT STATE | |
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EVENT TEXT
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| AGREEMENT STATE REPORT: STOLEN TROXLER MOISTURE DENSITY GAUGE |
| |
| "Gauge operator was working the swing shift supporting operations of |
| construction of the Dallas Area Rapid Transit (DART) in Dallas, Texas. |
| Enroute to company office, he stopped by his residence from 3:00 a.m. to |
| 3:40 a.m. for breakfast. Before departing for the storage location, 2200 |
| Gravel Drive, Fort Worth, he noted that the gauge and chain were missing |
| from his company [Law Engineering & Environmental Services, Inc.] truck |
| (Black Ford, F-150). The stolen gauge is a Troxler 3411 B, Serial No. |
| 10732, with two sealed sources: Cs-137, 8 millicuries, Serial No. 40-8208 |
| and AM-241/Be, 40 millicuries, Serial No. 46-2134. A report of the theft |
| was made to the White Settlement Police Department and to his supervisor, |
| [DELETED]. The gauge, chain, and lock are completely missing from the |
| vehicle. |
| |
| "Licensee notified White Settlement Police Department, and Texas Department |
| of Health/Bureau of Radiation Control, TDH/BRC will notify NRC, INEEL, |
| Troxler Electronic Labs, and the states of Arizona, Arkansas, Louisiana, New |
| Mexico, and Oklahoma, as well as, the country of Mexico. |
| |
| "Media attention: None at this time. Licensee is debating notifications to |
| local media and possibly offering a reward for return of the gauge." |
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|General Information or Other |Event Number: 39689 |
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| REP ORG: ALABAMA RADIATION CONTROL |NOTIFICATION DATE: 03/22/2003|
|LICENSEE: GALLET AND ASSOCIATES |NOTIFICATION TIME: 18:44[EST]|
| CITY: HOMEWOOD REGION: 2 |EVENT DATE: 03/22/2003|
| COUNTY: STATE: AL |EVENT TIME: 09:30[CST]|
|LICENSE#: 991 AGREEMENT: Y |LAST UPDATE DATE: 03/22/2003|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |CAUDLE JULIAN R2 |
| |LARRY CAMPER NMSS |
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| NRC NOTIFIED BY: JAMES L. MCNEES | |
| HQ OPS OFFICER: ARLON COSTA | |
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|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 |
| |
| "At 11:12 a.m. on Saturday March 22, 2003 James L. McNees of the Office of |
| Radiation Control was contacted at his home by Mr. Tad Nelson of Gallet and |
| Associates, (Alabama Radioactive Material License No. 991) and notified that |
| at approximately 10:00 a.m. this morning that a Campbell Pacific model MC-3 |
| moisture density gauge had been stolen from the back of a company pickup |
| truck at an employee's home. Nelson stated that the Homewood (Alabama) |
| Police Department was currently at the location investigating. The device |
| contains approximately 10 mCi [millicuries] of Cs-137 and 40 mCi |
| [millicuries] of Am-241. Nelson further stated that the shipping container |
| housing the device was locked, as was the control mechanism on the device, |
| and that the thief(s) reportedly obtained the device by cutting the chain by |
| which the shipping container was locked to the bed of the truck. |
| |
| "Alabama Emergency Management Agency was notified at 11:28 a.m., who [in |
| turn] alerted other civil authorities in the Jefferson County area. The |
| principal concern being that once the thief discovers that the stolen device |
| has little value at sale, and is hazardous, that it will be abandoned. |
| |
| "Mr. Nelson agreed that if the device was not recovered by this afternoon |
| that a press release should be made. At 5:00 p.m. today, March 22, 2003, |
| the writer was informed by Mr. Nelson that the device had not been |
| recovered. Both agreed that Gallet and Associates should forward the |
| attached press release to local Jefferson County media outlets. |
| |
| The Licensee, Gullet & Associates, issued the following Press Release on |
| March 22, 2003: |
| |
| "Around or before 9:30 on March 22, 2003, a moisture-density gauge |
| containing sealed sources of radioactive material was stolen from its case |
| locked to a truck owned by Gallet & Associates, Inc. of Birmingham, Alabama. |
| The truck was parked at a home in the Edgewood community of Homewood, |
| Alabama near the Palisades Shopping Center. The Homewood Police Department |
| was notified and is continuing their investigation. |
| |
| "The Attached is a sketch of the gauge stolen. Labels indicating the device |
| is radioactive should be visible on the gauge itself. Normally the |
| radioactive sealed source is locked in a safe position. The device does not |
| pose a health hazard as long as it is not tampered with or handled by |
| untrained individuals. Please notify the Homewood Police Department at |
| (205) 877-8637, Gallet & Associates, Inc. at (205) 942-1289, the Alabama |
| Division of Radiation Control at 1-800-582-1866, or your local police |
| department if found. |
| |
| "Since the device and sale of such is regulated it therefore has no resale |
| value and can only be used to determine the moisture content and density of |
| soils by licensed, qualified personnel. |
| |
| "A reward is offered for the recovery or information leading to the recovery |
| of the device." |
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|Power Reactor |Event Number: 39701 |
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| FACILITY: SUSQUEHANNA REGION: 1 |NOTIFICATION DATE: 03/26/2003|
| UNIT: [1] [2] [] STATE: PA |NOTIFICATION TIME: 00:30[EST]|
| RXTYPE: [1] GE-4,[2] GE-4 |EVENT DATE: 03/25/2003|
+------------------------------------------------+EVENT TIME: 23:58[EST]|
| NRC NOTIFIED BY: ROBERT BOESCH |LAST UPDATE DATE: 03/26/2003|
| HQ OPS OFFICER: MIKE RIPLEY +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: NON EMERGENCY |PAMELA HENDERSON R1 |
|10 CFR SECTION: | |
|APRE 50.72(b)(2)(xi) OFFSITE NOTIFICATION | |
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|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 N 0 Refueling |0 Refueling |
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EVENT TEXT
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| OFFSITE NOTIFICATION OF MEDICAL CONDITION |
| |
| "On 3/25/03 at 23:45 [EST] the Main Control Room was notified that an |
| individual with a medical condition (believed to be a kidney stone) needed |
| to be transported to the hospital by ambulance. An ambulance was dispatched |
| to the site. The individual was not contaminated. The individual was |
| transported to a local hospital for treatment. |
| |
| "The Pennsylvania Emergency Management Agency was notified at 23:58 [EST]. |
| Due to notification to another government agency, this event is reportable |
| under 10CFR50.72(b)(2)(xi)." |
| |
| The licensee notified the NRC Resident Inspector. |
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|Power Reactor |Event Number: 39702 |
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| FACILITY: BROWNS FERRY REGION: 2 |NOTIFICATION DATE: 03/26/2003|
| UNIT: [] [2] [] STATE: AL |NOTIFICATION TIME: 06:04[EST]|
| RXTYPE: [1] GE-4,[2] GE-4,[3] GE-4 |EVENT DATE: 03/26/2003|
+------------------------------------------------+EVENT TIME: 02:45[CST]|
| NRC NOTIFIED BY: JOE BENNET |LAST UPDATE DATE: 03/26/2003|
| HQ OPS OFFICER: MIKE RIPLEY +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: NON EMERGENCY |RUDOLPH BERNHARD R2 |
|10 CFR SECTION: | |
|ASHU 50.72(b)(2)(i) PLANT S/D REQD BY TS | |
|AESF 50.72(b)(3)(iv)(A) VALID SPECIF SYS ACTUAT| |
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+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE |
+-----+----------+-------+--------+-----------------+--------+-----------------+
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|2 M/R Y 61 Power Operation |0 Hot Shutdown |
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EVENT TEXT
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| SHUTDOWN REQUIRED BY TECHNICAL SPECIFICATIONS |
| |
| "On 3/26/03 at 02:45 [CST], Unit 2 experienced a trip of the 2B |
| Recirculation system variable frequency drive (VFD). The 2A VFD had tripped |
| earlier in the shift. This resulted in entry into Technical Specification |
| 3.4.1 .B, which requires the plant to be placed in Mode 3 within 12 hours. |
| The unit was manually scrammed at this time in accordance with plant |
| procedures. |
| |
| "This event is reportable within 4 hours per 10CFR 50.72 (b)(2)(i) as 'The |
| initiation of any nuclear plant shutdown required by the plant's Technical |
| Specifications'. It is also reportable per 10CFR 50.72(b)(3)(iv)(A) and |
| 10CFR 50.73(a)(2)(i)(A) and (iv)(B)." |
| |
| The cause of the Recirculation System VFD is being investigated. The |
| licensee notified the NRC Resident Inspector. |
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|Hospital |Event Number: 39703 |
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| REP ORG: DOYLESTOWN HOSPITAL |NOTIFICATION DATE: 03/26/2003|
|LICENSEE: DOYLESTOWN HOSPITAL |NOTIFICATION TIME: 11:10[EST]|
| CITY: DOYLESTOWN REGION: 1 |EVENT DATE: 03/25/2003|
| COUNTY: STATE: PA |EVENT TIME: 09:00[EST]|
|LICENSE#: 37-13234-01 AGREEMENT: N |LAST UPDATE DATE: 03/26/2003|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |PAMELA HENDERSON R1 |
| |TOM ESSIG NMSS |
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| NRC NOTIFIED BY: NUNNO | |
| HQ OPS OFFICER: CHAUNCEY GOULD | |
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|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 WHICH INVOLVED EXCEEDING THE PRESCRIBED DOSE TO A PATIENT |
| |
| During a procedure using a Galileo 3 IVB made by Guidant, the company |
| trainer was demonstrating how to conduct the procedure. A "hot" (wire |
| containing approximately 100 millicuries of P-32) wire was to be inserted |
| into the patient's coronary vessel, but prior to this a dummy wire was to be |
| inserted. The dummy wire was inserted but not all the way. It was removed |
| and then the "hot" wire was inserted to the same position and then removed. |
| It was then realized that it was not fully inserted, so they reinserted it |
| to the full position realizing that the patient would get more that the |
| prescribed dose of 2,000 rads (actual dose received was 2,833 rads or 41% |
| more than the prescribed dose), but the treatment was needed by the patient. |
| There would be no adverse affects to the patient and both the patient and |
| prescribing physician were notified. |
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|Power Reactor |Event Number: 39704 |
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| FACILITY: SEQUOYAH REGION: 2 |NOTIFICATION DATE: 03/26/2003|
| UNIT: [1] [] [] STATE: TN |NOTIFICATION TIME: 11:16[EST]|
| RXTYPE: [1] W-4-LP,[2] W-4-LP |EVENT DATE: 03/26/2003|
+------------------------------------------------+EVENT TIME: 10:12[EST]|
| NRC NOTIFIED BY: MICHAEL HOWARD |LAST UPDATE DATE: 03/26/2003|
| HQ OPS OFFICER: MIKE RIPLEY +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: NON EMERGENCY |RUDOLPH BERNHARD R2 |
|10 CFR SECTION: | |
|ADEG 50.72(b)(3)(ii)(A) DEGRADED CONDITION | |
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+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|1 N N 0 Refueling Shutdow|0 Refueling Shutdow|
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EVENT TEXT
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| REACTOR VESSEL HEAD DEGRADED CONDITION |
| |
| "During the unit 1 cycle 12 refueling and steam generator replacement |
| outage, an inspection was performed of the vessel head in accordance with |
| NRC Order EA-03-009. This bare metal inspection identified a potential leak |
| indication at the head to penetration interface for CRDM (Control Rod Drive |
| Mechanism) penetration #3. On March 26, 2003, at approximately 1012 hours |
| EST, it was decided that the chemical samples have confirmed that the |
| residue found at this interface contains boron, iron, and zinc, indicating |
| that this was an RCS leak. This leak is most likely from a through wall |
| crack in the RCS pressure boundary at the CRDM interface. Volumetric exams |
| are planned to confirm the crack and to determine the scope of any repairs. |
| In accordance with the Order, a 100% volumetric inspection is being prepared |
| for this outage. Prior to this identification, this unit was rated as a |
| 'low susceptibility category.' There had been no indication of RCS leakage |
| during the previous cycle's operation. This notification is being made in |
| accordance with 10 CFR 50.72(b)(3)(ii)(A)." |
| |
| The licensee has notified the NRC Resident Inspector. |
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