U.S. Nuclear Regulatory Commission
Operations Center
Event Reports For
06/25/2003 - 06/26/2003
** EVENT NUMBERS **
39631 39951 39953 39957 39959 39960
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|Power Reactor |Event Number: 39631 |
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| FACILITY: SAINT LUCIE REGION: 2 |NOTIFICATION DATE: 03/02/2003|
| UNIT: [1] [2] [] STATE: FL |NOTIFICATION TIME: 16:00[EST]|
| RXTYPE: [1] CE,[2] CE |EVENT DATE: 03/02/2003|
+------------------------------------------------+EVENT TIME: 14:30[EST]|
| NRC NOTIFIED BY: CHARLES PIKE |LAST UPDATE DATE: 06/26/2003|
| HQ OPS OFFICER: GERRY WAIG +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: NON EMERGENCY |WALTER RODGERS R2 |
|10 CFR SECTION: |DAVID AYRES R2 |
|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 |
|2 N Y 100 Power Operation |100 Power Operation |
| | |
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EVENT TEXT
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| OFFSITE NOTIFICATION TO STATE AGENCY OF EXPIRED GREEN SEA TURTLE FOUND AT |
| BARRIER NET |
| |
| "NRC notification [is] being made due to state notification to [the] Florida |
| Wildlife Commission regarding a Green Sea Turtle found dead at barrier net |
| pursuant to 10 CFR 50.72(b)(2)(xi)." |
| |
| The turtle was found on the surface at the barrier net with no injuries or |
| abnormalities except for fresh cuts common for turtles coming through pipes. |
| The cause of death is unknown at this time. A necropsy is planned. |
| |
| The NRC Resident Inspector will be notified by the licensee. |
| |
| * * * UPDATE ON 3/15/03 @ 1033 EST FROM TEREZAKIS TO CROUCH * * * |
| |
| "On 3-15-03, a green sea turtle was retrieved from the plant's intake canal. |
| The turtle was determined to be in need of rehabilitation. The injuries to |
| the turtle are not causal to plant operation. Per the plant's turtle permit, |
| the Florida Fish and Wildlife Conservation Commission (FWCC) was notified at |
| 0920 EST. This non-emergency notification is being made pursuant to 10 CFR |
| 50.72(b)(2)(xi) due to the notification of FWCC." |
| |
| The NRC Resident Inspector will be notified by the licensee. |
| |
| * * * UPDATE ON 3/19/03 AT 1222 EST FROM E. SUMNER TO RIPLEY * * * |
| |
| "On 03/19/03 @ 1105 hrs., one loggerhead turtle was retrieved from the |
| plant's intake canal. The turtle was determined to be in need of |
| rehabilitation. The injury to the turtle is not causal to plant operation. |
| Per the plant's turtle permit, the Florida Fish and Wildlife Conservation |
| Commission (FWCC) was notified at 1115 EST." |
| |
| The NRC Resident Inspector was notified. |
| |
| * * * UPDATED ON 3/31/03 AT 1159 EST FROM W.L. PARK TO A. COSTA * * * |
| |
| "On 3-31-03 [1105 EST], a loggerhead sea turtle was retrieved from the |
| plant's intake canal. The turtle was determined to be in need of |
| rehabilitation. The injuries to the turtle are not causal to plant |
| operation. Per the plant's turtle permit, the Florida Fish and Wildlife |
| Conservation Commission (FWCC) was notified at 1105 EST. This non-emergency |
| notification is being made pursuant to 10 CFR 50.72(b)(2)(xi) due to the |
| notification of FWCC." |
| |
| The NRC Resident Inspector will be notified. |
| |
| * * * UPDATE 1235EST ON 4/9/03 FROM ANDY TEREZAKIS TO S.SANDIN * * * |
| |
| "On 4-9-03, a loggerhead sea turtle was retrieved from the plant's Intake |
| canal. The turtle was determined to be in need of rehabilitation. The |
| injuries to the turtle are not causal to plant operation. Per the plant's |
| turtle permit, the Florida Fish and Wildlife Conservation Commission (FWCC) |
| was notified at 1100 EST. This non-emergency notification is being made |
| pursuant to 10CFR50.72(b)(2)(xi) due to the notification of FWCC." |
| |
| The licensee informed the NRC resident inspector. Notified R2DO(Landis). |
| |
| *** UPDATE ON 5/2/03 AT 1826 FROM S. OEHRLE TO A. COSTA *** |
| |
| "On 5/2/03, a green sea turtle was retrieved from the intake canal. The |
| turtle required rehabilitation. The injuries were not causal to plant |
| operation. Per the plant's turtle permit, the Florida Fish and Wildlife |
| Conservation Commission was notified at 1445 EDT. This non-emergency |
| notification is being made pursuant to 10 CFR 50.72 (b)(2)(xi) due to |
| offsite notification." |
| |
| The Licensee will notify the NRC Resident Inspector. Notified R2DO |
| (Munday). |
| |
| **** update on 05/24/03 at 1417 EDT FROM JOE HESSLING TO JOHN MACKINNON |
| **** |
| |
| "On 5-24-03, a loggerhead sea turtle was retrieved from the plant's intake |
| canal. The turtle was determined to be in need of rehabilitation. The |
| turtle was very underweight and lethargic, no injuries or anomalies noted. |
| Turtle's condition is not causal to plant operation. Per the plant's turtle |
| permit the Florida Fish and Wildlife Conservation Commission (FWCC) was |
| notified at 1345 EDT. This non-emergency notification is being made |
| pursuant to 10 CFR 50.72(b)(2)(xi) due to the notification of FWCC. NRC R2DO |
| (TOM DECKER) notified. |
| |
| The NRC Resident Inspector was by notified of this event by the licensee. |
| |
| ****UPDATE ON 5/27/03 AT 10:49 FROM HESSLING TO LAURA**** |
| |
| "On 5-27-03, a loggerhead sea turtle was retrieved from the plant's intake |
| canal. The turtle was determined to be in need of rehabilitation. The turtle |
| was underweight, and missing lower posterior marginals on left side. |
| Turtle's injuries are not causal to plant operation. Per the plant's turtle |
| permit, the Florida Fish and Wildlife Conservation Commission (FWCC) was |
| notified at 0850 EDT. This non-emergency notification is being made pursuant |
| to 10 CFR 50.72(b)(2)(xi) due to the notification of FWCC." |
| |
| Notified R2DO (T. Decker) |
| |
| * * * UPDATE ON 06/17/03 AT 12:45 EDT FROM CALVIN WARD TO ARLON COSTA * * * |
| |
| "At approximately 12:45 p.m. on 6/17/03 a loggerhead turtle was rescued from |
| the St. Lucie Plant intake canal. The turtle was injured and will be |
| transported to the State authorized sea turtle rehabilitation facility. The |
| Florida Dept. of Environmental Protection (FDEP) was notified at 1:09 p.m. |
| as required by the St. Lucie Plant Sea Turtle Permit - see the attached sea |
| turtle stranding report (1 page). |
| |
| "Notification to the state government agency requires a four (4) Hr. |
| Non-Emergency Notification to the NRC per 10 CFR 50.72(b)(2)(xi). There were |
| no unusual plant evolutions in progress which may have contributed to this |
| event." |
| |
| The licensee notified the NRC Resident Inspector. |
| |
| Notified R2DO (L. Wert). |
| |
| * * * UPDATE 0605 EDT ON 6/26/03 FROM STEVE MERRILL TO S. SANDIN * * * |
| |
| The licensee was informed by the FWCC that the green sea turtle requiring |
| rehabilitation which was retrieved from the plant's intake canal on 3/15/03 |
| had expired within 10 days of removal. Consequently, the licensee is |
| updating their 3/15/03 report to include this additional information. The |
| licensee will inform the NRC Resident Inspector. Notified R2DO(C. Ogle). |
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|General Information or Other |Event Number: 39951 |
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| REP ORG: SC DIV OF HEALTH & ENV CONTROL |NOTIFICATION DATE: 06/20/2003|
|LICENSEE: GEO-SYSTEMS DESIGN & TESTING, INC. |NOTIFICATION TIME: 13:42[EDT]|
| CITY: NEWBERRY REGION: 2 |EVENT DATE: 06/20/2003|
| COUNTY: STATE: SC |EVENT TIME: [EDT]|
|LICENSE#: 412 AGREEMENT: Y |LAST UPDATE DATE: 06/20/2003|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |LEONARD WERT R2 |
| | |
+------------------------------------------------+ |
| NRC NOTIFIED BY: JIM PETERSON | |
| HQ OPS OFFICER: HOWIE CROUCH | |
+------------------------------------------------+ |
|EMERGENCY CLASS: NON EMERGENCY | |
|10 CFR SECTION: | |
|NAGR AGREEMENT STATE | |
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| | |
| | |
| | |
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EVENT TEXT
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| AGREEMENT STATE REPORT |
| |
| The following information was received from South Carolina Department of |
| Health and Environmental Control via facsimile: |
| |
| "The SC Department of Health and Environmental Control was notified on June |
| 20, 2003, by a representative from Geo-Systems Design and Testing, that a |
| portable gauging device had been run over by a construction vehicle at a |
| construction work site. The gauge is a Campbell Pacific Nuclear model 131 |
| containing 10 [milliCuries] of cesium-137 and 50 [milliCuries] of Am-241:Be. |
| The licensee is maintaining constant surveillance of the damaged gauge. The |
| extent of damage at this time is unknown but the licensee has indicated the |
| gauge is crushed. State inspectors are responding at this time and are |
| traveling to the scene. Updates to this event will be made through the |
| national NMED system." |
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|General Information or Other |Event Number: 39953 |
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| REP ORG: NEW MEXICO RAD CONTROL PROGRAM |NOTIFICATION DATE: 06/20/2003|
|LICENSEE: TERACON |NOTIFICATION TIME: 17:50[EDT]|
| CITY: LENEXA REGION: 4 |EVENT DATE: 06/20/2003|
| COUNTY: STATE: KS |EVENT TIME: 11:00[CDT]|
|LICENSE#: DM346 AGREEMENT: Y |LAST UPDATE DATE: 06/20/2003|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |DALE POWERS R4 |
| |C.W. (BILL) REAMER NMSS |
+------------------------------------------------+ |
| NRC NOTIFIED BY: BILL FLOYD | |
| HQ OPS OFFICER: HOWIE CROUCH | |
+------------------------------------------------+ |
|EMERGENCY CLASS: NON EMERGENCY | |
|10 CFR SECTION: | |
|NAGR AGREEMENT STATE | |
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| | |
| | |
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EVENT TEXT
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| AGREEMENT STATE REPORT - STOLEN MOISTURE DENSITY GAUGE |
| |
| The following information was obtained from the New Mexico Radiation Control |
| Bureau: |
| |
| At 1750 EDT on 06/20/03, the Program Manager of New Mexico's Radiation |
| Control Bureau reported a stolen Troxler Moisture Density Gauge (10 |
| milli-curies CS-137 and 44 milli-curies Am-241). The licensee's employee |
| reported that the gauge was in a box and chained to his truck at 2100 CDT |
| last night, 06/19/03. Today, 06/20/03, at 1100 CDT when the employee |
| reached the worksite in Ruidoso, NM, the gauge was missing. Apparently the |
| chain had been moved enough to open the box. The licensee is Teracon, |
| Lenexa, KS. The licensee was advised to report the incident to local law |
| enforcement. |
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|General Information or Other |Event Number: 39957 |
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| REP ORG: ILLINOIS DEPT OF NUCLEAR SAFETY |NOTIFICATION DATE: 06/23/2003|
|LICENSEE: GOOD SHEPHERD HOSPITAL |NOTIFICATION TIME: 17:26[EDT]|
| CITY: BARRINGTON REGION: 3 |EVENT DATE: 06/17/2003|
| COUNTY: STATE: IL |EVENT TIME: [CDT]|
|LICENSE#: IL-01620-01 AGREEMENT: Y |LAST UPDATE DATE: 06/23/2003|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |PATRICK LOUDEN R3 |
| |C.W. (BILL) REAMER NMSS |
+------------------------------------------------+ |
| NRC NOTIFIED BY: DAREN PERRERO | |
| HQ OPS OFFICER: ARLON COSTA | |
+------------------------------------------------+ |
|EMERGENCY CLASS: NON EMERGENCY | |
|10 CFR SECTION: | |
|NAGR AGREEMENT STATE | |
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| | |
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EVENT TEXT
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| AGREEMENT STATE REPORT- WRONG PATIENT SELECTED |
| |
| "Today, June 23, 2003, a consultant to Good Shepherd Hospital (IL-01620-01) |
| in Barrington, IL called concerning a reportable medical event [discovery |
| date 06/20/2003]. On June 17th the licensee was scheduled to provide a |
| therapeutic dose of 15 milliCi [milliCuries] of I-131 to a patient by |
| capsule. Instead, the patient received a capsule with an assayed dose of |
| 10.8 milliCi. Apparently, two treatments were scheduled for the day and a |
| second patient was prescribed a dose of 11 milliCi and the technician failed |
| to administer the correct dose to the patient. The second patient did not |
| receive any treatment that day and was rescheduled for last Friday. (A |
| separate call to the pharmacy confirmed two doses were delivered on Tuesday, |
| one of 15 milliCi and a second [dose] of 11 milliCi and another dose of 10 |
| milliCi was provided on Friday.) |
| |
| "At this time, the radiation oncologist does not believe there will be any |
| appreciable effect to the patient, but will continue to follow through with |
| the evaluation to determine if an additional dose is necessary to achieve |
| the optimal results. The licensee has advised the referring physician |
| verbally and in writing. They have determined it would not be appropriate |
| to notify the patient[s] given their condition and medical situation. |
| |
| "The licensee has spoken with the responsible technician about ensuring the |
| correct dose is administered to the correct patient. The licensee is in the |
| process of changes procedures at the site so that two individuals must |
| independently confirm the correct patient identification and dosage |
| information immediately prior to administration. |
| |
| "The licensee was advised as the need for timely reporting or these events |
| and that a formal report must be filed within 15 days as per 32 Ill. Adm. |
| Code 335.1080." |
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|Power Reactor |Event Number: 39959 |
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| FACILITY: HADDAM NECK REGION: 1 |NOTIFICATION DATE: 06/25/2003|
| UNIT: [1] [] [] STATE: CT |NOTIFICATION TIME: 14:27[EDT]|
| RXTYPE: [1] W-4-LP |EVENT DATE: 06/25/2003|
+------------------------------------------------+EVENT TIME: 13:24[EDT]|
| NRC NOTIFIED BY: JOHN BOWER |LAST UPDATE DATE: 06/25/2003|
| HQ OPS OFFICER: RICH LAURA +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: NON EMERGENCY |KENNETH JENISON 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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| SMALL OIL SPILL AT HADDAM NECK PROMPTS OFFSITE NOTIFICATION |
| |
| The licensee reported an offsite notification to the Connecticut Department |
| of Environmental Protection concerning a 1 pint oil spill. Apparently, a |
| hydraulic hose on a forklift failed and spilled oil onto the dirt. The |
| licensee indicated they will clean-up the oil spill. |
| |
| Notified R1DO (K. Jenison) |
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|Power Reactor |Event Number: 39960 |
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| FACILITY: THREE MILE ISLAND REGION: 1 |NOTIFICATION DATE: 06/25/2003|
| UNIT: [1] [] [] STATE: PA |NOTIFICATION TIME: 19:45[EDT]|
| RXTYPE: [1] B&W-L-LP,[2] B&W-L-LP |EVENT DATE: 06/25/2003|
+------------------------------------------------+EVENT TIME: 14:30[EDT]|
| NRC NOTIFIED BY: JOHN SCHORK |LAST UPDATE DATE: 06/25/2003|
| HQ OPS OFFICER: JAMES DODSON +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: NON EMERGENCY |KENNETH JENISON R1 |
|10 CFR SECTION: | |
|AUNA 50.72(b)(3)(ii)(B) UNANALYZED CONDITION | |
|AIND 50.72(b)(3)(v)(D) ACCIDENT MITIGATION | |
| | |
| | |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|1 N Y 100 Power Operation |100 Power Operation |
| | |
| | |
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EVENT TEXT
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| UNANALYZED CONDITION DUE TO DISLODGED ACCESS PANEL IN THE CONTROL BUILDING |
| VENTILATION SYSTEM |
| |
| "An access panel cover for the Control Building Ventilation System supply |
| duct was found to be dislodged on June 24, 2003. The access panel was |
| immediately realigned upon discovery of the condition and secured. The |
| probable cause of the event is that vibration of the ductwork caused the |
| panel closure camlocks to vibrate from a closed position to an open |
| position. A walkdown is being performed to ensure that other access panels |
| are secure. The corrective action to this event will address additional |
| actions to ensure these closure camlocks and other similar camlocks are |
| positively secured to prevent an event recurrence. |
| |
| "The review of the potential impact of this system configuration determined |
| on June 25, 2003 that conditions may have existed as defined in 10 CFR |
| 50.72(b)(3)(ii)(B) and 10 CFR 50.72(b)(3)(v)(D) and that the event requires |
| reporting. On Tuesday, June 25, 2003, further Engineering evaluation |
| determined that the dislodged panel access cover for the Control Building |
| Ventilation System may have reduced the systems capability to maintain a |
| positive pressure in the Control Building Habitability Envelope. This |
| condition could have lead to increased unfiltered in-leakage of airborne |
| radioactive material beyond the previously analyzed condition in the event |
| of a design basis accident. Further analysis may determine that the system |
| would have been able to perform its design basis function. |
| |
| "The NRC Resident Inspector has been notified. No other state, local or |
| other government agencies have been notified. There has been no media press |
| release issued." |
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