U.S. Nuclear Regulatory Commission
Operations Center
Event Reports For
10/28/2002 - 10/29/2002
** EVENT NUMBERS **
39313 39314 39324 39326
+------------------------------------------------------------------------------+
|General Information or Other |Event Number: 39313 |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG: NC DIV OF RADIATION PROTECTION |NOTIFICATION DATE: 10/23/2002|
|LICENSEE: FORSYTH MEDICAL CENTER |NOTIFICATION TIME: 16:40[EDT]|
| CITY: WINSTON-SALEM REGION: 2 |EVENT DATE: 10/23/2002|
| COUNTY: STATE: NC |EVENT TIME: 15:00[EDT]|
|LICENSE#: NC 034-0878-3 AGREEMENT: Y |LAST UPDATE DATE: 10/23/2002|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |ROBERT HAAG R2 |
| |MELVYN LEACH NMSS |
+------------------------------------------------+ |
| NRC NOTIFIED BY: JAMES ALBRIGHT | |
| HQ OPS OFFICER: FANGIE JONES | |
+------------------------------------------------+ |
|EMERGENCY CLASS: NON EMERGENCY | |
|10 CFR SECTION: | |
|NAGR AGREEMENT STATE | |
| | |
| | |
| | |
| | |
+------------------------------------------------------------------------------+
EVENT TEXT
+------------------------------------------------------------------------------+
| AGREEMENT STATE REPORT - STUCK SOURCE IN BRACHYTHERAPY DELIVERY SYSTEM |
| |
| North Carolina Incident Report #02-40. While performing a QA/QC test of a |
| Gamma Med Brachytherapy system, the source (unknown strength at this time) |
| stuck half way out. Efforts to retrieve the source normally, with the |
| emergency retrieval system, and the manual crank were not successful. The |
| manufacturer has been notified and the area secured. One physicist entered |
| the room during the recovery operation and may have received a dose, survey |
| meter pegged at 2 Rem/hour on entry to room. |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
|General Information or Other |Event Number: 39314 |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG: NC DIV OF RADIATION PROTECTION |NOTIFICATION DATE: 10/23/2002|
|LICENSEE: PRIZM LABS |NOTIFICATION TIME: 17:09[EDT]|
| CITY: CHARLOTTE REGION: 2 |EVENT DATE: 10/14/2002|
| COUNTY: STATE: NC |EVENT TIME: [EDT]|
|LICENSE#: NC 1203-0G AGREEMENT: Y |LAST UPDATE DATE: 10/23/2002|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |ROBERT HAAG R2 |
| |MELVYN LEACH NMSS |
+------------------------------------------------+ |
| NRC NOTIFIED BY: JAMES ALBRIGHT | |
| HQ OPS OFFICER: FANGIE JONES | |
+------------------------------------------------+ |
|EMERGENCY CLASS: NON EMERGENCY | |
|10 CFR SECTION: | |
|NAGR AGREEMENT STATE | |
| | |
| | |
| | |
| | |
+------------------------------------------------------------------------------+
EVENT TEXT
+------------------------------------------------------------------------------+
| AGREEMENT STATE REPORT - LEAKING SEALED SOURCE |
| |
| North Carolina Incident Report #02-41. Reported to North Carolina Division |
| of Radiation Protection on 10/23/02 that an electron capture device sealed |
| source (20 millicuries of Ni-63, serial #5339) has been determined to be |
| leaking. Smear read 180,000 DPM (0.08 microcuries). Prizm Labs is |
| contacting the manufacturer for disposal. |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
|Power Reactor |Event Number: 39324 |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: LIMERICK REGION: 1 |NOTIFICATION DATE: 10/28/2002|
| UNIT: [] [2] [] STATE: PA |NOTIFICATION TIME: 16:54[EST]|
| RXTYPE: [1] GE-4,[2] GE-4 |EVENT DATE: 09/06/2002|
+------------------------------------------------+EVENT TIME: 14:38[EDT]|
| NRC NOTIFIED BY: SCLIENDELMAN |LAST UPDATE DATE: 10/28/2002|
| HQ OPS OFFICER: JOHN MacKINNON +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: NON EMERGENCY |DAVID SILK R1 |
|10 CFR SECTION: | |
|AINV 50.73(a)(1) INVALID SPECIF SYSTEM A| |
| | |
| | |
| | |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE |
+-----+----------+-------+--------+-----------------+--------+-----------------+
| | |
|2 N Y 100 Power Operation |100 Power Operation |
| | |
+------------------------------------------------------------------------------+
EVENT TEXT
+------------------------------------------------------------------------------+
| INADVERTENT PRIMARY CONTAINMENT ISOLATION SIGNAL |
| |
| "On September 6, 2002 at 14:38 hours, an inadvertent primary isolation |
| signal was initiated due to a false reactor low level signal. The isolation |
| occurred during the 24-month Reactor Protection System (RPS) surveillance |
| test on Unit 2 Scram Discharge Volume (SDV) level instrument. The affected |
| Group 6C primary containment isolation valves (PCIVs) automatically closed |
| as a result of the isolation signal. Inboard PCIVs on the suppression pool |
| hydrogen and oxygen sampling system closed. In addition, the inboard PCIVs |
| for the primary containment leak detector radiation monitor closed as |
| designed. Inboard and outboard PCIVs for the "2A" containment hydrogen |
| recombiner received an isolation signal but were in a closed position prior |
| to the event. All systems functioned successfully during the event |
| |
| "The cause of the event was mispositioning of the Calibration Select and |
| Command switch on the Rosemount Readout Assembly by the technician |
| performing the test. The test was aborted and the isolation signal was |
| reset. The valves that repositioned were restored to the pre-test |
| configuration and the test was performed successfully. A work group |
| standdown was conducted to review the lessons learned from this event. |
| |
| "This event is reportable per 10 CFR50.73(a)(2)(iv)(A) since PCIVs |
| automatically closed on more than one system |
| |
| "Component data: |
| Manufacturer: Rosemount Nuclear Instruments, Inc. |
| Model number: 710DU |
| Serial number: 66722" |
| |
| |
| The NRC Resident Inspector was notified of this invalid automatic actuation |
| by the licensee. |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
|Power Reactor |Event Number: 39326 |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: PERRY REGION: 3 |NOTIFICATION DATE: 10/29/2002|
| UNIT: [1] [] [] STATE: OH |NOTIFICATION TIME: 03:26[EST]|
| RXTYPE: [1] GE-6 |EVENT DATE: 10/28/2002|
+------------------------------------------------+EVENT TIME: 23:15[EDT]|
| NRC NOTIFIED BY: JIM CASE |LAST UPDATE DATE: 10/29/2002|
| HQ OPS OFFICER: RICH LAURA +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: NON EMERGENCY |JAMES CREED R3 |
|10 CFR SECTION: | |
|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 |
| | |
| | |
+------------------------------------------------------------------------------+
EVENT TEXT
+------------------------------------------------------------------------------+
| DAMAGED CONTROL ROOM DOOR SEAL |
| |
| "Declared both trains of Control Room Emergency Recirc inoperable, entered |
| Tech Spec 3.0.3 from Tech Spec 3.7.3 on loss of Control Room boundary. A |
| damaged door seal leading from the Control Complex to the Service building |
| caused the loss of the Control room boundary. Door was closed and |
| temporarily sealed per SOI-M25/26. Exited tech Spec 3.0.3 at 00:15 on |
| 10/29/02." |
| |
| The NRC Resident Inspector was notified. |
+------------------------------------------------------------------------------+