Event Notification Report for April 20, 2001
U.S. Nuclear Regulatory Commission
Operations Center
Event Reports For
04/19/2001 - 04/20/2001
** EVENT NUMBERS **
37929 37930 37931 37932 37933
+------------------------------------------------------------------------------+
|General Information or Other |Event Number: 37929 |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG: FLORIDA BUREAU OF RADIATION CONTROL |NOTIFICATION DATE: 04/19/2001|
|LICENSEE: RADIATION ONCOLOGY OF PALM BEACH |NOTIFICATION TIME: 11:53[EDT]|
| CITY: WEST PALM BEACH REGION: 2 |EVENT DATE: 04/18/2001|
| COUNTY: PALM BEACH STATE: FL |EVENT TIME: [EDT]|
|LICENSE#: 2842-1 AGREEMENT: Y |LAST UPDATE DATE: 04/19/2001|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |KERRY LANDIS R2 |
| |DONALD COOL NMSS |
+------------------------------------------------+ |
| NRC NOTIFIED BY: FACSIMILE | |
| HQ OPS OFFICER: DOUG WEAVER | |
+------------------------------------------------+ |
|EMERGENCY CLASS: N/A | |
|10 CFR SECTION: | |
|NAGR AGREEMENT STATE | |
| | |
| | |
| | |
| | |
+------------------------------------------------------------------------------+
EVENT TEXT
+------------------------------------------------------------------------------+
| The following is the text from a facsimile sent by the Florida Bureau of |
| Radiation Control. |
| |
| In November 2000, the licensee switched to metal needles requiring a |
| new/different type of transfer tube for the Nucletron HDR unit which is used |
| to treat prostrate cancer patients. The new transfer tube was 1400mm long. |
| The previous tube was 1200mm long. Licensee physicist had a family |
| emergency and left the country. Replacement physicists were performing QA |
| /QC on the HDR to treat a prostate patient when they noticed that the dwell |
| position of the HDR unit was programmed to a 1200mm distance. Since November |
| it is possible that 18 prostrate patients may have essentially not been |
| treated if the source really stopped 200 mm short. Each patient received |
| 3-4 HDR fractions and an external beam (linear accelerator dose). Licensee |
| has not yet been able to talk to their physicist and will not use the |
| transfer tube until resolved. Florida will conduct an on-site investigation |
| next week. |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
|General Information or Other |Event Number: 37930 |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG: ARIZONA RADIATION REGULATORY AGENCY |NOTIFICATION DATE: 04/19/2001|
|LICENSEE: KLEINFELDER, INC. |NOTIFICATION TIME: 12:45[EDT]|
| CITY: TEMPE REGION: 4 |EVENT DATE: 04/19/2001|
| COUNTY: STATE: AZ |EVENT TIME: 05:00[MST]|
|LICENSE#: 7-409 AGREEMENT: Y |LAST UPDATE DATE: 04/19/2001|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |CHARLES MARSCHALL R4 |
| |DONALD COOL NMSS |
+------------------------------------------------+ |
| NRC NOTIFIED BY: FACSIMILE | |
| HQ OPS OFFICER: DOUG WEAVER | |
+------------------------------------------------+ |
|EMERGENCY CLASS: N/A | |
|10 CFR SECTION: | |
|NAGR AGREEMENT STATE | |
| | |
| | |
| | |
| | |
+------------------------------------------------------------------------------+
EVENT TEXT
+------------------------------------------------------------------------------+
| THEFT OF MOISTURE/DENSITY GAUGE |
| |
| On 19 April 2001, the licensee reported the theft of a Campbell-Pacific |
| moisture/density gauge, model CPN MC3, serial number M370403663, from the |
| Foxtree Apartments, northwest corner of McKellips and Scottsdale Roads, |
| Tempe, Arizona. The gauge was locked in its transport container chained in |
| the back of a 1999 Dodge Ram 1500, 2WD Quad Cab pickup, Arizona license CA |
| 63664. The truck itself was stolen early in the morning of 19 April. The |
| theft has been reported to the Tempe police. A reward is being offered. |
| The gauge contains approximately 8 millicuries of cesium 137 and 40 |
| millicuries of americium-beryllium. |
| |
| The State will notify the FBI, Mexico, and the states of Colorado, Nevada, |
| Utah, New Mexico and California. |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
|Power Reactor |Event Number: 37931 |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: MCGUIRE REGION: 2 |NOTIFICATION DATE: 04/19/2001|
| UNIT: [1] [2] [] STATE: NC |NOTIFICATION TIME: 14:09[EDT]|
| RXTYPE: [1] W-4-LP,[2] W-4-LP |EVENT DATE: 04/19/2001|
+------------------------------------------------+EVENT TIME: 12:30[EDT]|
| NRC NOTIFIED BY: DON CRISP |LAST UPDATE DATE: 04/19/2001|
| HQ OPS OFFICER: DOUG WEAVER +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: N/A |KERRY LANDIS R2 |
|10 CFR SECTION: | |
|HFIT 26.73 FITNESS FOR DUTY | |
| | |
| | |
| | |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|1 N Y 80 Power Operation |80 Power Operation |
|2 N Y 100 Power Operation |100 Power Operation |
| | |
+------------------------------------------------------------------------------+
EVENT TEXT
+------------------------------------------------------------------------------+
| A licensed employee was determined to be under the influence of alcohol |
| during a for cause test. The employee's access to the plant has been |
| suspended. NRC employees may contact the operations center for additional |
| details. |
| |
| The licensee notified the NRC resident inspector. |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
|Other Nuclear Material |Event Number: 37932 |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG: U.S. ARMY |NOTIFICATION DATE: 04/19/2001|
|LICENSEE: U.S. ARMY |NOTIFICATION TIME: 15:52[EDT]|
| CITY: ROCK ISLAND REGION: 3 |EVENT DATE: 04/17/2001|
| COUNTY: STATE: IL |EVENT TIME: [CDT]|
|LICENSE#: 12-00722-06 AGREEMENT: Y |LAST UPDATE DATE: 04/19/2001|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |RONALD GARDNER R3 |
| |CHARLES MARSCHALL R4 |
+------------------------------------------------+JOSEPHINE PICCONE NMSS |
| NRC NOTIFIED BY: JEFF HAVENER | |
| HQ OPS OFFICER: DOUG WEAVER | |
+------------------------------------------------+ |
|EMERGENCY CLASS: N/A | |
|10 CFR SECTION: | |
|BAB1 20.2201(a)(1)(i) LOST/STOLEN LNM>1000X | |
| | |
| | |
| | |
| | |
+------------------------------------------------------------------------------+
EVENT TEXT
+------------------------------------------------------------------------------+
| LOST TRITIUM SOURCE |
| |
| The U.S. Army reported the loss of a 1.6 Ci H-3 source. The source is part |
| of an M64A1 Sight. The sight was undamaged and double bagged in plastic |
| bags and then placed inside two cardboard boxes, the outer box was |
| unlabeled. The sight was then transported to a local landfill in Jennings |
| Parish, LA. The licensee was unable to locate the sight at the landfill. |
| The licensee will notify the State of Louisiana. |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
|Power Reactor |Event Number: 37933 |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: KEWAUNEE REGION: 3 |NOTIFICATION DATE: 04/19/2001|
| UNIT: [1] [] [] STATE: WI |NOTIFICATION TIME: 17:24[EDT]|
| RXTYPE: [1] W-2-LP |EVENT DATE: 04/19/2001|
+------------------------------------------------+EVENT TIME: 14:40[CDT]|
| NRC NOTIFIED BY: BRADLY MCMAHON |LAST UPDATE DATE: 04/19/2001|
| HQ OPS OFFICER: DOUG WEAVER +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: N/A |RONALD GARDNER R3 |
|10 CFR SECTION: | |
|*UNA 50.72(b)(3)(ii)(B) UNANALYZED COND OP | |
| | |
| | |
| | |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|1 N Y 96 Power Operation |96 Power Operation |
| | |
| | |
+------------------------------------------------------------------------------+
EVENT TEXT
+------------------------------------------------------------------------------+
| DEGRADED APPENDIX "R" FIRE BARRIER |
| |
| While conducting a walk down inspection of 10CFR50 Appendix R Barriers, two |
| degraded gypsum walls were identified. The two walls are intended to serve |
| as three hour rated Appendix R barriers. The inspection of the walls |
| revealed that a segment of the walls approximately 6 feet by 6 inches was |
| not constructed as |
| required. The two walls provide separation of safe shutdown equipment in |
| the event of an Appendix R design basis fire. The walls separate the |
| charging pumps, a dedicated shutdown system component, from the safety |
| injection pumps which are alternate shutdown system equipment. |
| |
| Although the walls are not constructed as designed, they appear to be |
| completed to about 75% of design and are judged capable of providing some |
| protection. Nevertheless, the walls are declared inoperable and |
| compensatory actions according to the Kewaunee Fire Plan have been |
| initiated. The walls are declared inoperable due to not having any |
| documented analysis to support the design basis rating. |
| |
| The licensee notified the NRC resident inspector. |
+------------------------------------------------------------------------------+
Page Last Reviewed/Updated Thursday, March 25, 2021