Event Notification Report for June 19, 2001
U.S. Nuclear Regulatory Commission
Operations Center
Event Reports For
06/18/2001 - 06/19/2001
** EVENT NUMBERS **
38072 38075 38076 38077 38078
+------------------------------------------------------------------------------+
|General Information or Other |Event Number: 38072 |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG: ARKANSAS DEPARTMENT OF HEALTH |NOTIFICATION DATE: 06/14/2001|
|LICENSEE: R. D. PLANT CONTRACTING |NOTIFICATION TIME: 16:09[EDT]|
| CITY: MURFREESBORO REGION: 4 |EVENT DATE: 06/14/2001|
| COUNTY: STATE: AR |EVENT TIME: 10:00[CDT]|
|LICENSE#: ARK756BP0405 AGREEMENT: Y |LAST UPDATE DATE: 06/18/2001|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |JOHN PELLET R4 |
| |JOHN HICKEY NMSS |
+------------------------------------------------+ |
| NRC NOTIFIED BY: DAVID SNELLINGS | |
| HQ OPS OFFICER: FANGIE JONES | |
+------------------------------------------------+ |
|EMERGENCY CLASS: NON EMERGENCY | |
|10 CFR SECTION: | |
|NAGR AGREEMENT STATE | |
| | |
| | |
| | |
| | |
+------------------------------------------------------------------------------+
EVENT TEXT
+------------------------------------------------------------------------------+
| AGREEMENT STATE REPORT - MISSING TROXLER SURFACE DENSITY GAUGE |
| |
| The licensee notified the State of Arkansas about 10:00 AM CDT today |
| 6/14/01, that a Troxler Model 4640B surface density gauge, containing 8 mCi |
| of Cs-137, was missing from the back of his truck. The gauge was known to |
| be chained and locked in the back of the truck last night (6/13/01) around |
| 7:00 PM CDT. The chain and lock are still in the truck, undamaged. The |
| Howard County Sheriff's Department and Hope Arkansas Police have been |
| notified of the missing gauge. There will be a press release sent to state |
| police, surrounding states and local authorities. NRC Region 4 (Vivian |
| Campbell) has been notified. |
| |
| |
| * * * UPDATE ON 6/18/01 @1514 BY BRADLEY TO GOULD * * * |
| |
| The licensee reported to the State (6/18/01 @ 0740) that the gauge had been |
| returned early this morning intact and not damaged. |
| |
| The Reg 4 RDO(Loveless) and the NMSS EO(Fred Brown) |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
|Power Reactor |Event Number: 38075 |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: PRAIRIE ISLAND REGION: 3 |NOTIFICATION DATE: 06/18/2001|
| UNIT: [1] [] [] STATE: MN |NOTIFICATION TIME: 10:13[EDT]|
| RXTYPE: [1] W-2-LP,[2] W-2-LP |EVENT DATE: 06/18/2001|
+------------------------------------------------+EVENT TIME: 02:04[CDT]|
| NRC NOTIFIED BY: TODD STRAIN |LAST UPDATE DATE: 06/18/2001|
| HQ OPS OFFICER: FANGIE JONES +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: NON EMERGENCY |ROGER LANKSBURY R3 |
|10 CFR SECTION: | |
|AESF 50.72(b)(3)(iv)(A) VALID SPECIF SYS ACTUAT| |
| | |
| | |
| | |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|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
+------------------------------------------------------------------------------+
| VITAL BUS SOURCE SEQUENCER ACTIVATED ON LOSS OF NORMAL POWER SUPPLY |
| |
| "This is a notification of an unplanned automatic actuation of the Unit 1 |
| 4.16 kV Sfgds Bus 16 (B-train) source sequencer. Severe weather resulted in |
| an electrical grid disturbance which caused 4.16 kV Bkr CT11-1 to open, |
| subsequently rendering the normal Bus 16 offsite 4.16 kV source (CT11) from |
| 345 kV Bus 1 to Unit 1 to be lost. CT11 transformer is a 13.8 to 4.16 kV |
| step-down transformer. Nothing appears to be wrong with the CT11 |
| transformer. The sequencer operated as designed and transferred Bus 16 to |
| its backup 4.16 kV offsite source (1R). |
| |
| "Charging and letdown were lost during this transient, and subsequently |
| restored. Two (2) of the 4 Cooling Tower Pumps and associated Cooling Towers |
| were also lost and remain out of service. B train Sfgds Control Room |
| ventilation was also lost during the transient. This resulted in a temporary |
| dual unit 7 day LCO entry per TS 3.13.A.2, which was subsequently exited |
| when the operability of the ventilation system was restored. |
| |
| "The plant is currently in a Unit 1 7 day LCO per TS 3.7.B2., and |
| investigating the cause of Bkr CT11-1 opening." |
| |
| The licensee notified the NRC Resident Inspector. |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
|General Information or Other |Event Number: 38076 |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG: ILLINOIS DEPT OF NUCLEAR SAFETY |NOTIFICATION DATE: 06/18/2001|
|LICENSEE: EVANSTON NORTHWESTERN HOSPITAL |NOTIFICATION TIME: 11:37[EDT]|
| CITY: CHICAGO REGION: 3 |EVENT DATE: 06/14/2001|
| COUNTY: STATE: IL |EVENT TIME: 11:30[CDT]|
|LICENSE#: IL1248-02 AGREEMENT: Y |LAST UPDATE DATE: 06/18/2001|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |MONTE PHILLIPS R3 |
| |JOHN HICKEY NMSS |
+------------------------------------------------+ |
| NRC NOTIFIED BY: MCCANDLESS | |
| HQ OPS OFFICER: CHAUNCEY GOULD | |
+------------------------------------------------+ |
|EMERGENCY CLASS: NON EMERGENCY | |
|10 CFR SECTION: | |
|NAGR AGREEMENT STATE | |
| | |
| | |
| | |
| | |
+------------------------------------------------------------------------------+
EVENT TEXT
+------------------------------------------------------------------------------+
| ILLINOIS LICENSEE REPORTED TO THE STATE THAT THEY HAD A MEDICAL |
| MISADMINISTRATION |
| |
| The Evanston Northwestern Hospital reported that they had a medical |
| misadministration(while performing an IVB event) when they were unprepared |
| with the second syringe after the primary syringe ran out of water. This |
| resulted in an increase in treatment time by 23% (prescribed treatment time |
| was 206 mins and actual time was 253.4mins). The isotope used was Sr-90 |
| with an activity of 1.2 GBq. |
| |
| The following fax was received after the initial telephone report: |
| |
| "[Northwestern Hospital] called [the Illinois Department of Nuclear Safety] |
| at 11:33 to report that they had an IVB event this morning using the Novoste |
| device. Apparently they ran out of water in the primary syringe and were not |
| prepared with a secondary syringe to replace it. This caused an increase in |
| the treatment time by 23%. The prescribed treatment time was 3 minutes and |
| 26 seconds. [Northwestern Hospital] was unclear if the sources moved during |
| the syringe change-out procedure. He is not on-site but he will call with |
| additional details once he returns to the hospital. The isotope involved is |
| Sr-90 with an activity of 1.2 GBq." |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
|Power Reactor |Event Number: 38077 |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: PEACH BOTTOM REGION: 1 |NOTIFICATION DATE: 06/18/2001|
| UNIT: [2] [3] [] STATE: PA |NOTIFICATION TIME: 11:39[EDT]|
| RXTYPE: [2] GE-4,[3] GE-4 |EVENT DATE: 06/18/2001|
+------------------------------------------------+EVENT TIME: 03:15[EDT]|
| NRC NOTIFIED BY: CHRIS COSTANSO |LAST UPDATE DATE: 06/18/2001|
| HQ OPS OFFICER: FANGIE JONES +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: NON EMERGENCY |JAMES TRAPP R1 |
|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 |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|2 N Y 100 Power Operation |100 Power Operation |
|3 N Y 100 Power Operation |100 Power Operation |
| | |
+------------------------------------------------------------------------------+
EVENT TEXT
+------------------------------------------------------------------------------+
| BREAKER CONTROL SWITCHES NOT PROPERLY ALIGNED |
| |
| "This report is being made under the reporting requirement in |
| 10CFR50.72(b)(3)(vi) to describe an event or condition that could have |
| prevented the fulfillment of a safety function. |
| |
| "On June 18. 2001, at approximately 0315, an offsite power supply to two of |
| four emergency buses on both Units 2 and 3 was lost. All four emergency |
| buses automatically transferred to their respective alternate supply per |
| design |
| |
| "The restoration procedure subsequently directed the crew to 'green flag' |
| the tripped breakers. The purpose of the procedural step was to align the |
| breaker switch with the actual position of the breaker. The procedure, |
| however, did not direct the crew to 'red flag' the alternate breakers which |
| automatically closed (i.e. match the switch position to the actual breaker |
| position). This created a condition in the electrical logic which would have |
| prevented two of four emergency buses from automatically receiving power |
| from their respective diesel generators in the event of a design basis |
| accident. |
| |
| "Once discovered, the crew 'red flagged' the alternate breakers and restored |
| diesel generator operability. |
| |
| "The restoration procedures have been revised to prevent this condition from |
| reoccurring. |
| |
| "The NRC resident has been informed." |
| |
| The condition existed for about 3 hours, at which time the breaker switches |
| were placed in the 'red flagged' position as required. An investigation is |
| ongoing to determine the cause of the initial power loss. |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
|Power Reactor |Event Number: 38078 |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: SALEM REGION: 1 |NOTIFICATION DATE: 06/18/2001|
| UNIT: [] [2] [] STATE: NJ |NOTIFICATION TIME: 14:44[EDT]|
| RXTYPE: [1] W-4-LP,[2] W-4-LP |EVENT DATE: 06/18/2001|
+------------------------------------------------+EVENT TIME: 14:10[EDT]|
| NRC NOTIFIED BY: MCKUNE |LAST UPDATE DATE: 06/18/2001|
| HQ OPS OFFICER: CHAUNCEY GOULD +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: UNUSUAL EVENT |JAMES TRAPP R1 |
|10 CFR SECTION: |RICHARD WESSMAN IRO |
|AAEC 50.72(a) (1) (i) EMERGENCY DECLARED |TAD MARSH EO |
| |EACHES FEMA |
| | |
| | |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|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
+------------------------------------------------------------------------------+
| PLANT DECLARED AN UNUSUAL EVENT DUE TO A TOXIC FUME RELEASE LIMITING ACCESS |
| TO THE AREA |
| |
| During chemical unloading of sulfuric acid from a truck trailer, excessive |
| acid fumes came from the tank, which was located in the turbine building. |
| The chemistry technician supporting the delivery experienced throat and |
| respiratory irritation and was transported to the hospital for examination. |
| The delivery was stopped at the time of discovery and access to the area has |
| been limited. An investigation as to the cause is in progress. The |
| licensee will notify the NRC Resident Inspector and has notified the New |
| Jersey, Delaware and Lower Alloways Creek Township Police Departments. |
| |
| * * * UPDATE ON 6/18/01 @ 1832 BY MCGREGER TO GOULD * * * |
| |
| The NOUE was terminated at 1828 since there no longer is any leakage being |
| detected. They believe the leak was from a vent path, since no breech was |
| detected. |
| |
| The NRC Resident Inspector will be notified. |
| |
| The Reg 1 RDO(Trap), EO(Matthews) and FEMA(Belcher) were notified. |
+------------------------------------------------------------------------------+
Page Last Reviewed/Updated Thursday, March 25, 2021