Event Notification Report for November 15, 2002
U.S. Nuclear Regulatory Commission
Operations Center
Event Reports For
11/14/2002 - 11/15/2002
** EVENT NUMBERS **
39366 39369 39370 39373 39374
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|General Information or Other |Event Number: 39366 |
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| REP ORG: KENTUCKY DEPT OF RADIATION CONTROL |NOTIFICATION DATE: 11/12/2002|
|LICENSEE: HUNTINGTON TESTING AND TECHNOLOGY INC|NOTIFICATION TIME: 16:30[EST]|
| CITY: GHENT REGION: 2 |EVENT DATE: 10/18/2002|
| COUNTY: STATE: KY |EVENT TIME: 07:30[CST]|
|LICENSE#: 201-551-05 AGREEMENT: Y |LAST UPDATE DATE: 11/12/2002|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |LEONARD WERT R2 |
| |FRED BROWN NMSS |
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| NRC NOTIFIED BY: BOB JOHNSON | |
| HQ OPS OFFICER: RICH LAURA | |
+------------------------------------------------+ |
|EMERGENCY CLASS: NON EMERGENCY | |
|10 CFR SECTION: | |
|NAGR AGREEMENT STATE | |
| | |
| | |
| | |
| | |
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EVENT TEXT
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| KY AGREEMENT STATE REPORT INVOLVING AN OVER EXPOSURE OF A RADIOGRAPHER |
| |
| "This letter is notification of an overexposure incident that occurred on |
| October 8, 2002 in Ghent, Kentucky. The licensee involved was Huntington |
| Testing & Technology Inc.. Kentucky Radioactive Material License Number |
| 201-551-05. The incident occurred while performing radiography at Kentucky |
| Utilities. The radiography source was 103 Ci [Curies] of Ir-192 [Iridium], |
| housed in a 660 B Camera, S/N B2954. The licensee's interpretation of the |
| reporting criteria resulted in late notification thirty (30) days after the |
| incident. That information was not only delayed, but also incomplete |
| requiring further development before the State of Kentucky could forward |
| this report. |
| |
| "At approximately 7:00 a.m., on October 18, 2002, when reeling in the |
| radiography source after an exposure, it was not fully retracted, nor |
| recognized for approximately three (3) minutes by the radiographer who had |
| entered the area. Upon realization that the source was not fully retracted, |
| the radiographer immediately left the area, extended the source and then |
| retracted it to the housed position. The RSO [Radiation Safety Officer] was |
| contacted and the radiographer removed from any radiological work. |
| |
| "The radiographer's dosimetry was immediately sent to Landauer for |
| processing. The result of his exposure was 4.86 Rem whole body, in addition |
| to his year-to-date exposure of 1.4 Rem, for total yearly whole body |
| exposure of 6.26 Rem. These numbers appear to be close estimates, ending |
| further evaluation of the radiographer's position in relation to the exposed |
| source. Initial reports indicate a survey instrument failure, and failure of |
| the radiographer to monitor the instrumentation and position indicator to |
| ensure retraction of the radiography source. |
| |
| "Further evaluation of the cause of this incident and final dose estimates |
| will be forwarded ending further investigation." |
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|Power Reactor |Event Number: 39369 |
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| FACILITY: OCONEE REGION: 2 |NOTIFICATION DATE: 11/14/2002|
| UNIT: [] [] [3] STATE: SC |NOTIFICATION TIME: 05:24[EST]|
| RXTYPE: [1] B&W-L-LP,[2] B&W-L-LP,[3] B&W-L-L|EVENT DATE: 11/14/2002|
+------------------------------------------------+EVENT TIME: 04:19[EST]|
| NRC NOTIFIED BY: NEIL CONSTANCE |LAST UPDATE DATE: 11/14/2002|
| HQ OPS OFFICER: HOWIE CROUCH +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: NON EMERGENCY |LEONARD WERT R2 |
|10 CFR SECTION: | |
|ARPS 50.72(b)(2)(iv)(B) RPS ACTUATION - CRITICA| |
| | |
| | |
| | |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE |
+-----+----------+-------+--------+-----------------+--------+-----------------+
| | |
| | |
|3 A/R Y 100 Power Operation |0 Hot Standby |
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EVENT TEXT
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| AUTOMATIC REACTOR TRIP DUE TO TURBINE TRIP |
| |
| "The Moisture Separator drain tanks each provide a trip signal to the main |
| turbine on a high level on 2 [of] 3 level switches. At 0419 [EST], 2 [of] 3 |
| level switches indicated a high level in the 3A Moisture Separator Drain |
| Tank Level, resulting in a MT [Main Turbine] trip and anticipatory RPS trip. |
| Post-trip response was normal." |
| |
| All rods inserted into the core. No PORV's lifted. No ECCS actuation. The |
| cause of the heater drain system upset is under investigation. |
| |
| The licensee notified the NRC Resident Inspector. |
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|Power Reactor |Event Number: 39370 |
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| FACILITY: ARKANSAS NUCLEAR REGION: 4 |NOTIFICATION DATE: 11/14/2002|
| UNIT: [1] [2] [] STATE: AR |NOTIFICATION TIME: 11:33[EST]|
| RXTYPE: [1] B&W-L-LP,[2] CE |EVENT DATE: 11/14/2002|
+------------------------------------------------+EVENT TIME: 07:45[CST]|
| NRC NOTIFIED BY: TOM SCOTT |LAST UPDATE DATE: 11/14/2002|
| HQ OPS OFFICER: HOWIE CROUCH +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: NON EMERGENCY |CHUCK CAIN R4 |
|10 CFR SECTION: | |
|APRE 50.72(b)(2)(xi) OFFSITE NOTIFICATION | |
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| | |
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+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|1 N Y 85 Power Operation |85 Power Operation |
|2 N Y 100 Power Operation |100 Power Operation |
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EVENT TEXT
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| OFFSITE NOTIFICATION DUE TO SIREN MALFUNCTION |
| |
| "At 07:45 [CST] on 11/14/02, ANO Security received offsite calls from an |
| off-duty security officer and the Pope County 911 Office regarding actuation |
| of up to 3 emergency sirens in the Russellville area. The sirens silenced |
| automatically approximately 3 minutes later after they timed out. |
| Information provided by the duty Emergency Planner indicated the cause of |
| the sirens was attributed to a power fluctuation in East Russellville area. |
| The Arkansas Department of Health was contacted and is responding to |
| determine if any corrective maintenance is required. The 911 Office is |
| getting multiple calls from concerned citizens about the sirens. Local |
| radio stations have been made aware of the event and are periodically |
| broadcasting that there is nothing to worry about in an attempt to inform |
| local residents." |
| |
| Licensee notified the NRC Resident Inspector. |
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|Hospital |Event Number: 39373 |
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| REP ORG: RESEARCH MEDICAL CENTER |NOTIFICATION DATE: 11/14/2002|
|LICENSEE: RESEARCH MEDICAL CENTER |NOTIFICATION TIME: 15:40[EST]|
| CITY: KANSAS CITY REGION: 3 |EVENT DATE: 11/14/2002|
| COUNTY: STATE: MO |EVENT TIME: 12:00[CST]|
|LICENSE#: 24-18625-01 AGREEMENT: N |LAST UPDATE DATE: 11/14/2002|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |BRUCE BURGESS R3 |
| | |
+------------------------------------------------+ |
| NRC NOTIFIED BY: STEPHEN SLACK | |
| HQ OPS OFFICER: ERIC THOMAS | |
+------------------------------------------------+ |
|EMERGENCY CLASS: NON EMERGENCY | |
|10 CFR SECTION: | |
|BLO2 20.2201(a)(1)(ii) LOST/STOLEN LNM>10X | |
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EVENT TEXT
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| LOST I-125 SOURCE, SLIGHTLY < .5 MILLICURIES, TO BE IMPLANTED IN A PATIENT |
| |
| Following prostate implantation procedure, radiograph showed fewer seeds |
| than believed to have been implanted in the patient (1 seed short). Room, |
| trash, and linens were all surveyed and nothing found. The authorized user |
| believes that the lost seed may have migrated to another location in the |
| patient's body, possibly carried off by one of the surrounding blood |
| vessels. |
| |
| X-ray and CT scans of the immediate area of the implantation did not reveal |
| location of the lost seed. No further scans of the patient are planned. |
| |
| Research Medical Center |
| 2316 E. Meyer Blvd. |
| Kansas City, MO 64132 |
| |
| Notified Bruce Burgess, R3DO |
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|Power Reactor |Event Number: 39374 |
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| FACILITY: SOUTH TEXAS REGION: 4 |NOTIFICATION DATE: 11/14/2002|
| UNIT: [1] [2] [] STATE: TX |NOTIFICATION TIME: 18:10[EST]|
| RXTYPE: [1] W-4-LP,[2] W-4-LP |EVENT DATE: 11/14/2002|
+------------------------------------------------+EVENT TIME: [CST]|
| NRC NOTIFIED BY: KLAY KLIMPLE |LAST UPDATE DATE: 11/14/2002|
| HQ OPS OFFICER: ERIC THOMAS +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: NON EMERGENCY |CHUCK CAIN R4 |
|10 CFR SECTION: | |
|AIND 50.72(b)(3)(v)(D) ACCIDENT MITIGATION | |
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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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| ELECTRICAL AUXILIARY BUILDING SUPPLY FAN TRIP |
| |
| "The Unit 2 Train C Electrical Auxiliary Building Supply Fan tripped on |
| overload current shortly after starling on Nov 1 2002. The fan then tripped |
| two more times on overload during subsequent troubleshooting. It was |
| determined that the fan overloads for all 3 trains of EAB HVAC in both units |
| were set low such that these fans may trip under reduced grid voltage |
| conditions. All fan overloads were reset at a higher value to protect the |
| motor and allow acceptable performance during the range of design grid |
| voltage conditions. |
| |
| "The design safety function of these fans is to ensure the environmental |
| requirements of vital equipment are satisfied under analyzed conditions |
| including transients and postulated accidents. Since this condition existed |
| prior to correcting the fan overload setpoint value, it was determined to be |
| a condition that could have prevented fulfillment of a safety function. |
| Therefore, this condition is reportable under 10CFR50.72(b)(3)(v). |
| |
| "This condition is susceptible during reduced grid voltage conditions. |
| Further evaluation is in progress and expected to demonstrate that the |
| reduced grid voltage condition occurs during a limited period of time over |
| the operating cycle. Therefore, it is believed that the analysis will |
| conclude that this event is of low safety significance." |
| |
| The NRC Resident Inspector was notified of this event. |
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