U.S. Nuclear Regulatory Commission Operations Center Event Reports For 12/26/96 - 12/27/96 ** EVENT NUMBERS ** 31389 31510 31511 31512 31513 31514 !!!!!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED !!!!!!! +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 31389 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: MILLSTONE REGION: 1 |NOTIFICATION DATE: 11/27/96 | |UNIT: [1] [ ] [ ] STATE: CT |NOTIFICATION TIME: 14:42 [ET]| |RX TYPE: [1] GE-3,[2] CE,[3] W-4-LP |EVENT DATE: 11/27/96 | +------------------------------------------------+EVENT TIME: 14:26[EST]| |NRC NOTIFIED BY: RAY PALMIERI |LAST UPDATE DATE: 12/26/96 | |HQ OPS OFFICER: DOUG WEAVER +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |JAMES JOYNER RDO | |AINC 50.72(b)(2)(iii)(C) POT UNCNTRL RAD REL | | | | | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ | 1 | N N 0 COLD SHUTDOWN | 0 COLD SHUTDOWN | | | | | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | BOTH STEAM TUNNEL RADIATION MONITORS FAILED A SURVEILLANCE. | | | | BOTH STEAM TUNNEL RADIATION MONITORS FAILED THE DOWN SCALE SURVEILLANCE. | | NORMALLY, IF BOTH MONITORS WERE TO FAIL DOWN SCALE, STANDBY GAS TREATMENT | | (SBGT) WOULD START AUTOMATICALLY. IN THE AS FOUND CONDITION A FAILURE OF | | BOTH MONITORS IN THE DOWN SCALE POSITION WOULD NOT HAVE STARTED SBGT. | | | | THE CONDITION HAS BEEN ATTRIBUTED TO INSTRUMENT DRIFT. BOTH MONITORS HAVE | | BEEN RECALIBRATED AND SATISFACTORILY RETESTED. BOTH MONITORS HAD BEEN | | SUCCESSFULLY TESTED ABOUT ONE MONTH AGO. | | | | THE LICENSEE INFORMED THE NRC RESIDENT INSPECTOR. | | | | * * * UPDATE AT 1057 ON 12/26/96 BY CHRIS TABONE ENTERED BY JOLLIFFE * * * | | | | THE LICENSEE DESIRES TO RETRACT THIS EVENT SINCE THE UPSCALE TRIP FUNCTION | | WAS UNAFFECTED DURING THIS EVENT AND THAT AN ACTUAL RELEASE OF RADIOACTIVE | | MATERIAL WOULD HAVE BEEN DETECTED AND THAT EITHER OF THE TWO CHANNELS WOULD | | HAVE PROVIDED THE REQUIRED TRIP OF VENTILATION AND INITIATION OF STANDBY | | GAS TREATMENT. | | | | THE LICENSEE HAS DETERMINED THAT THIS EVENT SHOULD BE REPORTED AS A COMMON | | CAUSE EVENT WHICH CAUSED TWO INDEPENDENT CHANNELS TO BECOME INOPERABLE IN | | ACCORDANCE WITH 10CFR50.73(a)(2)(vii). | | | | THE LICENSEE INFORMED THE NRC RESIDENT INSPECTOR. THE HOO NOTIFIED R1DO | | JACK DURR. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 31510 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: HATCH REGION: 2 |NOTIFICATION DATE: 12/26/96 | |UNIT: [1] [2] [ ] STATE: GA |NOTIFICATION TIME: 09:58 [ET]| |RX TYPE: [1] GE-4,[2] GE-4 |EVENT DATE: 12/26/96 | +------------------------------------------------+EVENT TIME: 09:22[EST]| |NRC NOTIFIED BY: BARRY COLEMAN |LAST UPDATE DATE: 12/26/96 | |HQ OPS OFFICER: DICK JOLLIFFE +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |MARK LESSER RDO | |APRE 50.72(b)(2)(vi) 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 | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | AT 0922, THE NOAA OFFSITE WEATHER RADIO NOTIFICATION SYSTEM WAS REMOVED | | FROM SERVICE FOR 5 TO 6 HOURS FOR MAINTENANCE. | | | | THE LICENSEE WILL INFORM THE NRC RESIDENT INSPECTOR. | | | | * * * UPDATE AT 1241 BY COLEMAN ENTERED BY GOULD * * * | | | | AT 1200, THE NOAA OFFSITE WEATHER RADIO NOTIFICATION SYSTEM WAS RETURNED TO | | SERVICE. THE LICENSEE WILL NOTIFY THE NRC RESIDENT INSPECTOR. THE HOO | | NOTIFIED R2DO MARK LESSER. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 31511 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: ZION REGION: 3 |NOTIFICATION DATE: 12/26/96 | |UNIT: [1] [2] [ ] STATE: IL |NOTIFICATION TIME: 12:35 [ET]| |RX TYPE: [1] W-4-LP,[2] W-4-LP |EVENT DATE: 12/26/96 | +------------------------------------------------+EVENT TIME: 01:20[CST]| |NRC NOTIFIED BY: PLUTCHAK |LAST UPDATE DATE: 12/26/96 | |HQ OPS OFFICER: CHAUNCEY GOULD +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |GARY SHEAR RDO | |HFIT 26.73 FITNESS FOR DUTY | | | | | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |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 COLD SHUTDOWN | 0 COLD SHUTDOWN | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | AN UNOPENED CAN OF BEER WAS TURNED IN TO SECURITY BY A CONTRACT WORKER. | | | | A CONTRACTOR ON FIRE WATCH DISCOVERED AN UNOPENED CAN OF BEER IN A WOMEN'S | | REST ROOM LOCATED IN THE PROTECTED AREA. SHE IMMEDIATELY TURNED IT IN TO | | SECURITY FOR THEIR INVESTIGATION. SECURITY MADE AN EVALUATION OF THE | | CONTRACTOR AND FOUND NOTHING SUSPICIOUS ABOUT HER. SECURITY IS STILL | | INVESTIGATING HOW THE CAN OF BEER GOT INTO THE PROTECTED AREA. THE | | LICENSEE WILL INFORM THE NRC RESIDENT INSPECTOR. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |HOSPITAL | |EVENT NUMBER: 31512 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |LICENSEE: WASHINGTON HOSPITAL, WASHINGTON, PA |NOTIFICATION DATE: 12/26/96 | | CITY: WASHINGTON REGION: 1 |NOTIFICATION TIME: 13:58 [ET]| | COUNTY: STATE: PA |EVENT DATE: 12/26/96 | |LICENSE#: 37-10363-01 AGREEMENT: N |EVENT TIME: 07:35[EST]| | DOCKET: |LAST UPDATE DATE: 12/26/96 | | +-----------------------------+ | |PERSON ORGANIZATION| | |JACK DURR RDO | | | | +------------------------------------------------+ | |NRC NOTIFIED BY: DR. SMITH | | |HQ OPS OFFICER: CHAUNCEY GOULD | | +------------------------------------------------+ | |EMERGENCY CLASS: NOT APPLICABLE | | |10 CFR SECTION: | | |LADM 35.33(a) MED MISADMINISTRATION | | | | | | | | | | | | | | +------------------------------------------------+-----------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | MEDICAL MISADMINISTRATION AT THE WASHINGTON HOSPITAL, WASHINGTON, PA. | | | | A HOSPITAL PATIENT UNDERGOING A MYOCARDIAL PROFUSION STUDY RECEIVED ONE | | DOSE OF THALLIUM AND ONE DOSE OF SESTIMIBI. HE WAS LATER INADVERTENTLY | | GIVEN A SECOND DOSE OF THALLIUM BY A SECOND TECHNICIAN. THE SECOND | | TECHNICIAN SHOULD HAVE GIVEN THE SECOND DOSE OF THALLIUM TO A DIFFERENT | | PATIENT. EACH DOSE WAS 4 MILLICURIES RESULTING IN THE FIRST PATIENT | | RECEIVING A LITTLE MORE THAN 5 REM FOR THE 8 MILLICURIES RECEIVED. THERE | | SHOULD BE NO ADVERSE AFFECTS TO THE FIRST PATIENT, WHO WILL BE NOTIFIED AS | | SOON AS POSSIBLE. THE REFERRING PHYSICIAN WAS NOTIFIED OF THE ERROR. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 31513 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: SALEM REGION: 1 |NOTIFICATION DATE: 12/26/96 | |UNIT: [1] [2] [ ] STATE: NJ |NOTIFICATION TIME: 16:28 [ET]| |RX TYPE: [1] W-4-LP,[2] W-4-LP |EVENT DATE: 12/26/96 | +------------------------------------------------+EVENT TIME: 16:00[EST]| |NRC NOTIFIED BY: ARMANDO |LAST UPDATE DATE: 12/26/96 | |HQ OPS OFFICER: CHAUNCEY GOULD +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |JACK DURR RDO | |APRE 50.72(b)(2)(vi) OFFSITE NOTIFICATION | | | | | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ | 1 | N N 0 REFUELING | 0 REFUELING | | 2 | N N 0 REFUELING | 0 REFUELING | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | THE LICENSEE NOTIFIED THE LOCAL EMERGENCY MANAGEMENT AGENCIES OF SALEM | | COUNTY, NEW JERSEY AND DELAWARE STATE TO VERIFY THE FUNCTIONAL CAPABILITY | | OF THE EMERGENCY ASSESSMENT EQUIPMENT UNDER THEIR CONTROL. | | | | THESE NOTIFICATIONS WERE MADE BECAUSE SIX CONTROLLER BOXES FOR THE | | DIRECTIONAL LANE SIGNALS HAD BEEN DAMAGED ON THE ACCESS ROAD, SOME ON OWNER | | CONTROLLED PROPERTY, TO THE SALEM AND HOPE CREEK SITE. THIS DAMAGE | | APPEARED TO BE POTENTIAL MALICIOUS TAMPERING, ALTHOUGH THERE IS NO EVIDENCE | | AT THIS TIME THAT INDICATES IT WAS DIRECTED SPECIFICALLY AGAINST THE | | LICENSEE. THE LICENSEE AND LOWER ALLOWAYS CREEK OFFICIALS ARE | | INVESTIGATING THIS MATTER TO DETERMINE IF THERE IS ANYONE ON SITE INVOLVED | | WITH THIS INCIDENT. THIS CONDITION WILL NOT SIGNIFICANTLY IMPACT THE | | CAPABILITY TO EVACUATE THE SITE DURING AN EMERGENCY. THE LICENSEE WILL | | MAKE A PRESS RELEASE. THE RESIDENT INSPECTOR AND LOWER ALLOWAYS CREEK | | TOWNSHIP HAVE BEEN NOTIFIED. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 31514 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: COOPER REGION: 4 |NOTIFICATION DATE: 12/26/96 | |UNIT: [1] [ ] [ ] STATE: NE |NOTIFICATION TIME: 20:35 [ET]| |RX TYPE: [1] GE-4 |EVENT DATE: 12/26/96 | +------------------------------------------------+EVENT TIME: 16:10[CST]| |NRC NOTIFIED BY: GREEN |LAST UPDATE DATE: 12/26/96 | |HQ OPS OFFICER: CHAUNCEY GOULD +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |GENE BATES RDO | |APRE 50.72(b)(2)(vi) OFFSITE NOTIFICATION |JOHN GREEVES EO | | |MARK LESSER RDO | | |FINKBEINER DOT | | |MOORE DOE | | |BARRETT IRD | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |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 +------------------------------------------------------------------------------+ | VECTRA, INC, OWNERS OF A SHIPPING CASK, NOTIFIED THE LICENSEE THAT A | | TRACTOR TRAILER CARRYING THE CASK FROM COOPER NUCLEAR STATION TO BARNWELL | | BECAME DISABLED IN COLUMBIA, S.C. | | | | THE TRACTOR TRAILER, OWNED BY KENDRICK COMPANY, WAS TRANSPORTING A TYPE "B" | | SHIPPING CASK, MODEL #10-142, CONTAINING REACTOR WATER CLEANUP RESINS FROM | | COOPER NUCLEAR STATION TO BARNWELL FOR DISPOSAL. THE TRACTOR TRAILER BROKE | | DOWN ON THE ENTRANCE RAMP TO I-26 (EXIT #115). THE CASK REMAINED INTACT | | AND SECURED TO THE TRAILER. THERE WERE NO PERSONNEL INJURIES AND NO | | RELEASE OF RADIOACTIVE MATERIAL. THE CASK WILL BE LOADED ONTO ANOTHER | | TRAILER TONIGHT AND TRANSPORTED TO BARNWELL WHICH IS ABOUT 40 MILES AWAY. | | THE LICENSEE INFORMED THE NRC RESIDENT INSPECTOR. | | | | * * * UPDATE AT 2320 BY GREEN ENTERED BY GOULD * * * | | | | AT 2200, THE SHIPPING CASK WAS TRANSFERRED TO ANOTHER TRAILER AND IS ON ITS | | WAY TO BARWELL. THERE WAS SOME TV COVERAGE OF THE SITUATION. THE LICENSEE | | WILL INFORM THE NRC RESIDENT INSPECTOR. THE HOO NOTIFIED R2DO MARK LESSER | | AND NMSS EO JOHN GREEVES. | +------------------------------------------------------------------------------+