U.S. Nuclear Regulatory Commission Operations Center Event Reports For 12/31/96 - 01/02/97 ** EVENT NUMBERS ** 31397 31512 31526 31527 31528 31529 31530 !!!!!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED !!!!!!! +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 31397 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: PALO VERDE REGION: 4 |NOTIFICATION DATE: 12/03/96 | |UNIT: [1] [ ] [ ] STATE: AZ |NOTIFICATION TIME: 10:20 [ET]| |RX TYPE: [1] CE,[2] CE,[3] CE |EVENT DATE: 12/03/96 | +------------------------------------------------+EVENT TIME: 07:35[MST]| |NRC NOTIFIED BY: SGT. TIM CROWDER |LAST UPDATE DATE: 12/31/96 | |HQ OPS OFFICER: LEIGH TROCINE +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |TOM STETKA RDO | |DDDD 73.71 UNSPECIFIED PARAGRAPH | | | | | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |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 +------------------------------------------------------------------------------+ | DISCOVERY OF AN UNCONTROLLED SECURITY WEAPON | | | | THE LICENSEE IDENTIFIED AN UNATTENDED SECURITY WEAPON. COMPENSATORY | | MEASURES WERE TAKEN UPON DISCOVERY. (REFER TO THE HOO LOG FOR ADDITIONAL | | DETAILS AND FOR A SITE CONTACT TELEPHONE NUMBER.) | | | | THE LICENSEE PLANS TO NOTIFY THE NRC RESIDENT INSPECTOR. | | | | * * * UPDATE AT 1624 EST ON 12/31/96, FROM STROUD TAKEN BY KARSCH * * * | | | | THE LICENSEE IS RETRACTING THIS EVENT NOTIFICATION BASED UPON ITS | | DETERMINATION THAT THIS EVENT DOES NOT MEET THE REPORTING REQUIREMENTS FOR | | A ONE-HOUR CALL. THE EVENT DEMONSTRATES AN ISOLATED INSTANCE OF INADEQUATE | | WEAPONS CONTROL, AN EVENT REQUIRED TO BE RECORDED WITHIN 24 HOURS OF | | DISCOVERY. | | | | THE LICENSEE INFORMED THE NRC RESIDENT INSPECTOR. THE R4DO (MURRAY) WAS | | NOTIFIED BY THE NRC OPERATIONS CENTER. | +------------------------------------------------------------------------------+ !!!!!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED !!!!!!! +----------------------------------+ +-----------------------+ |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: 12/31/96 | | +-----------------------------+ | |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 IN 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. | | | | * * * UPDATE AT 1429 EST ON 12/31/96, FROM SMITH TAKEN BY KARSCH * * * | | | | THE LICENSEE STATED THAT A CALLER IDENTIFYING HIMSELF AS AN NRC OFFICIAL | | ADVISED THEM THAT THIS WAS NOT A REPORTABLE EVENT AND THAT IT SHOULD BE | | RETRACTED. THE LICENSEE DID NOT REMEMBER THE NAME OF THE NRC CONTACT. | | | | THE R1DO (ROGGE) WAS NOTIFIED BY THE NRC OPERATIONS CENTER. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |OTHER NUCLEAR MATERIAL | |EVENT NUMBER: 31526 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |LICENSEE: CONNECTICUT RADIATION CONTROL PROG. |NOTIFICATION DATE: 12/31/96 | | CITY: TORINGTON REGION: 1 |NOTIFICATION TIME: 09:19 [ET]| | COUNTY: STATE: CT |EVENT DATE: 12/27/96 | |LICENSE#: AGREEMENT: N |EVENT TIME: 13:00[EST]| | DOCKET: |LAST UPDATE DATE: 12/31/96 | | +-----------------------------+ | |PERSON ORGANIZATION| | |JOHN ROGGE RDO | | |DON COOL, NMSS EO | +------------------------------------------------+RICH BARRETT, IRD AEOD | |NRC NOTIFIED BY: FIRSICK | | |HQ OPS OFFICER: CHAUNCEY GOULD | | +------------------------------------------------+ | |EMERGENCY CLASS: NOT APPLICABLE | | |10 CFR SECTION: | | |NINF INFORMATION ONLY | | | | | | | | | | | | | | +------------------------------------------------+-----------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | THE CONNECTICUT RADIATION CONTROL PROGRAM WAS NOTIFIED BY SANITARY SERVICES | | CORP. THAT ONE OF THEIR TRUCKS SET OFF A RADIATION ALARM WHEN IT ENTERED A | | WASTE TRANSFER STATION IN TORINGTON, CT. THE TRUCK HAD JUST FINISHED A | | RESIDENTIAL WASTE RUN IN WINSTEAD, CT. THE TRUCK READ 0.6 MILLIREM/HOUR. | | THE TRUCK WAS UNLOADED, AND ONE TRASH BAG WAS FOUND TO CONTAIN HOUSEHOLD | | MEDICAL WASTE. IT READ 4 MILLIREM/HOUR ON CONTACT. THE LICENSEE | | DETERMINED THAT THE ISOTOPE WAS I-131 WITH AN 8.05-DAY HALF LIFE, AND THE | | LICENSEE HAS TAKEN IT TO THE SANITARY SERVICES CORP. FACILITIES TO HOLD FOR | | DECAY. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 31527 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: FT CALHOUN REGION: 4 |NOTIFICATION DATE: 12/31/96 | |UNIT: [1] [ ] [ ] STATE: NE |NOTIFICATION TIME: 12:48 [ET]| |RX TYPE: [1] CE |EVENT DATE: 12/31/96 | +------------------------------------------------+EVENT TIME: 11:04[CST]| |NRC NOTIFIED BY: LARRY LEES |LAST UPDATE DATE: 12/31/96 | |HQ OPS OFFICER: RUDY KARSCH +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: UNUSUAL EVENT +-----------------------------+ |10 CFR SECTION: |BLAINE MURRAY RDO | |AAEC 50.72(a)(1)(i) EMERGENCY DECLARED |BOB DENNING, NRR EO | | |CANUPP FEMA | | |RICH BARRETT, IRD AEOD | | |FRANK CONGEL, IRD AEOD | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ | 1 | N Y 100 POWER OPERATION | 61 POWER OPERATION | | | | | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | THE LICENSEE DECLARED AN UNUSUAL EVENT DUE TO THE PERSONNEL HAZARD | | ASSOCIATED WITH A MAIN STEAM LEAK IN THE BASEMENT OF THE TURBINE ROOM UNDER | | THE TURBINE. | | | | AN OPERATOR ON ROUNDS HEARD A STEAM LEAK AND OBSERVED A 10 OR 15-FOOT PLUME | | EMANATING FROM A FLANGE IN A 1/4-INCH BYPASS LINE AROUND A MAIN CONTROL | | VALVE DRAIN VALVE. PLANT SECURITY HAS POSTED A GUARD IN THE AREA TO KEEP | | PEOPLE AWAY. | | | | THE LICENSEE IS SHUTTING THE REACTOR DOWN AT 1% PER MINUTE. WHEN 10% POWER | | IS REACHED, THE CONTROL VALVES WILL BE CLOSED TO ISOLATE THE LEAK, AND | | REPAIRS WILL BE MADE. THE LICENSEE SUSPECTS THAT A DAMAGED GASKET IS THE | | CAUSE OF THE LEAK. OFF-SITE POWER IS STABLE AT THIS TIME, AND NO FUTURE | | PERTURBATIONS ARE ANTICIPATED. | | | | THE LICENSEE WILL INFORM THE NRC RESIDENT INSPECTOR. | | | | * * * UPDATE AT 1441 EST ON 12/31/96, FROM LEES TAKEN BY KARSCH * * * | | | | THE LICENSEE TERMINATED THE UNUSUAL EVENT AT 1340 CST WHEN THE STEAM LEAK | | WAS STOPPED. WHEN POWER REACHED 10%, THE TURBINE WAS TRIPPED. SHUTTING | | THE CONTROL VALVES ISOLATED THE LEAK. | | | | THE LICENSEE INFORMED THE NRC RESIDENT INSPECTOR. THE NRC OPERATIONS | | CENTER NOTIFIED THE R4DO (MURRAY), NRR EO (CHAFFEE), AEOD IRD (CONGEL), AND | | FEMA (CALDWELL). | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |OTHER NUCLEAR MATERIAL | |EVENT NUMBER: 31528 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |LICENSEE: JACA & SIERRA TESTING LABS |NOTIFICATION DATE: 12/31/96 | | CITY: CARRAIZO TRUJIL REGION: 2 |NOTIFICATION TIME: 13:05 [ET]| | COUNTY: STATE: PR |EVENT DATE: 12/31/96 | |LICENSE#: 52 19064 01 AGREEMENT: N |EVENT TIME: 08:00[AT ]| | DOCKET: |LAST UPDATE DATE: 12/31/96 | | +-----------------------------+ | |PERSON ORGANIZATION| | |CHARLES CASTO RDO | | |JOHN GREEVES, NMSS EO | +------------------------------------------------+FRANK CONGEL, IRD AEOD | |NRC NOTIFIED BY: JUAN RODRIGUEZ |DON COOL, NMSS EO | |HQ OPS OFFICER: RUDY KARSCH | | +------------------------------------------------+ | |EMERGENCY CLASS: NOT APPLICABLE | | |10 CFR SECTION: | | |BAB2 20.2201(a)(1)(ii) LOST/STOLEN LNM>10X | | | | | | | | | | | | | | +------------------------------------------------+-----------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | JACA & SIERRA TESTING LABS IN TRUJILLO ALTO, PR, REPORTED A STOLEN MOISTURE | | DENSITY GAGE. | | | | AN AUTOMOBILE WITH A CAMPBELL PACIFIC MODEL-131 MOISTURE DENSITY GAGE IN | | THE BACK SEAT WAS STOLEN FROM THE LICENSEE. THE STRIPPED AUTOMOBILE MINUS | | THE GAGE WAS LATER FOUND IN GURABO, PR. THE LICENSEE HAS INFORMED LOCAL | | LAW ENFORCEMENT AND RADIO AND TV STATIONS. THE GAGE CONTAINED 10 mCi OF | | Cs-137 AND 15 mCi OF Am-241. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 31529 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: POINT BEACH REGION: 3 |NOTIFICATION DATE: 12/31/96 | |UNIT: [1] [2] [ ] STATE: WI |NOTIFICATION TIME: 19:35 [ET]| |RX TYPE: [1] W-2-LP,[2] W-2-LP |EVENT DATE: 12/31/96 | +------------------------------------------------+EVENT TIME: 15:35[CST]| |NRC NOTIFIED BY: DON DUENKEL |LAST UPDATE DATE: 12/31/96 | |HQ OPS OFFICER: RUDY KARSCH +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |JOHN JACOBSON RDO | |AIND 50.72(b)(2)(iii)(D) ACCIDENT MITIGATION | | | | | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ | 1 | N Y 90 POWER OPERATION | 90 POWER OPERATION | | 2 | N N 0 REFUELING | 0 REFUELING | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | THE LICENSEE DETERMINED THAT IMPROPER TEST METHODS IN THE PAST RESULTED IN | | SAFETY VALVE SET POINTS THAT ARE NON-CONSERVATIVE. CERTAIN ACCIDENT | | CONDITIONS COULD RESULT IN STEAM GENERATOR OVERPRESSURIZATION. BASED ON | | PRESENT AMBIENT TEMPERATURES, THE LICENSEE HAS DETERMINED THAT THE PRESENT | | SET POINTS ARE ACCEPTABLE. | | | | THE LICENSEE INFORMED THE NRC RESIDENT INSPECTOR. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 31530 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: BYRON REGION: 3 |NOTIFICATION DATE: 01/01/97 | |UNIT: [1] [2] [ ] STATE: IL |NOTIFICATION TIME: 11:31 [ET]| |RX TYPE: [1] W-4-LP,[2] W-4-LP |EVENT DATE: 01/01/97 | +------------------------------------------------+EVENT TIME: 09:44[CST]| |NRC NOTIFIED BY: DAVID SHAW |LAST UPDATE DATE: 01/01/97 | |HQ OPS OFFICER: LEIGH TROCINE +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |JOHN JACOBSON RDO | |DTHR 73.71(c) SECURITY DEGRADATION | | |DSAF 73.71(b)(1) SECURITY DEGRADATION | | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ | 1 | N Y 97 POWER OPERATION | 97 POWER OPERATION | | 2 | N Y 98 POWER OPERATION | 98 POWER OPERATION | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | SECURITY EVENT REGARDING THE EFFECTIVENESS OF PERIMETER MONITORING DUE TO | | LOCAL WEATHER CONDITIONS | | | | THE LICENSEE REPORTED AN EVENT INVOLVING THE EFFECTIVENESS OF THE PERIMETER | | MONITORING SYSTEMS DUE TO LOCAL WEATHER CONDITIONS. IMMEDIATE COMPENSATORY | | MEASURES WERE TAKEN UPON DISCOVERY. (REFER TO THE HOO LOG FOR ADDITIONAL | | DETAILS AND FOR A SITE CONTACT TELEPHONE NUMBER.) | | | | THE LICENSEE NOTIFIED THE NRC RESIDENT INSPECTOR. | +------------------------------------------------------------------------------+