| U.S. Nuclear Regulatory Commission
Operations Center Event Reports For
04/08/2009 - 04/09/2009 ** EVENT NUMBERS ** |
 | Power Reactor | Event Number: 44937 | Facility: COOPER
Region: 4 State: NE
Unit: [1] [ ] [ ]
RX Type: [1] GE-4
NRC Notified By: EDWARD McCUTCHEN JR.
HQ OPS Officer: MARK ABRAMOVITZ | Notification Date: 03/26/2009
Notification Time: 18:52 [ET]
Event Date: 03/27/2009
Event Time: 00:00 [CDT]
Last Update Date: 04/08/2009 | Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
| Person (Organization):
NEIL OKEEFE (R4)
|
| Unit | SCRAM Code | RX CRIT | Initial PWR | Initial RX Mode | Current PWR | Current RX Mode | | 1 | N | Y | 100 | Power Operation | 100 | Power Operation | Event Text TROUBLESHOOTING EMERGENCY OFFSITE FACILITY COMMUNICATIONS
"This notification is being made in accordance with 10 CFR 50.72(b)(3)(xiii) as an event that will result in a major loss of emergency assessment capability, offsite response capability, or offsite communications capability (e.g. significant portion of control room indication, Emergency Notification System or offsite notification system.)
"At approximately 0000 on 3/27/09, all five of the T-1 data lines to the Emergency Offsite Facility (EOF) will be taken out of service to troubleshoot and repair malfunctioning phone company equipment. Multiple short duration outages will occur until the malfunction can be located and repaired. This outage will cause a loss of Plant Management Information System printer capability, Safety Parameter Display System (SPDS) capability, FTS 2001 system, Alternate Intercom system, Low Band base radio (the primary Downwind Survey team radio), State Notification Telephone System, Dose Assessment and some external phone lines at the EOF. This loss of capability affects only the off-site EOF. All other emergency communications from the site to the NRC are not affected.
"Compensatory measures being put into effect include SPDS information relayed via telephone from the Technical Support Center, dose assessment and offsite notifications and reports via alternate means, or relocate the on-call Emergency Director to the Control Room and make notifications to offsite agencies via the Control Room Communicator. CNS is in contact with communications personnel to restore the T-1 lines as quickly as possible in the event of a declared emergency.
"Region IV and the NRC Resident Inspector were notified of the planned loss of the T-1 lines. CNS will notify the NRC when all EOF equipment affected by the T-1 lines have been satisfactorily tested and verified to be operational."
* * * UPDATE ON 3/27/09 AT 1405 FROM STEVE WHEELER TO MARK ABRAMOVITZ * * *
"This notification is an update to EN#44937 regarding the planned troubleshooting of Emergency Off Site Facility (EOF) communications equipment. Discussion with the NPPD telecommunications vendor have identified that the planned troubleshooting and repair of Cooper's EOF communications equipment was completed non-intrusively. There was no actual interruption of the EOF communications equipment. Testing by the vendor, NPPD Telecommunications Department personnel and NPPD Emergency Preparedness Department personnel has been completed and all EOF communications equipment has been verified to be fully functional. The NRC Senior Resident Inspector and the State and Local Agencies will be notified that the CNS EOF communications equipment is fully functional."
Notified the R4DO (O'Keefe).
* * * UPDATE AT 1739 EDT ON 3/30/09 FROM ED MCCUTCHEN TO JOE O'HARA * * *
"This notification is a second follow up to Event Notification EN# 44937 of 3/26/09 at 1852 EDT which reported the planned troubleshooting of Emergency Off Site Facility (EOF) communications equipment. The first follow up reported that the planned troubleshooting was completed non-intrusively and that no actual interruption of EOF capability occurred.
"Subsequently the telecommunication provider has advised that further troubleshooting is required. Therefore, at approximately 2300 on 3/30/09, all five T-1 data lines to the EOF will be taken out of service to troubleshoot and repair malfunctioning phone company equipment. Multiple short duration outages will occur until the malfunction can be located and repaired. This outage will cause a loss of Plant Management Information System printer capability, Safety Parameter Display System (SPDS) capability, FTS 2001 system, Alternate Intercom system, Low Band base radio (the primary Downwind Survey team radio), State Notification Telephone System, Dose Assessment and some external phone lines at the EOF. This loss of capability affects only the off-site EOF. All other emergency communications from the site to the NRC are not affected.
"Compensatory measures being put into effect include SPDS information relayed via telephone from the Technical Support Center, dose assessment and offsite notifications and reports via alternate means, or relocate the on-call Emergency Director to the Control Room and make notifications to offsite agencies via the Control Room Communicator. CNS is in contact with communications personnel to restore the T-1 lines as quickly as possible in the event of a declared emergency.
"Region IV and the NRC Resident Inspector were notified of the planned loss of the T-1 lines. CNS will notify the NRC when all EOF equipment affected by the T-1 lines have been satisfactorily tested and verified to be operational."
Notified R4DO(Deese).
* * * UPDATE AT 0840 EDT ON 3/31/09 FROM ROY GILES TO DONALD NORWOOD * * *
"Third follow-up of event notification EN #44937.
"Discussions with the NPPD telecommunications vendor have identified that troubleshooting and repairs to the EOF communications equipment are complete [as of 0639 CDT]. Post-work testing by Telecommunications Department personnel and NPPD Emergency Preparedness Department personnel has been completed and all EOF communications equipment has been verified to be fully functional. The NRC Senior Resident Inspector will be informed."
Notified R4DO (Deese).
* * * UPDATE FROM ED MCCUTCHEN TO JOE O'HARA AT 1425 EDT ON 4/7/09 * * *
"This notification is a fourth follow up to Event Notification EN# 44937 of 3/26/09 at 1852 EDT which reported the planned troubleshooting of Emergency Off Site Facility (EOF) communications equipment. The third follow up reported that subsequent repairs were completed and that EOF full communication capability had been restored.
"Since then, the telecommunication provider has advised that more troubleshooting is required. Therefore, at approximately 2300 on 4/7/09, all five T-1 data lines to the EOF will again be taken out of service to troubleshoot and repair malfunctioning phone company equipment. Multiple short duration outages will occur for approximately 7 hours until the malfunction can be located and repaired. This outage will cause a loss of Plant Management Information System printer capability, Safety Parameter Display System (SPDS) capability, FTS 2001 system, Alternate Intercom system, Low Band base radio (the primary Downwind Survey team radio), State Notification Telephone System, Dose Assessment and some external phone lines at the EOF. This loss of capability affects only the off-site EOF. All other emergency communications from the site to the NRC are not affected.
"Compensatory measures being put into effect include SPDS information relayed via telephone from the Technical Support Center, dose Assessment and offsite notifications and reports via alternate means, or relocate the on-call Emergency Director to the Control Room and make notifications to offsite agencies via the Control Room Communicator. CNS is in contact with communications personnel to restore the T-1 lines as quickly as possible in the event of a declared emergency.
"Region IV and the NRC Resident Inspector were notified of the planned loss of the T-1 lines. CNS will notify the NRC when all EOF equipment affected by the T-1 lines have been satisfactorily tested and verified to be operational."
Notified R4DO(Spitzberg).
* * * UPDATE FROM CLYDE EDGINGTON TO JOE O'HARA AT 1443 EDT ON 4/8/09 * * *
"Discussions with the NPPD telecommunications vendor have identified that troubleshooting and repairs to the EOF communications equipment were not necessary and no work was performed. Post-work testing by Telecommunications Department personnel and NPPD Emergency Preparedness Department personnel has been completed and all EOF communications equipment has been verified to be fully functional.
The NRC Senior Resident Inspector has been informed.
Notified R4DO(B. Spitzberg) |
| General Information or Other | Event Number: 44953 | Rep Org: FLORIDA BUREAU OF RADIATION CONTROL
Licensee: MP DIAGNOSTIC, LTD
Region: 1
City: MIAMI State: FL
County:
License #: 3407-1
Agreement: Y
Docket:
NRC Notified By: STEVE FURNACE
HQ OPS Officer: BILL HUFFMAN | Notification Date: 04/02/2009
Notification Time: 11:05 [ET]
Event Date: 04/02/2009
Event Time: [EDT]
Last Update Date: 04/02/2009 | Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
| Person (Organization):
MEL GRAY (R1)
ANGELA MCINTOSH (FSME)
| Event Text AGREEMENT STATE REPORT - TWO PATIENTS GIVEN IODINE-123 TREATMENTS ABOVE PRESCRIBED AMOUNT.
The following information was received from the State of Florida via facsimile:
"During inspection it was found that two patients were given I-123 treatments greater than 20% of prescribed amount. The amount prescribed was 200 microcuries. The amounts given were 318 microcuries [for patient #1] and 314 microcuries [for patient #2]. [The State of Florida] Licensing and Materials Office is investigating this incident."
Florida Incident FL09-032.
A Medical Event may indicate potential problems in a medical facility's use of radioactive materials. It does not necessarily result in harm to the patient. |
| General Information or Other | Event Number: 44958 | Rep Org: TEXAS DEPARTMENT OF HEALTH
Licensee: CONAM INSPECTION & ENGINEERING INC.
Region: 4
City: PASADENA State: TX
County:
License #: 05010
Agreement: Y
Docket:
NRC Notified By: ART TUCKER
HQ OPS Officer: VINCE KLCO | Notification Date: 04/02/2009
Notification Time: 17:39 [ET]
Event Date: 10/18/2006
Event Time: [CDT]
Last Update Date: 04/08/2009 | Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
| Person (Organization):
RICK DEESE (R4)
ROBERT LEWIS (FSME)
| Event Text AGREEMENT STATE REPORT- INABILITY TO RETRACT RADIOGRAPHY SOURCE
The following information was received from the State of Texas via Email:
"On October 19, 2006, the agency received a call from the licensee reporting a problem on a radiography camera at a temporary job site. The Radiation Safety Officer (RSO) stated that he had received a call from his radiography trainer stating that the technician had set a radiography camera on a 2" pipe about 2 feet off the ground in preparation to take an exposure. With the source cranked out, the camera fell over and bent the source tube. The trainer tried to crank the source in to the camera and was not successful. The trainer then tried to crank it out, but was still unsuccessful. The trainer then put 14"x17" lead cassettes and two lead shot bags around the source to shield it. The RSO surveyed the area upon his arrival and verified that the barricade boundary was below 2 millirem per hour. Next, he surveyed the camera area, with results of 10 millirem per hour. The RSO noted that the camera was in an area that was surrounded by several pumps and cement blocks, so additional on-site inherent shielding was provided to protect members of the public. The RSO straightened out the source tube with a pair of pliers and retracted the source back into the camera. He estimated that the retrieval process took him approximately five minutes. The trainer and trainee were suspended from any additional radiography operation until their TLDs are read. Both the trainer and trainee received disciplinary reports in their personnel files and all employees were informed of the event. This file is closed.
"This event was reported using the NMED reporting system and not to the HOO [NRC Headquarters Operations Officer]. Failure to properly report this event was determined after a review was conducted of all radiography related events reported in the State of Texas from September 1, 2006 to March 31, 2009. The state used 10 CFR 34.101 to report these events, and not 10 CFR 30.50(b)(2), due to conflicting interpretations of NRC rules requiring reporting.
"In an effort to prevent a reoccurrence of this, each member of IIP [State of Texas Incident Investigation Program] was required to read Information Notice 2001-03, Incident Reporting Requirements for Radiography Licenses, dated April 6, 2001. In addition, the IIP database has been changed to clarify the reporting requirement and bring it in line with the NRC requirements."
Texas Incident Report: I-8369
* * * UPDATE PROVIDED TO KOZAL FROM TUCKER AT 1735 ON 04/08/09 * * *
Upon request of the State the reference to 10 CFR 30.50(b)(a) was changed to 10 CFR 30.50(b)(2). |
| General Information or Other | Event Number: 44959 | Rep Org: TEXAS DEPARTMENT OF HEALTH
Licensee: METCO
Region: 4
City: HOUSTON State: TX
County:
License #: 03018
Agreement: Y
Docket:
NRC Notified By: ART TUCKER
HQ OPS Officer: JOHN KNOKE | Notification Date: 04/02/2009
Notification Time: 17:50 [ET]
Event Date: 01/28/2008
Event Time: [CDT]
Last Update Date: 04/08/2009 | Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
| Person (Organization):
RICK DEESE (R4)
ROBERT LEWIS (FSME)
| Event Text AGREEMENT STATE REPORT - RADIOGRAPHY CAMERA MALFUNTION
The following information was received from the State of Texas via Email:
"On January 28, 2008, the Agency was notified by the licensee that a radiographer was doing work in one of their shooting bays when a 35.7 curie Iridium -192 source would not retract into the radiography camera. The radiographer used an installed video camera to look into the room and saw that the component he was working on had fallen and crimped the guide tube attached to the camera. The source was cranked to the end of the guide tube, and two attempts to straighten the guide tube and retract the source failed. A source retrieval supervisor then entered the room and placed lead bags over the end of the source guide tube and placed a lead sheet over the lead bags. The supervisor attempted to reshape the section of the guide tube that had been damaged using a hammer. This also did not work. Finally, the supervisor cut the damaged section of the guide tube out and the source was then retracted to the camera. The reported exposure for this event was 15 millirem. The radiographer received additional instruction on proper set up and operation of a radiography camera. This file is closed.
"This event was reported within 24 hours of the event using the NMED reporting system and not to the HOO [NRC Headquarters Operations Officer]. Failure to properly report this event was determined after a review was conducted of all radiography related events reported in the State of Texas from September 1, 2006 to March 31, 2009. This review was initiated in response to the State of Texas Incident Investigation Program (IIP) determining that they had failed to correctly interpret the requirements for reporting this type of event. The state used 10 CFR 34.101 to report these events, and not 10 CFR 30.50(b)(2), due to conflicting interpretations of NRC rules requiring reporting. In an effort to prevent a reoccurrence of this, each member of IIP was required to read Information Notice 2001-03, Incident Reporting Requirements for Radiography Licenses, dated April 6, 2001. In addition, the IIP database has been changed to clarify the reporting requirement and bring it in line with the NRC requirements."
Texas Incident Report: I - 8604
* * * UPDATE PROVIDED TO KOZAL FROM TUCKER AT 1735 ON 04/08/09 * * *
Upon request of the State the reference to 10 CFR 30.50(b)(a) was changed to 10 CFR 30.50(b)(2). |
| General Information or Other | Event Number: 44960 | Rep Org: TEXAS DEPARTMENT OF HEALTH
Licensee: PETROCHEM INSPECTION SERVICES INC
Region: 4
City: HOUSTON State: TX
County:
License #: 04460
Agreement: Y
Docket:
NRC Notified By: ART TUCKER
HQ OPS Officer: VINCE KLCO | Notification Date: 04/02/2009
Notification Time: 18:19 [ET]
Event Date: 05/20/2007
Event Time: [CDT]
Last Update Date: 04/08/2009 | Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
| Person (Organization):
RICK DEESE (R4)
ROBERT LEWIS (FSME)
| Event Text AGREEMENT STATE REPORT - RADIOGRAPHY SOURCE UNABLE TO RETURN TO THE FULLY SHIELDED POSITION
The following information was received from the State of Texas via Email:
"On June 4, 2007, the Agency was notified by the licensee personnel that while performing industrial radiography using a QSA Global Model 660 exposure device serial number B- 2515, with a 61 Ci, IR-192 source, serial number 34471B, one of the radiography crews had an exposure device fall, causing a severe crimp in the source guide tube. As a result of the crimp, the source was not able to be returned to the fully shielded position. Licensee personnel expanded the radiation boundary and shielded the source until authorized personnel could retrieve the source. The source was retrieved and the source guide was returned to the manufacturer for repair. This event is closed.
"Failure to report this event was determined after a review was conducted of all radiography related events reported in the State of Texas. This review was initiated in response to the State of Texas Incident Investigation Program (IIP) determining that they had failed to correctly interpret the requirements for reporting this type of event. The state used 10 CFR 34.101 to report these events, and not 10 CFR 30.50(b)(2), due to conflicting interpretations of NRC rules requiring reporting.
"In an effort to prevent a reoccurrence of this, each member of IIP was required to read Information Notice 2001-03, Incident Reporting Requirements for Radiography Licenses, dated April 6, 2001. In addition, the IIP database has been changed to clarify the reporting requirement and bring it in line with the NRC requirements."
Texas Incident Report: I-8419
* * * UPDATE PROVIDED TO KOZAL FROM TUCKER AT 1735 ON 04/08/09 * * *
Upon request of the State the reference to 10 CFR 30.50(b)(a) was changed to 10 CFR 30.50(b)(2). |
| General Information or Other | Event Number: 44961 | Rep Org: TEXAS DEPARTMENT OF HEALTH
Licensee: METCO
Region: 4
City: HOUSTON State: TX
County:
License #: 03018
Agreement: Y
Docket:
NRC Notified By: ART TUCKER
HQ OPS Officer: VINCE KLCO | Notification Date: 04/02/2009
Notification Time: 18:37 [ET]
Event Date: 10/18/2007
Event Time: [CDT]
Last Update Date: 04/08/2009 | Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
| Person (Organization):
RICK DEESE (R4)
ROBERT LEWIS (FSME)
| Event Text AGREEMENT STATE REPORT - INABILITY TO RETRACT RADIOGRAPHY SOURCE
The following information was received from the State of Texas via Email:
"On November 9 2007, the agency was notified by the licensee of an event that occurred while they were performing radiography operations at a remote location. The licensee reported that the guide tube on a radiography camera containing a 75 curie Iridium (Ir) - 192 source was damaged, preventing them from being able to retrieve the radiation source back into the camera. The radiographer contacted the licensee's main office and was instructed to monitor the area and restrict access until the source retrieval supervisor arrived at the location. The supervisor was able to remove the crimp in the guide tube, allowing them to sufficiently retract the source into the camera. No exposures were received that exceeded regulatory limits. The licensee is redesigning their holder to prevent this from occurring in the future and provided additional training to their personnel. This event is closed.
"This event was reported within 24 hours of the event using the NMED reporting system and not to the HOO [NRC Headquarters Operations Officer]. Failure to properly report this event was determined after a review was conducted of all radiography related events reported in the State of Texas from September 1, 2006 to March 31, 2009. This review was initiated in response to the State of Texas Incident Investigation Program (IIP) determining that they had failed to correctly interpret the requirements for reporting this type of event. The state used 10 CFR 34.101 to report these events, and not 10 CFR 30.50(b)(2), due to conflicting interpretations of NRC rules requiring reporting.
"In an effort to prevent a reoccurrence of this, each member of IIP was required to read Information Notice 2001-03, Incident Reporting Requirements for Radiography Licenses, dated April 6, 2001. In addition, the IIP database has been changed to clarify the reporting requirement and bring it in line with the NRC requirements."
Texas Incident Report: I-8454
* * * UPDATE PROVIDED TO KOZAL FROM TUCKER AT 1735 ON 04/08/09 * * *
Upon request of the State the reference to 10 CFR 30.50(b)(a) was changed to 10 CFR 30.50(b)(2). |
| General Information or Other | Event Number: 44962 | Rep Org: TEXAS DEPARTMENT OF HEALTH
Licensee: DESERT INDUSTRIAL X-RAY LP
Region: 4
City: ABILENE State: TX
County:
License #: 04590
Agreement: Y
Docket:
NRC Notified By: ART TUCKER
HQ OPS Officer: JOHN KNOKE | Notification Date: 04/02/2009
Notification Time: 17:47 [ET]
Event Date: 11/25/2008
Event Time: [CDT]
Last Update Date: 04/08/2009 | Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
| Person (Organization):
RICK DEESE (R4)
ROBERT LEWIS (FSME)
| Event Text AGREEMENT STATE REPORT - RADIOGRAPHY CAMERA MALFUNCTION
The following information was received from the State of Texas via Email:
"On November 25, 2008, the Agency was notified by the licensee that a source disconnect had occurred while using an INC IR - 100 radiography camera containing an 80 curie Iridium -192 source. While the licensee was collecting information on this event, they received a phone call informing them that the source involved with the event had failed the latest leak test performed on it. A source recovery team was sent to the location and returned the source to the radiography camera. A second leak test was taken on November 26, 2008. The company performing the analysis of the leak test informed the licensee that both the first and the second test were both within acceptable limits. The first test had been misinterpreted. The disconnect was determined to have caused by a worn connection in the pigtail. The pigtail was sent to the manufacturer for repair. All exposures to individuals involved in this event were well below applicable limits. This file is closed.
"This event was reported within 24 hours of the event using the NMED reporting system and not to the HOO [NRC Headquarters Operations Officer]. Failure to properly report this event was determined after a review was conducted of all radiography related events reported in the State of Texas from September 1, 2006 to March 31, 2009. This review was initiated in response to the State of Texas Incident Investigation Program (IIP) determining that they had failed to correctly interpret the requirements for reporting this type of event. The state used 10 CFR 34.101 to report these events, and not 10 CFR 30.50(b)(2), due to conflicting interpretations of NRC rules requiring reporting. In an effort to prevent a reoccurrence of this, each member of IIP was required to read Information Notice 2001-03, Incident Reporting Requirements for Radiography Licenses, dated April 6, 2001. In addition, the IIP database has been changed to clarify the reporting requirement and bring it in line with the NRC requirements."
Texas Incident Number: I - 8583
* * * UPDATE PROVIDED TO KOZAL FROM TUCKER AT 1735 ON 04/08/09 * * *
Upon request of the State the reference to 10 CFR 30.50(b)(a) was changed to 10 CFR 30.50(b)(2). |
| General Information or Other | Event Number: 44963 | Rep Org: TEXAS DEPARTMENT OF HEALTH
Licensee: METCO
Region: 4
City: HOUSTON State: TX
County:
License #:
Agreement: Y
Docket:
NRC Notified By: ART TUCKER
HQ OPS Officer: VINCE KLCO | Notification Date: 04/02/2009
Notification Time: 18:54 [ET]
Event Date: 01/05/2008
Event Time: [CDT]
Last Update Date: 04/08/2009 | Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
| Person (Organization):
RICK DEESE (R4)
ROBERT LEWIS (FSME)
| Event Text AGREEMENT STATE REPORT- RADIOGRAPHY CAMERA MALFUNCTION
The following information was received from the State of Texas via Email:
"On February 5, 2008, the Agency was notified by the licensee that one of their crews had contacted their office and informed them that the guide tube on their camera had detached from the camera housing and a 91.4 curie Iridium (Ir) 192 source could not be retracted into the camera. The crew was instructed to maintain surveillance of the area until the source recovery team got to their location. Once there, the source recovery team determined that the source drive cable was no longer in the gear housing. They then cut the drive cable housing about one foot from the gear housing. The drive cable was located, and they manually pulled the cable and returned the source to the shielded position. The cause of the failure was determined to be a build up of material in the threads of the camera where the guide tube connected to it. This prevented the guide tube from adequately threading into the camera and allowing the guide tube to separate from the camera during use. The camera was inspected and cleaned. All cameras of similar design were also inspected. No other cameras were found to have the same problem. This event is closed.
"This event was reported within 24 hours of the event using the NMED reporting system and not to the HOO [NRC Headquarters Operations Officer]. Failure to properly report this event was determined after a review was conducted of all radiography related events reported in the State of Texas from September 1, 2006 to March 31, 2009. This review was initiated in response to the State of Texas Incident Investigation Program (IIP) determining that they had failed to correctly interpret the requirements for reporting this type of event. The state used 10 CFR 34.101 to report these events, and not 10 CFR 30.50(b)(2), due to conflicting interpretations of NRC rules requiring reporting.
"In an effort to prevent a reoccurrence of this, each member of IIP was required to read Information Notice 2001-03, Incident Reporting Requirements for Radiography Licenses, dated April 6, 2001. In addition, the IIP database has been changed to clarify the reporting requirement and bring it in line with the NRC requirements."
Texas Incident Report: I- 8480
* * * UPDATE PROVIDED TO KOZAL FROM TUCKER AT 1735 ON 04/08/09 * * *
Upon request of the State the reference to 10 CFR 30.50(b)(a) was changed to 10 CFR 30.50(b)(2). |
| General Information or Other | Event Number: 44964 | Rep Org: TEXAS DEPARTMENT OF HEALTH
Licensee: ACUREN INSPECTION INC
Region: 4
City: LA PORTE State: TX
County:
License #: I - 8495
Agreement: Y
Docket:
NRC Notified By: ART TUCKER
HQ OPS Officer: JOHN KNOKE | Notification Date: 04/02/2009
Notification Time: 17:45 [ET]
Event Date: 03/19/2008
Event Time: [CDT]
Last Update Date: 04/08/2009 | Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
| Person (Organization):
RICK DEESE (R4)
ROBERT LEWIS (FSME)
| Event Text AGREEMENT STATE REPORT - RADIOGRAPHY CAMERA MALFUNCTION
The following information was received from the State of Texas via Email:
"On February 19, 2008, an industrial radiography trainee working with two trainers at a chemical plant in La Porte, TX observed that his survey meter remained off-scale despite his attempt to crank the source into the shielded position. The device was a QSA Model 880, serial number D3759 containing a 76.7 curie Ir-192 sealed source QSA model A424-9. At that time the radiographers established a 360 degree barricade at the 2mR/hr level and notified the Radiation Safety Officer (RSO) who was out of town. The RSO called a specific licensee authorized by the State of Texas to perform source retrievals. Visual watch over the area was maintained by four employees as some radiation fields extended outside a fenced area. The retrieval was performed in an uneventful manner and although the camera was returned to a fully operational state, the company decided to take the camera out of service and have it fully inspected by the manufacturer. This event is closed.
"This event was reported within 24 hours of the event using the NMED reporting system and not to the HOO [NRC Headquarters Operations Officer]. Failure to properly report this event was determined after a review was conducted of all radiography related events reported in the State of Texas from September 1, 2006 to March 31, 2009. This review was initiated in response to the State of Texas Incident Investigation Program (IIP) determining that they had failed to correctly interpret the requirements for reporting this type of event. The state used 10 CFR 34.101 to report these events, and not 10 CFR 30.50(b)(2), due to conflicting interpretations of NRC rules requiring reporting. In an effort to prevent a reoccurrence of this, each member of IIP was required to read Information Notice 2001-03, Incident Reporting Requirements for Radiography Licenses, dated April 6, 2001. In addition, the IIP database has been changed to clarify the reporting requirement and bring it in line with the NRC requirements."
Texas Incident Number: I - 8495
* * * UPDATE PROVIDED TO KOZAL FROM TUCKER AT 1735 ON 04/08/09 * * *
Upon request of the State the reference to 10 CFR 30.50(b)(a) was changed to 10 CFR 30.50(b)(2). |
| Fuel Cycle Facility | Event Number: 44969 | Facility: B&W NUCLEAR OPERATING GROUP, INC.
RX Type: URANIUM FUEL FABRICATION
Comments: HEU FABRICATION & SCRAP
Region: 2
City: LYNCHBURG State: VA
County: CAMPBELL
License #: SNM-42
Agreement: N
Docket: 070-27
NRC Notified By: BARRY COLE
HQ OPS Officer: JOHN KNOKE | Notification Date: 04/03/2009
Notification Time: 21:23 [ET]
Event Date: 04/03/2009
Event Time: 16:00 [EDT]
Last Update Date: 04/07/2009 | Emergency Class: NON EMERGENCY
10 CFR Section:
PART 70 APP A (c) - OFFSITE NOTIFICATION/NEWS REL
| Person (Organization):
BRIAN BONSER (R2)
NADER MAMISH (NMSS)
FUELS GROUP email ()
| Event Text MEDIA RELEASE DUE TO ACID SPILL
"At approximately 4:00 p.m. on April 3, an acid leak occurred [on top of Building 5A] at the B&W Mount Athos facility in Campbell County, Va. As a result of the incident, employees were evacuated from the immediate area in accordance with the company's operating procedure.
"The B&W Emergency Team was immediately dispatched and secured the area and the leak. Two company employees were exposed to the acid and treated on the scene.
"There was no release of radioactive material during this incident. No danger was posed to the public, and there was no release of the acid into the environment. B&W is investigating the incident."
The acid was nitric acid, 69% concentration. The affected employees washed off the acid with water and required no further medical treatment.
NRC Resident Inspector was notified. |
| General Information or Other | Event Number: 44971 | Rep Org: NC DIV OF RADIATION PROTECTION
Licensee: CORMETECH INC.
Region: 1
City: DURHAM State: NC
County:
License #:
Agreement: Y
Docket:
NRC Notified By: WILLIAM JOHNSON
HQ OPS Officer: PETE SNYDER | Notification Date: 04/06/2009
Notification Time: 13:44 [ET]
Event Date: 04/02/2009
Event Time: [EDT]
Last Update Date: 04/06/2009 | Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
| Person (Organization):
LAWRENCE DOERFLEIN (R1)
ANGELA MCINTOSH (FSME)
ILTAB (E-MAIL) ()
|
| This material event contains a "Less than Cat 3" level of radioactive material. | Event Text LOST AMMONIA ANALYZER
Cormetech Inc. was unable to locate an ammonia analyzer containing 10mCi of Ni-63 during a routine inspection on April 2, 2009. The manufacturer of the instrument is Environmental Technologies Group. The instrument is a FP-IMS/CEM Ammonia Analyzer Model 221.
The licensee is taking action to locate the item but it is believed that the item is lost.
NC Incident: 09-21
THIS MATERIAL EVENT CONTAINS A "LESS THAN CAT 3" LEVEL OF RADIOACTIVE MATERIAL
Sources that are "Less than IAEA Category 3 sources," are either sources that are very unlikely to cause permanent injury to individuals or contain a very small amount of radioactive material that would not cause any permanent injury. Some of these sources, such as moisture density gauges or thickness gauges that are Category 4, the amount of unshielded radioactive material, if not safely managed or securely protected, could possibly - although it is unlikely - temporarily injure someone who handled it or were otherwise in contact with it, or who were close to it for a period of many weeks.
This source is not amongst those sources or devices identified by the IAEA Code of Conduct for the Safety & Security of Radioactive Sources to be of concern from a radiological standpoint. Therefore is it being categorized as a less than Category 3 source |
| General Information or Other | Event Number: 44973 | Rep Org: OHIO BUREAU OF RADIATION PROTECTION
Licensee: UNIVERSITY HOSPITALS OF CLEVELAND
Region: 3
City: CLEVELAND State: OH
County:
License #: 02110180077
Agreement: Y
Docket:
NRC Notified By: STEPHEN JAMES
HQ OPS Officer: JOE O'HARA | Notification Date: 04/06/2009
Notification Time: 13:00 [ET]
Event Date: 12/15/2008
Event Time: [EDT]
Last Update Date: 04/06/2009 | Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
| Person (Organization):
ROBERT DALEY (R3)
ANGELA MCINTOSH (FSME)
| Event Text INCIDENT INVOLVING CO-60 GAMMA KNIFE DURING PATIENT TREATMENT
The following information was provided by the state via e-mail:
"During an inspection on March 17 through 19, 2009, the ODH [Ohio Department of Health] inspector identified through the licensee's radiation safety committee meeting minutes an incident involving the Co-60 Gamma Knife that occurred on December 15, 2008, at approximately 2:15 pm. During a patient treatment, the couch moved out of treatment position. The emergency stop button was activated and the system did not respond. The licensee's staff had to manually pull out the couch from the Gamma Knife and manually close the doors to the Gamma Knife to shield the source.
"According to the licensee, radiation exposure to all individuals involved with the incident was minimal. The incident DID NOT result in a medical event for the patient. The manufacturer (Elekta) was immediately contacted and the Gamma Knife was repaired. Patient treatment was resumed and completed without incident. According to Elekta, the Gamma Knife system experienced an illegal couch sensor error due to a known software bug problem.
"The licensee failed to notify the Ohio Department of Health, Bureau of Radiation Protection of this device failure and therefore this is determined to be non-compliant with the provisions of rule 3701:1-40-20 (B)(2)(a,b,c) of the Ohio Administrative Code."
Ohio State Reference Number: OH 2009-008 |
| Power Reactor | Event Number: 44976 | Facility: TURKEY POINT
Region: 2 State: FL
Unit: [3] [ ] [ ]
RX Type: [3] W-3-LP,[4] W-3-LP
NRC Notified By: EDWARD BERTRAM
HQ OPS Officer: STEVE SANDIN | Notification Date: 04/08/2009
Notification Time: 04:47 [ET]
Event Date: 04/07/2009
Event Time: 23:45 [EDT]
Last Update Date: 04/08/2009 | Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
| Person (Organization):
ALAN BLAMEY (R2)
|
| Unit | SCRAM Code | RX CRIT | Initial PWR | Initial RX Mode | Current PWR | Current RX Mode | | 3 | N | N | 0 | Cold Shutdown | 0 | Cold Shutdown | Event Text LOSS OF ERDS DUE TO EQUIPMENT FAILURE
"During a routine check of the ERDS link, it was discovered that the computer housing the modem was frozen and not updating; therefore, the modem would not be transmitting information to the NRCOC. This condition only affected Unit 3; Unit 4 communication link is still operating. This is an 8-hr reportable event per 10CFR 50.72(b)(3)(viii)."
The licensee will inform the NRC Resident Inspector. |
| Power Reactor | Event Number: 44978 | Facility: MILLSTONE
Region: 1 State: CT
Unit: [ ] [ ] [3]
RX Type: [1] GE-3,[2] CE,[3] W-4-LP
NRC Notified By: ERIC BRODUER
HQ OPS Officer: JASON KOZAL | Notification Date: 04/08/2009
Notification Time: 17:22 [ET]
Event Date: 04/08/2009
Event Time: 14:55 [EDT]
Last Update Date: 04/08/2009 | Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(xi) - OFFSITE NOTIFICATION
| Person (Organization):
LAWRENCE DOERFLEIN (R1)
WILLIAM GOTT (IRD)
MIKE CHEOK (NRR)
|
| Unit | SCRAM Code | RX CRIT | Initial PWR | Initial RX Mode | Current PWR | Current RX Mode | | 3 | N | Y | 100 | Power Operation | 100 | Power Operation | Event Text OFFSITE NOTIFICATION TO THE STATE OF CONNECTICUT DUE TO ONSITE FATALITY
"The purpose of this report is to notify the NRC of an untimely death involving a Dominion worker at the Millstone station. Specifically, at 1406 EDT the Unit 3 Control Room was notified that an individual located outside the Protected Area had lost consciousness. The site emergency medical team responded and an ambulance was requested at 1410. At 1455 the Unit 3 Control Room was notified via Lawrence Memorial Hospital that the individual passed away. The untimely death was not occupationally related."
State and local offsite notifications were made.
The licensee notified the NRC Resident Inspector. | |