United States Nuclear Regulatory Commission - Protecting People and the Environment

Event Notification Report for June 10, 2011

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
06/09/2011 - 06/10/2011

** EVENT NUMBERS **


46921 46931 46939 46940 46941 46942 46943

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Agreement State Event Number: 46921
Rep Org: FLORIDA BUREAU OF RADIATION CONTROL
Licensee: DOCTORS HOSPITAL INC.
Region: 1
City: CORAL GABLES State: FL
County:
License #: 3823-1
Agreement: Y
Docket:
NRC Notified By: CHARLES ADAMS
HQ OPS Officer: VINCE KLCO
Notification Date: 06/03/2011
Notification Time: 15:40 [ET]
Event Date: 06/02/2011
Event Time: [EDT]
Last Update Date: 06/03/2011
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
RICHARD CONTE (R1DO)
BILL VON TILL (FSME)

Event Text

AGREEMENT STATE REPORT - DELIVERED DOSE DIFFERENT THAN PRESCRIBED DOSE

The following information was sent by the State of Florida Bureau of Radiation Control via email:

"[On June 2, 2011], a patient with over 100 tumors was being treated. One lesion was supposed to get 16 gray, but received only .85 gray. The physicist forgot to adjust for the weight factor. The physicians have been notified. The patient will receive the correct dose during the next visit. The licensee will submit a written report to the Radioactive Materials. Any further action is referred to Radioactive Materials. No further action will be taken on this incident by this office."

The patient was undergoing Gamma Knife Stereotactic Radiosurgery using 3073 Ci of Co-60.

Florida Incident: FL11-046

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.

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Agreement State Event Number: 46931
Rep Org: WA DIVISION OF RADIATION PROTECTION
Licensee: UNIVERSITY OF WASHINGTON
Region: 4
City: SEATTLE State: WA
County:
License #: WN-C001-1
Agreement: Y
Docket:
NRC Notified By: KELEE ATTEBERY
HQ OPS Officer: BILL HUFFMAN
Notification Date: 06/06/2011
Notification Time: 20:34 [ET]
Event Date: 03/30/2011
Event Time: 18:00 [PDT]
Last Update Date: 06/06/2011
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
JACK WHITTEN (R4DO)
ANDREW PERSINKO (FSME)

Event Text

AGREEMENT STATE REPORT - EXTREMITY OVEREXPOSURE DURING LABORATORY WORK

The following information was provided via e-mail from the Washington State Department of Health, Office of Radiation Protection:

"A Nuclear Medicine technologist received an overexposure to her extremity dosimeter for March 2011 while working in the basement of the Magnusen Health Sciences Building on the UW Campus. The Extremity Dose was reported as 56,440 mrem. During the month of March, she performed several cell-labeling procedures involving 75mCi, 111mCi, and 108mCi amounts of Y-90. There were also several labeling procedures involving the use of I-131 during the same time frame. However, because the whole body badge showed no significant exposure, it is believed the majority of the exposure came from the technologist's work with Y-90.

"Licensee: University of Washington
City and State: Seattle, WA
License Number: WN-C001-1
Type of License: Broad A
Date and time of Event: March 1 - March 30, 2011
Location of Event: UW Magnusen Health Sciences Building

"Investigation is ongoing."

Washington Report #WA-11-030

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Part 21 Event Number: 46939
Rep Org: APPLIED TECHNICAL SERVICES, INC
Licensee: SHAW AREVA MOX SERVICES, LLC
Region: 1
City: MARIETTA State: GA
County:
License #:
Agreement: Y
Docket:
NRC Notified By: CATHY MANSFELD
HQ OPS Officer: JOE O'HARA
Notification Date: 06/09/2011
Notification Time: 09:42 [ET]
Event Date: 04/13/2011
Event Time: 07:30 [EDT]
Last Update Date: 06/09/2011
Emergency Class: NON EMERGENCY
10 CFR Section:
21.21 - UNSPECIFIED PARAGRAPH
Person (Organization):
JOHN ROGGE (R1DO)
STEVEN RUDISAIL (R2DO)
JULIO LARA (R3DO)
JACK WHITTEN (R4DO)
PART 21 GRP ()

Event Text

PART 21 NONCOMPLIANCE TO PERCENT ELONGATION REQUIREMENTS PER ASTM CODE

Material used to fabricate standards used in ultrasonic testing failed to meet percent elongation standards per the code. Applied Technical Services has notified Areva. It is believed these standards were shipped to France from Areva in Aiken, S.C.

NCR No. 2011-001; Corrective Action #2011-285

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Non-Agreement State Event Number: 46940
Rep Org: HEMLOCK SEMICONDUCTOR CORPORATION
Licensee: HEMLOCK SEMICONDUCTOR CORPORATION
Region: 3
City: HEMLOCK State: MI
County:
License #: 21-32682-01
Agreement: N
Docket:
NRC Notified By: WALLACE MILLETT
HQ OPS Officer: BILL HUFFMAN
Notification Date: 06/09/2011
Notification Time: 12:30 [ET]
Event Date: 03/30/2010
Event Time: [EDT]
Last Update Date: 06/09/2011
Emergency Class: NON EMERGENCY
10 CFR Section:
30.50(b)(2) - SAFETY EQUIPMENT FAILURE
Person (Organization):
JULIO LARA (R3DO)
ANGELA MCINTOSH (FSME)

Event Text

FIXED PROCESS GAUGE SHUTTER FAILURE

The RSO reported a shutter problem on a fixed mounted process gauge manufactured by Ohmart Vega (Model SHF-2) containing a 200mCi CS-137 source. The shutter problem was discovered during a semi-annual shutter test on 3/30/2010 when it was determined that the shutter would not close. The shutter is normally always open to support the manufacturing process and the failure to close did not pose any personnel risk at the time of occurrence. A representative from the gauge manufacturer repaired the shutter onsite and the shutter has functioned acceptably since the repair.

The RSO noted that this event occurred over one year ago and he was unaware that it was reportable at the time. The RSO was alerted to the reportability requirements of this incident during his review of NRC Information Notice IN-2011-09.

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Power Reactor Event Number: 46941
Facility: COOPER
Region: 4 State: NE
Unit: [1] [ ] [ ]
RX Type: [1] GE-4
NRC Notified By: JOHN MYERS
HQ OPS Officer: BILL HUFFMAN
Notification Date: 06/09/2011
Notification Time: 14:00 [ET]
Event Date: 06/09/2011
Event Time: 09:20 [CDT]
Last Update Date: 06/09/2011
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(xi) - OFFSITE NOTIFICATION
Person (Organization):
JACK WHITTEN (R4DO)

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

OFFSITE NOTIFICATION CONCERNING INABILITY TO MEET SLUDGE POND DISCHARGE PERMIT DUE TO RIVER LEVELS

"Notification was made to the Nebraska Department of Environmental Quality regarding the inability to conform to the NPDES permit, since the discharges from the sludge pond to the Missouri River are uncontrolled at this time. As a result of high Missouri River levels, the sludge pond was overtopped. The discharges into this pond are subject to NPDES requirements. The inputs into the sludge pond are described in the NPDES permit as low volume wastewater. There are three outfalls which discharge into the pond. Outfall 002B is described as Clearwell Discharge plus Outfall 004 Emergency Overflow. Outfall 002C is described as Floor Drains. Outfall 004 is described as Reverse Osmosis Reject and Boiler Blowdown Waste streams. There is no radiological contamination in the pond.

"Additionally, the current and projected flooding conditions of the Missouri River high river levels have resulted in some media inquiries regarding potential changes in plant operation. Public information personnel and Management have responded to these inquiries with information on the impact of river level and preparations for additional actions should conditions warrant additional protective actions.

"Current river level is approximately 896 ft. MSL, three feet below the elevation which requires declaration of a NOUE, and approximately 4.8 feet below the crest of the 1993 flood, which was the highest flood recorded at the site. Current river elevation is 7 feet below grade elevation. A press release is not planned at this time. River level is currently projected to be 897.5 ft by Tuesday 6/14.

"Current river level is characterized as Moderate Flooding by the National Weather Service. There are currently no operational problems due to river conditions.

"The NRC Resident Inspector has been notified."

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Power Reactor Event Number: 46942
Facility: BRAIDWOOD
Region: 3 State: IL
Unit: [1] [2] [ ]
RX Type: [1] W-4-LP,[2] W-4-LP
NRC Notified By: KEVIN LUESHEN
HQ OPS Officer: BILL HUFFMAN
Notification Date: 06/09/2011
Notification Time: 19:03 [ET]
Event Date: 06/09/2011
Event Time: 14:22 [CDT]
Last Update Date: 06/09/2011
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(xi) - OFFSITE NOTIFICATION
Person (Organization):
JULIO LARA (R3DO)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
1 N Y 99 Power Operation 99 Power Operation
2 N Y 99 Power Operation 99 Power Operation

Event Text

INADVERTENT SIREN ACTIVATION DUE TO LIGHTNING STRIKE

"This siren affects both Dresden and Braidwood Stations. At approximately 1422 [CDT] on June 9, 2011, a Grundy County representative notified Exelon of an inadvertent siren activation. The Exelon representative contacted the siren contractor at 1423 [CDT] inquiring about siren activity in the shared Braidwood/Dresden Emergency Planning Zones. Upon review and polling of the system at 1444 [CDT], siren BD11 was identified in the area of concern with a communication failure. The siren contractor was immediately dispatched and arrived at the siren location at approximately 1520 [CDT]. Upon arrival, the siren was not sounding and significant damage was identified, which was indicative of a direct lightning strike. The siren was declared out of service and repairs will begin on June 10th."

The licensee notified the NRC Resident Inspector and Grundy County local authorities.

See Dresden Event #46943 for same event notification.

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Power Reactor Event Number: 46943
Facility: DRESDEN
Region: 3 State: IL
Unit: [ ] [2] [3]
RX Type: [1] GE-1,[2] GE-3,[3] GE-3
NRC Notified By: DENNIS FRANCIS
HQ OPS Officer: DONALD NORWOOD
Notification Date: 06/09/2011
Notification Time: 19:11 [ET]
Event Date: 06/09/2011
Event Time: 14:22 [CDT]
Last Update Date: 06/09/2011
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(xi) - OFFSITE NOTIFICATION
Person (Organization):
JULIO LARA (R3DO)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
2 N Y 100 Power Operation 100 Power Operation
3 N Y 100 Power Operation 100 Power Operation

Event Text

INADVERTENT SIREN ACTIVATION DUE TO LIGHTNING STRIKE

"This siren affects both Dresden and Braidwood Stations. This notification is for both sites.

"At approximately 1422 [CDT] on June 9, 2011, a Grundy County representative notified Exelon of an inadvertent siren activation. The Exelon representative contacted the siren contractor at 1423 [CDT] inquiring about siren activity in the shared Braidwood/Dresden Emergency Planning Zones. Upon review and polling of the system at 1444 [CDT], siren BD11 was identified in the area of concern with a communication failure. The siren contractor was immediately dispatched and arrived at the siren location at approximately 1520 [CDT]. Upon arrival, the siren was not sounding and significant damage was identified, which was indicative of a direct lightning strike. The siren was declared out of service and repairs will begin on June 10th."

"This condition is reportable under 10CFR50.72(b)(2)(xi) - News release or notification of other governmental agency."

The licensee notified the NRC Resident Inspector and Grundy County local authorities.

See Braidwood Event #46942 concerning same event.

Page Last Reviewed/Updated Thursday, March 29, 2012
Thursday, March 29, 2012