United States Nuclear Regulatory Commission - Protecting People and the Environment

Event Notification Report for September 18, 2012

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
09/17/2012 - 09/18/2012

** EVENT NUMBERS **


48286 48291 48292 48313 48314 48316

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Agreement State Event Number: 48286
Rep Org: PA BUREAU OF RADIATION PROTECTION
Licensee: UNIVERSITY OF PITTSBURGH
Region: 1
City: PITTSBURGH State: PA
County: ALLEGHENY
License #: PA-0190
Agreement: Y
Docket:
NRC Notified By: JOSEPH MELNIC
HQ OPS Officer: PETE SNYDER
Notification Date: 09/07/2012
Notification Time: 14:29 [ET]
Event Date: 09/06/2012
Event Time: [EDT]
Last Update Date: 09/07/2012
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
RICHARD CONTE (R1DO)

Event Text

AGREEMENT STATE REPORT - YTTRIUM-90 MICROSPHERES ADMINISTERED TO THE WRONG TREATMENT SITE

"On September 6, 2012, the [Pennsylvania Department of Environmental Protection, Bureau of Radiation Protection (PADEPBRP)] Central Office received notification via a phone call about this medical event.

"The patient received an administration of approximately 1.4 millicuries (mCi) of Y-90 microspheres to the wrong treatment site. The intended treatment was to administer approximately 24 mCi to the left lobe of the liver through three different arteries. During the administration of one of the split doses, the Interventional Radiologist (IR) incorrectly positioned the catheter in the right hepatic artery. A portion of the one split dose was administered to the right lobe of the liver before the IR realized that the catheter was not in the correct artery.

"Cause of the event: Human Error.

"Actions: Both the referring physician and the patient have been notified of the medical event. The [PADEPBRP] plans to do a reactive inspection."

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: 48291
Rep Org: KENTUCKY DEPT OF RADIATION CONTROL
Licensee: DOMTAR PAPER COMPANY
Region: 1
City: HAWESVILLE State: KY
County:
License #: 201-174-57
Agreement: Y
Docket:
NRC Notified By: MARISSA VEGA VELEZ
HQ OPS Officer: STEVE SANDIN
Notification Date: 09/10/2012
Notification Time: 14:15 [ET]
Event Date: 09/07/2012
Event Time: 11:00 [CDT]
Last Update Date: 09/10/2012
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
CHRISTOPHER NEWPORT (R1DO)
FSME EVENTS RESOURCE ()

Event Text

AGREEMENT STATE REPORT - STUCK SHUTTER ON FIXED NUCLEAR GAUGE

The following information was received from the Commonwealth of Kentucky via fax:

"KY RHB [Kentucky Radiological Health Branch] was notified on Monday, 9/10/12 by a representative from Domtar Paper Company, a routine shutter check was performed 9/7/12 on a fixed nuclear gauge and the shutter did not function as designed. Operation of the shutter required use of a tool. The gauge involved is Ohmart model SR-A, S/N 9296GG, containing 10 mCi Cs-137. It appears corrosive atmosphere caused damage to the source holder. The licensee requested proposal from Vega Americas, Inc. to repair or replace the source holder."

KY Event Report ID No.: 48291

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Agreement State Event Number: 48292
Rep Org: ILLINOIS EMERGENCY MGMT. AGENCY
Licensee: BED BATH AND BEYOND
Region: 3
City: VERNON HILLS State: IL
County:
License #:
Agreement: Y
Docket:
NRC Notified By: DAREN PERRERO
HQ OPS Officer: VINCE KLCO
Notification Date: 09/10/2012
Notification Time: 15:47 [ET]
Event Date: 07/15/2012
Event Time: 16:00 [CDT]
Last Update Date: 09/10/2012
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
JOHN GIESSNER (R3DO)
FSME RESOURCES (EMAI)
ILTAB (EMAI)

This material event contains a "Less than Cat 3" level of radioactive material.

Event Text

AGREEMENT STATE REPORT - LOST TRITIUM SIGN

The following information was received on 9/7/2012 via email:

"The Corporate RSO for Bed, Bath and Beyond (B3) called to advise that an exit sign containing H-3 appears to be missing from their Illinois store. The sign had been taken down by an electrician in July in anticipation of recovery and disposal by Shaw Environmental. A representative from Shaw had arrived this past week to collect and package the sign only to find that the sign was missing from the storage location where it had been placed at the time of removal. The electrical company hired by the licensee to perform the un-installation had noted that there were no signs of damage or loss of contents at the time of removal on July 13, 2012. The manager of the licensee's store can only definitely recall having seen the sign on July 14 or 15th in secure storage. Subsequent visual surveys of the store were conducted in an attempt to locate the sign with no success.

"The sign involved is made by Safety Light Corporation (m/n SLX-60). It was purchased in November of 2004. Based on the serial number involved (289354) it was determined that the sign was sold with a nominal H-3 content of 11.5 Ci. As of this date, that activity is approximately 7.4 Ci. Currently, it is believed that the device has been inadvertently disposed with the facilities normal trash stream."

Illinois Number: IL-12014

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. For additional information go to http://www-pub.iaea.org/MTCD/publications/PDF/Pub1227_web.pdf

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

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Power Reactor Event Number: 48313
Facility: FORT CALHOUN
Region: 4 State: NE
Unit: [1] [ ] [ ]
RX Type: (1) CE
NRC Notified By: ROBERT KROS
HQ OPS Officer: DONG HWA PARK
Notification Date: 09/17/2012
Notification Time: 15:23 [ET]
Event Date: 09/17/2012
Event Time: 08:58 [CDT]
Last Update Date: 09/17/2012
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
GEOFFREY MILLER (R4DO)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
1 N N 0 Cold Shutdown 0 Cold Shutdown

Event Text

LOSS OF EMERGENCY SIRENS

"At 0858 hrs. [CDT], Corporate Communications notified the control room that there was a communication issue with the emergency siren router. Based on the report, all sirens for the Alert Notification System within the Emergency Planning Zone (EPZ) were declared nonfunctional and notifications were completed. Local law enforcement has been notified in the required surrounding counties and compensatory measures are in place to ensure notification of the public in case of an actual emergency.

"Troubleshooting of the siren's communication system revealed that a peripheral router power supply had failed. The power supply was replaced at 0935 and router restarted. At 0955 sirens were restored to the counties of Harrison and Pottawattamie in Iowa. Communications were restored to all but one siren, in Washington County Nebraska by 1031, with that one siren (Siren 35) restored at 1103. All repairs completed and retested satisfactorily with proper communications confirmed with each siren. The power supply failure resulted in 2.1 hours with the sirens being unavailable. Notifications have been completed with compensatory actions by local law enforcement secured.

"This is being reported per 10CFR50.72(b)(3)(xiii) for 'Any event that results in a major loss of emergency assessment capability, off site response capability, or communications capability.'"

The licensee has notified the NRC Resident Inspector.

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Fuel Cycle Facility Event Number: 48314
Facility: HONEYWELL INTERNATIONAL, INC.
RX Type: URANIUM HEXAFLUORIDE PRODUCTION
Comments: UF6 CONVERSION (DRY PROCESS)
Region: 2
City: METROPOLIS State: IL
County: MASSAC
License #: SUB-526
Agreement: Y
Docket: 04003392
NRC Notified By: MICHAEL ABEL
HQ OPS Officer: DONG HWA PARK
Notification Date: 09/17/2012
Notification Time: 16:29 [ET]
Event Date: 09/17/2012
Event Time: 09:30 [CDT]
Last Update Date: 09/17/2012
Emergency Class: NON EMERGENCY
10 CFR Section:
40.60(b)(3) - MED TREAT INVOLVING CONTAM
Person (Organization):
SCOTT SHAEFFER (R2DO)
DAVID PSTRAK (NMSS)

Event Text

UNPLANNED MEDICAL TREATMENT OF A CONTAMINATED EMPLOYEE

"An employee reported to the dispensary this morning with a thermal burn from a steam line to the neck area [at approximately] 0930 CDT. The plant nurse administered preliminary treatment and decided to transport the employee to a local medical facility. A whole body survey of the employee in his plant clothing was performed; the maximum amount of contamination was present on his left boot, 36,866 dpm/100cm2. Prior to leaving the Restricted Area, the employee removed all plant clothing, changed into his personal clothing, and was re-surveyed. The employee was free of contamination upon release."

The contamination was from uranium ore concentrates. The licensee informed R2 (Richard Gibson) via voicemail.

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Power Reactor Event Number: 48316
Facility: GRAND GULF
Region: 4 State: MS
Unit: [1] [ ] [ ]
RX Type: [1] GE-6
NRC Notified By: ROGER BUTLER
HQ OPS Officer: DONG HWA PARK
Notification Date: 09/17/2012
Notification Time: 18:03 [ET]
Event Date: 09/17/2012
Event Time: 14:25 [CDT]
Last Update Date: 09/17/2012
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(xi) - OFFSITE NOTIFICATION
Person (Organization):
GEOFFREY MILLER (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

PRESS RELEASE REGARDING LABOR NEGOTIATIONS

"Entergy became aware of incorrect information that had been given to the media regarding employees being locked out of the Grand Gulf Nuclear Station. Entergy will be making the following statement:

"Grand Gulf Nuclear Station Negotiations Update

"Entergy will continue to negotiate with UGSOA [United Government Security Officers of America] Local 36, representing Grand Gulf security officers, in good faith to bring contract negotiations to a successful closure, and those security officers remain on the job today. The current contract expires at midnight September 30.

"In keeping with the best interest of safety and maintaining formal organizational controls at the plant site, the company will pursue contingency plans for alternate staffing, consistent with Nuclear Regulatory Commission regulations, as the contract expiration date nears."

The licensee has notified the NRC Resident Inspector.

Page Last Reviewed/Updated Tuesday, September 18, 2012
Tuesday, September 18, 2012