United States Nuclear Regulatory Commission - Protecting People and the Environment

Event Notification Report for November 30, 2012

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
11/29/2012 - 11/30/2012

** EVENT NUMBERS **


48056 48528 48530 48531 48547

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Power Reactor Event Number: 48056
Facility: WATTS BAR
Region: 2 State: TN
Unit: [1] [ ] [ ]
RX Type: [1] W-4-LP,[2] W-4-LP
NRC Notified By: CHARLES BROESCHE
HQ OPS Officer: JOE O'HARA
Notification Date: 06/29/2012
Notification Time: 13:04 [ET]
Event Date: 06/29/2012
Event Time: 10:28 [EDT]
Last Update Date: 11/29/2012
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(ii)(B) - UNANALYZED CONDITION
Person (Organization):
JONATHAN BARTLEY (R2DO)

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

UNANALYZED CONDITION DUE TO INCREASE IN PROBABLE MAXIMUM FLOOD LEVEL

"On June 29, 2012, TVA issued an updated calculation titled 'PMF Determination for Tennessee River Watershed' The calculation resulted in an increase in the Watts Bar Nuclear (WBN) probable maximum flood (PMF) level from Elevation 734.9 to Elevation 739.2. All flood sensitive safety related systems, structures, and components have been reviewed and been determined to remain unaffected by the revised PMF surge elevation, with the exception of the Thermal Barrier Booster Pump Motors and Essential Raw Cooling Water (ERCW) equipment required for flood mode operation located on Elevation 722 of the Intake Pumping Station (IPS). The updated PMF of Elevation 739.2 could impact the ability of the thermal barrier booster pumps and the Elevation 722 IPS ERCW equipment to perform their design accident protection function. Because of the unanalyzed condition. the potential existed for WBN to exceed its PMF design basis and adversely affect plant safety.

"This notification is being made pursuant to 10 CFR 50.72(b)(3)(ii)(B).

"Compensatory measures have been prepared to install a temporary flood protection barrier around the thermal barrier booster pumps and provide additional protection of Elevation 722 of the IPS in the event of a flood alert.

"The potential for the increased PMF level and the associated compensatory measures were previously discussed in a public meeting between TVA and the NRC on May 31, 2012 and in correspondence between TVA and the NRC dated June 13, 2012 and June 25, 2012.

"All safety related equipment is currently operable. There are no indications of conditions that might result in a flood in the near term.

"The licensee notified the NRC Resident Inspector of this condition."


* * * UPDATE FROM MICHAEL BOTTORFF TO VINCE KLCO AT 1435 EST ON 11/29/12 * * *

"Based upon continuing engineering reviews, the chilled water circulating pump motors for the Train A and B Main Control Room and 6.9kV Shutdown Board Room, including various sub-components, would be partially submerged during a Probable Maximum Flood (PMF) event. These components were not previously considered as affected by the PMF. The affected components are located on floor elevation 737.0 of the auxiliary building.

"This notification is being made pursuant to 10 CFR 50.72(b)(3)(ii)(B).

"Compensatory measures have been prepared to install temporary flood protection barrier around the chilled water circulating pump motors and provide additional protection of Elevation 722 of the IPS in the event of a flood.

"All safety related equipment is currently operable. There are no indications of conditions that might result in a flood in the near term.

"The licensee notified the NRC Resident Inspector of this condition.

"Licensee Event Report 50-390/2012-002-00 will be supplemented to include a description of the potential PMF affects on the chilled water circulating pump motors."

Notified the R2DO (Ernstes).

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Non-Agreement State Event Number: 48528
Rep Org: STAMFORD HOSPITAL
Licensee: STAMFORD HOSPITAL
Region: 1
City: STAMFORD State: CT
County:
License #: 06-066-9702
Agreement: N
Docket:
NRC Notified By: SARAH BULL
HQ OPS Officer: HOWIE CROUCH
Notification Date: 11/21/2012
Notification Time: 12:31 [ET]
Event Date: 05/01/2012
Event Time: [EST]
Last Update Date: 11/21/2012
Emergency Class: NON EMERGENCY
10 CFR Section:
35.3045(a)(1) - DOSE <> PRESCRIBED DOSAGE
Person (Organization):
JAMES DWYER (R1DO)
FSME RESOURCE (EMAI)

Event Text

MEDICAL EVENT - ACTUAL DOSE DIFFERED FROM PRESCRIBED DOSE

An NRC Region I Inspector (Abogundi) performed an inspection at the licensee facility and determined that a medical event occurred and should have been reported.

In May, 2011, a patient received prostate LDR (Low-Dose Rate brachytherapy) treatment using 86 Pd-103 seeds for a prescribed dose of 125 Gy. During post-treatment evaluation, it was determined that the patient received between 72% and 75% of prescribed dose. The prescribing physician was notified and will not be notifying the patient due to treatment success.

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: 48530
Rep Org: KENTUCKY DEPT OF RADIATION CONTROL
Licensee: NORTON SUBURBAN HOSPITAL
Region: 1
City: LOUISVILLE State: KY
County:
License #: 202-099-26
Agreement: Y
Docket:
NRC Notified By: MARISSA VELEZ
HQ OPS Officer: HOWIE CROUCH
Notification Date: 11/21/2012
Notification Time: 15:09 [ET]
Event Date: 11/21/2012
Event Time: [CST]
Last Update Date: 11/21/2012
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
JAMES DWYER (R1DO)
FSME RESOURCE (EMAI)

Event Text

AGREEMENT STATE REPORT - MEDICAL EVENT

The following information was obtained from the Commonwealth of Kentucky via facsimile:

"Kentucky Radiation Health Branch was notified on November 21, 2012 by the [licensee's] Medical Physicist, that a medical event occurred during the final hours of a gynecological radiation implant using Cs-137. The 40 hour procedure was scheduled to end today at 0915 CST. Upon arrival at 0910 to remove the applicators, the patient stated [that] shortly after 0600 she felt something had moved or urination or gel had come out of her. As the Medical Physicist pulled back the patient's gown, she saw the packing from the implant completely out of the patient. The top of the packing was approximately 1cm from the perineum. The sources were quickly removed from the applicators and put in a shielded transport container. The Medical Physicist's initial dose estimate to the skin on the patient's thigh and surrounding area is close to 450 cGy based on the applicator being out for 3 hours. There were a total of 5 sources used, 3 in the tandem all had the same activity (96.11 cGy*cm2/hr) and one in each ovoid, both having an activity of 29.63 cGy*cm2/hr. Radiation survey measurements of the applicators, patient, and room were below background. The RSO, patient, and prescribing physician are aware of the event that occurred and a follow-up is scheduled. The State will continue to keep NRC informed of the status of our investigation."

KY Event Report ID# KY120014

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: 48531
Rep Org: OHIO BUREAU OF RADIATION PROTECTION
Licensee: SOUTHERN OHIO MEDICAL CENTER
Region: 3
City: PORTSMOUTH State: OH
County:
License #: 02120 74 0002
Agreement: Y
Docket:
NRC Notified By: KARL VON AHN
HQ OPS Officer: DONALD NORWOOD
Notification Date: 11/21/2012
Notification Time: 17:50 [ET]
Event Date: 11/21/2012
Event Time: [EST]
Last Update Date: 11/21/2012
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
BILLY DICKSON (R3DO)
FSME RESOURCE (EMAI)

Event Text

AGREEMENT STATE REPORT - POTENTIAL DEFECT OF HDR UNIT

"At 4:45PM on November 21, 2012 the Radiation Safety Officer of the Southern Ohio Medical Center (OH license number 02120 74 0002) located in Portsmouth, OH called the Ohio Department of Health Bureau of Radiation Protection to make a telephone notification of a potential defect with a Nucletron microselectron HDR unit (SN 10281) containing 7.02 Ci of Iridium-192.

"The following event telephone report was made in accordance with OAC 3701:1-38-23(b)(2) (equivalent to NRC 10 CFR Part 21.xx).

"The nature of the defect was that prior to initiation of a patient treatment today, the computer console error code indicated a communication problem between the computer console and the HDR unit. The software indicated that the computer system needed to be rebooted which the licensee did. Upon restarting the computer it indicated a delivered treatment time of 24.6 seconds without the licensee initiating the treatment. The licensee did not see the radiation monitor light up, and entered and surveyed the room and patient with a handheld survey instrument. The licensee does not believe that the source left the shielded position.

"The licensee was able to complete the treatment fraction as planned, which was fraction number ten of ten fractions of 390 seconds. This did not result in a medical event.

"The Radiation Safety Officer notified their management and the manufacturer."

Ohio Event Report Number: 2012-033.

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Power Reactor Event Number: 48547
Facility: TURKEY POINT
Region: 2 State: FL
Unit: [3] [ ] [ ]
RX Type: [3] W-3-LP,[4] W-3-LP
NRC Notified By: ROBERT STRUSINSKI
HQ OPS Officer: JOHN KNOKE
Notification Date: 11/30/2012
Notification Time: 04:54 [ET]
Event Date: 11/30/2012
Event Time: 03:10 [EST]
Last Update Date: 11/30/2012
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(xi) - OFFSITE NOTIFICATION
Person (Organization):
MIKE ERNSTES (R2DO)

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

Event Text

OFFSITE NOTIFICATION - 40 GALLONS OF DIESEL FUEL SPILLED IN OCA

"This is a 10 CFR 50.72(b)(2)(xi) notification to the NRC of an event related to the protection of the environment for which notification to other government agencies has been made.

"On 11/30/12 at 0310 EST, [licensee was] notified by the site Hazardous Materials Coordinator that a diesel fuel spill occurred in the owner controlled area that exceeded the reporting quantity (RQ) to the state and local agencies. The quantity spilled was 40 gallons, with a minor portion entering the cooling canal system.

"On 11/30/12 at 0325 EST, [licensee] initiated contact with the following government agencies:
1) National Response Center (Report # 1031907),
2) Florida State Watch Office (Report # 2012-7936), and
3) South Florida Regional Planning Council (voice mail message left with contact number)."

The licensee will notify the NRC Resident Inspector.

Page Last Reviewed/Updated Friday, November 30, 2012
Friday, November 30, 2012