Event Notification Report for March 05, 2013
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
03/04/2013 - 03/05/2013
Fuel Cycle Facility
Event Number: 48807
Facility: GLOBAL NUCLEAR FUEL - AMERICAS
Region: 2 State: NC
Unit: [] [] []
RX Type: URANIUM FUEL FABRICATION
Comments: LEU CONVERSION (UF6 TO UO2)
LEU FABRICATION
LWR COMMERICAL FUEL
NRC Notified By: SCOTT MURRAY
HQ OPS Officer: JOHN SHOEMAKER
Region: 2 State: NC
Unit: [] [] []
RX Type: URANIUM FUEL FABRICATION
Comments: LEU CONVERSION (UF6 TO UO2)
LEU FABRICATION
LWR COMMERICAL FUEL
NRC Notified By: SCOTT MURRAY
HQ OPS Officer: JOHN SHOEMAKER
Notification Date: 03/05/2013
Notification Time: 09:40 [ET]
Event Date: 03/05/2013
Event Time: 08:45 [EST]
Last Update Date: 03/05/2013
Notification Time: 09:40 [ET]
Event Date: 03/05/2013
Event Time: 08:45 [EST]
Last Update Date: 03/05/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
PART 70 APP A (a)(4) - ALL SAFETY ITEMS UNAVAILABLE
10 CFR Section:
PART 70 APP A (a)(4) - ALL SAFETY ITEMS UNAVAILABLE
Person (Organization):
RANDY MUSSER (R2DO)
JANE MARSHALL (IRD)
BRIAN SMITH (NMSS)
RANDY MUSSER (R2DO)
JANE MARSHALL (IRD)
BRIAN SMITH (NMSS)
SOLE IROFS PRESSURE MAT DID NOT FUNCTION AS DESIGNED
"During a post maintenance test of a sole IROFS (Item Relied On For Safety) in the scrap press area, it was discovered that a sole IROFS of a pressure mat did not function as designed. The pressure mat is designed to ensure operator presence. The clutch that would be disengaged when the pressure switch is not active failed to do so. The press was immediately shut down. Similar presses have also been shut down. Double contingency was maintained (Moderation and Mass). The sole IROFS is designed for prevention of a fire scenario. At no time was an unsafe condition present."
There were no radiological or chemical hazards resulting from this event. The licensee is conducting an investigation to determine the cause of the failure.
The licensee has notified NRC R2 Inspectors and State and Local Agencies.
"During a post maintenance test of a sole IROFS (Item Relied On For Safety) in the scrap press area, it was discovered that a sole IROFS of a pressure mat did not function as designed. The pressure mat is designed to ensure operator presence. The clutch that would be disengaged when the pressure switch is not active failed to do so. The press was immediately shut down. Similar presses have also been shut down. Double contingency was maintained (Moderation and Mass). The sole IROFS is designed for prevention of a fire scenario. At no time was an unsafe condition present."
There were no radiological or chemical hazards resulting from this event. The licensee is conducting an investigation to determine the cause of the failure.
The licensee has notified NRC R2 Inspectors and State and Local Agencies.
!!!!! THIS EVENT HAS BEEN RETRACTED !!!!!
!!!!! THIS EVENT HAS BEEN RETRACTED !!!!!
Non-Agreement State
Event Number: 48810
Rep Org: ST. JOSEPH HEALTH CENTER
Licensee: ST. JOSEPH HEALTH CENTER
Region: 3
City: KANSAS CITY State: MO
County:
License #: 24-02704-01
Agreement: N
Docket:
NRC Notified By: MARCIA WEST
HQ OPS Officer: PETE SNYDER
Licensee: ST. JOSEPH HEALTH CENTER
Region: 3
City: KANSAS CITY State: MO
County:
License #: 24-02704-01
Agreement: N
Docket:
NRC Notified By: MARCIA WEST
HQ OPS Officer: PETE SNYDER
Notification Date: 03/06/2013
Notification Time: 15:58 [ET]
Event Date: 03/05/2013
Event Time: 00:00 [CST]
Last Update Date: 03/13/2013
Notification Time: 15:58 [ET]
Event Date: 03/05/2013
Event Time: 00:00 [CST]
Last Update Date: 03/13/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
NICK VALOS (R3DO)
FSME EVENT RESOURCE (EMAI)
NICK VALOS (R3DO)
FSME EVENT RESOURCE (EMAI)
CONTRACT AUDIT DISCOVERED PHYSICIAN NOT LISTED ON LICENSE
During an audit by Cardinal Health on behalf of St. Josephs Health Center it was discovered that a physician who was not listed on the current license has signed approximately 20 qualified medical procedures (QMP). The physician had been listed on earlier licenses but apparently was removed from the license in 2005. A technologist at St. Josephs said that at one point a number of oncologists were removed from the license. This physician may have been inadvertently removed at that time.
The licensee's representative is reporting this as a violation of 10 CFR 35.300 since a physician not listed on the license signed QMP. Cardinal Health will continue to investigate.
* * * RETRACTION FROM MARCIA WEST TO CHARLES TEAL ON 3/13/13 AT 1357 EDT * * *
Upon further review it was determined that this was not a medical event.
Notified R3DO (Dickson) and FSME Event Resource via email.
During an audit by Cardinal Health on behalf of St. Josephs Health Center it was discovered that a physician who was not listed on the current license has signed approximately 20 qualified medical procedures (QMP). The physician had been listed on earlier licenses but apparently was removed from the license in 2005. A technologist at St. Josephs said that at one point a number of oncologists were removed from the license. This physician may have been inadvertently removed at that time.
The licensee's representative is reporting this as a violation of 10 CFR 35.300 since a physician not listed on the license signed QMP. Cardinal Health will continue to investigate.
* * * RETRACTION FROM MARCIA WEST TO CHARLES TEAL ON 3/13/13 AT 1357 EDT * * *
Upon further review it was determined that this was not a medical event.
Notified R3DO (Dickson) and FSME Event Resource via email.