United States Nuclear Regulatory Commission - Protecting People and the Environment

Event Notification Report for June 20, 2013

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
06/19/2013 - 06/20/2013

** EVENT NUMBERS **


49104 49107 49134 49135 49136

To top of page
Agreement State Event Number: 49104
Rep Org: KANSAS DEPT OF HEALTH & ENVIRONMENT
Licensee: CODER X-RAY SERVICES
Region: 4
City: McPHERSON State: KS
County:
License #: 21-B165-01
Agreement: Y
Docket:
NRC Notified By: JAMES HARRIS
HQ OPS Officer: NESTOR MAKRIS
Notification Date: 06/11/2013
Notification Time: 10:59 [ET]
Event Date: 06/09/2013
Event Time: [CDT]
Last Update Date: 06/17/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
HEATHER GEPFORD (R4DO)
FSME EVENTS RESOURCE (EMAI)

Event Text

AGREEMENT STATE REPORT - POTENTIAL OVEREXPOSURE

The State of Kansas was notified by the licensee that on 6/9/2013, personnel dosimetry indicated that one assistant radiographer had received a potential overexposure, and two other assistant radiographers had received potential elevated exposure. The licensee reported that the dosimetry had been stored improperly and in close proximity to a location where a source change out had occurred. Corrective actions taken by the licensee include establishment of a controlled dosimetry storage location and additional training of personnel on the use of dosimetry. The individual with the potential overexposure was removed from radiography duties and given alternate work assignments. All three individuals were notified of the dosimetry readings.

The dosimeter readings were 5.046 rem, 1.133 rem and 0.633 rem.

* * * UPDATE FROM JAMES HARRIS VIA FAX AT 1050 EDT ON 6/17/13 * * *

The following information was obtained from the State of Kansas via fax:

"Based on the last dosimetry report [received by the licensee], several employees have received a high dose. The reported doses are Employee 1 - 5046 mR, Employee 2 - 1133 mR, and Employee 3 - 633 mR.

"The three employees are radiographers assistants acting under one of the 4 licensed radiographers. The three radiographers assistants never worked together on any single job. The only common denominator between the three assistants is that their film badges were stored in the same general area. The licensed radiographers that were assigned to them received no such high dose rates. The three assistants also did not have any off-scale readings from dosimetry nor did they report any unusual incidences. All three also stated they did not believe that they could possibly have received an unusually high dose during that time period based on dosimetry, rate alarm, and survey meter readings.

"Upon further investigation, it was discovered that the three were leaving their film badges in their [work] uniforms in a controlled area within the shop between shifts. During this time period, radiographic operations were conducted at the shop facility. Additionally, there was a source change conducted by two radiographers in the controlled area of the shop during this time. During times these employees were not working, their [work] uniforms would have been located in the controlled area allowing their badges to be exposed during radiographic operations.

"In conclusion, there are two possible explanations for the substantial increases in exposure to the three assistants badges. Conclusion one would be that excessive heat and humidity played a role in the increased readings found with the badges. Conclusion two would involve film badges in close proximity to the area where radiographic operations were being conducted with the individuals assigned to those badges being absent at the time, therefore creating an erroneous reading leading to the obvious assumption that the badges alone were exposed, not the individuals associated with these badges being exposed.

"Corrective action taken at this time: Badges will be stored in the office, [with the proper controls in place] when not being worn. Retraining [was] conducted on the physical properties of the film badge and how badges become exposed through various means.

"Based on the reading of employee 1's badge, he will not be involved in radiographic operations nor be allowed in the controlled areas near radiation in the shop until a full investigation is completed."

The State of Kansas is still investigating this event.

Kansas Case No.: KS130005

Notified R4DO (Walker) and FSME Events Resource via email.

To top of page
Agreement State Event Number: 49107
Rep Org: TENNESSEE DIV OF RAD HEALTH
Licensee: RBM SERVICES, LLC.
Region: 1
City: OAK RIDGE State: TN
County:
License #: R-01104-E17
Agreement: Y
Docket:
NRC Notified By: LAURA TURNER
HQ OPS Officer: NESTOR MAKRIS
Notification Date: 06/12/2013
Notification Time: 09:58 [ET]
Event Date: 05/29/2013
Event Time: [EDT]
Last Update Date: 06/12/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
GLENN DENTEL (R1DO)
FSME EVENTS RESOURCE (EMAI)
ILTAB ()

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

Event Text

AGREEMENT STATE REPORT - LOST/MISSING LICENSED MATERIAL

The following information was received from the State of Tennessee via email:

"On June 11, 2013, RbM Services, LLC contacted the [Tennessee] Division of Radiological Health to report that on May 29, 2013, 6 Bracco Diagnostics Inc. Rubidium Generators (Sr-82/Sr-85 Solid Strontium Mixture) were shipped to Los Alamos National Labs in Los Alamos, NM via Common Carrier.

"On May 31, 2013, it was discovered that two of the shipments of generators (78.78 mCi of Sr-85 and 49.37 mCi of Sr-85) had not arrived in Los Alamos. The tracking numbers showed the 2 shipments were still in Memphis, TN. On June 3, 2013, [the] Common Carrier's tracking update via phone stated the 2 shipments were enroute to Los Alamo's zip code.

"On June 4th, after learning the shipment had not been delivered, RbM contacted [the] Common Carrier and Bracco, the manufacturer of the generators. As of June 5th, [the] Common Carrier informed RbM that an extensive search for the packages was being made and a trace had been placed on the shipment.

"On June 6th, RbM contacted [the] Common Carrier and instructed them to contact Los Alamos National Labs to see if the shipment was delivered; Los Alamos confirmed those 2 shipments had not arrived.

"On June 10th, [the] Common Carrier did not have any additional information and advised RbM to contact their regulatory authority [Tennessee Division of Radiological Health]."

Event Report ID No. TN-13-104

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

To top of page
Power Reactor Event Number: 49134
Facility: HATCH
Region: 2 State: GA
Unit: [1] [2] [ ]
RX Type: [1] GE-4,[2] GE-4
NRC Notified By: JIM ANDERSON
HQ OPS Officer: MARK ABRAMOVITZ
Notification Date: 06/19/2013
Notification Time: 08:03 [ET]
Event Date: 06/19/2013
Event Time: 03:07 [EDT]
Last Update Date: 06/19/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
BINOY DESAI (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
2 N Y 100 Power Operation 100 Power Operation

Event Text

TECHNICAL SUPPORT CENTER OUT OF SERVICE

"An alarm was observed in the Technical Support Center (TSC). Initial investigation revealed the TSC to be warmer than usual and alarm 'TSC Vent Air Handling Unit B001 Disch Low Flow' was annunciated on the local panel. Annunciator response was followed as per 34SO-X75-002-0 with maintenance assistance. Further investigation revealed that the 1X75B001 Air Handling Unit fan belt was broken which made the TSC non-functional. The availability of the alternate TSC was verified as required. Actions are in place to return the TSC to functional status.

"If an emergency condition occurs that requires activation of the TSC, plans are to utilize the TSC as long as habitability conditions allow. Procedure 73EP-EIP-063-0, Technical Support Center Activation provides instructions to direct TSC management to the Control Room and TSC support personnel to the Simulator Building to continue TSC activities if it is necessary to relocate from the primary TSC.

"This event is reportable per 10CFR50.72 (b)(3)(xiii) as described in NUREG-1022, Rev. 2 and TRM T3.10.1 since the facility was rendered non-functional for greater than 30 minutes.

"The TSC was returned to FUNCTIONAL status at 0430 EDT on 6/19/2013."

The licensee notified the NRC Resident Inspector

To top of page
Power Reactor Event Number: 49135
Facility: QUAD CITIES
Region: 3 State: IL
Unit: [1] [2] [ ]
RX Type: [1] GE-3,[2] GE-3
NRC Notified By: KEVIN HOLLE
HQ OPS Officer: MARK ABRAMOVITZ
Notification Date: 06/19/2013
Notification Time: 10:15 [ET]
Event Date: 06/19/2013
Event Time: 10:15 [CDT]
Last Update Date: 06/19/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
ROBERT DALEY (R3DO)

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

Event Text

TECHNICAL SUPPORT CENTER PLANNED MAINTENANCE

"Planned breaker maintenance activities will be performed today (Wednesday, June 19, 2013) which will temporarily remove power to the Quad Cities Station TSC. The maintenance will be completed in approximately 2 hours and is scheduled to be worked continuously to minimize out-of-service time.

"If TSC activation is required during this period, compensatory measures have been established to direct ERO [Emergency Response Organization] members to an alternate location. No other emergency response facilities are impacted by the breaker maintenance. This event is reportable per 10CFR50.72(b)(3)(xiii) since the scheduled maintenance affects an emergency response facility.

"The NRC Resident Inspector has been notified."

To top of page
Power Reactor Event Number: 49136
Facility: GRAND GULF
Region: 4 State: MS
Unit: [1] [ ] [ ]
RX Type: [1] GE-6
NRC Notified By: RUSSELL BURDITT
HQ OPS Officer: DONG HWA PARK
Notification Date: 06/19/2013
Notification Time: 15:30 [ET]
Event Date: 06/19/2013
Event Time: 14:10 [CDT]
Last Update Date: 06/19/2013
Emergency Class: UNUSUAL EVENT
10 CFR Section:
50.72(a) (1) (i) - EMERGENCY DECLARED
Person (Organization):
WAYNE WALKER (R4DO)
JANE MARSHALL (IRD)
JOSEPH GIITTER (NRR)
ART HOWELL (R4RA)
JENNIFER UHLE (NRR)

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

UNUSUAL EVENT DECLARED DUE TO CO2 RELEASE IN THE AUXILIARY BUILDING

At 1410 CDT, Grand Gulf declared an Unusual Event for EAL H.U.5, release of toxic and flammable gases adverse to normal operation of the plant. CO2 was discharged in the electrical switchgear room in the auxiliary building. No injuries or fatalities were found after an initial search of the area. The cause of the CO2 discharge is under investigation.

The NRC Resident Inspector was notified.

Notified DHS SWO, FEMA, DHS NICC, and Nuclear SSA via email.

* * * UPDATE ON 1748 EDT AT 6/19/2013 FROM RUSSELL BURDITT TO DONG PARK * * *

"All areas of the auxiliary building have been verified to have no oxygen deficiency." The Unusual Event was terminated at 1628 CDT.

The NRC Resident Inspector was notified. Notified R4DO (Walker), NRR EO (Giitter), and IRD (Marshall).

Notified DHS SWO, FEMA, DHS NICC, and Nuclear SSA via email.

Page Last Reviewed/Updated Thursday, June 20, 2013
Thursday, June 20, 2013