Event Notification Report for October 23, 2018

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
10/22/2018 - 10/23/2018

** EVENT NUMBERS **


53667 53685 53688 53690 53691

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Agreement State Event Number: 53667
Rep Org: NE DIV OF RADIOACTIVE MATERIALS
Licensee: BECTON DICKINSON & CO.
Region: 4
City: HOLDREGE   State: NE
County:
License #: NE-37-03-01
Agreement: Y
Docket:
NRC Notified By: BRYAN MILLER
HQ OPS Officer: DONG HWA PARK
Notification Date: 10/15/2018
Notification Time: 13:45 [ET]
Event Date: 10/14/2018
Event Time: 00:00 [CDT]
Last Update Date: 10/15/2018
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
GREG PICK (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)

Event Text

AGREEMENT STATE REPORT - STUCK IRRADIATOR SOURCE RACK

The following was received from the State of Nebraska via email:

"This morning at approximately 1030 [CDT], the State of Nebraska was contacted by the RSO of Becton, Dickinson and Company located in Holdrege, NE (NE license # 37-03-01) concerning a 24 hour reportable event. I believe the reporting requirement could be 10 CFR 36.83(a)(1), source stuck in the unshielded position or 10 CFR 36.83(a)(4), failure of the cable or drive mechanism used to move the source rack.

"Event: Approximately 1930 [CDT] on the night of October 14, 2018, there was an alarm of the source positioning indicators alerting the operators of a moving source. When the source rack failed to reach the rack down position in the allotted time period, a fault was recorded at the control panel. It appeared that the rack was stuck in the up position. The RSO called in at approximately 1940 [CDT] to help investigate the situation. Soon after arriving at the facility, [the RSO] placed a call into MDS Nordion for help with the situation. During the 2 hour time period for MDS Nordion to call back, [the RSO] successfully returned source rack #2 to the shielded position and tried to lower the source rack #1 to its shielded position but was unable to lower source rack #1. They also did some preliminary investigations and assumed that one of the guide cables for source rack #1 had busted. Once MDS Nordion returned their call, it was verified that the guide cable for source rack #1 had busted. MDS Nordion had the operators raise source rack #2 and with source rack #2 in its up position, lower source rack #1. After a couple attempts, they were successful in lowering the source rack #1 to its shielded position. Once source rack #1 was in its shielded position, the operators lowered the source rack #2 to its shielded position. Both were verified by the source down positioning switch.

"Note: After about 3.5 hours of the sources being stuck in the up position, the rack deluge system (rack sprinkler system) was deployed as a precautionary step to cool the sources and the product close to the sources. The overall time the sources were in the up position was approximately 5 hours. This was Nordion Model JS-8900 commercial irradiator.

"It was reported that nobody entered the vault while the sources were in the up position and that there is no reason to believe that any addition exposure to the workers was involved in this incident."

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!!!!! THIS EVENT HAS BEEN RETRACTED.THIS EVENT HAS BEEN RETRACTED !!!!!
Power Reactor Event Number: 53685
Facility: DAVIS BESSE
Region: 3     State: OH
Unit: [1] [] []
RX Type: [1] B&W-R-LP
NRC Notified By: NICK DOWNING
HQ OPS Officer: ANDREW WAUGH
Notification Date: 10/22/2018
Notification Time: 14:42 [ET]
Event Date: 10/22/2018
Event Time: 00:00 [EDT]
Last Update Date: 11/09/2018
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(v)(D) - ACCIDENT MITIGATION
Person (Organization):
MICHAEL KUNOWSKI (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

Event Text

CONTROL ROOM ENVELOPE DECLARED INOPERABLE DUE TO DOOR LATCH FAILURE

"At 0856 EDT on October 22, 2018, it was discovered that the Control Room Envelope, a single-train system, was inoperable due to failure of a boundary door to latch; therefore, this condition is being reported as an eight-hour, non-emergency notification per 10 CFR 50.72(b)(3)(v)(D) as a loss of safety function. The door latch was repaired, and the Control Room Envelope declared operable at 0910 EDT.

"There was no impact on the health and safety of the public or plant personnel, as the door was capable of being closed at all times and the door was manned the entire time it could not latch.

"The NRC Resident Inspector has been notified."

* * * RETRACTION AT 1510 EST ON 11/09/18 FROM NICK DOWNING TO OSSY FONT * * *

"Retraction of Event #53685, Control Room Envelope Declared Inoperable due to Door Latch Failure

"Based on subsequent field measurements taken for the boundary door, the force needed to open the unlatched door is sufficient to maintain the Control Room Envelope positive pressure. Therefore, the Control Room Envelope remained Operable with the boundary door unlatched, and this issue did not prevent the system from fulfilling its safety function to mitigate the consequences of an accident.

"The NRC Resident Inspector has been notified."

Notified the R3DO (Hanna).

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Power Reactor Event Number: 53688
Facility: MILLSTONE
Region: 1     State: CT
Unit: [] [2] []
RX Type: [1] GE-3,[2] CE,[3] W-4-LP
NRC Notified By: JOHN MAGYARIK
HQ OPS Officer: HOWIE CROUCH
Notification Date: 10/23/2018
Notification Time: 04:17 [ET]
Event Date: 10/22/2018
Event Time: 00:00 [EDT]
Last Update Date: 10/23/2018
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(v)(D) - ACCIDENT MITIGATION
Person (Organization):
DONNA JANDA (R1DO)
Unit SCRAM Code RX Crit Initial PWR Initial RX Mode Current PWR Current RX Mode
2 N N 0 Refueling 0 Refueling

Event Text

INOPERABLE CONTROL ROOM ENVELOPE DUE TO FAILED SURVEILLANCE

"On October 22, 2018 at 2241 hrs. EDT, a loss of Control Room Envelope (CRE) was declared due to failing to meet the requirements of (surveillance requirement) SR 4.7.6.1h during 72-month surveillance testing. Measured in-leakage exceeded the SR acceptance value.

"Abnormal Operating Procedure 2588A, 'Mitigating Actions for Control Room Envelope Boundary Breach', have been implemented."

The licensee has notified Connecticut Department of Environmental Protection, Connecticut dispatch, Waterford dispatch, and the NRC Resident Inspector of this event.

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Power Reactor Event Number: 53690
Facility: SURRY
Region: 2     State: VA
Unit: [1] [2] []
RX Type: [1] W-3-LP,[2] W-3-LP
NRC Notified By: CLEON LONG
HQ OPS Officer: BETHANY CECERE
Notification Date: 10/23/2018
Notification Time: 15:43 [ET]
Event Date: 10/23/2018
Event Time: 00:00 [EDT]
Last Update Date: 10/23/2018
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(xi) - OFFSITE NOTIFICATION
Person (Organization):
ERIC MICHEL (R2DO)
MICHAEL F. KING (NRR EO)
WILLIAM GOTT (IRD)
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

OFFSITE NOTIFICATION TO OSHA DUE TO SUPPLEMENTAL EMPLOYEE FATALITY

"On October 23, 2018 at 1510 EDT, a notification to OSHA (Occupational Safety and Health Administration) was initiated due to a supplemental employee experiencing a non-work related medical event that resulted in the supplemental employee passing. When the issue was identified, the station first aid team responded to administer first aid. The supplemental employee was transported to a local hospital for additional medical support. Subsequent to the employee passing, a report was made to OSHA in accordance with federal requirements. This event is reportable to the NRC per 10 CFR 50.72(b)(2)(xi) since another governmental agency was notified of this employer medical event.

"The supplemental employee was in a building within the owner controlled area and was not contaminated.

"The licensee notified the NRC Resident Inspector."

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Power Reactor Event Number: 53691
Facility: SALEM
Region: 1     State: NJ
Unit: [1] [] []
RX Type: [1] W-4-LP,[2] W-4-LP
NRC Notified By: ERIC POWELL
HQ OPS Officer: BETHANY CECERE
Notification Date: 10/23/2018
Notification Time: 19:24 [ET]
Event Date: 10/23/2018
Event Time: 00:00 [EDT]
Last Update Date: 10/23/2018
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(xi) - OFFSITE NOTIFICATION
Person (Organization):
DONNA JANDA (R1DO)
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

NOTIFICATION OF ENVIRONMENTAL REPORT TO ANOTHER GOVERNMENT AGENCY

"At 1616 EDT on 10/23/18, Salem reported to the New Jersey Department of Environmental Protection a sheen on ground water discovered during excavation in the Salem Switchyard. This discovery did not violate any NRC regulations or reporting criteria. This notification is being made solely as a four-hour, non-emergency notification for a Notification of Other Government Agency. This event is reportable in accordance with 10 CFR 50.72(b)(2)(xi).

"There was no impact on the health and safety of the public or plant personnel."

The licensee notified the NRC Resident Inspector and will notify Lower Alloway Creek Township.

Page Last Reviewed/Updated Wednesday, March 24, 2021