Event Notification Report for May 03, 2022

U.S. Nuclear Regulatory Commission
Operations Center

EVENT REPORTS FOR
05/02/2022 - 05/03/2022

EVENT NUMBERS
55814 55858 55860 55866
Agreement State
Event Number: 55814
Rep Org: WA Office of Radiation Protection
Licensee: Kaiser Permanente Bellevue
Region: 4
City: St. Bellevue   State: WA
County:
License #: WN-M021
Agreement: Y
Docket:
NRC Notified By: Morgan Bullock
HQ OPS Officer: Lloyd Desotell
Notification Date: 03/31/2022
Notification Time: 20:48 [ET]
Event Date: 03/31/2022
Event Time: 00:00 [PDT]
Last Update Date: 05/02/2022
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
Person (Organization):
Deese, Rick (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB, (EMAIL)
CNSC (Canada), - (EMAIL)
Event Text
EN Revision Imported Date: 5/3/2022

EN Revision Text: AGREEMENT STATE REPORT - LOST GD-153 SOURCE

The following was received from the Washington State Department of Health, Office of Radiation Protection, via email:

"The Washington Agreement State program was notified on 3/31/2022, about a lost source. Kaiser Permanente Bellevue lost a 10 mCi Gd-153 source. The source was in its leaded container in a shipping box and had not been processed in yet to the facility when housekeeping picked it up and threw it away. It then went to their own [trash] compactor and unfortunately was picked up by the garbage company. This event was only discovered a few hours ago.

"Washington State arrived onsite at Kaiser Bellevue at 1300 PDT and spoke with the Director of Imaging. Surveys of the garbage compactor [indicate that] the source is likely intact, as no contamination was found. The source is still lost, but is likely in the company garbage or landfill."

WA incident no.: WA-022-006

* * * UPDATE ON 05/02/2022 AT 1526 EDT FROM TRISTAN HAY TO LLOYD DESOTELL * * *

The following update was received from the state of Washington via email:

"Based on their [licensee] corrective actions we [the state of Washington] have closed the incident. The lost source will most likely not be findable due to it making it into the landfill already and still being in its shielded container. "

Notified R4DO (Warnick) and ILTAB, NMSS Events Notification and CNSC via email.


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


Agreement State
Event Number: 55858
Rep Org: Illinois Emergency Mgmt. Agency
Licensee: G.E. Healthcare DBA/ Medi+Physics
Region: 3
City: Arlington Heights   State: IL
County:
License #: IL-01109-01
Agreement: Y
Docket:
NRC Notified By: Gary Forsee
HQ OPS Officer: Ossy Font
Notification Date: 04/25/2022
Notification Time: 11:31 [ET]
Event Date: 03/11/2022
Event Time: 00:00 [CDT]
Last Update Date: 04/26/2022
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
Person (Organization):
NMSS_EVENTS_NOTIFICATION (EMAIL)
Ziolkowski, Michael (R3DO)
ILTAB, (EMAIL)
Event Text
EN Revision Imported Date: 4/27/2022

EN Revision Text: AGREEMENT STATE REPORT - RADIOPHARMACEUTICAL PACKAGE LOST IN TRANSIT

The following was received from the Illinois Emergency Management Agency (the Agency) via email:

"GE Healthcare in Arlington Heights, IL shipped a Type A package containing one (1) 10mL vial of Indium-111 liquid within a standard 6mm lead shielded container on 3/4/22 to Cardinal Health in Sioux Falls, SD. The outer package is a corrugate box, measuring (L)16.1 x (W)16.1 x (H)16.5cm. The last viable scan was 3/7/22 at the [common carrier] hub under tracking number 270485520236. At the time of shipment, the package contained 3.201 mCi, but is decayed at the time of writing this report to 0.58 mCi. The package was expected to arrive 3/7/22. After no available status updates, [common carrier] dangerous goods advised GE Healthcare to consider the package lost in transit. The licensee reported the matter timely. The licensee advised there were no available updates as of 4/11/22. There have been no available updates since this date and this package is considered lost in transit. The activity is now less than 1.0 microcurie and does not represent a significant public hazard. This matter is considered closed.

"The package has now decayed beneath the NRC reportable quantity and does not represent a significant radiation hazard. No indication of intentional theft or diversion and the contents would not be useful to illicit intent."

Illinois Event Number: IL220010


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


Agreement State
Event Number: 55860
Rep Org: WA Office of Radiation Protection
Licensee: ALS Environmental Labs
Region: 4
City: Everett   State: WA
County:
License #: R1299
Agreement: Y
Docket:
NRC Notified By: Jasmin Hernandez
HQ OPS Officer: Brian Parks
Notification Date: 04/26/2022
Notification Time: 18:35 [ET]
Event Date: 04/26/2022
Event Time: 13:23 [PDT]
Last Update Date: 04/26/2022
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
Person (Organization):
Young, Cale (R4DO)
NMSS_Events_Notification, (EMAIL)
Event Text
EN Revision Imported Date: 4/27/2022

EN Revision Text: AGREEMENT STATE REPORT - LEAKING SEALED SOURCE

The following is a summary of an e-mail received from the Washington Office of Radiation Protection:

At 1323 PDT, Washington State received a report of two leaking electron capture detectors (ECD). The detectors failed leak testing and were removed from service. The licensee is working with the vendor on additional corrective actions. There was no spread of contamination and no overexposure.

The ECD contain Ni-63 sources (model number G2397A and G1223A / serial number U37921 and F5004) with an activity levels of 0.0144 microCuries and 0.009 microCuries.

Incident Number: WA-22-011


!!!!! THIS EVENT HAS BEEN RETRACTED !!!!!
!!!!! THIS EVENT HAS BEEN RETRACTED !!!!!
Power Reactor
Event Number: 55866
Facility: Sequoyah
Region: 2     State: TN
Unit: [1] [2] []
RX Type: [1] W-4-LP,[2] W-4-LP
NRC Notified By: Brian Klein
HQ OPS Officer: Ossy Font
Notification Date: 04/29/2022
Notification Time: 00:19 [ET]
Event Date: 04/28/2022
Event Time: 23:55 [EDT]
Last Update Date: 05/02/2022
Emergency Class: Unusual Event
10 CFR Section:
50.72(a) (1) (i) - Emergency Declared
Person (Organization):
Miller, Mark (R2DO)
Andrea Veil (NRR)
Laura Dudes (R2RA)
Gott, William (IR)
Power Reactor Unit Info
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
EN Revision Imported Date: 5/3/2022

EN Revision Text: NOTICE OF UNUSUAL EVENT

The following is a summary of information provided by the licensee via telephone:

On 04/28/22, at 2355 EDT, with both Sequoyah Unit 1 and 2 in Mode-1, 100 percent, a Notice of Unusual Event was declared due to receiving two seismic alarms and security feeling ground movement. Additionally, security in a tower heard an explosion. Both units remain in Mode-1, 100 percent and they are investigating the validity of the seismic alarms before proceeding with the Abnormal Operating Procedure required shutdown.

The following additional information was obtained from the licensee in accordance with Headquarters Operations Officers Report Guidance:

The licensee will notify the NRC Resident Inspector. The state of Tennessee and the Tennessee Valley Authority were notified.

Notified DHS SWO, FEMA Operations Center, CISA Central, FEMA NWC (email), DHS NRCC THD Desk(email), and DHS Nuclear SSA (email).

* * * UPDATE ON 04/29/2022 AT 0410 EDT FROM BRIAN KLEIN TO OSSY FONT * * *

The following is a summary of information provided by the licensee via telephone:

On 4/29/22, at 0406 EDT, Sequoyah Unit 1 and Unit 2 terminated the Notice of Unusual Event. The Civil Engineers determined that the alarms were due to a failed seismic indicator channel. Through interviews, only one security officer felt ground movement for a couple of seconds and heard a faint rumbling sound.

The following additional information was obtained from the licensee in accordance with Headquarters Operations Officers Report Guidance:

The licensee will notify the NRC Resident Inspector. The state of Tennessee and the Tennessee Valley Authority were notified.

Notified R2DO (Miller), NRR EO (Miller), and IR MOC (Gott) via email.

Additionally, notified DHS SWO, FEMA Operations Center, CISA Central, FEMA NWC (email), DHS NRCC THD Desk(email), and DHS Nuclear SSA (email).

* * * RETRACTION ON 05/02/2022 AT 2118 EDT FROM SCOTT SEAL TO LLOYD DESOTELL * * *

The following information was provided by the licensee via email:

"SQN [Sequoyah Nuclear Plant] is retracting the previous NOUE [Notice of Unusual Event] declaration made on 4/28/22 at 2355 [EDT] based on Emergency Action Level HU2 for a seismic event greater than Operating Basis Earthquake levels. Following the declaration of the NOUE, the station reviewed all available indications and determined that a seismic event had not occurred. The instrumentation failure was documented under Event Notification #55867."

Notified R2DO (Miller), and IR MOC (Gott), NRR EO (Miller) via email.