Event Notification Report for September 06, 2022
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
09/02/2022 - 09/06/2022
Agreement State
Event Number: 55954
Rep Org: Illinois Emergency Mgmt. Agency
Licensee: Universal Scrap Metals
Region: 3
City: Chicago State: IL
County:
License #: GL 9223657
Agreement: Y
Docket:
NRC Notified By: Gary Foresee
HQ OPS Officer: Brian Parks
Notification Date: 06/21/2022
Notification Time: 17:00 [ET]
Event Date: 06/21/2022
Event Time: 00:00 [CDT]
Last Update Date: 09/02/2022
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
Person (Organization):
Feliz-Adorno, Nestor (R3DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB, (EMAIL)
Event Text
EN Revision Imported Date: 9/6/2022
EN Revision Text: AGREEMENT STATE REPORT - LOSS OF X-RAY FLUORESCENCE ANALYZER
The following was received from the Illinois Emergency Management Agency via email:
"Agency efforts to annually verify the inventory of registrant's generally licensed devices resulted in a declaration of loss by a registrant, Universal Scrap Metals, 9223657. Specifically, a Niton LLC, x-ray fluorescence analyzer (model XLp-818 PQ, serial number 9690), containing 30.0 mCi of Am-241 could not be located. The device was one of five, and the other four have been verified. On May 31, 2022 the registrant indicated they could not locate the device, but wanted to check several other departments before declaring it lost.
"The amount of americium present, although not representing a significant public safety concern, requires immediate reporting to the US NRC. The registrant failed to notify the Agency of disposal, transfer or loss. This matter will be [tracked until corrective action is provided.]"
Illinois Item Number: IL220021
* * * UPDATE ON 9/01/2022 AT 1655 EDT FROM LLINOIS EMERGENCY MANAGEMENT AGENCY TO KAREN COTTON * * *
The licensee provided new training for personnel and new procedures. The Illinois Emergency Management Agency closed the event.
Notified R3DO (Hills). Notified via email: NMSS Event Notification and ILTAB.
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: 55986
Rep Org: Alabama Radiation Control
Licensee: Wiregrass Medical Center
Region: 1
City: Geneva State: AL
County:
License #:
Agreement: Y
Docket:
NRC Notified By: Cason Coan
HQ OPS Officer: Brian Lin
Notification Date: 07/08/2022
Notification Time: 17:56 [ET]
Event Date: 03/11/2020
Event Time: 00:00 [CDT]
Last Update Date: 09/02/2022
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
Person (Organization):
Arner, Frank (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
Williams, Kevin (NMSS)
Event Text
EN Revision Imported Date: 9/6/2022
EN Revision Text: AGREEMENT STATE REPORT - DOSE MISADMINISTRATION
The following information was received from the Alabama Department of Public Health Office of Radiation Control (the Agency) via email:
"Issue discovered 6/30/2022, during inspection. The licensee did not report to the Agency at the time of occurrence. The dose to patient was evaluated as a result of a wrong dose on 7/8/2022. [On 3/11/2020,] the patient was prescribed 15 mCi of Tc-99m sestamibi/Cardiolite; the patient received 24.28 mCi of Tc-99m MDP [methyl diphosphonate]. The licensee reported that the nuclear medicine technician did not adequately verify dose labeling, and has been retrained in procedures. [This] appears to result in an effective dose of 512.068 mrem, and dose to bone surfaces of 5659.668 mrem."
AL incident no.: 22-10
* * * UPDATE ON 9/01/2022 AT 1634 EDT FROM ALABAMA OFFICE OF RADIATION CONTROL TO KAREN COTTON * * *
"Cause and Corrective Actions (States and licensees' actions) Licensee reported that the nuclear medicine tech was advised to double check dose labels prior to patient dosing. Licensee also stated personnel were unaware of misadministration reporting requirements (misadministration found during Agency inspection). Event closed"
Notified NMSS DAY (Rivera-Cappella) and R1DO (Gray) and via email: NMSS Event Notification
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.
Agreement State
Event Number: 56071
Rep Org: Alabama Radiation Control
Licensee: Huntsville Hospital Health System
Region: 1
City: Huntsville State: AL
County:
License #:
Agreement: Y
Docket:
NRC Notified By: Cason Coan
HQ OPS Officer: Bethany Cecere
Notification Date: 08/26/2022
Notification Time: 16:13 [ET]
Event Date: 08/25/2022
Event Time: 00:00 [CDT]
Last Update Date: 09/02/2022
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
Person (Organization):
Lally, Christopher (R1DO)
Williams, Kevin (NMSS)
NMSS_Events_Notification, (EMAIL)
Event Text
EN Revision Imported Date: 9/6/2022
EN Revision Text: AGREEMENT STATE REPORT - DIAGNOSTIC MISADMINISTRATION
The following information was provided by the Alabama Dept. of Public Health Office of Radiation Control via email:
"[The licensee's] Representative stated that a patient was prescribed 20 milliCuries of sodium pertechnetate (did not state for which type of scan); the patient received 30 milliCuries of sestamibi (intended for a cardiac stress dose). The representative stated that the nuclear medicine tech that administered the wrong dose is new and has been counseled. This nuclear medicine tech will also be subject to increased oversight into the near future. Representative did not state that the patient will experience any side effects, nor if the patient has been counseled. The misadministration appears to result in an EDE of 876.9 mrem; the highest organ/tissue dose appears to be to the gall bladder wall with a dose of estimated 3663 mrem."
Alabama Incident 22-14
* * * UPDATE ON 9/01/2022 AT 1634 EDT FROM ALABAMA OFFICE OF RADIATION CONTROL TO KAREN COTTON * * *
"Cause and Corrective Actions (State's and licensees' actions):
"The tech that administered the wrong dose was still in her orientation/training period. The licensee stated that the tech was counseled and will be under increased monitoring during her orientation period.
"Close-out report"
Notified NMSS DAY (Rivera-Cappella) and R1DO (Gray) and via email: NMSS Event Notification
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.
Agreement State
Event Number: 56072
Rep Org: Maryland Dept of the Environment
Licensee: ECS Mid-Atlantic, LLC
Region: 1
City: Frederick State: MD
County:
License #:
Agreement: Y
Docket:
NRC Notified By: Atnatiwos Meshesha
HQ OPS Officer: Bethany Cecere
Notification Date: 08/26/2022
Notification Time: 17:52 [ET]
Event Date: 08/24/2022
Event Time: 15:03 [EDT]
Last Update Date: 08/26/2022
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
Person (Organization):
Lally, Christopher (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
Event Text
EN Revision Imported Date: 8/29/2022
EN Revision Text: AGREEMENT STATE REPORT - DAMAGED PORTABLE GAUGE
The following information was provided by the Maryland Department of Environment via email:
"On August 24, 2022, at about 1840 EDT the Maryland Department of the Environment Radiological Health Program (MDE/RHP) was contacted via telephone from the Emergency Response Department (ERD) staff that the ECS Mid-Atlantic, LLC, Troxler nuclear moisture/density gauge was run over and damaged by an excavator in the project jobsite at the Grosvenor-Strathmore Metro Station project. MDE/RHP inspector immediately called and contacted the RSO of the licensee and preliminary information about the accident and measures taken. The MDE/RHP inspection team responded on August 25, 2022 and August 26, 2022 went to the licensee office and conducted investigations.
"On the day of the accident, at about 1503 EDT the Technician moved the gauge to the side, on the curb beside the trench, and the excavator operator that moved the arm (bucket) down the trench hit the gauge. The source rod of the gauge was in its safe (parking) position and the top of the gauge was damaged. The Troxler gauge is Model 3440, with device serial number 31969 which contain Cesium - 137 sealed source with estimated nominal activities of 8 milliCuries, and Am-241:Be with estimated nominal activities of 44 milliCuries.
"The gauge was later locked and put into the transportation case and the technician took it to the ECS Mid-Atlantic. Surveys conducted at the surfaces of the gauge are normal; and leak test results are expected. The case has been reported to the Nuclear Material Events Database (NMED) on 8/26/2022."
Agreement State
Event Number: 56074
Rep Org: Florida Bureau of Radiation Control
Licensee: Pacifica Engineering Services
Region: 1
City: Delray Beach State: FL
County:
License #:
Agreement: Y
Docket:
NRC Notified By: Paul Norman
HQ OPS Officer: Bethany Cecere
Notification Date: 08/27/2022
Notification Time: 21:51 [ET]
Event Date: 08/27/2022
Event Time: 08:30 [EDT]
Last Update Date: 08/27/2022
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
Person (Organization):
Lally, Christopher (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB, (EMAIL)
Event Text
AGREEMENT STATE REPORT - STOLEN MOISTURE DENSITY GAUGE
The following information was provided by the state of Florida via email:
"[The licensee's Radiation Safety Officer] (RSO) called at 1946 EDT to report a stolen Troxler Soil Moisture Density Gauge. The Pacifica technician found the chain and padlock were cut. The initial discovery was at approximately 0830 EDT, but was not reported to the RSO until later in the day. When asked why the incident was reported nearly 12 hours later, [the RSO] stated that the technician had a morning exam, and that he was afraid of losing his job. Additionally, since [the RSO] had not notified Law Enforcement at the time of his report, he was instructed to do so. Finally, [the RSO] was instructed to email this [Florida Bureau of Radiation Control] Duty Officer with the report number, along with his description of the event."
Incident number: FL22-099
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: 56077
Rep Org: OR Dept of Health Rad Protection
Licensee: Oregon State University
Region: 4
City: Corvallis State: OR
County: Benton
License #: ORE-90005
Agreement: Y
Docket:
NRC Notified By: Daryl A. Leon
HQ OPS Officer: Ian Howard
Notification Date: 08/29/2022
Notification Time: 11:05 [ET]
Event Date: 12/17/2021
Event Time: 00:00 [PDT]
Last Update Date: 08/29/2022
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
Person (Organization):
Josey, Jeffrey (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB, (EMAIL)
Event Text
AGREEMENT STATE REPORT - LOST RADIOACTIVE SOURCE
The following information was provided by Oregon Health Authority, Public Health Division, Radiation Protection Services via email:
"On December 17, 2021, while conducting a semi-annual inventory of radioactive material in possession, a Broad Scope A - Academic licensee found that a gas chromatograph (GC) containing one electron capture device (ECD) missing. The previous inventory was performed in May 2021 and most recent leak test performed in March 2021. (note: after March the lab was shut down during September 2021 for asbestos abatement and ECD marked as `in storage') Upon checking with the device custodian, the GC/ECD device was picked up in July 2021 by the campus surplus property group by request from the custodian for disposal. The device custodian verbally told the surplus property personnel taking the device that it contained radioactive material which they verbally acknowledged, stating they would contact Radiation Safety to remove it. However, this was not done.
"The licensee performed extensive searches of the lab where the device was housed, surplus property warehouse and campus metals scrap yard with negative results. It is possible the device/source was shipped to a local scrap metals dealer but after contacting the dealer this could not be confirmed.
"Cause and corrective actions:
"Primarily, the department in possession of the GC/ECD failed to notify the Radiation Safety Office of the intent to dispose of the device prior to contacting the Surplus Property Office as required by the licensee's Radiation Safety Manual. Secondarily, the Surplus Property Office personnel do not have the training to identify a device that potentially contains radioactive material and minimal, if any, radiation safety training. This resulted in loss of possession of a radioactive source with human error as the cause.
"Corrective actions include (1) an information bulletin was sent to departments that possess radioactive materials confirming radioactive material control procedures and responsibility for material unless explicitly cleared by Radiation Safety, (2) expanded safety instruction and meeting with surplus personnel to discuss GC/ECD's and other radiation hazards that may come to surplus, and (3) additional placarding of GC/ECD's, X-ray machines, [Liquid Scintillation Counters] LSC's, and sealed sources.
"Concerns:
"For many years, the licensee has relied on their rules contained in their Radiation Safety Manual regarding possession/security of radioactive material that are initially reviewed/acknowledged by the departments involved. The subsequent semi-annual inventories also include an acknowledgement of these rules by the department audited. Offering a device containing radioactive material for removal without first contacting the Radiation Safety Office is a violation of these rules.
"Surplus property personnel receive minimal, if any, radiation safety instruction and none regarding possession/security of radioactive material since the signage and sources are normally removed from the device(s) by the Radiation Safety Office prior to disposal. In addition, surplus property personnel were informed verbally of the radioactive material that was inside the device but failed to contact the Radiation Safety Office.
"These concerns have been adequately addressed by the licensee's corrective actions.
"Source: Nickel-63
"Activity: 8.7 mCi (nominal 10 mCi on 4-5-01)
"Manufacturer: Shimadzu
"Model: VS2000
"Serial number: C10893200343
"Leak test date: March 24, 2021"
Oregon Report Identification Number: 21-0061
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: 56078
Rep Org: Illinois Emergency Mgmt. Agency
Licensee: GE 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: Ernest West
Notification Date: 08/30/2022
Notification Time: 10:24 [ET]
Event Date: 08/05/2022
Event Time: 00:00 [CDT]
Last Update Date: 08/30/2022
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
Person (Organization):
Hills, David (R3DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB, (EMAIL)
Event Text
AGREEMENT STATE REPORT - RADIOPHARMACEUTICAL PACKAGE LOST IN TRANSIT
The following information was received via email:
"The Illinois Emergency Management Agency (the Agency) received notice of a missing radiopharmaceutical package lost in the care of a commercial carrier while in transit from Arlington Heights, IL to Dallas, TX. The package was initially damaged and identified at the carrier's Memphis, TN location on 8/5/22. At that time, it was accounted for and was not reported as lost. As of 8/25/22, the carrier declared the package as lost after attempts to overpack and return to the shipper, GE Healthcare. The carrier reports they lost the overpack with the package inside at their Memphis, TN facility. The 1.0 millicuries of Indium-111 [originally contained in the package] has now decayed beneath 20 microcuries. As a result, this does not represent a significant public safety hazard and there is no indication of intentional theft or diversion. TN program staff have been copied on the notification. All reporting timelines were met. Unless additional information is provided, this matter is considered closed."
Illinois Reference Number: IL220030
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: 56079
Rep Org: OR Dept of Health Rad Protection
Licensee: Oregon Health and Sciences Univ
Region: 4
City: Portland State: OR
County: Multnomah
License #: ORE-90013
Agreement: Y
Docket:
NRC Notified By: Daryl A. Leon
HQ OPS Officer: Ian Howard
Notification Date: 08/30/2022
Notification Time: 14:10 [ET]
Event Date: 08/29/2022
Event Time: 09:50 [PDT]
Last Update Date: 08/30/2022
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
Person (Organization):
Josey, Jeffrey (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
Event Text
AGREEMENT STATE REPORT - DOSE LESS THAN PRESCRIBED
The following information was provided by the Oregon Health Authority, Radiation Protection Services via email:
"During preparation for a hepatic microsphere (ThereSphere) treatment, the oncology nurse primed the system but when the needle assembly was snapped into the dose vial a series of bubbles appeared. The nurse attempted to remove the bubbles from the tubing that was to be connected to the patient's catheter but was unsuccessful. The procedure physician was made aware of the bubbles and since the physician did not want to push them through the patient's catheter, the bubbled liquid was expelled into gauze which was subsequently added to the waste container. Working through this issue added approximately 10 minutes to the time between assay and administration.
"In addition, the assayed activity of Y-90 was 96.5 percent of the prescribed dose of 440 Gy and 95.6 percent at time of administration after the 10-minute delay due to the bubbled liquid issue. Normally, 95-99 percent of the assayed activity is delivered to the target (liver), however, with the loss of activity through expelling bubbled liquid, the delivered activity dropped to 351.8 Gy which is greater than the 20 percent lower limit of 440 Gy (352 Gy) at 20.4 percent and makes this a reportable medical event.
"[The physician notified the patient, documented this on the patient's chart, and stated there are no adverse effects from this under-dosing.] No additional dose is needed.
"Cause and corrective actions:
"It was stated the oncology nurse prepped the system 'correctly'. The licensee informed the TheraSphere representative regarding this issue with the needle assembly. At this time, we are unable to determine whether this event is considered human error or defective product.
"It is worthy to note that if one of the two issues (delay of 10 minutes or starting with 96.5 percent) was absent, the under-dosing of greater than 20 percent probably would not have occurred."
Oregon Event Report Number: 22-0038
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.
Part 21
Event Number: 56085
Rep Org: Diversified Machine Components, LLC
Licensee:
Region: 3
City: Brook Park State: OH
County:
License #:
Agreement: Y
Docket:
NRC Notified By: Ronald T. Harris
HQ OPS Officer: Adam Koziol
Notification Date: 09/02/2022
Notification Time: 11:20 [ET]
Event Date: 08/31/2022
Event Time: 12:00 [EDT]
Last Update Date: 09/02/2022
Emergency Class: Non Emergency
10 CFR Section:
21.21(d)(3)(i) - Defects And Noncompliance
Person (Organization):
Hills, David (R3DO)
Gray, Mel (R1DO)
Part 21 Materials, - (EMAIL)
Part 21/50.55 Reactors, - (EMAIL)
Event Text
PART 21 REPORT - INCORRECT THREAD LENGTH ON LOCKNUTS
The following information was provided by the licensee via email:
"Identification of the manufacturer of the component that contains the defect:
Diversified Machine Components- Howden Part Number 00900490-00114N
LOCKNUT/NYLON
INSERT 1-1/8-12 STL-ZINC NUCLEAR
Howden PO075865
"During assembly of the nuts onto a rotor, Westinghouse stripped a nut. After removal it was discovered that the nut that stripped had a machined bore with incorrect thread length. The nuts supplied on the above purchase order were all supplied from one heat. Diversified Machine Components and Howden have been and continue to be in communication on this matter. The nuts on PO075685 have been returned to Howden for evaluation and remain on hold as nonconforming product.
"Howden issued NCR 3589 for Part Number 00900490-00114N Lock Nut which was received by Diversified Machine on 8/31/22. Howden has also issued Corrective Action request #HACAR336 also received by Diversified Machine on 8/31/22.
"At this time, based on initial evaluations Diversified Machine Components has supplied Howden with a total of five purchase orders which have been identified and submitted to Howden for review. The five purchase orders identified are: 16 Pcs. on PO052609, 16 pcs on PO052645, 16 pcs on PO056804, 16 pcs on PO068879 and 16 pcs on PO075685. The nuts on PO075685 have been segregated and the returned to Howden for evaluation.
"A Nonconformance Report has been issued which describes with as much information as possible to give a clear understanding and description of the nonconforming condition as found. The evaluation of the nonconformance report and the corrective action to be taken shall be completed by authorized personnel at Diversified Machine in a timely manner.
"Diversified Machine shall continue to communicate with Howden as required. If there are any questions pertaining to this communication, please feel free to contact me at 440-942-5701."
Power Reactor
Event Number: 56087
Facility: Saint Lucie
Region: 2 State: FL
Unit: [1] [] []
RX Type: [1] CE,[2] CE
NRC Notified By: Ronald Capillo
HQ OPS Officer: Bill Gott
Notification Date: 09/03/2022
Notification Time: 01:58 [ET]
Event Date: 09/02/2022
Event Time: 22:48 [EDT]
Last Update Date: 09/03/2022
Emergency Class: Non Emergency
10 CFR Section:
50.72(b)(2)(iv)(B) - RPS Actuation - Critical
50.72(b)(3)(iv)(A) - Valid Specif Sys Actuation
Person (Organization):
Miller, Mark (R2DO)
Power Reactor Unit Info
Unit |
SCRAM Code |
RX Crit |
Initial PWR |
Initial RX Mode |
Current PWR |
Current RX Mode |
1 |
M/R |
Y |
40 |
Power Operation |
0 |
Hot Standby |
Event Text
MANUAL REACTOR TRIP DUE TO LOSS OF FEED PUMP
The following information was provided by the licensee via email:
"On 09/02/2022 at 22:48 with Unit 1 at 40% power, the reactor was manually tripped due to a loss of the only operating main feed pump which caused lowering level in the steam generators. All systems responded as expected following the trip. Auxiliary feed actuation signal occurred due to lowering steam generator levels. The cause of the main feedwater pump trip is under investigation.
"St. Lucie Unit 2 was not affected and remains at 100% power.
"This event is being reported pursuant to 10 CFR 50.72 (b)(2)(iv)(B) for the reactor trip and 10 CFR 50.72 (b)(3)(iv)(A) for the auxiliary feed actuation."
The NRC Resident Inspector has been notified.
The following additional information was obtained from the licensee in accordance with Headquarters Operations Officers Report Guidance:
Decay heat is being removed by using the atmospheric dump valves.
Power Reactor
Event Number: 56088
Facility: North Anna
Region: 2 State: VA
Unit: [1] [2] []
RX Type: [1] W-3-LP,[2] W-3-LP,[3] M-4-LP
NRC Notified By: Matt Morgan
HQ OPS Officer: Brian P. Smith
Notification Date: 09/04/2022
Notification Time: 20:30 [ET]
Event Date: 09/04/2022
Event Time: 19:39 [EDT]
Last Update Date: 09/04/2022
Emergency Class: Unusual Event
10 CFR Section:
50.72(a) (1) (i) - Emergency Declared
Person (Organization):
Miller, Mark (R2DO)
ILTAB, (EMAIL)
Crouch, Howard (IR)
MacDonald, Mark (ILTAB)
Gavrilas, Mirela (NSIR)
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 |
N |
0 |
Refueling |
0 |
Refueling |
Event Text
SECURITY EVENT - UNAUTHORIZED INDIVIDUAL IN OWNER CONTROLLED AREA
At 1939 EDT, the North Anna Power Station Units 1/2 declared a Notice of Unusual Event (NOUE) under emergency declaration HU1.1 confirmed security event. Both units were unaffected by the event. The licensee exited the NOUE at 2036 EDT.
Power Reactor
Event Number: 56089
Facility: Nine Mile Point
Region: 1 State: NY
Unit: [2] [] []
RX Type: [1] GE-2,[2] GE-5
NRC Notified By: Patrick Walsh
HQ OPS Officer: Brian P. Smith
Notification Date: 09/04/2022
Notification Time: 21:31 [ET]
Event Date: 09/04/2022
Event Time: 16:39 [EDT]
Last Update Date: 09/04/2022
Emergency Class: Non Emergency
10 CFR Section:
50.72(b)(3)(iv)(A) - Valid Specif Sys Actuation
Person (Organization):
Gray, Mel (R1DO)
Power Reactor Unit Info
Unit |
SCRAM Code |
RX Crit |
Initial PWR |
Initial RX Mode |
Current PWR |
Current RX Mode |
2 |
N |
N |
0 |
Hot Standby |
0 |
Hot Standby |
Event Text
SPECIFIED SYSTEM ACTIVATION
The following information was provided by the licensee via fax:
"On September 4, 2022 with Unit 2 in Mode 3, an [Reactor Protection System] RPS actuation and Containment Isolation occurred on [Reactor Pressure Vessel] RPV Low Level (Level 3) of 159.3 inches due to issues with the normal feedwater level control system during plant cooldown.
"The RPS actuation occurred with control rods already inserted and a containment isolation on Level 3. The containment isolation signal impacted [Residual Heat Removal] RHR Shutdown Cooling, RHR letdown to radwaste, and RHR sampling. All impacted valves were closed at the time the isolation occurred. Operators took manual control of RPV level and restored level to the normal operating band shortly after the low level was received.
"This is being reported under 10CFR50.72(b)(3)(iv)(A) and 10CFR50.72(b)(3)(iv)(B)."
The NRC Resident Inspector was notified.