United States Nuclear Regulatory Commission - Protecting People and the Environment

Current Event Notification Report for October 24, 2014

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
10/23/2014 - 10/24/2014

** EVENT NUMBERS **


50427 50537 50538 50541 50543 50544 50560 50561 50562 50563

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!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED !!!!!
Power Reactor Event Number: 50427
Facility: QUAD CITIES
Region: 3 State: IL
Unit: [1] [2] [ ]
RX Type: [1] GE-3,[2] GE-3
NRC Notified By: MARK BRIDGES
HQ OPS Officer: HOWIE CROUCH
Notification Date: 09/05/2014
Notification Time: 00:27 [ET]
Event Date: 09/04/2014
Event Time: 19:05 [CDT]
Last Update Date: 10/23/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(v)(D) - ACCIDENT MITIGATION
Person (Organization):
CHRISTINE LIPA (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

CONTROL ROOM EMERGENCY VENTILATION (CREV) SYSTEM INOPERABLE

"On September 04, 2014, at 1905 hours [CDT], the Control Room Emergency Ventilation (CREV) system was declared inoperable due to the Air Handling Unit (AHU) tripping upon restoration of Control Room Ventilation following testing of Reactor Building Ventilation instrumentation. Troubleshooting is in progress at this time.

"Technical Specification 3.7.4, Condition A, was entered which requires the CREV system to be restored to an operable status in seven (7) days. Additionally, Technical Specification 3.7.5, Condition A, was entered which requires CREV AC to be restored to an operable status in 30 days.

"This notification is being made in accordance with 10CFR50.72(b)(3)(v)(D), '[any] event or condition that could have prevented fulfillment of a safety function,' because the CREV system is a single train system required to mitigate the consequences of an accident."

The licensee has notified the NRC Resident Inspector.

* * * RETRACTION PROVIDED BY MARK BRIDGES TO JOHN SHOEMAKER AT 1721 EDT ON 10/23/2014 * * *

"The purpose of this notification is to retract the ENS notification made on September 4, 2014 (ENS 50427). Upon further investigation it was verified that the function of Control Room Emergency Ventilation System was not affected as discussed in Chapters 6 and 15 of the Updated Final Safety Analysis Report. Therefore, the threshold for reporting the issue as an event or condition that could have prevented the fulfillment of a safety function was not met (NUREG 1022 Revision 3 - Event Report Guidelines Section 3.2.7)."

The licensee has notified the NRC Resident Inspector and applicable State authorities.

Notified R3DO (Pelke)

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Agreement State Event Number: 50537
Rep Org: TEXAS DEPARTMENT OF HEALTH
Licensee: QUAL SPEC SERVICES LLC
Region: 4
City: PORT ARTHUR State: TX
County:
License #: 06351
Agreement: Y
Docket:
NRC Notified By: CHRIS MOORE
HQ OPS Officer: MARK ABRAMOVITZ
Notification Date: 10/15/2014
Notification Time: 13:47 [ET]
Event Date: 10/14/2014
Event Time: [CDT]
Last Update Date: 10/15/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
MARK HAIRE (R4DO)
FSME EVENTS RESOURCE (E-MA)

Event Text

AGREEMENT STATE REPORT - SOURCE FAILS TO RETRACT INTO CAMERA

The following report was received via e-mail:

"On October 15, 2014, the Agency [Texas Department of Health] was notified by the licensee's radiation safety officer (RSO) that on October 14, 2014, a radiography crew could not retract a 38.5 curie iridium-192 source to the fully retracted and locked position in a QSA 880D exposure device (camera). The lead radiographer who had just completed the third shot of the day at a temporary field site could not fully retract the source into the camera, feeling increased binding in the crank assembly. The radiographer cranked the source back out into the collimator and contacted the RSO who was onsite. The RSO and radiographers increased the control area. After three attempts to retrieve the source, the RSO retrieved the source by disconnecting the handles of the crank mechanism. She was able to manually pull the cable until the source was retrieved into the camera. The RSO received the highest dose of 196 mrem on her 0 - 5R range pocket dosimeter. The crank assembly and drive cable will be sent to the manufacturer for inspection. The RSO stated the camera and guide tube appeared to be operating normally. Additional information will be provided in accordance with SA-300.

"QSA 880D camera serial #D1127
Source Model A-424-9, serial #16137C"

Texas Incident Number: I-9243

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Agreement State Event Number: 50538
Rep Org: TENNESSEE DIV OF RAD HEALTH
Licensee: ERWIN RESIN SOLUTIONS LLC
Region: 1
City: ERWIN State: TN
County:
License #: R-86011
Agreement: Y
Docket:
NRC Notified By: RUBEN CROSSLIN
HQ OPS Officer: MARK ABRAMOVITZ
Notification Date: 10/15/2014
Notification Time: 15:05 [ET]
Event Date: 10/14/2014
Event Time: 10:00 [EDT]
Last Update Date: 10/15/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
WILLIAM COOK (R1DO)
ANGELA MCINTOSH (FSME)
FSME EVENTS RESOURCE (E-MA)

Event Text

AGREEMENT STATE REPORT - CONTAMINATED INDIVIDUAL DIED AFTER A FALL

The following was received via e-mail:

"An individual at Erwin Resin Solutions (ERS) fell 20 feet into a contaminated storage vault. The individual suffered serious head injuries and was transported by ambulance to the Johnson City Medical Center in Johnson City, TN. Ambulance and hospital staff were notified of the possibility of radioactive contamination on the individual. ERS sent health physics technicians to the hospital to survey and assess for contamination. At approximately 1300 EDT, notification was made to the Tennessee Division of Radiological Health that the injured individual was deceased. The radiation safety officer at Johnson City Medical Center indicated that the individual's maximum dose rate was 0.3 mR per hour. Emergency room staff were surveyed and found to have no contamination.

"Some emergency workers did require decontamination prior to being released."

Tennessee Report: TN-14-194

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Agreement State Event Number: 50541
Rep Org: TEXAS DEPT OF STATE HEALTH SERVICES
Licensee: ELG METALS INC
Region: 4
City: HOUSTON State: TX
County:
License #: 02275
Agreement: Y
Docket:
NRC Notified By: CHRIS MOORE
HQ OPS Officer: CHARLES TEAL
Notification Date: 10/16/2014
Notification Time: 12:12 [ET]
Event Date: 10/15/2014
Event Time: [CDT]
Last Update Date: 10/16/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
MARK HAIRE (R4DO)
FSME EVENT RESOURCE (EMAI)
MEXICO (FAX)
JAMES RUBENSTONE (NMSS)
ILTAB (EMAI)

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

Event Text

AGREEMENT STATE REPORT - STOLEN X-RAY FLUORESCENCE DEVICE

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

"On October 15, 2014, the Agency [State of Texas] received a call from the licensee reporting that a Thermo Niton device model number XLP-818 containing 30 millicuries of americium-241 had been stolen. The device and a portable x-ray device were discovered missing from a locked cabinet on October 13, 2014. After initiating an investigation and searching for the devices, the licensee is confident that both devices were locked up in a cabinet on Friday, October 10, 2014 and went missing the following Monday morning. The licensee stated they did not believe any individual would receive any exposure due to this event. The licensee investigation is in progress. Additional information will be provided as it is received in accordance with SA 300."

Texas Incident #: I-9244

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

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Non-Agreement State Event Number: 50543
Rep Org: MUNSON MEDICAL CENTER
Licensee: MUNSON MEDICAL CENTER
Region: 3
City: TRAVERSE CITY State: MI
County:
License #: 21-08317-01
Agreement: N
Docket:
NRC Notified By: DENNIS AURAND
HQ OPS Officer: JEFF ROTTON
Notification Date: 10/16/2014
Notification Time: 13:46 [ET]
Event Date: 10/16/2014
Event Time: 09:45 [EDT]
Last Update Date: 10/16/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
30.50(b)(2) - SAFETY EQUIPMENT FAILURE
Person (Organization):
LAURA KOZAK (R3DO)
JAMES RUBENSTONE (NMSS)
FSME EVENTS RESOURCE (EMAI)

Event Text

PALLADIUM-103 BRACHYTHERAPY SEED BROKEN

"A Palladium-103 (Pd-103) brachytherapy seed (Theragenics Model 200 nominal activity 1.5 mCi) broke when the Mick shielded magazine was removed from the applicator. An activity of [approximately] 0.5 mCi for the lost portion of the seed was calculated by measuring the remaining portion of the seed. It was not recovered and presumed to have washed down a sink drain. The seed was broken and lost October 15, 2014 around 0945 [EDT]. The incident was discovered around 1645. Surveys of the area for the lost portion returned no radiation above background. Contamination from the seed is remote because the Pd-103 is coated on (adhered to) a graphite pellet. No personnel radiation exposure data available. It is unlikely the person involved received measurable dose.

"The process for removing the cartridge at the end of a procedure will be reviewed to reduce the chance of this happening again."

The licensee contacted NRC Region 3 DNMS personnel.

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Agreement State Event Number: 50544
Rep Org: VIRGINIA RAD MATERIALS PROGRAM
Licensee: O'SULLIVAN FILMS
Region: 1
City: WINCHESTER State: VA
County:
License #: 1655
Agreement: Y
Docket:
NRC Notified By: ASFAW FENTA
HQ OPS Officer: JEFF ROTTON
Notification Date: 10/16/2014
Notification Time: 13:47 [ET]
Event Date: 09/25/2014
Event Time: [EDT]
Last Update Date: 10/16/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
WILLIAM COOK (R1DO)
JAMES RUBENSTONE (NMSS)
FSME EVENTS RESOURCE (EMAI)
ILTAB (EMAI)

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

Event Text

AGREEMENT STATE REPORT - LOST GENERAL LICENSED MATERIAL: AM-241 STATIC ELIMINATOR BARS

The following was provided by the Commonwealth of Virginia via email:

"On September 25, 2014, the Virginia Radioactive Materials Program (RMP) received a phone call from NRC Region 1 that one static eliminator bar, NRD A2003 serial number SA772 containing Am-241, Activity 19.6 mCi as of 4/16/1973 was found in Hedgesville, West Virginia and picked by the NRC inspectors. Record from NRD LLC indicated that this static eliminator bar was sold to O'Sullivan Films, which is located in Winchester, Virginia. In addition, the record from NRD LLC indicated that two other static eliminator bars, NRD A2003, Serial numbers 1229 and 1230, each containing 21 mCi of Am-241 as of 4/18/1975, were also sold to this company. Virginia RMP contacted O'Sullivan Films to investigate this case. O'Sullivan Films investigated the case and reported to RMP by the letter dated October 15, 2014 stating that O'Sullivan Films has not possessed these static eliminator bars and found no documentation that supports O'Sullivan Films having possessed, disposed of or returned these devices.

"Currently, no information is available regarding the whereabouts of these static eliminator bars."

VA Event Report ID No.: VA-14-18

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

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Power Reactor Event Number: 50560
Facility: DUANE ARNOLD
Region: 3 State: IA
Unit: [1] [ ] [ ]
RX Type: [1] GE-4
NRC Notified By: STEPHEN SPEIRS
HQ OPS Officer: DANIEL MILLS
Notification Date: 10/23/2014
Notification Time: 09:48 [ET]
Event Date: 10/23/2014
Event Time: 01:07 [CDT]
Last Update Date: 10/23/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(v)(C) - POT UNCNTRL RAD REL
Person (Organization):
PATTY PELKE (R3DO)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
1 N N 0 Refueling 0 Refueling

Event Text

SECONDARY CONTAINMENT INOPERABLE DUE TO BOTH AIRLOCK DOORS OPEN SIMULTANEOUSLY

"At 0107 CDT on October 23rd, 2014, both doors in one of the Secondary Containment airlocks were momentarily open concurrently. This occurred during vessel drain down following refueling activities, an Operation with the Potential to Drain the Reactor Vessel (OPDRV), which required Secondary Containment to be operable. The doors being open at the same time resulted in the momentary inoperability of Secondary Containment. One of the doors was immediately closed, and Secondary Containment was restored to an operable status.

"The station [Duane Arnold] has now completed the OPDRV associated with vessel drain down, and Secondary Containment is no longer required to be operable.

"The Resident Inspector has been notified."

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Power Reactor Event Number: 50561
Facility: GRAND GULF
Region: 4 State: MS
Unit: [1] [ ] [ ]
RX Type: [1] GE-6
NRC Notified By: DAVE BURRUS
HQ OPS Officer: RICHARD SMITH
Notification Date: 10/23/2014
Notification Time: 16:11 [ET]
Event Date: 10/23/2014
Event Time: 09:59 [CDT]
Last Update Date: 10/23/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
26.719 - FITNESS FOR DUTY
Person (Organization):
WAYNE WALKER (R4DO)

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

FITNESS FOR DUTY - EMPLOYEE SUPERVISOR FAILED FITNESS FOR DUTY TEST

A non-licensed employee supervisor had a confirmed positive result for alcohol during a for cause fitness-for-duty test. The employee's access to the plant has been suspended.

The licensee has informed the NRC Resident Inspector.

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Power Reactor Event Number: 50562
Facility: COMANCHE PEAK
Region: 4 State: TX
Unit: [1] [ ] [ ]
RX Type: [1] W-4-LP,[2] W-4-LP
NRC Notified By: JOHN RASMUSSEN
HQ OPS Officer: RICHARD SMITH
Notification Date: 10/23/2014
Notification Time: 16:42 [ET]
Event Date: 09/12/2014
Event Time: 13:42 [CDT]
Last Update Date: 10/23/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
50.73(a)(1) - INVALID SPECIF SYSTEM ACTUATION
Person (Organization):
WAYNE WALKER (R4DO)

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

INVALID SPECIFIED SYSTEM ACTUATION

"The following information is provided as a 60 day telephone notification to the NRC in accordance with 10 CFR 50.73(a)(1) reported under 10 CFR 50.73(a)(2)(iv)(A) for an invalid actuation of the Unit 1, Train 'A' Emergency Diesel Generator on September 12, 2014, at 1342 CDT. Per NUREG-1022, R.3, page 33, the following information should be provided for an invalid actuation reported under 10 CFR 50.73(a)(1): (a) the specific train(s) and system(s) that were actuated, (b) whether each train actuation was complete or partial, (c) whether or not the system started and functioned successfully.

"(a) The specific train(s) and system(s) that actuated were: Unit 1, Train 'A' Emergency Diesel Generator.

"(b) Whether each train actuation was complete or partial: The actuation of the Unit 1, Train 'A' Emergency Diesel Generator was a complete actuation.

"(c) Whether or not the system started and functioned successfully: The Unit 1, Train 'A' Emergency Diesel Generator started and functioned successfully.

"The NRC Senior Resident Inspector has been notified."

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Power Reactor Event Number: 50563
Facility: PALO VERDE
Region: 4 State: AZ
Unit: [1] [2] [3]
RX Type: [1] CE,[2] CE,[3] CE
NRC Notified By: FARA ORESHACK
HQ OPS Officer: JOHN SHOEMAKER
Notification Date: 10/23/2014
Notification Time: 18:06 [ET]
Event Date: 10/23/2014
Event Time: 09:38 [MST]
Last Update Date: 10/23/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
26.719 - FITNESS FOR DUTY
Person (Organization):
WAYNE WALKER (R4DO)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
1 N N 0 Defueled 0 Defueled
2 N Y 100 Power Operation 100 Power Operation
3 N Y 100 Power Operation 100 Power Operation

Event Text

FITNESS FOR DUTY - NON LICENSED SUPERVISOR FAILED FITNESS FOR DUTY TEST

A non-licensed employee supervisor had a confirmed positive result for alcohol during a random fitness-for-duty test. The employee's access to the plant has been suspended.

The NRC Resident Inspector has been informed.

Page Last Reviewed/Updated Friday, October 24, 2014
Friday, October 24, 2014