United States Nuclear Regulatory Commission - Protecting People and the Environment

Current Event Notification Report for October 30, 2014

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
10/29/2014 - 10/30/2014

** EVENT NUMBERS **


50554 50555 50557 50571 50573 50574

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Agreement State Event Number: 50554
Rep Org: OR DEPT OF HEALTH RAD PROTECTION
Licensee: OREGON HEALTH AND SCIENCE UNIVERSITY
Region: 4
City: PORTLAND State: OR
County:
License #: 90013
Agreement: Y
Docket:
NRC Notified By: TODD CARPENTER
HQ OPS Officer: RICHARD SMITH
Notification Date: 10/21/2014
Notification Time: 11:32 [ET]
Event Date: 10/17/2014
Event Time: [PDT]
Last Update Date: 10/21/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
WAYNE WALKER (R4DO)
FSME EVENTS RESOURCE (EMAI)
JACK GUTTMANN (NMSS)

Event Text

AGREEMENT STATE REPORT - MEDICAL MISADMINISTRATION

The following information was received via email:

"This is the initial notification that, on Friday, October 17th in Nuclear Medicine at OHSU [Oregon Health and Science University], a patient who was supposed to receive 25 mCi Tc-99m Sestamibi for a parathyroid scan was injected with 25.9 mCi of Tc-99m MDP, a bone scanning agent.

"The patient was notified, as was the referring physician. The patient was accompanied to meet with the referring physician. At this time, the exam will not be rescheduled. Investigation with the injecting technologist still in progress, and a letter will be sent to the patient.

"Radiation protection services will follow up with additional information."

Oregon Incident Number: 14-0040

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.

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Agreement State Event Number: 50555
Rep Org: TENNESSEE DIV OF RAD HEALTH
Licensee: EASTMAN CHEMICAL COMPANY
Region: 1
City: KINGSPORT State: TN
County:
License #: R-82007-H18
Agreement: Y
Docket:
NRC Notified By: RUBEN CROSSLIN
HQ OPS Officer: RICHARD SMITH
Notification Date: 10/21/2014
Notification Time: 12:12 [ET]
Event Date: 10/17/2014
Event Time: [EDT]
Last Update Date: 10/21/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
DAN SCHROEDER (R1DO)
JACK GUTTMANN (NMSS)
FSME EVENTS RESOURCE (EMAI)

Event Text

AGREEMENT STATE REPORT - PROCESS GAUGE STUCK SHUTTER

The following information was received via email:

"The licensee called to report a radioactive material gauge with stuck shutter in the open position on a continuous process Vega Model SHLG1, SN 63133 gauge with a 300 milliCurie Cs-137 source. There are no adverse exposure or other problems. Routine operations will continue. The gauge manufacturer will be contacted."

TN Report ID Number: TN-14-197

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Agreement State Event Number: 50557
Rep Org: VIRGINIA RAD MATERIALS PROGRAM
Licensee: HONEYWELL RESINS AND CHEMICALS LLC
Region: 1
City: CHESTER State: VA
County: CHESTERFIELD
License #: 041-344-2
Agreement: Y
Docket:
NRC Notified By: ASFAW FENTA
HQ OPS Officer: DANIEL MILLS
Notification Date: 10/22/2014
Notification Time: 10:07 [ET]
Event Date: 10/21/2014
Event Time: [EDT]
Last Update Date: 10/22/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
DAN SCHROEDER (R1DO)
FSME EVENTS RESOURCE (EMAI)

Event Text

AGREEMENT STATE REPORT - FIXED GAUGE SHUTTER STUCK OPEN

The following was received via email:

"On October 21, 2014, the Office of Virginia Radiological Health Program (RHP) received a report from the licensee that one of the radioactive source holders, Ronan Model SA1-E37, Serial# M-1818, containing 750 millicuries (414.6 millicuries, decay corrected) of Cs-137, was not 'functioning per the design.' The problem was discovered on October 21, 2014 while the licensee was conducting periodic shutter checks. The shutter is kept in the open position during operations and does not pose an additional radiation exposure [risk] to personnel. The licensee performs radiation survey around the source and is in compliance. The licensee has contacted the Ronan Engineering to repair the gauge. The agency will continue to monitor the situation until the shutter is repaired."

VA Report # VA-2014-19

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Power Reactor Event Number: 50571
Facility: PEACH BOTTOM
Region: 1 State: PA
Unit: [2] [ ] [ ]
RX Type: [2] GE-4,[3] GE-4
NRC Notified By: ROBERT CLARK
HQ OPS Officer: JEFF ROTTON
Notification Date: 10/29/2014
Notification Time: 12:50 [ET]
Event Date: 10/29/2014
Event Time: 11:20 [EDT]
Last Update Date: 10/29/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(ii)(A) - DEGRADED CONDITION
Person (Organization):
BRICE BICKETT (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

MAXIMUM ALLOWABLE PRIMARY CONTAINMENT LEAKAGE RATE EXCEEDED

"This notification is to report a condition involving higher than allowable through-seat leakage of two redundant feedwater system check valves (28A and 96A). Unit 2 is currently shut down and primary containment is not required to be operable. Therefore, there is currently no safety impact due to this discovered condition.

"This leakage was identified as a result of planned local leak rate testing of the feedwater primary containment isolation valves for the 'A' feedwater line being performed during the current P2R20 refueling outage. At approximately 1100 EDT, Engineering determined that the primary containment penetration pathway leakage through the redundant check valves resulted in a condition where the maximum allowable primary containment leakage rate (La) was exceeded. In accordance with NUREG-1022, Rev. 3, Event Report Guidelines 10 CFR 50.72 and 50.73, Section 3.2.4, this occurrence is an example of a reportable condition. Therefore, this notification is being made pursuant to 10CFR 50.72(b)(3)(ii)(A).

"This condition has been entered in the plant corrective action program (IR 2402909).

"The NRC Resident Inspector has been informed of this notification."

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Power Reactor Event Number: 50573
Facility: SALEM
Region: 1 State: NJ
Unit: [ ] [2] [ ]
RX Type: [1] W-4-LP,[2] W-4-LP
NRC Notified By: WILLIAM MUFFLEY
HQ OPS Officer: JEFF ROTTON
Notification Date: 10/29/2014
Notification Time: 13:54 [ET]
Event Date: 10/29/2014
Event Time: 07:11 [EDT]
Last Update Date: 10/29/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(v)(D) - ACCIDENT MITIGATION
Person (Organization):
BRICE BICKETT (R1DO)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
2 N Y 98 Power Operation 98 Power Operation

Event Text

LOSS OF CONTROL ROOM EMERGENCY AIR CONDITIONING SYSTEM OPERABILITY

"At 0711 EDT, Salem Unit 2 entered TSAS [Technical Specification Action Statement] 3.0.3 due to the Salem Unit 1 - 1B Vital instrument bus inverter failing which resulted in a loss of the Unit 1 - 1B Vital instrument bus. The loss of power to the 1B Vital instrument bus resulted in Salem Unit 2 initiating the accident pressurized mode of control room ventilation. All dampers and fans repositioned correctly with the exception of the Unit 1 Control Room Emergency Air Conditioning System (CREACS) intake dampers, 1CAA48, 50, and 51. The 1CAA48 was pinned closed to support Unit 1 - 1A125VDC scheduled maintenance. The 1CAA50 and 51 failed to move to the open position (required for Unit 2 accident pressurized mode) due to the loss of power to the 1B Vital Instrument Bus. With the 1CAA48, 50 and 51 dampers closed, this isolated the Unit 1 CREACS intake in the closed position. For an accident in Unit 2, the CREACS intake for Unit 1 is required to open.

"Salem Unit 2 exited TSAS 3.0.3 at 0822 EDT when the 1CAA50 and 51 were pinned in the open position to implement accident pressurized mode for Salem Unit 2 in accordance with S1/S2.OP-SO.CAV-0001, Control Area Ventilation Operation.

"Salem Unit One is Defueled.

"This event is being reported under the requirements of 10 CFR 50.72(b)(3)(v)(D) as 'Any event or condition that at the time of discovery could have prevented the fulfillment of the safety function of systems that are needed to perform mitigation of the consequences of an accident.'

"The licensee has notified the NRC Resident Inspector. No one was injured as a result of the failure of 1B Vital instrument inverter."

The licensee notified Lower Alloways Township.

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Power Reactor Event Number: 50574
Facility: VOGTLE
Region: 2 State: GA
Unit: [3] [4] [ ]
RX Type: [3] W-AP1000,[4] W-AP1000
NRC Notified By: MICHAEL YOX
HQ OPS Officer: JEFF ROTTON
Notification Date: 10/29/2014
Notification Time: 14:08 [ET]
Event Date: 10/29/2014
Event Time: 09:05 [EDT]
Last Update Date: 10/29/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
26.719 - FITNESS FOR DUTY
Person (Organization):
MARVIN SYKES (R2DO)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
3 N N 0 Under Construction 0 Under Construction
4 N N 0 Under Construction 0 Under Construction

Event Text

POSITIVE FITNESS FOR DUTY TEST RESULTS

A contractor employee had a confirmed positive for alcohol during a for-cause fitness-for-duty test. The contractor employee's unescorted access to the plant has been terminated.

The licensee notified the NRC Resident Inspector.

Page Last Reviewed/Updated Thursday, October 30, 2014
Thursday, October 30, 2014