United States Nuclear Regulatory Commission - Protecting People and the Environment

Current Event Notification Report for July 31, 2014

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
07/30/2014 - 07/31/2014

** EVENT NUMBERS **


50253 50295 50298 50300 50320 50324

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Part 21 Event Number: 50253
Rep Org: PREFERRED METAL TECHNOLOGIES, INC.
Licensee: PREFERRED METAL TECHNOLOGIES, INC.
Region: 3
City: BURR RIDGE State: IL
County:
License #:
Agreement: Y
Docket:
NRC Notified By: TIM STEWART
HQ OPS Officer: DANIEL MILLS
Notification Date: 07/03/2014
Notification Time: 14:29 [ET]
Event Date: 07/03/2014
Event Time: [CDT]
Last Update Date: 07/30/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
21.21(a)(2) - INTERIM EVAL OF DEVIATION
Person (Organization):
JONATHAN BARTLEY (R2DO)
PART 21 GROUP (EMAI)
AARON MCCRAW (R3DO)

Event Text

PART 21 REPORT - INCORRECT INDUSTRIAL IRRADIATOR DOSE

The following was received via fax:

"Preferred Metal Technologies (PMT) was notified by Steris Isomedix Services that the applied radiation dose reported on their Component Irradiation Certificates did not account for all the uncertainties involved (i.e. density of unrelated products in carriers, off-carrier location within the irradiator and Cobalt-60 source decay). This potential defect was originally identified as part of NRC Inspection Report No. 99901445/2014-201.

"After a thorough review of all purchase orders issued to Steris Isomedix Services and PMT Projects that the irradiation test results were utilized on, PMT has determined that there are two projects where the applied radiation dose may have failed to meet the minimum required radiation dose to ensure that the safety related equipment would continue to operate satisfactorily during and after an accident. The details of those two projects are as follows:

"N1839 - Tennessee Valley Authority, Browns Ferry - 6 (Six) Electric Spring Return Actuators - Purchase Order #473351.

"N1893 - Commission Federal de Electricidad, Laguna Verde - 32 (Thirty Two) Damper Assemblies - Purchase Order #700419016.

"Tim Stewart, Vice President Nuclear
Preferred Metal Technologies, Inc.
140 East Tower Drive
Burr Ridge, Illinois 60527"

Preferred Metal Technologies Report Number: 14-01.


* * * UPDATE FROM TIM STEWART TO DONALD NORWOOD AT 1636 EDT ON 7/30/2014 * * *

The following information was received via facsimile:

"In summary, additional radiation exposure testing was performed, post-radiation operability was verified, and it was confirmed that all affected equipment would continue to operate satisfactorily during a design basis event. No equipment upgrades or replacement is required as the supplied equipment was verified to meet the applicable technical requirements."

Notified R2DO (O'Donohue), R3DO (Lipa), and the Part 21 Group.

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Agreement State Event Number: 50295
Rep Org: FLORIDA BUREAU OF RADIATION CONTROL
Licensee: ADVENTIST HEALTH SYSTEMS
Region: 1
City: ALTAMONTE SPRINGS State: FL
County:
License #: 2897-1
Agreement: Y
Docket:
NRC Notified By: MARK SEIDENSTICKER
HQ OPS Officer: STEVE SANDIN
Notification Date: 07/22/2014
Notification Time: 18:55 [ET]
Event Date: 06/26/2014
Event Time: [EDT]
Last Update Date: 07/22/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
MEL GRAY (R1DO)
FSME EVENTS RESOURCE (EMAI)

Event Text

AGREEMENT STATE REPORT INVOLVING AN UNINTENDED DOSE TO A FETUS

On 6/26/14 a 23 year old female patient received 100 mCi of I-131 for a thyroid ablation procedure. Prior to treatment, she tested negative for pregnancy on 6/25/14. Subsequent to the procedure, her physician requested a re-test which confirmed that she was pregnant. The estimated date of conception is 6/23/14. The RSO calculated an estimated dose of 25 Rad to the fetus.

This incident was reported to the Florida Bureau of Radiation on 7/22/14.

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Agreement State Event Number: 50298
Rep Org: ARIZONA RADIATION REGULATORY AGENCY
Licensee: EPSILON ENGINEERING & MATERIAL, LLC
Region: 4
City: GOODYEAR State: AZ
County:
License #: AZ 7-534
Agreement: Y
Docket:
NRC Notified By: AUBREY GODWIN
HQ OPS Officer: STEVE SANDIN
Notification Date: 07/23/2014
Notification Time: 13:35 [ET]
Event Date: 07/22/2014
Event Time: 15:00 [MST]
Last Update Date: 07/25/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
GEOFFREY MILLER (R4DO)
FSME EVENTS RESOURCE (EMAI)
ILTAB (EMAI)
MEXICO (FAX)

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

Event Text

AGREEMENT STATE REPORT - TROXLER MOISTURE DENSITY GAUGE STOLEN FROM BACK OF A TRUCK

The following information was received from the State of Arizona via email:

"At approximately 1830 MST on July 22, 2014, the Agency [Arizona Radiation Regulatory Agency] was informed that the licensee had a Troxler Model 3430, SN 35843, portable moisture density gauge stolen from the back of a truck. The theft occurred at approximately 1500 MST. The gauge was locked in a metal box fastened to the bed of the truck which was parked unattended at the Fry's parking lot. The gauge contains 10 mCi of Cesium-137 and 40 mCi Am-241:Be.

"Phoenix Police Department [Maryvale] is investigating and has issued report number 20141264003.

"The Agency continues to look for the source.

"The states of CA, NV, CO, UT, and NM, Mexico, U.S. NRC and FBI are being notified of this event."

* * * UPDATE FROM AUBREY GODWIN TO VINCE KLCO AT 1135 EDT ON 7/25/14 * * *

Clarification provided that police department is Phoenix (Maryvale). Address of the incident is 4320 West McDowell Road, Phoenix, AZ 85009.

Notified R4DO (Miller), FSME and ILTAB 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

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Agreement State Event Number: 50300
Rep Org: WA DIVISION OF RADIATION PROTECTION
Licensee: QUALSPEC
Region: 4
City: MT VERNON State: WA
County:
License #: IR075
Agreement: Y
Docket:
NRC Notified By: STEPHEN P. MATTHEWS
HQ OPS Officer: STEVE SANDIN
Notification Date: 07/23/2014
Notification Time: 18:45 [ET]
Event Date: 07/21/2014
Event Time: 20:30 [PDT]
Last Update Date: 07/24/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
GEOFFREY MILLER (R4DO)
FSME EVENTS RESOURCE (EMAI)
ANGELA MCINTOSH (FSME)
PATRICIA MILLIGAN (NSIR)

Event Text

AGREEMENT STATE REPORT - POTENTIAL OVEREXPOSURE TO RADIOGRAPHER

The following information was received from the State of Washington via email:

"At 2030 PDT on July 21, 2014 a Level 2 radiographer doing radiography for QualSpec at the Tesoro Anacortes Refinery in Washington was potentially over exposed to radiation. The individual was conducting an examination in the Catalytic Reformer Unit #10 on 3/4 inch piping on line #L-V6657. The individual noticed the survey meter he had with him was off the 10 Mr/hr scale. He immediately returned to the crank and noticed the source was still out, hence he cranked the source back in. The individual checked his pocket dosimeter and it was also off scale. He then shut down the job and contacted the RSO. An estimated calculated dose was approximately 7 rem, however, his TLD was sent in for emergency processing on Tuesday, July 22, 2014, to determine the actual dose. More information to come including equipment, activity, etc.

"Incident Number: WA-14-028"

The State of Washington will investigate and has categorized this incident as an Abnormal Occurrence.

* * *UPDATE PROVIDED BY STEPHEN MATTHEWS TO JEFF ROTTON VIA EMAIL AT 1751 EDT ON 07/24/2014 * * *

"The radiographer approached the source/collimater without cranking the source in. He also did not look at his survey meter during the approach to the source. After arriving at the source (within 2-3 feet) he noticed his survey meter was pegged on the 10 mR/hr scale. The dose on the radiographer's TLD was later determined to be 1.6 rem. The radiographer stated that he did not hear his alarming rate meter due to the noise level where he was working. This was also agreed on by the Tesoro NDE Official. The assistant radiographer was approximately 50 feet away in a lower area looking up at the operation as well as the immediate area. The radiographer's survey meter was an NDS ND2000, serial 21940, calibrated on 6-14-14; pocket dosimeter was an Arrowtech w138, serial 097093, calibrated 4-14-14; and his alarm ratemeter was an NDS RA500, serial N82947, calibrated 5-14-14."

The radiography camera was a QSA Global model number: A424-9, serial number 16141C containing a 84.6 Curie Ir-192 source.

Corrective Actions: Personnel received additional training to include lessons learned regarding forgetting to crank the source in, and forgetting to watch the survey meter while approaching the source area.

Notified R4DO (Miller), FSME Daytime Officer (McIntosh), NSIR (Milligan), and FSME Events Resource via email.

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Power Reactor Event Number: 50320
Facility: COOK
Region: 3 State: MI
Unit: [1] [2] [ ]
RX Type: [1] W-4-LP,[2] W-4-LP
NRC Notified By: BUD HINCKLEY
HQ OPS Officer: DONG HWA PARK
Notification Date: 07/30/2014
Notification Time: 08:16 [ET]
Event Date: 07/29/2014
Event Time: 10:40 [EDT]
Last Update Date: 07/30/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
26.719 - FITNESS FOR DUTY
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

FITNESS FOR DUTY POLICY VIOLATION

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

"This notification is being made under 10 CFR 26.719 (b)(2)(ii), significant FFD policy violations or programmatic failures, as a twenty-four (24) hour report.

"The licensee has notified the NRC Resident Inspector."

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Power Reactor Event Number: 50324
Facility: RIVER BEND
Region: 4 State: LA
Unit: [1] [ ] [ ]
RX Type: [1] GE-6
NRC Notified By: JACK MCCOY
HQ OPS Officer: VINCE KLCO
Notification Date: 07/30/2014
Notification Time: 13:27 [ET]
Event Date: 07/30/2014
Event Time: 09:40 [CDT]
Last Update Date: 07/30/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(ii)(B) - UNANALYZED CONDITION
Person (Organization):
NEIL OKEEFE (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

ULTIMATE HEAT SINK IN AN UNANALYZED CONDITION

"On July 30, 2014, at [0940 CDT], with the plant operating at 100% power, a review of an engineering analysis of the ultimate heat sink (UHS) determined that the UHS had been in an unanalyzed condition that degraded plant safety. This condition was the result of a design basis deficiency for the UHS that did not account for the adverse effects of system leakage on compliance with the 30-day inventory required by Regulatory Guide 1.27. The system design basis requires that 30-day inventory be maintained, with the assumption that no replenishment of the UHS occurs for the entire duration of the postulated event.

"In support of the development of the engineering analysis, compensatory measures have been implemented which provide adequate assurance that the UHS will perform its design safety function. Corrective actions to restore full compliance with design basis requirements are in development.

"This event is being reported in accordance with 10 CFR 50.72 (b)(3)(ii) as an unanalyzed condition that degraded the safety function of the UHS."

The licensee notified the NRC Resident Inspector.

Page Last Reviewed/Updated Thursday, July 31, 2014
Thursday, July 31, 2014