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U.S. Nuclear Regulatory Commission
Operations Center
Event Reports For
04/28/2015 - 04/29/2015
** EVENT NUMBERS **
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| Non-Agreement State |
Event Number: 50995 |
Rep Org: OAKWOOD HOSPITAL AND MEDICAL CENTER
Licensee: OAKWOOD HOSPITAL AND MEDICAL CENTER
Region: 3
City: DEARBORN State: MI
County:
License #: 21-04515-01
Agreement: N
Docket:
NRC Notified By: TALJIT SANDHU
HQ OPS Officer: MARK ABRAMOVITZ |
Notification Date: 04/20/2015
Notification Time: 16:24 [ET]
Event Date: 04/08/2015
Event Time: [EDT]
Last Update Date: 04/21/2015 |
Emergency Class: NON EMERGENCY
10 CFR Section:
20.2201(a)(1)(ii) - LOST/STOLEN LNM>10X |
Person (Organization):
NICK VALOS (R3DO)
NMSS_EVENTS_NOTIFIC (EMAI) |
| This material event contains a "Less than Cat 3 " level of radioactive material. |
Event Text
LOST BRACHYTHERAPY SEED
The medical center performed a procedure where an I-125 seed (0.3 mCi) was implanted in a breast lumpectomy site. The Brachytherapy Radiation Safety Officer believes that when the lump was removed, the implanted seed was also discarded as bio-waste. The seed dimensions are 4.5 mm long by 0.1 mm in diameter. The biological waste is no longer on site.
* * * UPDATE FROM TALJIT SANDHU TO DAN LIVERMORE ON 04/21/2015 AT 1441 EDT * * *
Corrected the event date from 04/20/2015 to 04/08/2015 and corrected the CFR section from 20.2201(a)(1(i) to 20.2201(a)(1)(ii).
Notified R3DO (Valos) and NMSS Events Notification 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: 50996 |
Rep Org: LOUISIANA RADIATION PROTECTION DIV
Licensee: CENTRAL TESTING COMPANY INC
Region: 4
City: SULPHUR State: LA
County:
License #: LA-2393-LO1A,
Agreement: Y
Docket:
NRC Notified By: JOE NOBLE
HQ OPS Officer: CHARLES TEAL |
Notification Date: 04/20/2015
Notification Time: 16:43 [ET]
Event Date: 03/13/2015
Event Time: [CDT]
Last Update Date: 04/20/2015 |
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE |
Person (Organization):
JAMES DRAKE (R4DO)
NMSS_EVENTS_NOTIFIC (EMAI) |
Event Text
AGREEMENT STATE REPORT - RADIOGRAPHY CAMERA FAILED SOURCE DISCONNECT/MISCONNECT TEST
The following was received from the State of Louisiana via email:
"A radiography inspection was being performed on a Central Testing crew at the Tri-7 facility in Sulphur, LA. At a point during the inspection, the inspector requested that the crew demonstrate a misconnect/disconnect test on the camera and drive cables in use. The crew stated that the equipment had passed the test before the equipment was put into service for the day. However, during the demonstration, the 'control assembly' on the crankout set functioned in a test failure mode. The control assembly easily slipped into position without the drive cable being attached to the source assembly, 'pigtail.' With this failure, the RSO was contacted and an additional set of crankouts were brought to the jobsite.
"The crankout was evaluated and it was determined that the control assembly is what failed during the test. The control assembly was replaced on the crankout and it corrected the misconnect/disconnect test failure. This test is to be performed on the equipment daily with use. This is a requirement of LA Radioactive Material License LA-2393-L01A, Condition # 16.
"The exposure device was a SPEC Model 150 camera, S/N 1057, loaded with a 63 Ci Ir-192 source, SPEC Model G-60. The associated equipment was manufactured by SPEC, crankout and control assembly, with unknown model and s/ns. When the equipment was replaced, the radiography crew was allowed to resume their work."
LA Event Report ID: LA 15-0004 |
| Power Reactor |
Event Number: 50998 |
Facility: HATCH
Region: 2 State: GA
Unit: [1] [2] [ ]
RX Type: [1] GE-4,[2] GE-4
NRC Notified By: STEVE BRUNSON
HQ OPS Officer: CHARLES TEAL |
Notification Date: 04/20/2015
Notification Time: 21:26 [ET]
Event Date: 08/07/2014
Event Time: 17:07 [EDT]
Last Update Date: 04/28/2015 |
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(ii)(B) - UNANALYZED CONDITION |
Person (Organization):
ALAN BLAMEY (R2DO) |
| 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 |
90 |
Power Operation |
90 |
Power Operation |
Event Text
THIS IS A CONTINUATION OF EN #50351
* * * UPDATE FROM STEVE BRUNSON TO CHARLES TEAL ON 4/20/15 AT 2126 EDT * * *
"During an expanded scope inspection, deficiencies in the following areas were observed that caused the affected barriers to be considered nonfunctional:
- A gap ¬" wide, 1" tall, and 6" deep was found at penetration 1Z43H594D on the west wall of the U1 East Cableway (separating Fire Area 1104 and Fire Area 1020)
- Near penetration 1Z43J837D, and approximately 12" south and above 1Z43H837D, gaps were observed in the mortar joint between CMU on the west wall of the U1 East Cableway (separating Fire Area 1104 and Fire Area 1020)
- A triangular gap 1" wide, 1" tall and 6" deep was found at penetration 1Z43H592D on the west wall of the U1 East Cableway (separating Fire Area 1104 and Fire Area 1020)
- A gap 4" tall and 3" wide was found behind Turn Box TB1-1272 which covers penetrations 1Z43H590D, 1Z43H589D, 1Z43H588, and 1Z43H587D on the west wall of the U1 East Cableway (separating Fire Area 1104 and Fire Area 1020)
- At the architectural joint between the vertical wall to the horizontal floor/ceiling assembly above door 1C-22, above and to the south of 1Z43H1105D, a gap was observed approximately ¬" tall, 3" wide, and 6" deep on the west wall of the U1 East Cableway Foyer (separating Fire Area 1105 and Fire Area 0014K)
- Gap between the grout and the conduit of penetration 1Z43H778D approximately ¬" tall x 1.5" wide x 6" deep on the east wall of the Unit 1 130' Elevation Control Building Working Floor Hallway (separating Fire Area 0014K and Fire Area 1105)
"The nonconforming conditions observed for the affected fire penetrations and fire barriers were identified as affecting both safe shutdown paths for Unit 2. Compensatory measures were already in place in accordance with the plant's Fire Hazard Analysis (FHA) as a result of previous conditions involving degraded barriers in the same fire areas and will remain in place until the fire barriers are repaired. The presence of the compensatory measures in addition to portable fire protection equipment located in adjacent areas ensure the safe shutdown paths are preserved until the degraded conditions are repaired.
"CR 10058276; CR 10058278
"The following deficiencies were also observed causing the affected penetrations to be considered nonfunctional:
- A gap ¬" wide, 1" tall, and 6" deep was located at penetration 1Z43H532D on the west wall of the U1 East Cableway (separating Fire Area 1104 and Fire Area 0014M)
- A gap 1/8" wide, 1" tall and 6" deep was located at penetration 1Z43H780D on the west wall of the U1 East Cableway (separating Fire Area 1104 and Fire 0014M)
- A gap ¬" wide, 1" tall, and 6" deep was located at penetration 1Z43H781D on the west wall of the U1 East Cableway (separating Fire Area 1104 and Fire 0014M). A ¬" x «" defect was also identified at penetration 1Z43H781D on the east wall of the Men's Restroom in the Control Building (separating Fire Area 0014M and Fire Area 1104)
"The nonconforming conditions observed for the affected penetrations were identified as affecting both safe shutdown paths for Unit 1 and Unit 2. Compensatory measures were already in place in accordance with the plant's Fire Hazard Analysis (FHA) as a result of previous conditions involving degraded barriers in the same fire areas and will remain in place until the fire barriers are repaired. The presence of compensatory measures in addition to portable fire protection equipment located in adjacent areas ensures the safe shutdown paths are preserved until degraded conditions are repaired.
"CR 10058277
"The expanded scope inspection activity is continuing and this and any subsequent similar condition(s) that meets the reporting requirements will be included in an ENS Update Report as required and will be documented in a revised LER at the end of the inspection activity."
The licensee has notified the NRC Resident Inspector. Notified R2DO (Blamey).
* * * UPDATE FROM SCOTT BRITT TO DONG PARK ON 4/23/15 AT 1654 EDT * * *
"During an expanded scope inspection, deficiencies in the following areas were observed that caused the affected barriers to be considered nonfunctional:
- A gap 1/4" wide, 1" tall and 7" deep was found at penetration 1Z43H1138D on the east wall of the U1 RPS MG Set Room (separating Fire Area 1013 and Fire Area 0040). No seal material was seen between the sleeve and the cinderblock on the north side of penetration.
- A void 1" tall, 1" wide, and 7" deep was found in the south upper corner under a concrete beam at column line T12 above penetration 1Z43H941D on the east wall of the U1 RPS MG Set Room (separating Fire Area 1013 and Fire Area 0040).
- At penetration 1Z43H1139D, it appears that combustible neoprene insulation is used around the pipe within the plane of the west wall of the Vertical Cable Chase Room (separating Fire Area 0040 and Fire Area 1013). Combustible materials would not be part of a rated pen seal.
- A gap 1" wide, 1" tall and 7" deep was observed at penetration 1Z43H1138D on the west wall of the Vertical Cable Chase Room (separating Fire Area 0040 and Fire Area 1013).
"The nonconforming conditions observed for the affected fire penetrations and fire barriers were identified as affecting both safe shutdown paths for Unit 1. Compensatory measures were already in place in accordance with the plant's Fire Hazard Analysis (FHA) as a result of previous conditions involving degraded barriers in the same fire areas and will remain in place until the fire barriers are repaired. The presence of the compensatory measures in addition to portable fire protection equipment located in adjacent areas ensures the safe shutdown paths are preserved until the degraded conditions are repaired. The expanded scope inspection activity is continuing, and this and any subsequent similar condition(s) that meets the reporting requirements will be included in an ENS Update Report as required and will be documented in a revised LER at the end of the inspection activity.
"CR 10060228"
The licensee will notify the NRC Resident Inspector. Notified R2DO (Blamey).
* * * UPDATE FROM STANLEY STONE TO DONG PARK ON 4/27/15 AT 2047 EDT * * *
"During an expanded scope inspection, deficiencies in the following areas were observed that caused the affected barriers to be considered nonfunctional:
-An opening in the grout 1/4" wide, 1/2" tall and over 7" deep was found between the wall and the outside sleeve for penetration 2Z43H028D on the west wall of the U2 Transformer Room (separating Fire Area 2019 and Fire Area 2016).
-A 1/4" diameter hole in the grout approximately 2.5" deep was found above conduit 2MI2128 on the west wall of the U2 Transformer Room (separating Fire Area 2019 and Fire Area 2016).
"The nonconforming conditions observed for the affected penetration and fire barrier were identified as affecting both safe shutdown paths for Unit 1 and Unit 2. Compensatory measures were already in place in accordance with the plant's Fire Hazard Analysis (FHA) as a result of previous conditions involving degraded barriers in the same fire areas and will remain in place until the fire barriers are repaired. The presence of the compensatory measures in addition to portable fire protection equipment located in adjacent areas ensures the safe shutdown paths are preserved until the degraded conditions are repaired. The expanded scope inspection activity is continuing, and this and any subsequent similar condition(s) that meets the reporting requirements will be included in an ENS Update Report as required and will be documented in a revised LER at the end of the inspection activity.
"CR 10061830"
The licensee notified the NRC Resident Inspector. Notified R2DO (Blamey).
* * * UPDATE FROM PAUL UNDERWOOD TO DONG PARK ON 4/28/15 AT 1640 EDT * * *
"During an expanded scope inspection, deficiencies in the following areas were observed that caused the affected barriers in the Unit 2 Control Building 130' elevation to be considered nonfunctional and represented degraded conditions of penetrations through the wall separating the Unit 2 Switchgear Access Hallway - Fire Area 2014, from the U2 West 600 V Switchgear Room - Fire Area 2016.
"The following conditions were located on the south wall of the Unit 2 Switchgear Access Hallway (Fire Area 2014).
1. An opening between the conduit and the wall 1/4" wide, 2" long and probed to be at least 2 1/2" deep was identified for penetration 2Z43H668D. A similar condition exists for this penetration on the opposite side of the wall in Fire Area 2016.
2. An opening between the conduit and the wall 1/4" wide, 1/2" long and probed to be at least 3" deep was identified for penetration 2Z43H667D. A similar condition exists for this penetration on the opposite side of the wall in Fire Area 2016.
The following conditions were located on the opposite side of the same wall. This is the north wall of the U2 West 600V Switchgear Room (Fire Area 2016):
3. An opening between the conduit and the wall 1/8" wide, 1" long and probed to be at least 4" deep was identified for penetration 2Z43H668D.
4. An opening between the conduit and the wall 1/8" wide, 1" long and probed to be at least 3" deep was identified for penetration 2Z43H667D.
5. An opening between the conduit and the wall 2 1/2" wide, 2 1/2" long and probed to be at least 4" deep was identified around the 2" continuous run conduit located above cable tray penetration 2Z43H031D.
6. An opening between the conduit and the wall 1/4" wide, 3/4" long and probed to be at least 6" deep was identified above a 3/4" continuous run conduit (first of three) located at the ceiling near column line TE.
7. An opening between the conduit and the wall 1/4" wide, 1/2" long and probed to be at least 6" deep was identified above a 3/4" continuous run conduit (second of three) located at the ceiling near column line TE.
8. An opening between the conduit and the wall 1/4" wide, 3/4" long and probed to be at least 5" deep was identified above a 3/4" continuous run conduit (third of three) located at the ceiling near column line TE.
"The nonconforming conditions observed for the affected penetration and fire barrier were identified as affecting both safe shutdown paths for Unit 2. Compensatory measures were already in place in accordance with the plant's Fire Hazard Analysis (FHA) as a result of previous conditions involving degraded barriers in the same fire areas and will remain in place until the fire barriers are repaired. The presence of the compensatory measures in addition to portable fire protection equipment located in adjacent areas ensures the safe shutdown paths are preserved until the degraded conditions are repaired. The expanded scope inspection activity is continuing, and this and any subsequent similar condition(s) that meets the reporting requirements will be included in an ENS Update Report as required and will be documented in a revised LER at the end of the inspection activity.
"CR 10062254"
The licensee notified the NRC Resident Inspector. Notified R2DO (Ehrhardt). |
| Power Reactor |
Event Number: 51021 |
Facility: QUAD CITIES
Region: 3 State: IL
Unit: [1] [2] [ ]
RX Type: [1] GE-3,[2] GE-3
NRC Notified By: ANDREW MITCHELL
HQ OPS Officer: DONG HWA PARK |
Notification Date: 04/28/2015
Notification Time: 14:50 [ET]
Event Date: 04/28/2015
Event Time: 09:35 [CDT]
Last Update Date: 04/28/2015 |
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(v)(C) - POT UNCNTRL RAD REL |
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
TWO SECONDARY CONTAINMENT INTERLOCK DOORS OPEN SIMULTANEOUSLY
"On April 28, 2015, at 0935 CDT, the Shift Manager was notified that two Secondary Containment interlock doors (1/2 EDG room door and the Unit 1 reactor building door) were open simultaneously. The doors were immediately closed and secondary containment pressure remained negative.
"This condition represents a failure to meet Surveillance Requirement 3.6.4.1.2 given two doors in a single access opening were open simultaneously. As a result entry into Technical Specification 3.6.4.1, Condition A, was made momentarily due to secondary containment being inoperable.
"This event is reportable under 10 CFR 50.72(b)(3)(v)(C) as an event or condition that could have prevented the fulfillment of a safety function.
"The NRC Resident Inspector has been notified. Personnel were posted in the area as a compensatory measure. The State of Illinois Emergency Management has been notified." |
| Power Reactor |
Event Number: 51022 |
Facility: WATTS BAR
Region: 2 State: TN
Unit: [1] [2] [ ]
RX Type: [1] W-4-LP,[2] W-4-LP
NRC Notified By: MATTHEW MILLER
HQ OPS Officer: MARK ABRAMOVITZ |
Notification Date: 04/28/2015
Notification Time: 17:29 [ET]
Event Date: 04/28/2015
Event Time: 07:29 [EDT]
Last Update Date: 04/28/2015 |
Emergency Class: NON EMERGENCY
10 CFR Section:
26.719 - FITNESS FOR DUTY |
Person (Organization):
FRANK EHRHARDT (R2DO) |
| 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 |
|
0 |
|
Event Text
FITNESS FOR DUTY REPORT INVOLVING A SUPERVISORY CONTRACT EMPLOYEE
A contract supervisor had a confirmed positive for alcohol during a random fitness-for-duty test. The employee's access to the plant has been terminated. |
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