Event Notification Report for June 13, 2008
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
06/12/2008 - 06/13/2008
EVENT NUMBERS
442974429844293442954430244307
Power Reactor
Event Number: 44297
Facility: BRUNSWICK
Region: 2 State: NC
Unit: [1] [2] []
RX Type: [1] GE-4,[2] GE-4
NRC Notified By: MARK SCHALL
HQ OPS Officer: STEVE SANDIN
Region: 2 State: NC
Unit: [1] [2] []
RX Type: [1] GE-4,[2] GE-4
NRC Notified By: MARK SCHALL
HQ OPS Officer: STEVE SANDIN
Notification Date: 06/13/2008
Notification Time: 15:01 [ET]
Event Date: 06/13/2008
Event Time: 07:30 [EDT]
Last Update Date: 06/13/2008
Notification Time: 15:01 [ET]
Event Date: 06/13/2008
Event Time: 07:30 [EDT]
Last Update Date: 06/13/2008
Emergency Class: NON EMERGENCY
10 CFR Section:
26.719 - FITNESS FOR DUTY
10 CFR Section:
26.719 - FITNESS FOR DUTY
Person (Organization):
BRIAN BONSER (R2)
BRIAN BONSER (R2)
| 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 |
10 CFR 26.719 FITNESS-FOR-DUTY - UNLICENSED CONTRACT SUPERVISOR FAILED RANDOM DRUG TEST
A non-licensed contract employee supervisor had a confirmed positive for illegal drugs during a random fitness-for-duty test. The employee's access to the plant has been terminated. Contact the Headquarters Operations Officer for additional details.
The licensee informed the NRC Resident Inspector.
A non-licensed contract employee supervisor had a confirmed positive for illegal drugs during a random fitness-for-duty test. The employee's access to the plant has been terminated. Contact the Headquarters Operations Officer for additional details.
The licensee informed the NRC Resident Inspector.
General Information or Other
Event Number: 44298
Rep Org: SC DIV OF HEALTH & ENV CONTROL
Licensee: ASTEN JOHNSON, INC
Region: 1
City: CHARLESTON State: SC
County:
License #:
Agreement: Y
Docket:
NRC Notified By: JAMES PETERSON
HQ OPS Officer: BILL HUFFMAN
Licensee: ASTEN JOHNSON, INC
Region: 1
City: CHARLESTON State: SC
County:
License #:
Agreement: Y
Docket:
NRC Notified By: JAMES PETERSON
HQ OPS Officer: BILL HUFFMAN
Notification Date: 06/13/2008
Notification Time: 15:13 [ET]
Event Date: 06/13/2008
Event Time: 13:28 [EDT]
Last Update Date: 07/02/2008
Notification Time: 15:13 [ET]
Event Date: 06/13/2008
Event Time: 13:28 [EDT]
Last Update Date: 07/02/2008
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
ROBERT SUMMERS (R1)
ANDREW MAUER (FSME)
ILTAB VIA E-MAIL
ROBERT SUMMERS (R1)
ANDREW MAUER (FSME)
ILTAB VIA E-MAIL
AGREEMENT STATE REPORT - PORTABLE GAUGE MISSING IN TRANSIT
The following report was received from the State via facsimile:
"The South Carolina Department of Health and Environmental Control was notified at 1:28 p.m. on June 13, 2008 by the licensee that a package containing a radioactive source was lost by Fed-Ex. The sealed source contains 80 mCi of Am-241 and is used in an NDC Systems Model 104 portable gauge. The package was shipped from Macon, GA on June 5th. On June 11th, the licensee received the shipping label, with no package attached, at the licensee's office on Corporate Road in Charleston, SC. The licensee contacted Fed-Ex on the 11th where Fed-Ex then placed a trace on the package which they indicated could take 48 hours. The 48 hour time frame has expired and Fed-Ex has indicated that they cannot find the package but they are continuing their search through various warehouses. Fed-Ex still has the package listed as "in route to its destination". The licensee has also notified the Georgia radiation control program. This event is open pending the results of the licensee's and Department's investigation. Notifications and updates will be made through the NMED system."
* * UPDATE FROM JIM PETERSON TO JOHN KNOKE AT 1432 EDT ON 07/02/08 * *
FedEx has found the missing sealed source at their warehouse.
Notified R1DO (Bellamy), FSME EO (Zelac) 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.
The following report was received from the State via facsimile:
"The South Carolina Department of Health and Environmental Control was notified at 1:28 p.m. on June 13, 2008 by the licensee that a package containing a radioactive source was lost by Fed-Ex. The sealed source contains 80 mCi of Am-241 and is used in an NDC Systems Model 104 portable gauge. The package was shipped from Macon, GA on June 5th. On June 11th, the licensee received the shipping label, with no package attached, at the licensee's office on Corporate Road in Charleston, SC. The licensee contacted Fed-Ex on the 11th where Fed-Ex then placed a trace on the package which they indicated could take 48 hours. The 48 hour time frame has expired and Fed-Ex has indicated that they cannot find the package but they are continuing their search through various warehouses. Fed-Ex still has the package listed as "in route to its destination". The licensee has also notified the Georgia radiation control program. This event is open pending the results of the licensee's and Department's investigation. Notifications and updates will be made through the NMED system."
* * UPDATE FROM JIM PETERSON TO JOHN KNOKE AT 1432 EDT ON 07/02/08 * *
FedEx has found the missing sealed source at their warehouse.
Notified R1DO (Bellamy), FSME EO (Zelac) 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.
Power Reactor
Event Number: 44293
Facility: FERMI
Region: 3 State: MI
Unit: [2] [] []
RX Type: [2] GE-4
NRC Notified By: WILLIAM RICHARDS
HQ OPS Officer: MARK ABRAMOVITZ
Region: 3 State: MI
Unit: [2] [] []
RX Type: [2] GE-4
NRC Notified By: WILLIAM RICHARDS
HQ OPS Officer: MARK ABRAMOVITZ
Notification Date: 06/13/2008
Notification Time: 02:14 [ET]
Event Date: 06/13/2008
Event Time: 01:46 [EDT]
Last Update Date: 06/13/2008
Notification Time: 02:14 [ET]
Event Date: 06/13/2008
Event Time: 01:46 [EDT]
Last Update Date: 06/13/2008
Emergency Class: UNUSUAL EVENT
10 CFR Section:
50.72(a) (1) (i) - EMERGENCY DECLARED
10 CFR Section:
50.72(a) (1) (i) - EMERGENCY DECLARED
Person (Organization):
PATRICK LOUDEN (R3DO)
CALDWELL (R3)
STEVE YORK (DHS)
KEVIN BISCOE (FEMA)
STU BAILEY (DOE)
PATRICK LOUDEN (R3DO)
CALDWELL (R3)
STEVE YORK (DHS)
KEVIN BISCOE (FEMA)
STU BAILEY (DOE)
| Unit | SCRAM Code | RX Crit | Initial PWR | Initial RX Mode | Current PWR | Current RX Mode |
|---|---|---|---|---|---|---|
| 2 | N | Y | 100 | Power Operation | 100 | Power Operation |
UNUSUAL EVENT DUE TO PARTIAL LOSS OF ANNUNCIATORS
The licensee is investigating a loss of greater than 75% of their annunciator indications. The annunciators lost include alarms for ECCS divisions 1 & 2, Reactor Control Panels, and electrical panels. "All normal methods of monitoring plant systems are available." Compensatory measures are being initiated. The plant is stable at 100% power and all maintenance has been stopped.
The licensee notified the NRC Resident Inspector.
* * * UPDATE FROM RALPH KOMBOL TO MARK ABRAMOVITZ AT 0612 ON 6/13/08 * * *
Troubleshooting revealed the "C" MUX to be the cause of the problem. "C" MUX was removed from service and the redundant unit is now supplying input. Based on satisfactory testing the Shift Manager terminated the Unusual Event.
The licensee informed the NRC Resident Inspector.
Notified R3DO (Louden), IRD (McDermott, Gott), DHS (J. Craig), FEMA (J. Dunker), DOE (R. Foot), USDA (R Leadbetter), HHS (Y. Mammarelli), Canada (L. Colligan).
The licensee is investigating a loss of greater than 75% of their annunciator indications. The annunciators lost include alarms for ECCS divisions 1 & 2, Reactor Control Panels, and electrical panels. "All normal methods of monitoring plant systems are available." Compensatory measures are being initiated. The plant is stable at 100% power and all maintenance has been stopped.
The licensee notified the NRC Resident Inspector.
* * * UPDATE FROM RALPH KOMBOL TO MARK ABRAMOVITZ AT 0612 ON 6/13/08 * * *
Troubleshooting revealed the "C" MUX to be the cause of the problem. "C" MUX was removed from service and the redundant unit is now supplying input. Based on satisfactory testing the Shift Manager terminated the Unusual Event.
The licensee informed the NRC Resident Inspector.
Notified R3DO (Louden), IRD (McDermott, Gott), DHS (J. Craig), FEMA (J. Dunker), DOE (R. Foot), USDA (R Leadbetter), HHS (Y. Mammarelli), Canada (L. Colligan).
Power Reactor
Event Number: 44295
Facility: THREE MILE ISLAND
Region: 1 State: PA
Unit: [1] [] []
RX Type: [1] B&W-L-LP,[2] B&W-L-LP
NRC Notified By: ADAM MILLER
HQ OPS Officer: STEVE SANDIN
Region: 1 State: PA
Unit: [1] [] []
RX Type: [1] B&W-L-LP,[2] B&W-L-LP
NRC Notified By: ADAM MILLER
HQ OPS Officer: STEVE SANDIN
Notification Date: 06/13/2008
Notification Time: 12:05 [ET]
Event Date: 06/13/2008
Event Time: 11:00 [EDT]
Last Update Date: 06/13/2008
Notification Time: 12:05 [ET]
Event Date: 06/13/2008
Event Time: 11:00 [EDT]
Last Update Date: 06/13/2008
Emergency Class: NON EMERGENCY
10 CFR Section:
21.21 - UNSPECIFIED PARAGRAPH
10 CFR Section:
21.21 - UNSPECIFIED PARAGRAPH
Person (Organization):
ROBERT SUMMERS (R1)
VERN HODGE (email)
JOHN THORP (email)
ROBERT SUMMERS (R1)
VERN HODGE (email)
JOHN THORP (email)
| Unit | SCRAM Code | RX Crit | Initial PWR | Initial RX Mode | Current PWR | Current RX Mode |
|---|---|---|---|---|---|---|
| 1 | N | Y | 100 | Power Operation | 100 | Power Operation |
PART 21 REPORT INVOLVING COMMERCIAL GRADE RELAY CONTACTS CONTAINING POTENTIAL DEFECTS
The following Part 21 notification was received via fax:
"On June 13, 2008, AmerGen Energy Company, LLC (AmerGen) completed a reportability determination which concluded that relay contacts contained an underlying design vulnerability that created a failure mode, and were reportable under Part 21, since the underlying vulnerability could create a substantial safety hazard. The relay contacts are Commercial Grade items dedicated by AmerGen. The relay contacts are provided by Joslyn Clark Controls Inc. (formerly AO Smith) as Normally Closed (N/C) open top contact assemblies (part numbers KPM-44, KPM-46, KPM-6A, and KPM-4A). These contacts are used in safety related applications, primarily in the engineered safeguards actuation system (ESAS). They are also used in safety related applications in the makeup/high pressure injection (HPI) system, main steam system, and the heat sink protection system (HSPS).
"The underlying vulnerability associated with the N/C Joslyn Clark contact is the design of the nylon contact arm. The design allows the contact to become configured incorrectly during assembly or following maintenance. If installed improperly, the moving contactor can hang up on the lip of the slot in the nylon actuator. The hang up results in failure of the contact to fully close and perform its function.
"Following proper assembly, the N/C Joslyn Clark contacts will not become hung-up during normal relay operation.
"As a result of this exposed design vulnerability, the Commercial Grade Dedication (CGD) plans as well as the maintenance procedures have been enhanced to prevent a relay from being placed into service with an improperly configured contact. Extent of condition reviews performed to date on relays installed in the plant, have not identified any of these deficiencies.
"The NRC resident inspector was notified of this part 21 notification by the licensee."
The following Part 21 notification was received via fax:
"On June 13, 2008, AmerGen Energy Company, LLC (AmerGen) completed a reportability determination which concluded that relay contacts contained an underlying design vulnerability that created a failure mode, and were reportable under Part 21, since the underlying vulnerability could create a substantial safety hazard. The relay contacts are Commercial Grade items dedicated by AmerGen. The relay contacts are provided by Joslyn Clark Controls Inc. (formerly AO Smith) as Normally Closed (N/C) open top contact assemblies (part numbers KPM-44, KPM-46, KPM-6A, and KPM-4A). These contacts are used in safety related applications, primarily in the engineered safeguards actuation system (ESAS). They are also used in safety related applications in the makeup/high pressure injection (HPI) system, main steam system, and the heat sink protection system (HSPS).
"The underlying vulnerability associated with the N/C Joslyn Clark contact is the design of the nylon contact arm. The design allows the contact to become configured incorrectly during assembly or following maintenance. If installed improperly, the moving contactor can hang up on the lip of the slot in the nylon actuator. The hang up results in failure of the contact to fully close and perform its function.
"Following proper assembly, the N/C Joslyn Clark contacts will not become hung-up during normal relay operation.
"As a result of this exposed design vulnerability, the Commercial Grade Dedication (CGD) plans as well as the maintenance procedures have been enhanced to prevent a relay from being placed into service with an improperly configured contact. Extent of condition reviews performed to date on relays installed in the plant, have not identified any of these deficiencies.
"The NRC resident inspector was notified of this part 21 notification by the licensee."
Other Nuclear Material
Event Number: 44302
Rep Org: BECKMAN COULTER, INC.
Licensee: BECKMAN COULTER, INC.
Region: 4
City: FULLERTON State: CA
County:
License #: 04-02624-03E
Agreement: Y
Docket:
NRC Notified By: DEBORAH TALBOT
HQ OPS Officer: STEVE SANDIN
Licensee: BECKMAN COULTER, INC.
Region: 4
City: FULLERTON State: CA
County:
License #: 04-02624-03E
Agreement: Y
Docket:
NRC Notified By: DEBORAH TALBOT
HQ OPS Officer: STEVE SANDIN
Notification Date: 06/17/2008
Notification Time: 12:45 [ET]
Event Date: 06/13/2008
Event Time: 00:00 [PDT]
Last Update Date: 06/17/2008
Notification Time: 12:45 [ET]
Event Date: 06/13/2008
Event Time: 00:00 [PDT]
Last Update Date: 06/17/2008
Emergency Class: NON EMERGENCY
10 CFR Section:
30.50(b)(2) - SAFETY EQUIPMENT FAILURE
10 CFR Section:
30.50(b)(2) - SAFETY EQUIPMENT FAILURE
Person (Organization):
THOMAS FARNHOLTZ (R4)
MICHELE BURGESS (FSME)
THOMAS FARNHOLTZ (R4)
MICHELE BURGESS (FSME)
SCINTILLATION COUNTER SEALED SOURCE FOUND LEAKING
A 30 ÁCi (microcurie) Cs-137 sealed source failed a leak test performed on 6/13/08. The leak test results measured 526 cpm with 54 cpm background with no contamination present. The source is used in a Beckman Coulter Scintillation Counter Model LS6500, S/N 7070809 at the Scripps Institute of Oceanography located in La Jolla, CA. The source will be returned to the Corporate Office in Fullerton, CA for disposal.
The licensee also notified the State of California Rad Health Branch of this report.
A 30 ÁCi (microcurie) Cs-137 sealed source failed a leak test performed on 6/13/08. The leak test results measured 526 cpm with 54 cpm background with no contamination present. The source is used in a Beckman Coulter Scintillation Counter Model LS6500, S/N 7070809 at the Scripps Institute of Oceanography located in La Jolla, CA. The source will be returned to the Corporate Office in Fullerton, CA for disposal.
The licensee also notified the State of California Rad Health Branch of this report.
General Information or Other
Event Number: 44307
Rep Org: MA RADIATION CONTROL PROGRAM
Licensee: CARDINAL HEALTH
Region: 1
City: WOBURN State: MA
County:
License #: 42-0146
Agreement: Y
Docket:
NRC Notified By: BOB GALLAGHAR
HQ OPS Officer: STEVE SANDIN
Licensee: CARDINAL HEALTH
Region: 1
City: WOBURN State: MA
County:
License #: 42-0146
Agreement: Y
Docket:
NRC Notified By: BOB GALLAGHAR
HQ OPS Officer: STEVE SANDIN
Notification Date: 06/19/2008
Notification Time: 14:11 [ET]
Event Date: 06/13/2008
Event Time: 04:00 [EDT]
Last Update Date: 11/06/2008
Notification Time: 14:11 [ET]
Event Date: 06/13/2008
Event Time: 04:00 [EDT]
Last Update Date: 11/06/2008
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
WAYNE SCHMIDT (R1)
MICHELE BURGESS (FSME)
WAYNE SCHMIDT (R1)
MICHELE BURGESS (FSME)
AGREEMENT STATE REPORT INVOLVING A VEHICLE TRANSPORTING RADIOACTIVE MATERIAL
On 6/13/08, a Cardinal Health vehicle transporting Tc-99m and I-131 was involved in a vehicle accident on Route 495N. The vehicle overturned spilling eleven (11) shipping containers onto the roadway. The containers were not damaged and no radioactive material was released on the roadway or to the surrounding environment. The rad material was returned to the Cardinal Health facility in Woburn, MA. The licensee notified the National Response Center and the Commonwealth of Massachusetts.
* * * UPDATE FROM ROBERT GALLAGHER TO DONALD NORWOOD 11/06/2008 AT 0916 HRS * * *
"The following is submitted as additional information for NMED Item No. 080358 (EN44307):
"The licensee, Cardinal Health Nuclear Pharmacy, provided the Massachusetts Radiation Control Program with corrective actions they have taken to preclude a recurrence of this event. The corrective actions include retraining all delivery personnel (performed on June 18, 2008) on the importance of remaining alert while transporting radioactive materials. Delivery personnel were instructed not to work longer hours prior to the start of their delivery route."
Notified R1DO (Caruso)
On 6/13/08, a Cardinal Health vehicle transporting Tc-99m and I-131 was involved in a vehicle accident on Route 495N. The vehicle overturned spilling eleven (11) shipping containers onto the roadway. The containers were not damaged and no radioactive material was released on the roadway or to the surrounding environment. The rad material was returned to the Cardinal Health facility in Woburn, MA. The licensee notified the National Response Center and the Commonwealth of Massachusetts.
* * * UPDATE FROM ROBERT GALLAGHER TO DONALD NORWOOD 11/06/2008 AT 0916 HRS * * *
"The following is submitted as additional information for NMED Item No. 080358 (EN44307):
"The licensee, Cardinal Health Nuclear Pharmacy, provided the Massachusetts Radiation Control Program with corrective actions they have taken to preclude a recurrence of this event. The corrective actions include retraining all delivery personnel (performed on June 18, 2008) on the importance of remaining alert while transporting radioactive materials. Delivery personnel were instructed not to work longer hours prior to the start of their delivery route."
Notified R1DO (Caruso)