Event Notification Report for December 02, 2008
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
12/01/2008 - 12/02/2008
EVENT NUMBERS
4469744691446924469344694
Other Nuclear Material
Event Number: 44697
Rep Org: TEXAS DEPARTMENT OF HEALTH
Licensee: SW REGIONAL CANCER CENTER
Region: 4
City: AUSTIN State: TX
County:
License #: 06052
Agreement: Y
Docket:
NRC Notified By: ART TUCKER
HQ OPS Officer: VINCE KLCO
Licensee: SW REGIONAL CANCER CENTER
Region: 4
City: AUSTIN State: TX
County:
License #: 06052
Agreement: Y
Docket:
NRC Notified By: ART TUCKER
HQ OPS Officer: VINCE KLCO
Notification Date: 12/04/2008
Notification Time: 17:53 [ET]
Event Date: 12/02/2008
Event Time: 16:15 [CST]
Last Update Date: 12/05/2008
Notification Time: 17:53 [ET]
Event Date: 12/02/2008
Event Time: 16:15 [CST]
Last Update Date: 12/05/2008
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
DAVID PROULX (R4)
REBECCA TADESSE (FSME)
DAVID PROULX (R4)
REBECCA TADESSE (FSME)
AGREEMENT STATE REPORT- SOURCE FAILS TO RETRACT
"On the evening of 12/2/08, Varian, a service contractor, had completed a successful source exchange on a Nordion GammaMedPlus Brachytherapy device, serial # H600447. That same evening, the new source wire became jammed during the third position verification test procedure. The source would not retract using the electronic devices provided on the machine. The source was manually retracted to the shielded position by a service technician within a few minutes of the event. The source, cable, and associated equipment have been removed from the device. They have been packaged for shipment to the manufacturer in England for further examination. The dose estimate to retract the source to the safe position is approximately 35 millirem. The source was a 9.12 curie Iridium (Ir) - 192 source model # VS2000. The source serial number was not available. The source is currently stored in a transportation container. The manufacturer believes that a small piece of debris prevented the source from fully retracting.
"The licensee stated that they will provide the state with a written report by 12/9/08. Additional information will be forwarded to the NRC as it is received."
Texas Incident Number: I-8586
* * * UPDATE FROM ART TUCKER TO JOE O'HARA AT 0953 ON 12/5/08 * * *
The following was provided from the state via e-mail:
"The Radiation Safety Office for Varian Medical Systems Inc. contacted the [Texas Department of State Health Services] Agency and stated that the device involved was a VariSource Brachytherapy HDR Remote Afterloader (SSD # CA-0661-D-103-S) and not a Nordion GammaMedPlus Brachytherapy device. All other information is correct."
Notified R4DO (Proulx) and FSME (Einberg)
"On the evening of 12/2/08, Varian, a service contractor, had completed a successful source exchange on a Nordion GammaMedPlus Brachytherapy device, serial # H600447. That same evening, the new source wire became jammed during the third position verification test procedure. The source would not retract using the electronic devices provided on the machine. The source was manually retracted to the shielded position by a service technician within a few minutes of the event. The source, cable, and associated equipment have been removed from the device. They have been packaged for shipment to the manufacturer in England for further examination. The dose estimate to retract the source to the safe position is approximately 35 millirem. The source was a 9.12 curie Iridium (Ir) - 192 source model # VS2000. The source serial number was not available. The source is currently stored in a transportation container. The manufacturer believes that a small piece of debris prevented the source from fully retracting.
"The licensee stated that they will provide the state with a written report by 12/9/08. Additional information will be forwarded to the NRC as it is received."
Texas Incident Number: I-8586
* * * UPDATE FROM ART TUCKER TO JOE O'HARA AT 0953 ON 12/5/08 * * *
The following was provided from the state via e-mail:
"The Radiation Safety Office for Varian Medical Systems Inc. contacted the [Texas Department of State Health Services] Agency and stated that the device involved was a VariSource Brachytherapy HDR Remote Afterloader (SSD # CA-0661-D-103-S) and not a Nordion GammaMedPlus Brachytherapy device. All other information is correct."
Notified R4DO (Proulx) and FSME (Einberg)
Power Reactor
Event Number: 44691
Facility: TURKEY POINT
Region: 2 State: FL
Unit: [3] [4] []
RX Type: [3] W-3-LP,[4] W-3-LP
NRC Notified By: ROBERT J. TOMONTO
HQ OPS Officer: DONALD NORWOOD
Region: 2 State: FL
Unit: [3] [4] []
RX Type: [3] W-3-LP,[4] W-3-LP
NRC Notified By: ROBERT J. TOMONTO
HQ OPS Officer: DONALD NORWOOD
Notification Date: 12/02/2008
Notification Time: 16:04 [ET]
Event Date: 12/02/2008
Event Time: 15:15 [EST]
Last Update Date: 12/02/2008
Notification Time: 16:04 [ET]
Event Date: 12/02/2008
Event Time: 15:15 [EST]
Last Update Date: 12/02/2008
Emergency Class: NON EMERGENCY
10 CFR Section:
26.719 - FITNESS FOR DUTY
10 CFR Section:
26.719 - FITNESS FOR DUTY
Person (Organization):
ROBERT HAAG (R2)
ROBERT HAAG (R2)
| Unit | SCRAM Code | RX Crit | Initial PWR | Initial RX Mode | Current PWR | Current RX Mode |
|---|---|---|---|---|---|---|
| 3 | N | Y | 100 | Power Operation | 100 | Power Operation |
| 4 | N | Y | 100 | Power Operation | 100 | Power Operation |
FITNESS FOR DUTY
A non-licensed employee supervisor had a confirmed positive for illegal drugs during a follow-up fitness-for-duty test. The employee's access to the plant has been denied. Contact the Headquarters' Operations Officer for additional details.
The licensee notified the NRC Resident Inspector.
A non-licensed employee supervisor had a confirmed positive for illegal drugs during a follow-up fitness-for-duty test. The employee's access to the plant has been denied. Contact the Headquarters' Operations Officer for additional details.
The licensee notified the NRC Resident Inspector.
Power Reactor
Event Number: 44692
Facility: PALO VERDE
Region: 4 State: AZ
Unit: [1] [2] [3]
RX Type: [1] CE,[2] CE,[3] CE
NRC Notified By: TIM GAFFNEY
HQ OPS Officer: DONALD NORWOOD
Region: 4 State: AZ
Unit: [1] [2] [3]
RX Type: [1] CE,[2] CE,[3] CE
NRC Notified By: TIM GAFFNEY
HQ OPS Officer: DONALD NORWOOD
Notification Date: 12/02/2008
Notification Time: 19:36 [ET]
Event Date: 12/02/2008
Event Time: 16:20 [MST]
Last Update Date: 12/03/2008
Notification Time: 19:36 [ET]
Event Date: 12/02/2008
Event Time: 16:20 [MST]
Last Update Date: 12/03/2008
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
DAVID PROULX (R4)
DAVID PROULX (R4)
| 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 | Cold Shutdown | 0 | Cold Shutdown |
| 3 | N | Y | 100 | Power Operation | 100 | Power Operation |
LOSS OF ONE (1) EMERGENCY SIREN
"The following event description is based on information currently available. If through subsequent reviews of this event, additional information is identified that is pertinent to this event or alters the information being provided at this time, a follow-up notification will be made via the ENS or under the reporting requirements of 10CFR50.73.
"On December 2, 2008, at approximately 1620 Mountain Standard Time (MST), the Palo Verde Emergency Planning Department discovered that public warning system siren No. 17 was not responding, and therefore, is out of service. The loss of siren No. 17 could potentially impact a population of approximately 1106 people in the 5-mile emergency planning zone (EPZ).
"Since the loss of siren No. 17 could impair Arizona Public Service Company's ability to inform greater than 5% of the population within the EPZ, this notification is being made in accordance with 10 CFR 50.72(b)(3)(xiii). If an event occurs while siren No. 17 is out of service, the Palo Verde Emergency Plan has a contingency for dispatching Maricopa County Sheriff's Office (MCSO) vehicles with loud speakers to alert persons within the affected area. The MCSO is prepared to implement this contingency should it become necessary.
"Troubleshooting to determine the cause of the failure will start tomorrow morning (December 3, 2008).
"The NRC Resident Inspector has been notified of siren No. 17 being out of service and this ENS call."
* * * UPDATE FROM TIM GAFFNEY TO DONALD NORWOOD AT 1531 EST, 12/03/2008 * * *
"Siren 17 was returned to service on Wednesday, December 3, 2008, at 0829 MST."
Notified R4DO (Proulx).
"The following event description is based on information currently available. If through subsequent reviews of this event, additional information is identified that is pertinent to this event or alters the information being provided at this time, a follow-up notification will be made via the ENS or under the reporting requirements of 10CFR50.73.
"On December 2, 2008, at approximately 1620 Mountain Standard Time (MST), the Palo Verde Emergency Planning Department discovered that public warning system siren No. 17 was not responding, and therefore, is out of service. The loss of siren No. 17 could potentially impact a population of approximately 1106 people in the 5-mile emergency planning zone (EPZ).
"Since the loss of siren No. 17 could impair Arizona Public Service Company's ability to inform greater than 5% of the population within the EPZ, this notification is being made in accordance with 10 CFR 50.72(b)(3)(xiii). If an event occurs while siren No. 17 is out of service, the Palo Verde Emergency Plan has a contingency for dispatching Maricopa County Sheriff's Office (MCSO) vehicles with loud speakers to alert persons within the affected area. The MCSO is prepared to implement this contingency should it become necessary.
"Troubleshooting to determine the cause of the failure will start tomorrow morning (December 3, 2008).
"The NRC Resident Inspector has been notified of siren No. 17 being out of service and this ENS call."
* * * UPDATE FROM TIM GAFFNEY TO DONALD NORWOOD AT 1531 EST, 12/03/2008 * * *
"Siren 17 was returned to service on Wednesday, December 3, 2008, at 0829 MST."
Notified R4DO (Proulx).
Power Reactor
Event Number: 44693
Facility: PRAIRIE ISLAND
Region: 3 State: MN
Unit: [1] [2] []
RX Type: [1] W-2-LP,[2] W-2-LP
NRC Notified By: BRIAN JOHNSON
HQ OPS Officer: PETE SNYDER
Region: 3 State: MN
Unit: [1] [2] []
RX Type: [1] W-2-LP,[2] W-2-LP
NRC Notified By: BRIAN JOHNSON
HQ OPS Officer: PETE SNYDER
Notification Date: 12/02/2008
Notification Time: 20:03 [ET]
Event Date: 12/02/2008
Event Time: 16:45 [CST]
Last Update Date: 12/02/2008
Notification Time: 20:03 [ET]
Event Date: 12/02/2008
Event Time: 16:45 [CST]
Last Update Date: 12/02/2008
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(xi) - OFFSITE NOTIFICATION
10 CFR Section:
50.72(b)(2)(xi) - OFFSITE NOTIFICATION
Person (Organization):
MICHAEL KUNOWSKI (R3)
MICHAEL KUNOWSKI (R3)
| 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 |
INADVERTENT ACUATION OF EMERGENCY SIRENS
"At approximately 1645 CST, on December 2, 2008, personnel from the City of Red Wing inadvertently activated the sirens from the backup unit for the City of Red Wing. Twenty-six (26) of the 117 sirens in the 10 mile Emergency Planning Zone (EPZ) were activated for approximately two minutes. No press release is planned."
The licensee notified the NRC Resident Inspector.
"At approximately 1645 CST, on December 2, 2008, personnel from the City of Red Wing inadvertently activated the sirens from the backup unit for the City of Red Wing. Twenty-six (26) of the 117 sirens in the 10 mile Emergency Planning Zone (EPZ) were activated for approximately two minutes. No press release is planned."
The licensee notified the NRC Resident Inspector.
General Information or Other
Event Number: 44694
Rep Org: FLORIDA BUREAU OF RADIATION CONTROL
Licensee: PROFESSIONAL SERVICES INDUSTRIES
Region: 1
City: PANAMA BEACH State: FL
County:
License #: 0022-23
Agreement: Y
Docket:
NRC Notified By: STEVE FURNACE
HQ OPS Officer: JOHN KNOKE
Licensee: PROFESSIONAL SERVICES INDUSTRIES
Region: 1
City: PANAMA BEACH State: FL
County:
License #: 0022-23
Agreement: Y
Docket:
NRC Notified By: STEVE FURNACE
HQ OPS Officer: JOHN KNOKE
Notification Date: 12/03/2008
Notification Time: 08:12 [ET]
Event Date: 12/02/2008
Event Time: 17:00 [EST]
Last Update Date: 12/03/2008
Notification Time: 08:12 [ET]
Event Date: 12/02/2008
Event Time: 17:00 [EST]
Last Update Date: 12/03/2008
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
DANIEL HOLODY (R1)
MICHELE BURGESS (FSME)
DANIEL HOLODY (R1)
MICHELE BURGESS (FSME)
AGREEMENT STATE REPORT - DAMAGED TROXLER GAUGE
"Driver blacked out while transporting soil moisture density gauge. The outer case was damaged, one handle pulled off and container was hanging out of pick up bed. Gauge itself was not damaged and was still properly secured. Due to the driver being by himself and incapacitated, gauge was no longer under licensee's control. Driver was transported to hospital and released. Gauge will be leak tested prior to being put back into service. No further action will be taken on this incident."
Troxler gauge model number is 35802. Serial number unknown. Isotopes: 40 mCi of Am-241/Be and 8 mCi of Cs-137. Location of accident was 1987 Scenic Gulf, San Dustin, FL.
Florida Incident Number - FL08-143
"Driver blacked out while transporting soil moisture density gauge. The outer case was damaged, one handle pulled off and container was hanging out of pick up bed. Gauge itself was not damaged and was still properly secured. Due to the driver being by himself and incapacitated, gauge was no longer under licensee's control. Driver was transported to hospital and released. Gauge will be leak tested prior to being put back into service. No further action will be taken on this incident."
Troxler gauge model number is 35802. Serial number unknown. Isotopes: 40 mCi of Am-241/Be and 8 mCi of Cs-137. Location of accident was 1987 Scenic Gulf, San Dustin, FL.
Florida Incident Number - FL08-143