Event Notification Report for October 15, 2012
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
10/14/2012 - 10/15/2012
EVENT NUMBERS
48406484074841148459
Power Reactor
Event Number: 48406
Facility: QUAD CITIES
Region: 3 State: IL
Unit: [1] [2] []
RX Type: [1] GE-3,[2] GE-3
NRC Notified By: DREW GRIFFITHS
HQ OPS Officer: DONG HWA PARK
Region: 3 State: IL
Unit: [1] [2] []
RX Type: [1] GE-3,[2] GE-3
NRC Notified By: DREW GRIFFITHS
HQ OPS Officer: DONG HWA PARK
Notification Date: 10/15/2012
Notification Time: 09:13 [ET]
Event Date: 10/15/2012
Event Time: 08:00 [CDT]
Last Update Date: 10/15/2012
Notification Time: 09:13 [ET]
Event Date: 10/15/2012
Event Time: 08:00 [CDT]
Last Update Date: 10/15/2012
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):
STEVE ORTH (R3DO)
STEVE ORTH (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 |
PLANNED TECHNICAL SUPPORT CENTER (TSC) MAINTENANCE
"Planned maintenance activities will commence today (October 15, 2012) on the Quad Cities Station TSC. The maintenance involves replacing a portion of the TSC roof. The roof repair work affects the TSC habitability during a declared emergency requiring activation (the roof is part of the habitability boundary). The maintenance is scheduled to be completed in approximately 48 hours. During off-hours the roof will be temporarily sealed.
"If an emergency is declared requiring TSC activation during this period, the TSC will be staffed and activated using existing emergency planning procedures unless the TSC becomes uninhabitable due to ambient temperature, radiological, or other conditions. If relocation of the TSC becomes necessary, the Station Emergency Director will relocate the TSC staff to an alternate location in accordance with applicable site procedures.
"This event is reportable per 10CFR50.72(b)(3)(xiii) since the scheduled maintenance affects an emergency response facility.
"The NRC Resident Inspector has been notified."
"Planned maintenance activities will commence today (October 15, 2012) on the Quad Cities Station TSC. The maintenance involves replacing a portion of the TSC roof. The roof repair work affects the TSC habitability during a declared emergency requiring activation (the roof is part of the habitability boundary). The maintenance is scheduled to be completed in approximately 48 hours. During off-hours the roof will be temporarily sealed.
"If an emergency is declared requiring TSC activation during this period, the TSC will be staffed and activated using existing emergency planning procedures unless the TSC becomes uninhabitable due to ambient temperature, radiological, or other conditions. If relocation of the TSC becomes necessary, the Station Emergency Director will relocate the TSC staff to an alternate location in accordance with applicable site procedures.
"This event is reportable per 10CFR50.72(b)(3)(xiii) since the scheduled maintenance affects an emergency response facility.
"The NRC Resident Inspector has been notified."
Power Reactor
Event Number: 48407
Facility: OCONEE
Region: 2 State: SC
Unit: [] [] [3]
RX Type: [1] B&W-L-LP,[2] B&W-L-LP,[3] B&W-L-LP
NRC Notified By: BOB MEIXELL
HQ OPS Officer: BILL HUFFMAN
Region: 2 State: SC
Unit: [] [] [3]
RX Type: [1] B&W-L-LP,[2] B&W-L-LP,[3] B&W-L-LP
NRC Notified By: BOB MEIXELL
HQ OPS Officer: BILL HUFFMAN
Notification Date: 10/15/2012
Notification Time: 14:37 [ET]
Event Date: 10/15/2012
Event Time: 06:56 [EDT]
Last Update Date: 10/15/2012
Notification Time: 14:37 [ET]
Event Date: 10/15/2012
Event Time: 06:56 [EDT]
Last Update Date: 10/15/2012
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):
DANIEL RICH (R2DO)
DANIEL RICH (R2DO)
| Unit | SCRAM Code | RX Crit | Initial PWR | Initial RX Mode | Current PWR | Current RX Mode |
|---|---|---|---|---|---|---|
| 3 | N | Y | 100 | Power Operation | 100 | Power Operation |
AREA RADIATION MONITOR USED FOR EMERGENCY ASSESSMENT FAILED
"At 0656 on 10/15/2012, the Unit 3 Control Room received indication that the area radiation monitor, 3RlA-15 for Unit 3 High Pressure Injection (HPI) Pump Room had faulted. 3RIA-15 is used in the Oconee Emergency Plan Enclosure 4.3 (Abnormal Rad Levels Radiological Effluent) and Enclosure 4.4 (Loss of Shutdown Functions) for declaration of NOUE and/or Alert. Although the loss of a single area radiation monitor is not generally reportable, the loss of 3RIA-15 is conservatively considered as a major loss of emergency assessment capability pending further review of the Oconee Emergency Plan. The loss of 3RIA-15 is being reported per 10 CFR 50.72(b)(3)(xiii).
"Initial Safety Significance: None. There is no event in progress and the station has implemented an alternate means to monitor area radiation for the Unit 3 HPI Room.
"Corrective Action(s): Repair and restoration of the affected radiation monitor has been initiated as a high priority work request. An alternate means to monitor Unit 3 HPI Pump Room has been established. The station will notify the appropriate Emergency Response Organization personnel of the loss of 3RIA-15.
"Corrective actions are in place to review station procedures/processes for improvement relative to reporting requirements of 10 CFR 50.72(b)(3)(xiii).
"The NRC Resident Inspector has been informed."
"At 0656 on 10/15/2012, the Unit 3 Control Room received indication that the area radiation monitor, 3RlA-15 for Unit 3 High Pressure Injection (HPI) Pump Room had faulted. 3RIA-15 is used in the Oconee Emergency Plan Enclosure 4.3 (Abnormal Rad Levels Radiological Effluent) and Enclosure 4.4 (Loss of Shutdown Functions) for declaration of NOUE and/or Alert. Although the loss of a single area radiation monitor is not generally reportable, the loss of 3RIA-15 is conservatively considered as a major loss of emergency assessment capability pending further review of the Oconee Emergency Plan. The loss of 3RIA-15 is being reported per 10 CFR 50.72(b)(3)(xiii).
"Initial Safety Significance: None. There is no event in progress and the station has implemented an alternate means to monitor area radiation for the Unit 3 HPI Room.
"Corrective Action(s): Repair and restoration of the affected radiation monitor has been initiated as a high priority work request. An alternate means to monitor Unit 3 HPI Pump Room has been established. The station will notify the appropriate Emergency Response Organization personnel of the loss of 3RIA-15.
"Corrective actions are in place to review station procedures/processes for improvement relative to reporting requirements of 10 CFR 50.72(b)(3)(xiii).
"The NRC Resident Inspector has been informed."
Agreement State
Event Number: 48411
Rep Org: NV DIV OF RAD HEALTH
Licensee: 21ST CENTURY ONCOLOGY
Region: 4
City: LAS VEGAS State: NV
County:
License #:
Agreement: Y
Docket:
NRC Notified By: SNEHA RAVIKUMAR
HQ OPS Officer: BILL HUFFMAN
Licensee: 21ST CENTURY ONCOLOGY
Region: 4
City: LAS VEGAS State: NV
County:
License #:
Agreement: Y
Docket:
NRC Notified By: SNEHA RAVIKUMAR
HQ OPS Officer: BILL HUFFMAN
Notification Date: 10/16/2012
Notification Time: 17:23 [ET]
Event Date: 10/15/2012
Event Time: 00:00 [PDT]
Last Update Date: 10/16/2012
Notification Time: 17:23 [ET]
Event Date: 10/15/2012
Event Time: 00:00 [PDT]
Last Update Date: 10/16/2012
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
GREG PICK (R4DO)
FSME EVENTS RESOURCE (E-MA)
GREG PICK (R4DO)
FSME EVENTS RESOURCE (E-MA)
AGREEMENT STATE REPORT - DOSE DIFFERENT FROM PRESCRIBED
The following report was received from the Nevada Radiation Control Program via e-mail:
"We would just like to inform you of a medical event.
"Preliminary info: Yesterday (10-15-2012) we received a call from the RSO of 21st Century Oncology, regarding an incident that occurred with their HDR. Due to a faulty ruler, a parameter was entered incorrectly in the HDR control panel, resulting in a dose to the skin of the patient of around 160 centiGray. The skin area was one cubic cm. The intended dose was 160-170 cGy [to a different treatment site].
"The intended target was an almost spherical volume located in the right breast. The skin that was exposed is located in the right breast, at the entrance of the device (multi lumen mammosite) catheter.
"The closest organ is the right lung.
"The patient is fine and was informed of this.
"The sealed source remained inside the tube.
"[The event is] being reported under 10 CFR 35.3045 (a)(3): A dose to the skin or an organ or tissue other than the treatment site that exceeds by 0.5 Sv (50 rem) to an organ or tissue and 50 percent or more of the dose expected from the administration defined in the written directive (excluding, for permanent implants, seeds that were implanted in the correct site but migrated outside the treatment site)."
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.
The following report was received from the Nevada Radiation Control Program via e-mail:
"We would just like to inform you of a medical event.
"Preliminary info: Yesterday (10-15-2012) we received a call from the RSO of 21st Century Oncology, regarding an incident that occurred with their HDR. Due to a faulty ruler, a parameter was entered incorrectly in the HDR control panel, resulting in a dose to the skin of the patient of around 160 centiGray. The skin area was one cubic cm. The intended dose was 160-170 cGy [to a different treatment site].
"The intended target was an almost spherical volume located in the right breast. The skin that was exposed is located in the right breast, at the entrance of the device (multi lumen mammosite) catheter.
"The closest organ is the right lung.
"The patient is fine and was informed of this.
"The sealed source remained inside the tube.
"[The event is] being reported under 10 CFR 35.3045 (a)(3): A dose to the skin or an organ or tissue other than the treatment site that exceeds by 0.5 Sv (50 rem) to an organ or tissue and 50 percent or more of the dose expected from the administration defined in the written directive (excluding, for permanent implants, seeds that were implanted in the correct site but migrated outside the treatment site)."
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.
Agreement State
Event Number: 48459
Rep Org: UTAH DIVISION OF RADIATION CONTROL
Licensee: JONES & DEMILLES ENGINEERING
Region: 4
City: State: UT
County:
License #: UT-2100140
Agreement: Y
Docket:
NRC Notified By: PHILIP GRIFFIN
HQ OPS Officer: DONG HWA PARK
Licensee: JONES & DEMILLES ENGINEERING
Region: 4
City: State: UT
County:
License #: UT-2100140
Agreement: Y
Docket:
NRC Notified By: PHILIP GRIFFIN
HQ OPS Officer: DONG HWA PARK
Notification Date: 10/30/2012
Notification Time: 18:59 [ET]
Event Date: 10/15/2012
Event Time: 14:00 [MDT]
Last Update Date: 11/01/2012
Notification Time: 18:59 [ET]
Event Date: 10/15/2012
Event Time: 14:00 [MDT]
Last Update Date: 11/01/2012
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
RICK DEESE (R4DO)
FSME EVENTS RESOURCE (EMAI)
RICK DEESE (R4DO)
FSME EVENTS RESOURCE (EMAI)
AGREEMENT STATE REPORT - DAMAGED TROXLER
A Troxler model 3440 portable gauging device (serial number 66163, containing approximately 8 milliCuries of cesium-137, and approximately 40 milliCuries of americium-241/beryllium) was hit by a bull dozer at a temporary jobsite. The source rod containing the Cs-137 source was not extended and remained in the shielded position. The case was cracked but the americium source was not damaged. The RSO arrived at the site and the survey results did not show evidence of contamination. The damaged gauge was placed in the transport case and removed from the jobsite.
Utah Event Number: UT-120004
* * * UPDATE FROM PHILIP GRIFFIN TO JOHN KNOKE AT 1926 EDT ON 11/01/12 * * *
The following information was provided by the State of Utah via email:
"The licensee's RSO reported to the Division that one of the licensee's gauge operators was at a temporary job site to perform soil moisture density measurements on October 15, 2012. As the gauge operator was preparing to make the first measurement, he looked behind him and saw a bulldozer coming towards him. The gauge operator was able to avoid being run over by the bulldozer, but the portable gauge was run over and damaged. The operator informed the licensee's RSO of the incident, and the RSO went to the temporary job site to investigate the incident. According to the RSO, there were other drivers in other vehicles at the job site when the incident occurred. They had honked their horns to get the attention of the bulldozer driver, but they could not.
"After clearing everyone out of the area, the RSO verified that the 8 mCi Cs-137 source was in the safe, shielded position, and that the 40 mCi Am-241:Be source was intact. The top cover of the gauge was cracked, and the source rod and depth gauge were bent approximately 15 - 20 degrees off vertical. The RSO was able to get the damaged gauge into the transportation package, and the RSO performed a survey of the area of the accident to verify that no contamination was present. Finding none, the RSO took the damaged gauge back to the licensee's facility in Richfield, Utah.
"Gauge information: Troxler 3440, s/n 66163
"The portable gauge was recently purchased from Troxler in June 2012, and the sources in the gauge had been leak tested by Troxler and no leakage was found.
"The incident occurred on 10/15/12 at approximately 2:00 PM. The manager got the message late in the day on 10/18/12."
Notified the R4DO (Rick Deese) and FSME Event Resource
A Troxler model 3440 portable gauging device (serial number 66163, containing approximately 8 milliCuries of cesium-137, and approximately 40 milliCuries of americium-241/beryllium) was hit by a bull dozer at a temporary jobsite. The source rod containing the Cs-137 source was not extended and remained in the shielded position. The case was cracked but the americium source was not damaged. The RSO arrived at the site and the survey results did not show evidence of contamination. The damaged gauge was placed in the transport case and removed from the jobsite.
Utah Event Number: UT-120004
* * * UPDATE FROM PHILIP GRIFFIN TO JOHN KNOKE AT 1926 EDT ON 11/01/12 * * *
The following information was provided by the State of Utah via email:
"The licensee's RSO reported to the Division that one of the licensee's gauge operators was at a temporary job site to perform soil moisture density measurements on October 15, 2012. As the gauge operator was preparing to make the first measurement, he looked behind him and saw a bulldozer coming towards him. The gauge operator was able to avoid being run over by the bulldozer, but the portable gauge was run over and damaged. The operator informed the licensee's RSO of the incident, and the RSO went to the temporary job site to investigate the incident. According to the RSO, there were other drivers in other vehicles at the job site when the incident occurred. They had honked their horns to get the attention of the bulldozer driver, but they could not.
"After clearing everyone out of the area, the RSO verified that the 8 mCi Cs-137 source was in the safe, shielded position, and that the 40 mCi Am-241:Be source was intact. The top cover of the gauge was cracked, and the source rod and depth gauge were bent approximately 15 - 20 degrees off vertical. The RSO was able to get the damaged gauge into the transportation package, and the RSO performed a survey of the area of the accident to verify that no contamination was present. Finding none, the RSO took the damaged gauge back to the licensee's facility in Richfield, Utah.
"Gauge information: Troxler 3440, s/n 66163
"The portable gauge was recently purchased from Troxler in June 2012, and the sources in the gauge had been leak tested by Troxler and no leakage was found.
"The incident occurred on 10/15/12 at approximately 2:00 PM. The manager got the message late in the day on 10/18/12."
Notified the R4DO (Rick Deese) and FSME Event Resource