Event Notification Report for March 25, 2013
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
03/24/2013 - 03/25/2013
EVENT NUMBERS
49273488484884948930
Agreement State
Event Number: 49273
Rep Org: MAINE RADIATION CONTROL PROGRAM
Licensee: RUMFORD PAPER COMPANY
Region: 1
City: RUMFORD State: ME
County:
License #: ME-17203
Agreement: Y
Docket:
NRC Notified By: JEAN GESLIN
HQ OPS Officer: BILL HUFFMAN
Licensee: RUMFORD PAPER COMPANY
Region: 1
City: RUMFORD State: ME
County:
License #: ME-17203
Agreement: Y
Docket:
NRC Notified By: JEAN GESLIN
HQ OPS Officer: BILL HUFFMAN
Notification Date: 08/13/2013
Notification Time: 09:34 [ET]
Event Date: 03/25/2013
Event Time: 00:00 [EDT]
Last Update Date: 08/13/2013
Notification Time: 09:34 [ET]
Event Date: 03/25/2013
Event Time: 00:00 [EDT]
Last Update Date: 08/13/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
RAY POWELL (R1DO)
FSME EVENT RESOURCE (E-MA)
RAY POWELL (R1DO)
FSME EVENT RESOURCE (E-MA)
AGREEMENT STATE REPORT - SHUTTER STUCK ON FIXED PROCESS GAUGE
The following event report was received from the State of Maine Radiation Control Program via e-mail:
"Rumford Paper Company reported that the shutter on a fixed nuclear gauge (Ohmart model SH-F1-A45, serial #13520085) was stuck in the open position on 3/25/2013. The gauge contained a 370 MBq (10 mCi) Cs-137 source (model A-2100, serial #3133CM). Restrictions were put into place so no personnel could enter the vessel until repairs could be completed. The manufacturer was contacted and performed the necessary repairs and the shutter now operates properly."
Maine Report Number: ME130002
The following event report was received from the State of Maine Radiation Control Program via e-mail:
"Rumford Paper Company reported that the shutter on a fixed nuclear gauge (Ohmart model SH-F1-A45, serial #13520085) was stuck in the open position on 3/25/2013. The gauge contained a 370 MBq (10 mCi) Cs-137 source (model A-2100, serial #3133CM). Restrictions were put into place so no personnel could enter the vessel until repairs could be completed. The manufacturer was contacted and performed the necessary repairs and the shutter now operates properly."
Maine Report Number: ME130002
Agreement State
Event Number: 48848
Rep Org: ALABAMA RADIATION CONTROL
Licensee: IIG, MINWOOL, LLC
Region: 1
City: PHENIX CITY State: AL
County:
License #: 986
Agreement: Y
Docket:
NRC Notified By: DAVID WALTER
HQ OPS Officer: DONALD NORWOOD
Licensee: IIG, MINWOOL, LLC
Region: 1
City: PHENIX CITY State: AL
County:
License #: 986
Agreement: Y
Docket:
NRC Notified By: DAVID WALTER
HQ OPS Officer: DONALD NORWOOD
Notification Date: 03/25/2013
Notification Time: 12:05 [ET]
Event Date: 03/25/2013
Event Time: 08:20 [CDT]
Last Update Date: 03/25/2013
Notification Time: 12:05 [ET]
Event Date: 03/25/2013
Event Time: 08:20 [CDT]
Last Update Date: 03/25/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
PAUL KROHN (R1DO)
FSME EVENT RESOURCES (EMAI)
PAUL KROHN (R1DO)
FSME EVENT RESOURCES (EMAI)
AGREEMENT STATE REPORT - INTERNAL LEAD SHIELDING OF GAUGE SOURCE HOLDERS MELTED
The following information was received via facsimile:
"The Alabama Office of Radiation Control received a call at 0820 CDT on 3/25/13 from Dr. Michael Hensley of RSO Services (AL license No. 1482), a gauge service company. He had been contacted by IIG, MinWool, LLC in Phenix City, AL (AL license No. 986) to assist them with an issue. The licensee melts rock in a cupola to make insulation. The cupola has two Ohmart Model SR-A devices, one at the top and one at the bottom of the cupola, each containing a 100 mCi Cesium-137 source. The cupola was superheated to about 3,500 degrees Fahrenheit above the operating limits for the Model SR-A devices. It is believed the lead shielding in the devices liquefied, but because the source holders are sealed, the lead was contained inside the devices and did not leak out.
"Dr. Hensley surveyed the devices and found a maximum reading of 2.5 mR/hr at 12 inches from the back of the device which was located at the top of the cupola. This is lower than the design maximum exposure of 4.8 mR/hr with a 100 mCi source per the SSDR. The shutters on both devices were still operable, and were closed and locked. Dr. Hensley will remove the devices and prepare them for shipment to Ohmart."
Alabama Incident No.: 13-09
The following information was received via facsimile:
"The Alabama Office of Radiation Control received a call at 0820 CDT on 3/25/13 from Dr. Michael Hensley of RSO Services (AL license No. 1482), a gauge service company. He had been contacted by IIG, MinWool, LLC in Phenix City, AL (AL license No. 986) to assist them with an issue. The licensee melts rock in a cupola to make insulation. The cupola has two Ohmart Model SR-A devices, one at the top and one at the bottom of the cupola, each containing a 100 mCi Cesium-137 source. The cupola was superheated to about 3,500 degrees Fahrenheit above the operating limits for the Model SR-A devices. It is believed the lead shielding in the devices liquefied, but because the source holders are sealed, the lead was contained inside the devices and did not leak out.
"Dr. Hensley surveyed the devices and found a maximum reading of 2.5 mR/hr at 12 inches from the back of the device which was located at the top of the cupola. This is lower than the design maximum exposure of 4.8 mR/hr with a 100 mCi source per the SSDR. The shutters on both devices were still operable, and were closed and locked. Dr. Hensley will remove the devices and prepare them for shipment to Ohmart."
Alabama Incident No.: 13-09
Power Reactor
Event Number: 48849
Facility: PALO VERDE
Region: 4 State: AZ
Unit: [1] [2] [3]
RX Type: [1] CE,[2] CE,[3] CE
NRC Notified By: ANDREW LISTON
HQ OPS Officer: PETE SNYDER
Region: 4 State: AZ
Unit: [1] [2] [3]
RX Type: [1] CE,[2] CE,[3] CE
NRC Notified By: ANDREW LISTON
HQ OPS Officer: PETE SNYDER
Notification Date: 03/25/2013
Notification Time: 19:21 [ET]
Event Date: 03/25/2013
Event Time: 10:30 [MST]
Last Update Date: 03/25/2013
Notification Time: 19:21 [ET]
Event Date: 03/25/2013
Event Time: 10:30 [MST]
Last Update Date: 03/25/2013
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):
GREG PICK (R4DO)
GREG PICK (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 |
| 2 | N | Y | 100 | Power Operation | 100 | Power Operation |
| 3 | N | Y | 100 | Power Operation | 100 | Power Operation |
ONE ALERT NOTIFICATION SIREN REMOVED FROM SERVICE FOR PLANNED MAINTENANCE
"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 March 25, 2013, at 10:30, Mountain Standard Time, Palo Verde Nuclear Generating Station (PVNGS) removed Alert Notification System (ANS) Siren 22 from service for planned maintenance. Siren 22 provides notification to approximately 1455 members of the public within five miles of PVNGS.
"Siren 22 is expected to be returned to service on March 27, 2013.
"County authorities have been notified of this planned maintenance activity and appropriate contingency measures have been established to compensate for the non-functional siren. The PVNGS Emergency Plan contains contingencies for notification of members of the public within the affected area during an emergency when a siren is out of service.
"There are no events in progress that require ANS operation. The NRC Resident Inspector and the Maricopa County Sheriff's Office have been notified."
"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 March 25, 2013, at 10:30, Mountain Standard Time, Palo Verde Nuclear Generating Station (PVNGS) removed Alert Notification System (ANS) Siren 22 from service for planned maintenance. Siren 22 provides notification to approximately 1455 members of the public within five miles of PVNGS.
"Siren 22 is expected to be returned to service on March 27, 2013.
"County authorities have been notified of this planned maintenance activity and appropriate contingency measures have been established to compensate for the non-functional siren. The PVNGS Emergency Plan contains contingencies for notification of members of the public within the affected area during an emergency when a siren is out of service.
"There are no events in progress that require ANS operation. The NRC Resident Inspector and the Maricopa County Sheriff's Office have been notified."
Agreement State
Event Number: 48930
Rep Org: NEW YORK STATE DEPT. OF HEALTH
Licensee: UNSPECIFIED
Region: 1
City: State: NY
County:
License #: UNSPECIFIED
Agreement: Y
Docket:
NRC Notified By: ROBERT SNYDER
HQ OPS Officer: JOHN SHOEMAKER
Licensee: UNSPECIFIED
Region: 1
City: State: NY
County:
License #: UNSPECIFIED
Agreement: Y
Docket:
NRC Notified By: ROBERT SNYDER
HQ OPS Officer: JOHN SHOEMAKER
Notification Date: 04/16/2013
Notification Time: 13:32 [ET]
Event Date: 03/25/2013
Event Time: 00:00 [EDT]
Last Update Date: 04/16/2013
Notification Time: 13:32 [ET]
Event Date: 03/25/2013
Event Time: 00:00 [EDT]
Last Update Date: 04/16/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
WILLIAM COOK (R1DO)
FSME EVENTS RESOURCE (EMAI)
WILLIAM COOK (R1DO)
FSME EVENTS RESOURCE (EMAI)
AGREEMENT STATE REPORT - RADIOACTIVE SEED MIGRATED DEEPER INTO TISSUE AND WAS NOT REMOVED
The following information was received by facsimile:
"A patient for axillary node dissection with radioactive seed localization had an 8.33MBq 123 I [Iodine] seed placed at tumor site under ultrasound guidance by radiologist. The surgeon successfully removed the tumor and lymph node, however the seed had migrated deeper into tissue and was not removed. The surgeon determined that the new seed location prevented safe extraction due to scarring from previous node removal, mastectomy and reconstructive, surgery. NYS DOH [The New York State Department of Health] received verbal notice within 24 hours and written notice within 15 days. The patient, referring physician, medical oncologist, and radiologist have all been notified. A localized dose at 0.5 cm from the seed of 22.9Gy was calculated, negligible dose at 6 cm. As a corrective action the facility will no longer use radioactive seed localization for axillary node lesions. [Licensee] Policy updates and staff notifications are to be evaluated during the next routine inspection."
Event Report Identification Number: NY-13-01
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 information was received by facsimile:
"A patient for axillary node dissection with radioactive seed localization had an 8.33MBq 123 I [Iodine] seed placed at tumor site under ultrasound guidance by radiologist. The surgeon successfully removed the tumor and lymph node, however the seed had migrated deeper into tissue and was not removed. The surgeon determined that the new seed location prevented safe extraction due to scarring from previous node removal, mastectomy and reconstructive, surgery. NYS DOH [The New York State Department of Health] received verbal notice within 24 hours and written notice within 15 days. The patient, referring physician, medical oncologist, and radiologist have all been notified. A localized dose at 0.5 cm from the seed of 22.9Gy was calculated, negligible dose at 6 cm. As a corrective action the facility will no longer use radioactive seed localization for axillary node lesions. [Licensee] Policy updates and staff notifications are to be evaluated during the next routine inspection."
Event Report Identification Number: NY-13-01
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.