Event Notification Report for March 26, 2013
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
03/25/2013 - 03/26/2013
EVENT NUMBERS
48851488524885748959
Part 21
Event Number: 48851
Rep Org: ELECTROSWITCH
Licensee: ELECTROSWITCH
Region: 1
City: WEYMOUTH State: MA
County:
License #:
Agreement: Y
Docket:
NRC Notified By: LARRY FRIEDMAN
HQ OPS Officer: JOHN SHOEMAKER
Licensee: ELECTROSWITCH
Region: 1
City: WEYMOUTH State: MA
County:
License #:
Agreement: Y
Docket:
NRC Notified By: LARRY FRIEDMAN
HQ OPS Officer: JOHN SHOEMAKER
Notification Date: 03/26/2013
Notification Time: 09:01 [ET]
Event Date: 03/26/2013
Event Time: 00:00 [EDT]
Last Update Date: 03/26/2013
Notification Time: 09:01 [ET]
Event Date: 03/26/2013
Event Time: 00:00 [EDT]
Last Update Date: 03/26/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
21.21(d)(3)(i) - DEFECTS AND NONCOMPLIANCE
10 CFR Section:
21.21(d)(3)(i) - DEFECTS AND NONCOMPLIANCE
Person (Organization):
GREG PICK (R4DO)
DANIEL RICH (R2DO)
PART 21 REACTORS (EMAI)
PAUL KROHN (R1DO)
GREG PICK (R4DO)
DANIEL RICH (R2DO)
PART 21 REACTORS (EMAI)
PAUL KROHN (R1DO)
PART 21 - SERIES 24 CSR RELAYS WITH OVERSIZED CAM DRIVE COMPONENTS
The following is a summary of a Part 21 report received from Electroswitch, via facsimile:
"The root cause has been determined to be oversized OD dimension on the drive cam. This tight fit in the nylon bushing and mounting plate did not allow the drive cam to close when deenergized.
"NOTE: Any switches that have passed the bench test and/or are in operation will not degrade nor have the condition as found with the returned switches."
Affected Facilities: Waterford, Surry, and Harris.
The following is a summary of a Part 21 report received from Electroswitch, via facsimile:
"The root cause has been determined to be oversized OD dimension on the drive cam. This tight fit in the nylon bushing and mounting plate did not allow the drive cam to close when deenergized.
"NOTE: Any switches that have passed the bench test and/or are in operation will not degrade nor have the condition as found with the returned switches."
Affected Facilities: Waterford, Surry, and Harris.
Power Reactor
Event Number: 48852
Facility: TURKEY POINT
Region: 2 State: FL
Unit: [3] [4] []
RX Type: [3] W-3-LP,[4] W-3-LP
NRC Notified By: SEAN BLOOM
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: SEAN BLOOM
HQ OPS Officer: DONALD NORWOOD
Notification Date: 03/26/2013
Notification Time: 19:06 [ET]
Event Date: 03/26/2013
Event Time: 06:20 [EDT]
Last Update Date: 03/26/2013
Notification Time: 19:06 [ET]
Event Date: 03/26/2013
Event Time: 06:20 [EDT]
Last Update Date: 03/26/2013
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):
DEBORAH SEYMOUR (R2DO)
DEBORAH SEYMOUR (R2DO)
| Unit | SCRAM Code | RX Crit | Initial PWR | Initial RX Mode | Current PWR | Current RX Mode |
|---|---|---|---|---|---|---|
| 3 | N | Y | 95 | Power Operation | 95 | Power Operation |
| 4 | N | N | 0 | Hot Shutdown | 0 | Hot Shutdown |
TSC EMERGENCY VENTILATION SYSTEM CONTROL SWITCH DISCOVERED IN THE OFF POSITION
"This is a non-emergency notification to the NRC Operations Center in accordance with 10 CFR 50.72(b)(3)(xiii), Loss of Emergency Preparedness Capabilities.
"On 3/26/13 at 0620 EDT, during a routine surveillance of the Technical Support Center (TSC), the TSC emergency ventilation system control switch was discovered in the off position (vs. auto). The Operations department was notified and the TSC emergency system ventilation was returned to normal alignment (auto) at 0644 EDT.
"The switch normally operates in the 'auto' position, so that TSC emergency ventilation system can be automatically initiated from a control room isolation signal. In accordance with station operating procedures, upon initial responder activation to the TSC, the TSC ventilation system is also manually placed in service. The TSC emergency ventilation system was capable of manual initiation and was not out of service for repair or maintenance.
"An investigation is underway to understand the circumstances associated with the control switch misalignment."
The licensee notified the NRC Resident Inspector.
"This is a non-emergency notification to the NRC Operations Center in accordance with 10 CFR 50.72(b)(3)(xiii), Loss of Emergency Preparedness Capabilities.
"On 3/26/13 at 0620 EDT, during a routine surveillance of the Technical Support Center (TSC), the TSC emergency ventilation system control switch was discovered in the off position (vs. auto). The Operations department was notified and the TSC emergency system ventilation was returned to normal alignment (auto) at 0644 EDT.
"The switch normally operates in the 'auto' position, so that TSC emergency ventilation system can be automatically initiated from a control room isolation signal. In accordance with station operating procedures, upon initial responder activation to the TSC, the TSC ventilation system is also manually placed in service. The TSC emergency ventilation system was capable of manual initiation and was not out of service for repair or maintenance.
"An investigation is underway to understand the circumstances associated with the control switch misalignment."
The licensee notified the NRC Resident Inspector.
Agreement State
Event Number: 48857
Rep Org: TEXAS DEPARTMENT OF HEALTH
Licensee: PETROCHEM INSPECTION SERVICES
Region: 4
City: PORT ARTHUR State: TX
County:
License #: L-04460
Agreement: Y
Docket:
NRC Notified By: GENTRY HEARN
HQ OPS Officer: HOWIE CROUCH
Licensee: PETROCHEM INSPECTION SERVICES
Region: 4
City: PORT ARTHUR State: TX
County:
License #: L-04460
Agreement: Y
Docket:
NRC Notified By: GENTRY HEARN
HQ OPS Officer: HOWIE CROUCH
Notification Date: 03/27/2013
Notification Time: 11:47 [ET]
Event Date: 03/26/2013
Event Time: 00:00 [CDT]
Last Update Date: 03/27/2013
Notification Time: 11:47 [ET]
Event Date: 03/26/2013
Event Time: 00:00 [CDT]
Last Update Date: 03/27/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
GREG PICK (R4DO)
FSME EVENTS RESOURCE (EMAI)
GREG PICK (R4DO)
FSME EVENTS RESOURCE (EMAI)
AGREEMENT STATE REPORT - STUCK RADIOGRAPHY SOURCE DUE TO DAMAGED GUIDE TUBE
The following information was obtained from the State of Texas via email:
"On March 27, 2013, the Agency [Texas Bureau of Radiation Health] was notified by the licensee that a radiography [camera] guide tube at a temporary field site had suffered damage, causing the source to become unretractable. The source was recovered by the licensee according to the terms of the license. The source was part of a GRP model 880D Sentinel radiography camera, S/N 9185. The source was a 51 Ci Ir-192 sealed source, S/N 91313B. Initial dose estimates show 1.4R exposure to whole body and 2R exposure to the hand by the retrieval worker. The work site was closed so no dose was received by members of the public. More information will be provided as needed per SA300."
Texas Incident # I-9060
The following information was obtained from the State of Texas via email:
"On March 27, 2013, the Agency [Texas Bureau of Radiation Health] was notified by the licensee that a radiography [camera] guide tube at a temporary field site had suffered damage, causing the source to become unretractable. The source was recovered by the licensee according to the terms of the license. The source was part of a GRP model 880D Sentinel radiography camera, S/N 9185. The source was a 51 Ci Ir-192 sealed source, S/N 91313B. Initial dose estimates show 1.4R exposure to whole body and 2R exposure to the hand by the retrieval worker. The work site was closed so no dose was received by members of the public. More information will be provided as needed per SA300."
Texas Incident # I-9060
Agreement State
Event Number: 48959
Rep Org: ALABAMA RADIATION CONTROL
Licensee: BAPTIST MEDICAL CENTER-PRINCETON
Region: 1
City: BIRMINGHAM State: AL
County:
License #: NOT PROVIDED
Agreement: Y
Docket:
NRC Notified By: MYRON RILEY
HQ OPS Officer: HOWIE CROUCH
Licensee: BAPTIST MEDICAL CENTER-PRINCETON
Region: 1
City: BIRMINGHAM State: AL
County:
License #: NOT PROVIDED
Agreement: Y
Docket:
NRC Notified By: MYRON RILEY
HQ OPS Officer: HOWIE CROUCH
Notification Date: 04/23/2013
Notification Time: 13:50 [ET]
Event Date: 03/26/2013
Event Time: 00:00 [CDT]
Last Update Date: 04/23/2013
Notification Time: 13:50 [ET]
Event Date: 03/26/2013
Event Time: 00:00 [CDT]
Last Update Date: 04/23/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
JUDY JOUSTRA (R1DO)
FSME EVENT RESOURCE (EMAI)
JUDY JOUSTRA (R1DO)
FSME EVENT RESOURCE (EMAI)
AGREEMENT STATE REPORT - FETUS/EMBRYO DOSE EXCEEDED 500 MILLIREM
The following information was obtained from the State of Alabama via facsimile:
"On April 9, 2013, [the Certified Nuclear Medicine Technician] for Baptist Medical Center-Princeton, Birmingham, Alabama, notified the Alabama Office of Radiation Control of a fetal/embryo dose that could be over 500 milliRem.
"On March 1, 2013, a 36 year old female had a thyroidectomy due to thyroid cancer. Following surgery on March 6, the patient had general lab work which included a negative pregnancy test. On March 26, the patient returned for a 50 millicurie I-131 treatment on the remaining thyroid tissue. The technologist administering the test did not confirm, nor was told, that the patient had another pregnancy test prior to the dosing. The pregnancy test conducted on March 26, 2013 was positive. It was confirmed that the embryo exposure was greater than 500 millirem threshold.
"The patient was immediately notified of the positive pregnancy results and was consulted by a OB/GYN physician. The patient received an ultrasound which confirmed the pregnancy at 4 to 5 weeks.
"The information is complete as of 12:45 pm CDT, April 23, 2013."
Alabama Incident 13-15
The following information was obtained from the State of Alabama via facsimile:
"On April 9, 2013, [the Certified Nuclear Medicine Technician] for Baptist Medical Center-Princeton, Birmingham, Alabama, notified the Alabama Office of Radiation Control of a fetal/embryo dose that could be over 500 milliRem.
"On March 1, 2013, a 36 year old female had a thyroidectomy due to thyroid cancer. Following surgery on March 6, the patient had general lab work which included a negative pregnancy test. On March 26, the patient returned for a 50 millicurie I-131 treatment on the remaining thyroid tissue. The technologist administering the test did not confirm, nor was told, that the patient had another pregnancy test prior to the dosing. The pregnancy test conducted on March 26, 2013 was positive. It was confirmed that the embryo exposure was greater than 500 millirem threshold.
"The patient was immediately notified of the positive pregnancy results and was consulted by a OB/GYN physician. The patient received an ultrasound which confirmed the pregnancy at 4 to 5 weeks.
"The information is complete as of 12:45 pm CDT, April 23, 2013."
Alabama Incident 13-15