Event Notification Report for February 21, 2014
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
02/20/2014 - 02/21/2014
Fuel Cycle Facility
Event Number: 49848
Facility: NUCLEAR FUEL SERVICES INC.
Region: 2 State: TN
Unit: [] [] []
RX Type: URANIUM FUEL FABRICATION
Comments: HEU CONVERSION & SCRAP RECOVERY
NAVAL REACTOR FUEL CYCLE
LEU SCRAP RECOVERY
NRC Notified By: RANDY SHACKELFORD
HQ OPS Officer: VINCE KLCO
Region: 2 State: TN
Unit: [] [] []
RX Type: URANIUM FUEL FABRICATION
Comments: HEU CONVERSION & SCRAP RECOVERY
NAVAL REACTOR FUEL CYCLE
LEU SCRAP RECOVERY
NRC Notified By: RANDY SHACKELFORD
HQ OPS Officer: VINCE KLCO
Notification Date: 02/21/2014
Notification Time: 15:45 [ET]
Event Date: 02/21/2014
Event Time: 08:39 [EST]
Last Update Date: 02/21/2014
Notification Time: 15:45 [ET]
Event Date: 02/21/2014
Event Time: 08:39 [EST]
Last Update Date: 02/21/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
70.50(b)(2) - SAFETY EQUIPMENT FAILURE
10 CFR Section:
70.50(b)(2) - SAFETY EQUIPMENT FAILURE
Person (Organization):
DEBORAH SEYMOUR (R2DO)
MICHELE SAMPSON (NMSS)
FUELS GROUP by email
DEBORAH SEYMOUR (R2DO)
MICHELE SAMPSON (NMSS)
FUELS GROUP by email
AUDIBILITY OF ALARM SYSTEM
"A report was made to the facility Corrective Action Program (PIRCS) at 0839 [EST] on 2/21/2014 regarding difficulty hearing plant announcements and alarms in the recently renovated Building 110B restroom. Testing of the Public Address (PA) system confirmed that the PA system was difficult to hear. The speakers associated with the PA system are also used for annunciating the site criticality accident alarm evacuation warning. Subsequent testing of the criticality evacuation alarm indicated the alarm was difficult to hear as well. Safety management personnel were notified of the problem and the restroom was locked and posted with signs indicating the area was not to be occupied, pending resolution of the audibility issue.
"The licensee notified the NRC Resident Inspector."
"A report was made to the facility Corrective Action Program (PIRCS) at 0839 [EST] on 2/21/2014 regarding difficulty hearing plant announcements and alarms in the recently renovated Building 110B restroom. Testing of the Public Address (PA) system confirmed that the PA system was difficult to hear. The speakers associated with the PA system are also used for annunciating the site criticality accident alarm evacuation warning. Subsequent testing of the criticality evacuation alarm indicated the alarm was difficult to hear as well. Safety management personnel were notified of the problem and the restroom was locked and posted with signs indicating the area was not to be occupied, pending resolution of the audibility issue.
"The licensee notified the NRC Resident Inspector."
Power Reactor
Event Number: 49846
Facility: MONTICELLO
Region: 3 State: MN
Unit: [1] [] []
RX Type: [1] GE-3
NRC Notified By: JACK EARSLEY
HQ OPS Officer: DANIEL MILLS
Region: 3 State: MN
Unit: [1] [] []
RX Type: [1] GE-3
NRC Notified By: JACK EARSLEY
HQ OPS Officer: DANIEL MILLS
Notification Date: 02/21/2014
Notification Time: 10:09 [ET]
Event Date: 02/21/2014
Event Time: 01:30 [CST]
Last Update Date: 02/21/2014
Notification Time: 10:09 [ET]
Event Date: 02/21/2014
Event Time: 01:30 [CST]
Last Update Date: 02/21/2014
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):
HIRONORI PETERSON (R3DO)
HIRONORI PETERSON (R3DO)
| Unit | SCRAM Code | RX Crit | Initial PWR | Initial RX Mode | Current PWR | Current RX Mode |
|---|---|---|---|---|---|---|
| 1 | N | Y | 91 | Power Operation | 91 | Power Operation |
FAILED POWER SUPPLY AFFECTING RADIATION MONITORS
"At 0130 CST, a degraded power supply resulted in multiple Area Radiation Monitors (ARMs) reading erroneously low. As a result, this condition is reportable under 10 CFR 50.72(b)(3)(xiii) as these ARMs are used to assess NUE and Alert thresholds. Portable Radiation Monitors have been placed in identified affected areas as a compensatory measure.
"The health and safety of the public was maintained as the plant was in a normal condition with no initiating event in progress or signs of elevated radiation on any other unaffected radiation monitors.
"The NRC Resident Inspector has been notified."
"At 0130 CST, a degraded power supply resulted in multiple Area Radiation Monitors (ARMs) reading erroneously low. As a result, this condition is reportable under 10 CFR 50.72(b)(3)(xiii) as these ARMs are used to assess NUE and Alert thresholds. Portable Radiation Monitors have been placed in identified affected areas as a compensatory measure.
"The health and safety of the public was maintained as the plant was in a normal condition with no initiating event in progress or signs of elevated radiation on any other unaffected radiation monitors.
"The NRC Resident Inspector has been notified."
Agreement State
Event Number: 49877
Rep Org: NV DIV OF RAD HEALTH
Licensee: RENOWN REGIONAL MEDICAL CENTER
Region: 4
City: RENO State: NV
County:
License #: 16-12-0016-01
Agreement: Y
Docket:
NRC Notified By: SNEHA RAVIKUMAR
HQ OPS Officer: VINCE KLCO
Licensee: RENOWN REGIONAL MEDICAL CENTER
Region: 4
City: RENO State: NV
County:
License #: 16-12-0016-01
Agreement: Y
Docket:
NRC Notified By: SNEHA RAVIKUMAR
HQ OPS Officer: VINCE KLCO
Notification Date: 03/05/2014
Notification Time: 17:05 [ET]
Event Date: 02/21/2014
Event Time: 00:00 [PST]
Last Update Date: 03/05/2014
Notification Time: 17:05 [ET]
Event Date: 02/21/2014
Event Time: 00:00 [PST]
Last Update Date: 03/05/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
JAMES DRAKE (R4DO)
FSME RESOURCES (EMAI)
JAMES DRAKE (R4DO)
FSME RESOURCES (EMAI)
AGREEMENT STATE REPORT - POSSIBLE MEDICAL EVENT WITH Y-90 SIR-SPHERES MICROSPHERES
The following information was received by email:
"On February 21, 2014 a physician in the department of Interventional Radiology (IR) at Renown Regional Medical Center in Reno, NV prescribed a patient with 26.73 mCi of Y-90 to the liver. This isotope is listed on the RAM license 16-12-0016-01 as item K, sealed sources (Sirtex Medical Limited SIR-Spheres microspheres). This case was approached in the same manner as the previous 20+ cases. The physician felt that the entire dose was appropriately delivered, therefore he went to air and flushed the catheter. The case was ended without incident. After the dose calculations were performed, it was found out that only 54.2% of the dose was delivered. The technicians investigated the delivery system and found that the majority of the undelivered isotope was in/around the 3-way stop system. The company representative [SIRTex] was [at the licensee's site] and after lengthy discussion with the physician, it is felt that the stop might have been defective. The patient and the referring physician were notified."
Nevada Event: NV140006
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 email:
"On February 21, 2014 a physician in the department of Interventional Radiology (IR) at Renown Regional Medical Center in Reno, NV prescribed a patient with 26.73 mCi of Y-90 to the liver. This isotope is listed on the RAM license 16-12-0016-01 as item K, sealed sources (Sirtex Medical Limited SIR-Spheres microspheres). This case was approached in the same manner as the previous 20+ cases. The physician felt that the entire dose was appropriately delivered, therefore he went to air and flushed the catheter. The case was ended without incident. After the dose calculations were performed, it was found out that only 54.2% of the dose was delivered. The technicians investigated the delivery system and found that the majority of the undelivered isotope was in/around the 3-way stop system. The company representative [SIRTex] was [at the licensee's site] and after lengthy discussion with the physician, it is felt that the stop might have been defective. The patient and the referring physician were notified."
Nevada Event: NV140006
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.