Event Notification Report for May 30, 2014
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
05/29/2014 - 05/30/2014
EVENT NUMBERS
50160501535015450155501565015750158
Power Reactor
Event Number: 50160
Facility: HATCH
Region: 2 State: GA
Unit: [1] [2] []
RX Type: [1] GE-4,[2] GE-4
NRC Notified By: RONNIE WILKES
HQ OPS Officer: DONG HWA PARK
Region: 2 State: GA
Unit: [1] [2] []
RX Type: [1] GE-4,[2] GE-4
NRC Notified By: RONNIE WILKES
HQ OPS Officer: DONG HWA PARK
Notification Date: 05/30/2014
Notification Time: 20:16 [ET]
Event Date: 05/30/2014
Event Time: 16:10 [EDT]
Last Update Date: 05/30/2014
Notification Time: 20:16 [ET]
Event Date: 05/30/2014
Event Time: 16:10 [EDT]
Last Update Date: 05/30/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(ii)(B) - UNANALYZED CONDITION
10 CFR Section:
50.72(b)(3)(ii)(B) - UNANALYZED CONDITION
Person (Organization):
EUGENE GUTHRIE (R2DO)
EUGENE GUTHRIE (R2DO)
| 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 |
GROUTING IN FIRE PENETRATIONS DOES NOT MEET REQUIREMENTS
"Conditions were identified in which grouting in some fire penetrations through hollow block walls on Units 1 and 2 do not comply with design drawings. While some grouting is present in the penetration, the determination has been made that the qualification of the amount and configuration of the grouting present does not meet Appendix R requirements. Further evaluation by Engineering concluded that this condition could compromise both safe shutdown paths on each unit in the event of a postulated fire. Given this information, the determination was made that this condition meets the reporting criteria of 10CFR50.72(b)(3)(ii)(B).
"Compensatory measures were established in accordance with the plant's Fire Hazard Analysis (FHA) to compensate for this condition to ensure that safe shutdown paths are preserved until the conditions can be corrected."
The licensee has notified the NRC Resident Inspector.
"Conditions were identified in which grouting in some fire penetrations through hollow block walls on Units 1 and 2 do not comply with design drawings. While some grouting is present in the penetration, the determination has been made that the qualification of the amount and configuration of the grouting present does not meet Appendix R requirements. Further evaluation by Engineering concluded that this condition could compromise both safe shutdown paths on each unit in the event of a postulated fire. Given this information, the determination was made that this condition meets the reporting criteria of 10CFR50.72(b)(3)(ii)(B).
"Compensatory measures were established in accordance with the plant's Fire Hazard Analysis (FHA) to compensate for this condition to ensure that safe shutdown paths are preserved until the conditions can be corrected."
The licensee has notified the NRC Resident Inspector.
Power Reactor
Event Number: 50153
Facility: DUANE ARNOLD
Region: 3 State: IA
Unit: [1] [] []
RX Type: [1] GE-4
NRC Notified By: TERRY BRANDT
HQ OPS Officer: MARK ABRAMOVITZ
Region: 3 State: IA
Unit: [1] [] []
RX Type: [1] GE-4
NRC Notified By: TERRY BRANDT
HQ OPS Officer: MARK ABRAMOVITZ
Notification Date: 05/30/2014
Notification Time: 14:43 [ET]
Event Date: 05/30/2014
Event Time: 07:59 [CDT]
Last Update Date: 05/30/2014
Notification Time: 14:43 [ET]
Event Date: 05/30/2014
Event Time: 07:59 [CDT]
Last Update Date: 05/30/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(v)(C) - POT UNCNTRL RAD REL
10 CFR Section:
50.72(b)(3)(v)(C) - POT UNCNTRL RAD REL
Person (Organization):
ANN MARIE STONE (R3DO)
ANN MARIE STONE (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 |
SECONDARY CONTAINMENT AIRLOCK INOPERABLE FOR 10 SECONDS
"At 0759, on May 30, 2014, both doors in one of the Secondary Containment Airlocks were open concurrently. The doors being open at the same time caused a failure to meet SR 3.6.4.1.2 to verify that either the outer door(s) or the inner door(s) in each Secondary Containment access opening are closed. The identified condition caused Secondary Containment to be considered INOPERABLE per TS LCO 3.6.1.4. Upon discovery, immediate action was taken to close the doors. This action allowed SR 3.6.4.1.2 to be met, and restored Secondary Containment to OPERABLE status.
"This notification is being made pursuant to 10 CFR 50.72(b)(3)(v)(C).
"The NRC Resident Inspector has been notified."
The cause of this event was a misaligned door magnet.
"At 0759, on May 30, 2014, both doors in one of the Secondary Containment Airlocks were open concurrently. The doors being open at the same time caused a failure to meet SR 3.6.4.1.2 to verify that either the outer door(s) or the inner door(s) in each Secondary Containment access opening are closed. The identified condition caused Secondary Containment to be considered INOPERABLE per TS LCO 3.6.1.4. Upon discovery, immediate action was taken to close the doors. This action allowed SR 3.6.4.1.2 to be met, and restored Secondary Containment to OPERABLE status.
"This notification is being made pursuant to 10 CFR 50.72(b)(3)(v)(C).
"The NRC Resident Inspector has been notified."
The cause of this event was a misaligned door magnet.
Power Reactor
Event Number: 50154
Facility: DUANE ARNOLD
Region: 3 State: IA
Unit: [1] [] []
RX Type: [1] GE-4
NRC Notified By: TERRY BRANDT
HQ OPS Officer: MARK ABRAMOVITZ
Region: 3 State: IA
Unit: [1] [] []
RX Type: [1] GE-4
NRC Notified By: TERRY BRANDT
HQ OPS Officer: MARK ABRAMOVITZ
Notification Date: 05/30/2014
Notification Time: 14:43 [ET]
Event Date: 05/30/2014
Event Time: 10:43 [CDT]
Last Update Date: 05/30/2014
Notification Time: 14:43 [ET]
Event Date: 05/30/2014
Event Time: 10:43 [CDT]
Last Update Date: 05/30/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(v)(D) - ACCIDENT MITIGATION
10 CFR Section:
50.72(b)(3)(v)(D) - ACCIDENT MITIGATION
Person (Organization):
ANN MARIE STONE (R3DO)
ANN MARIE STONE (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 |
HIGH PRESSURE COOLANT INJECTION PUMP RECEIVED AN INVALID ISOLATION SIGNAL
"At 1043 CDT, during an instrument test, the High Pressure Coolant Injection (HPCI) system isolated due to an invalid signal. The isolation was on the 'A' (inboard) logic, which rendered the HPCI system INOPERABLE. The isolation was received while instrument technicians were installing a relay block during the performance of Surveillance Test Procedure 3.3.6.1-43 'HPCI Steam Line High DP Instrument Channel Functional Test.'
"Operations Personnel have repressurized HPCI piping, installed the relay cover, and declared HPCI System OPERABLE at 1209 [CDT].
"This report is being made pursuant to 10 CFR 50.72(b)(3)(v)(D) due to the failure of a single train system preventing accident mitigation.
"The NRC Resident Inspector has been informed."
"At 1043 CDT, during an instrument test, the High Pressure Coolant Injection (HPCI) system isolated due to an invalid signal. The isolation was on the 'A' (inboard) logic, which rendered the HPCI system INOPERABLE. The isolation was received while instrument technicians were installing a relay block during the performance of Surveillance Test Procedure 3.3.6.1-43 'HPCI Steam Line High DP Instrument Channel Functional Test.'
"Operations Personnel have repressurized HPCI piping, installed the relay cover, and declared HPCI System OPERABLE at 1209 [CDT].
"This report is being made pursuant to 10 CFR 50.72(b)(3)(v)(D) due to the failure of a single train system preventing accident mitigation.
"The NRC Resident Inspector has been informed."
Agreement State
Event Number: 50155
Rep Org: MA RADIATION CONTROL PROGRAM
Licensee: McARDLE GANNON ASSOCIATES
Region: 1
City: NORTHBOROUGH State: MA
County:
License #: 48-0518
Agreement: Y
Docket:
NRC Notified By: DOUG CULLEN
HQ OPS Officer: MARK ABRAMOVITZ
Licensee: McARDLE GANNON ASSOCIATES
Region: 1
City: NORTHBOROUGH State: MA
County:
License #: 48-0518
Agreement: Y
Docket:
NRC Notified By: DOUG CULLEN
HQ OPS Officer: MARK ABRAMOVITZ
Notification Date: 05/30/2014
Notification Time: 14:47 [ET]
Event Date: 05/30/2014
Event Time: 08:30 [EDT]
Last Update Date: 05/30/2014
Notification Time: 14:47 [ET]
Event Date: 05/30/2014
Event Time: 08:30 [EDT]
Last Update Date: 05/30/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
JOHN ROGGE (R1DO)
FSME EVENT RESOURCES (E-MA)
JOHN ROGGE (R1DO)
FSME EVENT RESOURCES (E-MA)
AGREEMENT STATE REPORT - TROXLER GAUGE DAMAGED AT A JOB SITE
The following report was received via fax:
"The Troxler gauge operator was in the process of calibrating the instrument for use at a temporary job site in Northborough, MA, and during this procedure the gauge was run over by a work vehicle. The operator of the gauge called and notified the RSO of McArdle Gannon Associates, our Agency [Massachusetts Radiation Control Program], and Troxler of the incident.
"The gauge operator provided the location of the incident, the model number of the Troxler Gauge (Model 3440), and indicated that the sources were located in the shielded gauge housing when struck by the work-vehicle. The Troxler Model 3440 contains two isotopes; Am-241, and Cs-137 with activities of 44 and 9 mCi, respectively. The operator also indicated that a safety perimeter was being established around the incident site using stakes and caution tape.
"An Agency [Massachusetts Radiation Control Program] inspector arrived at the site, and determined exposures were 63 mR/hr at contact, and approximately 0.4 mR/hr at a distance of 1 (one) meter. The device and vehicle which struck the device were surveyed for contamination, with all results indicating background levels. The inspector also identified that the Am-241 and Cs-137 sources were accounted for within the device.
"The licensee has contacted the gauge manufacturer and arrangements are underway for a leak test and safe transport of the gauge to the licensee's authorized storage location in Pembroke, MA, and eventual disposal of the gauge.
"The Agency [Massachusetts Radiation Control Program] investigation remains open."
The following report was received via fax:
"The Troxler gauge operator was in the process of calibrating the instrument for use at a temporary job site in Northborough, MA, and during this procedure the gauge was run over by a work vehicle. The operator of the gauge called and notified the RSO of McArdle Gannon Associates, our Agency [Massachusetts Radiation Control Program], and Troxler of the incident.
"The gauge operator provided the location of the incident, the model number of the Troxler Gauge (Model 3440), and indicated that the sources were located in the shielded gauge housing when struck by the work-vehicle. The Troxler Model 3440 contains two isotopes; Am-241, and Cs-137 with activities of 44 and 9 mCi, respectively. The operator also indicated that a safety perimeter was being established around the incident site using stakes and caution tape.
"An Agency [Massachusetts Radiation Control Program] inspector arrived at the site, and determined exposures were 63 mR/hr at contact, and approximately 0.4 mR/hr at a distance of 1 (one) meter. The device and vehicle which struck the device were surveyed for contamination, with all results indicating background levels. The inspector also identified that the Am-241 and Cs-137 sources were accounted for within the device.
"The licensee has contacted the gauge manufacturer and arrangements are underway for a leak test and safe transport of the gauge to the licensee's authorized storage location in Pembroke, MA, and eventual disposal of the gauge.
"The Agency [Massachusetts Radiation Control Program] investigation remains open."
Agreement State
Event Number: 50156
Rep Org: FLORIDA BUREAU OF RADIATION CONTROL
Licensee: NORTH FLORIDA REGIONAL MEDICAL CENTER
Region: 1
City: GAINESVILLE State: FL
County:
License #: 2980-1
Agreement: Y
Docket:
NRC Notified By: TIM DUNN
HQ OPS Officer: DONG HWA PARK
Licensee: NORTH FLORIDA REGIONAL MEDICAL CENTER
Region: 1
City: GAINESVILLE State: FL
County:
License #: 2980-1
Agreement: Y
Docket:
NRC Notified By: TIM DUNN
HQ OPS Officer: DONG HWA PARK
Notification Date: 05/30/2014
Notification Time: 16:13 [ET]
Event Date: 05/30/2014
Event Time: 00:00 [EDT]
Last Update Date: 05/30/2014
Notification Time: 16:13 [ET]
Event Date: 05/30/2014
Event Time: 00:00 [EDT]
Last Update Date: 05/30/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
JOHN ROGGE (R1DO)
FSME EVENTS RESOURCE (EMAI)
JOHN ROGGE (R1DO)
FSME EVENTS RESOURCE (EMAI)
AGREEMENT STATE REPORT - UNDERDOSE FROM A Y-90 PROCEDURE
The following report was received via email:
"[The Florida Bureau of Radiation Control] received a call from [the licensee's RSO] regarding an underdose incident on a patient. During the procedure, the technician noticed bubbles in the administration line, and stopped the procedure. It was estimated that the patient only received 4 mCi out of the 16 mCi dose prescribed. [The licensee's RSO] will be sending a full report of the incident to this office. [The Florida Bureau of Radiation Control] will assign an inspector to investigate."
Florida Incident Number: FL 141-046
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 via email:
"[The Florida Bureau of Radiation Control] received a call from [the licensee's RSO] regarding an underdose incident on a patient. During the procedure, the technician noticed bubbles in the administration line, and stopped the procedure. It was estimated that the patient only received 4 mCi out of the 16 mCi dose prescribed. [The licensee's RSO] will be sending a full report of the incident to this office. [The Florida Bureau of Radiation Control] will assign an inspector to investigate."
Florida Incident Number: FL 141-046
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: 50157
Rep Org: COLORADO DEPT OF HEALTH
Licensee: PREMIER NDT
Region: 4
City: RANGELY State: CO
County:
License #: 116201
Agreement: Y
Docket:
NRC Notified By: CHERI HALL
HQ OPS Officer: DONG HWA PARK
Licensee: PREMIER NDT
Region: 4
City: RANGELY State: CO
County:
License #: 116201
Agreement: Y
Docket:
NRC Notified By: CHERI HALL
HQ OPS Officer: DONG HWA PARK
Notification Date: 05/30/2014
Notification Time: 13:49 [ET]
Event Date: 05/30/2014
Event Time: 10:00 [MDT]
Last Update Date: 06/05/2014
Notification Time: 13:49 [ET]
Event Date: 05/30/2014
Event Time: 10:00 [MDT]
Last Update Date: 06/05/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
MICHAEL VASQUEZ (R4DO)
FSME EVENTS RESOURCE (EMAI)
MICHAEL VASQUEZ (R4DO)
FSME EVENTS RESOURCE (EMAI)
AGREEMENT STATE REPORT - RADIOGRAPHY CAMERA SOURCE FAILED TO RETRACT
After attempting to retract the source during radiography operations, the radiographer noticed elevated radiation levels. The radiographer set up a boundary and notified the RSO. The RSO determined that the source was not fully retracted but was able to retract the source. The RSO was in a 40 mr/hr area for about 5 minutes. The licensee will send the camera to the manufacturer for repair.
"Exposure Device:
Make: QSA Global, Inc.
Model: Delta 880
Serial #: D 8543
"Source:
Make: QSA Global, Inc.
Model: A424-9
Serial #: 14620C
Radionuclide: Ir-192
Initial Activity: 104.9 Ci
Initial Date: May 8, 2014
Current Activity: 85.3 Ci
Current Date: May 30, 2014"
Colorado Incident Number: I14-13
* * * UPDATE ON 6/5/14 AT 1200 FROM CHERI HALL TO DONG PARK * * *
The following information was received via e-mail:
"Below are the dosimeter results for everyone involved in the 5-30-14 incident. Month (5-1-14 to 5-31-14)
"Radiographer: DDE [deep dose equivalent]: 55 mrem; LDE [lens dose equivalent]: 55 mrem; SDE [shallow dose equivalent]: 55 mrem
"Assistant: DDE: 105 mrem; LDE: 107 mrem; SDE: 107 mrem
"RSO (performed retrieval) DDE: 11 mrem; LDE: 11 mrem; SDE: 10 mrem"
Notified R4DO (Taylor) and FSME Events Resource via email.
After attempting to retract the source during radiography operations, the radiographer noticed elevated radiation levels. The radiographer set up a boundary and notified the RSO. The RSO determined that the source was not fully retracted but was able to retract the source. The RSO was in a 40 mr/hr area for about 5 minutes. The licensee will send the camera to the manufacturer for repair.
"Exposure Device:
Make: QSA Global, Inc.
Model: Delta 880
Serial #: D 8543
"Source:
Make: QSA Global, Inc.
Model: A424-9
Serial #: 14620C
Radionuclide: Ir-192
Initial Activity: 104.9 Ci
Initial Date: May 8, 2014
Current Activity: 85.3 Ci
Current Date: May 30, 2014"
Colorado Incident Number: I14-13
* * * UPDATE ON 6/5/14 AT 1200 FROM CHERI HALL TO DONG PARK * * *
The following information was received via e-mail:
"Below are the dosimeter results for everyone involved in the 5-30-14 incident. Month (5-1-14 to 5-31-14)
"Radiographer: DDE [deep dose equivalent]: 55 mrem; LDE [lens dose equivalent]: 55 mrem; SDE [shallow dose equivalent]: 55 mrem
"Assistant: DDE: 105 mrem; LDE: 107 mrem; SDE: 107 mrem
"RSO (performed retrieval) DDE: 11 mrem; LDE: 11 mrem; SDE: 10 mrem"
Notified R4DO (Taylor) and FSME Events Resource via email.
Power Reactor
Event Number: 50158
Facility: PALO VERDE
Region: 4 State: AZ
Unit: [1] [2] [3]
RX Type: [1] CE,[2] CE,[3] CE
NRC Notified By: FARA J. ORESHACK
HQ OPS Officer: DONG HWA PARK
Region: 4 State: AZ
Unit: [1] [2] [3]
RX Type: [1] CE,[2] CE,[3] CE
NRC Notified By: FARA J. ORESHACK
HQ OPS Officer: DONG HWA PARK
Notification Date: 05/30/2014
Notification Time: 17:06 [ET]
Event Date: 05/30/2014
Event Time: 09:30 [MST]
Last Update Date: 05/30/2014
Notification Time: 17:06 [ET]
Event Date: 05/30/2014
Event Time: 09:30 [MST]
Last Update Date: 05/30/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
26.719 - FITNESS FOR DUTY
10 CFR Section:
26.719 - FITNESS FOR DUTY
Person (Organization):
MICHAEL VASQUEZ (R4DO)
MICHAEL VASQUEZ (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 |
FITNESS FOR DUTY - LICENSED OPERATOR IN VIOLATION OF FITNESS FOR DUTY POLICY
A licensed operator violated the station's fitness for duty policy due to alcohol during a random fitness-for-duty test. The employee's access to the plant has been withdrawn.
The licensee will notify the NRC Resident Inspector.
A licensed operator violated the station's fitness for duty policy due to alcohol during a random fitness-for-duty test. The employee's access to the plant has been withdrawn.
The licensee will notify the NRC Resident Inspector.