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Event Notification Report for October 17, 2014

U.S. Nuclear Regulatory Commission
Operations Center

EVENT REPORTS FOR
10/16/2014 - 10/17/2014

EVENT NUMBERS
50546505545055550570

Power Reactor
Event Number: 50546
Facility: RIVER BEND
Region: 4     State: LA
Unit: [1] [] []
RX Type: [1] GE-6
NRC Notified By: DANIEL PIPKIN
HQ OPS Officer: HOWIE CROUCH
Notification Date: 10/17/2014
Notification Time: 07:46 [ET]
Event Date: 10/17/2014
Event Time: 03:03 [CDT]
Last Update Date: 10/17/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(iv)(B) - RPS ACTUATION - CRITICAL 50.72(b)(3)(iv)(A) - VALID SPECIF SYS ACTUATION
Person (Organization):
MARK HAIRE (R4DO)
Power Reactor Unit Info
Unit SCRAM Code RX Crit Initial PWR Initial RX Mode Current PWR Current RX Mode
1 A/R Y 100 Power Operation 0 Hot Shutdown
Event Text
AUTOMATIC REACTOR SCRAM ON HIGH AVERAGE POWER RANGE MONITOR FLUX

"At 0303 [CDT], River Bend Nuclear Station sustained a reactor scram due to high Average Power Range Monitor [APRM] flux, suspected due to a malfunction of the Electrohydraulic Control System. Reactor recirculation pump 'B' tripped, reactor recirculation pump 'A' responded appropriately. All other systems responded appropriately except for loss of feed water due to low suction pressure trip from isolating the condensate demineralizers. Reactor water level did not get out of level band. Condensate demineralizers and feedwater were restored to service. Level 3 [isolation] was initiated due to scram. [One] system, Suppression Pool Cooling isolated accordingly due to level 3 signal. Currently the plant is in mode 3, hot shutdown. Plant will remain in mode 3 until investigation of scram is complete."

During the scram, all rods inserted into the core. No relief valves lifted as a result of the transient. All safety equipment is available although reactor core isolation cooling is functional but inoperable due to an earlier issue discovered during a surveillance test. The reactor is at normal pressure and temperature for Mode 3. The cause of the high APRM flux and the identified anomalies are under investigation.

The licensee has notified the NRC Resident Inspector.

* * * UPDATE FROM DANIEL PIPKIN TO DANIEL MILLS AT 1043 EDT ON 10/17/2014 * * *

The licensee is updating the notification to include an 8 hour notification for a specified system actuation due to the Level 3 isolation signal. Licensee is proceeding to cold shutdown to troubleshoot the EHC system.

The licensee will notify the NRC Resident Inspector.

Notified R4DO (Haire).


Agreement State
Event Number: 50554
Rep Org: OR DEPT OF HEALTH RAD PROTECTION
Licensee: OREGON HEALTH AND SCIENCE UNIVERSITY
Region: 4
City: PORTLAND   State: OR
County:
License #: 90013
Agreement: Y
Docket:
NRC Notified By: TODD CARPENTER
HQ OPS Officer: RICHARD SMITH
Notification Date: 10/21/2014
Notification Time: 11:32 [ET]
Event Date: 10/17/2014
Event Time: 00:00 [PDT]
Last Update Date: 10/21/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
Person (Organization):
WAYNE WALKER (R4DO)
FSME EVENTS RESOURCE (EMAI)
JACK GUTTMANN (NMSS)
Event Text
AGREEMENT STATE REPORT - MEDICAL MISADMINISTRATION

The following information was received via email:

"This is the initial notification that, on Friday, October 17th in Nuclear Medicine at OHSU [Oregon Health and Science University], a patient who was supposed to receive 25 mCi Tc-99m Sestamibi for a parathyroid scan was injected with 25.9 mCi of Tc-99m MDP, a bone scanning agent.

"The patient was notified, as was the referring physician. The patient was accompanied to meet with the referring physician. At this time, the exam will not be rescheduled. Investigation with the injecting technologist still in progress, and a letter will be sent to the patient.

"Radiation protection services will follow up with additional information."

Oregon Incident Number: 14-0040

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: 50555
Rep Org: TENNESSEE DIV OF RAD HEALTH
Licensee: EASTMAN CHEMICAL COMPANY
Region: 1
City: KINGSPORT   State: TN
County:
License #: R-82007-H18
Agreement: Y
Docket:
NRC Notified By: RUBEN CROSSLIN
HQ OPS Officer: RICHARD SMITH
Notification Date: 10/21/2014
Notification Time: 12:12 [ET]
Event Date: 10/17/2014
Event Time: 00:00 [EDT]
Last Update Date: 10/21/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
Person (Organization):
DAN SCHROEDER (R1DO)
JACK GUTTMANN (NMSS)
FSME EVENTS RESOURCE (EMAI)
Event Text
AGREEMENT STATE REPORT - PROCESS GAUGE STUCK SHUTTER

The following information was received via email:

"The licensee called to report a radioactive material gauge with stuck shutter in the open position on a continuous process Vega Model SHLG1, SN 63133 gauge with a 300 milliCurie Cs-137 source. There are no adverse exposure or other problems. Routine operations will continue. The gauge manufacturer will be contacted."

TN Report ID Number: TN-14-197


Agreement State
Event Number: 50570
Rep Org: CALIFORNIA RADIATION CONTROL PRGM
Licensee: TWINING, INC.
Region: 4
City: SACRAMENTO   State: CA
County:
License #: 7782
Agreement: Y
Docket:
NRC Notified By: GENE FORRER
HQ OPS Officer: JEFF ROTTON
Notification Date: 10/27/2014
Notification Time: 17:29 [ET]
Event Date: 10/17/2014
Event Time: 05:45 [PDT]
Last Update Date: 10/27/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
Person (Organization):
JACK WHITTEN (R4DO)
JACK GUTTMANN (NMSS)
FSME EVENTS RESOURCE (EMAI)
ILTAB (EMAI)
MEXICO (EMAI)
Event Text
AGREEMENT STATE REPORT - STOLEN TROXLER MOISTURE/DENSITY GAUGE

The following information was provided by the State of California via email:

"Twining, Inc. notified RHB [California Radiation Health Branch] that at approximately 0545 [PDT on 10/17/2014], a Troxler 4640 moisture/density gauge, containing 10 mCi of Cs-137 and 50 mCi of Am-241, was stolen from an employee's vehicle while he was in his hotel room [located in Oakdale, CA]."

Oakdale Police Department Report Number: 14-3399
California Event Report Number: 10172014


THIS MATERIAL EVENT CONTAINS A "LESS THAN CAT 3" LEVEL OF RADIOACTIVE MATERIAL

Sources that are "Less than IAEA Category 3 sources," are either sources that are very unlikely to cause permanent injury to individuals or contain a very small amount of radioactive material that would not cause any permanent injury. Some of these sources, such as moisture density gauges or thickness gauges that are Category 4, the amount of unshielded radioactive material, if not safely managed or securely protected, could possibly - although it is unlikely - temporarily injure someone who handled it or were otherwise in contact with it, or who were close to it for a period of many weeks. For additional information go to http://www-pub.iaea.org/MTCD/publications/PDF/Pub1227_web.pdf