Event Notification Report for December 09, 2016
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
12/08/2016 - 12/09/2016
EVENT NUMBERS
5242752422524235242452629
Part 21
Event Number: 52427
Rep Org: TE CONNECTIVITY
Licensee: TE CONNECTIVITY
Region: 1
City: FAIRVIEW State: NC
County:
License #:
Agreement: Y
Docket:
NRC Notified By: OSWALDO VARGAS
HQ OPS Officer: HOWIE CROUCH
Licensee: TE CONNECTIVITY
Region: 1
City: FAIRVIEW State: NC
County:
License #:
Agreement: Y
Docket:
NRC Notified By: OSWALDO VARGAS
HQ OPS Officer: HOWIE CROUCH
Notification Date: 12/13/2016
Notification Time: 16:08 [ET]
Event Date: 12/09/2016
Event Time: 00:00 [EST]
Last Update Date: 12/13/2016
Notification Time: 16:08 [ET]
Event Date: 12/09/2016
Event Time: 00:00 [EST]
Last Update Date: 12/13/2016
Emergency Class: NON EMERGENCY
10 CFR Section:
21.21(a)(2) - INTERIM EVAL OF DEVIATION
10 CFR Section:
21.21(a)(2) - INTERIM EVAL OF DEVIATION
Person (Organization):
DAN SCHROEDER (R1DO)
ERIC MICHEL (R2DO)
JAMNES CAMERON (R3DO)
RAY KELLAR (R4DO)
PART 21/50.55 REACT (EMAI)
DAN SCHROEDER (R1DO)
ERIC MICHEL (R2DO)
JAMNES CAMERON (R3DO)
RAY KELLAR (R4DO)
PART 21/50.55 REACT (EMAI)
PART 21 NOTIFICATION - DEFECTIVE SAFETY-RELATED RELAYS SUPPLIED BY TE CONNECTIVITY
The following information is a summary of a letter of nonconformance submitted by TE Connectivity:
Limerick Generating Station reported that four TE Connectivity supplied relays failed power labs analysis. The relays are TE part number 1-1431775, ETR14I3D004. The affected relays appear to be those in date code ranges 1604 and 1612.
The preliminary evaluation revealed an incorrect orientation of one capacitor installed on the printed circuit board.
The relays were purchased by Curtiss-Wright (8 relays), Limerick Generating Station (8 relays) and NextEra (2 relays).
An investigation is ongoing.
Point of Contact:
Oswaldo R Vargas, Quality Manager, TE Connectivity Aerospace, Defense and Marine Division
1396 Charlotte Highway
Fairview, NC 28730
E-mail: oswaldo.vargas@te.com
Telephone: 828-338-1093
Fax: 828-338-1101
The following information is a summary of a letter of nonconformance submitted by TE Connectivity:
Limerick Generating Station reported that four TE Connectivity supplied relays failed power labs analysis. The relays are TE part number 1-1431775, ETR14I3D004. The affected relays appear to be those in date code ranges 1604 and 1612.
The preliminary evaluation revealed an incorrect orientation of one capacitor installed on the printed circuit board.
The relays were purchased by Curtiss-Wright (8 relays), Limerick Generating Station (8 relays) and NextEra (2 relays).
An investigation is ongoing.
Point of Contact:
Oswaldo R Vargas, Quality Manager, TE Connectivity Aerospace, Defense and Marine Division
1396 Charlotte Highway
Fairview, NC 28730
E-mail: oswaldo.vargas@te.com
Telephone: 828-338-1093
Fax: 828-338-1101
Non-Agreement State
Event Number: 52422
Rep Org: JANX INTEGRITY GROUP
Licensee: JANX INTEGRITY GROUP
Region: 3
City: DANVILLE State: IN
County:
License #: 21-16560-01
Agreement: N
Docket:
NRC Notified By: STEVE FLICKINGER
HQ OPS Officer: HOWIE CROUCH
Licensee: JANX INTEGRITY GROUP
Region: 3
City: DANVILLE State: IN
County:
License #: 21-16560-01
Agreement: N
Docket:
NRC Notified By: STEVE FLICKINGER
HQ OPS Officer: HOWIE CROUCH
Notification Date: 12/09/2016
Notification Time: 17:21 [ET]
Event Date: 12/09/2016
Event Time: 09:00 [EST]
Last Update Date: 12/09/2016
Notification Time: 17:21 [ET]
Event Date: 12/09/2016
Event Time: 09:00 [EST]
Last Update Date: 12/09/2016
Emergency Class: NON EMERGENCY
10 CFR Section:
30.50(b)(2) - SAFETY EQUIPMENT FAILURE
10 CFR Section:
30.50(b)(2) - SAFETY EQUIPMENT FAILURE
Person (Organization):
ANN MARIE STONE (R3DO)
NMSS_EVENTS_NOTIFICA (EMAI)
ANN MARIE STONE (R3DO)
NMSS_EVENTS_NOTIFICA (EMAI)
RADIOGRAPHY SOURCE BECAME TEMPORARILY STUCK OUTSIDE OF SHIELD
While preparing to perform his first exposure of the day, the radiographer determined that the source became stuck near the camera and guide tube connection. He notified the client, verified his boundaries, and contacted the Radiation Safety Officer (RSO).
After discussion with the radiographer, the RSO believed the source was lodged due to freezing temperatures and a small amount of ice within the guide tube. The radiographer was able to obtain a heater and, after about an hour of warming the guide tube, was able to retrieve the source into the camera normally.
No overexposures occurred due to this event.
The camera is a SPEC-150 that contains 47 Ci of Ir-192.
While preparing to perform his first exposure of the day, the radiographer determined that the source became stuck near the camera and guide tube connection. He notified the client, verified his boundaries, and contacted the Radiation Safety Officer (RSO).
After discussion with the radiographer, the RSO believed the source was lodged due to freezing temperatures and a small amount of ice within the guide tube. The radiographer was able to obtain a heater and, after about an hour of warming the guide tube, was able to retrieve the source into the camera normally.
No overexposures occurred due to this event.
The camera is a SPEC-150 that contains 47 Ci of Ir-192.
Power Reactor
Event Number: 52423
Facility: VOGTLE
Region: 2 State: GA
Unit: [] [2] []
RX Type: [1] W-4-LP,[2] W-4-LP
NRC Notified By: MATT HORN
HQ OPS Officer: MARK ABRAMOVITZ
Region: 2 State: GA
Unit: [] [2] []
RX Type: [1] W-4-LP,[2] W-4-LP
NRC Notified By: MATT HORN
HQ OPS Officer: MARK ABRAMOVITZ
Notification Date: 12/09/2016
Notification Time: 23:46 [ET]
Event Date: 12/09/2016
Event Time: 20:42 [EST]
Last Update Date: 12/10/2016
Notification Time: 23:46 [ET]
Event Date: 12/09/2016
Event Time: 20:42 [EST]
Last Update Date: 12/10/2016
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(i) - PLANT S/D REQD BY TS
10 CFR Section:
50.72(b)(2)(i) - PLANT S/D REQD BY TS
Person (Organization):
RANDY MUSSER (R2DO)
RANDY MUSSER (R2DO)
| Unit | SCRAM Code | RX Crit | Initial PWR | Initial RX Mode | Current PWR | Current RX Mode |
|---|---|---|---|---|---|---|
| 2 | N | Y | 100 | Power Operation | 82 | Power Operation |
TECHNICAL SPECIFICATION REQUIRED SHUTDOWN
"On December 09, 2016 at 1734 EST, U2 Train-A NSCW [Nuclear Service Cooling Water] Transfer Pump #8 tripped during Return To Service Surveillance testing for Train-B NSCW Transfer pump #7. Technical Spec 3.7.9 Condition E entered at 1734 with Required Actions to be in M3 [mode 3, Hot Standby] in 6 hours AND M4 [mode 4, Hot Shutdown] in 12 hours. A unit shutdown was commenced at 2042 EST [as a conservative measure] to comply with TS 3.7.9 Condition E.
"At 1937, U2 B-train NSCW Transfer Pump #7 was declared operable and TS 3.7.9 Condition E was exited. The plant is currently raising power to 100%."
The licensee notified the NRC Resident Inspector.
"On December 09, 2016 at 1734 EST, U2 Train-A NSCW [Nuclear Service Cooling Water] Transfer Pump #8 tripped during Return To Service Surveillance testing for Train-B NSCW Transfer pump #7. Technical Spec 3.7.9 Condition E entered at 1734 with Required Actions to be in M3 [mode 3, Hot Standby] in 6 hours AND M4 [mode 4, Hot Shutdown] in 12 hours. A unit shutdown was commenced at 2042 EST [as a conservative measure] to comply with TS 3.7.9 Condition E.
"At 1937, U2 B-train NSCW Transfer Pump #7 was declared operable and TS 3.7.9 Condition E was exited. The plant is currently raising power to 100%."
The licensee notified the NRC Resident Inspector.
Agreement State
Event Number: 52424
Rep Org: TEXAS DEPT OF STATE HEALTH SERVICES
Licensee: ACUREN INSPECTION INC
Region: 4
City: LA PORTE State: TX
County:
License #: 01774
Agreement: Y
Docket:
NRC Notified By: ART TUCKER
HQ OPS Officer: MARK ABRAMOVITZ
Licensee: ACUREN INSPECTION INC
Region: 4
City: LA PORTE State: TX
County:
License #: 01774
Agreement: Y
Docket:
NRC Notified By: ART TUCKER
HQ OPS Officer: MARK ABRAMOVITZ
Notification Date: 12/10/2016
Notification Time: 11:12 [ET]
Event Date: 12/09/2016
Event Time: 00:00 [CST]
Last Update Date: 12/10/2016
Notification Time: 11:12 [ET]
Event Date: 12/09/2016
Event Time: 00:00 [CST]
Last Update Date: 12/10/2016
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
VINCENT GADDY (R4DO)
NMSS_EVENTS_NOTIFICA (EMAI)
VINCENT GADDY (R4DO)
NMSS_EVENTS_NOTIFICA (EMAI)
AGREEMENT STATE REPORT - RADIOGRAPHY SOURCE COULD NOT BE RETRACTED
The following was received from the State of Texas via email:
"On December 10, 2016, the Agency [Texas Department of State Health Services] was notified that on December 9, 2016, the licensee [while working at Exxon Mobil in Beaumont, Texas] was required to perform a source retrieval of a 74.9 curie iridium-192 source. The exposure device associated with the source is a QSA 880 exposure device. The licensee reported the exposure device fell on the guide tube and crimped it to a point where the source could not pass by. The radiographers verified their boundaries and contacted their radiation safety officer. The licensee sent a qualified recovery team to the location. The recovery team cut the guide tube and was able to retract the source. No individual received an exposure that exceeded any limits. No member of the general public was exposed as a result of this event. The licensee stated the camera would be sent to the manufacturer for inspection. The licensee stated they would provide additional information on December 13, 2016. Additional information will be provided as it is received in accordance with SA-300."
Texas Incident #: I - 9447
The following was received from the State of Texas via email:
"On December 10, 2016, the Agency [Texas Department of State Health Services] was notified that on December 9, 2016, the licensee [while working at Exxon Mobil in Beaumont, Texas] was required to perform a source retrieval of a 74.9 curie iridium-192 source. The exposure device associated with the source is a QSA 880 exposure device. The licensee reported the exposure device fell on the guide tube and crimped it to a point where the source could not pass by. The radiographers verified their boundaries and contacted their radiation safety officer. The licensee sent a qualified recovery team to the location. The recovery team cut the guide tube and was able to retract the source. No individual received an exposure that exceeded any limits. No member of the general public was exposed as a result of this event. The licensee stated the camera would be sent to the manufacturer for inspection. The licensee stated they would provide additional information on December 13, 2016. Additional information will be provided as it is received in accordance with SA-300."
Texas Incident #: I - 9447
Agreement State
Event Number: 52629
Rep Org: WISCONSIN RADIATION PROTECTION
Licensee: ASPIRUS-WAUSAU HOSPITAL
Region: 3
City: WAUSAU State: WI
County:
License #: 073-1342-01
Agreement: Y
Docket:
NRC Notified By: DAVID REINDL
HQ OPS Officer: DONG HWA PARK
Licensee: ASPIRUS-WAUSAU HOSPITAL
Region: 3
City: WAUSAU State: WI
County:
License #: 073-1342-01
Agreement: Y
Docket:
NRC Notified By: DAVID REINDL
HQ OPS Officer: DONG HWA PARK
Notification Date: 03/22/2017
Notification Time: 17:18 [ET]
Event Date: 12/09/2016
Event Time: 00:00 [CDT]
Last Update Date: 03/22/2017
Notification Time: 17:18 [ET]
Event Date: 12/09/2016
Event Time: 00:00 [CDT]
Last Update Date: 03/22/2017
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
ROBERT ORLIKOWSKI (R3DO)
NMSS_EVENTS_NOTIFIC (EMAI)
ROBERT ORLIKOWSKI (R3DO)
NMSS_EVENTS_NOTIFIC (EMAI)
AGREEMENT STATE REPORT - TOTAL DOSE LESS THAN 80 PERCENT OF PRESCRIBED DOSE
The following report was received from the Wisconsin Department of Health Services via email:
"On March 22, 2017, the [Wisconsin Department of Health Services] received a telephone call and email from the licensee's medical physicist that a medical event occurred on December 9, 2016, involving a permanent implant of I-125 seeds for a prostate manual brachytherapy procedure where the total dose delivered differs from the prescribed dose by 20% or more. This is a medical event as described in DHS 157.72(1)(a)1.a. The prescribed dose was 145 Gy; the dose delivered was 114 Gy. The licensee uses D90 (dose delivered to 90% of the clinical target volume) less than 80% for determining medical events. Using the licensee's dose based criteria; the dose received by the prostate was 78% of the intended dose. The underdose was identified during the post-implant computed tomography scan on January 9, 2017 and subsequent dosimetric analysis on January 27, 2017. The licensee's radiation oncologist informed the physicist that supplemental radiation will not be administered and that it is a reportable event on March 22, 2017. Corrective actions are being reviewed by the licensee's staff. DHS [Department of Health Services] inspectors will investigate this medical event."
Wisconsin Event ID No.: WI-170005
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 from the Wisconsin Department of Health Services via email:
"On March 22, 2017, the [Wisconsin Department of Health Services] received a telephone call and email from the licensee's medical physicist that a medical event occurred on December 9, 2016, involving a permanent implant of I-125 seeds for a prostate manual brachytherapy procedure where the total dose delivered differs from the prescribed dose by 20% or more. This is a medical event as described in DHS 157.72(1)(a)1.a. The prescribed dose was 145 Gy; the dose delivered was 114 Gy. The licensee uses D90 (dose delivered to 90% of the clinical target volume) less than 80% for determining medical events. Using the licensee's dose based criteria; the dose received by the prostate was 78% of the intended dose. The underdose was identified during the post-implant computed tomography scan on January 9, 2017 and subsequent dosimetric analysis on January 27, 2017. The licensee's radiation oncologist informed the physicist that supplemental radiation will not be administered and that it is a reportable event on March 22, 2017. Corrective actions are being reviewed by the licensee's staff. DHS [Department of Health Services] inspectors will investigate this medical event."
Wisconsin Event ID No.: WI-170005
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.