Event Notification Report for March 17, 2017
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
03/16/2017 - 03/17/2017
Power Reactor
Event Number: 52619
Facility: VOGTLE
Region: 2 State: GA
Unit: [1] [] []
RX Type: [1] W-4-LP,[2] W-4-LP
NRC Notified By: KEVIN LOWE
HQ OPS Officer: BETHANY CECERE
Region: 2 State: GA
Unit: [1] [] []
RX Type: [1] W-4-LP,[2] W-4-LP
NRC Notified By: KEVIN LOWE
HQ OPS Officer: BETHANY CECERE
Notification Date: 03/17/2017
Notification Time: 17:12 [ET]
Event Date: 03/17/2017
Event Time: 15:17 [EDT]
Last Update Date: 03/17/2017
Notification Time: 17:12 [ET]
Event Date: 03/17/2017
Event Time: 15:17 [EDT]
Last Update Date: 03/17/2017
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(iv)(A) - VALID SPECIF SYS ACTUATION
10 CFR Section:
50.72(b)(3)(iv)(A) - VALID SPECIF SYS ACTUATION
Person (Organization):
FRANK EHRHARDT (R2DO)
FRANK EHRHARDT (R2DO)
| Unit | SCRAM Code | RX Crit | Initial PWR | Initial RX Mode | Current PWR | Current RX Mode |
|---|---|---|---|---|---|---|
| 1 | N | N | 0 | Refueling | 0 | Refueling |
AUTOMATIC ACTUATION OF EMERGENCY DIESEL GENERATOR
"At approximately 1517 [EDT], while restoring protective relay power to the 1B Reserve Auxiliary Transformer, a valid undervoltage actuation signal was sent to the 1B Emergency Diesel Generator (EDG). The 1B EDG automatically started and tied to the safety bus (1BA03). The 1BA03 bus was loaded by the automatic load sequencer. This actuation was identified by the Control Room Operators and the 1B EDG was locally monitored while in service.
"This actuation is reportable due to the automatic actuation of a system listed in 10 CFR 50.72(b)(3)(iv)(B).
"The reactor was not critical at the time of the event and not challenged throughout the event.
"Containment Cooler Number 8 did not automatically start in 'Fast Speed' as expected. Containment Cooler Number 8 was successfully started in 'Fast Speed' manually by the Control Room Operators.
"The NRC Resident Inspector has been notified."
"At approximately 1517 [EDT], while restoring protective relay power to the 1B Reserve Auxiliary Transformer, a valid undervoltage actuation signal was sent to the 1B Emergency Diesel Generator (EDG). The 1B EDG automatically started and tied to the safety bus (1BA03). The 1BA03 bus was loaded by the automatic load sequencer. This actuation was identified by the Control Room Operators and the 1B EDG was locally monitored while in service.
"This actuation is reportable due to the automatic actuation of a system listed in 10 CFR 50.72(b)(3)(iv)(B).
"The reactor was not critical at the time of the event and not challenged throughout the event.
"Containment Cooler Number 8 did not automatically start in 'Fast Speed' as expected. Containment Cooler Number 8 was successfully started in 'Fast Speed' manually by the Control Room Operators.
"The NRC Resident Inspector has been notified."
Agreement State
Event Number: 52617
Rep Org: PA BUREAU OF RADIATION PROTECTION
Licensee: CARDINAL HEALTH
Region: 3
City: DUBLIN State: OH
County:
License #: PA-0415
Agreement: Y
Docket:
NRC Notified By: JOSEPH MELNIC
HQ OPS Officer: BETHANY CECERE
Licensee: CARDINAL HEALTH
Region: 3
City: DUBLIN State: OH
County:
License #: PA-0415
Agreement: Y
Docket:
NRC Notified By: JOSEPH MELNIC
HQ OPS Officer: BETHANY CECERE
Notification Date: 03/17/2017
Notification Time: 13:14 [ET]
Event Date: 03/17/2017
Event Time: 07:00 [EDT]
Last Update Date: 03/17/2017
Notification Time: 13:14 [ET]
Event Date: 03/17/2017
Event Time: 07:00 [EDT]
Last Update Date: 03/17/2017
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
KARLA STOEDTER (R3DO)
HAROLD GRAY (R1DO)
ANGELA MCINTOSH (NMSS)
NMSS_EVENTS_NOTIFICA (EMAI)
BERNARD STAPLETON (IRD)
KARLA STOEDTER (R3DO)
HAROLD GRAY (R1DO)
ANGELA MCINTOSH (NMSS)
NMSS_EVENTS_NOTIFICA (EMAI)
BERNARD STAPLETON (IRD)
AGREEMENT STATE REPORT - TRANSPORTATION ACCIDENT DAMAGING LICENSED MATERIAL
The following report was received via email:
"At about 0700 [EDT] on March 17, 2017, the Department [Pennsylvania Bureau of Radiation Protection] received notification through the Pennsylvania Emergency Management Agency of a vehicle fire near mile marker 286 on I-76 (PA Turnpike) [near Reading, PA]. The vehicle was carrying approximately 0.6 Ci (22 GBq) Tc-99m and 1 Ci (37 GBq) of F-18 for Cardinal Health (PA licensee PA-0415). Department emergency response and radiological health physics staff responded to the scene. The vehicle was entirely engulfed in flames and allowed to burn itself out. There are no reports of injuries. A representative from the licensee was on scene and collected contaminated debris and ash which was returned to their facility for decay.
"The vehicle will be removed from the scene and isolated to allow any remaining material to decay. Departmental health physics inspector will oversee operations."
PA Event Report ID No: PA 170006
The following report was received via email:
"At about 0700 [EDT] on March 17, 2017, the Department [Pennsylvania Bureau of Radiation Protection] received notification through the Pennsylvania Emergency Management Agency of a vehicle fire near mile marker 286 on I-76 (PA Turnpike) [near Reading, PA]. The vehicle was carrying approximately 0.6 Ci (22 GBq) Tc-99m and 1 Ci (37 GBq) of F-18 for Cardinal Health (PA licensee PA-0415). Department emergency response and radiological health physics staff responded to the scene. The vehicle was entirely engulfed in flames and allowed to burn itself out. There are no reports of injuries. A representative from the licensee was on scene and collected contaminated debris and ash which was returned to their facility for decay.
"The vehicle will be removed from the scene and isolated to allow any remaining material to decay. Departmental health physics inspector will oversee operations."
PA Event Report ID No: PA 170006
!!!!! THIS EVENT HAS BEEN RETRACTED !!!!!
!!!!! THIS EVENT HAS BEEN RETRACTED !!!!!
Non-Agreement State
Event Number: 52628
Rep Org: MICHIGAN STATE UNIVERSITY
Licensee: MICHIGAN STATE UNIVERSITY
Region: 3
City: EAST LANSING State: MI
County: INGHAM
License #: 21-00021-29
Agreement: N
Docket: 030-0080
NRC Notified By: BRYAN HARRIS
HQ OPS Officer: DAN LIVERMORE
Licensee: MICHIGAN STATE UNIVERSITY
Region: 3
City: EAST LANSING State: MI
County: INGHAM
License #: 21-00021-29
Agreement: N
Docket: 030-0080
NRC Notified By: BRYAN HARRIS
HQ OPS Officer: DAN LIVERMORE
Notification Date: 03/22/2017
Notification Time: 08:10 [ET]
Event Date: 03/17/2017
Event Time: 10:00 [EDT]
Last Update Date: 03/22/2017
Notification Time: 08:10 [ET]
Event Date: 03/17/2017
Event Time: 10:00 [EDT]
Last Update Date: 03/22/2017
Emergency Class: NON EMERGENCY
10 CFR Section:
35.3045(a)(2) - DOSE > SPECIFIED EFF LIMITS
10 CFR Section:
35.3045(a)(2) - DOSE > SPECIFIED EFF LIMITS
Person (Organization):
ROBERT ORLIKOWSKI (R3DO)
NMSS_EVENTS_NOTIFIC (EMAI)
ROBERT ORLIKOWSKI (R3DO)
NMSS_EVENTS_NOTIFIC (EMAI)
WRONG MODE OF TREATMENT: PET SCAN ADMINSTERED WHEN CT SCAN WAS ORDERED
A PET scan was administered to a patient even though a CT scan was ordered by the prescribing physician. Initially the prescribing physician ordered a PET scan, but changed the order to a CT scan. An administrative error resulted in the order change not being implemented to reflect the change to a CT scan. The patient was provided all release forms for the PET scan and was aware that a PET scan was being administered. The patient received 1R of exposure. There was no harm to the patient.
* * * RETRACTION AT 1429 EDT ON 3/22/17 FROM BRYAN HARRIS TO DONG PARK * * *
The licensee has determined that this event did not meet reporting requirements.
The licensee notified Region 3 (Craffey). Notified R3DO (Orlikowski) and NMSS Events Resource via email.
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.
A PET scan was administered to a patient even though a CT scan was ordered by the prescribing physician. Initially the prescribing physician ordered a PET scan, but changed the order to a CT scan. An administrative error resulted in the order change not being implemented to reflect the change to a CT scan. The patient was provided all release forms for the PET scan and was aware that a PET scan was being administered. The patient received 1R of exposure. There was no harm to the patient.
* * * RETRACTION AT 1429 EDT ON 3/22/17 FROM BRYAN HARRIS TO DONG PARK * * *
The licensee has determined that this event did not meet reporting requirements.
The licensee notified Region 3 (Craffey). Notified R3DO (Orlikowski) and NMSS Events Resource via email.
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.