Event Notification Report for May 12, 2017
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
05/11/2017 - 05/12/2017
Agreement State
Event Number: 52754
Rep Org: SC DIV OF HEALTH & ENV CONTROL
Licensee: GREENVILLE HEALTH SYSTEM CANCER INSTITUTE
Region: 1
City: GREENVILLE State: SC
County:
License #:
Agreement: Y
Docket:
NRC Notified By: ANDREW M. ROXBURGH
HQ OPS Officer: JEFF HERRERA
Licensee: GREENVILLE HEALTH SYSTEM CANCER INSTITUTE
Region: 1
City: GREENVILLE State: SC
County:
License #:
Agreement: Y
Docket:
NRC Notified By: ANDREW M. ROXBURGH
HQ OPS Officer: JEFF HERRERA
Notification Date: 05/15/2017
Notification Time: 11:58 [ET]
Event Date: 05/12/2017
Event Time: 00:00 [EDT]
Last Update Date: 05/15/2017
Notification Time: 11:58 [ET]
Event Date: 05/12/2017
Event Time: 00:00 [EDT]
Last Update Date: 05/15/2017
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
ART BURRITT (R1DO)
NMSS_EVENTS_NOTIFICA (EMAI)
ART BURRITT (R1DO)
NMSS_EVENTS_NOTIFICA (EMAI)
AGREEMENT STATE - DELIVERED DOSE TO PATIENT DIFFERED BY MORE THAN 20 PERCENT
The following report was received from the South Carolina Department of Health and Environmental Control (SCDEH) via email:
"The licensee notified the Department [SCDEH] on May 15, 2017 that it had a medical event on May 12, 2017 involving a delivered dose that differed by more than 20 percent and dose that would have resulted from the prescribed dosage by more than 0.5 Sv (50 rem) to an organ or tissue. The patient was prescribed 145 Gray from I-125 prostate seed implants. The dose delivered was 103.53 Gray which is 28.6 percent below the prescribed dose."
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 South Carolina Department of Health and Environmental Control (SCDEH) via email:
"The licensee notified the Department [SCDEH] on May 15, 2017 that it had a medical event on May 12, 2017 involving a delivered dose that differed by more than 20 percent and dose that would have resulted from the prescribed dosage by more than 0.5 Sv (50 rem) to an organ or tissue. The patient was prescribed 145 Gray from I-125 prostate seed implants. The dose delivered was 103.53 Gray which is 28.6 percent below the prescribed dose."
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.
Power Reactor
Event Number: 52750
Facility: CLINTON
Region: 3 State: IL
Unit: [1] [] []
RX Type: [1] GE-6
NRC Notified By: ROBERT RUSH
HQ OPS Officer: JEFF ROTTON
Region: 3 State: IL
Unit: [1] [] []
RX Type: [1] GE-6
NRC Notified By: ROBERT RUSH
HQ OPS Officer: JEFF ROTTON
Notification Date: 05/12/2017
Notification Time: 08:20 [ET]
Event Date: 05/12/2017
Event Time: 00:45 [CDT]
Last Update Date: 05/12/2017
Notification Time: 08:20 [ET]
Event Date: 05/12/2017
Event Time: 00:45 [CDT]
Last Update Date: 05/12/2017
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(ii)(A) - DEGRADED CONDITION
10 CFR Section:
50.72(b)(3)(ii)(A) - DEGRADED CONDITION
Person (Organization):
DAVID HILLS (R3DO)
DAVID HILLS (R3DO)
| Unit | SCRAM Code | RX Crit | Initial PWR | Initial RX Mode | Current PWR | Current RX Mode |
|---|---|---|---|---|---|---|
| 1 | N | N | 0 | Refueling | 0 | Refueling |
MAIN STEAM ISOLATION VALVES EXCEEDED PRIMARY CONTAINMENT LOCAL LEAK RATE ACCEPTANCE CRITERIA
"At 0045 [CDT] on May 12, 2017, it was discovered that a Primary Containment local leak rate test performed on Main Steam Isolation Valves (MSIV) exceeded its acceptance criteria.
"During Modes 1, 2, and 3, Technical Specification Surveillance Requirement 3.6.1.3.9 requires MSIV leakage for a single MSIV line to be less than or equal to 100 standard cubic feet per hour (scfh) (47,195 sccm) and requires the combined leakage rate for all MSIV leakage paths to be less than or equal to 200 scfh (94,390 sccm) when tested at 9 psig.
"As-found for the 'D' MSIV line leakage is 53,921.61 standard cubic centimeter per minute (sccm) for the 'D' Inboard MSIV 1B21F022D and 59,698.8 sccm for the 'D' Outboard MSIV 1B21F028D. As-found combined MSIV min-path leakage is 102,463 sccm.
"This event is being reported as a condition of the nuclear power plant, including its principal safety barriers, being seriously degraded per 10 CFR 50.72(b)(3)(ii)(A) since the Primary Containment Isolation Valves leakage limits for MSIVs were exceeded.
"The NRC Resident Inspector has been notified."
"At 0045 [CDT] on May 12, 2017, it was discovered that a Primary Containment local leak rate test performed on Main Steam Isolation Valves (MSIV) exceeded its acceptance criteria.
"During Modes 1, 2, and 3, Technical Specification Surveillance Requirement 3.6.1.3.9 requires MSIV leakage for a single MSIV line to be less than or equal to 100 standard cubic feet per hour (scfh) (47,195 sccm) and requires the combined leakage rate for all MSIV leakage paths to be less than or equal to 200 scfh (94,390 sccm) when tested at 9 psig.
"As-found for the 'D' MSIV line leakage is 53,921.61 standard cubic centimeter per minute (sccm) for the 'D' Inboard MSIV 1B21F022D and 59,698.8 sccm for the 'D' Outboard MSIV 1B21F028D. As-found combined MSIV min-path leakage is 102,463 sccm.
"This event is being reported as a condition of the nuclear power plant, including its principal safety barriers, being seriously degraded per 10 CFR 50.72(b)(3)(ii)(A) since the Primary Containment Isolation Valves leakage limits for MSIVs were exceeded.
"The NRC Resident Inspector has been notified."
Agreement State
Event Number: 52773
Rep Org: ILLINOIS EMERGENCY MGMT. AGENCY
Licensee: ADVOCATE CONDELL MEDICAL CENTER
Region: 3
City: LIBERTYVILLE State: IL
County:
License #: IL-01541-01
Agreement: Y
Docket:
NRC Notified By: C. GIBB VINSON
HQ OPS Officer: HOWIE CROUCH
Licensee: ADVOCATE CONDELL MEDICAL CENTER
Region: 3
City: LIBERTYVILLE State: IL
County:
License #: IL-01541-01
Agreement: Y
Docket:
NRC Notified By: C. GIBB VINSON
HQ OPS Officer: HOWIE CROUCH
Notification Date: 05/26/2017
Notification Time: 16:21 [ET]
Event Date: 05/12/2017
Event Time: 00:00 [CDT]
Last Update Date: 05/26/2017
Notification Time: 16:21 [ET]
Event Date: 05/12/2017
Event Time: 00:00 [CDT]
Last Update Date: 05/26/2017
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
MICHAEL KUNOWSKI (R3DO)
NMSS_EVENTS_NOTIFICA (EMAI)
MICHAEL KUNOWSKI (R3DO)
NMSS_EVENTS_NOTIFICA (EMAI)
AGREEMENT STATE REPORT - CONTAMINATION EVENT
The following information was received from the State of Illinois via email:
"Advocate Condell Medical Center called to report that a patient treated with 200 mCi of I-131 on 5/10/17, subsequently released on 5/12/17, had returned to the hospital's ICU unit that same night with unrelated complications and a contamination event occurred. Her husband and her doctor both called the hospital prior to her arrival to inform them of her previous treatment with I-131. They were able to prepare for her arrival and prep the ER in plastic. She was admitted to ICU and later transferred to a regular hospital room. The only contamination is from the plastic covering the mattress, which is being stored for decay and from when the nurse drained a Foley catheter and a drop of urine ended up on the floor. Cleaning did not totally remove it. The hospital decided they did not need the room and it has been closed to allow for decay.
"Additional surveys are to be conducted. The patient has since been released. The licensee will follow up with a written report."
NMED Item Number: IL177004
The following information was received from the State of Illinois via email:
"Advocate Condell Medical Center called to report that a patient treated with 200 mCi of I-131 on 5/10/17, subsequently released on 5/12/17, had returned to the hospital's ICU unit that same night with unrelated complications and a contamination event occurred. Her husband and her doctor both called the hospital prior to her arrival to inform them of her previous treatment with I-131. They were able to prepare for her arrival and prep the ER in plastic. She was admitted to ICU and later transferred to a regular hospital room. The only contamination is from the plastic covering the mattress, which is being stored for decay and from when the nurse drained a Foley catheter and a drop of urine ended up on the floor. Cleaning did not totally remove it. The hospital decided they did not need the room and it has been closed to allow for decay.
"Additional surveys are to be conducted. The patient has since been released. The licensee will follow up with a written report."
NMED Item Number: IL177004