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Event Notification Report for May 10, 2018

U.S. Nuclear Regulatory Commission
Operations Center

EVENT REPORTS FOR
05/09/2018 - 05/10/2018

EVENT NUMBERS
53395533965342153431534925463654003

Power Reactor
Event Number: 53395
Facility: NINE MILE POINT
Region: 1     State: NY
Unit: [] [2] []
RX Type: [1] GE-2,[2] GE-5
NRC Notified By: CHRIS MOORHEAD
HQ OPS Officer: HOWIE CROUCH
Notification Date: 05/10/2018
Notification Time: 08:59 [ET]
Event Date: 05/10/2018
Event Time: 02:48 [EDT]
Last Update Date: 05/11/2018
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(iv)(A) - VALID SPECIF SYS ACTUATION
Person (Organization):
ANNE DeFRANCISCO (R1DO)
Power Reactor Unit Info
Unit SCRAM Code RX Crit Initial PWR Initial RX Mode Current PWR Current RX Mode
2 N N 0 Cold Shutdown 0 Cold Shutdown
Event Text
VALID EMERGENCY DIESEL START ON PARTIAL LOSS OF OFFSITE POWER

"At 0248 [EDT], with the plant shutdown in Mode 4, Nine Mile Point Unit 2 experienced a partial loss of off-site power during relay testing that resulted in an automatic start of the Division 2 Emergency Diesel Generator. All systems responded as expected for the event. The cause is being investigated. The station responded in accordance with appropriate Special Operating Procedures and restored impacted systems.

"This event is being reported in accordance with 10CFR50.72(b)(3)(iv)(A)"

At the time of the report, the emergency diesel generators are loaded and supplying plant safety equipment.

The licensee has notified the state of New York Emergency Management Agency and the NRC Resident Inspector.


Power Reactor
Event Number: 53396
Facility: OCONEE
Region: 2     State: SC
Unit: [] [] [3]
RX Type: [1] B&W-L-LP,[2] B&W-L-LP,[3] B&W-L-LP
NRC Notified By: BEN MCCALL
HQ OPS Officer: THOMAS KENDZIA
Notification Date: 05/10/2018
Notification Time: 17:03 [ET]
Event Date: 05/10/2018
Event Time: 16:17 [EDT]
Last Update Date: 05/11/2018
Emergency Class: UNUSUAL EVENT
10 CFR Section:
50.72(a) (1) (i) - EMERGENCY DECLARED
Person (Organization):
FRANK EHRHARDT (R2DO)
WILLIAM GOTT (IRD)
CHRIS MILLER (NRR EO)
BRIAN HOLIAN (DNRR)
LAURA DUDES (R2DRA)
Power Reactor Unit Info
Unit SCRAM Code RX Crit Initial PWR Initial RX Mode Current PWR Current RX Mode
3 N N 0 Refueling 0 Refueling
Event Text
NOTIFICATION OF UNUSUAL EVENT

"Unit 3 experienced a loss of AC power while in Mode 6. Power was regained automatically from Keowee via the underground path.

"Decay heat removal has been restored. Spent fuel cooling has been restored.

"Emergency procedures [are] in progress."

The Licensee notified the senior NRC resident inspector, State of South Carolina and local authorities.

The total loss of 4160 volt AC power was for approximately 30 seconds. The unit is refueled and reactor reassembly complete up to bolting on the reactor head. There was no effect on Units 1 and 2.

Notified DHS SWO, FEMA Ops Center, FEMA NWC, DHS NICC, and NuclearSSA

* * * UPDATE FROM SCOTT HAWKESWORTH TO HOWIE CROUCH AT 0554 EDT ON 5/11/18 * * *

At 0530 EDT, Oconee terminated the notification of unusual event on Unit 3. The basis for termination was that offsite power was restored and the plant is now in its normal shutdown electrical lineup.

The licensee has notified Oconee and Pickens counties and will be notifying the NRC Resident Inspector.

Notified R2DO (Ehrhardt), NRR EO (Miller), IRD MOC (Gott), DHS SWO, FEMA Operations Center, DHS NICC, FEMA NWC (email) and NuclearSSA (email).


Agreement State
Event Number: 53421
Rep Org: FLORIDA BUREAU OF RADIATION CONTROL
Licensee: BAYFRONT HMA MEDICAL CENTER, LLC
Region: 1
City: ST. PETERSBURG   State: FL
County:
License #: 4374-1
Agreement: Y
Docket:
NRC Notified By: PAUL NORMAN
HQ OPS Officer: JEFF HERRERA
Notification Date: 05/23/2018
Notification Time: 11:25 [ET]
Event Date: 05/10/2018
Event Time: 00:00 [EDT]
Last Update Date: 05/23/2018
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
ANTHONY DIMITRIADIS (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
Event Text
AGREEMENT STATE REPORT - PATIENT CARE NURSE EXPOSED TO I-131 FOLLOWING PATIENT URINATION

The following report was received from the State of Florida via email:

"The [Bayfront HMA Medical Center] RN [Registered Nurse] called FDOH/BRC/ERCM [Florida Department of Health, Bureau of Radiation Control, Environmental Radiation Control Materials] (Tallahassee - Licensing & Enforcement), to report that she was exposed to I-131 following patient urination during that patient's care. [The RN] was informed that she received a POSITIVE bioassay subsequent to the exposure event. Her shoes were impounded for decay. Other employee bioassays conducted were NEGATIVE. [The RN] reported that she DID NOT conduct urine clean-up during the patient care. The RSO [Radiation Safety Officer], was called, and a VM [Voice Mail] was left requesting a return call. [A State of Florida Bureau of Radiation Control Inspector] was called and directed to conduct an investigation."

FL Incident Number: FL18-065

* * * UPDATE ON 05/23/2018 AT 13:57 EDT FROM PAUL NORMAN TO THOMAS KENDZIA * * *

"Incident occurred May 10 following Thyroid Ablation (150mCi I-131); RN bioassay performed following week; results slightly greater than background. Bioassay & dosimetry results to be forwarded."


Agreement State
Event Number: 53431
Rep Org: NE DIV OF RADIOACTIVE MATERIALS
Licensee: MARY OUR QUEEN KENNY CENTER
Region: 4
City: OMAHA   State: NE
County:
License #: GL0604
Agreement: Y
Docket:
NRC Notified By: MALISA MCCOWN
HQ OPS Officer: STEVEN VITTO
Notification Date: 05/29/2018
Notification Time: 17:42 [ET]
Event Date: 05/10/2018
Event Time: 00:00 [CDT]
Last Update Date: 05/29/2018
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
THOMAS FARNHOLTZ (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB (EMAIL)
Event Text
AGREEMENT STATE REPORT - LOST TRITIUM EXIT SIGN

The following was received from the state of Nebraska via email:

"DHHS [Nebraska Department of Health and Human Services] - Office of Radiological Health received written notification on 5/29/18 from GL0604 - Mary Our Queen Kenny Center indicating a lost/not found tritium exit sign during their Annual Renewal. Licensee initially telephoned DHHS on 5/10/18 to indicate they could not locate the device at the listed location and would be checking additional buildings. Licensee checked several additional buildings on their campus and contacted the electrician used during recent (2016) renovation in an effort to locate the device. Licensee believes the device was removed either during a prior renovation or due to regular maintenance and repair but cannot verify due to staffing changes.

"Source/radioactive material: Sealed Source Luminous
Manufacturer: Safety Light Corp.
Model number: 880-12-6-10
Serial number: A21170
Radionuclide: H-3
Activity: 7.5 Ci (277.5 GBq)"

Nebraska Item Number: NE180005

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


Agreement State
Event Number: 53492
Rep Org: LOUISIANA RADIATION PROTECTION DIV
Licensee: MISTRAS GROUP, INC
Region: 4
City: SABINE PASS   State: LA
County:
License #: LA-10986-L01
Agreement: Y
Docket:
NRC Notified By: RUSSELL CLARK
HQ OPS Officer: DAVID AIRD
Notification Date: 07/06/2018
Notification Time: 16:32 [ET]
Event Date: 05/10/2018
Event Time: 00:00 [CDT]
Last Update Date: 07/06/2018
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
GEOFFREY MILLER (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
Event Text
LOUISIANA AGREEMENT STATE REPORT - POTENTIAL OVEREXPOSURE

The following is an excerpt from a report received from the state of Louisiana via email:

"On June 12, 2018, the Radiation Safety Officer (RSO) for MISTRAS Group, Inc. (MGI), received a Landauer Corporation dosimetry report for an Excessive Exposure to the whole body. The report indicated that an instructor received a whole body exposure of 5168 mR during the month of May, yielding a whole body cumulative exposure to date of 5618 mR. A MGI two-person crew, composed of a radiography instructor and a radiography trainee were making exposures at a temporary jobsite located at the Bechtel Liquid Natural Gas Project at Sabine Pass, Louisiana in Cameron Parish. The exposure device was a QSA GLOBAL Model 880D loaded with a 74 Ci Ir-192 source.

"When the RSO informed the instructor of the reported excessive exposure, the instructor claimed that one day during May 2018, he had dropped his badge while he and his trainee were performing panoramic exposures, but did not notice the badge missing until after the exposure was completed. The instructor stated he searched for his badge and recovered it from the platform approximately one foot directly below the area being radiographed for a 90-second exposure. Upon further questioning of the above instructor, the RSO learned the body badge had been dropped and inadvertently exposed on May 10, 2018. The RSO stated the instructor failed to report the incident on the date of occurrence. The instructor claimed his direct-reading pocket dosimeter had not gone off-scale or received a high reading. The instructor stated that he believed his badge had only been missing for a single exposure. Health Physics calculations performed by the RSO using the isotope, activity, distance and exposure time provided to him by the instructor do not adequately account for the above excessive exposure in terms of the claimed single inadvertent exposure to the badge, as described.

"Instead of promptly utilizing the Louisiana Department of Environmental Quality [LDEQ] required emergency hotline number, the RSO for the licensee sent an email to an LDEQ radioactive materials inspector on June 25, 2018 at 11:59 am [CDT], approximately 13 days after the RSO for the licensee first discovered the excessive exposure."

Event Report ID No.: LA 180013


Agreement State
Event Number: 54636
Rep Org: COLORADO DEPT OF HEALTH
Licensee: VERANDA HIGHPOINTE
Region: 4
City: DENVER   State: CO
County:
License #: GL002276
Agreement: Y
Docket:
NRC Notified By: KATHRYN MOTE
HQ OPS Officer: ANDREW WAUGH
Notification Date: 04/03/2020
Notification Time: 13:46 [ET]
Event Date: 05/10/2018
Event Time: 00:00 [MDT]
Last Update Date: 04/03/2020
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
VINCENT GADDY (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB (EMAIL)
Event Text
AGREEMENT STATE REPORT - LOST TRITIUM EXIT SIGNS

The following summary was received from the state of Colorado via email:

The licensee is unable to locate 16 tritium exit signs. Management claims the signs are not on their property. Each sign has an activity of 6 Ci.

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


Agreement State
Event Number: 54003
Rep Org: TENNESSEE DIV OF RAD HEALTH
Licensee: REPLOGLE ENTERPRISES
Region: 1
City: HENRY   State: TN
County:
License #: GL #708
Agreement: Y
Docket:
NRC Notified By: ANDREW HOLCOMB
HQ OPS Officer: MARK ABRAMOVITZ
Notification Date: 04/16/2019
Notification Time: 15:27 [ET]
Event Date: 05/10/2018
Event Time: 00:00 [EDT]
Last Update Date: 04/16/2019
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
BRICE BICKETT (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB (EMAIL)
Event Text
AGREEMENT STATE REPORT - LOST GENERALLY LICENSED TESTING DEVICE

The following report was received via e-mail:

"On January 11, 2018, FHL Industries, LLC, acquired Replogle Hardwood Flooring out of bankruptcy. The new owners were unaware of a generally licensed hazardous testing device from previous ownership. During a search of the facility during April 2018, FHL concluded the device was missing. FHL has no intentions of acquiring another radioactive testing device.

"Isotope and activity: Am-241, 0.03 mCi; Cm-244, 13.0 mCi
Manufacturer: Asoma Instruments
Model: 100
SN: 1537"

Tennessee Event: TN-18-089

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