Event Notification Report for August 02, 2018
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
08/01/2018 - 08/02/2018
EVENT NUMBERS
53581535365353353534535355353953664
Agreement State
Event Number: 53581
Rep Org: NEW YORK STATE DEPT. OF HEALTH
Licensee: COLUMBIA UNIVERSITY
Region: 1
City: PALISADES State: NY
County: ROCKLAND
License #: 537-2
Agreement: Y
Docket:
NRC Notified By: DANIEL SAMSON
HQ OPS Officer: RYAN ALEXANDER
Licensee: COLUMBIA UNIVERSITY
Region: 1
City: PALISADES State: NY
County: ROCKLAND
License #: 537-2
Agreement: Y
Docket:
NRC Notified By: DANIEL SAMSON
HQ OPS Officer: RYAN ALEXANDER
Notification Date: 09/05/2018
Notification Time: 14:39 [ET]
Event Date: 08/02/2018
Event Time: 00:00 [EDT]
Last Update Date: 09/05/2018
Notification Time: 14:39 [ET]
Event Date: 08/02/2018
Event Time: 00:00 [EDT]
Last Update Date: 09/05/2018
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
10 CFR Section:
AGREEMENT STATE
Person (Organization):
CHRISTOPHER LALLY (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
CHRISTOPHER LALLY (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
AGREEMENT STATE REPORT - REMOVABLE CONTAMINATION ON A SEALED SOURCE
The following information was obtained from the State of New York via fax:
"Columbia University notified the New York State Department of Health (NYSDOH) on August 7, 2018 [regarding an August 2, 2018 event] of the detection of 592 Becquerel (0.016 microCurie) of removable radioactive material on a 10 milliCurie Ni-63 sealed source contained in a Shimadzu GC-8A II gas chromatography mass spectroscopy unit. The manufacturer and model number of the source were not available. The licensee immediately suspended the operation of the unit and placed the unit in storage. The source will be disposed of as radioactive waste and the equipment will be decontaminated prior to proper disposal by an authorized waste broker."
New York Report Number NYDOH-18-02
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
The following information was obtained from the State of New York via fax:
"Columbia University notified the New York State Department of Health (NYSDOH) on August 7, 2018 [regarding an August 2, 2018 event] of the detection of 592 Becquerel (0.016 microCurie) of removable radioactive material on a 10 milliCurie Ni-63 sealed source contained in a Shimadzu GC-8A II gas chromatography mass spectroscopy unit. The manufacturer and model number of the source were not available. The licensee immediately suspended the operation of the unit and placed the unit in storage. The source will be disposed of as radioactive waste and the equipment will be decontaminated prior to proper disposal by an authorized waste broker."
New York Report Number NYDOH-18-02
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: 53536
Rep Org: COLORADO DEPT OF HEALTH
Licensee: EB ENGINEERING, INC
Region: 4
City: BOULDER State: CO
County:
License #: CO 434-01
Agreement: Y
Docket:
NRC Notified By: SHIYA WANG
HQ OPS Officer: BRIAN LIN
Licensee: EB ENGINEERING, INC
Region: 4
City: BOULDER State: CO
County:
License #: CO 434-01
Agreement: Y
Docket:
NRC Notified By: SHIYA WANG
HQ OPS Officer: BRIAN LIN
Notification Date: 08/02/2018
Notification Time: 18:34 [ET]
Event Date: 08/02/2018
Event Time: 15:30 [MDT]
Last Update Date: 08/06/2018
Notification Time: 18:34 [ET]
Event Date: 08/02/2018
Event Time: 15:30 [MDT]
Last Update Date: 08/06/2018
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
10 CFR Section:
AGREEMENT STATE
Person (Organization):
VINCENT GADDY (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
DENNIS ALLSTON (EMAIL)
VINCENT GADDY (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
DENNIS ALLSTON (EMAIL)
AGREEMENT STATE REPORT - MISSING PORTABLE DENSITY GAUGE
The following information was received via E-mail:
"At [approximately] 3:30 pm [MDT] on 8/2/2018, Eb Engineering reported that a portable density gauge was missing. A technician first discovered it at about 2:00 pm on 8/2/2018 when he came back from a job site; the gauge along with the transport box, chain, and lock were all missing from the truck. However, nothing else seems to be taken from the truck. He attempted to search along the roads he had been to, but nothing was found. He reported to another staff of this company and, at the time of this report, this staff is currently driving back to the job site to conduct another search. At this point, it has not been determined whether this gauge simply fell off the truck or was stolen. More information will be provided once available.
Device Type: Density
Manufacture: Troxler
Model Number: 3411B
Isotope and Activity: Cs-137, 8 mCi and Am-241/Be, 40mCi"
* * * UPDATE ON 8/6/2018 AT 1630 EDT FROM SHIYA WANG TO ANDREW WAUGH * * *
The following information was received via email:
"The licensee attempted a few hours of search in the late afternoon and evening of 8/2/2018 but only found the chain and lock at a street cross section in Longmont, CO. In the morning of 8/3/2018, a public member contacted the licensee that he got the box. This public member found the box from the side of the street, thought it was a cooler, and brought it to his girlfriend's home. Then he saw the RAM label on the box and contacted the licensee in the morning of 8/3/2018. In the morning of 8/3/2018, the box and the gauge were then back to the licensee's possession shortly after the licensee got the call from this public member. When the box was returned from this public member to the licensee, the box was not locked but the gauge handle was locked. It did not appear to have any damage to the box or the gauge or the source. Overall, there were at least two public members involved in this event (the one who found the box and his girlfriend) but their exposures are still to be determined. Additional information will be included in the NMED report once available."
NMED Event Report ID No.: CO180016
Notified R4DO (Vasquez), ILTAB, and NMSS Events Notification via email.
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
The following information was received via E-mail:
"At [approximately] 3:30 pm [MDT] on 8/2/2018, Eb Engineering reported that a portable density gauge was missing. A technician first discovered it at about 2:00 pm on 8/2/2018 when he came back from a job site; the gauge along with the transport box, chain, and lock were all missing from the truck. However, nothing else seems to be taken from the truck. He attempted to search along the roads he had been to, but nothing was found. He reported to another staff of this company and, at the time of this report, this staff is currently driving back to the job site to conduct another search. At this point, it has not been determined whether this gauge simply fell off the truck or was stolen. More information will be provided once available.
Device Type: Density
Manufacture: Troxler
Model Number: 3411B
Isotope and Activity: Cs-137, 8 mCi and Am-241/Be, 40mCi"
* * * UPDATE ON 8/6/2018 AT 1630 EDT FROM SHIYA WANG TO ANDREW WAUGH * * *
The following information was received via email:
"The licensee attempted a few hours of search in the late afternoon and evening of 8/2/2018 but only found the chain and lock at a street cross section in Longmont, CO. In the morning of 8/3/2018, a public member contacted the licensee that he got the box. This public member found the box from the side of the street, thought it was a cooler, and brought it to his girlfriend's home. Then he saw the RAM label on the box and contacted the licensee in the morning of 8/3/2018. In the morning of 8/3/2018, the box and the gauge were then back to the licensee's possession shortly after the licensee got the call from this public member. When the box was returned from this public member to the licensee, the box was not locked but the gauge handle was locked. It did not appear to have any damage to the box or the gauge or the source. Overall, there were at least two public members involved in this event (the one who found the box and his girlfriend) but their exposures are still to be determined. Additional information will be included in the NMED report once available."
NMED Event Report ID No.: CO180016
Notified R4DO (Vasquez), ILTAB, and NMSS Events Notification via email.
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
Power Reactor
Event Number: 53533
Facility: MILLSTONE
Region: 1 State: CT
Unit: [] [] [3]
RX Type: [1] GE-3,[2] CE,[3] W-4-LP
NRC Notified By: NICOLAOS KOSTOPOULOS
HQ OPS Officer: THOMAS KENDZIA
Region: 1 State: CT
Unit: [] [] [3]
RX Type: [1] GE-3,[2] CE,[3] W-4-LP
NRC Notified By: NICOLAOS KOSTOPOULOS
HQ OPS Officer: THOMAS KENDZIA
Notification Date: 08/02/2018
Notification Time: 13:09 [ET]
Event Date: 08/02/2018
Event Time: 09:00 [EDT]
Last Update Date: 08/02/2018
Notification Time: 13:09 [ET]
Event Date: 08/02/2018
Event Time: 09:00 [EDT]
Last Update Date: 08/02/2018
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(xi) - OFFSITE NOTIFICATION
10 CFR Section:
50.72(b)(2)(xi) - OFFSITE NOTIFICATION
Person (Organization):
ANNE DeFRANCISCO (R1DO)
ANNE DeFRANCISCO (R1DO)
| Unit | SCRAM Code | RX Crit | Initial PWR | Initial RX Mode | Current PWR | Current RX Mode |
|---|---|---|---|---|---|---|
| 3 | N | Y | 100 | Power Operation | 100 | Power Operation |
OFFSITE NOTIFICATION DUE TO RELEASE OF POSSIBLE TRITIUM BEARING WATER
The following was received via telephone and email notification from Millstone Power Station:
Millstone Power Station Unit 3, identified that the underground pipe to the Condensate Surge Tank had leaked greater than 100 gallons of water that included trace amounts of tritium to the ground. The effected piping is inside the protected area and has been isolated and drained.
No tritium has been detected in any monitoring wells outside of the Protected Area. There is no threat to employees or the public or impact to drinking water.
The Connecticut Department of Energy and Environmental Protection, and the towns of Waterford and East Lyme were notified at approximately 1300 [EDT] on August 2, 2018.
The licensee notified the NRC Resident Inspector.
The following was received via telephone and email notification from Millstone Power Station:
Millstone Power Station Unit 3, identified that the underground pipe to the Condensate Surge Tank had leaked greater than 100 gallons of water that included trace amounts of tritium to the ground. The effected piping is inside the protected area and has been isolated and drained.
No tritium has been detected in any monitoring wells outside of the Protected Area. There is no threat to employees or the public or impact to drinking water.
The Connecticut Department of Energy and Environmental Protection, and the towns of Waterford and East Lyme were notified at approximately 1300 [EDT] on August 2, 2018.
The licensee notified the NRC Resident Inspector.
Agreement State
Event Number: 53534
Rep Org: TEXAS DEPT OF STATE HEALTH SERVICES
Licensee: ATLAS ROOFING CORPORATION
Region: 4
City: DAINGERFIELD State: TX
County:
License #: GLA 02416
Agreement: Y
Docket:
NRC Notified By: ART TUCKER
HQ OPS Officer: BRIAN LIN
Licensee: ATLAS ROOFING CORPORATION
Region: 4
City: DAINGERFIELD State: TX
County:
License #: GLA 02416
Agreement: Y
Docket:
NRC Notified By: ART TUCKER
HQ OPS Officer: BRIAN LIN
Notification Date: 08/02/2018
Notification Time: 14:23 [ET]
Event Date: 08/02/2018
Event Time: 00:00 [CDT]
Last Update Date: 08/02/2018
Notification Time: 14:23 [ET]
Event Date: 08/02/2018
Event Time: 00:00 [CDT]
Last Update Date: 08/02/2018
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
10 CFR Section:
AGREEMENT STATE
Person (Organization):
VINCENT GADDY (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
VINCENT GADDY (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
AGREEMENT STATE REPORT - STUCK SHUTTER
The following information was received from the State of Texas:
"On August 2, 2018, the Incident Investigation Program (IIP) was given a copy of a request for reciprocity to perform work on a nuclear gauge stuck shutter at the licensee's location. IIP searched its database and found that the gauge, a ThermoFisher model SUP-1C gauge containing a 100 millicurie (original activity) strontium - 90 source, had been reported as stuck and repaired on June 20, 2018 (EN 52815). The licensee was contacted
and the radiation safety officer (RSO) stated the gauge General Lic - GLA had stuck again this time in the closed position. The gauge does not present an exposure risk to any individual. The RSO stated he did not realize a shutter in the stuck closed position needed to be reported. Additional information will be provided as it is received in accordance with SA-300."
Texas Incident Number: 9603
The following information was received from the State of Texas:
"On August 2, 2018, the Incident Investigation Program (IIP) was given a copy of a request for reciprocity to perform work on a nuclear gauge stuck shutter at the licensee's location. IIP searched its database and found that the gauge, a ThermoFisher model SUP-1C gauge containing a 100 millicurie (original activity) strontium - 90 source, had been reported as stuck and repaired on June 20, 2018 (EN 52815). The licensee was contacted
and the radiation safety officer (RSO) stated the gauge General Lic - GLA had stuck again this time in the closed position. The gauge does not present an exposure risk to any individual. The RSO stated he did not realize a shutter in the stuck closed position needed to be reported. Additional information will be provided as it is received in accordance with SA-300."
Texas Incident Number: 9603
Agreement State
Event Number: 53535
Rep Org: LOUISIANA RADIATION PROTECTION DIV
Licensee: EXXONMOBIL CHEMICAL CO.
Region: 4
City: BATON ROUGE State: LA
County:
License #: LA-2349-L01
Agreement: Y
Docket:
NRC Notified By: JOE NOBLE
HQ OPS Officer: VINCE KLCO
Licensee: EXXONMOBIL CHEMICAL CO.
Region: 4
City: BATON ROUGE State: LA
County:
License #: LA-2349-L01
Agreement: Y
Docket:
NRC Notified By: JOE NOBLE
HQ OPS Officer: VINCE KLCO
Notification Date: 08/02/2018
Notification Time: 16:46 [ET]
Event Date: 08/02/2018
Event Time: 00:00 [CDT]
Last Update Date: 08/02/2018
Notification Time: 16:46 [ET]
Event Date: 08/02/2018
Event Time: 00:00 [CDT]
Last Update Date: 08/02/2018
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
10 CFR Section:
AGREEMENT STATE
Person (Organization):
VINCENT GADDY (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
VINCENT GADDY (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
AGREEMENT STATE REPORT - GAUGE FAILURES
The following information was received from the State of Louisiana via email:
"On 07/26/2018, [the] Radiation Safety Officer (RSO) for ExxonMobil Chemical Co. (ExMCo) reported a multi-source gauge failure to the Department [Louisiana Department of Environmental Quality], LDEQ by e-mail. On 07/25/2018 during routine annual maintenance and pm [preventative maintenance] checks it was discovered the level/density gauge had several shutters stuck in the open position. Three sources would not retract into the shielded position. However, the remaining four sources are functioning properly.
"The gauge is a Berthold Technologies USA multi-source device, Model LB 300 IS, utilizing AEA Technologies, Model CKC.P4 sources. There are seven [nominal] 50 mCi Co-60 sources in the device. The sources involved in this malfunction are source #1 s/n 1369-08-02, source #2 s/n 1370-08-02, and source #6 s/n 1374-08-02. All three sources will not retract into the shielded position. The device has a SS&D Registration # TN-1031-D-801-S.
"Only one device was manufactured and is no longer being manufactured. The manufacturer is Berthold Technologies GmbH & Co. KG, D-75323 Bad Wildbad Germany. The Berthold Model LB300 IS level density gauge is installed on G-Line High Pressure Reactor Vessel, V5300 and G-Line high pressure separator production line.
"ExMCo engineers and Flowmaster/Berthold engineers & service company have been contacted to fix the problem by repairing the source holders or replace the device with other comparable technology.
"Event type: The gauge is installed on processes and does not pose a health and safety threat to the general public or the ExMCo employees. The gauge will remain on the operational process until the repair is made to the device. This is considered an equipment failure for reporting requirements.
"Event Location: ExxonMobil Chemical Co.
Baton Rouge Plastics Plant
11675 Scotland Avenue, (Hwy 19)
Baton Rouge, LA 70807,
"Event description: Shutters stuck in the open position or difficult to operate shutters were detected on a level/density gauge installed on processes at ExMCo. A service company has been contacted to make the repair or replace the device. The Department will be provided a final report with corrective actions. The Department was notified and the incident was reported to the NRC Operation Center. The report to the NRC as required by 10 CFR Part 30.50 (b) (2) and required by LAC 33:XV.341.B.2.b."
Louisiana Event: LA 180015
The following information was received from the State of Louisiana via email:
"On 07/26/2018, [the] Radiation Safety Officer (RSO) for ExxonMobil Chemical Co. (ExMCo) reported a multi-source gauge failure to the Department [Louisiana Department of Environmental Quality], LDEQ by e-mail. On 07/25/2018 during routine annual maintenance and pm [preventative maintenance] checks it was discovered the level/density gauge had several shutters stuck in the open position. Three sources would not retract into the shielded position. However, the remaining four sources are functioning properly.
"The gauge is a Berthold Technologies USA multi-source device, Model LB 300 IS, utilizing AEA Technologies, Model CKC.P4 sources. There are seven [nominal] 50 mCi Co-60 sources in the device. The sources involved in this malfunction are source #1 s/n 1369-08-02, source #2 s/n 1370-08-02, and source #6 s/n 1374-08-02. All three sources will not retract into the shielded position. The device has a SS&D Registration # TN-1031-D-801-S.
"Only one device was manufactured and is no longer being manufactured. The manufacturer is Berthold Technologies GmbH & Co. KG, D-75323 Bad Wildbad Germany. The Berthold Model LB300 IS level density gauge is installed on G-Line High Pressure Reactor Vessel, V5300 and G-Line high pressure separator production line.
"ExMCo engineers and Flowmaster/Berthold engineers & service company have been contacted to fix the problem by repairing the source holders or replace the device with other comparable technology.
"Event type: The gauge is installed on processes and does not pose a health and safety threat to the general public or the ExMCo employees. The gauge will remain on the operational process until the repair is made to the device. This is considered an equipment failure for reporting requirements.
"Event Location: ExxonMobil Chemical Co.
Baton Rouge Plastics Plant
11675 Scotland Avenue, (Hwy 19)
Baton Rouge, LA 70807,
"Event description: Shutters stuck in the open position or difficult to operate shutters were detected on a level/density gauge installed on processes at ExMCo. A service company has been contacted to make the repair or replace the device. The Department will be provided a final report with corrective actions. The Department was notified and the incident was reported to the NRC Operation Center. The report to the NRC as required by 10 CFR Part 30.50 (b) (2) and required by LAC 33:XV.341.B.2.b."
Louisiana Event: LA 180015
Agreement State
Event Number: 53539
Rep Org: OHIO BUREAU OF RADIATION PROTECTION
Licensee: KETTERING MEDICAL CENTER
Region: 3
City: KETTERING State: OH
County: MONTGOMERY
License #: 02120580021
Agreement: Y
Docket:
NRC Notified By: MICHAEL J RUBADUE
HQ OPS Officer: BRIAN LIN
Licensee: KETTERING MEDICAL CENTER
Region: 3
City: KETTERING State: OH
County: MONTGOMERY
License #: 02120580021
Agreement: Y
Docket:
NRC Notified By: MICHAEL J RUBADUE
HQ OPS Officer: BRIAN LIN
Notification Date: 08/08/2018
Notification Time: 16:46 [ET]
Event Date: 08/02/2018
Event Time: 00:00 [EDT]
Last Update Date: 08/08/2018
Notification Time: 16:46 [ET]
Event Date: 08/02/2018
Event Time: 00:00 [EDT]
Last Update Date: 08/08/2018
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
10 CFR Section:
AGREEMENT STATE
Person (Organization):
MICHAEL KUNOWSKI (R3DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
PATRICIA MILLIGAN (INES)
DAN COLLINS (EMAIL)
MICHAEL KUNOWSKI (R3DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
PATRICIA MILLIGAN (INES)
DAN COLLINS (EMAIL)
AGREEMENT STATE REPORT - PATIENT OVEREXPOSURE
The following information was received via E-mail:
"The licensee reported to the [Ohio] Department [of Health] on 8/3/2018 that a potential medical event had occurred due to a delay in a surgical procedure. The delay was caused by the insurance company rescinding approval to remove a breast tumor until three medical opinions were obtained. The licensee implanted a 472 microCi I-125 seed [radioactive seed localization] (RSL) in the tumor on 5/29/2018 after receiving approval from the insurance company. The surgery was scheduled for 6/4/2018. The expected dose to the patient was 12.65 Rem to the tissue and 1.52 Rem EDE [Effective Dose Equivalent]. The surgery was delayed until approval from the insurance company was obtained, and was performed on 8/2/2018. The delay resulted in a tissue dose of 99.45 Rem and EDE of 11.93 Rem.
"A follow-up will be conducted with the routine inspection in September."
Ohio State Report: OH180006
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 information was received via E-mail:
"The licensee reported to the [Ohio] Department [of Health] on 8/3/2018 that a potential medical event had occurred due to a delay in a surgical procedure. The delay was caused by the insurance company rescinding approval to remove a breast tumor until three medical opinions were obtained. The licensee implanted a 472 microCi I-125 seed [radioactive seed localization] (RSL) in the tumor on 5/29/2018 after receiving approval from the insurance company. The surgery was scheduled for 6/4/2018. The expected dose to the patient was 12.65 Rem to the tissue and 1.52 Rem EDE [Effective Dose Equivalent]. The surgery was delayed until approval from the insurance company was obtained, and was performed on 8/2/2018. The delay resulted in a tissue dose of 99.45 Rem and EDE of 11.93 Rem.
"A follow-up will be conducted with the routine inspection in September."
Ohio State Report: OH180006
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.
Part 21
Event Number: 53664
Rep Org: ABB MOTORS AND MECHANICAL
Licensee: ABB MOTORS AND MECHANICAL
Region: 1
City: FLOWERY BRANCH State: GA
County:
License #:
Agreement: Y
Docket:
NRC Notified By: SHELDON THOMAS
HQ OPS Officer: BETHANY CECERE
Licensee: ABB MOTORS AND MECHANICAL
Region: 1
City: FLOWERY BRANCH State: GA
County:
License #:
Agreement: Y
Docket:
NRC Notified By: SHELDON THOMAS
HQ OPS Officer: BETHANY CECERE
Notification Date: 10/12/2018
Notification Time: 15:04 [ET]
Event Date: 08/02/2018
Event Time: 00:00 [EDT]
Last Update Date: 03/04/2019
Notification Time: 15:04 [ET]
Event Date: 08/02/2018
Event Time: 00:00 [EDT]
Last Update Date: 03/04/2019
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):
GLENN DENTEL (R1DO)
PART 21/50.55 REACTORS (EMAIL)
GLENN DENTEL (R1DO)
PART 21/50.55 REACTORS (EMAIL)
INTERIM PART 21 REPORT - EVALUATION OF MOTORS
The following information was received by from ABB Motors and Mechanical INC by facsimile:
"Pursuant to 10 CFR 21.21(a)(2) this letter provides an interim report concerning an evaluation being performed by ABB Motors and Mechanical Inc. (formerly Baldor Electric Company) on three 40 ft-lb, 56 frame, 2-pole AC electric motors. The issue being evaluated pertains to the abnormal appearance of cracked paint and minor deformation around the stator pin which is located in the motor housing shell.
"The three motors were supplied to Flowserve - Limitorque on a single purchase order in April 2013. The issue being evaluated was identified after MOV production set-up and testing at the valve manufacturing facility. The equipment had not been supplied to a nuclear power plant and thus had not been placed into service.
"The discovery date of the condition being evaluated is August 2, 2018. Evaluation of reportability cannot be completed within the initial evaluation period due to the need to perform additional inspections of motors manufactured in the same period. ABB is working with Flowserve - Limitorque to expedite the additional inspections and testing. It is anticipated that this will be completed by 01/11/2019.
"An initial review of ABB's records indicate that since 1998 ABB has supplied approximately 670, 56-frame AC electric motors of 40 and 60 ft-lb. to Flowserve - Limitorque. Flowserve - Limitorque communicated to ABB that there have been no previously reported occurrences of this issue nor any reported motor failures related to this issue.
"(i) Name and address of the individual or individuals informing the Commission.
"Sheldon Thomas
QA Manager
ABB Motors and Mechanical Inc.
Flowery Branch, GA 30542
(678) 947 7350
"(ii) Identification of the facility, the activity, or the basic component supplied for such facility which fails to comply or contains a defect.
"The basic components being evaluated are Class 1E 40 ft-lb, 56 frame, 2-pole motors supplied to Flowserve - Limitorque for installation on valve actuators to be supplied into nuclear plant applications, to date, no basic components have been determined to contain a defect.
"(iii) Identification of the firm constructing the facility or supplying the basic component which fails to comply or contains a defect.
"The basic components being evaluated were supplied by ABB Motors and Mechanical Inc. (formerly Baldor Electric Company) ("ABB"), No basic components have been determined to contain a defect. This is an interim report.
"(iv) Nature of the defect or failure to comply and the safety hazard which is created or could be created by such defect or failure to comply
"ABB was contacted by our customer Flowserve - Limitorque regarding three 40 ft-lb, 56 frame, 2-pole AC electric motors which were reported to have an abnormal visual appearance of cracked paint and minor deformation of the motor housing material around the stator pin. The motor stator pin is installed through the motor housing shell into the stator assembly. ABB's initial inspection of the three motors suggested that the deformation around the pin may have occurred when the motor was operated during actuator and/or MOV production testing. ABB is evaluating whether this abnormal condition of the stator pin interface with the motor frame constitutes a defect that could potentially affect the safety related function of the motor. To date, no basic components have been determined to contain a defect. This is an interim report.
"(v) The date on which the information of such defect or failure to comply was obtained.
"The discovery date of the condition being evaluated is August 2, 2018,
"(vi) In the case of a basic component which contains a defect or fails to comply, the number and location of these components in use at, supplied for, being supplied for, or may be supplied for, manufactured, or being manufactured for one or more facilities or activities subject to the regulations in this part.
"At this time, no basic components have been determined to contain a defect.
"(vii) The corrective action, which has been, is being, or will be taken; the name of the individual or organization responsible for the action; and the length of time that has been or will be taken to complete the action.
"None at this time,
"(viii) Any advice related to the defect or failure to comply about the facility, activity, or basic component that has been, is being, or will be given to purchasers or licensees.
"None at this time."
* * * UPDATE AT 0815 EST ON 1/11/2019 FROM SHELDON THOMAS TO MARK ABRAMOVITZ * * *
The following information was received via fax:
"This letter is a follow-up to the initial Interim Notification dated October 12, 2018 (Ref. ML18302A229).
ABB continues to work with Flowserve-Limitorque to expedite the additional inspections of motors in the field and testing of motors pulled from inventory. The testing is necessary to assist in determination if the abnormal appearance and deformation constitutes a defect which would cause a substantial safety hazard.
"It is anticipated that this will be completed by February 28, 2019. At that time, motor testing should be complete and analysis of results conducted. ABB will then be able to determine if the nature of the condition is a substantial safety hazard and reportable. If further time is necessary for evaluation, a follow-up to this report will be filed.
"Since discovery of the condition, and to the date of this report, ABB and Flowserve-Limitorque are not aware of any confirmed field inspections by Flowserve-Limitorque's customer or the results of such inspections."
Notified the R1DO (Bower) and Part 21 Reactors Group (via e-mail).
* * * CLOSEOUT RECEIVED AT 1642 EST ON 3/4/20119 FROM SHELDON THOMAS TO MARK ABRAMOVITZ * * *
The following closeout was received by fax:
"ABB has completed the evaluation of the abnormal appearance of the three motors identified in this notification with the determination that this condition does not constitute a defect that would affect the safety related function of the motor."
Notified the R1DO (Werkheiser) and Part 21 Reactors Group (via e-mail).
The following information was received by from ABB Motors and Mechanical INC by facsimile:
"Pursuant to 10 CFR 21.21(a)(2) this letter provides an interim report concerning an evaluation being performed by ABB Motors and Mechanical Inc. (formerly Baldor Electric Company) on three 40 ft-lb, 56 frame, 2-pole AC electric motors. The issue being evaluated pertains to the abnormal appearance of cracked paint and minor deformation around the stator pin which is located in the motor housing shell.
"The three motors were supplied to Flowserve - Limitorque on a single purchase order in April 2013. The issue being evaluated was identified after MOV production set-up and testing at the valve manufacturing facility. The equipment had not been supplied to a nuclear power plant and thus had not been placed into service.
"The discovery date of the condition being evaluated is August 2, 2018. Evaluation of reportability cannot be completed within the initial evaluation period due to the need to perform additional inspections of motors manufactured in the same period. ABB is working with Flowserve - Limitorque to expedite the additional inspections and testing. It is anticipated that this will be completed by 01/11/2019.
"An initial review of ABB's records indicate that since 1998 ABB has supplied approximately 670, 56-frame AC electric motors of 40 and 60 ft-lb. to Flowserve - Limitorque. Flowserve - Limitorque communicated to ABB that there have been no previously reported occurrences of this issue nor any reported motor failures related to this issue.
"(i) Name and address of the individual or individuals informing the Commission.
"Sheldon Thomas
QA Manager
ABB Motors and Mechanical Inc.
Flowery Branch, GA 30542
(678) 947 7350
"(ii) Identification of the facility, the activity, or the basic component supplied for such facility which fails to comply or contains a defect.
"The basic components being evaluated are Class 1E 40 ft-lb, 56 frame, 2-pole motors supplied to Flowserve - Limitorque for installation on valve actuators to be supplied into nuclear plant applications, to date, no basic components have been determined to contain a defect.
"(iii) Identification of the firm constructing the facility or supplying the basic component which fails to comply or contains a defect.
"The basic components being evaluated were supplied by ABB Motors and Mechanical Inc. (formerly Baldor Electric Company) ("ABB"), No basic components have been determined to contain a defect. This is an interim report.
"(iv) Nature of the defect or failure to comply and the safety hazard which is created or could be created by such defect or failure to comply
"ABB was contacted by our customer Flowserve - Limitorque regarding three 40 ft-lb, 56 frame, 2-pole AC electric motors which were reported to have an abnormal visual appearance of cracked paint and minor deformation of the motor housing material around the stator pin. The motor stator pin is installed through the motor housing shell into the stator assembly. ABB's initial inspection of the three motors suggested that the deformation around the pin may have occurred when the motor was operated during actuator and/or MOV production testing. ABB is evaluating whether this abnormal condition of the stator pin interface with the motor frame constitutes a defect that could potentially affect the safety related function of the motor. To date, no basic components have been determined to contain a defect. This is an interim report.
"(v) The date on which the information of such defect or failure to comply was obtained.
"The discovery date of the condition being evaluated is August 2, 2018,
"(vi) In the case of a basic component which contains a defect or fails to comply, the number and location of these components in use at, supplied for, being supplied for, or may be supplied for, manufactured, or being manufactured for one or more facilities or activities subject to the regulations in this part.
"At this time, no basic components have been determined to contain a defect.
"(vii) The corrective action, which has been, is being, or will be taken; the name of the individual or organization responsible for the action; and the length of time that has been or will be taken to complete the action.
"None at this time,
"(viii) Any advice related to the defect or failure to comply about the facility, activity, or basic component that has been, is being, or will be given to purchasers or licensees.
"None at this time."
* * * UPDATE AT 0815 EST ON 1/11/2019 FROM SHELDON THOMAS TO MARK ABRAMOVITZ * * *
The following information was received via fax:
"This letter is a follow-up to the initial Interim Notification dated October 12, 2018 (Ref. ML18302A229).
ABB continues to work with Flowserve-Limitorque to expedite the additional inspections of motors in the field and testing of motors pulled from inventory. The testing is necessary to assist in determination if the abnormal appearance and deformation constitutes a defect which would cause a substantial safety hazard.
"It is anticipated that this will be completed by February 28, 2019. At that time, motor testing should be complete and analysis of results conducted. ABB will then be able to determine if the nature of the condition is a substantial safety hazard and reportable. If further time is necessary for evaluation, a follow-up to this report will be filed.
"Since discovery of the condition, and to the date of this report, ABB and Flowserve-Limitorque are not aware of any confirmed field inspections by Flowserve-Limitorque's customer or the results of such inspections."
Notified the R1DO (Bower) and Part 21 Reactors Group (via e-mail).
* * * CLOSEOUT RECEIVED AT 1642 EST ON 3/4/20119 FROM SHELDON THOMAS TO MARK ABRAMOVITZ * * *
The following closeout was received by fax:
"ABB has completed the evaluation of the abnormal appearance of the three motors identified in this notification with the determination that this condition does not constitute a defect that would affect the safety related function of the motor."
Notified the R1DO (Werkheiser) and Part 21 Reactors Group (via e-mail).