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Event Notification Report for February 11, 2019

U.S. Nuclear Regulatory Commission
Operations Center

EVENT REPORTS FOR
02/10/2019 - 02/11/2019

EVENT NUMBERS
5388653869

Agreement State
Event Number: 53886
Rep Org: COLORADO DEPT OF PUBLIC HEALTH
Licensee: CARDINAL HEALTH 414, LLC
Region: 4
City: DENVER   State: CO
County:
License #: CO 1219-01
Agreement: Y
Docket:
NRC Notified By: PHILLIP PETERSON
HQ OPS Officer: JOANNA BRIDGE
Notification Date: 02/20/2019
Notification Time: 17:21 [ET]
Event Date: 02/11/2019
Event Time: 00:00 [MST]
Last Update Date: 02/20/2019
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
ANNE DeFRANCISCO (R1DO)
RICK DEESE (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB (EMAIL)
Event Text
AGREEMENT STATE REPORT - LOST PACKAGE CONTAINING RA-223

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

"On February 14th, 2019, a written report was received from Cardinal Health detailing the events of a lost package containing 180.3 microCi (shipped activity) Ra-223. The package was lost in transit on February 11th, the intended recipient was in Savannah, GA. The courier for the package was a [Common Carrier]. A search by the [Common Carrier] located the package on the side of the road on February 12th in the Savannah, GA area. Regional Cardinal Health technicians were dispatched to the found package and determined that the transport index was as expected and the package indicated no removable contamination. Cardinal Health took possession of the package for decay-in-storage."

CO Event Report ID No.: CO190002

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


!!!!! THIS EVENT HAS BEEN RETRACTED !!!!!
!!!!! THIS EVENT HAS BEEN RETRACTED !!!!!
Fuel Cycle Facility
Event Number: 53869
Facility: LOUISIANA ENERGY SERVICES
Region: 2     State: NM
Unit: [] [] []
RX Type:
NRC Notified By: RICARDO MEDINA
HQ OPS Officer: RICHARD SMITH
Notification Date: 02/12/2019
Notification Time: 13:55 [ET]
Event Date: 02/11/2019
Event Time: 15:19 [MST]
Last Update Date: 03/07/2019
Emergency Class: NON EMERGENCY
10 CFR Section:
PART 70 APP A (b)(2) - LOSS OR DEGRADED SAFETY ITEMS
Person (Organization):
ERIC MICHEL (R2DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
Event Text
LOSS OR DEGRADATION OF SAFETY ITEMS

"[On February 11, 2019 at 1519 MST,] it was discovered that the calibration certificates for Measuring and Testing Equipment (M&TE) used to perform temperature trip IROFS [Items Relied On For Safety] surveillances, only had 1 set of calibration data. The instruments have an internal temperature sensor and an external input for temperature. Previously, the IROFS surveillances for IROFS 1, 2, 4, 5, 11, 43, C15, and C16 were performed using the external input.

"An external vendor, that performs the calibration for this M&TE, confirmed that the calibration had only been performed on the internal temperature sensor. This issue of how ATC-1 and ATC-2 (Jofra brand dry-block temperature calibrators) were calibrated is not currently an issue, as UUSA [URENCO USA] now only uses the Jofras as a heat source and uses a separately calibrated resistance temperature detector (RTD) and display for IROFS surveillances.

"Further investigation findings showed that a number of UF6 stations had not had their scheduled surveillance with the new method using a separately calibrated RTD. In total, 25 stations had their required annual IROFS surveillances performed with M&TE equipment which used an input that was not properly calibrated.

"The plant is in a safe condition."

The licensee will be contacting Region II.

* * * RETRACTION ON 3/7/2019 AT 1518 EST FROM BLAKE BIXENMAN TO ANDREW WAUGH * * *

"Event Notification (EN) 53869, made February 11, 2019, reported a condition in accordance with Appendix A to 10 CFR 70 (b)(2). The notification described degradation of items relied on for safety (IROFS) that could potentially result in failure to meet the performance requirements of 10 CFR 70.61.

"This notification was prompted by improperly calibrated Measuring and Testing Equipment (M&TE) which was used to perform surveillance activities for IROFS 1, 2, 4, 5, 11, 43, C15, and C16. At the time of the report, functionality of the IROFS' Active Engineered Controls within the acceptable parameters could not be verified. Therefore, URENCO USA (UUSA) conservatively assumed a degradation of IROFS resulting in failure to meet the performance requirements of 10 CFR 70.61.

"Since the time of the initial report, UUSA has re-performed surveillance activities using approved methods and obtained as found tolerances of the Active Engineered Controls for all of the affected stations. With this supporting data, UUSA has concluded that the affected IROFS were, at all times, operating below the maximum IROFS trip set point.

"The operating events using improperly calibrated M&TE can be categorized as events with low safety significance since they would not have resulted in breached/ruptured UF6 cylinders. Cylinder integrity would not have been compromised, as the temperature sensors were found to be available and reliable to perform their safety function. This correlates with a low consequence event.

"Based on engineering determinations and as found trip set points, the condition reported in EN 53869 did not result in failure to meet the performance requirements of 10 CFR 70.61. Therefore, the reported condition did not exceed the criteria which would necessitate an event be reported to the NRC. URENCO USA hereby retracts EN 53869."

The licensee has notified Region II.

Notified R2DO (Desai) and NMSS Events Notification (email).