Event Notification Report for June 24, 2019

POTENTIAL UNANALYZED CONDITION DUE TO UNPROTECTED CONTROL CIRCUITS RUNNING THROUGH MUTILPLE FIRE AREAS

"During a review of industry Operating Experience it was identified that there were unprotected DC control circuits for
non safety-related DC motors which are routed from the Battery Charger Rooms to other separate fire areas. Circuit Breakers used to protect the motor power conductors appear to be inadequate to protect the control conductors. The concern is that under fire safe shutdown conditions, it is postulated that a fire in one area can cause short circuits potentially resulting in secondary fires or cable fires in other fire areas where the cables are routed. The secondary fires or cable failures are outside the assumptions of the 10 CFR 50 Appendix R Safe Shutdown Analysis.

"This condition is reportable as an 8-hour ENS report in accordance with 10 CFR 50.72(b)(3)(ii)(B) as an unanalyzed condition. Requirements of the Technical Requirements Manual (TRM) for the affected fire areas will be implemented."

The licensee has notified the NRC Resident Inspector.


* * * RETRACTION FROM ROBERT GRAHAM TO HOWIE CROUCH AT 2045 EDT ON 9/30/19 * * *

"In accordance with NUREG-1022, Sections 2.8 and 5.1.2, James A. FitzPatrick Nuclear Power Plant is retracting (formally withdrawing) Licensee Event Report (LER) Number 2019-002.

"LER 2019-002 was transmitted to the NRC via letter JAFP-19-0080 dated August 23, 2019. The LER reported, under 10 CFR 50.73(a)(2)(ii)(B), the nuclear power plant being in an unanalyzed condition that significantly degraded plant safety.

"Subsequent to submittal of LER 2019-002, FitzPatrick Engineering completed analyses using more accurate input conditions. This analysis has determined no credible hot short scenario will result in damage to adjacent cables in other fire zones, showing that the postulated condition would not degrade plant safety. Therefore, James A. FitzPatrick Nuclear Power Plant is retracting LER 2019-002 [and this event notification]."

The licensee will notify the NRC Resident Inspector and the New York State Public Service Commission.


Notified R1DO (DeFrancisco).

AGREEMENT STATE REPORT - ADMINISTERED DOSE DIFFERENT THAN PRESCRIBED

The following was received from the North Carolina Radioactive Materials Branch via email:

"On 6/24/19, a patient underwent a Xofigo therapy treatment and did not receive the full dose as prescribed but had to return the following day to receive the full dose on 6/25/19. Due to the size of the patient and the fact that Xofigo doses typically arrive to the licensee in 10cc syringes, [in order] to accommodate the patient with the correct dose, the dose prescribed to the patient was split between two doses/syringes. On 6/24/19, licensee personnel delivered the first dose of 119.19 microCuries (Ra-223) which was approximately 50 percent of the prescribed dose. It was discovered after the patient was discharged that the remaining dose was still in the hot lab. The prescribing physician was immediately notified and the patient returned the following day, 6/25/19, and received the second dose of 114.5 microCuries (Ra-223). NC Radiation protection is currently investigation this incident and will follow up to close and complete this report."

NC tracking number: 190021

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.