Event Notification Report for October 11, 2019
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
10/10/2019 - 10/11/2019
Power Reactor
Event Number: 54325
Facility: CALVERT CLIFFS
Region: 1 State: MD
Unit: [1] [] []
RX Type: [1] CE,[2] CE
NRC Notified By: MICHAEL SAUL
HQ OPS Officer: DONALD NORWOOD
Region: 1 State: MD
Unit: [1] [] []
RX Type: [1] CE,[2] CE
NRC Notified By: MICHAEL SAUL
HQ OPS Officer: DONALD NORWOOD
Notification Date: 10/11/2019
Notification Time: 14:22 [ET]
Event Date: 10/11/2019
Event Time: 13:00 [EDT]
Last Update Date: 10/11/2019
Notification Time: 14:22 [ET]
Event Date: 10/11/2019
Event Time: 13:00 [EDT]
Last Update Date: 10/11/2019
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(i) - PLANT S/D REQD BY TS
10 CFR Section:
50.72(b)(2)(i) - PLANT S/D REQD BY TS
Person (Organization):
GLENN DENTEL (R1DO)
GLENN DENTEL (R1DO)
| Unit | SCRAM Code | RX Crit | Initial PWR | Initial RX Mode | Current PWR | Current RX Mode |
|---|---|---|---|---|---|---|
| 1 | N | Y | 96 | Power Operation | 30 | Power Operation |
TECHNICAL SPECIFICATION REQUIRED SHUTDOWN INITIATED
"At 1300 EDT, a Technical Specification required shutdown was initiated at Calvert Cliffs Unit 1. Technical Specification Action 3.1.4.C (Restore Control Element Assembly [CEA] alignment) was entered on 10/11/2019 at 1100 EDT, with a Required Action to reduce thermal power to less than 70 percent Rated Thermal Power and restore CEA alignment within 2 hours. This Required Action was not completed within the Completion Time; therefore, a Technical Specification required shutdown was initiated, and this event is being reported as a four-hour, non-emergency notification per 10 CFR 50.72(b)(2)(i).
"At 1345 EDT, CEA alignment was restored and Technical Specification 3.1.4 (Control Element Assembly Alignment) was met. Reactor Power is being stabilized.
"There was no impact on the health and safety of the public or plant personnel. The NRC Resident Inspector has been notified."
"At 1300 EDT, a Technical Specification required shutdown was initiated at Calvert Cliffs Unit 1. Technical Specification Action 3.1.4.C (Restore Control Element Assembly [CEA] alignment) was entered on 10/11/2019 at 1100 EDT, with a Required Action to reduce thermal power to less than 70 percent Rated Thermal Power and restore CEA alignment within 2 hours. This Required Action was not completed within the Completion Time; therefore, a Technical Specification required shutdown was initiated, and this event is being reported as a four-hour, non-emergency notification per 10 CFR 50.72(b)(2)(i).
"At 1345 EDT, CEA alignment was restored and Technical Specification 3.1.4 (Control Element Assembly Alignment) was met. Reactor Power is being stabilized.
"There was no impact on the health and safety of the public or plant personnel. The NRC Resident Inspector has been notified."
Agreement State
Event Number: 54326
Rep Org: TEXAS DEPT OF STATE HEALTH SERVICES
Licensee: EXXONMOBIL CORPORATION
Region: 4
City: BAYTOWN State: TX
County:
License #: RAM - L01134
Agreement: Y
Docket:
NRC Notified By: ARTHUR TUCKER
HQ OPS Officer: DONALD NORWOOD
Licensee: EXXONMOBIL CORPORATION
Region: 4
City: BAYTOWN State: TX
County:
License #: RAM - L01134
Agreement: Y
Docket:
NRC Notified By: ARTHUR TUCKER
HQ OPS Officer: DONALD NORWOOD
Notification Date: 10/11/2019
Notification Time: 16:35 [ET]
Event Date: 10/11/2019
Event Time: 00:00 [CDT]
Last Update Date: 10/11/2019
Notification Time: 16:35 [ET]
Event Date: 10/11/2019
Event Time: 00:00 [CDT]
Last Update Date: 10/11/2019
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
10 CFR Section:
AGREEMENT STATE
Person (Organization):
RAY KELLAR (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
RAY KELLAR (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
PROCESS GAUGE STUCK SHUTTER
The following information was receive from the Texas Department of State Health Services (the Agency) vial e-mail:
"On October 11, 2019, the Agency was notified by the licensee's radiation safety officer (RSO) that the shutter on a Vega Americas SHLG-2 source holder containing a 5,000 milliCurie cesium-137 source was stuck in the open position. The stuck shutter was found during a routine check of the gauge. Open is the normal operating position. The RSO stated the gauge does not pose an exposure risk to any individual. The RSO stated a service company has been contacted to look at the gauge. The RSO stated they have not determined if they will repair or replace the gauge. Additional information will be provided as it is received in accordance with SA 300."
Texas Incident No.: I-9720
The following information was receive from the Texas Department of State Health Services (the Agency) vial e-mail:
"On October 11, 2019, the Agency was notified by the licensee's radiation safety officer (RSO) that the shutter on a Vega Americas SHLG-2 source holder containing a 5,000 milliCurie cesium-137 source was stuck in the open position. The stuck shutter was found during a routine check of the gauge. Open is the normal operating position. The RSO stated the gauge does not pose an exposure risk to any individual. The RSO stated a service company has been contacted to look at the gauge. The RSO stated they have not determined if they will repair or replace the gauge. Additional information will be provided as it is received in accordance with SA 300."
Texas Incident No.: I-9720
Agreement State
Event Number: 54327
Rep Org: TEXAS DEPT OF STATE HEALTH SERVICES
Licensee: MEMORIAL HERMANN HEALTH SYSTEM
Region: 4
City: HOUSTON State: TX
County:
License #: RAM - L00650
Agreement: Y
Docket:
NRC Notified By: ARTHUR TUCKER
HQ OPS Officer: DONALD NORWOOD
Licensee: MEMORIAL HERMANN HEALTH SYSTEM
Region: 4
City: HOUSTON State: TX
County:
License #: RAM - L00650
Agreement: Y
Docket:
NRC Notified By: ARTHUR TUCKER
HQ OPS Officer: DONALD NORWOOD
Notification Date: 10/11/2019
Notification Time: 18:29 [ET]
Event Date: 10/11/2019
Event Time: 00:00 [CDT]
Last Update Date: 10/11/2019
Notification Time: 18:29 [ET]
Event Date: 10/11/2019
Event Time: 00:00 [CDT]
Last Update Date: 10/11/2019
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
10 CFR Section:
AGREEMENT STATE
Person (Organization):
RAY KELLAR (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
RAY KELLAR (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
AGREEMENT STATE REPORT - MISADMINISTRATION OF Y-90 MICROSPHERES
The following information was received from the Texas Department of State Health Services (the Agency) via E-mail:
"On October 11, 2019, the Agency was contacted by the licensee's radiation safety officer (RSO) who reported a medical event had occurred at their facility. The RSO stated that the event involved a patient who was to receive a treatment with yttrium-90 microspheres. The administering physician had difficulties setting up the injection apparatus and installed an additional piece of tubing in-line with the injection tubing. Because of the additional length of tubing, the patient received only five percent of the prescribed activity. The RSO stated there would be no adverse effects on the patient. The RSO stated both the patient and the prescribing physician have been notified of the error. The RSO stated that the bulk of the microspheres (activity) remained in the tubing and no contamination was found in the area where the treatment occurred. The RSO stated the physician decided they would perform the procedure again and use the activity needed to bring total activity administered to the activity initially prescribed. Additional information will be provided as it is received in accordance with SA-300."
Texas Incident No.: I-9721
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 from the Texas Department of State Health Services (the Agency) via E-mail:
"On October 11, 2019, the Agency was contacted by the licensee's radiation safety officer (RSO) who reported a medical event had occurred at their facility. The RSO stated that the event involved a patient who was to receive a treatment with yttrium-90 microspheres. The administering physician had difficulties setting up the injection apparatus and installed an additional piece of tubing in-line with the injection tubing. Because of the additional length of tubing, the patient received only five percent of the prescribed activity. The RSO stated there would be no adverse effects on the patient. The RSO stated both the patient and the prescribing physician have been notified of the error. The RSO stated that the bulk of the microspheres (activity) remained in the tubing and no contamination was found in the area where the treatment occurred. The RSO stated the physician decided they would perform the procedure again and use the activity needed to bring total activity administered to the activity initially prescribed. Additional information will be provided as it is received in accordance with SA-300."
Texas Incident No.: I-9721
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.