The U.S. Nuclear Regulatory Commission is in the process of rescinding or revising guidance and policies posted on this webpage in accordance with Executive Order 14151 Ending Radical and Wasteful Government DEI Programs and Preferencing, and Executive Order 14168 Defending Women From Gender Ideology Extremism and Restoring Biological Truth to the Federal Government. In the interim, any previously issued diversity, equity, inclusion, or gender-related guidance on this webpage should be considered rescinded that is inconsistent with these Executive Orders.

Event Notification Report for May 30, 2001

                    U.S. Nuclear Regulatory Commission
                              Operations Center

                              Event Reports For
                           05/29/2001 - 05/30/2001

                              ** EVENT NUMBERS **

37902  38030  38035  

+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   37902       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: CRYSTAL RIVER            REGION:  2  |NOTIFICATION DATE: 04/09/2001|
|    UNIT:  [3] [] []                 STATE:  FL |NOTIFICATION TIME: 11:08[EDT]|
|   RXTYPE: [3] B&W-L-LP                         |EVENT DATE:        04/09/2001|
+------------------------------------------------+EVENT TIME:        09:54[EDT]|
| NRC NOTIFIED BY:  RICHARD SWEENEY              |LAST UPDATE DATE:  05/29/2001|
|  HQ OPS OFFICER:  STEVE SANDIN                 +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          NON EMERGENCY         |CAUDLE JULIAN        R2      |
|10 CFR SECTION:                                 |                             |
|*PRE 50.72(b)(2)(xi)     OFFSITE NOTIFICATION   |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR|   INIT RX MODE  |CURR PWR|  CURR RX MODE   |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|3     N          Y       100      Power Operation  |100      Power Operation  |
|                                                   |                          |
|                                                   |                          |
+------------------------------------------------------------------------------+
                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| OFFSITE NOTIFICATION TO THE NATIONAL MARINE AND FISHERIES SERVICE AS A       |
| RESULT OF THE ENDANGERED SEA TURTLES NON-LETHAL TAKE LIMIT BEING EXCEEDED    |
|                                                                              |
| "On April 09, 2001 at 0940 the 40th non-lethal sea turtle take in the        |
| biennial period occurred.                                                    |
|                                                                              |
| "In accordance with Crystal River Unit #3 Operating License, Appendix B,     |
| Environmental Protection Plan (Non-Radiological),  'Endangered or threatened |
| sea turtles shall be protected in accordance with the Incidental Take        |
| Statement issued by the National Marine and Fisheries Service (NMFS).'  The  |
| NMFS has established numerical limits on live takes, lethal takes causally   |
| related to plant operation, and lethal takes not related to plant            |
| operations.                                                                  |
|                                                                              |
| "The NMFS must be notified within five days whenever:                        |
|                                                                              |
| a.  The 40th non-lethal take occurs in the biennial period, or               |
| b.  The third causally related mortality occurs in the biennial period, or   |
| c.   The sixth non-causally related mortality occurs in the biennial         |
| period.                                                                      |
|                                                                              |
| "The current biennial period for monitoring sea turtle takes began January   |
| 1, 2001.                                                                     |
|                                                                              |
| "Thus, in accordance with Crystal Unit #3 Administrative Instruction 571,    |
| Sea Turtle Rescue and Handling Guidance, the NMFS must be notified within    |
| five days.                                                                   |
|                                                                              |
| "In accordance with Crystal River Unit #3 Compliance Procedure 151, External |
| Reporting Requirements, this 40th non-lethal sea turtle take is Reportable   |
| as a 4-Hour Report under 10 CFR 50.72(b)(2)(xi) as this event is related to  |
| the protection of the environment for which a notification to other          |
| government agencies has been or will be made."                               |
|                                                                              |
| The licensee will inform the NRC resident inspector.                         |
|                                                                              |
| * * * UPDATE 0944EDT ON 4/10/01 FROM R. SWEENEY TO S. SANDIN * * *           |
|                                                                              |
| "On April 10, 2001 at 0859 the 41st non-lethal sea turtle take in the        |
| biennial period occurred."                                                   |
|                                                                              |
| The licensee informed the NRC resident inspector.  Notified R2DO(Julian).    |
|                                                                              |
| ***** UPDATE RECEIVED AT 0911 ON 04/17/01 FROM CHRISTOPHER PELLERIN TO LEIGH |
| TROCINE *****                                                                |
|                                                                              |
| The 42nd, non-lethal, sea turtle take in the biennial period occurred at     |
| 0810 on April 17, 2001.                                                      |
|                                                                              |
| The licensee notified the NRC resident inspector.  The NRC operations        |
| officer notified the R2DO (Ernstes).                                         |
|                                                                              |
| * * * UPDATE 1125 EDT ON 5/1/01 FROM DAVID SCHULKER TO FANGIE JONES * * *    |
|                                                                              |
| "On May 1, 2001 at 0805 a turtle was identified as the 43rd rescued, live    |
| sea turtle in this biennial period.  This sea turtle will be kept for a      |
| short observation period and then safely returned to the environment."       |
|                                                                              |
| The licensee will inform the NRC Resident Inspector and the National         |
| Wildlife and Fisheries Service.  Notified R2DO(Jay Henson).                  |
|                                                                              |
| * * * UPDATE ON 5/29/01 BY FERGUSON TO SANDIN * * *                          |
|                                                                              |
| On May 29, 2001 at 0943 two turtles were identified as the 44th and 45th     |
| rescued, Iive Sea turtles in this biennial period. These healthy sea turtles |
| will be kept for a short observation period and then safely returned to the  |
| environment.                                                                 |
|                                                                              |
|                                                                              |
| This is Reportable as a 4-Hour Report under 10 CFR 50.72 (b) (2) (xi) as     |
| this event is related to the protection of the environment for which a       |
| notification to other government agencies has been or will be made. This is  |
| an update to event 37902.                                                    |
|                                                                              |
| The NRC Resident Inspector was notified.  The REG2 RDO(Barr) was informed.   |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|General Information or Other                     |Event Number:   38030       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG:  CA RADIATION CONTROL PRGM            |NOTIFICATION DATE: 05/24/2001|
|LICENSEE:  IBA/STERIGENICS INTERNATIONAL        |NOTIFICATION TIME: 23:05[EDT]|
|    CITY:  CORONA                   REGION:  4  |EVENT DATE:        04/24/2001|
|  COUNTY:                            STATE:  CA |EVENT TIME:             [PDT]|
|LICENSE#:  5956-33               AGREEMENT:  Y  |LAST UPDATE DATE:  05/29/2001|
|  DOCKET:                                       |+----------------------------+
|                                                |PERSON          ORGANIZATION |
|                                                |MARK SHAFFER         R4      |
|                                                |THOMAS ESSIG         NMSS    |
+------------------------------------------------+                             |
| NRC NOTIFIED BY:  ROBERT GREGER                |                             |
|  HQ OPS OFFICER:  BOB STRANSKY                 |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          NON EMERGENCY         |                             |
|10 CFR SECTION:                                 |                             |
|NAGR                     AGREEMENT STATE        |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+------------------------------------------------------------------------------+

                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| AGREEMENT STATE REPORT                                                       |
|                                                                              |
| On 4/24/2001, an irradiator facility experienced a loss of electrical power  |
| to a programmable logic controller (PLC) which resulted in the inability to  |
| automatically lower the source racks. The source racks were manually lowered |
| to a safe condition upon discovery of the failure.                           |
|                                                                              |
| The following information was provided by the licensee to the California     |
| Radiation Control Program on 5/15/2001:                                      |
|                                                                              |
| "Description of Events:                                                      |
|                                                                              |
| "The first indication that there was a problem came at 9:00 p.m. 4/24/01,    |
| when the in-line water monitor signaled a failure. The Shift Leader took     |
| appropriate action per the Emergency Procedures and determined that there    |
| was no radiation present in the water system. He notified the QA Technician, |
| who had performed a calibration of the monitor that afternoon.               |
|                                                                              |
| "After reviewing the procedure followed for calibration routine and          |
| determining that no problems occurred with the calibration that would trip   |
| the alarm, the QA Technician, notified the facility Radiation Protection     |
| Office (RPO). She determined that this was a false alarm, probably caused by |
| air bubbles in the system, as has previously occurred with the water         |
| monitor. [... Permission was given] to allow the system to continue running  |
| with the water alarm disarmed until more investigation could be performed in |
| the morning.                                                                 |
|                                                                              |
| "Starting at about 7:00 a.m., additional water counts, using the monitor,    |
| were taken and resulted in normal background readings. Since the routine     |
| counts showed expected background levels and the alarm did not activate      |
| again, the concluded that a pocket of water bubbles from a filter change had |
| worked its way through the system and caused spurious readings on the        |
| monitor, which had occurred on previous occasions. All of the events to this |
| point were consistent with this determination.                               |
|                                                                              |
| "At 8:20 am., the Operator notified the RPO that the in-line alarm was       |
| sounding again. On reviewing the PLC control panel, she noted that none of   |
| the indicators on the panel were lit, as they should have been, even though  |
| the computer monitor (PLC user interface) was operating. In concert with the |
| Plant Manager, they determined that the audible alarm that the Operator      |
| heard was not the in-line monitor, but was an alarm indicating that the PLC  |
| was off-line.                                                                |
|                                                                              |
| "Further investigation revealed that the system conveyor had stopped moving  |
| (i.e., product was stationary within the cell), but that the source racks    |
| bad not automatically returned to the shielded position, as they should      |
| have, the source racks were manually lowered from the roof by 8:40 a.m.      |
| During this time, the door interlock continued to function properly,         |
| prohibiting access to the cell through the personnel access door.            |
|                                                                              |
| "In determining the probable cause of the event, the first evaluation was    |
| that the power supply had malfunctioned. However, upon further               |
| investigation, it was determined that the most probable cause was an         |
| electrical short in the system. After extensive trouble-shooting and         |
| investigation, the electrical short was finally located in the line going to |
| one of the emergency pull cords in the cell. The cable had actually melted   |
| at the point of the failure.                                                 |
|                                                                              |
| "That part of the systems was rewired and the system restarted at            |
| approximately 4:00 p.m. The safety system was checked for proper operation   |
| and routine processing resumed at 4:45 p.m.                                  |
|                                                                              |
| "Evaluation of Event and Root Cause:                                         |
|                                                                              |
| "Upon Engineering review of the electrical drawings, it was determined that  |
| a short circuit on the pull cords or other devices could have tripped one of |
| the circuit breakers, power from which feeds the PLC and other modules in    |
| the PLC rack. The audible alarm was the PLC Off Line Sonalert, which, as     |
| intended, served as a warning the PLC was not operating. With the PLC off,   |
| there was no power control to lower the source racks. In normal              |
| circumstances of power failure, the uninterruptible power supply (UPS)       |
| provides adequate emergency power to lower the source racks by releasing the |
| hoist brakes in a pulsed mode. However, with the PLC not operating, this     |
| power was not supplied to the brakes, which then had to be released          |
| manually.                                                                    |
|                                                                              |
| "The water monitor alarm activation was probably caused by shorting line     |
| voltage to the grounding circuit. This momentary surge in current,           |
| particularly on the ground path, could cause an erroneous indication at the  |
| monitor. Other facilities have had spurious water monitor alarms resulting   |
| from ground fault conditions.                                                |
|                                                                              |
| "Corrective Actions and Additional Considerations:                           |
|                                                                              |
| "Corrective actions to the event are:                                        |
|                                                                              |
| "1.     The circuit will be modified to ensure the PLC does not lose power   |
| if a device or device wiring causes a short circuit.                         |
|                                                                              |
| "2.     Additional training will be provided to operators to be more         |
| cognizant of the system response to a PLC off-line fault. While the PLC      |
| off-line alarm is a local alarm, meaning that it sounds at the control       |
| console and does not active general alarms throughout the warehouse, all     |
| system operations are stopped, including overhead conveyors and the 4-shelf  |
| elevator (i.e., device that shifts totes among positions in the carrier).    |
| The absence of movement in these systems should have alerted the operator to |
| a systemic failure of the controls. In this instance, the tune period        |
| between the equipment failure and initial resolution (manually lowering the  |
| source racks) was only a few minutes. Because the door interlock continues   |
| to function under these circumstances, the situation did not pose a          |
| radiation safety hazard to the operator or other personnel. Although,        |
| operator training currently includes instructions for determining console    |
| power status and the proper procedure for lowering the source racks under    |
| circumstances such as occurred here, the training will be reinforced and     |
| repeated                                                                     |
|                                                                              |
| "3.     To avoid further problems with the in-line water monitor alarm, an   |
| evaluation is being conducted to determine whether the water monitor can be  |
| connected to an isolated-ground receptacle and circuit. This would have the  |
| effect of making the monitor less affected by stray currents, and other      |
| sources of 'noise' on the power line."                                       |
|                                                                              |
| * * * UPDATE 0945EDT ON 5/29/01 FROM CA RAD CONTROL PRGM TO S. SANDIN * * *  |
|                                                                              |
| California Radiation Control Prgm update to identify NMED Report Number      |
| XCA52 for this incident.                                                     |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|General Information or Other                     |Event Number:   38035       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG:  BOWSER-MORNER INC                    |NOTIFICATION DATE: 05/29/2001|
|LICENSEE:  BOWSER-MORNER INC                    |NOTIFICATION TIME: 10:30[EDT]|
|    CITY:  TOLEDO                   REGION:  3  |EVENT DATE:        05/27/2001|
|  COUNTY:                            STATE:  OH |EVENT TIME:        09:30[EDT]|
|LICENSE#:  34-17390-02           AGREEMENT:  Y  |LAST UPDATE DATE:  05/29/2001|
|  DOCKET:                                       |+----------------------------+
|                                                |PERSON          ORGANIZATION |
|                                                |MARK RING            REG3    |
|                                                |LARRY CAMPER         NMSS    |
+------------------------------------------------+                             |
| NRC NOTIFIED BY:  ALLEN                        |                             |
|  HQ OPS OFFICER:  CHAUNCEY GOULD               |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          NON EMERGENCY         |                             |
|10 CFR SECTION:                                 |                             |
|BAB1 20.2201(a)(1)(i)    LOST/STOLEN LNM>1000X  |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+------------------------------------------------------------------------------+

                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| TROXLER GAUGE STOLEN FROM COMPANY TRUCK AT RESIDENCE                         |
|                                                                              |
| Sometime between 0200-0930 hours on 5/27 a company truck was broken into     |
| removing a Troxler gauge and it's case.  The gauge was properly stowed and   |
| it's case attached to the truck bed using a chain and lock.  The truck was   |
| parked overnight at the residence of the employee at 402 Lochmoor Drive in   |
| Temperance, MI.  The stolen Troxler is a model 3401B, S/N 13442, whose last  |
| measured activity on 4/30/01 was 5.6 mCi Cs-137 and 39 mCi Am-241/Be.  The   |
| Monroe County Sheriffs Department in Temperance, MI and Ohio Department of   |
| Health were both notified.  The licensee plans on issuing a press release.   |
+------------------------------------------------------------------------------+


Page Last Reviewed/Updated Thursday, March 25, 2021