Event Notification Report for May 31, 2001
U.S. Nuclear Regulatory Commission Operations Center Event Reports For 05/30/2001 - 05/31/2001 ** EVENT NUMBERS ** 37990 38007 38036 38037 38038 +------------------------------------------------------------------------------+ |General Information or Other |Event Number: 37990 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | REP ORG: NC DIVISION OF RADIATION PROTECTION |NOTIFICATION DATE: 05/15/2001| |LICENSEE: S&ME |NOTIFICATION TIME: 14:56[EDT]| | CITY: GREENSBORO REGION: 2 |EVENT DATE: 05/12/2001| | COUNTY: STATE: NC |EVENT TIME: [EDT]| |LICENSE#: 041-0922-1 AGREEMENT: Y |LAST UPDATE DATE: 05/30/2001| | DOCKET: |+----------------------------+ | |PERSON ORGANIZATION | | |CHARLES R. OGLE R2 | | |DON COOL NMSS | +------------------------------------------------+ | | NRC NOTIFIED BY: SHARN JEFFRIES | | | HQ OPS OFFICER: LEIGH TROCINE | | +------------------------------------------------+ | |EMERGENCY CLASS: NON EMERGENCY | | |10 CFR SECTION: | | |NAGR AGREEMENT STATE | | | | | | | | | | | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | AGREEMENT STATE REPORT REGARDING A TROXLER MOISTURE DENSITY GAUGE | | LOST/STOLEN FROM S&ME IN WINSTON SALEM, NORTH CAROLINA | | | | The following text is a portion of a facsimile received from the North | | Carolina Department of Environment and Natural Resources, Division of | | Radiation Protection: | | | | "SUBJECT: Incident 01-14" | | | | "Today, a North Carolina Portable Gauge Licensee (S&ME 041-0922-1 | | Greensboro) reported a loss/theft of a Portable Moisture Density Gauge from | | Winston Salem, NC, between the evening on Friday, May 11, 2001, and | | Saturday, May 12, 2001. Local and State law enforcement agencies were | | notified on Saturday, May 12, 2001. This Agency was notified by NC | | Emergency Management of the incident at [1630] on Monday, May 14, 2001. The | | Licensee reported the incident to this Agency [on] May 15, 2001." | | | | "The device that was lost/stolen is:" | | | | "Troxler 3411B Moisture Density Gauge SN 14682 | | Cs-137 #50-3361 8 mCi | | Am-241:Be #47-10037 40 mCi" | | | | (Call the NRC operations officer for a State contact telephone number.) | | | | * * * UPDATE ON 05/30/01 AT 0938 ET BY SHARN JEFFRIES TAKEN BY MACKINNON * | | * * | | | | Troxler gauge was found by a member of the public and returned to the | | licensee. The licensee has shipped the gauge to Troxler for inspection and | | testing. R2DO (R. Bernhard) & NMSS EO (Fred Brown) notified. | +------------------------------------------------------------------------------+ !!!!!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED !!!!!!! +------------------------------------------------------------------------------+ |Fuel Cycle Facility |Event Number: 38007 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | FACILITY: PADUCAH GASEOUS DIFFUSION PLANT |NOTIFICATION DATE: 05/18/2001| | RXTYPE: URANIUM ENRICHMENT FACILITY |NOTIFICATION TIME: 08:36[EDT]| | COMMENTS: 2 DEMOCRACY CENTER |EVENT DATE: 05/17/2001| | 6903 ROCKLEDGE DRIVE |EVENT TIME: 14:40[CDT]| | BETHESDA, MD 20817 (301)564-3200 |LAST UPDATE DATE: 05/31/2001| | CITY: PADUCAH REGION: 3 +-----------------------------+ | COUNTY: McCRACKEN STATE: KY |PERSON ORGANIZATION | |LICENSE#: GDP-1 AGREEMENT: Y |GARY SHEAR R3 | | DOCKET: 0707001 | | +------------------------------------------------+ | | NRC NOTIFIED BY: MATT MAUER | | | HQ OPS OFFICER: DOUG WEAVER | | +------------------------------------------------+ | |EMERGENCY CLASS: NON EMERGENCY | | |10 CFR SECTION: | | |OCBA 76.120(c)(2) SAFETY EQUIPMENT FAILUR| | | | | | | | | | | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | SAFETY EQUIPMENT FAILURE | | | | At 1440 on 05/17/01, the Plant Shift Superintendent (PSS) was notified by | | engineering that load cell calibration data for the C-333 U/5 C/9 and C-337 | | U/2 C/2 freezer sublimers is suspected to be non-conforming. The load cells | | are part of the High High Weight Trip System for the freezer sublimers which | | is required by TSR to be operable. It is suspected that a batch of 24 load | | cells do not meet the specifications credited in the existing setpoint | | calculations and the calibration procedures. The load cell calibration data | | from 2 other load cells in this batch indicated less weight than what is | | actually applied. It has been determined that this deficiency may affect | | the freezer sublimers ability to actuate the High High Weight Trip System at | | the required Limited Control Setting (LCS). This deficiency would not | | affect the ability of the freezer sublimers to actuate the High High Weight | | Trip System below the Safety Limit (SL). These 2 suspected freezer | | sublimers were declared inoperable by the PSS. | | | | The safety system deficiency is reportable to the NRC as required by | | 10CFR76.120(c)(2). The equipment is required by TSR to be available and | | operable and should have been operating. No redundant equipment is | | available and operable to perform the required safety function. | | | | The NRC resident inspector was notified.. | | | | | | * * * UPDATE ON 5/30/01@ 2337 BY WALKER TO GOULD * * * RETRACTION | | | | Following the Identification of this problem, the suspected load cells were | | removed from service and tested. The test results were evaluated by the | | responsible System Engineer against the F/S set-point calculations and, | | although outside the optimum error band, the load cells were within the | | allowable error band and could have performed their intended safely function | | to trip the F/S at or below the High-High Weight Safety System setting. | | Thus, 10 CFR 76.120 (c)(2) reporting criteria is not met and the subject | | notification is being retracted. | | | | The NRC Resident Inspector was notified. | | | | The DOE Representitive will be notified. | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ |General Information or Other |Event Number: 38036 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | REP ORG: COLORADO DEPT OF HEALTH |NOTIFICATION DATE: 05/30/2001| |LICENSEE: SYNCOR |NOTIFICATION TIME: 12:51[EDT]| | CITY: GOLDEN REGION: 4 |EVENT DATE: 05/30/2001| | COUNTY: STATE: CO |EVENT TIME: 09:20[MDT]| |LICENSE#: 16205 AGREEMENT: Y |LAST UPDATE DATE: 05/30/2001| | DOCKET: |+----------------------------+ | |PERSON ORGANIZATION | | |DALE POWERS R4 | | |JOHN HICKEY NMSS | +------------------------------------------------+RUDOLPH BERNHARD R2 | | NRC NOTIFIED BY: PENTECOST | | | HQ OPS OFFICER: CHAUNCEY GOULD | | +------------------------------------------------+ | |EMERGENCY CLASS: NON EMERGENCY | | |10 CFR SECTION: | | |NAGR AGREEMENT STATE | | | | | | | | | | | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | On 4/27/01 Syncor reportedly shipped 68 I-125 bracytherapy seeds each | | containing 250 microcuries, to a facility in Atlanta, GA. The facility | | reported receiving 66 seeds. An investigation was unable to determine how | | many seeds were actually shipped. The discrepancy is believed due to a | | miscount at the time of shipment from Syncor. They are still investigating. | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ |Power Reactor |Event Number: 38037 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | FACILITY: NINE MILE POINT REGION: 1 |NOTIFICATION DATE: 05/30/2001| | UNIT: [] [2] [] STATE: NY |NOTIFICATION TIME: 17:20[EDT]| | RXTYPE: [1] GE-2,[2] GE-5 |EVENT DATE: 05/30/2001| +------------------------------------------------+EVENT TIME: 13:08[EDT]| | NRC NOTIFIED BY: PETRELLI |LAST UPDATE DATE: 05/30/2001| | HQ OPS OFFICER: CHAUNCEY GOULD +-----------------------------+ +------------------------------------------------+PERSON ORGANIZATION | |EMERGENCY CLASS: NON EMERGENCY |ERIC REBER R1 | |10 CFR SECTION: | | |*IND 50.72(b)(3)(v)(D) ACCIDENT MITIGATION | | | | | | | | | | | +-----+----------+-------+--------+-----------------+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ | | | |2 N Y 100 Power Operation |100 Power Operation | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | REACTOR CORE ISOLATION COOLING RCIC SYSTEM WAS DECLARED INOPERABLE | | | | | | The Reactor Core Isolation Cooling System (RCIC) was inoperable and | | available for planned maintenance and surveillance testing. During the | | planned surveillance testing it was discovered that the mechanical overspeed | | mechanism for the RCIC turbine was found tripped with no overspeed trip | | testing having been performed. The overspeed trip mechanism may be | | degraded thereby constituting a condition that could have prevented the | | system from performing its function. RCIC is currently in standby and | | inoperable but available. Trouble shooting is in progress to determine the | | cause of the trip. This report may be retracted if the cause of the trip is | | determined to not affect the operability of the system. | | | | | | The NRC Resident Inspector was notified. | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ |General Information or Other |Event Number: 38038 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | REP ORG: WA Division of Radiation Protection |NOTIFICATION DATE: 05/30/2001| |LICENSEE: ANVIL CORPORATION |NOTIFICATION TIME: 18:07[EDT]| | CITY: BELLINGHAM REGION: 4 |EVENT DATE: 05/11/2001| | COUNTY: STATE: WA |EVENT TIME: [PDT]| |LICENSE#: WN-IR031-1 AGREEMENT: Y |LAST UPDATE DATE: 05/30/2001| | DOCKET: |+----------------------------+ | |PERSON ORGANIZATION | | |DALE POWERS R4 | | |LARRY CAMPER NMSS | +------------------------------------------------+ | | NRC NOTIFIED BY: FRAZEE (E-MAIL) | | | HQ OPS OFFICER: CHAUNCEY GOULD | | +------------------------------------------------+ | |EMERGENCY CLASS: NON EMERGENCY | | |10 CFR SECTION: | | |NAGR AGREEMENT STATE | | | | | | | | | | | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | A 47.5 CURIE IR-192 SOURCE WOULD NOT RETRACT INTO THE CAMERA DUE TO | | RESISTANCE IN THE GUIDE TUBE. | | | | Radiographers were performing field site radiography at a refinery and a | | radiograph was required at about the 80 foot level on the refinery | | structure. The collimator was firmly taped to a wooden pole attached to the | | structure. The AEA Technologies, Model 660B camera and controls were | | placed on the next level down. Two guide tubes were connected end to end to | | connect camera and collimator. The area was secured and the shot timed. | | At the end of the exposure the radiographer attempted to retract the AEA | | Tech. model 424-9 source and discovered that it would only come back part | | way. After several unsuccessful attempts cranking the source back and | | forth, the radiographer left the source in the fully extended position (in | | the collimator) and called the RSO for assistance. The RSO made sure the | | site was roped off and under observation and then called AEA Technology to | | send a retrieval expert. The state Division of Radiation Protection was | | also notified and staff sent to observe the recovery operation. | | | | The retrieval was performed by using a crane to hook onto the camera and, | | once the collimator was cut free from the structure, to lay out the camera | | and the dangling guide tube and collimator behind a concrete barrier. The | | control cable was also stretched out straight using the crane. Once in | | place and shielded, the control cable was used to easily retract the source. | | The manufacturer has taken the device and guide tubes for analysis. | | However, the immediate supposition is either dirt in the guide tube or too | | tight of a turn in the guide tube may have created enough friction to | | prevent the source from retracting smoothly even though it cranked out | | without difficulty. The highest exposures received due to this event were | | to the two individuals involved in cutting the collimator loose from the | | structure. The crane operator and a radiographer each received 4 millirem | | while using a 10 foot pole pruner to cut the wooden stick holding the | | collimator. One other individual received 1 millirem exposure during this | | event. | | | | What is the notification or reporting criteria involved? Equipment | | malfunction. Activity and Isotope(s) involved: 47.5 Ci Ir-192. | | | | Overexposure? Two individuals received 4 millirem whole body and one | | individual received 1 millirem whole body exposures. | +------------------------------------------------------------------------------+
Page Last Reviewed/Updated Thursday, March 25, 2021
Page Last Reviewed/Updated Thursday, March 25, 2021