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Event Notification Report for September 12, 2005

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
09/09/2005 - 09/12/2005

** EVENT NUMBERS **


41877 41969 41972 41974 41975 41977

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!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED !!!!!
Power Reactor Event Number: 41877
Facility: CALLAWAY
Region: 4 State: MO
Unit: [1] [ ] [ ]
RX Type: [1] W-4-LP
NRC Notified By: HOPE BARDLEY
HQ OPS Officer: JOHN MacKINNON
Notification Date: 07/28/2005
Notification Time: 05:57 [ET]
Event Date: 07/27/2005
Event Time: 21:25 [CDT]
Last Update Date: 09/09/2005
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(v)(D) - ACCIDENT MITIGATION
Person (Organization):
DAVID GRAVES (R4)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
1 N Y 100 Power Operation 100 Power Operation

Event Text

TWO TRAINS OF CONTROL ROOM EMERGENCY VENTILATION SYSTEMS (CREVS) INOPERABLE AND NOT RESTORED WITHIN 24 HOURS

"At 2125 on 7/27/05, Door 33021 (B Engineering Safety Feature Switchgear to B Emergency Diesel Generator) (B ESF Switchgear to B EDG) was found not to be latched. Reviewing history; the door was first discovered not to latch at 1215 on 7/26/05, by Security. The Control Room was notified at 2125 on 7/27/05 by an Equipment Operator, who found the door unlatched. Door was subsequently latched closed at 2155 on 7/27/05.

"Due to this door not being able to be verified latched, T/S LCO 3.7.10.B should have been entered at 1215 on 7/26/05. This renders 2 trains of Control Room Emergency Ventilation Systems (CREVS) inoperable, and if not restored within 24 hours, a plant shutdown is required; being in Mode 3 (Hot Standby) in 6 hours and Mode 5 (Cold Shutdown) in 36 hours. The plant should have been in Mode 3 at 1815 on 7/27/05. This time was not met. As stated previously, the door was verified to be latched at 2155 on 7/27/05. A plant shutdown is not being made due to the LCO 3.7.10.B being satisfied at 2155 on 7/27/05.

"Door 33021 (B ESF Switchgear to B Emergency Diesel Generator) was repaired at 0022 on 7/28/05.

"This issue has been entered in the licensee corrective action program."

The NRC Resident Inspector was notified of this event by the licensee.

* * * RETRACTION FROM R. REIDMEYER TO M. RIPLEY 1419 EDT 09/09/05 * * *

"Upon further review, it was concluded that this event is not reportable. The design functions of this door are pressure boundary and fire protection. Based upon the following criteria, this event was determined to be not reportable:

"1) Pressure boundary: Actual duration of door inoperability did not result in a violation of Control Room Emergency Ventilation System Technical Specification Action completion time limits.

"2) Fire protection: Only one fire suppression system was impacted and the inoperability of a fire protection suppression system for a single area is not reportable with regards to the Fire Protection Program.

"The loss of one fire suppression system was bounded by Callaway licensing basis."

The licensee will notify the NRC Resident Inspector. Notified R4 DO (Powers)

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General Information or Other Event Number: 41969
Rep Org: SC DIV OF HEALTH & ENV CONTROL
Licensee: GEO-SYSTEMS DESIGN & TESTING INC
Region: 1
City: COLUMBIA State: SC
County:
License #: 421
Agreement: Y
Docket:
NRC Notified By: JIM PETERSON
HQ OPS Officer: MARK ABRAMOVITZ
Notification Date: 09/06/2005
Notification Time: 14:02 [ET]
Event Date: 09/06/2005
Event Time: [EDT]
Last Update Date: 09/06/2005
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
DANIEL HOLODY (R1)
AARON DANIS (TAS)
GREG MORELL (NMSS)

Event Text

LOST/STOLEN PORTABLE GAUGE

The State provided the following information via facsimile:

"The South Carolina Department of Health and Environmental Control was notified on September 6, 2005, by the licensee, that a portable gauging device had been lost or stolen from a Forest Drive work site in Columbia, South Carolina. The technician stated he may have inadvertently left the gauge at the Forest Drive work site as he traveled to a second work site. When the technician returned to the Forest Drive location the gauge was missing. The licensee is in the process of notifying the police. The gauge is a CPN International, Inc. model MC series Portaprobe serial number M350702733 containing 10 mCi [milliCuries] of cesium-137 and 50 mCi of Am-241:Be. Updates to this event will be made through the national NMED system."

South Carolina Report ID: SC050006
A police report was filed.

Source is less than the quantity of an IAEA Category 3 source. 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.

For some of these sources, such as moisture density gauges or thickness gauges that are IAEA 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.

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General Information or Other Event Number: 41972
Rep Org: COLORADO DEPT OF HEALTH
Licensee: LAYNE CHRISTENSEN CO COLOG DIV
Region: 4
City: LAKEWOOD State: CO
County:
License #: COLO.971-01
Agreement: Y
Docket:
NRC Notified By: FAX
HQ OPS Officer: CHAUNCEY GOULD
Notification Date: 09/07/2005
Notification Time: 12:42 [ET]
Event Date: 07/28/2005
Event Time: [MDT]
Last Update Date: 09/07/2005
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
DALE POWERS (R4)
LAWRENCE KOKAJKO (NMSS)

Event Text

WELL LOGGING SOURCE LODGED NEAR THE BOTTOM OF A 240 FOOT SHAFT

On July 28, 2005, a 100 milliCurie Cs-137 sealed source (New England Nuclear, Model 572, serial number 1623) became lodged near the bottom of a 240 foot shaft The logging probe and source had descended to that depth after breaking loose from the logging cable at the surface of the well. Repeated efforts to retrieve the source failed, Retrieval efforts were discontinued when a 4 foot section of an overshot device twisted off at approximately 210 feet down-hole.

The licensee submitted a written description of the event on August 23, 2005 and provided supplemental information on September 1, 2005 and September 2, 2005. Authorization to abandon the well formally approved on September 6, 2005.

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Other Nuclear Material Event Number: 41974
Rep Org: SCHLUMBERGER TECHNOLOGY CORP
Licensee: SCHLUMBERGER TECHNOLOGY CORP
Region:
City: Gulf of Mexico State:
County: USA
License #: 42-00090-03
Agreement: N
Docket:
NRC Notified By: RAY DICKES
HQ OPS Officer: BILL HUFFMAN
Notification Date: 09/09/2005
Notification Time: 11:25 [ET]
Event Date: 08/29/2005
Event Time: [EST]
Last Update Date: 09/09/2005
Emergency Class: NON EMERGENCY
10 CFR Section:
20.2201(a)(1)(i) - LOST/STOLEN LNM>1000X
Person (Organization):
DALE POWERS (R4)
TOM ESSIG (NMSS)

Event Text

TRITIUM SOURCES ON GULF OIL PLATFORM LOST DUE TO HURRICANE KATRINA

The Radiation Safety Officer for Schlumberger Technology Corporation reported that two Tritium Neutron Pulse Generators (Schlumberger Model 7158) with 1.6 Curie tritium sources (total of 3.2 Curies) were lost from an oil platform (Oil Platform Ensco-29) in the Gulf of Mexico. The platform was severely damaged and most equipment lost due to Hurricane Katrina storm damage. The licensee has reported this item to Region 4.

This is less than the quantity of an IAEA Category 3 source.

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.

For some of these sources, such as moisture density gauges or thickness gauges that are IAEA 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.

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Hospital Event Number: 41975
Rep Org: WASHINGTON HOSPITAL CENTER
Licensee: WASHINGTON HOSPITAL CENTER
Region: 1
City: WASHINGTON DC State: DC
County:
License #: 08-03604-05
Agreement: N
Docket:
NRC Notified By: A. EREMIA
HQ OPS Officer: JOHN MacKINNON
Notification Date: 09/09/2005
Notification Time: 11:43 [ET]
Event Date: 04/09/2003
Event Time: [EDT]
Last Update Date: 09/09/2005
Emergency Class: NON EMERGENCY
10 CFR Section:
35.3045(a)(1) - DOSE <> PRESCRIBED DOSAGE
Person (Organization):
FRANK COSTELLO (R1)
M. BURGESS (NMSS)

Event Text

PATIENT COUGH CAUSED RADIATION DOSE TO BE ADMINISTERED NO MORE THAN 6 MILLIMETERS FROM THE CORRECT SITE.

A patient was having a hearing loss due to pressure (tumor inside the brain). The patient was being treated using a gamma knife. Toward the end of the patient's final treatment, toward the end of the 11 stage of the treatment plan, the patient coughed. The cough caused a pin used to stabilize the patient's skull to become dislodged (shifted). This resulted in the patient being administered a dose not directly to the tumor (dose administered no more than 6 millimeters from the correct area). No harm was caused to the patient. All physicians involved in the case were notified. The licensee has been discussing this event for the last couple of years and they were asked to report this event to the NRC Headquarters Operation Officer.

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Fuel Cycle Facility Event Number: 41977
Facility: HONEYWELL INTERNATIONAL, INC.
RX Type: URANIUM HEXAFLUORIDE PRODUCTION
Comments: UF6 CONVERSION (DRY PROCESS)
Region: 2
City: METROPOLIS State: IL
County: MASSAC
License #: SUB-526
Agreement: Y
Docket: 04003392
NRC Notified By: JOHN RILEY
HQ OPS Officer: MIKE RIPLEY
Notification Date: 09/09/2005
Notification Time: 16:35 [ET]
Event Date: 09/09/2005
Event Time: 10:00 [CDT]
Last Update Date: 09/09/2005
Emergency Class: NON EMERGENCY
10 CFR Section:
40.60(b)(1) - UNPLANNED CONTAMINATION
Person (Organization):
JAMES MOORMAN (R2)
TOM ESSIG (NMSS)

Event Text

UNPLANNED CONTAMINATION EVENT

"An unplanned contamination event occurred on 8 September 2005. This is a reportable event in accordance with 10CFR40.60 sub paragraph(1) based on an unplanned event that resulted in additional radiological controls being required for more than 24 hours. The 24 hour period ended at 1000 on 9 September 2005 [the reported event date]. The additional control imposed was the wearing of air purifying respirators on the second floor of the Feed Materials Building. The location of the events was the Feed Materials Building second floor. The Feed Materials Building converts milled uranium oxide material to uranium hexafluoride by using a dry process. Air samples from the second floor were analyzed and the airborne radioactivity averaged approximately 6.5E-11 microCuries/ml. The airborne contaminant was natural uranium ore concentrate and the physical form is a light microscopic dust. The processes in the area of the elevated levels of airborne radioactivity have been secured and potential leakage paths are being investigated."

The licensee stated that bioassay sampling of exposed individuals will be performed within the routine sampling frequency, but prior to 09/30/05.

The licensee notified NRC Region 2 (D. Collins).

Page Last Reviewed/Updated Friday, March 30, 2012
Friday, March 30, 2012