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Event Notification Report for November 3, 2005

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
11/02/2005 - 11/03/2005

** EVENT NUMBERS **


42090 42091 42092 42095 42103 42104 42109 42110 42111

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General Information or Other Event Number: 42090
Rep Org: ARKANSAS DEPARTMENT OF HEALTH
Licensee: GEORGIA PACIFIC
Region: 4
City: CROSSETT State: AR
County:
License #: ARK-321-BP-11
Agreement: Y
Docket:
NRC Notified By: STEVE MACK
HQ OPS Officer: BILL GOTT
Notification Date: 10/28/2005
Notification Time: 15:56 [ET]
Event Date: 10/18/2005
Event Time: [CDT]
Last Update Date: 10/28/2005
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
CHUCK CAIN (R4)
SCOTT MOORE (NMSS)
LANCE ENGLISH email (TAS)

Event Text

AGREEMENT STATE REPORT - MISSING PAPER THICKNESS GAUGE

On 10/18/05 while conducting leak checks of their equipment, the licensee discovered a NDC Model 104F Paper Thickness Gauge (80 millicuries Am-241 s/n 11480) missing. The device was not located in a search of the facility. The device was part of the production line. The licensee notified the Arkansas Department of Health at 1430 CDT on 10/28/05.

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. Some of these sources, such as moisture density gauges or thickness gauges that are 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: 42091
Rep Org: TEXAS DEPARTMENT OF HEALTH
Licensee: UT SOUTHWESTERN MEDICAL CENTER
Region: 4
City: FORT WORTH State: TX
County:
License #: L00384-004
Agreement: Y
Docket:
NRC Notified By: LATISCHA HANSON
HQ OPS Officer: BILL GOTT
Notification Date: 10/28/2005
Notification Time: 17:50 [ET]
Event Date: 08/15/2005
Event Time: 16:00 [CDT]
Last Update Date: 10/28/2005
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
CHUCK CAIN (R4)
DANIEL GILLEN (NMSS)

Event Text

AGREEMENT STATE REPORT

The licensee provided the following information via email:

"The written prescribed dose for this treatment was 550 cGy with the plan of repeating another procedure one week afterwards for a total prescribed dose of 1100 cGy. This dose, to be given in 2 fractions, was to be delivered to the vaginal cavity using High Dose Rate (HDR) afterloader device. The first fractionation of 550 cGy was delivered incorrectly, approximately 4.5 cm anterior to the correct position. This resulted in the intended target area receiving 1451 cGy in one treatment.

"The medical physicist discovered the error in the brachytherapy vision software (planning system). When digitizing the calculation point of the coronal plane, the sagittal plane viewing plane was in an incorrect position that resulted in the calculation point being entered incorrectly. There was no other medical physicist to second check the plan at that time due to personnel shortage issues.

"The prescribing physician determined that the clinical effect of the dose is negligible and there is no impact to the patient's well being."

Texas Incident number: I-8253
Event Report ID No: TX-05-41932

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General Information or Other Event Number: 42092
Rep Org: TEXAS DEPARTMENT OF HEALTH
Licensee: TEXAS HI TEMP ALLOY PROCESSORS AND BROKERS
Region: 4
City: HOUSTON State: TX
County:
License #:
Agreement: Y
Docket:
NRC Notified By: LATISCHA HANSON
HQ OPS Officer: BILL GOTT
Notification Date: 10/28/2005
Notification Time: 17:50 [ET]
Event Date: 09/21/2005
Event Time: [CDT]
Last Update Date: 10/28/2005
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
CHUCK CAIN (R4)
DANIEL GILLEN (NMSS)
LANCE ENGLISH email (TAS)
MEXICO fax ()

Event Text

AGREEMENT STATE REPORT - MISSING PORTABLE ALLOY ANALYZER

The licensee provided the following information via email:

"On 09/21/05 while preparing for Hurricane Rita, the owner's truck was stolen from in front of his office in Houston, Texas, 77087. Since his office is a trailer, the owner thought it best to put his Niton Alloy Analyzer [6 millicuries Cd-109 s/n U1238 NR5498] in his truck to bring home in case his office was destroyed by the hurricane. Houston law enforcement was notified as soon as owner discovered the truck missing. His truck was recovered 10/13/05, but the analyzer was not."

Texas Incident No: I-8273

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. Some of these sources, such as moisture density gauges or thickness gauges that are 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: 42095
Rep Org: FLORIDA BUREAU OF RADIATION CONTROL
Licensee: ATLANTIC GEO TECH ENVIRONMENTAL SERVICES
Region: 1
City: JACKSONVILLE State: FL
County:
License #: FL-2725-1
Agreement: Y
Docket:
NRC Notified By: DAVID FERGUSON
HQ OPS Officer: BILL GOTT
Notification Date: 10/29/2005
Notification Time: 13:54 [ET]
Event Date: 10/29/2005
Event Time: 09:30 [EDT]
Last Update Date: 10/29/2005
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
DAVID SILK (R1)
DANIEL GILLEN (NMSS)
LANCE ENGLISH email (TAS)

Event Text

AGREEMENT STATE REPORT - STOLEN TROXLER MOISTURE DENSITY GAUGE

On 10/29/05, a Troxler Moisture Density Gauge (model 3440, s/n 032146, 8 millicuries Cs-137, 40 millicuries Am-241: Be) was stolen from the back of the operators truck at the job site on Four Acre Road in Jacksonville, FL. The gauge was chained and locked to the operator's truck. The operator left the truck at the job site while she reviewed the job site. She returned to the truck and drove back to the office. At the office she noted that the gauge was gone. The Jacksonville Police Department was notified. The company intends on placing an ad in the local newspaper.

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. Some of these sources, such as moisture density gauges or thickness gauges that are 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: 42103
Rep Org: OK DEQ RAD MANAGEMENT
Licensee: IRIS NDT
Region: 4
City: TULSA State: OK
County:
License #: OK30246-02
Agreement: Y
Docket:
NRC Notified By: MIKE BRODERICK
HQ OPS Officer: BILL GOTT
Notification Date: 10/31/2005
Notification Time: 17:34 [ET]
Event Date: 10/31/2005
Event Time: 01:00 [CST]
Last Update Date: 11/02/2005
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
THOMAS FARNHOLTZ (R4)
DANIEL GILLEN (NMSS)
THOMAS BLOUNT (IRD)
LANCE ENGLISH (TAS)
ROBERTA WARREN (TAS)
MELVYN LEACH (IRD)
MIKE INZER (DHS)
THREATT (NRC)
BAGWELL (FEMA)
EDWARDS (HHS)

Event Text

AGREEMENT STATE REPORT - MISSING RADIOGRAPHY CAMERA

At 0100 on 10/31/05 the licensee discovered that a SPEC 150 Radiography Camera (camera s/n 204) with a 64 Curie Ir-192 (s/n 217221B) source was stolen from the company's office. The camera was in a locked space. The camera was last used on 10/28/05, and was logged in at 0100 on 10/29/05. A dispatcher saw the camera at 1500 on 10/28/05. At 0100 on 10/31/05, a radiographer went to the space to get the gauge and discovered that it was gone. The Tulsa Police Department was notified.

Category 2 sources, if not safely managed or securely protected, could cause permanent injury to a person who handled them, or were otherwise in contact with them, for a short time (minutes to hours). It could possibly be fatal to be close to this amount of unshielded radioactive material for a period of hours to days. These sources are typically used in practices such as industrial gamma radiography, high dose rate brachytherapy and medium dose rate brachytherapy.

*** UPDATE FROM M. BRODERICK TO J. KNOKE AT 10:20 EDT ON 11/2/05 ***

The Department of Environmental Quality in Oklahoma provided information that the missing radiography camera was recovered at 07:30 CST. Due to local media coverage in the area, a private citizen called the number published by the TV media and volunteered information. The citizen indicated he saw the camera near the freeway entrance of 33 West Avenue and I-44 in West Tulsa, OK. The camera, which was found in a grassy area (weeds) near a privacy fence (wall), was intact with the source in the shielded position. The licensee (IRIS-NDT) has surveyed the site and said the readings were consistent with a source inside a camera. The Tulsa police department is still pursuing the investigation. The licensee offered a reward of $1,000 for information leading to the recovery of the camera.

Notified R4DO (Farnholtz), NMSS (Burgess), TAS (English), IRD (Wilson, Blount, and Leach) DHS (Holtz), NRC (Doherty), FEMA (Liggett), and HHS (Turner).

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Power Reactor Event Number: 42104
Facility: TURKEY POINT
Region: 2 State: FL
Unit: [ ] [4] [ ]
RX Type: [3] W-3-LP,[4] W-3-LP
NRC Notified By: DAVID FUNK
HQ OPS Officer: MIKE RIPLEY
Notification Date: 10/31/2005
Notification Time: 23:02 [ET]
Event Date: 10/31/2005
Event Time: 22:27 [EST]
Last Update Date: 11/02/2005
Emergency Class: UNUSUAL EVENT
10 CFR Section:
50.72(a) (1) (i) - EMERGENCY DECLARED
50.72(b)(3)(iv)(A) - VALID SPECIF SYS ACTUATION
Person (Organization):
STEPHEN CAHILL (R2)
TOM BLOUNT (IRD)
JOHN HANNON (NRR)
J. FROST (DHS)
L. BISCOE (FEMA)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
4 N N 0 Hot Standby 0 Hot Standby

Event Text

UNUSUAL EVENT DECLARATION: LOSS OF OFFSITE POWER DUE TO LOSS OF STARTUP TRANSFORMER

"Unusual event category 10A on Unit 4. Loss of offsite power to Unit 4 due to loss of Unit 4 Startup Transformer. Auto AFW actuation. Auto starting and loading of both Unit 4 Emergency Diesel Generators."

The licensee stated that the plant is stable in Mode 3 at approximately 700 psi and 380 deg F. The plant was experiencing electrical grid instabilities at the time of the trip of the Startup Transformer. The exact cause of the transformer trip is being investigated. The grid instabilities were associated with the plant's Northwest Bus, therefore, Unit 3 is not affected and continues to operate at approximately 60% power.

The licensee notified the State of Florida and will notify the NRC Resident Inspector


*** UPDATE FROM D. FUNK TO J. KNOKE AT 02:15 ON 11/02/05 ***

"The licensee terminated from their Unusual Event (EAL 10A) at 0200 EST on 11/02/05. Unit 4 A & B 4 KV busses are now powered from off-site power using Unit 4 startup transformer."

The power / mode for Unit 4 is now 0% power / Mode 5.

The licensee will notify the NRC Resident Inspector and has notified State, local and other government agencies. Notified R2DO (Ayres), NRR EO (Case), IRD-MOC (Wilson), DHS (J. Frost) and FEMA (S. Kimbrell).

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Power Reactor Event Number: 42109
Facility: POINT BEACH
Region: 3 State: WI
Unit: [1] [2] [ ]
RX Type: [1] W-2-LP,[2] W-2-LP
NRC Notified By: CHARLES STALZER
HQ OPS Officer: JOHN KNOKE
Notification Date: 11/02/2005
Notification Time: 01:13 [ET]
Event Date: 11/01/2005
Event Time: 23:00 [CST]
Last Update Date: 11/02/2005
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(i) - PLANT S/D REQD BY TS
50.72(b)(3)(ii)(B) - UNANALYZED CONDITION
50.72(b)(3)(v)(D) - ACCIDENT MITIGATION
Person (Organization):
THOMAS KOZAK (R3)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
1 N N 0 Cold Shutdown 0 Cold Shutdown
2 N Y 100 Power Operation 99 Power Operation

Event Text

TECH SPEC REQUIRED SHUTDOWN DUE TO DEGRADATION OF CONTAINMENT COATINGS

"On November 2, 2005 at approximately 00:00 Central Standard Time (CST), Point Beach Nuclear Plant (PBNP) Unit 2 commenced a reactor shutdown required by Technical Specification 3.0.3.

"During a review of the containment coatings in both Unit 1 & 2 containments, it was discovered that the containments have not been maintained with the analysis of record performed by Sergeant and Lundy (S&L). The S&L analysis performed for Unit 2 was based on the known condition of coatings when the analysis was performed. There was no explicit margin for further degradation. Subsequent discoveries of degraded or unqualified coatings cannot be accommodated by the existing analysis as written.

"An Operability Recommendation (OPR) was performed for Unit 2 and approved on 10/30/05 at 2000. Following this OPR, a further review of containment coatings in the Unit 2 containment was performed and showed a potential for approximately 11 square feet of unqualified coatings [in] the Zone of Influence (ZOI) for the containment sump. The OPR allowed for a maximum of 5.68 square feet of loose material in the ZOI.
A Unit 2 containment walk-down was performed on the evening of November 1, 2005. This revealed that the unqualified coatings in the ZOI were approximately 11 square feet. This information placed Unit 2 in an unanalyzed condition, which lead the operators to enter Technical Specification 3.0.3 at 2300 on November 1 due to both trains of Emergency Core Cooling System (ECCS) being declared inoperable for sump recirculation capability.

"Actions are currently underway to remove enough unqualified coatings to be within the assumptions made in the OPR and restore Containment Sump recirculation capability. When this is completed, the technical specification shutdown will be terminated, and Unit 2 will make preparations to return to full power.

"Unit 1 is currently in Mode 5 and ECCS is not required. However, the condition is also applicable to Unit 1 containment. Actions have been underway since the identification of the original issue to remove unqualified containment coatings. The Plant Manager has placed a hold on entering Mode 4 on Unit 1 pending completion of corrective actions."

Presently there are 2 workers and a Radiation Protection technician inside containment. The licensee said that workers will go inside containment and remove the degraded coating. This will take approximately 45 minutes and have a total exposure to personnel of 85 millirem.

The licensee notified the NRC Resident Inspector.


*** UPDATE FROM C. STALZER TO J. KNOKE AT 03:15 ON 11/02/05 ***

At 01:06 CST the licensee exited from Technical Specification 3.0.3. requirements and plans to hold power on Unit 2 at 97% power pending further assessment and evaluation.

The licensee will notify the NRC Resident Inspector. Notified the R3DO (Kozak).

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Power Reactor Event Number: 42110
Facility: HATCH
Region: 2 State: GA
Unit: [ ] [2] [ ]
RX Type: [1] GE-4,[2] GE-4
NRC Notified By: PAUL UNDERWOOD
HQ OPS Officer: RONALD HARRINGTON
Notification Date: 11/02/2005
Notification Time: 12:46 [ET]
Event Date: 10/07/2005
Event Time: 10:37 [EST]
Last Update Date: 11/02/2005
Emergency Class: NON EMERGENCY
10 CFR Section:
50.73(a)(1) - INVALID SPECIF SYSTEM ACTUATION
Person (Organization):
DAVID AYRES (R2)

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

Event Text

INVALID SYSTEM ACTUATION

"The following information is provided as a 60 day telephone notification to NRC under 10 CFR 50.73(a)(1) in lieu of submitting a written LER to report a condition that resulted in an invalid actuation of the 10CFR50.73(a)(2)(iv)(B) system checked above. NUREG1022 Revision 2 identifies the Information that needs to be reported as discussed below.

"(a) The specific train(s) and system(s) that were actuated.

"On October 7, 2005, at 10:01 EDT, a procedure was started to calibrate the Unit 2 Refueling Floor Vent Exhaust radiation monitors 2D11K611C and K611D. Monitor K611C was tested and restored, and K611D was being tested in the tripped condition. At 10:37, the K611C monitor received a momentary, spurious high radiation signal, or spike. As per design, the high radiation signal resulted in the following automatic actions: Group 2 primary containment isolation valves closed, secondary containment isolated, and both Unit 1 and 2 A and B trains of Standby Gas Treatment initiated. The initiation signal was invalid because it did not result in response to an actual high radiation condition, nor did it trip as a result of any other requirement for initiation of the safety function, such as a downscale or inoperable trip, for example.

"(b) Whether each train actuation was complete or partial.

"The four Standby Gas Treatment (SBGT) trains auto started and both Unit 1 and 2 secondary containment fully isolated. This is a complete actuation. The primary containment isolation valve Group 2 isolation was outboard valves only. This is a partial actuation.

"(c) Whether or not the system started and functioned successfully.

"The above systems functioned successfully."

The licensee notified the NRC Resident Inspector.

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Other Nuclear Material Event Number: 42111
Rep Org: CONTINENTAL STRUCTURAL PLASTICS
Licensee: CONTINENTAL STRUCTURAL PLASTICS
Region: 3
City: PETOSKEY State: MI
County:
License #:
Agreement: N
Docket:
NRC Notified By: MARK OLSON
HQ OPS Officer: MIKE RIPLEY
Notification Date: 11/02/2005
Notification Time: 15:40 [ET]
Event Date: 10/03/2005
Event Time: [EST]
Last Update Date: 11/02/2005
Emergency Class: NON EMERGENCY
10 CFR Section:
20.2201(a)(1)(ii) - LOST/STOLEN LNM>10X
Person (Organization):
THOMAS KOZAK (R3)
JOSEPH GIITTER (NMSS)
CANADA (CNSC) ()
TAS ()

Event Text

LOST GENERALLY-LICENSED DEVICE

Between 10/01/05 and 10/03/05, Continental Structural Plastics lost a small static eliminator. The device was attached to the barrel of an air gun and was being used to ionize plastic parts. The company searched for the material but was unable to locate it. It is thought that the material may have been inadvertently disposed of in the trash.

The device is a NRD Model P2021-8000 Nuclecel static eliminator containing a Po-210 ionization source. The company did not know the source strength, however these devices contain sources which are less than 10 milliCuries.

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. Some of these sources, such as moisture density gauges or thickness gauges that are 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.

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