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Event Notification Report for November 23, 2007

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
11/21/2007 - 11/23/2007

** EVENT NUMBERS **


43786 43790 43797 43798 43799 43800 43801 43802 43803

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General Information or Other Event Number: 43786
Rep Org: OHIO BUREAU OF RADIATION PROTECTION
Licensee: OHMART-VEGA
Region: 3
City: CINCINNATI State: OH
County:
License #: 03214310002
Agreement: Y
Docket:
NRC Notified By: STEPHEN JAMES
HQ OPS Officer: JASON KOZAL
Notification Date: 11/16/2007
Notification Time: 09:15 [ET]
Event Date: 11/14/2007
Event Time: [EST]
Last Update Date: 11/16/2007
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
DAVE PASSEHL (R3)
CINDY FLANNERY (FSME)
ILTAB (E-MAIL) ()
CANADA (EMAIL) ()

This material event contains a "Less than Cat 3" level of radioactive material.

Event Text

AGREEMENT STATE REPORT - LOST Cs-137 SOURCE HOLDER

"Ohmart-VEGA RSO was informed on 11/14/07 that a shipment of SR-1A source holders sent to Gibraltar Mines in McLeese Lake, BC, Canada has been lost in transit. The missing consignment consists of 5 devices, each containing 100 mCi of Cs-137. The shipment left the Ohmart facility on 10/25/07. The Ohmart representative in Canada [DELETED] is leading the effort to locate the missing shipment. [DELETED] of the CNSC was notified by Canadian Freightways personnel on 11/14/07.

"TST Overland confirms turning over (2) skids to Canadian Freightways on Oct 29, 2007 in Burnaby, BC for furtherance to McLeese Lake, BC. One skid containing detectors was delivered to the customer in McLeese Lake. [DELETED] was unaware of this missing item until he received a phone call from the customer. He is pressing the trucking company to locate the equipment.

"Timeline as currently known:
TST-Overland picked up two skids at Ohmart-Vega in Cincinnati, OH on 10/25/07; TST signed for them on waybill 766-4148797.
TST-Overland moved the shipment through Sarnia, ON for delivery to TST-Porter Burnaby, BC.
TST-Porter in Burnaby verified receipt of two skids.
CFL was called to pick up 2 skids from TST-Porter in Burnaby on waybill 354-982526 per the attached copy.
CFL delivered the shipment of one pallet only to Williams Lake November 2.
Trace started with CFL November 9."

Devices are five Sealed Source Fixed Gauges activity of 100 mCi each Serial Numbers (5943CN, 5950CN, 6157CN, 6160CN, 6165CN).

Ohio report number: OH070006

THIS MATERIAL EVENT CONTAINS A "LESS THAN CAT 3" LEVEL OF RADIOACTIVE MATERIAL

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: 43790
Rep Org: FLORIDA BUREAU OF RADIATION CONTROL
Licensee: SHANDS HOSPITAL AT THE UNIVERSITY OF FLORIDA
Region: 1
City: GAINESVILLE State: FL
County:
License #:
Agreement: Y
Docket:
NRC Notified By: DAVID FERGUSON
HQ OPS Officer: PETE SNYDER
Notification Date: 11/18/2007
Notification Time: 14:40 [ET]
Event Date: 11/18/2007
Event Time: [EST]
Last Update Date: 11/18/2007
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
DANIEL HOLODY (R1)
LARRY CAMPER (FSME)
ILTAB (e-mail) ()

This material event contains a "Less than Cat 3" level of radioactive material.

Event Text

AGREEMENT STATE REPORT - BRACHYTHERAPY SOURCE LOST IN LAUNDRY

The State of Florida received a report from Shands Hospital that a 6 millicurie Ir-192 brachytherapy ribbon was lost in the laundry. Apparently, the ribbon was noticed missing following a brachytherapy treatment. Following the treatment, only 9 of 10 ribbons used were accounted for. The licensee said that a warning alarm sounded when laundry was put down the laundry chute, however; the licensee was unable to retrieve the material from the laundry prior to it being shipped off-site to the hospital's laundry facility in Lakeland, FL.

The licensee will continue to try to retrieve the material from the laundry. The State of Florida is following-up on this incident.

* * * UPDATE FROM D. FERGUSON TO P. SNYDER AT 1629 ON 11/18/07 * * *

The licensee retrieved the source from the laundry. The State of Florida is following-up on this incident.

THIS MATERIAL EVENT CONTAINS A "LESS THAN CAT 3" LEVEL OF RADIOACTIVE MATERIAL

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: 43797
Rep Org: WA DIVISION OF RADIATION PROTECTION
Licensee: AMEC EARTH & ENVIRONMENT
Region: 4
City: ISSAQUAH State: WA
County:
License #: WN-L093-1
Agreement: Y
Docket:
NRC Notified By: ARDEN SCROGGS
HQ OPS Officer: MARK ABRAMOVITZ
Notification Date: 11/20/2007
Notification Time: 16:56 [ET]
Event Date: 06/14/2007
Event Time: [PST]
Last Update Date: 11/20/2007
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
JEFFREY CLARK (R4)
ABY MOHSENI (FSME)
CANADA (E-MAIL) ()

Event Text

AGREEMENT STATE REPORT - DAMAGED MOISTURE DENSITY GAUGE

The State provided the following information via email:

"The Licensee reported this event in June and filed a report in a letter that was misfiled causing a delay in this notification.

"A gauge user in the employ of the licensee was using a Troxler model 3440 moisture density gauge serial number 31185 at a temporary jobsite in Issaquah. The employee placed the gauge in an area staked to exclude construction traffic. The employee left the gauge unattended to retrieve an item from the user's vehicle. While away from the gauge, a pickup backed towards the gauge in the staked area. Workers in the area attempted to get the driver's attention and stop the pickup but failed. The pickup struck the gauge and caught the handle under the hitch of the truck, breaking the stationary rod and bending the source rod. The source appeared to have remained in its shielded position. The gauge was dislodged from the pickup by moving the pickup forward. The gauge user cleared personnel within a 50 foot area around the gauge and contacted the RSO. The RSO went to the jobsite with a survey meter and performed surveys. Survey readings indicated the source had remained in its shielded position. The damaged gauge rods were secured with cloth tape. The gauge was place in the transport box and returned to its licensed storage location. A leak test was taken at that time and the results returned were normal.

"The gauge user's employment with the licensee was terminated for violating the licensee's Operating and Emergency Procedures by leaving the gauge unattended at the jobsite.

"The licensee currently reports they are still in possession of the damaged gauge and presently storing it in that condition. The licensee is working with a carrier to get it shipped properly to Troxler in North Carolina.

"Notification Reporting Criteria: WAC 246-221-250 Notification of Incidents.

"Isotope and Activity involved: 8 mCi of Cesium 137, and 40 mCi of Americium 241 Beryllium.

"Overexposures? (number of workers/members of the public; dose estimate; body part receiving dose; consequence): None known.

"Lost, Stolen or Damaged? (mfg., model, serial number): Damaged Troxler, model 3440, Serial Number 31185.

"Disposition/recovery: The damaged gauge was placed in the manufactures transport, stored at the licensed storage location and held for pick up and repair or disposal by the manufacturer.

"Leak test? Results of the leak test taken at time of the incident were normal."

Washington Event #WA-07-059

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Power Reactor Event Number: 43798
Facility: TURKEY POINT
Region: 2 State: FL
Unit: [ ] [4] [ ]
RX Type: [3] W-3-LP,[4] W-3-LP
NRC Notified By: DAVE FUNK
HQ OPS Officer: JEFF ROTTON
Notification Date: 11/21/2007
Notification Time: 09:15 [ET]
Event Date: 11/21/2007
Event Time: 03:30 [EST]
Last Update Date: 11/21/2007
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
JAY HENSON (R2)

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

Event Text

ERDADS COMPUTER SYSTEM FAILURE

"At 0330 on 11/21/07, Unit 4 ERDADS computer system failed and subsequently would not display any data. The plant's other Computer display system continues to show data. However, it has been determined the Emergency Response Data System (ERDS) link from Unit 4 is inoperable. Troubleshooting is in progress and a follow up notification will be made when the Unit 4 Emergency Response Data System is operable.

"The Unit 3 Emergency Response Data System remains operable."

The licensee notified the NRC Resident Inspector.

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Fuel Cycle Facility Event Number: 43799
Facility: WESTINGHOUSE ELECTRIC CORPORATION
RX Type: URANIUM FUEL FABRICATION
Comments: LEU CONVERSION (UF6 to UO2)
                   COMMERCIAL LWR FUEL
Region: 2
City: COLUMBIA State: SC
County: RICHLAND
License #: SNM-1107
Agreement: Y
Docket: 07001151
NRC Notified By: GERARD COUTURE
HQ OPS Officer: MARK ABRAMOVITZ
Notification Date: 11/21/2007
Notification Time: 11:42 [ET]
Event Date: 11/20/2007
Event Time: 15:00 [EST]
Last Update Date: 11/21/2007
Emergency Class: NON EMERGENCY
10 CFR Section:
PART 70 APP A (c) - OFFSITE NOTIFICATION/NEWS REL
Person (Organization):
JAY HENSON (R2)
MATTHEW HAHN (ILTA)
ADELAIDE GIANTELLI (NSIR)
ABY MOHSENI (FSME)

Event Text

TAMPER SEALS BROKEN ON UF6 SHIPPING CANISTER

"A regularly scheduled shipment of Uranium Hexaflouride from an overseas supplier arrived at the Columbia site. During routine inspection for receipt it was noted that one of the overpacks had both tamper indicating devices compromised. The shipment was not accepted. On November 20 at approximately 1130 Westinghouse notified Law Enforcement and South Carolina Department of Health and Environmental Control.

"Notification is being made based on the potential for 'Any event or situation, related to the health and safety of the public or onsite personnel, or protection of the environment, for which a news release is planned or notification to other government agencies has been or will be made, shall be reported to the NRC Operations Center concurrent to the news release or other notification', reference Appendix A, Section (c) to Part 70 of 10CFR70.

"At no time has the integrity of the overpack or container been challenged, nor has it been removed from the conveyance. The loaded trailer is located where plant security personnel can maintain visual and video surveillance.

"Cylinder remains in the overpack, which is located on the transport conveyance in a secure location at the entrance to the Site Property.

"The Columbia Site, the shipper and transport company are evaluating the appropriate path forward for disposition."

* * * UPDATE FROM G. COUTURE TO P. SNYDER AT 1514 ON 11/21/07 * * *

Local law enforcement came to the site and surveyed the overpack with an explosive detection canine unit. The surveys were clean.

Notified R2DO (Henson), ILTAB (Hahn) and NSIR (Giantelli), FSME EO (Mohseni).

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General Information or Other Event Number: 43800
Rep Org: EMERSON PROCESS MANAGEMENT, FISHER
Licensee: EMERSON PROCESS MANAGEMENT, FISHER DIVISION
Region: 3
City: MARSHALTOWN State: IA
County:
License #:
Agreement: Y
Docket:
NRC Notified By: DAVE A. SUK
HQ OPS Officer: PETE SNYDER
Notification Date: 11/21/2007
Notification Time: 12:46 [ET]
Event Date: 11/16/2007
Event Time: [CST]
Last Update Date: 11/21/2007
Emergency Class: NON EMERGENCY
10 CFR Section:
21.21 - UNSPECIFIED PARAGRAPH
Person (Organization):
MARK RING (R3)
JAMES DWYER (R1)
JAY HENSON (R2)
C. VERNON HODGE (NRR)
JOHN THORP (NRR)

Event Text

PART 21 REPORT ON WELDING OF SAFETY RELATED COMPONENTS

"SUBJECT: Welder Qualification

"PURPOSE: The purpose of this Fisher Information Notice (FIN) is to alert customers that as of November 16, 2007, Fisher Controls International LLC became aware of the possibility of a situation related to welding of safety-related components at the Fisher Controls Marshalltown facility.

"We are informing our customers of record of this circumstance in accordance with Section 21.21 (b) of 10 CFR 21 because Fisher Controls International LLC is not aware of each and every application or system design utilized by our customers therefore cannot determine whether an anomaly could cause a defect or 'failure to comply', relating to a substantial safety hazard.

"Receipt of this notice does not necessarily mean that the recipient has been shipped any of the subject equipment. It is expected that the recipients of this notice will review the information for applicability to their facilities, and if required, take the appropriate action as described in the section at the end of this notice.

"APPLICABILITY: This notice applies only to the subject equipment supplied by Fisher Controls International LLC identified [below].

"DISCUSSION: During an internal audit, it was determined that one welder was missing the necessary qualification documentation to weld repair ASME SA351-CF8M or ASME SA479-S31600 (P-No 8) material using ASME SFA-5.4 Grade E316L filler (categorized as an F-No. 5 filler in ASME Section IX), using the shielded metal arc welding (SMAW) process. Fisher has conducted a review of all applicable weld records and compiled a list of all applicable orders, based on a June 2005, date of hire.

"A Corrective Action Request (CAR) has been initiated to determine root cause and appropriate corrective actions.

"Fisher has not, as of the date of this notice, found any indication that the valves will not continue to function as designed. In order to support this position. Fisher submits the following facts:

"- Fisher has determined that all filler material used for these weld repairs were the correct ASME code material.
"- For pressure boundary parts, weld repaired material successfully completed a production hydro.
"- Once the issue was discovered, the welder successfully qualified for the missing process and filler combination.

"Note: Fisher is continuing to investigate. If necessary, updates will be made when more information becomes available.

"ACTIONS REQURED: No action is required for plants that do not have the subject equipment. If your plant has installed any of the equipment identified by this notice, based on the information gathered to date, Fisher has no reason to believe that the affected parts will not perform their intended valve function. If your plant has not installed any of the equipment identified by this notice, contact your local Fisher Representative Sales Office regarding appropriate corrective action.

"IMPLICATIONS: The recipient of this notice is requested to review the information contained in this notice to determine its applicability to his/her facility. If no equipment meeting the applicability requirements listed above have been provided by Fisher Controls International LLC, then no further action is required. If equipment meeting the applicability requirements listed above have been supplied and used in a safety-related application, Fisher Controls requests that the recipient of this notice review it and take appropriate action in accordance with 10 CFR 21."

The following are the plant sites to which this notice applies: Catawba, Davis-Besse, Oconee, Salem, St. Lucie.

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Fuel Cycle Facility Event Number: 43801
Facility: PADUCAH GASEOUS DIFFUSION PLANT
RX Type: URANIUM ENRICHMENT FACILITY
Comments: 2 DEMOCRACY CENTER
                   6903 ROCKLEDGE DRIVE
                   BETHESDA, MD 20817 (301)564-3200
Region: 2
City: PADUCAH State: KY
County: McCRACKEN
License #: GDP-1
Agreement: Y
Docket: 0707001
NRC Notified By: CALVIN PITTMAN
HQ OPS Officer: JOHN MacKINNON
Notification Date: 11/21/2007
Notification Time: 17:42 [ET]
Event Date: 11/20/2007
Event Time: 20:28 [CST]
Last Update Date: 11/21/2007
Emergency Class: NON EMERGENCY
10 CFR Section:
76.120(c)(2) - SAFETY EQUIPMENT FAILURE
Person (Organization):
JAY HENSON (R2)
ABY MOHSENI (FSME)

Event Text

FAILURE OF UF6 RELEASE DETECTION SYSTEM

"At 2028 CDST, on 11-20-07 the Plant Shift Superintendent (PSS) was notified that the C-333 Unit 6 Cell 7 UF6 Release Detection (PGLD) System failed to function when performing the twice per shift test firing. The test firing of the PGLD detector heads is required per TSR-SR 2.4.4.1-1. This PGLD System contains detectors that cover C-333 Unit 6 Cell 7, Section 3, and Section 4 of the cell bypass piping. At the time of this failure, unit 6 cell 7 and some areas of Section 3 and Section 4 of the cell bypass were operating above atmospheric pressure. TSR 2.4.4.1 requires that at least the minimum number of detector heads in the cell and in each defined section of the cell bypass are operable during steady state operations above atmospheric pressure. With the Unit 6 Cell 7 PGLD system inoperable, none of the required cell heads and only 2 of the required 3 heads in Section 3 and Section 4 of the cell bypass were operable. This PGLD System was declared inoperable, TSR LCO 2.4.4.1.B.1 and 2.4.4.1.C.1 was entered and a continuous smoke watch was put in place within one hour. Troubleshooting indicated the failure was not similar to writing failures recently experienced on other PGLD systems. The two components most susceptible to failure have been replaced and investigations continue into root cause. The system had functioned correctly when the previous test firing was performed at 1430 hours on 11-20-07. However, since the failure potentially occurred prior to the test firing at 2028 hours the event is being reported as a 24 hour event in accordance with 10 CFR 76.120(c)(2)(i). This is an event in which equipment is disabled or fails to function as designed when (a) the equipment is required by a TSR to prevent releases, prevent exposures to radiation and radioactive materials exceeding specified limits, mitigate the consequences of an accident, or restore this facility to a pre-established safe condition after an accident; (b) the equipment is required by a TSR to be available and operable and either should have been operating or should have operated on demand, and (c) no redundant equipment is available and operable to perform the required safety function."

The NRC Resident Inspector has been notified of this event.

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Power Reactor Event Number: 43802
Facility: CLINTON
Region: 3 State: IL
Unit: [1] [ ] [ ]
RX Type: [1] GE-6
NRC Notified By: DALE SHELTON
HQ OPS Officer: MARK ABRAMOVITZ
Notification Date: 11/21/2007
Notification Time: 18:55 [ET]
Event Date: 11/21/2007
Event Time: 14:08 [CST]
Last Update Date: 11/21/2007
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
MARK RING (R3)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
1 N Y 96 Power Operation 96 Power Operation

Event Text

SAFETY PARAMETER DISPLAY SYSTEM DEGRADATION

"On 11/21/2007 at 1408 hours, the Clinton Power Station lost a portion of the Safety Parameter Display System in support of Process Computer replacement. These portions are not expected to be restored to service until Process Computer replacement activities are completed. The Plant Process Computer is expected to be fully operational by February 1, 2008.

"This event is reportable due to the major loss of emergency assessment capability per 10CFR50.72 (b)(3)(xiii) (when the SPDS has been unavailable for 8 hours or greater).

"The NRC Resident Inspector has been notified."

The alarm for secondary containment sump level has been lost to the SPDS. Compensatory measures are in affect.

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Power Reactor Event Number: 43803
Facility: TURKEY POINT
Region: 2 State: FL
Unit: [3] [ ] [ ]
RX Type: [3] W-3-LP,[4] W-3-LP
NRC Notified By: DEWEY BARROW
HQ OPS Officer: JOHN MacKINNON
Notification Date: 11/21/2007
Notification Time: 19:00 [ET]
Event Date: 11/21/2007
Event Time: 11:15 [EST]
Last Update Date: 11/21/2007
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
JAY HENSON (R2)

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

Event Text

ERDADS LONG TERM HISTORIAN DATA STREAM WAS NOT UPDATING


"At approximately 1115 on 11/21/07 it was discovered that the Unit 3 ERDADS long term historian data stream was not updating. This impacted the ability of the ERDS link to transmit valid data. The modem was functional, but did not appear to be receiving data from the ERDADS computers. The long term historian appears to have gone offline at 1441 on 11/12/07. The probable cause of the malfunction appears to be a post installation modification to the system. The ERDS link was restored at 1130 11/21/07 and testing has confirmed it operable. No evidence of tampering has been discovered and this failure affects Unit 3 only."

The NRC Resident Inspector will be notified.

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Thursday, March 29, 2012