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Event Notification Report for July 9, 2010

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
07/08/2010 - 07/09/2010

** EVENT NUMBERS **


45829 45864 45923 46064 46075 46076 46077

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General Information or Other Event Number: 45829
Rep Org: OHIO BUREAU OF RADIATION PROTECTION
Licensee: JANX INTEGRITY GROUP
Region: 3
City: PARMA State: MI
County:
License #: 03320990002
Agreement: N
Docket:
NRC Notified By: STEPHEN JAMES
HQ OPS Officer: PETE SNYDER
Notification Date: 04/09/2010
Notification Time: 17:37 [ET]
Event Date: 04/09/2010
Event Time: [EDT]
Last Update Date: 07/08/2010
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
HIRONORI PETERSON (R3DO)
BILL VONTILL (FSME)

Event Text

RADIOGRAPHY CAMERA SOURCE NOT FULLY RETRACTED

The following information was received via email:

"Radiographer failed to fully retract Se-75 source into QSA Model 880 camera while on a job site in Stratton, Ohio. No additional information regarding device or source is available at this time.

"Radiographer did not 'bump check' the source after retraction to make sure that the source was locked in the camera. He stated that he was using a survey meter as he approached the camera, but it slipped from his hand during his approach and fell to the ground. He stated that he did not verify proper operation after picking up the meter. He was approaching the camera from the rear and stated that he had not observed any reading on the meter. As the radiographer disconnected the guide tube, he noted that the source cable was still sticking out of the camera with the source. He stated that he turned the crank handle about 3/4 of a turn, at which time the source was retracted. The radiographer stated that he could not hear his alarming rate meter due to loud noise in the power plant where the work was being done. The radiographers pocket dosimeter (0 - 200 Mr) was reported as having gone off-scale.

"The licensee has estimated a whole body exposure of 1.8 R and an extremity dose to the radiographer's hand of between 3 R and 20 R. The licensee has shipped the radiographer's dosimeter for rush processing and expects to have results late Monday (4/12/10) or Tuesday. ODH [Ohio Department of Health] will conduct an investigation.

"NOTE: This report is being made as a precaution until the actual dose received by the radiographer is confirmed."

Ref: OH 2010-013

* * * UPDATE FROM STEPHEN JAMES TO PETE SNYDER AT 0950 ON 4/15/10 * * *

The following information was received via email:

"1. Camera was a QSA Model 880 Delta, S/N D6162.

"2. Source was a QSA Se-75 source, 73 Curies on 4/9/10, S/N 2739.

"3. Extremity exposure was to right hand.

"4. The radiographer's dosimeter was processed and indicated a whole body dose (shallow) dose of 0.563 Rem for April 2010, through April 9, 2010. This is approximately four times higher than the radiographer received in March 2010 (0.147 Rem).

"5. ODH [Ohio Department of Health] will investigate the week of April 19 to recreate event and verify dose estimates and events leading to the exposure.

"NOTE: As of the current information, the exposure received by the radiographer would not require reporting of the event. Final determination will be made upon completion of investigation by ODH."

Notified R3DO (Orth) and FSME (McIntosh).

* * * UPDATE FROM STEPHEN JAMES TO CHARLES TEAL AT ON 7/8/10 AT 1128* * *

"ODH investigation and recreation of event indicate that the radiographer did follow proper procedures and was exposed to [the] source for less than one (1) minute total. [The] radiographer had [a] stopwatch used for timing shots and he had failed to shut off the stop watch until he had removed himself from area of source, at which time the stopwatch indicated 5 minutes since the shot began. This exposure does NOT require notification and no further action to be taken at this time."

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General Information or Other Event Number: 45864
Rep Org: OHIO BUREAU OF RADIATION PROTECTION
Licensee: OHIO STATE UNIVERSITY
Region: 3
City: COLUMBUS State: OH
County:
License #: OH02110250037
Agreement: Y
Docket:
NRC Notified By: STEPHEN JAMES
HQ OPS Officer: RYAN ALEXANDER
Notification Date: 04/21/2010
Notification Time: 12:00 [ET]
Event Date: 04/20/2010
Event Time: [EDT]
Last Update Date: 07/08/2010
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
RICHARD SKOKOWSKI (R3DO)
ANGELA MCINTOSH (FSME)

Event Text

AGREEMENT STATE REPORT - POSSIBLE OVEREXPOSURE TO A MEMBER OF THE PUBLIC

"Ohio Department of Health (ODH), Bureau of Radiation Protection (BPR) was notified of a possible overexposures to a member of the general public which occurred on 4/20/10 at the Ohio State University located in Columbus, Ohio.

"A patient received a temporary implant of Cs-137 and Ir-192 seeds on April 16-18, 2010. The patient's visitor (her fiancÚ) was instructed by the licensee that he could stay no longer than 2 hours with the patient in a twenty four hour period, and must stay behind the bedside shield during these visitations. On Tuesday, April 20, 2010, the licensee was informed by the Assistant Nurse Manager that the fiancÚ spent the night in the patient's room on two consecutive nights. In addition, the initial investigation by the licensee indicates that the visitor told the Assistant Nurse Manager that he slept in the same bed with the patient both nights. Nursing Management personnel are in the process of interviewing staff members that were involved directly with the care of the implant patient to verify that the fiancÚ was in the room overnight with the patient.

"A preliminary and conservative worst case dose estimate for the visitor is 6 Rad (6 cGy) whole body exposure, based on a 16-hour stay time (8 hours each night for two nights). ODH BRP will continue to collect information of this event and conduct an investigation. The licensee has initiated an internal investigation."

Ohio Report OH100005

* * * UPDATE FROM STEPHEN JAMES TO CHARLES TEAL ON 7/8/10 AT 1128 EDT * * *

"After investigation by the licensee and ODH the revised calculations indicate a dose estimate to the visitor to be 1.25 Rem. The licensee has instituted major procedural changes and conducted training for medical staff involved with brachytherapy treatments."

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General Information or Other Event Number: 45923
Rep Org: OHIO BUREAU OF RADIATION PROTECTION
Licensee: THE OHIO STATE UNIVERSITY
Region: 3
City: COLUMBUS State: OH
County:
License #: 02110250037
Agreement: Y
Docket:
NRC Notified By: STEPHEN JAMES
HQ OPS Officer: VINCE KLCO
Notification Date: 05/13/2010
Notification Time: 16:04 [ET]
Event Date: 05/11/2010
Event Time: [EDT]
Last Update Date: 07/08/2010
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
MARK RING (R3DO)
KEITH McCONNELL (FSME)

Event Text

AGREEMENT STATE REPORT - REPORT OF LEAKING SEALED SOURCE

The following information was received by e-mail:

"On Tuesday May 11, 2010, the licensee discovered during a routine leak test that a Ni-63 source in a Shimadzu GC-14A gas chromatograph was leaking, presenting 0.0142 microCi. The source was identified as an NRD model N-100, serial number 616355, with an original activity of 9.98 mCi on 3/23/03 and a current activity of 9.50 mCi.

"A second leak test confirmed that this was not a false positive. Surveys of the instrument and area presented no evidence that contamination had spread.

"The device containing the Ni-63 source was removed from service and taken to the licensee's radioactive waste storage facility."

Ohio Report: OH100006

* * * UPDATE FROM STEPHEN JAMES TO CHARLES TEAL ON 7/8/10 AT 1128 * * *

"The source has been removed and packaged for disposal with the licensee's next LLRW shipment."

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Fuel Cycle Facility Event Number: 46064
Facility: NUCLEAR FUEL SERVICES INC.
RX Type: URANIUM FUEL FABRICATION
Comments: HEU CONVERSION & SCRAP RECOVERY
                   NAVAL REACTOR FUEL CYCLE
                   LEU SCRAP RECOVERY
Region: 2
City: ERWIN State: TN
County: UNICOI
License #: SNM-124
Agreement: Y
Docket: 07000143
NRC Notified By: TONY SCHILL
HQ OPS Officer: JOE O'HARA
Notification Date: 07/01/2010
Notification Time: 20:02 [ET]
Event Date: 07/01/2010
Event Time: 19:18 [EDT]
Last Update Date: 07/06/2010
Emergency Class: NON EMERGENCY
10 CFR Section:
74.57 - ALARM RESOLUTION
Person (Organization):
BINOY DESAI (R2DO)
DOUG WEAVER (NMSS)
FUELS OUO GRP EMAIL ()

Event Text

MATERIAL CONTROL AND ACCOUNTABILITY (MC&A) ALARM ACTUATION

"10 CFR 74.57(f)(2) requires notification within 24 hours that an MC&A alarm resolution procedure has been initiated. Because the alarm investigation has been initiated, this notification is being made. There is no indication that a material loss has occurred. "

Material processing operations related to this alarm have been suspended.

The NRC Resident Inspector has been notified.

* * * UPDATE FROM RANDY SHACKELFORD TO DONG PARK AT 1509 EDT ON 7/6/10 * * *

The investigation from the MC&A alarm resolution procedure has been successfully completed. No material loss occurred, and the alarm was caused by the material being held up in the process.

Notified R2DO (Widmann), NMSS EO (Pstrak), and Fuels OUO Group via email.

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Power Reactor Event Number: 46075
Facility: SALEM
Region: 1 State: NJ
Unit: [1] [ ] [ ]
RX Type: [1] W-4-LP,[2] W-4-LP
NRC Notified By: ERIC POWELL
HQ OPS Officer: DONG HWA PARK
Notification Date: 07/07/2010
Notification Time: 13:22 [ET]
Event Date: 07/07/2010
Event Time: 11:17 [EDT]
Last Update Date: 07/08/2010
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(iv)(B) - RPS ACTUATION - CRITICAL
50.72(b)(3)(iv)(A) - VALID SPECIF SYS ACTUATION
Person (Organization):
ANTHONY DIMITRIADIS (R1DO)
JEFFERY GRANT (IRD)
MIKE CHEOK (NRR)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
1 A/R Y 100 Power Operation 0 Hot Standby

Event Text

AUTOMATIC REACTOR TRIP CAUSED BY MAIN GENERATOR AND TURBINE TRIP

"Salem Unit 1 experienced an automatic reactor trip at 1117 hours due to a trip of the main generator and turbine. The main generator tripped as a result of a fault on the B Main Power Transformer (MPT). The B MPT fire protection deluge system automatically actuated and extinguished a small fire that occurred on the B MPT. The fire existed for approximately 5 minutes prior to being extinguished.

"All control rods fully inserted on the trip and all systems responded as designed with decay heat being removed via the Steam Dump system with condenser vacuum maintained. All three AFW [Auxiliary Feed Water] Pumps auto started as expected due to low Steam Generator level. Following the trip, the Reactor Coolant Pump (RCP) thermal barrier supply valve 1CC131 automatically closed and was subsequently reopened with no issue.

"Salem Unit 1 is currently in mode 3. The Reactor Coolant System temperature is 547 degrees F with pressure at 2235 psig (NOT and NOP). All ECCS and ESF Systems are available and no ECCS [Emergency Core Cooling System] systems actuated during the event. The 13 AFW pump has not yet been reset following the trip, per the Emergency Operating Procedures and is unavailable.

"No personnel injuries occurred as a result of the trip. There is no primary to secondary leakage. There was no impact on Unit 2."

The licensee has notified the NRC Resident Inspector.

* * * UPDATE FROM ERIC POWELL TO CHARLES TEAL ON 7/8/10 AT 1535 * * *

"Based on additional reviews, the reactor trip occurred at 1118 hours following actuation of the B Main Power Transformer (MPT) fire protection deluge system at 1116 hours. Personnel in the area stated that an arc flash occurred on the high voltage bushing of the B MPT following the deluge system actuation and there was no fire present when the deluge system actuated."

Notified the R1DO (Dimitriadis).

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General Information or Other Event Number: 46076
Rep Org: WAL-MART
Licensee: WAL-MART
Region: 4
City: BENTONVILLE State: AR
County:
License #: GL
Agreement: Y
Docket:
NRC Notified By: RICH DAILEY
HQ OPS Officer: VINCE KLCO
Notification Date: 07/08/2010
Notification Time: 08:26 [ET]
Event Date: 06/17/2010
Event Time: [CDT]
Last Update Date: 07/08/2010
Emergency Class: NON EMERGENCY
10 CFR Section:
20.2201(a)(1)(i) - LOST/STOLEN LNM>1000X
Person (Organization):
CHUCK CAIN (R4DO)
ANGELA MCINTOSH (FSME)
TAMARA BLOOMER (R3DO)
ILTAB (e-mail) ()

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

Event Text

GENERAL LICENSE TRITIUM EXIT SIGN MISSING

During a remodel of Wal-Mart Store #566 in Boonville, Indiana, the remodeling contractor found one tritium sign. According to the Wal-Mart Radiation Safety Officer (RSO), the sign was an Isolite model with an estimated 11 Curie source strength. The contractor was instructed to properly isolate and store the tritium sign. When a Wal-Mart consultant arrived at the Wal-Mart store to inspect the tritium sign, the sign could not be found in the storage location. Wal-Mart considers the tritium sign to be lost.

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. For additional information go to http://www-pub.iaea.org/MTCD/publications/PDF/Pub1227_web.pdf

This source is not amongst those sources or devices identified by the IAEA Code of Conduct for the Safety & Security of Radioactive Sources to be of concern from a radiological standpoint. Therefore is it being categorized as a less than Category 3 source

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Power Reactor Event Number: 46077
Facility: WATERFORD
Region: 4 State: LA
Unit: [3] [ ] [ ]
RX Type: [3] CE
NRC Notified By: BILL HARDIN
HQ OPS Officer: CHARLES TEAL
Notification Date: 07/08/2010
Notification Time: 12:23 [ET]
Event Date: 07/07/2010
Event Time: 14:00 [CDT]
Last Update Date: 07/08/2010
Emergency Class: NON EMERGENCY
10 CFR Section:
26.719 - FITNESS FOR DUTY
Person (Organization):
CHUCK CAIN (R4DO)

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

ADMINISTRATIVE REVIEW REVEALED FITNESS FOR DUTY PROGRAM ISSUES

"Pursuant to Fitness For Duty and Fatigue Rule reporting requirements of 10CFR26.719(b)(2)(ii), Entergy is making this notification associated with violation of Waterford 3 working hour policy. This is a conservative report to proactively document the identified working hour issues.

"The site assembled a team for the purpose of reviewing working hours within the Waterford 3 Security Department to determine if the department is in compliance with procedure EN-OM-123 (Fatigue Management Program) and 10 CFR 26 Subpart I (Managing Fatigue). While this comprehensive review is still in progress, two examples have been identified associated with supervisory violations of the Fatigue Rule 'Working Hours.' This report is intended to capture these examples and to encompass any other examples that may be identified during this review process.

"The two examples of procedural violations are:

"Security supervisor had exceeded the 26 hours maximum in any 48 hour period by working 16 hours on 6/1/2010 and 11.5 hours on 6/2/2010 with no waiver in effect [10CFR26(d)(1)(ii)].

"Security supervisor had exceeded a 9 day period without a 34 hour break during the period of 5/16/2010 to 5/24/2010 with no waiver in effect [10CFR26(d)(2)(ii)].

"Security has verified the current watch bill meets the procedural and regulatory requirements. Security has implemented interim measures for the supervisors to perform a documented validation of work hour management system (PQ&S) data. Condition Report CR-WF3-2010-4156 has been initiated and entered into the Waterford 3 corrective action program. The ongoing comprehensive review will be completed.

"Waterford 3 has communicated this issue with the Waterford 3 NRC Senior Resident [Inspector], the NRC Region IV Security Branch Chief, and the NRC NRR Project Manager.

"[During] the week of July 26, a follow up call is planned with NRC Region IV associated with the working hour issues."

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