Event Notification Report for August 31, 2012
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
08/30/2012 - 08/31/2012
Agreement State
Event Number: 48260
Rep Org: VIRGINIA RAD MATERIALS PROGRAM
Licensee: UNIVERSITY OF VIRGINIIA
Region: 1
City: CHARLOTTESVILLE State: VA
County:
License #: 540-248-1
Agreement: Y
Docket:
NRC Notified By: CHARLES COLEMAN
HQ OPS Officer: STEVE SANDIN
Licensee: UNIVERSITY OF VIRGINIIA
Region: 1
City: CHARLOTTESVILLE State: VA
County:
License #: 540-248-1
Agreement: Y
Docket:
NRC Notified By: CHARLES COLEMAN
HQ OPS Officer: STEVE SANDIN
Notification Date: 08/31/2012
Notification Time: 15:19 [ET]
Event Date: 08/31/2012
Event Time: 00:00 [EDT]
Last Update Date: 08/31/2012
Notification Time: 15:19 [ET]
Event Date: 08/31/2012
Event Time: 00:00 [EDT]
Last Update Date: 08/31/2012
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
JOHN ROGGE (R1DO)
FSME EVENT RESOURCE (EMAI)
JOHN ROGGE (R1DO)
FSME EVENT RESOURCE (EMAI)
AGREEMENT STATE REPORT - PATIENT RECEIVED LESS THAN THE PRESCRIBED FRACTIONAL DOSE
The following information was received from the Commonwealth of Virginia via email:
"On August 31, 2012, the licensee reported that a wire drift error occurred during a high dose rate afterloader procedure on August 31. The patient undergoing a tandem and ovoid treatment was scheduled to receive a fraction dose of 6 Gray. Because of the wire drift error the fraction was terminated prior to completion and the patient received only 0.73 Gray. The licensee has informed the patient and the referring physician. The cause of the error and the patient's revised treatment plan are being reviewed by the licensee. The Virginia Radioactive Material Program will review the circumstances of the event."
A Medical Event may indicate potential problems in a medical facility's use of radioactive materials. It does not necessarily result in harm to the patient.
The following information was received from the Commonwealth of Virginia via email:
"On August 31, 2012, the licensee reported that a wire drift error occurred during a high dose rate afterloader procedure on August 31. The patient undergoing a tandem and ovoid treatment was scheduled to receive a fraction dose of 6 Gray. Because of the wire drift error the fraction was terminated prior to completion and the patient received only 0.73 Gray. The licensee has informed the patient and the referring physician. The cause of the error and the patient's revised treatment plan are being reviewed by the licensee. The Virginia Radioactive Material Program will review the circumstances of the event."
A Medical Event may indicate potential problems in a medical facility's use of radioactive materials. It does not necessarily result in harm to the patient.
Power Reactor
Event Number: 48262
Facility: GRAND GULF
Region: 4 State: MS
Unit: [1] [] []
RX Type: [1] GE-6
NRC Notified By: CHRISTINA PERINO
HQ OPS Officer: DONALD NORWOOD
Region: 4 State: MS
Unit: [1] [] []
RX Type: [1] GE-6
NRC Notified By: CHRISTINA PERINO
HQ OPS Officer: DONALD NORWOOD
Notification Date: 08/31/2012
Notification Time: 17:32 [ET]
Event Date: 08/31/2012
Event Time: 15:27 [CDT]
Last Update Date: 08/31/2012
Notification Time: 17:32 [ET]
Event Date: 08/31/2012
Event Time: 15:27 [CDT]
Last Update Date: 08/31/2012
Emergency Class: NON EMERGENCY
10 CFR Section:
26.719 - FITNESS FOR DUTY
10 CFR Section:
26.719 - FITNESS FOR DUTY
Person (Organization):
RAY AZUA (R4DO)
RAY AZUA (R4DO)
| Unit | SCRAM Code | RX Crit | Initial PWR | Initial RX Mode | Current PWR | Current RX Mode |
|---|---|---|---|---|---|---|
| 1 | N | Y | 98 | Power Operation | 98 | Power Operation |
CONFIRMED POSITIVE FITNESS FOR DUTY TEST
A non-licensed employee supervisor had a confirmed positive for illegal drugs during a follow-up fitness-for-duty test. The employee's access to the plant has been terminated. Contact the Headquarters Operations Officer for additional details.
The licensee notified the NRC Resident Inspector.
A non-licensed employee supervisor had a confirmed positive for illegal drugs during a follow-up fitness-for-duty test. The employee's access to the plant has been terminated. Contact the Headquarters Operations Officer for additional details.
The licensee notified the NRC Resident Inspector.
Power Reactor
Event Number: 48263
Facility: LASALLE
Region: 3 State: IL
Unit: [] [2] []
RX Type: [1] GE-5,[2] GE-5
NRC Notified By: RUDY CAPUTO
HQ OPS Officer: STEVE SANDIN
Region: 3 State: IL
Unit: [] [2] []
RX Type: [1] GE-5,[2] GE-5
NRC Notified By: RUDY CAPUTO
HQ OPS Officer: STEVE SANDIN
Notification Date: 08/31/2012
Notification Time: 17:50 [ET]
Event Date: 08/31/2012
Event Time: 09:40 [CDT]
Last Update Date: 08/31/2012
Notification Time: 17:50 [ET]
Event Date: 08/31/2012
Event Time: 09:40 [CDT]
Last Update Date: 08/31/2012
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(v)(D) - ACCIDENT MITIGATION
10 CFR Section:
50.72(b)(3)(v)(D) - ACCIDENT MITIGATION
Person (Organization):
JAMNES CAMERON (R3DO)
JAMNES CAMERON (R3DO)
| Unit | SCRAM Code | RX Crit | Initial PWR | Initial RX Mode | Current PWR | Current RX Mode |
|---|---|---|---|---|---|---|
| 2 | N | Y | 100 | Power Operation | 100 | Power Operation |
HIGH PRESSURE CORE SPRAY DIESEL GENERATOR DECLARED INOPERABLE
"This report is being made pursuant to 10CFR50.72(b)(3)(v)(D), Event or Condition that could have prevented fulfillment of a Safety Function needed to Mitigate the Consequences of an Accident. During the conduct of the Unit 2 Division 3 High Pressure Core Spray (HPCS) Diesel Generator (DG) air start system receiver blowdown, a low air pressure system alarm was received. Starting air pressure in one of 2 redundant air receiver banks lowered to the point requiring the DG to be declared inoperable per Technical Specifications. This event appears to have been caused by a degraded receiver drain valve. The air system degraded equipment condition has cleared and the DG has been restored to operable status following 42 minutes of inoperability. Although a redundant air bank was fully available and charged, during this time of inoperability the DG was at reduced margin to successfully start if required. Due to this loss of margin and inoperable condition, it has been determined that this failure could potentially affect the safety function of this system, and is being reported as an 8 hour ENS notification."
The licensee informed the NRC Resident Inspector.
"This report is being made pursuant to 10CFR50.72(b)(3)(v)(D), Event or Condition that could have prevented fulfillment of a Safety Function needed to Mitigate the Consequences of an Accident. During the conduct of the Unit 2 Division 3 High Pressure Core Spray (HPCS) Diesel Generator (DG) air start system receiver blowdown, a low air pressure system alarm was received. Starting air pressure in one of 2 redundant air receiver banks lowered to the point requiring the DG to be declared inoperable per Technical Specifications. This event appears to have been caused by a degraded receiver drain valve. The air system degraded equipment condition has cleared and the DG has been restored to operable status following 42 minutes of inoperability. Although a redundant air bank was fully available and charged, during this time of inoperability the DG was at reduced margin to successfully start if required. Due to this loss of margin and inoperable condition, it has been determined that this failure could potentially affect the safety function of this system, and is being reported as an 8 hour ENS notification."
The licensee informed the NRC Resident Inspector.