Event Notification Report for January 11, 2013
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
01/10/2013 - 01/11/2013
EVENT NUMBERS
48665486664866848671
Power Reactor
Event Number: 48665
Facility: PILGRIM
Region: 1 State: MA
Unit: [1] [] []
RX Type: [1] GE-3
NRC Notified By: ROBERT O'NEILL
HQ OPS Officer: DONALD NORWOOD
Region: 1 State: MA
Unit: [1] [] []
RX Type: [1] GE-3
NRC Notified By: ROBERT O'NEILL
HQ OPS Officer: DONALD NORWOOD
Notification Date: 01/11/2013
Notification Time: 10:16 [ET]
Event Date: 01/11/2013
Event Time: 06:55 [EST]
Last Update Date: 01/11/2013
Notification Time: 10:16 [ET]
Event Date: 01/11/2013
Event Time: 06:55 [EST]
Last Update Date: 01/11/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(xi) - OFFSITE NOTIFICATION
10 CFR Section:
50.72(b)(2)(xi) - OFFSITE NOTIFICATION
Person (Organization):
CHRISTOPHER NEWPORT (R1DO)
CHRISTOPHER NEWPORT (R1DO)
| Unit | SCRAM Code | RX Crit | Initial PWR | Initial RX Mode | Current PWR | Current RX Mode |
|---|---|---|---|---|---|---|
| 1 | N | N | 0 | Hot Shutdown | 0 | Hot Shutdown |
OFFSITE NOTIFICATION REGARDING MANUAL REACTOR SCRAM
"At 1534 EST on Thursday, January 10, Pilgrim Station operators initiated a manual shutdown of the power plant following a trip of the plant's recirculation pumps.
"The plant is in a safe condition and plant personnel are investigating the cause.
"The plant will be restarted after a thorough evaluation and any necessary repairs are completed. The plant had been online continuously for 230 days at the time of the shutdown.
"The NRC Resident Inspector staff has been informed of this press release and notification.
"This informational notification is being made in accordance with 10CFR50.72(b)(2)(xi).
"The licensee will notify the Massachusetts Emergency Management Agency (MEMA)."
"At 1534 EST on Thursday, January 10, Pilgrim Station operators initiated a manual shutdown of the power plant following a trip of the plant's recirculation pumps.
"The plant is in a safe condition and plant personnel are investigating the cause.
"The plant will be restarted after a thorough evaluation and any necessary repairs are completed. The plant had been online continuously for 230 days at the time of the shutdown.
"The NRC Resident Inspector staff has been informed of this press release and notification.
"This informational notification is being made in accordance with 10CFR50.72(b)(2)(xi).
"The licensee will notify the Massachusetts Emergency Management Agency (MEMA)."
Part 21
Event Number: 48666
Rep Org: EMERSON PROCESS MANAGEMENT
Licensee: FISHER DIVISION
Region: 3
City: MARSHALLTOWN State: IA
County:
License #:
Agreement: Y
Docket:
NRC Notified By: DENNIS SWANSON
HQ OPS Officer: VINCE KLCO
Licensee: FISHER DIVISION
Region: 3
City: MARSHALLTOWN State: IA
County:
License #:
Agreement: Y
Docket:
NRC Notified By: DENNIS SWANSON
HQ OPS Officer: VINCE KLCO
Notification Date: 01/11/2013
Notification Time: 12:27 [ET]
Event Date: 01/11/2013
Event Time: 00:00 [CST]
Last Update Date: 01/11/2013
Notification Time: 12:27 [ET]
Event Date: 01/11/2013
Event Time: 00:00 [CST]
Last Update Date: 01/11/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
21.21(d)(3)(i) - DEFECTS AND NONCOMPLIANCE
10 CFR Section:
21.21(d)(3)(i) - DEFECTS AND NONCOMPLIANCE
Person (Organization):
CHRISTOPHER NEWPORT (R1DO)
MARK FRANKE (R2DO)
JOHN GIESSNER (R3DO)
VINCENT GADDY (R4DO)
PART 21 GROUP (EMAI)
CHRISTOPHER NEWPORT (R1DO)
MARK FRANKE (R2DO)
JOHN GIESSNER (R3DO)
VINCENT GADDY (R4DO)
PART 21 GROUP (EMAI)
PART 21 REPORT INVOLVING TYPE 546NS TRANSDUCERS
The following report was received via fax:
"Fisher Information Notice: FIN 2013-01; 9 January 2013
"Subject: Type 546NS Transducers
"Equipment Affected By This Information Notice: Type 546NS Transducers shipped prior to 19 December 2012.
"Purpose:
The purpose of this Fisher Information Notice (FIN) is to alert users of the Type 546 and 546NS Transducers, shipped prior to 19 December 2012, that Fisher Controls International LLC (Fisher) was made aware of a situation which may affect the performance of the aforementioned equipment. We are informing you of this circumstance in accordance with Sections 21.21(b) and 50.55 (e) of 10CFR21.
"Applicability:
This notice applies only to Fisher Type 546 and 546NS Transducers shipped prior to 19 December 2012 that are not in operation, installed or in service.
"Discussion:
Recently, while a Fisher maintenance engineer was installing a Type 546NS Transducer in a non US customer's plant, the instrument did not perform as expected.
Upon investigation of the unit, it was determined that the vent hole to the relay was plugged which resulted in the build up of pressure inside the housing. This increased pressure will cause the output pressure to ramp up to supply pressure. In the event the relay is plugged, users will easily detect ramping up of the output pressure immediately after the sealed unit is put in service, which is why this FIN applies to units that are not yet in service.
"Action Required:
All Type 546 and 546NS Transducer units shipped to customers prior to 19 December 2012 and not already-in-service should be checked for this restriction of the case vent. Units in-service with the cover installed and properly working will not have a plugged case vent.
"10CFR21 Implications:
Fisher requests that the recipient of this notice review it and take appropriate action in accordance with 10CFR21.
If there are any technical questions or concerns, please contact:
George Baitinger
Manager; Quality
Fisher Controls International LLC
205 South Center Street
Marshalltown. IA 50158
Fax; (641) 754-2854
Phone: (641) 754-2026
George.Baitinger@Emerson.com"
The following report was received via fax:
"Fisher Information Notice: FIN 2013-01; 9 January 2013
"Subject: Type 546NS Transducers
"Equipment Affected By This Information Notice: Type 546NS Transducers shipped prior to 19 December 2012.
"Purpose:
The purpose of this Fisher Information Notice (FIN) is to alert users of the Type 546 and 546NS Transducers, shipped prior to 19 December 2012, that Fisher Controls International LLC (Fisher) was made aware of a situation which may affect the performance of the aforementioned equipment. We are informing you of this circumstance in accordance with Sections 21.21(b) and 50.55 (e) of 10CFR21.
"Applicability:
This notice applies only to Fisher Type 546 and 546NS Transducers shipped prior to 19 December 2012 that are not in operation, installed or in service.
"Discussion:
Recently, while a Fisher maintenance engineer was installing a Type 546NS Transducer in a non US customer's plant, the instrument did not perform as expected.
Upon investigation of the unit, it was determined that the vent hole to the relay was plugged which resulted in the build up of pressure inside the housing. This increased pressure will cause the output pressure to ramp up to supply pressure. In the event the relay is plugged, users will easily detect ramping up of the output pressure immediately after the sealed unit is put in service, which is why this FIN applies to units that are not yet in service.
"Action Required:
All Type 546 and 546NS Transducer units shipped to customers prior to 19 December 2012 and not already-in-service should be checked for this restriction of the case vent. Units in-service with the cover installed and properly working will not have a plugged case vent.
"10CFR21 Implications:
Fisher requests that the recipient of this notice review it and take appropriate action in accordance with 10CFR21.
If there are any technical questions or concerns, please contact:
George Baitinger
Manager; Quality
Fisher Controls International LLC
205 South Center Street
Marshalltown. IA 50158
Fax; (641) 754-2854
Phone: (641) 754-2026
George.Baitinger@Emerson.com"
Power Reactor
Event Number: 48668
Facility: FORT CALHOUN
Region: 4 State: NE
Unit: [1] [] []
RX Type: (1) CE
NRC Notified By: LUKE JENSEN
HQ OPS Officer: JOHN SHOEMAKER
Region: 4 State: NE
Unit: [1] [] []
RX Type: (1) CE
NRC Notified By: LUKE JENSEN
HQ OPS Officer: JOHN SHOEMAKER
Notification Date: 01/11/2013
Notification Time: 17:12 [ET]
Event Date: 01/11/2013
Event Time: 09:20 [CST]
Last Update Date: 01/11/2013
Notification Time: 17:12 [ET]
Event Date: 01/11/2013
Event Time: 09:20 [CST]
Last Update Date: 01/11/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
26.719 - FITNESS FOR DUTY
10 CFR Section:
26.719 - FITNESS FOR DUTY
Person (Organization):
VINCENT GADDY (R4DO)
VINCENT GADDY (R4DO)
| Unit | SCRAM Code | RX Crit | Initial PWR | Initial RX Mode | Current PWR | Current RX Mode |
|---|---|---|---|---|---|---|
| 1 | N | N | 0 | Cold Shutdown | 0 | Cold Shutdown |
FITNESS FOR DUTY - ACCESS TERMINATED
During a random screening, a non-licensed contract supervisor tested positive for a controlled substance. The individual's unescorted access has been terminated.
The Licensee has notified the NRC Resident Inspector.
During a random screening, a non-licensed contract supervisor tested positive for a controlled substance. The individual's unescorted access has been terminated.
The Licensee has notified the NRC Resident Inspector.
Agreement State
Event Number: 48671
Rep Org: PA BUREAU OF RADIATION PROTECTION
Licensee: THOMAS JEFFERSON UNIVERSITY HOSPITALS, INC.
Region: 1
City: PHILADELPHIA State: PA
County:
License #: PA-0130
Agreement: Y
Docket:
NRC Notified By: JOE MELNIC
HQ OPS Officer: RYAN ALEXANDER
Licensee: THOMAS JEFFERSON UNIVERSITY HOSPITALS, INC.
Region: 1
City: PHILADELPHIA State: PA
County:
License #: PA-0130
Agreement: Y
Docket:
NRC Notified By: JOE MELNIC
HQ OPS Officer: RYAN ALEXANDER
Notification Date: 01/14/2013
Notification Time: 14:53 [ET]
Event Date: 01/11/2013
Event Time: 00:00 [EST]
Last Update Date: 01/14/2013
Notification Time: 14:53 [ET]
Event Date: 01/11/2013
Event Time: 00:00 [EST]
Last Update Date: 01/14/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
JOHN ROGGE (R1DO)
FSME EVENTS RESOURCE (EMAI)
JOHN ROGGE (R1DO)
FSME EVENTS RESOURCE (EMAI)
AGREEMENT STATE REPORT - MEDICAL EVENT INVOLVING PROSTATE BRACHYTHERAPY IMPLANT
The following information was obtained from the Commonwealth of Pennsylvania Department of Environmental Protection via e-mail:
"On January 11, 2013 the licensee informed the Department's Southeastern Regional Office of the Medical Event. The event is reportable within 24 hours per 10CFR 35.3045(a)(1)(i). Both the patient and referring physician were notified.
"On December 4, 2012 the patient received an iodine-125 prostate seed implant. The patient returned for the 30 day post-treatment follow-up CT scan on January 9, 2013. Upon review of the CT results on January 10, 2013, it was discovered that the prostate received approximately 60% of the intended dose. The D90 was determined to be 56 Gy out of a prescribed dose of 110 Gy.
"The potential cause of the event was noted as possible organ shift or incorrect depth placement of needles.
"The licensee plans to compensate for the undertreated area with follow-up external beam therapy. They will provide the Department a written report in 15 days. The Southeastern Regional Office plans to follow up with a reactive inspection."
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 obtained from the Commonwealth of Pennsylvania Department of Environmental Protection via e-mail:
"On January 11, 2013 the licensee informed the Department's Southeastern Regional Office of the Medical Event. The event is reportable within 24 hours per 10CFR 35.3045(a)(1)(i). Both the patient and referring physician were notified.
"On December 4, 2012 the patient received an iodine-125 prostate seed implant. The patient returned for the 30 day post-treatment follow-up CT scan on January 9, 2013. Upon review of the CT results on January 10, 2013, it was discovered that the prostate received approximately 60% of the intended dose. The D90 was determined to be 56 Gy out of a prescribed dose of 110 Gy.
"The potential cause of the event was noted as possible organ shift or incorrect depth placement of needles.
"The licensee plans to compensate for the undertreated area with follow-up external beam therapy. They will provide the Department a written report in 15 days. The Southeastern Regional Office plans to follow up with a reactive inspection."
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.