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Event Notification Report for March 26, 2013

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
03/25/2013 - 03/26/2013

** EVENT NUMBERS **


48825 48826 48842 48849 48850

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Agreement State Event Number: 48825
Rep Org: CALIFORNIA RADIATION CONTROL PRGM
Licensee: ARENA PHARMACEUTICAL
Region: 4
City: SAN DIEGO State: CA
County:
License #: 6434-37
Agreement: Y
Docket:
NRC Notified By: ROBERT GREGER
HQ OPS Officer: DONG HWA PARK
Notification Date: 03/15/2013
Notification Time: 20:43 [ET]
Event Date: 03/06/2013
Event Time: [PDT]
Last Update Date: 03/15/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
DALE POWERS (R4DO)
FSME EVENTS RESOURCE (EMAI)

Event Text

AGREEMENT STATE REPORT - DAMAGED TRITIUM EXIT SIGN

The following information was received from the California Radiologic Health Branch via e-mail:

"[The Radiation Safety Officer] RSO reported that a tritium exit sign (approximately 20 Ci of H-3) was broken when a forklift hit the sign on 3/6/13. The forklift driver did not report the damaged sign to the RSO until 3/13/13. Initial wipe surveys showed contamination up to 130,000 dpm. The area is not routinely occupied and, since being reported, access has been restricted. The forklift is also secured. A consultant will be used to decontaminate the area and the forklift. A urine sample was collected of the forklift driver on 3/14/13."

California Report 031513

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Agreement State Event Number: 48826
Rep Org: VIRGINIA RAD MATERIALS PROGRAM
Licensee: CARILION CLINIC
Region: 1
City: ROANOKE State: VA
County:
License #: 770-051-1
Agreement: Y
Docket:
NRC Notified By: CAHRLES COLEMAN
HQ OPS Officer: MARK ABRAMOVITZ
Notification Date: 03/18/2013
Notification Time: 14:31 [ET]
Event Date: 03/15/2013
Event Time: [EDT]
Last Update Date: 03/18/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
JAMES TRAPP (R1DO)
FSME RESOURCES (EMAI)

Event Text

AGREEMENT STATE REPORT - MEDICAL UNDERDOSE

The following information was received via fax:

"On March 15, 2013, a patient was treated with Y-90 microspheres (Sirtex SIR-Spheres) for a liver lesion. The prescribed activity was 35.8 millicuries. Measurements of the residual activity in the delivery system indicated 24.6 millicuries was delivered to the patient. Because of this, the total dose to the treatment site differed from the prescribed dose by 31.3 percent. The need for additional treatment is being evaluated. The licensee will submit a written report within 15 days."

Virginia Event ID: VA-13-0004

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.

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!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED !!!!!
Power Reactor Event Number: 48842
Facility: COLUMBIA GENERATING STATION
Region: 4 State: WA
Unit: [2] [ ] [ ]
RX Type: [2] GE-5
NRC Notified By: CHRIS LAWS
HQ OPS Officer: VINCE KLCO
Notification Date: 03/22/2013
Notification Time: 06:10 [ET]
Event Date: 03/21/2013
Event Time: 22:40 [PDT]
Last Update Date: 03/25/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(v)(C) - POT UNCNTRL RAD REL
50.72(b)(3)(v)(D) - ACCIDENT MITIGATION
Person (Organization):
RYAN LANTZ (R4DO)

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

MOMENTARY INNER AND OUTER REACTOR BUILDING ACCESS DOORS OPEN SIMULTANEOUSLY

"During performance of surveillance OSP-CONT-M102, secondary containment had been declared inoperable and Technical Specification 3.6.4.1.A had been entered.

"Operations personnel performing the surveillance were holding the inner door open and testing the outer door interlock. When the individual presented his badge to the badge reader and attempted to open the outer door, the door opened. Per the surveillance contingency actions, the individual immediately shut the door. Momentarily, both the inner and outer reactor building access doors were open.

"The surveillance was completed with no further issues. Technical Specification 3.6.4.1.A was exited and secondary containment was declared operable.

"There were no radiological releases associated with this event.

"No safety system actuations or isolations occurred."

The licensee notified the NRC Resident Inspector.

* * * RETRACTION FROM DIEGO SUAREZ TO DONALD NORWOOD AT 17:55 EDT ON 3/25/2013 * * *

"The licensee is retracting this event based on the following: During subsequent evaluation for reportability, guidance in NUREG-1022 was reviewed. NUREG-1022 provides that removal of a system or part of a system from service as part of a planned evolution for maintenance or surveillance testing when done in accordance with an approved procedure and the plant's TS (unless a condition is discovered that could have prevented the system from performing its function) is generally not reportable.

"In the case of this event, the secondary containment system was removed from service as part of a planned surveillance test. TS Action 3.6.4.1.A was entered as directed by the governing surveillance procedure in anticipation of the airlock interlock testing which, by the very nature of the test, could result in both doors in a given airlock being open simultaneously.

"The event described above should not have been reported in consideration of the guidance provided in NUREG-1022 and did not constitute a reportable event as a condition that could have prevented the fulfillment of a safety function under 10CFR50.72(b)(3)(v)."

The licensee will notify the NRC Resident Inspector. Notified R4DO (Pick).

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Power Reactor Event Number: 48849
Facility: PALO VERDE
Region: 4 State: AZ
Unit: [1] [2] [3]
RX Type: [1] CE,[2] CE,[3] CE
NRC Notified By: ANDREW LISTON
HQ OPS Officer: PETE SNYDER
Notification Date: 03/25/2013
Notification Time: 19:21 [ET]
Event Date: 03/25/2013
Event Time: 10:30 [MST]
Last Update Date: 03/25/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
GREG PICK (R4DO)

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

Event Text

ONE ALERT NOTIFICATION SIREN REMOVED FROM SERVICE FOR PLANNED MAINTENANCE

"The following event description is based on information currently available. If through subsequent reviews of this event additional information is identified that is pertinent to this event or alters the information being provided at this time a follow-up notification will be made via the ENS or under the reporting requirements of 10CFR50.73.

"On March 25, 2013, at 10:30, Mountain Standard Time, Palo Verde Nuclear Generating Station (PVNGS) removed Alert Notification System (ANS) Siren 22 from service for planned maintenance. Siren 22 provides notification to approximately 1455 members of the public within five miles of PVNGS.

"Siren 22 is expected to be returned to service on March 27, 2013.

"County authorities have been notified of this planned maintenance activity and appropriate contingency measures have been established to compensate for the non-functional siren. The PVNGS Emergency Plan contains contingencies for notification of members of the public within the affected area during an emergency when a siren is out of service.

"There are no events in progress that require ANS operation. The NRC Resident Inspector and the Maricopa County Sheriff's Office have been notified."

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Part 21 Event Number: 48850
Rep Org: FAIRBANKS MORSE
Licensee: FAIRBANKS MORSE
Region: 3
City: BELOIT State: WI
County:
License #:
Agreement: Y
Docket:
NRC Notified By: DOMINIC DEDOLPH
HQ OPS Officer: DONALD NORWOOD
Notification Date: 03/25/2013
Notification Time: 19:10 [ET]
Event Date: 01/28/2013
Event Time: [CDT]
Last Update Date: 03/25/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
21.21(d)(3)(i) - DEFECTS AND NONCOMPLIANCE
Person (Organization):
JULIO LARA (R3DO)
PART 21 GROUP (EMAI)

Event Text

PART 21 REPORT - FOREIGN MATERIAL INSIDE EDG AIR START PIPING

Facility Affected:
Xcel Energy - Prairie Island Nuclear Generating Plant (PINGP).

Component Affected:
OP Engine- Air Start Piping Assemble (p/n 11879060*00) shipped after October 23, 2012.

Supplier:
Fairbanks Morse Engine, 701 White Ave., Beloit, WI 53511.

Nature of Defect:
During a routine emergency diesel generator (EDG) test on 1/28/2013, one of the two redundant air start systems was isolated from the other and the single air start system failed to start the EDG due to the foreign material in the solenoid valve. The foreign material removed from the solenoid valve during failure analysis appears to be liquid pipe sealant used to seal threaded pipe joints during assembly.

Safety Hazard Which Could Be Created By Such Defect:
Foreign material within both of the redundant air start piping systems could become lodged in both of the solenoid valves. Simultaneous failure of the two solenoid valves would prevent the emergency diesel generator from starting.

Corrective Action:
PINGP has completed disassembly and cleaning of both piping systems to ensure no foreign material remains within the piping system.

FM will create a workmanship standard for pipe sealing, hydrostatic testing, and pressure testing that will include a foreign material exclusion program to ensure cleanliness of assemblies. This will be completed by June 30, 2013. FM has issued Corrective Action No. 2609 in its Quality Assurance Program.

Page Last Reviewed/Updated Tuesday, March 26, 2013
Tuesday, March 26, 2013