Event Notification Report for April 4, 2013

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
04/03/2013 - 04/04/2013

** EVENT NUMBERS **


48855 48856 48857 48858 48859 48880 48881 48882 48883 48885 48886

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Power Reactor Event Number: 48855
Facility: THREE MILE ISLAND
Region: 1 State: PA
Unit: [1] [ ] [ ]
RX Type: [1] B&W-L-LP,[2] B&W-L-LP
NRC Notified By: WILLIAM CRADDOCK
HQ OPS Officer: MARK ABRAMOVITZ
Notification Date: 03/27/2013
Notification Time: 09:14 [ET]
Event Date: 03/27/2013
Event Time: 08:00 [EDT]
Last Update Date: 03/27/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
PAUL KROHN (R1DO)

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

Event Text

TECHNICAL SUPPORT CENTER VENTILATION OUT OF SERVICE FOR MAINTENANCE

"This is a non-emergency eight hour notification for a loss of emergency assessment capability. This event is reportable in accordance with 10 CFR 50.72(b)(3)(xiii) because the work activity affects the functionality of a emergency response facility.

"Planned maintenance activities are being performed today (March 27, 2013) to the Technical Support Center (TSC) HVAC. The work includes both corrective and preventive maintenance to the TSC HVAC system. This work activity is planned to be performed and completed expeditiously within about 14 hours.

"If an emergency condition occurs that requires activation of the TSC, plans are to utilize the TSC concurrent with this work activity as long as habitability conditions allow. Additionally, plans are in place to expedite the return of the system should an emergency condition occur. The emergency response organization duty team members will be relocated to an alternate location if required by habitability conditions in accordance with emergency implementing procedures.

"The licensee notified the NRC Resident Inspector."

* * * UPDATE FROM DAVE LEWIS TO HOWIE CROUCH AT 1511 EDT ON 3/27/13 * * *

The Technical Support Center has been returned to service. The licensee has notified the NRC Resident Inspector.

Notified R1DO (Krohn).

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Agreement State Event Number: 48856
Rep Org: TENNESSEE DIV OF RAD HEALTH
Licensee: VANDERBILT UNIVERSITY
Region: 1
City: NASHVILLE State: TN
County:
License #: R-19021-I15
Agreement: Y
Docket:
NRC Notified By: SASI KRISHNASARMA
HQ OPS Officer: JOHN SHOEMAKER
Notification Date: 03/26/2013
Notification Time: 15:23 [ET]
Event Date: 01/29/2013
Event Time: [EDT]
Last Update Date: 03/27/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
PAUL KROHN (R1DO)
FSME EVENT RESOURCES (EMAI)

Event Text

AGREEMENT STATE REPORT - CATHETER LEAKAGE DURING TREATMENT

"The Division of Radiological Health was notified on Tuesday March 26, 2013, by a representative from Vanderbilt [University], of a misadministration. A patient was treated January 29, 2013, with Iodine 131-MIBG [metaiodobenzylguanidine]. The patient stayed in the hospital for 4 days until February 2, 2013. Foley catheter leakage occurred during this interval, but not recognized as a misadministration because there was no visible effect.

"The patient returned for a second treatment on March 19, 2013, at that time a rash was noted and attributed to the catheter leakage during the initial treatment in January.

"Inspectors from the Nashville Field Office will [request additional information and] follow-up and keep NRC informed of the status of our investigation."

Tennessee Division of Radiological Health Report Number: TN-13-044

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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Agreement State Event Number: 48857
Rep Org: TEXAS DEPARTMENT OF HEALTH
Licensee: PETROCHEM INSPECTION SERVICES
Region: 4
City: PORT ARTHUR State: TX
County:
License #: L-04460
Agreement: Y
Docket:
NRC Notified By: GENTRY HEARN
HQ OPS Officer: HOWIE CROUCH
Notification Date: 03/27/2013
Notification Time: 11:47 [ET]
Event Date: 03/26/2013
Event Time: [CDT]
Last Update Date: 03/27/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
GREG PICK (R4DO)
FSME EVENTS RESOURCE (EMAI)

Event Text

AGREEMENT STATE REPORT - STUCK RADIOGRAPHY SOURCE DUE TO DAMAGED GUIDE TUBE

The following information was obtained from the State of Texas via email:

"On March 27, 2013, the Agency [Texas Bureau of Radiation Health] was notified by the licensee that a radiography [camera] guide tube at a temporary field site had suffered damage, causing the source to become unretractable. The source was recovered by the licensee according to the terms of the license. The source was part of a GRP model 880D Sentinel radiography camera, S/N 9185. The source was a 51 Ci Ir-192 sealed source, S/N 91313B. Initial dose estimates show 1.4R exposure to whole body and 2R exposure to the hand by the retrieval worker. The work site was closed so no dose was received by members of the public. More information will be provided as needed per SA300."

Texas Incident # I-9060

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Non-Agreement State Event Number: 48858
Rep Org: DEPARTMENT OF VETERANS AFFAIRS
Licensee: DEPARTMENT OF VETERANS AFFAIRS
Region: 4
City: SAN ANTONIO State: TX
County:
License #: 03-23853-01VA
Agreement: Y
Docket:
NRC Notified By: THOMAS HUSTON
HQ OPS Officer: HOWIE CROUCH
Notification Date: 03/27/2013
Notification Time: 16:06 [ET]
Event Date: 03/27/2013
Event Time: 12:48 [CDT]
Last Update Date: 03/27/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
20.1906(d)(1) - SURFACE CONTAM LEVELS > LIMITS
Person (Organization):
JULIO LARA (R3DO)
GREG PICK (R4DO)
FSME EVENTS RESOURCE (EMAI)

Event Text

SURFACE CONTAMINATION ON OUTSIDE OF PACKAGE EXCEEDING NRC REPORTING LIMITS

"Per 10 CFR 20.1906(d)(1), [the Veterans Health Administration (VHA) is] reporting receipt of a package of radioactive material with removable surface contamination on the outside of the package greater than NRC reporting limits.

"The package was received today (March 27, 2013) around 12:48 PM CDT by South Texas Veterans Health Care System, San Antonio, Texas. This medical center holds permit number 42-15881-01 under the VHA master materials license.

"Wipe tests performed on the external surface of the package indicated a removable contamination level of 993 dpm/cm2 as compared to the regulatory limit of 220 dpm/cm2 for beta-gamma emitters.

"The package contained one 30-millicurie dosage of Technetium-99m and was shipped and delivered by Cardinal Health in San Antonio, Texas. The inner packaging materials were slightly contaminated but the dosage itself was not impacted and was able to be used.

"The VA facility Nuclear Medicine Technologist immediately notified, by telephone, the Radiation Safety Officer at Cardinal Health about the contaminated package.

"As corrective actions: the packaging materials were bagged and set aside in a restricted area at the medical center for decay; staff with access to the area were notified about the contaminated packaging materials; and surveys were performed in the package receipt area to ensure that contamination was not spread beyond the area.

"[Veterans Health Administration] notified NRC Region III (K. Null) by telephone of this event."

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Agreement State Event Number: 48859
Rep Org: MA RADIATION CONTROL PROGRAM
Licensee: MASSACHUSETTS PORT AUTHORITY
Region: 1
City: WORCHESTER State: MA
County:
License #: N/A
Agreement: Y
Docket:
NRC Notified By: TONY CARPENTINO
HQ OPS Officer: HOWIE CROUCH
Notification Date: 03/27/2013
Notification Time: 17:02 [ET]
Event Date: 01/16/2013
Event Time: [EDT]
Last Update Date: 03/27/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
PAUL KROHN (R1DO)
FSME EVENTS RESOURCE (EMAI)

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

Event Text

DISCOVERY OF TWO RADIOACTIVE GAUGES IN LOCKED STORAGE

The following information was obtained from the Commonwealth of Massachusetts via email:

"[On approximately] 1/16/13, two surface gauges [manufactured in 1961 were] found in locked storage within [a] remote airfield facilities building at Worcester Regional Airport, Worcester, MA. Third-party waste brokers [were] contacted to bid on proper removal. Wipe tests by a third-party waste broker indicate no leakage of radioactive contamination from [the] gauge sources. [The Massachusetts Radiation Control Program (the Agency) received the information via email] on 3/19/13. The Agency conducted a site visit to confirm device identifications on 3/26/13. A waste brokers' bid [was] accepted [and] packaging and removal [is] scheduled for 4/17/13. Gauges [are being] held in locked storage until removal by [the] waste broker.

"[The] items [are] described as one Nuclear-Chicago Corporation Model P21 Surface Moisture Probe, SN 136, containing 5 mCi Ra-Be, date stamped 5/2/61; and one Nuclear-Chicago Corporation Model P22A Surface Density Probe, SN 139, containing 3 mCi Cs-137, date stamped 5/23/61.

"The Agency considers this matter to be open until [the] items [are] confirmed removed on 4/17/13."


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

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Power Reactor Event Number: 48880
Facility: VOGTLE
Region: 2 State: GA
Unit: [1] [ ] [ ]
RX Type: [1] W-4-LP,[2] W-4-LP
NRC Notified By: MICHAEL ASHTON PARKER
HQ OPS Officer: DONG HWA PARK
Notification Date: 04/03/2013
Notification Time: 07:32 [ET]
Event Date: 04/03/2013
Event Time: 06:47 [EDT]
Last Update Date: 04/03/2013
Emergency Class: UNUSUAL EVENT
10 CFR Section:
50.72(a) (1) (i) - EMERGENCY DECLARED
Person (Organization):
GERALD MCCOY (R2DO)
BILL GOTT (IRD)
HAROLD CHERNOFF (NRR)
VICTOR MCCREE (R2 R)
DAN DORMAN (NRR)

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

Event Text

NOTIFICATION OF UNUSUAL EVENT BASED ON A FIRE IN THE PROTECTED AREA LASTING GREATER THAN 15 MINUTES

"Vogtle Unit 1 has declared an NOUE based on a fire within the protected area boundary not extinguished within 15 minutes of detection.

"At 0632 [EDT] Unit 1 received a fire alarm in the Unit 1 control building. A systems operator was dispatched to investigate and reported back that a small flame was visible inside 1ND3I1, computer inverter. Fire brigade was dispatched in accordance with fire response procedures. No other systems or parameters affected.

"At 0651 [EDT] fire brigade captain reported that the fire had been extinguished."

The licensee has notified the NRC Resident Inspector as well as the state and local authorities.

Notified DHS, FEMA, DHS NICC and NuclearSSA.

* * * UPDATE FROM MICHAEL PARKER TO DONG PARK AT 0811 EDT ON 3/31/13 * * *

The licensee terminated the NOUE at 0745 EDT based on the fire being extinguished.

The licensee has notified the NRC Resident Inspector.

R2DO (McCoy), NRR EO (Chernoff), and IRD (Harris) notified. Notified DHS, FEMA, DHS NICC and NuclearSSA (email).

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Power Reactor Event Number: 48881
Facility: KEWAUNEE
Region: 3 State: WI
Unit: [1] [ ] [ ]
RX Type: [1] W-2-LP
NRC Notified By: KARL KIUPELIS
HQ OPS Officer: DONALD NORWOOD
Notification Date: 04/03/2013
Notification Time: 11:07 [ET]
Event Date: 04/03/2013
Event Time: 08:00 [CDT]
Last Update Date: 04/03/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
ROBERT DALEY (R3DO)

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

Event Text

AUXILIARY BUILDING SPECIAL PARTICULATE IODINE NOBLE GAS MONITOR OUT OF SERVICE

"On April 3, 2013, at 0800 CDT, the Kewaunee Power Station discovered that the Auxiliary Building Special Particulate Iodine Noble Gas 'SPING' Monitor (Mid and hi Range) was Non-Functional due to an external failure. The SPING is used to aid in assessing Emergency Action Levels. The expected out of service time is unknown at this time. Trouble shooting is currently in progress. Work will be performed with high priority.

"Although manual 'grab samples' could be used as a backup, this condition is being reported in accordance with 10CFR50.72(b)(3)(xiii) as an event that results in a major loss of emergency assessment capability (unable to sufficiently identify the upper two emergency action levels for Offsite Radiation conditions).

"The NRC Resident Inspector has been notified."

* * * UPDATE AT 1448 EDT ON 4/03/13 FROM STODOLA TO HUFFMAN * * *

The Particulate Iodine Noble Gas 'SPING' Monitor was recalibrated and returned to service at 1257 CDT on 4/03/13.

The licensee has notified the NRC Resident Inspector. R3DO (Daley) notified.

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Power Reactor Event Number: 48882
Facility: SAINT LUCIE
Region: 2 State: FL
Unit: [1] [2] [ ]
RX Type: [1] CE,[2] CE
NRC Notified By: REESE KILIAN
HQ OPS Officer: PETE SNYDER
Notification Date: 04/03/2013
Notification Time: 14:13 [ET]
Event Date: 04/02/2013
Event Time: 16:45 [EDT]
Last Update Date: 04/03/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
26.719 - FITNESS FOR DUTY
Person (Organization):
GERALD MCCOY (R2DO)

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

Event Text

FITNESS FOR DUTY REPORT - LICENSED EMPLOYEE ARRESTED FOR POSSESSION OF A CONTROLLED SUBSTANCE

A licensed employee was arrested for possession of a controlled substance while off-duty. The employee's access to the plant has been terminated.

The licensee notified the NRC Resident Inspector.

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Power Reactor Event Number: 48883
Facility: NINE MILE POINT
Region: 1 State: NY
Unit: [1] [ ] [ ]
RX Type: [1] GE-2,[2] GE-5
NRC Notified By: JERRY HELKER
HQ OPS Officer: PETE SNYDER
Notification Date: 04/03/2013
Notification Time: 15:45 [ET]
Event Date: 04/03/2013
Event Time: 07:39 [EDT]
Last Update Date: 04/03/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
26.719 - FITNESS FOR DUTY
Person (Organization):
JAMES DWYER (R1DO)

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

Event Text

FITNESS FOR DUTY REPORT - LICENSED EMPLOYEE SUPERVISOR TESTED POSITIVE FOR ALCOHOL

A licensed employee supervisor had a confirmed positive for alcohol during a random fitness-for-duty test. The employee's unescorted access to the plant has been terminated.

The licensee informed the NRC Resident Inspector.

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Power Reactor Event Number: 48885
Facility: BRAIDWOOD
Region: 3 State: IL
Unit: [1] [2] [ ]
RX Type: [1] W-4-LP,[2] W-4-LP
NRC Notified By: BRIAN FINLAY
HQ OPS Officer: VINCE KLCO
Notification Date: 04/03/2013
Notification Time: 16:40 [ET]
Event Date: 04/03/2013
Event Time: 12:50 [CDT]
Last Update Date: 04/03/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
26.719 - FITNESS FOR DUTY
Person (Organization):
ROBERT DALEY (R3DO)

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

Event Text

FITNESS FOR DUTY REPORT INVOLVING DISCOVERY OF AN ALCOHOL CONTAINER INSIDE THE PROTECTED AREA

During remodeling of a bathroom on the third floor of the Administrative Building which is located inside the Protective Area, workers discovered two very old containers of blackberry brandy after removing the ceiling tiles. This item will be entered into the licensee corrective actions program for follow up.

The licensee informed the NRC Resident Inspector.

HOO Note: A similar report [EN #48877] was received on 4/2/2013.

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Power Reactor Event Number: 48886
Facility: FERMI
Region: 3 State: MI
Unit: [2] [ ] [ ]
RX Type: [2] GE-4
NRC Notified By: KELLEY BELENKY
HQ OPS Officer: PETE SNYDER
Notification Date: 04/03/2013
Notification Time: 16:51 [ET]
Event Date: 04/03/2013
Event Time: 10:53 [EDT]
Last Update Date: 04/03/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(v)(D) - ACCIDENT MITIGATION
Person (Organization):
ROBERT DALEY (R3DO)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
2 N Y 65 Power Operation 65 Power Operation

Event Text

COOLING WATER MAKEUP PUMP FAILED TO START DURING A SURVEILLANCE TEST

"At 1053 [EDT] on April 3, 2013, during the performance of a surveillance test on the Division 2 Emergency Equipment Cooling Water (EECW) system the EECW system was declared inoperable due to the Division 2 EECW makeup pump failing to start during the surveillance. The EECW system cools various safety related components, including the High Pressure Coolant Injection (HPCI) room cooler.

"A 14 day Limiting Condition for Operation (LCO) was entered for HPCI via [Technical Specification] LCO 3.5.1. Investigation into why the makeup pump did not start is currently in progress.

"This report is being made pursuant to 10 CFR 50.72 (b)(3)(v)(D) as a condition that at the time of discovery could have prevented the fulfillment of a safety function needed to mitigate the consequences of an accident, based on a loss of a single train safety system.

"The NRC Resident Inspector has been notified."

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