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Event Notification Report for May 28, 2013

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
05/24/2013 - 05/28/2013

** EVENT NUMBERS **


49040 49041 49044 49046 49049 49066 49067 49068 49069 49070 49072

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Agreement State Event Number: 49040
Rep Org: VIRGINIA RAD MATERIALS PROGRAM
Licensee: HONEYWELL RESINS & CHEMICALS LLC
Region: 1
City: CHESTER State: VA
County:
License #: 041-344-2
Agreement: Y
Docket:
NRC Notified By: ASFAW FENTA
HQ OPS Officer: DONALD NORWOOD
Notification Date: 05/16/2013
Notification Time: 10:28 [ET]
Event Date: 05/15/2013
Event Time: [EDT]
Last Update Date: 05/16/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
DAN SCHROEDER (R1DO)
FSME EVENTS RESOURCE (E-MA)

Event Text

FIXED GAUGE SHUTTER HARD TO OPEN

The following information was submitted by the Commonwealth of Virginia via fax:

"On May 15, 2013, the licensee reported that the shutter of one of its fixed gauges was not 'functioning per the design.' The problem was detected during the periodic shutter checks on May 15, 2013. The shutter could be closed but needed strong force to open it. The gauge is a Ronan Engineering Company, Model SA1-F37, Serial number M-2232. The gauge contains 50 mCi of Cs-137 as of the manufacturing date (remaining activity as of the incident date is 34.3 mCi).

"Ronan Engineering Company was contacted and a schedule has been arranged for shutter repair.

"A radiation survey was performed by the licensee and found to be within design parameters and regulatory limits. There are no public health or safety issues involved. The Virginia Radioactive Material Program will follow up with the licensee."

Virginia Event Report ID: VA-13-005

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Agreement State Event Number: 49041
Rep Org: TEXAS DEPARTMENT OF HEALTH
Licensee: NON-DESTRUCTIVE INSPECTION CORPORATION
Region: 4
City: LAKE JACKSON State: TX
County:
License #: 02712
Agreement: Y
Docket:
NRC Notified By: KAREN BLANCHARD
HQ OPS Officer: HOWIE CROUCH
Notification Date: 05/16/2013
Notification Time: 12:50 [ET]
Event Date: 05/15/2013
Event Time: [CDT]
Last Update Date: 05/16/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
WAYNE WALKER (R4DO)
FSME EVENTS RESOURCE (EMAI)

Event Text

TEXAS AGREEMENT STATE REPORT - BROKEN RADIOGRAPHY CAMERA DRIVE CABLE

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

"On May 15, 2013, the licensee reported that one of its radiography teams had been unable to retract an iridium-192 source back into a QSA Model 880 radiography camera at a temporary field site in Galena Park, Texas. The licensee's RSO and a supervisor responded to the site.

"The RSO covered the collimator containing the source with lead shot bags then an individual authorized to perform source retrieval responded and secured the source. The pocket dosimeter readings for the three were: RSO received 60 millirem; the supervisor received 50 millirem; and the individual performing source retrieval received 40 millirem.

"The licensee reported that the drive cable had broken right behind the ball. No member of the public received any exposure as a result of this event. The source, camera, and equipment will be taken to the licensee's facility and the licensee will contact the manufacturer.

"Further information will be provided as it is obtained in accordance with SA-300.

"Radiography camera: QSA Model 880, SN: 2735. Source SN: 91360B"

Texas Incident # I-9078

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Agreement State Event Number: 49044
Rep Org: TEXAS DEPARTMENT OF HEALTH
Licensee: MISTRAS GROUP INC
Region: 4
City: DEER PARK State: TX
County:
License #: 06369
Agreement: Y
Docket:
NRC Notified By: KAREN BLANCHARD
HQ OPS Officer: JOHN SHOEMAKER
Notification Date: 05/16/2013
Notification Time: 16:47 [ET]
Event Date: 05/14/2013
Event Time: [CDT]
Last Update Date: 05/16/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
WAYNE WALKER (R4DO)
FSME EVENTS RESOURCE (EMAI)

Event Text

AGREEMENT STATE REPORT - UNABLE TO RETRACT SOURCE INTO RADIOGRAPHY CAMERA

The following information was obtained from the State of Texas via E-mail:

"On May 15, 2013, the licensee's Radiation Safety Officer (RSO) reported to the Agency [Texas Department of State Health Services] that on May 14, 2013, one of its radiography crews had been unable to retract the source back into the QSA Model 880 camera they were using. The radiography crew had dropped and damaged the crank assembly when it was moving the equipment between shots. The crew apparently failed to thoroughly check the crank assembly prior to the next shot. Following the next shot, the source could not be retracted. The RSO was notified and he and another licensee employee, with assistance from the radiographers, performed the source retrieval (the camera and equipment had to be lowered to the ground from 40 feet inside a tank where the radiography was being performed in order to retrieve the source). The RSO reported that the connector at the end of the cable, which connects the cable to the pigtail, had come off of the cable. [The connector] was apparently damaged in the crank assembly accident. Readings from the pocket dosimeters were: RSO received 240 mrem; other employee performing source retrieval received 40 mrem; and, the 3 [other] radiography crew members received 300 mrem, 110 mrem, and 80 mrem, respectively. No member of the public received any exposure from this event. Further information will be provided as it is obtained, per SA-300.

"Radiography Camera: QSA Model 880, SN: D11097, Source: SN: 93674B"

Texas Incident #: I-9079

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Agreement State Event Number: 49046
Rep Org: TEXAS DEPARTMENT OF HEALTH
Licensee: THERMO PROCESS INSTRUMENTS LP
Region: 4
City: SUGAR LAND State: TX
County:
License #: 03524
Agreement: Y
Docket:
NRC Notified By: ART TUCKER
HQ OPS Officer: JOHN SHOEMAKER
Notification Date: 05/16/2013
Notification Time: 17:56 [ET]
Event Date: 05/16/2013
Event Time: 15:25 [CDT]
Last Update Date: 05/16/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
WAYNE WALKER (R4DO)
FSME EVENTS RESOURCE (EMAI)
DAN SCHROEDER (R1DO)

Event Text

AGREEMENT STATE REPORT - CONTAMINATION EVENT REQUIRES AREA TO BE RESTRICTED FOR GREATER THAN 24 HOURS

The following information was obtained from the State of Texas via E-mail:

"On May 16, 2013 at 1525 [CDT], the licensee contacted the Agency [Texas Department of State Health Services] to report a contamination event which required access to an area to be restricted for more than 24 hours due to an unplanned contamination event. The licensee had received a drum containing 18 nuclear gauges from a facility licensed in the State of North Carolina (NC). The Texas licensee was to dismantle the gauges and dispose of the sources. The Texas licensee stated the gauges had been leak tested by the NC licensee and the leak test results were below regulatory levels. The Texas licensee stated they performed a contamination survey of the drum before they began removing the gauges. A licensee's worker removed the first gauge in preparation to remove the source. The gauge was a Berthold model LB 7400 gauge containing a Cs-137 source. When the worker opened the shutter of the gauge to remove the source, they found a piece of lead inside the gauge cavity between the gauge shutter and the source. As the worker removed the piece of lead they noted the background radiation readings where increasing. The worker stopped work and notified his supervisor. A contamination survey found that the workers hands, shirt sleeves, the table top, the floor in the immediate work area, and the worker's personal dosimetry were contaminated. The workers contaminated shirt and dosimetry were removed and his hands were decontaminated. The worker's face was surveyed for contamination, none was detected. The licensee's Radiation Safety Officer (RSO) stated that worker was decontaminated within 15 minutes of the event occurring. The RSO stated that the individual had not exceeded any exposure limits based on their electronic dosimeter reading. The licensee attempted to decontaminate the table top and the floor in the work area, but some areas remain contaminated. Access to the area remains restricted. The Texas licensee has contacted the NC licensee and notified them of the event. Additional information will be provided as it is received in accordance with SA-300."

Texas Incident #: I-9080

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Agreement State Event Number: 49049
Rep Org: MA RADIATION CONTROL PROGRAM
Licensee: TUFTS MEDICAL CENTER
Region: 1
City: BOSTON State: MA
County:
License #: 68-0263
Agreement: Y
Docket:
NRC Notified By: MARIE WARD
HQ OPS Officer: HOWIE CROUCH
Notification Date: 05/17/2013
Notification Time: 16:55 [ET]
Event Date: 05/17/2013
Event Time: [EDT]
Last Update Date: 05/20/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
DAN SCHROEDER (R1DO)
FSME EVENTS RESOURCE (EMAI)

Event Text

MASSACHUSETTS AGREEMENT STATE REPORT - MEDICAL EVENT CONCERNING GAMMA KNIFE THERAPY

A patient was undergoing a second gamma knife treatment when the treatment was delivered to the wrong side of the brain. The patient and the prescribing physician were informed. The patient received 75 Gy to the brain. No serious effects are expected.

The Commonwealth of Massachusetts will be providing an update to this 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.

* * * UPDATE FROM MICHAEL WHALEN TO JOHN SHOEMAKER AT 1350 EDT ON 5/20/13 * * *

The following report was received via email.

"Event Occurred on 5/17/2013 at approximately 1000 [EDT].

"With a Gamma Knife
Manufacturer: Leksell Gamma System
Model: Model 24001 Type C

"Sealed Sources information:
Manufacturer: Elekta
Model number: 43685

"Prescribed treatment was for one fraction [the daily dose] of 75 Grays to be delivered to the left side of brain. However, the right side of the brain received the treatment."

Notified R1DO (Gray) and FSME EVENTS RESOURCE via email.

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Power Reactor Event Number: 49066
Facility: MONTICELLO
Region: 3 State: MN
Unit: [1] [ ] [ ]
RX Type: [1] GE-3
NRC Notified By: MARTIN RAJKOWSKI
HQ OPS Officer: DONALD NORWOOD
Notification Date: 05/24/2013
Notification Time: 11:23 [ET]
Event Date: 05/24/2013
Event Time: 03:34 [CDT]
Last Update Date: 05/24/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(iv)(A) - VALID SPECIF SYS ACTUATION
Person (Organization):
LAURA KOZAK (R3DO)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
1 N N 0 Refueling 0 Refueling

Event Text

AUTOMATIC START OF EMERGENCY DIESEL GENERATOR DUE TO BUS UNDERVOLTAGE

"At 0334 (CDT) on 5/24/2013 MNGP [Monticello Nuclear Generating Plant] experienced a loss of power to Bus 15 (Division 1 4kV Essential Bus) during performance of preoperational testing on the 2R reserve transformer which initiated an Essential Bus Transfer of Bus 15 and automatic start of 12 Emergency Diesel Generator.

"MNGP was in Mode 5 operations with water level >21 feet 11 inches above the top of the RPV flange and all credited safety systems were lined up to Bus 16 (Division 2 4kV Essential Bus) which was unaffected by this event.

"Bus 15 was automatically repowered from the 1AR reserve transformer as designed. During this evolution all critical safety functions remained green and all systems responded as expected to the Essential Bus transfer. The cause of the sequence of events that led to the Bus 15 loss of power is being investigated.

"This event is reportable under 10CFR50.72(b)(3)(iv) as an event that results in a valid actuation of 12 Emergency Diesel Generator. The NRC Resident Inspector has been notified."

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Power Reactor Event Number: 49067
Facility: WATERFORD
Region: 4 State: LA
Unit: [3] [ ] [ ]
RX Type: [3] CE
NRC Notified By: MICHAEL SHUMATE
HQ OPS Officer: CHARLES TEAL
Notification Date: 05/24/2013
Notification Time: 13:44 [ET]
Event Date: 05/24/2013
Event Time: 12:30 [CDT]
Last Update Date: 05/24/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(xi) - OFFSITE NOTIFICATION
Person (Organization):
NEIL OKEEFE (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

OFFSITE NOTIFICATION DUE TO INTAKE BARRIER BEING STRUCK BY OIL TANKER

"At 0835 CDT, the Entergy Transmission Operations Center notified the Waterford 3 control room that a crude oil tanker had struck the dolphins at the cooling water intake structure on the Mississippi River. There were 4 out of 5 dolphins damaged, with 3 of these having substantial damage.

"The dolphins are hard structures anchored around the cooling water intake structure [which provide] protection from river traffic.

"Waterford 3 operations was unaffected by this event and thermal power remains at 100%. The intake structure, including the Circulating Water System, was unaffected by this event.

"Possible near-term effects of the event are a loss of protective barrier between river traffic and the intake structure due to the physical damage to the dolphins and hazards to navigation due to the loss of the dolphin lights.

"At 1230 CDT, the United States Coast Guard was notified of this event in accordance with Waterford 3 procedures. This notification is subsequent to the notification of the United States Coast Guard per 10CFR50.72(b)(2)(xi)."

The licensee notified the NRC Resident Inspector.

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Power Reactor Event Number: 49068
Facility: OCONEE
Region: 2 State: SC
Unit: [1] [2] [3]
RX Type: [1] B&W-L-LP,[2] B&W-L-LP,[3] B&W-L-LP
NRC Notified By: BOB MEIXELL
HQ OPS Officer: CHARLES TEAL
Notification Date: 05/24/2013
Notification Time: 14:47 [ET]
Event Date: 05/24/2013
Event Time: 14:00 [EDT]
Last Update Date: 05/24/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(ii)(B) - UNANALYZED CONDITION
50.72(b)(3)(v)(A) - POT UNABLE TO SAFE SD
50.72(b)(3)(v)(B) - POT RHR INOP
50.72(b)(3)(v)(C) - POT UNCNTRL RAD REL
Person (Organization):
ALAN BLAMEY (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
3 N Y 100 Power Operation 100 Power Operation

Event Text

HEATING VENTILATION AND AIR CONDITION SYSTEM INADEQUATELY ANALYZED FOR HEAT LOAD

"There is no current event in progress at Oconee Nuclear Station (ONS). This notification is [being made] to complete a required 10 CFR 50.72 report that was not made at the time of discovery. During a review of the guidance in NUREG 1022, Rev. 2, ONS recognized conditions that were reported to the NRC in LER 269/2013-001-00 on April 8, 2013, (ADAMS Accession ML13101A307), which met the 8-hour reporting requirements of 10 CFR 50.72(b)(3)(ii)(B) -- 'Unanalyzed Condition,' and 10 CFR 50.72(b)(3)(v)(A,B,C&D) -- 'Event or Condition That Could Have Prevented Fulfillment of a Safety Function,' but were not previously reported per 10 CFR 50.72(b)(3).

LER 269/2013-001-00 previously documented Duke Energy's conclusion that emergency power equipment could be adversely impacted by a licensee identified, original design issue involving inadequate analysis of electrical equipment heat loads and weaknesses in the Heating Ventilation and Air Conditioning (HVAC) system design. Nothing in this notification modifies or supplements the information provided in LER 269/2013-001-00. This legacy event notification completes the action required by 10 CFR 50.72(b)(3)(ii)(B) and 10 CFR 50.72(b)(3)(v)(A,B,C&D). The need to perform a 10 CFR 50.72 notification was not recognized during the reportability evaluation.

"Initial Safety Significance: None. This is a legacy event notification. Oconee's emergency power equipment is currently operable, but nonconforming with Oconee's license.

"Corrective Action(s): Compensatory measures are in place, and modifications are in progress to address the legacy design issue. The issue of not reporting as required under 10 CFR 50.72(b)(3) is entered into Duke Energy's corrective action program.

"The Oconee NRC Resident Inspector has been notified."

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Power Reactor Event Number: 49069
Facility: NINE MILE POINT
Region: 1 State: NY
Unit: [1] [2] [ ]
RX Type: [1] GE-2,[2] GE-5
NRC Notified By: MATT BUSCH
HQ OPS Officer: DONG HWA PARK
Notification Date: 05/26/2013
Notification Time: 21:32 [ET]
Event Date: 05/26/2013
Event Time: 18:39 [EDT]
Last Update Date: 05/26/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
MEL GRAY (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
2 N Y 100 Power Operation 100 Power Operation

Event Text

TONE ALERT RADIOS OUT OF SERVICE

"At 1839 EDT on May 26, 2013 Oswego County Emergency Management notified Nine Mile Point (NMP) that the Tone Alert Radios had been out of service since 1745 EDT.

"This impacts the ability to readily notify a portion of the Emergency Planning Zone (EPZ) Population for the Nine Mile Point and JAF [James A. FitzPatrick] Nuclear Power Plants. This failure meets NRC 8 hour reporting criterion 10 CFR 50.72(b)(3)(iii).

"The County Alert Sirens which also function as part of the Public Prompt Notification System remain operable.

"The loss of the Tone Alert Radios constitutes a significant loss of emergency off-site communications ability. Compensatory measures have been verified to be available should the Prompt Notification System be needed. This consists of utilizing the hyper reach system which is a reverse 911 feature available from the county 911 center. Local Law Enforcement Personnel are also available for 'Route Alerting' of the affected areas of the EPZ.

"At 2111 EDT on May 26, 2013, NMP was notified by Oswego County Emergency Management that the Tone Alert Radios had been returned to service.

"The event has been entered into the corrective action program and the NRC Resident Inspector has been briefed."

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Power Reactor Event Number: 49070
Facility: FITZPATRICK
Region: 1 State: NY
Unit: [1] [ ] [ ]
RX Type: [1] GE-4
NRC Notified By: STEVE DEFILLIPPO
HQ OPS Officer: CHARLES TEAL
Notification Date: 05/26/2013
Notification Time: 21:52 [ET]
Event Date: 05/26/2013
Event Time: 18:39 [EDT]
Last Update Date: 05/26/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
MEL GRAY (R1DO)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
1 N Y 98 Power Operation 100 Power Operation

Event Text

TONE ALERT RADIOS OUT OF SERVICE

"At 1839 EDT on May 26, 2013, with the James A. FitzPatrick (JAF) Nuclear Power Plant performing power ascension from 98% reactor power, Oswego County Emergency Management notified JAF that the Tone Alert Radios had been out of service since 1745 EDT.

"This impacts the ability to readily notify a portion of the Emergency Planning Zone (EPZ) Population for the Nine Mile Point and JAF Nuclear Power Plants. This failure meets NRC 8-hour reporting criterion 10 CFR 50.72(b)(3)(xiii).

"The County Alert Sirens which also function as part of the Public Prompt Notification System remain operable.

"The loss of the Tone Alert Radios constitutes a significant loss of emergency off-site communications ability. Compensatory measures have been verified to be available should the Prompt Notification System be needed. This consists of utilizing the hyper reach system which is a reverse 911 feature available from the county 911 center. Local Law Enforcement Personnel are also available for 'Route Alerting' of the affected areas of the EPZ.

"At 2111 EDT May 26, 2013, JAF was notified by Oswego County Emergency Management that the Tone Alert Radios had been returned to service

"The event has been entered into the corrective action program and the NRC Resident Inspector has been briefed."

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Power Reactor Event Number: 49072
Facility: NORTH ANNA
Region: 2 State: VA
Unit: [1] [2] [ ]
RX Type: [1] W-3-LP,[2] W-3-LP,[3] M-4-LP
NRC Notified By: PAGE KEMP
HQ OPS Officer: VINCE KLCO
Notification Date: 05/27/2013
Notification Time: 18:49 [ET]
Event Date: 05/27/2013
Event Time: 15:45 [EDT]
Last Update Date: 05/27/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(xi) - OFFSITE NOTIFICATION
Person (Organization):
ALAN BLAMEY (R2DO)
SAMSON LEE (NRR)
JASON KOZAL (IRD)

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 96 Power Operation 96 Power Operation

Event Text

OFFSITE NOTIFICATION DUE TO DROWNING AT LAKE ANNA

"At 1545 hours on 05/27/2013, the North Anna Control Room was notified by local authorities that a potential drowning had taken place at the number 3 Dike in Lake Anna. This incident has been reported to the FERC [Federal Energy Regulatory Commission] Regional Engineer under FERC requirements. Therefore, this is reportable to the NRC under 10CFR50.72(b)(2)(xi). In addition, this incident has received significant media interest. The identity of the victim is not known at this time."

The licensee notified the NRC Resident Inspector and the Louisa County Administrator.

Page Last Reviewed/Updated Tuesday, May 28, 2013
Tuesday, May 28, 2013