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Event Notification Report for August 14, 2013

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
08/13/2013 - 08/14/2013

** EVENT NUMBERS **


49235 49237 49238 49242 49243 49244 49272 49275 49276

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Non-Agreement State Event Number: 49235
Rep Org: COVANTA INDIANAPOLIS, INC.
Licensee: COVANTA INDIANAPOLIS, INC.
Region: 3
City: INDIANAPOLIS State: IN
County:
License #: 13-32836-01
Agreement: N
Docket:
NRC Notified By: BRIAN FOSTER
HQ OPS Officer: DONG HWA PARK
Notification Date: 08/05/2013
Notification Time: 08:49 [ET]
Event Date: 08/02/2013
Event Time: [EDT]
Last Update Date: 08/05/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
30.50(b)(2) - SAFETY EQUIPMENT FAILURE
Person (Organization):
STEVE ORTH (R3DO)
FSME EVENTS RESOURCE (EMAI)

Event Text

STUCK SHUTTER ON A LEVEL DETECTOR

One source holders for a Ronan Engineering, model GS-400, level detector had the shutter door seized in the open position which is the normal operating position. The licensee was unable to free up the shutter at their facility and has contacted the manufacturer (Ronan) for assistance. The source is secure and not leaking. The radiation levels are normal around the device. There is no possibility of exposure to individuals due to the active beam not being accessible.

Manufacturer: Ronan Engineering
Model: GS-400
Activity: 100mCi
Isotope: CS-137
S/N: 5134C0

* * * UPDATE FROM BRIAN FOSTER TO PETE SNYDER AT 1601 EDT ON 8/5/13 * * *

As of 1600 EDT on 8/5/13 the shutter door has been freed and now cycles normally. No further action is needed and Ronan's Engineering service has been canceled. Notified R3DO (Lara) and FSME Event Resource via email.

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Agreement State Event Number: 49237
Rep Org: IOWA DEPARTMENT OF PUBLIC HEALTH
Licensee: IOWA HEALTH - DES MOINES
Region: 3
City: DES MOINES State: IA
County:
License #: 0310-1-77-HDR
Agreement: Y
Docket:
NRC Notified By: LEO WARDROBE
HQ OPS Officer: PETE SNYDER
Notification Date: 08/05/2013
Notification Time: 13:14 [ET]
Event Date: 08/01/2013
Event Time: [CDT]
Last Update Date: 08/05/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
JULIO LARA (R3DO)
FSME EVENT RESOURCE (EMAI)

Event Text

AGREEMENT STATE REPORT - WRONG FRACTIONAL DOSE ADMINISTERED TO PATIENT

The licensee reported the administration of a 700 cGy fractional dose instead of the 500 cGy prescribed fractional dose to a patient during GYN treatment on 8/1/13. The 700 cGy fraction was prepared for another patient. The isotope involved was Ir-192.

The fraction was the second of a three fraction total dose of 1500 cGy. The final fraction will be adjusted so that the total dose to the patient is 1500 cGy. The prescribing physician had been informed. The patient will be informed of the adjustment prior to administration of the final fraction on 8/8/13.

There are no anticipated adverse consequences to the patient. The cause is under investigation and the licensee is still discussing potential corrective actions.

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: 49238
Rep Org: NE DIV OF RADIOACTIVE MATERIALS
Licensee: OMAHA PUBLIC POWER DISTRICT
Region: 4
City: OMAHA State: NE
County:
License #: 01-39-04
Agreement: Y
Docket:
NRC Notified By: RANDY LAMBERT
HQ OPS Officer: PETE SNYDER
Notification Date: 08/05/2013
Notification Time: 15:52 [ET]
Event Date: 08/05/2013
Event Time: 09:50 [CDT]
Last Update Date: 08/05/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
MICHAEL VASQUEZ (R4DO)
FSME EVENT RESOURCE (EMAI)

Event Text

AGREEMENT STATE REPORT - SHUTTER STUCK ON A PROCESS GAUGE

The State of Nebraska submitted the following information via email:

"The licensee uses fixed industrial gauges for measuring levels in fly ash hoppers at the station's precipitator building. The industrial fixed gauges contain a Cesium 137 sealed source. The Cesium 137 sources were originally installed in April, 1984, and at the time contained 50 millicuries per source. The sources were manufactured and installed by Kay Ray Inc. The gauge that experienced the event was Kay Ray Gauge, Housing Model #7080 and housing serial number 16784H. The source capsule manufacture was Amersham model no. CDC 800 and K-R Ref. Number serial number 15095 V.

"In accordance with their license conditions two of the station's chemists were securing the Unit #5's precipitator sources in preparation for an inspection of the precipitator. The 'external' source closure mechanism for Unit #5 precipitator's 5FA-3E & 4E hoppers did not operate as designed and the shutter did not close when the handle on the floor was operated.

"The radiation sources, which are part of a hopper level sensor, are mounted between two fly ash hoppers 20 feet off the floor. The source closure mechanisms are connected to a handle located at the floor level by a flexible cable. These closure cables are secured to the structures so that when the handles are operated the control cables slide inside a sheath. On the 5FA-3E & 4E source, the shutter closure cable became loose up at the source which allowed the whole cable to slide back and forth when the handle was operated to try and close the shutter. This type of failure has been seen in the past and is easily fixed by tightening the screw which secures the end of the cable to the structure. This required a scaffold to be built up to the source level. A contractor came on site at 12:30 pm [CDT] on 8/5/2013 and erected a scaffold so repairs could be made."

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Agreement State Event Number: 49242
Rep Org: VIRGINIA RAD MATERIALS PROGRAM
Licensee: ECS MID-ATLANTIC, LLC
Region: 1
City: LEXINGTON State: VA
County:
License #: VA-770-314-5
Agreement: Y
Docket:
NRC Notified By: MIKE WELLING
HQ OPS Officer: DONG HWA PARK
Notification Date: 08/06/2013
Notification Time: 11:04 [ET]
Event Date: 08/05/2013
Event Time: [EDT]
Last Update Date: 08/06/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
JAMES TRAPP (R1DO)
FSME EVETS RESOURCE (EMAI)

Event Text

AGREEMENT STATE REPORT - DAMAGED DENSITY GAUGE

The following information was received from the Commonwealth of Virginia via facsimile:

"On August 5, 2013, an Authorized User (AU) was conducting density testing for asphalt placement for a parking lot using a CPN MC-1-DR. The AU had just performed a density test and set the gauge on the adjacent asphalt approximately 5 feet from the joint for the hot asphalt. The AU stepped to the joint to tell the asphalt roller operator that density values were low. As the AU stepped back, he heard a tandem axle truck backing up. As he stepped to pick up the gauge, he realized the rear tandem axle tire was about to strike the gauge. By the time he pulled the gauge handle, the rear tire rolled over the gauge. He pulled the gauge away from between the rear tandem axle tire and the center axle tire. He then set the gauge down. A survey of the damage gauge was performed by the RSO and the sources were verified to be in their shielded position. The gauge was returned to the shop for shipment to CPN. There was no adverse effect to public health and safety from this event."

VA Event Report ID Number: VA-13-05

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Agreement State Event Number: 49243
Rep Org: VIRGINIA RAD MATERIALS PROGRAM
Licensee: BABCOCK & WILCOX
Region: 1
City: LYNCHBURG State: VA
County:
License #: VA-680-028-1
Agreement: Y
Docket:
NRC Notified By: MIKE WELLING
HQ OPS Officer: DONG HWA PARK
Notification Date: 08/06/2013
Notification Time: 11:04 [ET]
Event Date: 08/01/2013
Event Time: [EDT]
Last Update Date: 08/06/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
JAMES TRAPP (R1DO)
MICHAEL F. KING (R2DO)
FSME EVENTS RESOURCE (EMAI)
BRIAN SMITH (NMSS)
FUELS GRP via email ()

Event Text

AGREEMENT STATE REPORT - EXTERNAL RADIATION LEVELS ON SHIPMENT EXCEEDED 2MR/HR LIMIT FOR UNMONITORED EXPOSURES

The following information was received from the Commonwealth of Virginia via facsimile:

"On Thursday, August 1st, a shipment was being received by B&W from QSA Global, Inc. During the receipt survey, readings indicated 5.4 mrem/hr in the cab of the truck. The sources were received and leak tests were performed indicating no leakage. B&W contacted the Virginia Radioactive Materials Program (RMP) who then contacted the Massachusetts RMP.

"B&W also reported the event to the NRC Operations Center on August 1st. A discussion to retract the event as this shipment occurred under the Virginia license was held on Friday 8/2 but the final determination was not made until Monday 8/5 to retract the NRC report. A decision was agreed upon for the Virginia RMP to report the event to the NRC Ops Center.

"The Massachusetts RMP contacted QSA Global, Inc. A preliminary investigation indicates that a QSA Global, Inc. employee did not perform the proper survey before the sources were shipped.

"The [contract carrier] consultant was contacted and made aware of this event. The [contract carrier] has begun an investigation into the event.

"There was no adverse effect to public health and safety from this event.

"Media attention: Yes"

VA Event Report ID Number: VA-13-04

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Agreement State Event Number: 49244
Rep Org: TEXAS DEPARTMENT OF HEALTH
Licensee: MISTRAS GROUP INC.
Region: 4
City: TILDEN State: TX
County:
License #: 06369
Agreement: Y
Docket:
NRC Notified By: IRENE CASARES
HQ OPS Officer: PETE SNYDER
Notification Date: 08/06/2013
Notification Time: 12:21 [ET]
Event Date: 08/05/2013
Event Time: [CDT]
Last Update Date: 08/06/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
MICHAEL VASQUEZ (R4DO)
FSME EVENT RESOURCE (EMAI)

Event Text

AGREEMENT STATE REPORT - STUCK RADIOGRAPHY CAMERA SOURCE

The State of Texas submitted the following information via email:

"On August 6, 2013, the Agency [Texas Department of Health] was notified by the licensee that on August 5, 2013, one of its radiography crews at a temporary work site near Tilden, Texas had a source disconnect on a QSA model 880D camera which contained an iridium-192 source. Authorized persons performed the source retrieval.

"The radiography two man crew pocket dosimeter readings were 188 and 22 millirem. Their dosimetry badges are being sent for processing. The two man retrieval team pocket dosimeters read 21 and 24 millirem. No member of the public received an exposure.

"The licensee is investigating the cause of the disconnect. All equipment is being sent for evaluation. Further information will be provided as it is obtained per SA-300."

TX Incident # I-9103

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Power Reactor Event Number: 49272
Facility: VOGTLE
Region: 2 State: GA
Unit: [1] [2] [ ]
RX Type: [1] W-4-LP,[2] W-4-LP
NRC Notified By: NAVEEN KOTEEL
HQ OPS Officer: MARK ABRAMOVITZ
Notification Date: 08/13/2013
Notification Time: 07:41 [ET]
Event Date: 08/13/2013
Event Time: 02:25 [EDT]
Last Update Date: 08/13/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
SCOTT SHAEFFER (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

TECHNICAL SUPPORT CENTER VENTILATION FAILURE

"A condition is being reported per Technical Requirements Manual 13.13.1 emergency response facilities action B.2. The functionality of the Technical Support Center (TSC) has been lost due to a failure to start of the TSC HVAC unit. Alternate facilities are available to provide emergency response functions and actions are proceeding to return the TSC to functional status with high priority. The NRC Resident Inspector has been notified."

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Power Reactor Event Number: 49275
Facility: LIMERICK
Region: 1 State: PA
Unit: [1] [2] [ ]
RX Type: [1] GE-4,[2] GE-4
NRC Notified By: PAUL MARVEL
HQ OPS Officer: JOHN SHOEMAKER
Notification Date: 08/13/2013
Notification Time: 14:46 [ET]
Event Date: 08/13/2013
Event Time: 16:00 [EDT]
Last Update Date: 08/13/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
RAY POWELL (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

PLANNED MAINTENANCE ON TECHNICAL SUPPORT CENTER VENTILATION SYSTEM POWER SUPPLY

"This ENS [event notification] is being issued in advance of planned corrective maintenance on a TSC [Technical Support Center] HVAC [Heating Ventilation Air Conditioning] power supply.

"On 8/13/2013 at 1600 [EDT], the Technical Support Center ventilation system will be removed from service to perform corrective maintenance on an electrical panel that supplies power to the system. The emergency ventilation system will not be available and cannot be restored within the time period required to staff and activate the Emergency Response Organization (ERO). The work is scheduled to complete on 8/13/2013 at 1800 [EDT].

"If an emergency is declared and the TSC activation is required, the TSC will be staffed and activated unless the TSC becomes uninhabitable due to ambient temperatures, radiological or other conditions. The Station Emergency Director would assess habitability in accordance with station procedures. TSC relocation of personnel would be directed as required until such time that the TSC ventilation system is returned to service.

"An update will be sent upon TSC HVAC restoration."

The licensee has notified the NRC Resident Inspector.

* * * UPDATE FROM MARK ARNOSKY TO JOHN SHOEMAKER AT 2255 EDT ON 8/13/13 * * *

At 2030 EDT on 8/13/13, the TSC emergency ventilation system has been restored to normal.

The licensee notified the NRC Resident Inspector. Notified R1DO (Powell).

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Power Reactor Event Number: 49276
Facility: PALISADES
Region: 3 State: MI
Unit: [1] [ ] [ ]
RX Type: [1] CE
NRC Notified By: TERRY DAVIS
HQ OPS Officer: JOHN SHOEMAKER
Notification Date: 08/13/2013
Notification Time: 16:11 [ET]
Event Date: 08/13/2013
Event Time: 11:02 [EDT]
Last Update Date: 08/13/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(v)(D) - ACCIDENT MITIGATION
Person (Organization):
JOHN GIESSNER (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

BOTH CONTROL ROOM VENTILATION FILTRATION TRAINS DECLARED INOPERABLE

"At approximately 1102 [EDT], August 13, 2013, both control room ventilation filtration trains were declared inoperable in accordance with Technical Specification 3.7.10, Condition B, due to a control room boundary door not being fully closed. The door was unable to be closed for approximately nine minutes due to an apparent mis-operation of the door operating mechanism. The door's locking bolts fully extended causing interference between the door and door frame. The door was restored to operable status at approximately 1111 [EDT], August 13, 2013.

"Technical Specification 3.7.10 allows control room boundary doors to be opened intermittently, under administrative control for preplanned activities, provided the doors can be rapidly restored to the design condition. Previous evaluations of the door not being fully closed for a limited time concluded no loss of safety function had existed.

"This condition had no impact on the health and safety of the public.

"The NRC Resident Inspector has been notified."

Page Last Reviewed/Updated Wednesday, August 14, 2013
Wednesday, August 14, 2013