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Event Notification Report for October 2, 2013

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
10/01/2013 - 10/02/2013

** EVENT NUMBERS **


49243 49380 49381 49391 49398 49400

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!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED !!!!!
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: 10/01/2013
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

* * * RETRACTION FROM MIKE WELLING (VIA EMAIL) TO HOWIE CROUCH AT 1513 EDT ON 10/1/13 * * *

The following retraction was submitted by the Commonwealth of Virginia via email:

"On August 1st, a shipment from QSA Global using [a common carrier] was received at Babcock & Wilcox. During the receipt, a survey indicated readings >2 mrem/hr in the cab. An investigation was performed by the Massachusetts Radioactive Materials Program, during which they spoke with QSA and [the carrier]. Based upon this investigation, it has been determined that the shipment was not an exclusive shipment and all DOT regulations were met.

"This event is being retracted based upon the investigation results."

Notified R1DO (Joustra), NMSS EO (Bjorkman), Fuels Group (via email) and FSME Events Resource (via email).

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Non-Agreement State Event Number: 49380
Rep Org: CARROLL COUNTY MEMORIAL HOSPITAL
Licensee: CARROLL COUNTY MEMORIAL HOSPITAL
Region: 3
City: CARROLLTON State: MO
County:
License #: NOT PROVIDED
Agreement: N
Docket:
NRC Notified By: MICHAELLE GAMBLE
HQ OPS Officer: JOHN SHOEMAKER
Notification Date: 09/24/2013
Notification Time: 13:35 [ET]
Event Date: 09/24/2013
Event Time: [CDT]
Last Update Date: 09/24/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
20.1906(d)(2) - EXTERNAL RAD LEVELS > LIMITS
Person (Organization):
BILLY DICKSON (R3DO)
FSME EVENTS RESOURCE (EMAI)

Event Text

PACKAGE WITH EXTERNAL CONTAMINATION

The licensee's RSO (Radiation Safety Officer) reported that a package received from the pharmaceutical supplier was contaminated externally. Swipes from the outside of the package had counts of 91,500 cpm (counts per minute) with a background count reading of 588 cpm. Swipes from inside the package had counts of 1008 cpm. There were no indications of contamination to personnel or the surrounding area. The pharmaceutical supplier was contacted and has verified the driver was not contaminated. They will also check the delivery vehicle.

The package, containing Iodine-131 (18 mCi) and Technetium-99m (6 mCi) sources, has been placed in a secure location pending further investigation.

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Agreement State Event Number: 49381
Rep Org: MA RADIATION CONTROL PROGRAM
Licensee: BRIGHAM & WOMEN'S HOSPITAL
Region: 1
City: BOSTON State: MA
County:
License #: 44-0004
Agreement: Y
Docket:
NRC Notified By: MIKE WHALEN
HQ OPS Officer: JOHN SHOEMAKER
Notification Date: 09/24/2013
Notification Time: 15:53 [ET]
Event Date: 08/22/2013
Event Time: [EDT]
Last Update Date: 09/24/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
BLAKE WELLING (R1DO)
FSME EVENTS RESOURCE (EMAI)

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

Event Text

AGREEMENT STATE REPORT - MISSING BRACHYTHERAPY SEED

The following was received by the Commonwealth of Massachusetts via fax:

"On 8/22/2013, Brigham and Women's Hospital (BWH) was involved in a discrepancy in the contents of a shipment of I-125 brachytherapy seeds. The shipment was labeled to contain 71 seeds (as ordered), plus 4 seeds to be used for QC purposes. Upon opening, in preparation for administration, a count of the sources revealed only 70 of the 71 expected therapy seeds.

"Immediate recount and subsequent survey & investigation of the area, packaging and container showed no indication of the presence of the 71st seed. There was also no evidence of contamination detected.

"BWH does not believe the 71st seed was delivered.

"Meanwhile, the supplier, Bard Brachytherapy, Inc.'s (BBI) investigation indicates that the 71st seed was shipped to BWH.

"The expected 71st seed was a Bard Brachytherapy, Inc., model 125I containing 0.561 mCi (with an apparent activity of 0.330 mCi), with a reference date of 8/17/2013."

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: 49391
Facility: NINE MILE POINT
Region: 1 State: NY
Unit: [ ] [2] [ ]
RX Type: [1] GE-2,[2] GE-5
NRC Notified By: CARL JONES
HQ OPS Officer: DONG HWA PARK
Notification Date: 09/28/2013
Notification Time: 19:25 [ET]
Event Date: 09/28/2013
Event Time: 12:13 [EDT]
Last Update Date: 10/01/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
BLAKE WELLING (R1DO)

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

DIGITAL RADIATION MONITOR LOW SAMPLE FLOW ALARM RECEIVED

"At 1213 EDT on September 28, 2013 Nine Mile Point Unit 2 received [Digital Radiation Monitor System] DRMS low sample flow alarm and monitor status of sample pump off for 2SWP*RE146A. The chemistry department was notified to collect and analyze grab samples per [Offsite Dose Calculation Manual] ODCM 3.3.1 as a compensatory measure with the service water radiation monitor 2SWP*CAB146A out of service. 2SWP*RE146A was restarted at 1517 EDT and declared functional.

"At 1548 EDT on September 28, 2013 Nine Mile Point Unit 2 received DRMS low sample flow alarm and monitor status of sample pump off for 2SWP*RE146B. Chemistry was again notified to collect and analyze grab samples per ODCM 3.3.1 as a compensatory measure with the service water radiation monitor 2SWP*CAB146B out of service.

"The service water radiation monitors are necessary for accident assessment and are credited for Emergency Action Level (EAL) classification. The inability to classify an EAL due to an out of service monitor is considered a loss of assessment capability per CFR 50.72(b)(3)(xiii). This condition does not affect the health or safety of the public or the operation of the facility. Compensatory actions remain in place to sample per the requirements of the ODCM.

"The NRC Resident Inspector has been notified."

* * * UPDATE FROM CARL JONES TO CHARLES TEAL AT 0122 EDT ON 9/29/13 * * *

"The Service Water radiation monitors have been restored to service and declared functional. 2SWP*CAB146B restored after maintenance Saturday, 09/28/13 at 2243 EDT. 2SWP*CAB146A was removed from service for maintenance at 2243 EDT on 09/28/13, restored to service and declared functional Saturday, 09/28/13 at 2337 EDT."

The NRC Resident Inspector will be notified. Notified R1DO (Welling).

* * * UPDATE FROM CARL CRAWFORD TO CHARLES TEAL AT 1040 EDT ON 09/29/13 * * *

Update to notification:

"Received subsequent DRMS low sample flow alarm and sample pump trip at 0619 on 9/29/13 for Service Water Radiation monitor 2SWP*CAB146B. The sample pump was returned to service and subsequently tripped again. The monitor has been declared non-functional and Compensatory Actions are being taken per ODCM. Maintenance is engaged for resolution. Investigation includes potential impact from Service Water Mollusk Biocide Treatment which concluded 9/26/13."

The licensee informed the NRC Resident Inspector. Notified R1DO (Welling).

* * * UPDATE ON 10/1/13 AT 2109 EDT FROM JASON SAWYER TO HOWIE CROUCH * * *

"The Service Water Radiation monitor 2SWP*CAB146B was removed from service for inspection. The cause of the radiation monitor tripping is attributed to the scale that is forming on the flow switch sensing element. Flow switch element on 2SWP*CAB146B has been cleaned and radiation monitor has been placed back in service. The monitor was placed in service on 9/29/13 at 1200 and has been functioning properly since then. As of 2100, 2SWP*CAB146B has been declared functional and ODCM 3.3.1 actions have been exited."

The licensee will notify the NRC Resident Inspector. Notified R1DO (Joustra).

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Power Reactor Event Number: 49398
Facility: CALLAWAY
Region: 4 State: MO
Unit: [1] [ ] [ ]
RX Type: [1] W-4-LP
NRC Notified By: DAVID LANTZ
HQ OPS Officer: CHARLES TEAL
Notification Date: 10/01/2013
Notification Time: 01:05 [ET]
Event Date: 09/30/2013
Event Time: 22:57 [CDT]
Last Update Date: 10/02/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
HEATHER GEPFORD (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

Event Text

OFF-SITE EMERGENCY OPERATIONS FACILITY DECLARED INOPERABLE DUE TO AIR IN-LEAKAGE

"At 2257 CDT on September 30, 2013 the Callaway Plant Emergency Off-Site Facility (EOF) was declared nonfunctional due to air in-leakage outside acceptance criteria while ventilation is in filtration mode.

"Efforts are underway to restore the air in-leakage within acceptance criteria at the EOF.

"If EOF activation is necessary during the period of EOF non-functionality, the Recovery Manager will evaluate the suitability of the facility for the specific conditions of the event.

"This notification is being made in accordance with 10 CFR 50.72(b)(3)(xiii) due to the unavailability of an emergency response facility.

"The NRC Senior Resident Inspector has been notified."

* * * UPDATE FROM RICHARD HUGHEY TO JOHN SHOEMAKER AT 0248 EDT ON 10/02/13 * * *

"Repairs were made to the EOF ventilation system and all required post-maintenance testing has been completed satisfactorily. The EOF has been restored to a functional status."

The licensee will notify the NRC Resident Inspector.

Notified R4DO (Gepford).

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Power Reactor Event Number: 49400
Facility: PEACH BOTTOM
Region: 1 State: PA
Unit: [2] [3] [ ]
RX Type: [2] GE-4,[3] GE-4
NRC Notified By: CJ CAMPBELL
HQ OPS Officer: DANIEL MILLS
Notification Date: 10/01/2013
Notification Time: 14:11 [ET]
Event Date: 10/01/2013
Event Time: 11:31 [EDT]
Last Update Date: 10/01/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(xi) - OFFSITE NOTIFICATION
Person (Organization):
JUDY JOUSTRA (R1DO)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
2 N Y 100 Power Operation 100 Power Operation
3 N N 0 Defueled 0 Defueled

Event Text

INADVERTENT ACTUATION OF EMERGENCY WARNING SIRENS

"Exelon Generation has successfully tested the new emergency warning sirens installed in the 10-mile radius surrounding Peach Bottom Atomic Power Station. With approval from the Federal Emergency Management Agency (FEMA), Exelon Generation began transitioning to the new sirens on 10/1/13. At 11:31 am EDT, during the transition, a vendor technician inadvertently actuated the York County emergency warning sirens. The Sirens went through a full sounding of three minutes and then stopped alarming. The alarming sirens were not due to any condition at Peach Bottom. Exelon and York County have investigated the issue and found that the system worked properly. The cause of the inadvertent actuation was that a test signal was not given sufficient time to clear prior to putting the system in service after testing.

"The NRC Resident Inspector has been informed."

The licensee will issue a press release.

Page Last Reviewed/Updated Wednesday, October 02, 2013
Wednesday, October 02, 2013