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Event Notification Report for October 18, 2013

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
10/17/2013 - 10/18/2013

** EVENT NUMBERS **


49421 49427 49446

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Agreement State Event Number: 49421
Rep Org: TEXAS DEPARTMENT OF HEALTH
Licensee: PROFESSIONAL SERVICE INDUSTRIES INC
Region: 4
City: HARLINGEN State: TX
County:
License #: 04944
Agreement: Y
Docket:
NRC Notified By: GENTRY HEARN
HQ OPS Officer: DONG HWA PARK
Notification Date: 10/09/2013
Notification Time: 17:30 [ET]
Event Date: 10/09/2013
Event Time: 09:30 [CDT]
Last Update Date: 10/09/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
MICHAEL HAY (R4DO)
FSME EVENTS RESOURCE (EMAI)
JIM WHITNEY (ILTA)
MEXICO (FAX)

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

Event Text

AGREEMENT STATE REPORT - MISSING MOISTURE DENSITY GAUGE

The following report was received from the State of Texas via email:

"On October 9, 2013 at approximately 1445 CDT, the Agency [Texas Department of State Health Services] received notice by phone that the licensee had lost a Troxler 3430 (sn 28350) moisture/density gauge near the Donna International Bridge near Donna, Texas. The sources contained within are an 8 mCi Cs-137 source (QSA Global X1218 sn 7502362) and a 40 mCi Am-241/Be source (QSA Global AX1 X.1 X.1/2 sn 47-25061). The gauge had been left on a tailgate out of its transport container when the truck left the temporary job site at approximately 0930 CDT. Upon reaching the first light in town approximately 5 miles away, the driver/technician noticed the down tailgate and missing gauge. A search is still underway."

Texas Report # I 9123

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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Agreement State Event Number: 49427
Rep Org: KENTUCKY DEPT OF RADIATION CONTROL
Licensee: BAPTIST HEALTH MADISONVILLE
Region: 1
City: MADISONVILLE State: KY
County:
License #: 202-141-26
Agreement: Y
Docket:
NRC Notified By: ERIC PERRY
HQ OPS Officer: DONG HWA PARK
Notification Date: 10/10/2013
Notification Time: 15:38 [ET]
Event Date: 10/10/2013
Event Time: 09:30 [CDT]
Last Update Date: 10/10/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
JON LILLIENDAHL (R1DO)
FSME EVENTS RESOURCE (EMAI)

Event Text

AGREEMENT STATE REPORT - MEDICAL EVENT INVOLVING POSSIBLE EQUIPMENT MALFUNCTION

The following was received from the Commonwealth of Kentucky via email:

"Licensee notified the Radiation Health Branch on October 10, 2013 at 0930 EDT of the possible event. The RSO, reported the following: A vaginal applicator using Cs-137 was found to be dislodged from the patient this morning. The RSO reported that the patient is paralyzed and would not have recognized the specific time that the applicator became dislodged. At this time, (1035 EDT) the RSO has received an email which requested him to provide all required notification information included in 902 KAR 100:072 section 15, has been provided a web link to the regulation, and has been provided with an information form to complete regarding the possible medical event. The RSO indicated he would provide the requested information to the Investigator by return email. The licensee is currently conducting an investigation into this matter to determine dose estimates for the patient and if there was an equipment failure."

KY Event Report ID No: KY130004

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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Power Reactor Event Number: 49446
Facility: PERRY
Region: 3 State: OH
Unit: [1] [ ] [ ]
RX Type: [1] GE-6
NRC Notified By: THOMAS MORSE
HQ OPS Officer: PETE SNYDER
Notification Date: 10/17/2013
Notification Time: 16:25 [ET]
Event Date: 10/17/2013
Event Time: 13:00 [EDT]
Last Update Date: 10/17/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(ii)(B) - UNANALYZED CONDITION
Person (Organization):
NICK VALOS (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

POSTULATED HOT SHORT FIRE EVENT THAT COULD ADVERSELY IMPACT SAFE SHUTDOWN EQUIPMENT

"A review of industry operating experience regarding the impact of unfused Direct Current (DC) ammeter circuits in the control room has determined the described condition to be applicable to the Perry Nuclear Power Plant resulting in a potentially unanalyzed condition with respect to 10 CFR 50 Appendix R analysis requirements. The original plant wiring design and associated analysis for the Class 1 E batteries control room ampere indications do not include overcurrent protection features to limit the fault current.

"In the postulated event, a fire in the control room could cause one of the ammeter wires to hot short to the ground plane. Simultaneously, it is postulated that the fire causes another DC wire from the opposite polarity on the same battery to also hot short to the ground plane. This could cause a ground loop through the unprotected ammeter wiring. This event could result in excessive current flow (i.e., heating) in the ammeter wiring to the point of causing a secondary fire in the raceway system. The secondary fire could adversely affect safe shutdown equipment and potentially cause the loss of the ability to conduct a safe shutdown as required by 10 CFR 50 Appendix R.

"This condition is being reported in accordance with 10 CFR 50.72(b)(3)(ii)(B). Interim compensatory measures (i.e., fire watches) have been implemented for affected areas of the plant.

"The licensee has notified the NRC Resident Inspector."

See the following related Event Numbers: 49411, 49419, 49422, and 49444.

Page Last Reviewed/Updated Friday, October 18, 2013
Friday, October 18, 2013