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Event Notification Report for December 30, 2013

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
12/27/2013 - 12/30/2013

** EVENT NUMBERS **


49578 49668 49669 49670 49678

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Agreement State Event Number: 49578
Rep Org: TEXAS DEPARTMENT OF HEALTH
Licensee: MISTRAS GROUP INC
Region: 4
City: LA PORTE State: TX
County:
License #: 06369
Agreement: Y
Docket:
NRC Notified By: KAREN BLANCHARD
HQ OPS Officer: CHARLES TEAL
Notification Date: 11/25/2013
Notification Time: 14:48 [ET]
Event Date: 11/22/2013
Event Time: [CST]
Last Update Date: 12/27/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
GREG PICK (R4DO)
FSME EVENT RESOURCE (EMAI)

Event Text

AGREEMENT STATE REPORT - RADIOGRAPHY TRUCK INVOLVED IN ACCIDENT

"On November 22, 2013, the Agency [Texas Department of State Health Services] received information from the Odessa, Texas, Emergency Management that an accident involving an industrial radiography truck carrying two radiography cameras had occurred near Andrews, Texas. The Agency contacted the licensee and they reported that the driver had hit a patch of ice on the road, lost control, and the truck turned over. Both of the cameras remained secured inside the transportation box in the truck's darkroom. Another of the licensee's radiographers was following the truck and maintained control of the cameras until the licensee's staff came from Midland to pick them up. There were no exposures to any individual as a result of this event.

"On November 25, 2013, an Agency investigator learned from the licensee that the driver had been taken by ambulance to a local hospital's emergency department following the accident. The driver was examined and released after approximately 5 hours. More information will be provided as it obtained in accordance with SA-300."

Texas Incident Number: I-9138

* * * UPDATE FROM ARTHUR TUCKER TO JOHN SHOEMAKER ON 12/27/13 AT 0815 CST * * *

The following Agreement State Report update was received via email;

"The following information was provided to the Agency [Texas Department of State Health Services] by the licensee. It provides additional information regarding the event and stated the cameras did not remain in the transport container throughout the event as previously reported.

"On, November 22, 2013, the licensee was transporting two radiography exposure devices from Midland, Texas to La Porte, Texas. The devices were stored in a transport container in one vehicle and a second vehicle was following the transport vehicle. Near Andrews, Texas the transport vehicle hit a patch of ice on the road causing the driver to lose control of the vehicle. The vehicle rolled five times before stopping in the upright position. The darkroom stayed attached to the truck until the last rollover, it then became free from the truck and the exposure devices were dislodged from the transport box. The driver of the second vehicle provided aid to the driver of the transport vehicle until the state police arrived. The driver of the second vehicle then performed an area survey and monitored the exposure devices. He stated dose rates were normal and he did not observe any damage to either exposure device. The exposure devices did not create an exposure risk to any individual. The driver of the transport vehicle was transported to the hospital by ambulance where he was released later that evening. The licensee's Radiation Safety Officer (RSO) contacted the licensee's Midland office and had them send a crew to take possession of the exposure devices. The devices were leak tested and the results were below the limit. The exposure devices were stored at the licensee's Midland location over the Thanksgiving Holiday and later transported to the manufacturer for further inspection. The manufacturer leak tested the devices and the sources and no contamination was detected. The manufacturer performed a thorough inspection of the devices and did not identify any damage to either device. The manufacturer returned the devices to the licensee for continued use. Additional information will be provided as it is received in accordance with SA-300."

Notified R4DO (Whitten) and FSME Events Resource via email.

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Non-Agreement State Event Number: 49668
Rep Org: CONAGRA FOODS
Licensee: CONAGRA FOODS
Region: 3
City: TRENTON State: MO
County:
License #: GL
Agreement: N
Docket:
NRC Notified By: GARY SMILEY
HQ OPS Officer: DONALD NORWOOD
Notification Date: 12/20/2013
Notification Time: 15:00 [ET]
Event Date: 12/18/2013
Event Time: 16:00 [CST]
Last Update Date: 12/20/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
20.2201(a)(1)(i) - LOST/STOLEN LNM>1000X
Person (Organization):
KENNETH RIEMER (R3DO)
FSME EVENTS RESOURCE (E-ma)

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

Event Text

LOST FILL LEVEL MONITORS

ConAgra Foods, Inc. reported that while performing a physical walkdown verification to meet reporting requirements for 2013, three Peco Controls Corporation model Gamma 101P fill level monitors could not be located. After further checking, one of the unaccounted for monitors was found to be in the possession of a vendor where it had been sent in exchange for a replacement. However, two of the monitors remain unaccounted for at this time.

Details on the two monitors are as follows:
Peco Controls Corporation, Model - Gamma 101P, Serial Number - G001768549, with a 100 mCi Am-241 source.
Peco Controls Corporation, Model - Gamma 101P, Serial Number - G002318648, with a 100 mCi Am-241 source.

ConAgra states that these monitors had not been in service for several years. The report issued for 2012, which was dated 12/20/2012, indicated that all monitors were accounted for at that time. ConAgra is continuing to search for the two unaccounted for monitors.

The licensee notified R3(Pelke).

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: 49669
Rep Org: VIRGINIA RAD MATERIALS PROGRAM
Licensee: VALLEY HEALTH SYSTEM - WINCHESTER
Region: 1
City: WINCHESTER State: VA
County: FREDERICK
License #: 840-210-1
Agreement: Y
Docket:
NRC Notified By: MIKE WELLING
HQ OPS Officer: DONG HWA PARK
Notification Date: 12/20/2013
Notification Time: 14:57 [ET]
Event Date: 10/09/2013
Event Time: [EST]
Last Update Date: 12/20/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
ANTHONY DIMITRIADIS (R1DO)
FSME EVENTS RESOURCE (EMAI)

Event Text

AGREEMENT STATE REPORT - BROKEN SOURCE HOLDER CABLE

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

"On October 9th, the PET/CT unit reported a problem with the pin source holder indicating the holder was open. The licensee closed the scan room door and contacted General Electric (GE) service provider to provide emergency service. On October 10th, a GE representative investigated the unit and found the source holder cable was broken. A new cable was ordered and replaced on October 11th. The source was replaced, and the unit was tested and placed back in service. The Virginia Radioactive Materials Program has been working with GE regarding the cause for the failure. At this time, GE is reviewing service reports to evaluate whether this is an isolated incident."

Virginia Event Report ID: VA-13-11

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Agreement State Event Number: 49670
Rep Org: VIRGINIA RAD MATERIALS PROGRAM
Licensee: ROCKINGHAM MEMORIAL
Region: 1
City: HARRISONBURG State: VA
County: HARRISONBURG
License #: 660-182-1
Agreement: Y
Docket:
NRC Notified By: MIKE WELLING
HQ OPS Officer: DONG HWA PARK
Notification Date: 12/20/2013
Notification Time: 14:57 [ET]
Event Date: 11/25/2013
Event Time: [EST]
Last Update Date: 12/20/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
ANTHONY DIMITRIADIS (R1DO)
FSME EVENTS RESOURCE (EMAI)

Event Text

AGREEMENT STATE REPORT - SOURCE HOLDER GRIPPER MALFUNCTION

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

"On November 25th, the Virginia Department of Health Radiological Duty Officer received a call from the General Electric (GE) service provider representative that a PET/CT machine at Rockingham Memorial failed. The representative responded and found that the source holder was open exposing the source. The representative troubleshot the holder and found that the gripper was not functioning properly. The source was removed and the coach was sent back to Wisconsin for service at GE's facility.

"The Virginia Radioactive Materials Program has been working with GE regarding the cause for the failure. At this time, GE is reviewing service reports to evaluate whether this is an isolated incident.

"The unit was repaired and returned to Rockingham Memorial."

Virginia Event Report ID: VA-13-12

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Power Reactor Event Number: 49678
Facility: MILLSTONE
Region: 1 State: CT
Unit: [ ] [ ] [3]
RX Type: [1] GE-3,[2] CE,[3] W-4-LP
NRC Notified By: MICHAEL SOCHA
HQ OPS Officer: JOHN SHOEMAKER
Notification Date: 12/29/2013
Notification Time: 15:25 [ET]
Event Date: 12/29/2013
Event Time: 07:44 [EST]
Last Update Date: 12/29/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(v)(A) - POT UNABLE TO SAFE SD
50.72(b)(3)(v)(D) - ACCIDENT MITIGATION
Person (Organization):
JAMES DWYER (R1DO)

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

SWITCHGEAR ROOM DOOR DISCOVERED UNLATCHED

"A condition was discovered on December 29, 2013 that could have prevented the fulfillment of safety functions to shutdown the reactor and maintain it in a safe shutdown condition and mitigate the consequences of an accident.

"On December 29, 2013, a water tight door between the East Switchgear and Service Building was discovered not dogged (unlatched). Upon discovery, the safety function was immediately restored by properly dogging (latching) the subject door.

"The subject door between the East Switchgear and Service Building protects both trains' of safety related switchgears. The access Key Log indicates the door was in the condition for approximately 60 minutes. If the door is inoperable, then T.S. 3.0.3 applies.

"This condition is being reported pursuant to 10CFR50.72(b)(3)(v)(A) and 10CFR50.72(b)(3))(v)(D).

"The NRC Resident lnspector has been notified [by the licensee]."

The licensee has notified state and local authorities.

The door is required to be properly secured to protect the East Switchgear from a potential High Energy Line Break and was left improperly dogged by a security officer while making rounds. Millstone Unit 3 did not enter T.S.3.0.3 and continues to operate at 100%.

Page Last Reviewed/Updated Monday, December 30, 2013
Monday, December 30, 2013