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Event Notification Report for April 7, 2014

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
04/04/2014 - 04/07/2014

** EVENT NUMBERS **


49801 49964 49965 49971 49987 49996 49997 50001 50002

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!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED !!!!!
Power Reactor Event Number: 49801
Facility: FERMI
Region: 3 State: MI
Unit: [2] [ ] [ ]
RX Type: [2] GE-4
NRC Notified By: PAUL GRESH
HQ OPS Officer: JOHN SHOEMAKER
Notification Date: 02/06/2014
Notification Time: 19:17 [ET]
Event Date: 02/06/2014
Event Time: 12:54 [EST]
Last Update Date: 04/04/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(v)(D) - ACCIDENT MITIGATION
Person (Organization):
ROBERT ORLIKOWSKI (R3DO)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
2 N Y 85 Power Operation 85 Power Operation

Event Text

EMERGENCY EQUIPMENT COOLING WATER IN MANUAL OVERRIDE DUE TO HUMAN PERFORMANCE ERROR

"At 1254 [EST] on February 6, 2014, while shutting down Division 2 Emergency Equipment Cooling Water (EECW), a human performance error occurred resulting in the Division 2 EECW isolation override switch being placed in manual override. Division 2 EECW remained running and continued to operate normally. The Division 2 EECW system cools various safety related components including the High Pressure Coolant Injection (HPCI) system room cooler. With the Division 2 EECW isolation override switch in manual override, Division 2 EECW may have been prevented from performing its safety function during a loss of power event. An unplanned HPCI inoperability occurred due to the Division 2 EECW inoperability which may have prevented HPCI from performing its safety function. A 14 day Limiting Condition for Operation (LCO) was entered for HPCI via T.S. LCO 3.5.1 and subsequently exited 36 seconds later upon returning the Division 2 EECW isolation override switch to normal. This report is being made pursuant to 10CFR50.72(b)(3)(v)(D) as a condition that at the time of discovery could have prevented the fulfillment of a safety function needed to mitigate the consequences of an accident, based on a loss of a single train safety system. The NRC Resident Inspector has been notified."

The licensee reported that the individuals involved have been removed from licensee duties pending further investigation.


* * * RETRACTION FROM PAUL GRESH TO DONALD NORWOOD AT 0931 EDT ON 4/4/14 * * *

"The Fermi 2 Engineering staff has completed a comprehensive evaluation of the momentary mispositioning of the Division 2 EECW system overide switch initially reported on February 6, 2014.

"The evaluation determined that HPCI room temperature would remain below the HPCI room steam leak detection isolation logic setpoint in the unlikely event that the momentary mispositioning resulted in the temporary interruption of the cooling water flow to the HPCI system room cooler. Over the brief period of time for which EECW would have been unavailable to support the effective operation of the room cooler, its function was not necessary for HPCI to perform its required safety functions. Therefore, event notification 49801 is retracted."

The licensee notified the NRC Resident Inspector. Notified R3DO (Passehl).

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Agreement State Event Number: 49964
Rep Org: FLORIDA BUREAU OF RADIATION CONTROL
Licensee: UNKNOWN
Region: 1
City: UNKNOWN State: FL
County:
License #:
Agreement: Y
Docket:
NRC Notified By: PAUL NORMAN
HQ OPS Officer: CHARLES TEAL
Notification Date: 03/27/2014
Notification Time: 10:16 [ET]
Event Date: 03/26/2014
Event Time: [EDT]
Last Update Date: 03/27/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
MEL GRAY (R1DO)
FSME EVENT RESOURCE (EMAI)

Event Text

AGREEMENT STATE REPORT - Y-90 SIR-SPHERES TREATMENT DOSE LESS THAN PRESCRIBED

The following was received from the State of Florida via email:

"Y-90 Sir-Sphere injection delivered 62% of prescribed dose. Licensee or Owner is currently unknown. Radiation Services, Inc. (RSI) is a Medical Physics Consulting firm. This event was reported to RSI by a client as a request for consult. RSI did not perform the procedure. No other information is know at this time."

Florida Incident Number: FL14-026

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: 49965
Rep Org: ARKANSAS DEPARTMENT OF HEALTH
Licensee: GEORGIA-PACIFIC, LLC, CROSSETT PAPER OPERATIONS, DP33
Region: 4
City: CROSSETT State: AR
County:
License #: ARK-0321-0312
Agreement: Y
Docket:
NRC Notified By: ANGIE D. HILL
HQ OPS Officer: STEVE SANDIN
Notification Date: 03/27/2014
Notification Time: 17:37 [ET]
Event Date: 03/27/2014
Event Time: 14:20 [CDT]
Last Update Date: 03/31/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
DAVID PROULX (R4DO)
FSME_EVENTS RESOURCE (EMAI)

Event Text

AGREEMENT STATE REPORT - STUCK SHUTTER ON FIXED GAUGE

The following information was received from the State of Arkansas via email:

"The licensee notified the Arkansas Department of Health via postal mail on Thursday, 03/27/2014 at 1420 hours, of the stuck shutter event. The State's event number is ARK-2014-003.

"The Omhart source holder model number is HM-8 and the source contains 0.523 Curies of Cs-137. The problem was discovered during shutter checks and inventory. The licensee states that the gauge operations remain to be 24/7. The licensee stated that the area has been roped off and has proper posting. The licensee stated that they have notified applicable facility personnel of the radiological hazard and that there have been no known radiation exposures to personnel and/or members of the public.

"The shutter will be fixed by Omhart (date unknown at this time), whom will also diagnose the root cause of this event. The State of Arkansas is awaiting a 30 day written report post repairs."

* * * UPDATE PROVIDED BY ANGIE HILL TO JEFF ROTTON AT 1412 EDT ON 03/31/2014 * * *

The State of Arkansas reported that the original discovery date of the stuck shutter was September 16, 2013. The manufacturer, Omhart, will be on site from May 5-9, 2014 to repair the shutter and perform a root cause evaluation.


Notified R4DO (Gepford) and FSME Resources via email

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Agreement State Event Number: 49971
Rep Org: TEXAS DEPARTMENT OF HEALTH
Licensee: CAN METALS LTD
Region: 4
City: STAFFORD State: TX
County:
License #: 02260
Agreement: Y
Docket:
NRC Notified By: ART L. TUCKER
HQ OPS Officer: STEVE SANDIN
Notification Date: 03/28/2014
Notification Time: 18:28 [ET]
Event Date: 03/26/2014
Event Time: [CDT]
Last Update Date: 03/28/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
DAVID PROULX (R4DO)
DENNIS ALLSTON (ILTA)
FSME_EVENTS RESOURCE (EMAI)
MEXICO (FAX)

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

Event Text

AGREEMENT STATE REPORT INVOLVING A STOLEN THERMO NITON DEVICE USED IN METAL ALLOY IDENTIFICATION

The following information was provided by the State of Texas via email:

"On March 28, 2014, the Agency [Texas Department of State Health Services] received a letter from the licensee Radiation Safety Officer (RSO) stating they had determined a Thermo Niton device model number XLP-8182 containing 30 millicuries of Americium- 241 had been stolen by one of their employees. The employee had been sent to the country of Mexico with the device to analyze materials for purchase by their company. The RSO stated when they had gone several weeks without contact with the employee they began trying to locate him. The RSO stated they had not located either the employee or the device. The RSO stated he did not believe the individual had come to any harm in Mexico, but stated they had heard the employee had bought a new home in the State of Arizona and was probably there. The licensee has contacted local law enforcement. The RSO stated they did not believe any individual would receive any exposure due to this event. The Agency will contact the State of Arizona's program on March 31, 2014. Additional information will be provided as it is received in accordance with SA-300."

The device is used to identify metal alloys.

Texas Incident #: I-9172

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: 49987
Facility: PERRY
Region: 3 State: OH
Unit: [1] [ ] [ ]
RX Type: [1] GE-6
NRC Notified By: DON ROGERS
HQ OPS Officer: JEFF ROTTON
Notification Date: 04/02/2014
Notification Time: 14:42 [ET]
Event Date: 04/02/2014
Event Time: 14:01 [EDT]
Last Update Date: 04/05/2014
Emergency Class: UNUSUAL EVENT
10 CFR Section:
50.72(a) (1) (i) - EMERGENCY DECLARED
50.72(b)(2)(xi) - OFFSITE NOTIFICATION
Person (Organization):
DAVE PASSEHL (R3DO)
TIM McGINTY (NRR)
WILLIAM GOTT (IRD)
JENNIFER UHLE (ET)
CYNTHIA PEDERSON (R3RA)

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

UNUSUAL EVENT DECLARED DUE TO TOXIC GAS RELEASE

"Release of toxic or flammable gas affecting the Protected Area boundary deemed detrimental to the safe operation of the plant."

Emergency Action Level entered: MU-1. The leak is Trichloroethylene (TCE) gas used in the Off-Gas building. The Off-Gas building ground and basement levels were evacuated due to the leak. There is no safe-shutdown equipment located in the Off-Gas building. The licensee is working to isolate the leak.

The licensee informed the NRC Resident Inspector.

The licensee notified the State of Ohio and the local counties.

Notified DHS SWO, FEMA Ops Center, NICC Watch Officer, DOE Ops Center, USDA Ops Center, HHS Ops Center, and Nuclear SSA via email.

* * * UPDATE AT 1630 EDT ON 4/2/14 FROM DON ROGERS TO S. SANDIN * * *

The licensee notified the following outside agencies: U.S. EPA National Response Center, Ohio EPA, Perry Township Fire Department, Lake County Emergency Planning Committee, and the U.S. Coast Guard.

Notified R3DO (Passehl).

* * * UPDATE FROM MICHAEL ADLER TO DANIEL MILLS AT 0115 EDT ON 04/05/2014 * * *

"Unusual Event has been terminated on 4/5/2014 at 0059 EDT. The trichloroethylene leak has been stopped. Access has been restored to all normally accessible areas."

Unit 1 remains in Mode 1 at 100% power.

The licensee notified the NRC Resident Inspector and the Local and State emergency agencies.

Notified the IRD MOC (Gott), R3DO (Passehl), and NRR EO (McGinty).

Notified DHS SWO, DOE Ops Center, FEMA Ops Center, HHS Ops Center, NICC Watch Officer, USDA OPS Center, EPA EOC, FDA EOC, and Nuclear SSA via email.

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Power Reactor Event Number: 49996
Facility: NINE MILE POINT
Region: 1 State: NY
Unit: [ ] [2] [ ]
RX Type: [1] GE-2,[2] GE-5
NRC Notified By: PATRICK WALSH
HQ OPS Officer: DONALD NORWOOD
Notification Date: 04/04/2014
Notification Time: 08:58 [ET]
Event Date: 04/04/2014
Event Time: 08:00 [EDT]
Last Update Date: 04/04/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
CHRISTOPHER CAHILL (R1DO)

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

Event Text

WIDE RANGE GASEOUS MONITORING SYSTEM REMOVED FROM SERVICE FOR GREATER THAN 72 HOURS

"Nine Mile Point Unit 2 Ventilation Wide Range Gaseous Monitoring System was removed from service on 4/1/2014 at 1140 EDT to support isolation of the Unit 2 Reactor Building Ventilation during a Division 2 electrical bus outage. The monitoring system will be out of service for greater than 72 hours due to the planned maintenance window.

"NMP2 is in Mode 5, refueling. Compensatory actions remain in effect in accordance with the Off-Site Dose Calculation Manual. Expected return to service is 4/5/14.

"This event is being reported in accordance with 10 CFR 50.72 (b)(3)(xiii) due to a loss of assessment capability."

The licensee notified the NRC Resident Inspector.

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Power Reactor Event Number: 49997
Facility: MILLSTONE
Region: 1 State: CT
Unit: [ ] [2] [ ]
RX Type: [1] GE-3,[2] CE,[3] W-4-LP
NRC Notified By: CHARLES HOLLIS
HQ OPS Officer: VINCE KLCO
Notification Date: 04/04/2014
Notification Time: 12:13 [ET]
Event Date: 04/04/2014
Event Time: 09:45 [EDT]
Last Update Date: 04/04/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
CHRISTOPHER CAHILL (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

STACK RADIATION MONITOR REMOVED FROM SERVICE FOR PRE-PLANNED MAINTENANCE

The Millstone Station Stack Radiation Monitor, RM-8169 was removed from service for pre-planned maintenance. This is reportable as a loss of assessment capability in accordance with 10 CFR 50.72 (b)(3)(xiii).

RM-8169 was restored following pre-planned maintenance at 1150 EDT on 4/4/2014.

The licensee notified the NRC Resident Inspector and applicable State and local agencies.

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Power Reactor Event Number: 50001
Facility: PRAIRIE ISLAND
Region: 3 State: MN
Unit: [1] [2] [ ]
RX Type: [1] W-2-LP,[2] W-2-LP
NRC Notified By: STEPHEN SEILHYMER
HQ OPS Officer: HOWIE CROUCH
Notification Date: 04/04/2014
Notification Time: 22:12 [ET]
Event Date: 04/04/2014
Event Time: 14:53 [CDT]
Last Update Date: 04/04/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
DAVE PASSEHL (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
2 N Y 100 Power Operation 100 Power Operation

Event Text

SEISMIC MONITOR DECLARED NON-FUNCTIONAL DUE TO SPURIOUS ALARM

"At 1453 CDT on April 04, 2014, the station's Seismic Monitor generated a seismic event alarm that was determined to be invalid based upon no recorded readings above alarm setpoint, no seismic activity being felt on site, and no activity detected by National Earthquake Information Center or Monticello Nuclear Generating Plant. The monitor was declared non-functional since it would not generate a control board seismic event alarm during an actual event until the invalid event was reset. This monitor has no credited compensatory measure that will allow timely classification of two Emergency Action Levels (EALs), NUE (Notification of Unusual Event) and Alert classifications when out of service. This results in a Loss of Emergency Assessment Capability while the Seismic Monitor is out of service. This is a reportable condition in accordance with 10 CFR 50.72(b)(3)(xiii).

"Maintenance has reset the alarm and has evaluated the monitor's performance. The alarm has been determined to be spurious. The monitor is working properly and will generate a control board alarm during an actual event, as determined by observed normal operation and the lack of any self-diagnostic error messages. At 1900 CDT on April 04, 2014 the monitor was declared functional and returned to service.

"There was no seismic activity during the out of service period indicated by the local seismic monitor display and no reports of seismic activity were reported to the site by National Earthquake Information Center or Monticello Nuclear Generating Plant. This event did not adversely affect the safe operation of the plant or health and safety of the public.

"The licensee has notified the NRC Resident Inspector."

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Power Reactor Event Number: 50002
Facility: MILLSTONE
Region: 1 State: CT
Unit: [ ] [2] [ ]
RX Type: [1] GE-3,[2] CE,[3] W-4-LP
NRC Notified By: SUNYOUNG KWON
HQ OPS Officer: HOWIE CROUCH
Notification Date: 04/05/2014
Notification Time: 18:16 [ET]
Event Date: 04/05/2014
Event Time: 10:25 [EDT]
Last Update Date: 04/05/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(v)(C) - POT UNCNTRL RAD REL
50.72(b)(3)(v)(D) - ACCIDENT MITIGATION
Person (Organization):
CHRISTOPHER CAHILL (R1DO)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
2 N Y 100 Power Operation 46 Power Operation

Event Text

LOSS OF ENCLOSURE BUILDING

In preparation for a scheduled outage, maintenance personnel removed the upper and lower boots of the main steam safety valves. Upon discovery, Operations personnel declared the Enclosure Building inoperable. Maintenance re-installed the boots and the integrity of the Enclosure Building was restored and the building returned to service.

The licensee notified the NRC Resident Inspector, the State of Connecticut, and the town of Waterford.

Page Last Reviewed/Updated Monday, April 07, 2014
Monday, April 07, 2014