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Event Notification Report for January 15, 2014

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
01/14/2014 - 01/15/2014

** EVENT NUMBERS **


49695 49696 49722 49723

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Non-Agreement State Event Number: 49695
Rep Org: MALLINCKRODT PHARMACEUTICALS
Licensee: MALLINCKRODT PHARMACEUTICALS
Region: 3
City: MARYLAND HEIGHTS State: MO
County:
License #: 24-04206-01
Agreement: N
Docket:
NRC Notified By: GARY BOSGRAAF
HQ OPS Officer: JEFF ROTTON
Notification Date: 01/06/2014
Notification Time: 13:07 [ET]
Event Date: 01/06/2014
Event Time: 08:13 [CST]
Last Update Date: 01/14/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
20.2201(a)(1)(i) - LOST/STOLEN LNM>1000X
Person (Organization):
MICHAEL KUNOWSKI (R3DO)
BOB HAGAR (R4DO)
ANGELA MCINTOSH (FSME)
FSME EVENTS RESOURSE (EMAI)
WAYNE SCHMIDT (R1DO)

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

Event Text

MOLLY-TECH GENERATOR LOST SOURCE DURING SHIPMENT

"The Mo-Tc Generator (Mallinckrodt Tracking number 2241132 on box and generator, and DU [Depleted Uranium] number 4283 stamped on DU shield) was offered for shipment on 27DEC13 to courier [common]. The generator was sent to customer Pharmalogic MT Inc in Missoula, Montana. The customer did not receive the generator and contacted Mallinckrodt [on December 28, 2013]. A search was conducted and on 06JAN14, [common carrier] informed Mallinckrodt that they believe they did not have the generator of concern at any of their sites. Typical shipment routing is from Maryland Heights, Missouri to St. Louis Lambert airport to Memphis, Tennessee. After Memphis we [Mallinckrodt] are not aware if a second stop occurs prior to arrival in Missoula, Montana. Mallinckrodt conducted an onsite search and was not successful at finding the generator.

"At time of shipment, the generator activity was 11 curie of Mo-99, and 8.1 mCi of depleted Uranium-238. The shipping box read 10.9 mR/hr on contact with the outer surface. Estimated on contact exposure rate levels on the outside of the generator at time of shipment was 180 mR/hr.

"At time (06JAN14) of declaration of the generator being lost, the activity levels were estimated to be 882 mCi of Mo-99, 882 mCi of Tc-99m, and 8.1 mCi of depleted U-238. Estimated exposure rate levels were 0.9 mR/hr on the outside surface of the shipping box, and 14 mR/hr on the outside surface of the generator.

"This event was also reported to Ken Lambert (Voice Mail), NRC Sr. Health Physicist in Region III."

During shipment pickup on December 27, 2013 by the common carrier , the package did not get properly scanned into the common carrier tracking system, and no shipping Bill of Lading, Air Way Bill number, or shipping documentation of any sort was provided to the shipper and was attributed to a new common carrier employee.

* * * UPDATE PROVIDED BY GARY BOSGRAAF TO JEFF ROTTON AT 1027 EST ON JANUARY 14, 2014

"On 27DEC13 (Day of initial event), another generator that day was shipping to Cardinal Health in Pompano Beach, Florida. Numerous changes were made to generator orders over the holiday due to reduced pharmacy needs. This particular customer has their standing order for their generator flown on American Airlines on a standing order basis every Friday. Any other orders they want would ship [common carrier]. They made changes to their generator for the 27th which resulted in this particular order defaulting to their [common carrier] routing.

"When the generator for Pompano Beach was processed on the 27th their routing for this generator was [common carrier]. When a generator is routed [common carrier] the DG [Dangerous Goods] statement and the label will generate automatically when it is processed at the drop station which is what happened here. The technician noticed that this particular order goes American every Friday and changed the order to ship with the airline. The [common carrier] paperwork was not pulled and another technician mistakenly put the [common carrier] label on the Missoula, MT generator. We know this by looking at the history of the order for Pompano Beach. It shows it being processed as a [comon carrier] order but the route being changed to ship with American.

"The generator then shipped down to the [common carrier] facility in Pompano Beach where it remained until Friday 10JAN14 when it was reported to Mallinckrodt."

Notified R1DO (Rogge), R3DO (Skokowski), R4DO (Kellar) and FSME Events Resource via email.

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: 49696
Rep Org: IOWA DEPARTMENT OF PUBLIC HEALTH
Licensee: MIDAMERICAN ENERGY - LOUSIA GENERATING STATION
Region: 3
City: MUSCATINE State: IA
County:
License #: 0040-1-70-FG
Agreement: Y
Docket:
NRC Notified By: LEO WARDROBE
HQ OPS Officer: STEVE SANDIN
Notification Date: 01/06/2014
Notification Time: 13:21 [ET]
Event Date: 01/04/2014
Event Time: [CST]
Last Update Date: 01/06/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
MICHAEL KUNOWSKI (R3DO)
FSME EVENTS RESOURCE (EMAI)

Event Text

AGREEMENT STATE REPORT - FIXED GAUGE SHUTTER MECHANISM FAILURE

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

"On 1/6/2014 the RSO for MidAmerican Energy Company (Louisa Generating Station), License # 0040-1-70-FG, informed IDPH [Iowa Department of Public Health] that a shutter for a fixed gauge (Texas Nuclear, Model # 5192, s/n B-2723, Source Model # 57157C, containing < 50 mCi of Cs-137) vibrated out of its bracket. This event occurred on 1/4/2014 at approximately 0730 [CST]. The fixed gauge is located on a coal hopper and used for level indication. At the time of the incident the plant is online and the hopper is in use. The fixed gauge is located approximately 50 feet from the catwalk. Since the facility is online, the hopper is in use and no work can occur inside hopper, there is no exposure pathway for any individuals. The licensee has informed all of their employees that no work will be allowed in the hopper until the shutter has been repaired/reinstalled. The licensee has contacted their fixed gauge service provider (RM Wester) to perform repairs/modifications to the fixed gauge so there is no reoccurrence of this event. They are scheduled to be onsite 1/8/2014.

"IDPH considers this event closed."

Item No.: IA140001

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Power Reactor Event Number: 49722
Facility: SUMMER
Region: 2 State: SC
Unit: [1] [ ] [ ]
RX Type: [1] W-3-LP,[2] W-AP1000,[3] W-AP1000
NRC Notified By: MICHAEL MOORE
HQ OPS Officer: STEVE SANDIN
Notification Date: 01/14/2014
Notification Time: 16:14 [ET]
Event Date: 01/14/2014
Event Time: 13:30 [EST]
Last Update Date: 01/14/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(xi) - OFFSITE NOTIFICATION
Person (Organization):
MICHAEL F. KING (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

Event Text

OFFSITE NOTIFICATION TO SOUTH CAROLINA DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL (SCDHEC)

"Offsite notification to South Carolina Department of Health and Environmental Control (SCDHEC). At approximately 1330 EST on January 14, 2014, site personnel discovered a fork lift leaking hydraulic oil in the protected area. The estimated amount of hydraulic oil spilled is between 10-15 gallons. Approximately 3 gallons of hydraulic oil from the spill entered a nearby storm drain that discharges into Outfall 13. At 1530 [EST] an initial notification was made to SCDHEC. The spill has been contained and clean up efforts are underway.

"The NRC Residents have been notified."

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Power Reactor Event Number: 49723
Facility: BRAIDWOOD
Region: 3 State: IL
Unit: [1] [2] [ ]
RX Type: [1] W-4-LP,[2] W-4-LP
NRC Notified By: JOE CONQUEST
HQ OPS Officer: VINCE KLCO
Notification Date: 01/14/2014
Notification Time: 18:33 [ET]
Event Date: 10/16/2013
Event Time: 14:20 [CDT]
Last Update Date: 01/14/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
RICHARD SKOKOWSKI (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

TECHNICAL SUPPORT CENTER OUT OF SERVICE

"On 10/16/2013 at 14:20 [CDT], the Technical Support Center (TSC) Emergency Makeup Filter Flow Control Damper (OVV145Y) was discovered degraded and non functional during planned maintenance activities. The degraded damper adversely impacted the TSC ventilation system function.

"On 10/16/2013 at approximately 15:00 [CDT], administrative actions were developed and briefed to isolate instrument air to the degraded nonfunctional damper OVV 145Y providing the capability to restore TSC Emergency Makeup Filter functionality. Isolating instrument air to the degraded damper places the damper in the failed open position, thereby restoring TSC Emergency Makeup Filter functionality.

"On 10/16/2013 at 20:25 [CDT], instrument air was isolated to the degraded damper OVV 145Y under administrative controls restoring TSC Emergency Makeup Filter functionality. This action was taken after determining no adverse affects on system operation.

"On 10/30/2013, degraded damper OVV145Y was repaired, instrument air restored and post maintenance testing completed, thereby restoring the degraded TSC emergency Makeup Filter Unit flow control damper functionality. This event is reportable per 10CFR50.72(b)(3)(xiii) for a major loss of emergency assessment capability because the emergent degraded TSC flow control damper OVV145Y adversely impacted the function of TSC Emergency Makeup Filter and was not restored within the TSC activation time (60 minutes).

"This event was originally determined not reportable because the capability to restore within the TSC activation time (60 minutes) existed from the time of discovery. Upon further review it was determined to be reportable because the degraded damper 0VV145Y was not restored to service within the TSC activation time (60 minutes).

"The licensee has notified the NRC Resident Inspector."

Page Last Reviewed/Updated Wednesday, May 14, 2014
Wednesday, May 14, 2014