| U.S. Nuclear Regulatory Commission
Operations Center Event Reports For
04/17/2014 - 04/18/2014 ** EVENT NUMBERS ** |
 | Agreement State | Event Number: 49886 | Rep Org: TEXAS DEPARTMENT OF HEALTH
Licensee: AMERICAN XRAY AND INSPECTION SERVICES, INC.
Region: 4
City: MIDLAND State: TX
County:
License #: 05974
Agreement: Y
Docket:
NRC Notified By: GENTRY HEARN
HQ OPS Officer: JEFF ROTTON | Notification Date: 03/10/2014
Notification Time: 11:14 [ET]
Event Date: 03/06/2014
Event Time: 15:45 [CDT]
Last Update Date: 04/17/2014 | Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
| Person (Organization):
THOMAS FARNHOLTZ (R4DO)
FSME EVENTS RESOURCE (EMAI)
| Event Text AGREEMENT STATE - RADIOGRAPHY CAMERA SOURCE DISCONNECT
The following was received from the State of Texas via email:
"On March 10, 2014, the Agency [State of Texas] received notice of a radiography source disconnect that occurred on March 6, 2014. The source was a 92.2 curie iridium-192 radiography source. The event occurred at a temporary field site just south of the border with New Mexico near Carlsbad, NM on the Texas side. No exposures to the public resulted from this event. No overexposures resulted from this event. The cause of the event is unknown at this time. The source was retrieved by the licensee. The licensee's initial report to the Agency [State of Texas] was later than 24 hours after the event. Additional information will be supplied as it is received in accordance with SA-300."
Texas Incident #: I-9163
* * * UPDATE AT 0912 EDT ON 04/17/14 FROM ART TUCKER TO S. SANDIN VIA EMAIL * * *
"The Agency's investigation of this event has determined that there was no source disconnect, but that the radiographer failed to connect the source pigtail to the drive cable prior to connecting the drive assembly to the exposure device. Additional information will be provided in accordance with SA-300."
Notified R4DO (Gaddy) and FSME via email |
| Part 21 | Event Number: 49923 | Rep Org: DRESSER-RAND COMPANY
Licensee: DRESSER-RAND COMPANY
Region: 1
City: WELLSVILLE State: NY
County:
License #:
Agreement: Y
Docket:
NRC Notified By: ED GRANDUSKY
HQ OPS Officer: DANIEL MILLS | Notification Date: 03/17/2014
Notification Time: 13:53 [ET]
Event Date: 02/17/2014
Event Time: [EDT]
Last Update Date: 04/17/2014 | Emergency Class: NON EMERGENCY
10 CFR Section:
21.21(d)(3)(i) - DEFECTS AND NONCOMPLIANCE
| Person (Organization):
BLAKE WELLING (R1DO)
KATHLEEN O'DONOHUE (R2DO)
JULIO LARA (R3DO)
PART 21 GROUP (EMAI)
| Event Text PART 21 - BEARING DEFECT
The following was received via email:
"On Dresser-Rand Drawing 75439A part number 07 is identified as a Heim LSS-8 bearing that has an Aluminum Bronze insert to accommodate a non-lubricated application. Dresser-Rand shipped 10 bearings part number 75439A07 to Dominion Nuclear in 2006 that were Seal Master Com 8 bearings that do not have an Aluminum Bronze insert.
"This bearing is used on turbines that have a PG type mechanical governor with the cam plate linkage. Extended operation without lubrication will result in the Seal Master Com 8 bearing seizing. The customer should visually inspect this bearing for the bronze insert. If no insert is visible then the bearing should be replaced at the first opportunity."
Licensees potentially affected (turbine serial numbers): Calvert Cliffs (T36674A, T36674B, T36674C, T36674D), DC Cook (T36700A, T36700B), Salem (T36988A, T36988B), Crystal River (T37009A), Davis Besse (T37686A, T37686B), Millstone (F37273A, T38587A), Summer (T38765A).
International sites potentially affected: Bugey (T38498A, T38498B, T38880A, T38880B).
* * * UPDATE AT 1102 EDT ON 04/17/14 FROM ED GRANDUSKY TO S. SANDIN VIA FAX * * *
Dresser-Rand submitted their final report of the defect. This report is Dresser-Rand number 47.
Notified R1DO (Burritt), R2DO (Blamey), R3DO (Hills) and NRR Part 21 Group via email. |
| Part 21 | Event Number: 49932 | Rep Org: UNITED CONTROLS INTERNATIONAL
Licensee: UNITED CONTROLS INTERNATIONAL
Region: 1
City: NORCROSS State: GA
County:
License #:
Agreement: Y
Docket:
NRC Notified By: KORINA LOOFT
HQ OPS Officer: DANIEL MILLS | Notification Date: 03/19/2014
Notification Time: 15:36 [ET]
Event Date: 03/18/2014
Event Time: [EDT]
Last Update Date: 04/17/2014 | Emergency Class: NON EMERGENCY
10 CFR Section:
21.21(d)(3)(i) - DEFECTS AND NONCOMPLIANCE
| Person (Organization):
BLAKE WELLING (R1DO)
PART 21 GROUP (EMAI)
| Event Text PART 21 - THOMAS AND BETTS PRINTED CIRCUIT BOARDS
The following was received via fax:
"This report documents the supply of faulty Logic Power supply assembly printed circuit boards for a Cyberex 20KVA Model AC Power Supply. These power supplies have the incorrect strap installed on the transformers of Cyberex P/N [Part Number] 30-80-56620 which potentially can lead to the transformer being loose and can cause failure of the power supply. Per the manufacturer, the band should have been made of stainless steel but the bands on the installed transformers were made of carbon steel and a corrosion resistant coating. The details of the potential failure of the power supply and the root cause are being evaluated and will be documented in the final report.
"UCI [United Controls International] reviewed all the orders that were supplied to the customers and determined that two UCI orders are affected and the customer was notified on the day the issue was identified."
Part Number 90-41-974313 (UCI serial numbers 03996-01 -0001, -0002, -0003) and P/N 41-01-596701 (UCI serial numbers 03967-03 -0001, -0002, -0003) supplied to Public Service Electric and Gas (PSEG) are affected.
* * * UPDATE ON 4/17/2014 AT 1442 EDT FROM KORINA LOOFT TO DONG PARK * * *
The following was received via fax:
"This engineering evaluation is being written to document the supply faulty Power supplies for the 20KVA Cyberex Model AC Power supply with the Cyberex part numbers 41-01-596701 and 90-41-974313.
"SUMMARY: UCI issued a certificate of conformance to PSEG for S/N: 003967-03-0001 thru 0003 on December 22nd 2012, to be used in safety related applications where seismic is the only design basis event. During the pre-installation testing in February 2014, PSEG identified loose transformers and a loud noise frequency whine and the power supply boards were returned to UCI. Below table lists the details of the power supplies that were returned to UCI.
"On February 2nd 2014, UCI has initiated part 21 evaluation to determine the root cause for the failure and evaluate if a defect existed. During the evaluation, it was determined that the transformer strap band installed on Cyberex P/N 30-801-56620 transformer at the location T501 should have been made of stainless steel but the strap band on these power supplies was made up of zinc plated carbon steel. Due to this material difference, the transformer warped and it was evident it became loose.
"The installation of the incorrect strap bands on the transformer apply to only one batch of manufactured PCB assemblies. The manufacturer addressed this issue since this was discovered and this was verified by UCI. UCI determined that the order along with the boards that failed pre-installation testing, were the only boards affected by this issue. The customer PSEG was notified on March 13th 2014 and the initial notification letter to NRC was sent on March 19th 2014.
"The above mentioned power supplies were recalled from PSEG and two power supply boards of S/N: 003996-01-0002 and 003996-01-0003 are currently at UCI for evaluation and rework. However the S/N: 003996-01-0001 board has not yet been returned to UCI by PSEG. UCI performed an XRF analysis on one of the affected power supplies per part number lot and on UCI control samples to confirm and compare the material of the transformer strap bands.
"EFFECT OF THE DEFECT: The installation of the incorrect transformer strap band resulted in the loosening of the transformer from the band. When installed in the system, the transformer might become loose and cause a loud whining noise. The installation of the incorrect material band on the transformer might lead to loosening of the transformer and causes whining noise when installed but no functional test failure will be observed. However, the loose transformer affects the safety function of the item during or after seismic event due to loss of structural integrity.
"CORRECTIVE ACTIONS PERFORMED: A UCI corrective action # CAR 14-14 was opened to document the issue found and the corrective and preventive actions taken. As a result, UCI will create two new Commercial Grade dedication procedures for P/N: 41-01-596701 and 90-41-974313 to include the material verification of the transformer bands installed on these power supplies. These new procedures will be used for the existing and future orders of these part numbers.
"All the affected power supply boards except S/N: 003996-01-0001 are currently at UCI undergoing rework to replace the transformer of the incorrect material strap band with a transformer of the correct (stainless steel) strap band. After rework, dedication will be performed per new dedication procedures as specified above."
Notified R1DO (Burritt) and Part 21 Group via email. |
| Agreement State | Event Number: 50014 | Rep Org: OHIO BUREAU OF RADIATION PROTECTION
Licensee: ACUREN INSPECTION, INC.
Region: 3
City: DAYTON State: OH
County:
License #: 03320 99 0006
Agreement: Y
Docket:
NRC Notified By: KARL VONAHN
HQ OPS Officer: JOHN SHOEMAKER | Notification Date: 04/09/2014
Notification Time: 14:28 [ET]
Event Date: 04/09/2014
Event Time: 11:30 [EDT]
Last Update Date: 04/11/2014 | Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
| Person (Organization):
PATTY PELKE (R3DO)
ANGELA MCINTOSH (FSME)
FSME EVENTS RESOURCE (EMAI)
| Event Text AGREEMENT STATE REPORT - RADIOGRAPHER OVEREXPOSURE
The following information was received from the Ohio Bureau of Radiation Protection via email:
"The corporate RSO for Acuren Inspection made an immediate telephone notification under OAC [Ohio Administrative Code] 3701:1-38-21(B)(1) [same as 10 CFR 20.2202(a)(1)] to the Ohio Department of Health Bureau of Radiation Protection at 1320 [EDT on] April 9, 2014, to report a radiographer overexposure at a temporary job site in Marietta, OH. The event happened about 1100-1130 [EDT] this morning. The initial estimates regarding the male radiographer is that he may have received a 15 Rem whole body exposure and an estimated 3000-5000 Rem to the hand. The radiographer's whole body dosimeter is being sent off for immediate processing.
"The radiographer has been sent for medical attention. REAC/TS [Radiation Emergency Assistance Center/Training Site] was contacted by the licensee who gave REAC/TS the contact information for the attending physician of the radiographer.
"The radiographer was working with an 88 Ci Ir-192 source at the time. The radiographer supposedly had all his dosimetry and a survey meter at the time of the incident.
"The corporate RSO and a local [RSO] are both enroute to the temporary job site.
"Sequence of events:
The radiographer had sat down and was chatting while waiting for an exposure to complete. At the end of the shot time, he had assumed that the other radiographer had retracted the source and proceeded to set up for the next shot. When he noticed that the other radiographer was not present he went back and checked to find that the source had not been cranked back.
"The [State of Ohio] Department will have an inspector on scene in the morning to investigate the incident and also to observe and review the incident reenactments.
"Ohio event report number 2014-007."
* * * UPDATE FROM KARL VON AHN TO CHARLES TEAL ON 4/10/14 AT 1530 EDT * * *
"On April 10, 2014, the [State of Ohio] Department performed an onsite inspection and observed the licensee perform a reenactment of the incident scenario.
"It was determined that the radiographer did not handle the end of the source tube with the source in it and did not receive the initially assumed hand dose. The whole body deep dose is still expected to be about 15 Rem. The hand dose is expected to be on the order of the whole body dose, about 15 Rem.
"During the reactive inspection, the [State of Ohio] Department found that the radiographer's alarming rate meter had a dead battery, and the survey meter was not functional and had not been checked that day.
"The Assistant Radiographer was trailing the radiographer approximately one and a half minutes in entering the shielded bunker, and it was the assistant radiographer's alarming rate meter and survey instrument that identified the presence of the exposed source. The source collimator was not being used in the bunker, and so the 89 Ci Ir-192 source was not shielded."
Notified R3DO (Pelke), FSME Duty Officer (McIntosh), and FSME Event Resource.
* * * UPDATE FROM KARL VON AHN TO CHARLES TEAL ON 4/11/14 AT 1234 EDT * * *
"The Acuren Inspection Services RSO has provided the Department [State of Ohio] with the following updates:
"(1) The radiographer's whole body dosimeter reading was 836 mRem.
"(2) Based on the dose estimates from the scene reenactments, Acuren will assign the radiographer a whole body dose of 13 Rem, and an extremity dose of 6.5 Rem. [The radiographer's chest was much closer to the source than his dosimeter was.]
"(3) The radiographer will be under continued medical surveillance and REAC/TS will remain involved."
Notified R3DO (Pelke), FSME Duty Officer (McIntosh), and FSME Event Resource. |
| Agreement State | Event Number: 50016 | Rep Org: LOUISIANA RADIATION PROTECTION DIV
Licensee: SOUTHERN SCRAP
Region: 4
City: SCOTT State: LA
County:
License #: LA-015AN01
Agreement: Y
Docket:
NRC Notified By: JOSEPH NOBLE
HQ OPS Officer: JOHN SHOEMAKER | Notification Date: 04/09/2014
Notification Time: 16:20 [ET]
Event Date: 04/13/2013
Event Time: [CDT]
Last Update Date: 04/09/2014 | Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
| Person (Organization):
JAMES DRAKE (R4DO)
FSME EVENTS RESOURCE (EMAI)
| Event Text AGREEMENT STATE REPORT - SOURCE DETECTED IN A LOAD OF SCRAP METAL
The following report was received from the Louisiana Department of Environmental Quality via fax:
"Event date and time: The source was detected in a load of scrap metal on April 13, 2013.
"Event location: Source was detected in a load of scrap metal, being loaded for transport to a smelting mill, at the Southern Scrap facility, [in Scott, LA.].
"Event type: The radioactive source was a rod source, later determined to be 3.29 mCi of Cs-137. The source was retrieved and stored [in a] shielded [location] until Southern Scrap's licensed consultant, ARS [American Radiation Services], was able to package and transport the unknown source to their facility in Port Allen, LA.
"Notifications: LDEQ [Louisiana Department of Environmental Quality] was notified by phone on April 18, 2013 at 1620 [CDT] of the discovery.
"Event description: On April 13, 2013, an unknown source of radiation was discovered in a load of scrap being sent to NUCOR Steel in TX. The source was detected before the load of scrap left the Southern Scrap yard. American Radiation Services (ARS), a licensed radiation safety contractor, was called to prepare [the source] for safe shipping, determine the isotope and activity, and do an appropriate disposal of the unknown source.
"ARS made the determinations and found the rod source to be 3.29 mCi of Cs-137. [ARS then] packaged [the source] for transportation and disposal. ARS contacted ADCO Services, in Illinois, for the disposal. (During an earlier attempt for a licensee to utilize ADCO Services, [LDEQ] learned that ADCO did not have a current Illinois license to provide services.) ARS was notified the ADCO Services was not licensed to provide services and that ARS would have to contact and contract with another licensee for these services.
"ARS contacted QSA Global in Baton Rouge, LA, and arranged for their receipt and disposal of the orphaned source. The origin and owner of the source could not be determined and Southern Scrap absorbed the cost of the safety services and disposal. QSA Global took possession of the source June 7, 2013. The initial notification was made to the NRC in April 2013; however, documentation of this call to the [NRC] OP Center could not be located. The supporting documents are attached to the fax.
Transport vehicle description: ARS Company Vehicles.
"Media attention: N/A"
Louisiana Event: #LA-140005 |
| Agreement State | Event Number: 50018 | Rep Org: TEXAS DEPARTMENT OF HEALTH
Licensee: HI-TECH TESTING
Region: 4
City: LONGVIEW State: TX
County:
License #: L05021
Agreement: Y
Docket:
NRC Notified By: ROBERT FREE
HQ OPS Officer: STEVE SANDIN | Notification Date: 04/09/2014
Notification Time: 16:46 [ET]
Event Date: 04/09/2014
Event Time: [CDT]
Last Update Date: 04/09/2014 | Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
| Person (Organization):
JAMES DRAKE (R4DO)
FSME EVENTS RESOURCE (EMAI)
| Event Text AGREEMENT STATE REPORT - CABLE DISCONNECT ON RADIOGRAPHY CAMERA
The following report was received from the State of Texas via email:
"The licensee called [Texas Department of Health] to report that a disconnect occurred due to a broken drive cable. The SPEC-150 radiography device contained a 28 curie iridium-192 source. The cable broke near the ball stop on the crank out connector. The source remained in the source guide tube. The radiography crew called the incident in and waited for an authorized person to retrieve the source. The source was retrieved with minimal exposure. Incident doses were based on pocket dosimeter readings. The radiographer received 15 mrem and the trainee received 2 mrem. The radiographer retrieving the source received 25 mrem and his assistant received 9 mrem.
"It is believed that the cable failed due to metal fatigue. The individual providing the report did not know when the cable was last tested."
Texas Incident #: I-9180 |
| Agreement State | Event Number: 50019 | Rep Org: ARIZONA RADIATION REGULATORY AGENCY
Licensee: ATL INC.
Region: 4
City: PHOENIX State: AZ
County:
License #: AZ 07-116
Agreement: Y
Docket:
NRC Notified By: AUBREY V. GODWIN
HQ OPS Officer: STEVE SANDIN | Notification Date: 04/09/2014
Notification Time: 19:02 [ET]
Event Date: 04/08/2014
Event Time: [MST]
Last Update Date: 04/09/2014 | Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
| Person (Organization):
JAMES DRAKE (R4DO)
FSME EVENTS RESOURCE (EMAI)
MEXICO (FAX)
|
| This material event contains a "Less than Cat 3 " level of radioactive material. | Event Text AGREEMENT STATE REPORT - MISSING TROXLER GAUGE
The following information was received from the State of Arizona via email:
"On April 8, 2014, the Agency was contacted by the Licensee who indicated that an employee and a Troxler Gauge was missing. The licensee was informed around 6:00 AM that the employee did not show up on a job on the Indian Reservation. The licensee has notified both the Arizona Department of Public Safety and the New Mexico Department of Public Safety. The gauge is a Troxler Model 3430, Serial Number 7052 containing 9 millicuries of Cesium-137 and 45 millicuries of Am-241. The individual was discovered to have had a diabetic coma and the gauge was still with the individual and the licensee is sending another operator to retrieve the gauge. The individual is in Gallup, NM.
"The investigation into this event is ongoing.
"The U.S. NRC, New Mexico, and Arizona Governor's Office have been notified of this event."
Arizona First Notice: 14-006
* * * UPDATE AT 1930 EDT ON 4/9/14 FROM AUBREY GODWIN TO S. SANDIN * * *
The Troxler Gauge has been recovered and is in the licensee's possession at their Flagstaff, AZ office.
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 |
| Power Reactor | Event Number: 50040 | Facility: SUSQUEHANNA
Region: 1 State: PA
Unit: [1] [2] [ ]
RX Type: [1] GE-4,[2] GE-4
NRC Notified By: RONALD FRY
HQ OPS Officer: STEVE SANDIN | Notification Date: 04/17/2014
Notification Time: 06:00 [ET]
Event Date: 04/17/2014
Event Time: 03:35 [EDT]
Last Update Date: 04/17/2014 | Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(v)(C) - POT UNCNTRL RAD REL
| Person (Organization):
ART BURRITT (R1DO)
|
| Unit | SCRAM Code | RX CRIT | Initial PWR | Initial RX Mode | Current PWR | Current RX Mode | | 1 | N | N | 0 | Refueling | 0 | Refueling | | 2 | N | Y | 100 | Power Operation | 100 | Power Operation | Event Text LOSS OF SECONDARY CONTAINMENT DURING PREPARATION FOR LOCA/LOOP TESTING
"On April 17, 2014 at 0335 EDT, Secondary Containment Zone 3 (Unit 1&2 Reactor Building) differential pressure went to 0.15 inches WG [negative] following securing Unit 1 Zone 3 HVAC in preparation for a LOCA/LOOP test. Zone 3 HVAC was restored at 0420 EDT. Zone I (Unit 1 Reactor Building) ventilation is isolated with secondary containment relaxed for refuel outage on Unit 1. Zone II (Unit 2 Reactor Building) ventilation remained in service and stable.
"Zone 3 differential pressure recovered to SR 3.6.4.1.1 requirements of 0.25 inches WG [negative] at 0420 EDT and was verified to be stable. LCO 3.6.4.1 was entered at 0335 EDT and exited at 0420 EDT. Tech Spec Secondary Containment Operability requires a negative pressure of at least 0.25 inches water gauge [WG] for all three Reactor Building Ventilation Zones.
"This event is being reported under 10 CFR 50.72(b)(3)(v)(C) and per the guidance of NUREG-1022 Rev 3 section 3.2.7 as a loss of a Safety Function. There is no redundant Susquehanna Secondary Containment System."
The licensee informed the NRC Resident Inspector. | |