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Event Notification Report for April 25, 2014

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
04/24/2014 - 04/25/2014

** EVENT NUMBERS **


50022 50041 50042 50055 50056 50058

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Power Reactor Event Number: 50022
Facility: COOK
Region: 3 State: MI
Unit: [1] [2] [ ]
RX Type: [1] W-4-LP,[2] W-4-LP
NRC Notified By: BRADDOCK LEWIS
HQ OPS Officer: JOHN SHOEMAKER
Notification Date: 04/10/2014
Notification Time: 14:33 [ET]
Event Date: 04/10/2014
Event Time: 05:55 [EDT]
Last Update Date: 04/25/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
26.719 - FITNESS FOR DUTY
Person (Organization):
PATTY PELKE (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

FITNESS FOR DUTY REPORT INVOLVING A LICENSED EMPLOYEE

A licensed employee violated the site Fitness-for-Duty (FFD) policy. The affected individual will be evaluated under for-cause FFD testing. The employee's plant access has been suspended.

The NRC Resident Inspector has been informed.

* * * UPDATE AT 0100 EDT ON 04/25/14 FROM BUD HINCKLEY TO S. SANDIN * * *

The licensee provided additional clarifying information.

The NRC Resident Inspector will be informed. Notified R3DO (Cameron).

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Agreement State Event Number: 50041
Rep Org: TEXAS DEPARTMENT OF HEALTH
Licensee: MARCO INSPECTION SERVICES
Region: 4
City: KILGORE State: TX
County:
License #: 06072
Agreement: Y
Docket:
NRC Notified By: GENTRY HEARN
HQ OPS Officer: STEVE SANDIN
Notification Date: 04/17/2014
Notification Time: 08:53 [ET]
Event Date: 04/15/2014
Event Time: [CDT]
Last Update Date: 04/17/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
VINCENT GADDY (R4DO)
FSME_EVENTS RESOURCE (EMAI)

Event Text

AGREEMENT STATE REPORT - RADIOGRAPHY SOURCE DISCONNECT

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

"On April 16, 2014, the Agency [Texas Department of State Health Services] received notice that on April 15, 2014, a radiography source disconnect had occurred at a temporary field site in or near Martinsville, Texas at approximately 4:45 PM. The camera was a QSA 880D with a 22 curie iridium-192 source. The source was retrieved. No exposure to the public resulted from this event. The cause of failure is unknown at this time, but a crank malfunction is suspected. Additional information will be supplied as it is received in accordance with SA-300."

Texas Incident #: I-9184

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Agreement State Event Number: 50042
Rep Org: ILLINOIS EMERGENCY MGMT. AGENCY
Licensee: TEAM INDUSTRIAL SERVICES
Region: 3
City: ROXANA State: IL
County:
License #: IL 01136-01
Agreement: Y
Docket:
NRC Notified By: DAREN PERRERO
HQ OPS Officer: DANIEL MILLS
Notification Date: 04/17/2014
Notification Time: 13:53 [ET]
Event Date: 04/16/2014
Event Time: [CDT]
Last Update Date: 04/17/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
DAVID HILLS (R3DO)
FSME EVENTS RESOURCE (EMAI)

Event Text

AGREEMENT STATE REPORT - RADIOGRAPHY CAMERA FAILURE OF SOURCE TO RETRACT TO SAFE POSITION

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

"On Wednesday at midday, the Regional Radiation Safety Officer (RSO) for the licensee's South Roxana, IL area was called by their two man crew working at the WRB Refinery in Roxana, IL. The crew reported that following a sixth 'shot' on an elevated tank from an overhead platform, the source to the radiography camera would not retract into the safe position. The source had previously been 'run out' to a distance of just over 7 feet into a collimator, and although the crank and assembly rotated freely without notable restriction through two ninety degree turns, the source would not enter the camera. The crew reported that the guide tube had not been affected during the previous shots and noted that the equipment had regularly passed the routine maintenance inspection prior to that day.

"The Regional RSO assembled his emergency response equipment kit and arrived at the site approximately 30 minutes later. The crew had maintained a perimeter and advised responsible site safety personnel of the matter with instructions to ensure the affected area was to remain off limits until the situation was resolved. The Regional RSO inspected the guide tube and set up and like the crew was unable to retract the source. Calls were then placed to the company's regional management and to the Illinois Emergency Management Agency to advise of the situation. The set up was disassembled and the collimated end point placed into a shielded configuration using bags of lead shot so that the full length of the guide tube could be more closely inspected. Minor dents and obstructions of the guide tube were noted and although when corrected by the Regional RSO, would still not allow the source to be safely returned. With the help of the radiography crew, the camera and guide tube assembly was subsequently moved to a more accessible lower platform by the Regional RSO to allow for additional inspection and to create a more direct path. The source however would still not retract into the camera. Dose rates with the source in the collimator were measured as 390 millirem at 8 feet and 695 millirem at 6 feet which was the closest distance the Regional RSO remained in. Additional support from the regional office was requested to thoroughly patrol the boundaries of the area as it appeared additional time was going to be required and the camera would need to be lowered further to gain better access for potential repairs.

"While additional equipment was being collected from the regional office, the manufacturer was advised of the situation and consulted. The manufacturer suggested the issue may lie with the drive cables from the reserve crank end and they would likely have to be disconnected from the source cable. When the additional equipment arrived, the crank housing was disconnected from the camera following the manufacturer's suggestion and from a distance, the cable was manually retracted. The source subsequently was returned to the shielded and locked position with no further difficulties. The total time for recovery was approximately two and a half hours.

"Later, close inspection of the drive crank assembly showed that the reserve section of the crank had been subjected to heat or burned such that the exterior plastic covering had melted along approximately 3 inches of its length. Upon testing, this damaged section prohibited movement of the cable past this point. It's surmised that the crank assembly may have come to rest against an uninsulated section of the piping while taking shots that morning at the refinery that led to the burning/melting of the protective covering over the braided cable which led to the inability to retract the source.

"A check of the Regional RSO direct reading dosimeter showed less than 80 millirem as a result of the recovery operation. Members of the radiography crew received a total dose for the day of less than 100 millirem. The camera was last inspected by the manufacturer on March 14, 2014 and the manufacturer's associated equipment on February 4, 2014 by the Regional RSO. The associated equipment is being returned to the manufacturer for evaluation and repair/replacement."

Illinois event # IL14007

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Power Reactor Event Number: 50055
Facility: SUSQUEHANNA
Region: 1 State: PA
Unit: [1] [2] [ ]
RX Type: [1] GE-4,[2] GE-4
NRC Notified By: MARTIN LICHTNER
HQ OPS Officer: VINCE KLCO
Notification Date: 04/24/2014
Notification Time: 07:50 [ET]
Event Date: 04/24/2014
Event Time: 02:30 [EDT]
Last Update Date: 04/24/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(v)(C) - POT UNCNTRL RAD REL
Person (Organization):
JAMES DWYER (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 ROUTINE SWAP OF A POWER SUPPLIES

"On April 24, 2014 at 0230 [EDT], Secondary Containment Zone 3 (Unit 1&2 Reactor Building) differential pressure lowered to 0.10 [negative inches] WG [Water Gauge] when restoring Unit 1 Zone 3 HVAC during a routine swap of RPS power supplies, due to a trip of the Unit 1 Zone 3 Supply fan. Zone 3 differential pressure was restored to > 0.25 [negative inches] WG at 0243 hours. 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 WG [negative inches] at 0243 hours and was verified to be stable. LCO 3.6.4.1 was entered at 0230 hours and exited at 0313 hours. Tech Spec Secondary Containment Operability requires a negative pressure of at least 0.25 [negative inches] WG for all three Reactor Building Ventilation Zones when secondary containment is required.

"This event is being reported under 10CFR50.72(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 notified the NRC Resident Inspector.

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Power Reactor Event Number: 50056
Facility: CALLAWAY
Region: 4 State: MO
Unit: [1] [ ] [ ]
RX Type: [1] W-4-LP
NRC Notified By: RICHARD HUGHEY
HQ OPS Officer: HOWIE CROUCH
Notification Date: 04/24/2014
Notification Time: 14:08 [ET]
Event Date: 04/23/2014
Event Time: 15:30 [CDT]
Last Update Date: 04/24/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
26.719 - FITNESS FOR DUTY
Person (Organization):
RAY AZUA (R4DO)

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

FITNESS FOR DUTY REPORT - FALSE NEGATIVE ERROR OCCURRED ON QUALITY ASSURANCE TEST

"Contrary to the requirements in 10 CFR 26.137(b), a Department of Health and Human Services (DHHS) certified laboratory returned results for a blind specimen that was inconsistent with what was expected.

"On 04/22/2014, blind specimens from the same lot number were sent to the two contracted DHHS laboratories. On 04/23/2014, one of the labs reported unexpected results while the other laboratory reported the expected results. At approximately 1530 [CDT] on 04/23/2014, the lab report was reviewed by Fitness For Duty Management at Callaway Plant and the inaccurate result was identified. On 04/24/2014, the Medical Review Officer (MRO) contacted Clinical Reference Laboratory (CRL) to discuss the testing discrepancy and directed the lab to retest the specimen. The MRO requested that CRL initiate an investigation to determine the reason for the inaccurate result and provide a report of the results of that investigation within 20 days.

"10 CFR 26.719(c)(3), 'Reporting Requirements,' requires that 'if a false negative error occurs on a quality assurance check of validity screening tests, as required in  26.137(b), the licensee or other entity shall notify the NRC within 24 hours after discovery of the error.'"

The licensee has notified the NRC Resident Inspector.

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Power Reactor Event Number: 50058
Facility: WATERFORD
Region: 4 State: LA
Unit: [3] [ ] [ ]
RX Type: [3] CE
NRC Notified By: JOE WILLIAMS
HQ OPS Officer: HOWIE CROUCH
Notification Date: 04/24/2014
Notification Time: 20:32 [ET]
Event Date: 04/24/2014
Event Time: 10:22 [CDT]
Last Update Date: 04/24/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
26.719 - FITNESS FOR DUTY
Person (Organization):
RAY AZUA (R4DO)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
3 N N 0 Defueled 0 Defueled

Event Text

NON-LICENSED CONTRACT SUPERVISOR CONFIRMED POSITIVE ON FOLLOW-UP FITNESS FOR DUTY TEST

A non-licensed contract supervisor was confirmed positive for alcohol on a follow-up fitness for duty test. The supervisor's access to the facility has been terminated. The licensee has notified the NRC Resident Inspector.

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