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Event Notification Report for June 23, 2014

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
06/20/2014 - 06/23/2014

** EVENT NUMBERS **


50149 50192 50193 50195 50196 50199 50214 50215 50216 50217 50219

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!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED !!!!!
Power Reactor Event Number: 50149
Facility: COOK
Region: 3 State: MI
Unit: [ ] [2] [ ]
RX Type: [1] W-4-LP,[2] W-4-LP
NRC Notified By: KELLY BAKER
HQ OPS Officer: MARK ABRAMOVITZ
Notification Date: 05/29/2014
Notification Time: 14:10 [ET]
Event Date: 05/25/2014
Event Time: 09:42 [EDT]
Last Update Date: 06/20/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(v)(D) - ACCIDENT MITIGATION
Person (Organization):
ANN MARIE STONE (R3DO)

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

CONTROL ROOM VENTILATION BOUNDARY DOOR INOPERABLE

"At 0942 on May 25, 2014, the Cook Nuclear Plant (CNP) declared both Control Room Emergency Ventilation trains inoperable in accordance with LCO 3.7.10 due to an inoperable Control Room Envelope when a control room boundary door was identified as not latching correctly during a security door check. The latch would not have been able to maintain the door closed during an event resulting in Control Room Pressurization. At this time, Security established a continuous door post and would have been able to maintain the door closed.

"At 1602 on May 25, 2014, repairs to the control room boundary door latch were completed restoring the Control Room Envelope to Operable.

"The licensee has notified the NRC Senior Resident Inspector.

"This notification should have been made within 8 hours of the event in accordance with 10 CFR 50.72 (b)(3)(v)(D) per guidance in section 3.2.7 of NUREG-1022 - Event or Condition that Could Have Prevented Fulfilment of a Safety Function, but was not recognized at that time."

* * * RETRACTION FROM PERRY GRAHAM TO JOHN SHOEMAKER AT 1443 EDT ON 6/20/14 * * *

"The purpose of this report is to retract EN #50149 (May 25, 2014). On June 19, 2014, Cook Nuclear Plant concluded that the EN could be retracted based on the completion of a Maintenance Rule Evaluation (MRE) performed by Systems Engineering.

"By design, the Control Room Envelope (CRE) pressure boundary is required to be maintained at a positive pressure during all modes of operation and during any irradiated fuel movement. New information contained in the MRE concluded the CRE function was not lost as the control room boundary door remained closed without manual assistance during normal operations. The amount of make-up air during normal operation is similar to the design flow for accident mode (approx. 800 cfm). It was concluded that the sealing integrity was not lost, thus the CRE function was maintained. The CRE would have remained operable and LCO 3.7.10 would not have been entered for the identified condition.

"The licensee has notified the NRC Senior Resident Inspector."

Notified the R3DO (Valos).

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Agreement State Event Number: 50192
Rep Org: MA RADIATION CONTROL PROGRAM
Licensee: SIRTEX WILMINGTON LLC
Region: 1
City: WILMINGTON State: MA
County:
License #: 55-0539
Agreement: Y
Docket:
NRC Notified By: TONY CARPENITO
HQ OPS Officer: CHARLES TEAL
Notification Date: 06/12/2014
Notification Time: 09:50 [ET]
Event Date: 05/14/2014
Event Time: [EDT]
Last Update Date: 06/12/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
GLENN DENTEL (R1DO)
ANGELA MCINTOSH (FSME)
FSME EVENT RESOURCE (EMAI)

Event Text

AGREEMENT STATE REPORT - POTENTIAL DOSE EXCEEDING EXTREMITIES LIMIT

The following information was obtained from the Commonwealth of Massachusetts via email:

"On 6/11/14, licensee reported to Agency [Commonwealth of Massachusetts] a potential dose exceeding the adult occupational shallow dose equivalent to the skin or extremities limit of 50 rem. Licensee reported situation occurred during March-April 2014 dosimeter wear period and involved employee working with Y-90 in hot cell. Licensee reported extremity ring badge pierced through the employee's glove resulting in contamination of ring badge. March-April 2014 extremity ring exposure reading of 52,480 mRem. Year-to-date extremity ring exposure at 53,400 mRem. The year-to-date whole body badge exposure is at 51 mRem.

"Licensee reported corrective actions identified and implemented to reduce likelihood of recurrence. Consultant hired to review dose assessment and assist in completing 30-day written report.

"No other details from the licensee at this time.

"The Agency inspector will conduct a site visit. The Agency is awaiting a 30-day written report by the licensee.

"The Agency considers this event to still be OPEN."

Event Docket #: 18-1343

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Agreement State Event Number: 50193
Rep Org: ILLINOIS EMERGENCY MGMT. AGENCY
Licensee: NORTHWEST COMMUNITY HOSPITAL
Region: 3
City: ARLINGTON HEIGHTS State: IL
County:
License #: IL-01094-01
Agreement: Y
Docket:
NRC Notified By: DAREN PERRERO
HQ OPS Officer: CHARLES TEAL
Notification Date: 06/12/2014
Notification Time: 11:30 [ET]
Event Date: 06/10/2014
Event Time: [CDT]
Last Update Date: 06/12/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
ROBERT DALEY (R3DO)
FSME EVENT RESOURCE (EMAI)

Event Text

AGREEMENT STATE REPORT - PATIENT RECEIVED LESS THAN PRESCRIBED DOSE

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

"On June 11, the Radiation Safety Officer/Medical Physicist for Northwest Community Hospital in Arlington Heights, IL called to report a medical event. The previous morning a patient was to be administered approximately 38 milliCi of Y-90 labeled microspheres for treatment of liver cancer in the left lobe of the liver via the hepatic artery. Instead, approximately only 21 milliCi was delivered. Post treatment measurements of the delivery system showed substantially elevated readings at the catheter/vial interface suggesting either blockage or perhaps improper flow allowing the microspheres to coagulate. The physician is considering an increase in dosage for the patient's second treatment which is scheduled in two to three weeks in order that the ideal dose be delivered. However, if that cannot be accomplished, the interventional radiologist does not believe the patient's health to be adversely affected by the under dose. A written report of the event from the licensee is pending at this time."

IL Report Number: IL-14010

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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Non-Agreement State Event Number: 50195
Rep Org: U.S. AIR FORCE
Licensee: U.S. AIR FORCE
Region: 1
City: ROSSLYN State: VA
County:
License #: 42-23539-01 A
Agreement: Y
Docket:
NRC Notified By: MAJOR EDWARD KELLY
HQ OPS Officer: JEFF ROTTON
Notification Date: 06/12/2014
Notification Time: 14:19 [ET]
Event Date: 04/21/2014
Event Time: [EDT]
Last Update Date: 06/12/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
20.2201(a)(1)(ii) - LOST/STOLEN LNM>10X
Person (Organization):
GREG WERNER (R4DO)
FSME EVENTS RESOURCE (EMAI)
ILTAB (EMAI)

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

Event Text

LOST NICKEL-63 ION SCAN SOURCE

"On 21 April 2014, BE [AMDS Bioenvironmental Engineering] received an email from AFRRAD [Air Force Radioactive Recycling and Disposal] with a certification of transfer & receipt indicating that the Ionscan [Model 400/ serial number 10172] received by AFRRAD did not contain radioactive material. BE made a site-visit to 305th APS Passenger Terminal [Building 1706 located in New Jersey on 87 AMDS/SGPB, Joint Base McGuire-Dix-Lakehurst] to assist in searching for the ion scanner source. When the source could not be found, BE emailed a picture of what the component should look like to the URSO [Unit RSO] and his alternate to further assist in searching for the source while also asking for documentation of the last time the source was sent to manufacturer to determine whether the source was removed at that time. Neither the source nor the documentation could be found.

"From 21 April - 21 May 2014, BE maintained communication with the URSO and his alternate and informed them that if they did not find the source by 21 May, a telephonic notification would be made to the RIC [Radioisotope Committee]. During this period, BE communicated the health risks both to 305 APS & 87 AMDS commanders and affected personnel.

"On 21 May, the URSO made it clear that they had exhausted all efforts to find the source. Later that day, BE made telephonic notification to the RIC (Maj. Ed Kelly) indicating that the source was missing and could not be found."

Ionscan 400 contains a Ni-63 source with an activity of 15 milliCi. The Sealed Source and Device Registry number (SS&DR) associated with the Ionscan 400 is NR-0163-D-801-G. The device is used to screen passengers for hazardous material. The licensee will be notifying NRC Region IV (Cook)

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: 50196
Rep Org: TENNESSEE DIV OF RAD HEALTH
Licensee: ENERGY SOLUTIONS
Region: 1
City: OAK RIDGE State: TN
County:
License #: R-73008
Agreement: Y
Docket:
NRC Notified By: RUBEN CROSSLIN
HQ OPS Officer: JEFF ROTTON
Notification Date: 06/12/2014
Notification Time: 15:35 [ET]
Event Date: 06/12/2014
Event Time: 11:30 [EDT]
Last Update Date: 06/12/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
GLENN DENTEL (R1DO)
FSME EVENT RESOURCES (EMAI)

Event Text

AGREEMENT STATE REPORT - RADIATION LEVELS ON TRANSPORTATION TRAILER EXCEEDED 200 MR/HR

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

"The Tennessee Division of Radiological Health was notified on June 12, 2014 by a representative of Energy Solutions that an 'exclusive use' truck shipment was received from Philotechnics of Oak Ridge, TN. The truck was identified to have radiation levels on the bottom surface of the truck of approximately 350 mR/hr.

"The State of Tennessee dispatched an inspector to Energy Solutions."

State of Tennessee notified NRC Region 1(Janda).

TN Report No.: TN-14-120

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Non-Agreement State Event Number: 50199
Rep Org: US ARMY
Licensee: US ARMY
Region: 1
City: ABERDEEN State: MD
County:
License #: SUB 834
Agreement: Y
Docket:
NRC Notified By: JEREMY FORD
HQ OPS Officer: JOHN SHOEMAKER
Notification Date: 06/13/2014
Notification Time: 08:27 [ET]
Event Date: 06/12/2014
Event Time: 16:00 [EDT]
Last Update Date: 06/13/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
20.2201(a)(1)(i) - LOST/STOLEN LNM>1000X
Person (Organization):
ROBERT DALEY (R3DO)
FSME EVENTS RESOURCE (EMAI)
GLENN DENTEL (R1DO)

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

Event Text

LOST DEPLETED URANIUM PROJECTILE

The licensee was conducting a test fire exercise at the Ford Farms section of the Aberdeen Test Center when a depleted uranium penetrator projectile went off it's intended flight path, exited the building, and landed in an area near the facility designated to receive test rounds. Ford Farms is an indoor hard target test facility. There were no injuries or projected dose to workers or the public. No additional effort will be made to recover the projectile because the projectile landed in a historic impact area of Aberdeen containing various other unexploded ordinance.

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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!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED !!!!!
Power Reactor Event Number: 50214
Facility: FORT CALHOUN
Region: 4 State: NE
Unit: [1] [ ] [ ]
RX Type: (1) CE
NRC Notified By: AMY BURKHART
HQ OPS Officer: MARK ABRAMOVITZ
Notification Date: 06/20/2014
Notification Time: 00:29 [ET]
Event Date: 06/20/2014
Event Time: 00:01 [CDT]
Last Update Date: 06/22/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(i) - PLANT S/D REQD BY TS
Person (Organization):
MICHAEL HAY (R4DO)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
1 N Y 100 Power Operation 0 Cold Shutdown

Event Text

TECHNICAL SPECIFICATION REQUIRED SHUTDOWN

"The National Weather Service predicts that the Missouri River level at Fort Calhoun Station will exceed 1004 feet above mean sea level on 6/20/14 at approximately 2300 CDT. Fort Calhoun Station will begin a ramp down in power to satisfy technical specification 2.16 which states, 'When the Missouri River level reaches elevation 1004 feet mean sea level, the reactor shall be in a HOT SHUTDOWN condition [Mode 3] and in Cold Shutdown [Mode 4] within 36 hours following entry into Hot Shutdown.' The river level is currently 998 feet 3 inches and rising approximately 0.5 inches per hour. At time 0001 CDT 6/20/14 Fort Calhoun station will initiate a plant shutdown to Hot Standby and will proceed to a Cold Shutdown condition within 36 hours following entry into Hot Shutdown, as required."

The licensee notified the NRC Resident Inspector.

* * * RETRACTION PROVIDED BY SCOTT LINDQUIST TO JEFF ROTTON AT 2340 EDT ON 06/22/2014 * * *

"EN 50214 is being retracted. At 2300 [CDT] on 6/21/14, actual Missouri River level at Fort Calhoun Station peaked at 1001' 2" mean sea level (msl) and did not reach TS 2.16 (1) shutdown criteria of 1004' msl. Based on current Army Corps of Engineers and National Weather Service published Missouri River levels, the river upstream of Fort Calhoun Station has peaked and is trending down following the recent storms. River level is predicted to continue trending downward to normal summer navigation season levels. Plans to shutdown have been terminated. Fort Calhoun Station will continue to monitor weather and river levels. Current reactor power is 66% and Fort Calhoun Station is raising power to 100%."

The lowest reactor power achieved was 30 percent at 1200 CDT on 06/20/2014.

The licensee notified the NRC Resident Inspector.

Notified R4DO (Hay)

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Power Reactor Event Number: 50215
Facility: PRAIRIE ISLAND
Region: 3 State: MN
Unit: [1] [ ] [ ]
RX Type: [1] W-2-LP,[2] W-2-LP
NRC Notified By: STEVE INGALLS
HQ OPS Officer: MARK ABRAMOVITZ
Notification Date: 06/20/2014
Notification Time: 01:08 [ET]
Event Date: 06/19/2014
Event Time: 20:35 [CDT]
Last Update Date: 06/20/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(i) - PLANT S/D REQD BY TS
Person (Organization):
NICK VALOS (R3DO)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
1 N Y 100 Power Operation 55 Power Operation

Event Text

TECHNICAL SPECIFICATION REQUIRED SHUTDOWN

"At 1435 [CDT] on June 19, 2014 while performing Unit 1 A Train Safeguards Logic Test at power, it was discovered, while testing the Safety Injection Automatic Actuation Relay Logic, that the 1SI-15x, SI RELAY TRAIN A, was not making up the contact to energize 1SI-16x, SI AUX RELAY TRAIN A. As a result, the 8 hour exception for testing allowed under LCO 3.3.2 Condition C no longer applied, and the 6, 12, and 42 hour clocks associated with condition C were entered.

"At 2035 [CDT] on June 19, when the 6 hour time limit to complete Condition C.1 action could not be completed operators began preparation to shutdown Unit 1 to Mode 3 by 0235 on 6/20/14.

"At 2245 [CDT] on June 19, 2014 operators commenced reducing reactor power of Prairie Island Unit 1. As of 0003, June 20, Unit 1 was at 55 percent power and continuing to reduce load.

"This event is reportable per 10CFR50.72(b)(2)(i) - 'The initiation of any nuclear plant shutdown required by the plant's Technical Specification'.

"The protection of the health and safety of the public is not affected by this issue.

"The NRC Resident Inspector has been notified."

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Power Reactor Event Number: 50216
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: CHARLES TEAL
Notification Date: 06/20/2014
Notification Time: 07:31 [ET]
Event Date: 06/20/2014
Event Time: 01:10 [EDT]
Last Update Date: 06/20/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
BLAKE WELLING (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

RADIATION MONITORS DECLARED NON-FUNCTIONAL

"At 0110 [EDT] on June 20, 2014, Nine Mile Point Unit 2 lost communication to the DRMS (Digital Radiation Monitor System Computer). The DRMS provides the Control Room alarm functions for Offgas Pretreatment Process Radiation Monitors 2OFG-CAB13A/13B and Cooling Tower Blowdown Effluent Radiation Monitor 2CWS-CAB157. Due to the loss of the Control Room alarm function, 2OFG-CAB13A, 2OFG-CAB13B, and 2CWS-CAB157 have been declared non-functional. Compensatory measures (i.e. collect and analyze grab samples) have been implemented per the requirements of the Offsite Dose Calculation Manual (ODCM).

"The non-functional radiation monitors are necessary for accident assessment and are credited for Emergency Action Level (EAL) classification. The inability to classify an EAL due to the out of service radiation monitors is considered a loss of assessment capability per 10 CFR 50.72(b)(3)(xiii).

"The NRC Resident Inspector has been notified."

The licensee has notified the State.

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Power Reactor Event Number: 50217
Facility: TURKEY POINT
Region: 2 State: FL
Unit: [3] [4] [ ]
RX Type: [3] W-3-LP,[4] W-3-LP
NRC Notified By: ALEJANDRO CHOMAT
HQ OPS Officer: MARK ABRAMOVITZ
Notification Date: 06/20/2014
Notification Time: 08:12 [ET]
Event Date: 06/20/2014
Event Time: 08:15 [EDT]
Last Update Date: 06/20/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
ROBERT HAAG (R2DO)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
3 N Y 100 Power Operation 100 Power Operation
4 N Y 100 Power Operation 100 Power Operation

Event Text

TECHNICAL SUPPORT CENTER OUT OF SERVICE FOR MAINTENANCE

"Notification for planned, routine, preventative maintenance on Technical Support Center [TSC] HVAC. The expected start of preventative maintenance is 06/20/14 at 0815 EDT. Planned completion is 06/20/14 at 1500 [EDT]. Maintenance renders the TSC nonfunctional. The planned TSC alternative will be the Control Room.

"This event is reported in accordance with 10 CFR 50.72 (b)(3)(xiii)."

The licensee notified the NRC Resident Inspector.

* * * UPDATE TO TIM JONES TO JOHN SHOEMAKER AT 1559 EDT ON 6/20/14 * * *

Maintenance is complete and the TSC HVAC was restored to service at 1455 EDT on 6/20/14. The TSC is now functional.

The licensee has notified the NRC Resident Inspector.

Notified R2DO (Haag).

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Power Reactor Event Number: 50219
Facility: VOGTLE
Region: 2 State: GA
Unit: [ ] [2] [ ]
RX Type: [1] W-4-LP,[2] W-4-LP
NRC Notified By: STEVEN HARRIS
HQ OPS Officer: DONG HWA PARK
Notification Date: 06/20/2014
Notification Time: 16:39 [ET]
Event Date: 06/20/2014
Event Time: 11:00 [EDT]
Last Update Date: 06/20/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
ROBERT HAAG (R2DO)

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

LOSS OF PLANT VENT EFFLUENT MONITORS

"This is a non-emergency notification. On June 20, 2014, at 1100 eastern daylight time (EDT), Vogtle Unit 2 identified a loss of emergency assessment capability due to both plant vent effluent monitors being out of service from March 16 to March 26, 2014. This condition was the result of an equipment failure concurrent with planned maintenance activities on the redundant monitor. This event is reportable per 10 CFR 50.72(b)(3)(xiii).

"During the time both effluent monitors were out of service Unit 2 was operating at 100% rated thermal power, steady-state conditions. Therefore, this condition does not affect the health and safety of the public or the operation of the facility."

The licensee has notified the NRC Resident Inspector.

Page Last Reviewed/Updated Monday, June 23, 2014
Monday, June 23, 2014