Event Notification Report for March 03, 2015
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
03/02/2015 - 03/03/2015
EVENT NUMBERS
50862508595086051132
Agreement State
Event Number: 50862
Rep Org: TEXAS DEPT OF STATE HEALTH SERVICES
Licensee: THE UNIVERSITY OF TEXAS MD ANDERSON CANCER CENTER
Region: 4
City: HOUSTON State: TX
County:
License #: 00466
Agreement: Y
Docket:
NRC Notified By: IRENE CASARES
HQ OPS Officer: JEFF HERRERA
Licensee: THE UNIVERSITY OF TEXAS MD ANDERSON CANCER CENTER
Region: 4
City: HOUSTON State: TX
County:
License #: 00466
Agreement: Y
Docket:
NRC Notified By: IRENE CASARES
HQ OPS Officer: JEFF HERRERA
Notification Date: 03/04/2015
Notification Time: 11:52 [ET]
Event Date: 03/03/2015
Event Time: 16:01 [CST]
Last Update Date: 03/04/2015
Notification Time: 11:52 [ET]
Event Date: 03/03/2015
Event Time: 16:01 [CST]
Last Update Date: 03/04/2015
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
RAY KELLAR (R4DO)
NMSS_EVENTS_NOTIFIC (EMAI)
RAY KELLAR (R4DO)
NMSS_EVENTS_NOTIFIC (EMAI)
AGREEMENT STATE REPORT - IRRADIATOR SOURCE WOULD NOT FULLY LOWER TO SHIELDED POSITION
The following report was received from the Texas Department of State Health Services via email:
"On March 4, 2015, the licensee reported that a malfunction had occurred involving its J.L. Shepherd Mark I, Model 30, self-contained irradiator. [The] irradiator contains a J. L. Shepard Type 6810, 10,000 curie, Cs-137 source with serial number 85CS26. The source would not fully raise nor would it lower into the fully shielded position. The interlock system functioned as designed and the irradiator door remained locked. No one received any exposures and there is no risk for exposure as a result of this event. The licensee has contacted the manufacturer and scheduled repair. An investigation into this event is ongoing. An update will be forwarded in accordance with SA-300."
Texas Incident #: I-9282
The following report was received from the Texas Department of State Health Services via email:
"On March 4, 2015, the licensee reported that a malfunction had occurred involving its J.L. Shepherd Mark I, Model 30, self-contained irradiator. [The] irradiator contains a J. L. Shepard Type 6810, 10,000 curie, Cs-137 source with serial number 85CS26. The source would not fully raise nor would it lower into the fully shielded position. The interlock system functioned as designed and the irradiator door remained locked. No one received any exposures and there is no risk for exposure as a result of this event. The licensee has contacted the manufacturer and scheduled repair. An investigation into this event is ongoing. An update will be forwarded in accordance with SA-300."
Texas Incident #: I-9282
Power Reactor
Event Number: 50859
Facility: BYRON
Region: 3 State: IL
Unit: [1] [] []
RX Type: [1] W-4-LP,[2] W-4-LP
NRC Notified By: CHARLES BERGER
HQ OPS Officer: JEFF HERRERA
Region: 3 State: IL
Unit: [1] [] []
RX Type: [1] W-4-LP,[2] W-4-LP
NRC Notified By: CHARLES BERGER
HQ OPS Officer: JEFF HERRERA
Notification Date: 03/03/2015
Notification Time: 14:21 [ET]
Event Date: 03/03/2015
Event Time: 11:01 [CST]
Last Update Date: 03/03/2015
Notification Time: 14:21 [ET]
Event Date: 03/03/2015
Event Time: 11:01 [CST]
Last Update Date: 03/03/2015
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(iv)(B) - RPS ACTUATION - CRITICAL 50.72(b)(3)(iv)(A) - VALID SPECIF SYS ACTUATION
10 CFR Section:
50.72(b)(2)(iv)(B) - RPS ACTUATION - CRITICAL 50.72(b)(3)(iv)(A) - VALID SPECIF SYS ACTUATION
Person (Organization):
JAMNES CAMERON (R3DO)
JAMNES CAMERON (R3DO)
| Unit | SCRAM Code | RX Crit | Initial PWR | Initial RX Mode | Current PWR | Current RX Mode |
|---|---|---|---|---|---|---|
| 1 | A/R | Y | 100 | Power Operation | 0 | Hot Standby |
AUTOMATIC REACTOR TRIP DUE TO MAIN POWER TRANSFORMER BUSHING SHORT
"In accordance with 10 CFR 50.72(b)(2)(iv)(B) and 10 CFR 50.72(b)(3)(iv)(A), this notification reports an automatic reactor trip on Byron Unit 1. The trip occurred following a trip of the Byron Unit 1 East Main Power Transformer (MPT). Initial indications appear that the MPT trip was caused by a large (~ 5 foot) section of ice that fell from a bus bar over the 1E MPT. This ice shorted out a MPT bushing, resulting in the unit trip. Reactor operators performed a manual start of the Auxiliary Feedwater System in response to the unit trip. All other safety systems responded as expected.
"The plant trip occurred at 1101 CST on March 03, 2015. Unit 1 is presently in Mode 3 and stable. Unit 2, the opposite unit, is operating at 100% power and stable. This condition was entered into the Byron CAP Program. An investigation is in progress to determine the extent of required repairs, if any, required prior to unit restart.
"This event resulted in the actuation of the Reactor Protection System with a subsequent Reactor Trip and therefore, requires notification to the NRC within 4 hours of discovery in accordance with 10 CFR 50.72(b)(2)(iv)(B). This event resulted in the manual actuation of the Auxiliary Feedwater System and therefore, requires notification to the NRC within 8 hours of discovery in accordance with 10 CFR 50.72(b)(3)(iv)(A).
"This ENS call will be followed up with a Licensee Event Report (LER) within 60 days."
All rods inserted during reactor trip, offsite power and emergency power sources are currently available and decay heat is being removed via the startup feedwater systems. No safety relief valves lifted as a result of the transient.
The NRC Resident Inspector and the State of Illinois were notified.
"In accordance with 10 CFR 50.72(b)(2)(iv)(B) and 10 CFR 50.72(b)(3)(iv)(A), this notification reports an automatic reactor trip on Byron Unit 1. The trip occurred following a trip of the Byron Unit 1 East Main Power Transformer (MPT). Initial indications appear that the MPT trip was caused by a large (~ 5 foot) section of ice that fell from a bus bar over the 1E MPT. This ice shorted out a MPT bushing, resulting in the unit trip. Reactor operators performed a manual start of the Auxiliary Feedwater System in response to the unit trip. All other safety systems responded as expected.
"The plant trip occurred at 1101 CST on March 03, 2015. Unit 1 is presently in Mode 3 and stable. Unit 2, the opposite unit, is operating at 100% power and stable. This condition was entered into the Byron CAP Program. An investigation is in progress to determine the extent of required repairs, if any, required prior to unit restart.
"This event resulted in the actuation of the Reactor Protection System with a subsequent Reactor Trip and therefore, requires notification to the NRC within 4 hours of discovery in accordance with 10 CFR 50.72(b)(2)(iv)(B). This event resulted in the manual actuation of the Auxiliary Feedwater System and therefore, requires notification to the NRC within 8 hours of discovery in accordance with 10 CFR 50.72(b)(3)(iv)(A).
"This ENS call will be followed up with a Licensee Event Report (LER) within 60 days."
All rods inserted during reactor trip, offsite power and emergency power sources are currently available and decay heat is being removed via the startup feedwater systems. No safety relief valves lifted as a result of the transient.
The NRC Resident Inspector and the State of Illinois were notified.
Power Reactor
Event Number: 50860
Facility: NINE MILE POINT
Region: 1 State: NY
Unit: [1] [] []
RX Type: [1] GE-2,[2] GE-5
NRC Notified By: JOHN RIZZO
HQ OPS Officer: VINCE KLCO
Region: 1 State: NY
Unit: [1] [] []
RX Type: [1] GE-2,[2] GE-5
NRC Notified By: JOHN RIZZO
HQ OPS Officer: VINCE KLCO
Notification Date: 03/03/2015
Notification Time: 15:18 [ET]
Event Date: 03/03/2015
Event Time: 08:37 [EST]
Last Update Date: 03/03/2015
Notification Time: 15:18 [ET]
Event Date: 03/03/2015
Event Time: 08:37 [EST]
Last Update Date: 03/03/2015
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(v)(C) - POT UNCNTRL RAD REL
10 CFR Section:
50.72(b)(3)(v)(C) - POT UNCNTRL RAD REL
Person (Organization):
ART BURRITT (R1DO)
ART BURRITT (R1DO)
| Unit | SCRAM Code | RX Crit | Initial PWR | Initial RX Mode | Current PWR | Current RX Mode |
|---|---|---|---|---|---|---|
| 1 | N | Y | 93 | Power Operation | 93 | Power Operation |
MOMENTARY LOSS OF SECONDARY CONTAINMENT DUE TO BOTH AIRLOCKS OPENING AT SAME TIME
"Nine Mile Point Unit 1 (NMP1) had a momentary loss of Secondary Containment due to both Reactor Building Airlock doors being opened at the same time.
"At 0837 [EST] on 03/03/2015, both Reactor Building Airlock doors at NMP1 were opened simultaneously for approximately 2 seconds. This results in a momentary loss of Secondary Containment operability (TS 3.4.3). The doors were closed and operability was restored.
"Secondary Containment being inoperable is an 8 hour notification per 10CFR50.72(b)(3)(v)(C), 'any event or condition that at the time of discovery could have prevented the fulfillment of the safety function of structures or systems that are needed to control the release of radioactive material.'
"The condition has been entered into the station's corrective action program and the Senior Resident NRC Inspector was notified."
The licensee notified the State of New York.
"Nine Mile Point Unit 1 (NMP1) had a momentary loss of Secondary Containment due to both Reactor Building Airlock doors being opened at the same time.
"At 0837 [EST] on 03/03/2015, both Reactor Building Airlock doors at NMP1 were opened simultaneously for approximately 2 seconds. This results in a momentary loss of Secondary Containment operability (TS 3.4.3). The doors were closed and operability was restored.
"Secondary Containment being inoperable is an 8 hour notification per 10CFR50.72(b)(3)(v)(C), 'any event or condition that at the time of discovery could have prevented the fulfillment of the safety function of structures or systems that are needed to control the release of radioactive material.'
"The condition has been entered into the station's corrective action program and the Senior Resident NRC Inspector was notified."
The licensee notified the State of New York.
Part 21
Event Number: 51132
Rep Org: THERMO FISHER SCIENTIFIC
Licensee: MIRION TECHNOLOGIES
Region: 4
City: SAN DIEGO State: CA
County:
License #:
Agreement: Y
Docket:
NRC Notified By: ROBERT BARNES
HQ OPS Officer: NESTOR MAKRIS
Licensee: MIRION TECHNOLOGIES
Region: 4
City: SAN DIEGO State: CA
County:
License #:
Agreement: Y
Docket:
NRC Notified By: ROBERT BARNES
HQ OPS Officer: NESTOR MAKRIS
Notification Date: 06/05/2015
Notification Time: 18:47 [ET]
Event Date: 03/03/2015
Event Time: 00:00 [PDT]
Last Update Date: 07/01/2015
Notification Time: 18:47 [ET]
Event Date: 03/03/2015
Event Time: 00:00 [PDT]
Last Update Date: 07/01/2015
Emergency Class: NON EMERGENCY
10 CFR Section:
21.21(d)(3)(i) - DEFECTS AND NONCOMPLIANCE
10 CFR Section:
21.21(d)(3)(i) - DEFECTS AND NONCOMPLIANCE
Person (Organization):
DAVE PASSEHL (R3DO)
PART 21/50.55 REACT (EMAI)
DAVE PASSEHL (R3DO)
PART 21/50.55 REACT (EMAI)
PART 21 - POSSIBLE SAFETY DEFECT IN NON-INSTALLED POWER RANGE DETECTOR AT PALISADES
The following is an excerpt of a report that was received via email:
"This letter provides information concerning an evaluation performed by Thermo Gamma-Metrics LLC, a part of Thermo Fisher Scientific, regarding potential noncompliance of our dual uncompensated ion chamber power range detector.
"Based upon the evaluation, Thermo Gamma-Metrics has determined that a Reportable Condition under 10 CFR Part 21 exists for plant listed herein. The information contained in this document informs the NRC of the conclusions and recommendations derived from Thermo Gamma-Metrics' preliminary evaluation of this issue.
"An evaluation [was] performed by Thermo Gamma-Metrics LLC, a part of Thermo Fisher Scientific, regarding potential noncompliance of our dual uncompensated ion chamber power range detector.
"Based upon the evaluation, Thermo Gamma-Metrics has determined that a Reportable Condition under 10 CFR Part 21 exists for [Palisades]. The information contained in this document informs the NRC of the conclusions and recommendations derived from Thermo Gamma-Metrics' preliminary evaluation of this issue.
"The detector in question is in storage at Entergy Palisades and has not yet been installed in their Power Range Systems per discussion with [the System Engineer at Palisades].
"A potential defect has been identified by Mirion IST. Thermo Gamma-Metrics cannot determine by itself if the potential defect would represent a substantial safety hazard to Entergy Palisades if installed in a safety related application.
"We supplied just one potentially defective part from [Mirion] IST to Palisades. [Mirion] IST may have supplied two other potentially defective parts to other vendors per discussions with [Mirion IST.]
"The immediate corrective action is for Thermo Gamma-Metrics to notify Entergy and the NRC of this potential defect. Thermo Gamma-Metrics notified Entergy Palisades on June 2, 2015.
"Thermo Gamma-Metrics will supply a final report on this issue by July 2, 2015 that details the plan for all corrective actions.
"Entergy Palisades should review the letter from Mirion IST. Thermo Gamma-Metrics will help the utility to address and remedy the situation before the power range detector is installed in the power plant."
* * * UPDATE AT 1955 EDT ON 07/01/15 FROM ROB BARNES TO S. SANDIN * * *
The following is an excerpt of a report that was received via email:
"This letter provides information concerning an evaluation performed by Thermo Gamma-Metrics LLC, a part of Thermo Fisher Scientific, regarding noncompliance of our dual uncompensated ion chamber power range detector.
"Based upon the evaluation, Thermo Gamma-Metrics has determined that a Reportable Condition under 10 CFR Part 21 exists for plant listed herein. The information contained in this document informs the NRC of the conclusions and recommendations derived from Thermo Gamma-Metrics' evaluation of this issue.
"Report Notification Information
(i) Name and address of the individual or individuals informing the Commission.
Robert E. Barnes
Technical Service Manager
(858)449-2909 cell
Clark J. Artaud
Global Commercial Director
Jeffery S. Tuetken
Senior Electrical Engineer
Thermo Gamma-Metrics LLC
10010 Mesa Rim Road
San Diego, CA 92121
(ii) Identification of the facility, the activity, or the basic component supplied for such facility which fails to comply or contains a defect.
"The detector in question is in storage at Entergy Palisades and has not yet been installed in their Power Range Systems per discussion with the System Engineer, Mr. Michael Knapp at Palisades.
(iii) Identification of the firm constructing the facility or supplying the basic component which fails to comply or contains a defect.
"Mirion IST Horseheads, New York
(iv) Nature of the defect or failure to comply and the safety hazard which is created or could be created by such defect or failure to comply.
"A potential defect has been identified by Mirion IST as described in . . . [a letter] dated March 3, 2015.
"Entergy Palisades has determined that the potential defect would represent a substantial safety hazard if installed in a safety related application and is returning the detector to Thermo Fisher Scientific for repair on Returned Material Authorization #950. Thermo Fisher will return the dual ion chamber to Mirion IST for repair and recertification.
(v) The date on which the information of such defect or failure to comply was obtained.
"March 3, 2015
(vi) In the case of a basic component which contains a defect or fails to comply, the number and location of these components in use at, supplied for, being supplied for, or may be supplied for, manufactured, or being manufactured for one or more facilities or activities subject to the regulations in this part.
"We supplied just one potentially defective part from IST to Palisades. IST may have supplied two other potentially defective parts to other vendors per discussions with Eric Brand at Mirion IST.
(vii) The corrective action, which has been, is being, or will be taken; the name of the individual or organization responsible for the action; and the length of time that has been or will be taken to complete the action.
"The immediate corrective action is for Thermo Gamma-Metrics to notify Entergy and the NRC of this potential defect.
"Thermo Gamma-Metrics notified Entergy Palisades on June 2, 2015 . . .
"Thermo Gamma-Metrics will work with Mirion IST to verify the presence or absence of the potential defect in this dual ion chamber and repair the dual ion chamber before returning it to Entergy Palisades, as soon as repairs can be arranged and expected no later than the end of 2015.
(viii) Any advice related to the defect or failure to comply about the facility, activity, or basic component that has been, is being, or will be given to purchasers or licensees.
"Entergy Palisades has reviewed the letter from Mirion IST and is seeking reparations. Thermo Gamma-Metrics and Mirion IST will help the utility to address and remedy the situation before the power range detector is installed in the power plant.
(ix) In the case of an early site permit, the entities to whom an early site permit was transferred.
"Not applicable - this is not an early site permit concern.
"Should you have any questions regarding this matter, please contact Rob Barnes Technical Service Manager, Thermo Gamma-Metrics LLC, at (858) 882-1356."
Notified R3DO (Kozak) and PART 21/50.55 REACTORS (email).
The following is an excerpt of a report that was received via email:
"This letter provides information concerning an evaluation performed by Thermo Gamma-Metrics LLC, a part of Thermo Fisher Scientific, regarding potential noncompliance of our dual uncompensated ion chamber power range detector.
"Based upon the evaluation, Thermo Gamma-Metrics has determined that a Reportable Condition under 10 CFR Part 21 exists for plant listed herein. The information contained in this document informs the NRC of the conclusions and recommendations derived from Thermo Gamma-Metrics' preliminary evaluation of this issue.
"An evaluation [was] performed by Thermo Gamma-Metrics LLC, a part of Thermo Fisher Scientific, regarding potential noncompliance of our dual uncompensated ion chamber power range detector.
"Based upon the evaluation, Thermo Gamma-Metrics has determined that a Reportable Condition under 10 CFR Part 21 exists for [Palisades]. The information contained in this document informs the NRC of the conclusions and recommendations derived from Thermo Gamma-Metrics' preliminary evaluation of this issue.
"The detector in question is in storage at Entergy Palisades and has not yet been installed in their Power Range Systems per discussion with [the System Engineer at Palisades].
"A potential defect has been identified by Mirion IST. Thermo Gamma-Metrics cannot determine by itself if the potential defect would represent a substantial safety hazard to Entergy Palisades if installed in a safety related application.
"We supplied just one potentially defective part from [Mirion] IST to Palisades. [Mirion] IST may have supplied two other potentially defective parts to other vendors per discussions with [Mirion IST.]
"The immediate corrective action is for Thermo Gamma-Metrics to notify Entergy and the NRC of this potential defect. Thermo Gamma-Metrics notified Entergy Palisades on June 2, 2015.
"Thermo Gamma-Metrics will supply a final report on this issue by July 2, 2015 that details the plan for all corrective actions.
"Entergy Palisades should review the letter from Mirion IST. Thermo Gamma-Metrics will help the utility to address and remedy the situation before the power range detector is installed in the power plant."
* * * UPDATE AT 1955 EDT ON 07/01/15 FROM ROB BARNES TO S. SANDIN * * *
The following is an excerpt of a report that was received via email:
"This letter provides information concerning an evaluation performed by Thermo Gamma-Metrics LLC, a part of Thermo Fisher Scientific, regarding noncompliance of our dual uncompensated ion chamber power range detector.
"Based upon the evaluation, Thermo Gamma-Metrics has determined that a Reportable Condition under 10 CFR Part 21 exists for plant listed herein. The information contained in this document informs the NRC of the conclusions and recommendations derived from Thermo Gamma-Metrics' evaluation of this issue.
"Report Notification Information
(i) Name and address of the individual or individuals informing the Commission.
Robert E. Barnes
Technical Service Manager
(858)449-2909 cell
Clark J. Artaud
Global Commercial Director
Jeffery S. Tuetken
Senior Electrical Engineer
Thermo Gamma-Metrics LLC
10010 Mesa Rim Road
San Diego, CA 92121
(ii) Identification of the facility, the activity, or the basic component supplied for such facility which fails to comply or contains a defect.
"The detector in question is in storage at Entergy Palisades and has not yet been installed in their Power Range Systems per discussion with the System Engineer, Mr. Michael Knapp at Palisades.
(iii) Identification of the firm constructing the facility or supplying the basic component which fails to comply or contains a defect.
"Mirion IST Horseheads, New York
(iv) Nature of the defect or failure to comply and the safety hazard which is created or could be created by such defect or failure to comply.
"A potential defect has been identified by Mirion IST as described in . . . [a letter] dated March 3, 2015.
"Entergy Palisades has determined that the potential defect would represent a substantial safety hazard if installed in a safety related application and is returning the detector to Thermo Fisher Scientific for repair on Returned Material Authorization #950. Thermo Fisher will return the dual ion chamber to Mirion IST for repair and recertification.
(v) The date on which the information of such defect or failure to comply was obtained.
"March 3, 2015
(vi) In the case of a basic component which contains a defect or fails to comply, the number and location of these components in use at, supplied for, being supplied for, or may be supplied for, manufactured, or being manufactured for one or more facilities or activities subject to the regulations in this part.
"We supplied just one potentially defective part from IST to Palisades. IST may have supplied two other potentially defective parts to other vendors per discussions with Eric Brand at Mirion IST.
(vii) The corrective action, which has been, is being, or will be taken; the name of the individual or organization responsible for the action; and the length of time that has been or will be taken to complete the action.
"The immediate corrective action is for Thermo Gamma-Metrics to notify Entergy and the NRC of this potential defect.
"Thermo Gamma-Metrics notified Entergy Palisades on June 2, 2015 . . .
"Thermo Gamma-Metrics will work with Mirion IST to verify the presence or absence of the potential defect in this dual ion chamber and repair the dual ion chamber before returning it to Entergy Palisades, as soon as repairs can be arranged and expected no later than the end of 2015.
(viii) Any advice related to the defect or failure to comply about the facility, activity, or basic component that has been, is being, or will be given to purchasers or licensees.
"Entergy Palisades has reviewed the letter from Mirion IST and is seeking reparations. Thermo Gamma-Metrics and Mirion IST will help the utility to address and remedy the situation before the power range detector is installed in the power plant.
(ix) In the case of an early site permit, the entities to whom an early site permit was transferred.
"Not applicable - this is not an early site permit concern.
"Should you have any questions regarding this matter, please contact Rob Barnes Technical Service Manager, Thermo Gamma-Metrics LLC, at (858) 882-1356."
Notified R3DO (Kozak) and PART 21/50.55 REACTORS (email).