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Event Notification Report for March 6, 2015

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
03/05/2015 - 03/06/2015

** EVENT NUMBERS **


50152 50691 50849 50850 50866

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Agreement State Event Number: 50152
Rep Org: RI DEPT OF RADIOLOGICAL HEALTH
Licensee: CARDIOVASCULAR INSTITUTE OF NEW ENGLAND
Region: 1
City: PROVIDENCE State: RI
County:
License #: 7b-137-01
Agreement: Y
Docket:
NRC Notified By: CHARMA WARING
HQ OPS Officer: MARK ABRAMOVITZ
Notification Date: 05/30/2014
Notification Time: 12:15 [ET]
Event Date: 02/12/2014
Event Time: [EDT]
Last Update Date: 03/05/2015
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
JOHN ROGGE (R1DO)
FSME EVENT RESOURCES (E-MA)

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

Event Text

AGREEMENT STATE REPORT - LOST CALIBRATION SOURCE

"On February 12, 2014, the nuclear cardiology and radiation safety staff concluded, a Cesium-137 Rod
Source; 1059 microCi on November 11/11/2003; Manufactured by Bench Mark; Serial Number: BM0837- 002-23; Model Number: BM08, was lost.

"Following discovery of the lost source, the nuclear cardiology staff and this consultant conducted an extensive search of the nuclear cardiology imaging room and hot lab in an effort to find the source. Unfortunately, we were unsuccessful in locating the calibration rod. The lost source was routinely stored in the locked hot lab cabinet in a leaded pig. The only time the source was removed from the leaded pig was to perform daily calibrations of the well counter. Through our internal investigation we were unable to ascertain the event that attributed to the missing source.

"Subsequently, contacted [the Rhode Island Department of Health], to provide official notice that the source was lost. At the time of the incident, the activity of the source was calculated at 0.083 microCi. On February 21,2014 a replacement Cs-137 Button Source; 6.60 microCi on 12/18/2009; Manufactured by NEN was added to the Sealed Source Inventory. The new source is stored in the locked hot lab cabinet in a leaded vial. The new source is used for instrument calibrations on the well counter. The nuclear cardiology staff will conduct a daily inventory of the sealed sources to assure completeness."

RI Event Reference 2014-002

* * * UPDATE FROM CHARMA WARING (VIA FAX) ON 3/5/15 AT 1535 EST

The State of Rhode Island considers this report closed.

NMED Item #120538.

Notified R1DO (Burritt) 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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Part 21 Event Number: 50691
Rep Org: ABB GROUP
Licensee: ABB GROUP
Region: 1
City: CORAL SPRINGS State: FL
County:
License #:
Agreement: Y
Docket:
NRC Notified By: DENNIS BATOVSKY
HQ OPS Officer: JOHN SHOEMAKER
Notification Date: 12/17/2014
Notification Time: 17:38 [ET]
Event Date: 12/17/2014
Event Time: [EST]
Last Update Date: 03/05/2015
Emergency Class: NON EMERGENCY
10 CFR Section:
21.21(d)(3)(i) - DEFECTS AND NONCOMPLIANCE
Person (Organization):
DONNA JANDA (R1DO)
KATHLEEN O'DONOHUE (R2DO)
AARON MCCRAW (R3DO)
NEIL OKEEFE (R4DO)
PART 21 GROUP (EMAI)

Event Text

PART 21 REPORT - POTENTIAL DEFECT REGARDING KF RELAYS

"Recent seismic testing results of the above Class 1E KF under-frequency relays uncovered inaccurate qualification by similarity to the tested relay 1328D72A03 (qualified in 2011). The subject relays do not meet the previously published ZPA rating, but meet a rating of 1.7g in accordance with IEEE C37.98-1987 requirements.

"Records show a total of 37 suspect relays were provided to seven customers. ABB does not have the capability to perform the evaluation to determine if a defect exists, thus we are notifying the purchasers or affected licensees of this determination so that they may evaluate the deviation, pursuant to 10 CFR. 21.21(b).

"If you have any questions regarding this notice, please contact the ABB Technical Support 954-752-6700.

"Dennis Batovsky
Managing Director"

* * * UPDATE FROM DENNIS BATOVSKY TO HOWIE CROUCH VIA FAX ON 3/5/15 AT 1522 EST * * *

"This letter is an update to the Part 21 Notification submitted on December 17, 2014, 'Potential defect regarding KF relay zero period acceleration (ZPA) rating'.

"ABB reminds all licensees, that per ABB KF Under-frequency relays, Instruction Leaflet 41-503.21A effective April 1997, 'the normally closed contact at terminal number 2 should not be used for critical circuits due to a low fragility rating'.

"ABB [has] conducted the following actions:
-ABB has performed an initial extent of condition evaluation to determine if this situation exists in other electromechanical IE qualified relays. There are no additional findings at this time.
-ABB issued a corrective action to improve existing engineering qualification procedures that govern qualification by similarity.

"If you have any questions regarding this notice, please contact the ABB Technical Support 954-752-6700."

Notified R1DO (Burritt), R2DO (Sykes), R3DO (Cameron), R4DO (Kellar) and Part 21 Group (via email).

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Non-Agreement State Event Number: 50849
Rep Org: NANTICOKE MEMORIAL HOSPITAL
Licensee: NANTICOKE MEMORIAL HOSPITAL
Region: 1
City: SEAFORD State: DE
County:
License #: 07-17618-01
Agreement: N
Docket:
NRC Notified By: MARIANNA RETZLAFF
HQ OPS Officer: DONALD NORWOOD
Notification Date: 02/25/2015
Notification Time: 15:00 [ET]
Event Date: 02/13/2015
Event Time: [EST]
Last Update Date: 02/25/2015
Emergency Class: NON EMERGENCY
10 CFR Section:
20.2201(a)(1)(ii) - LOST/STOLEN LNM>10X
Person (Organization):
HAROLD GRAY (R1DO)
NMSS_EVENTS_NOTIFIC (EMAI)
JIM WHITNEY (ILTA)

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

Event Text

GERMANIUM-68 SOURCES LOST DURING SHIPMENT

On 1/30/2015, two packages containing radioactive materials were shipped via common carrier from Nanticoke Memorial Hospital in Seaford, DE to Sanders Medical Products, Inc. in Knoxville, TN for disposal. One package arrived on 2/3/2015. The second package has not arrived, and on 2/13/2015, the second package was declared lost. The lost package contained two Germanium-68 source rods used in daily calibration of the hospital's PET scanner. Activity of the source rods was less than 0.3 millicuries each (0.6 millicuries total). Serial numbers for the source rods are: K4-124 and K4-125. The common carrier has completed a search for the lost package with negative results. The last known location of the lost package was in Harrington, DE where it was scanned on 1/30/2015.

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: 50850
Rep Org: VIRGINIA RAD MATERIALS PROGRAM
Licensee: ECS MID-ATLANTIC CHANTILLY
Region: 1
City: CHANTILLY State: VA
County: FAIRFAX
License #: 107-314-1
Agreement: Y
Docket:
NRC Notified By: MIKE WELLING
HQ OPS Officer: STEVE SANDIN
Notification Date: 02/25/2015
Notification Time: 16:49 [ET]
Event Date: 02/25/2015
Event Time: [EST]
Last Update Date: 02/25/2015
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
HAROLD GRAY (R1DO)
NMSS_EVENTS_NOTIFIC (EMAI)

Event Text

AGREEMENT STATE REPORT - MOISTURE/DENSITY GAUGE DAMAGED AT A TEMPORARY JOBSITE

The following information was received from the Commonwealth of Virginia via email:

"While performing testing at a temporary jobsite in Alexandria [VA], the portable moisture/density gauge (CPN MC1DR, Serial # MD40907569) was run over by a bulldozer. The sources were in the shielded position and the shielding integrity was not damaged. A survey of the gauge was performed by the licensee and readings observed were between 1 and 2 mrem/hr on contact. The gauge was packaged and returned to the office where a wipe test was taken and the analysis was performed by the manufacturer/distributor with results showing no contamination. The gauge is being returned to the manufacturer/distributor. The VRMP [Virginia Radioactive Materials Program] is reviewing the licensee's report and corrective actions."

The gauge contains two (2) sources; 50 mCi Am-241/Be and 10 mCi Cs-137.

Virginia Event Report ID # VA-15-03

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Power Reactor Event Number: 50866
Facility: PRAIRIE ISLAND
Region: 3 State: MN
Unit: [ ] [2] [ ]
RX Type: [1] W-2-LP,[2] W-2-LP
NRC Notified By: DARRELL LAPCINSKI
HQ OPS Officer: STEVE SANDIN
Notification Date: 03/05/2015
Notification Time: 05:35 [ET]
Event Date: 03/05/2015
Event Time: 04:06 [CST]
Last Update Date: 03/06/2015
Emergency Class: UNUSUAL EVENT
10 CFR Section:
50.72(a) (1) (i) - EMERGENCY DECLARED
Person (Organization):
KENNETH RIEMER (R3DO)
MARY JANE ROSS-LEE (NRR)
CYNTHIA PEDERSON (RA)
BILL DEAN (ET)
BERNARD STAPLETON (IRD)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
2 N Y 100 Power Operation 92 Power Operation

Event Text

UNIT 2 DECLARES UNUSUAL EVENT DUE TO INABILITY TO VALIDATE A CONTAINMENT FIRE ALARM WITHIN 15 MINUTES

"The Instrument Air Containment Isolation failed closed on Unit 2. This isolated normal letdown / excess letdown and required Pressurizer level to be maintained by diverting Pressurizer level to the Pressurizer Relief Tank. The Pressurizer Relief Tank rupture disc ruptured which resulted in a fire alarm in Unit 2 Containment. The fire alarm could not be validated within 15 minutes which resulted in a declaration of an Unusual Event based on EAL HU2.1. The loss of Instrument Air to Unit 2 Containment resulted in a loss of cooling to the reactor vessel gap and support cooling systems. Due to the loss of reactor vessel ventilation systems a plant shutdown to Mode 3 has been initiated. No radioactive releases to the environment are in progress or expected to occur. The public health and safety has not been jeopardized."

The licensee informed state/local agencies and the NRC Resident Inspector and does plan to issue a press release.

Notified other Federal Agencies (DHS SWO, FEMA Ops, FEMA NWC, NICC Watch Officer and NuclearSSA).

* * * UPDATE AT 0130 EST ON 03/06/15 FROM TERRY BACON TO DANIEL MILLS * * *

"At 1725 [CST] on 3/5/15 Instrument Air to Unit 2 containment was established. Letdown was then reestablished. These actions stabilized the plant and stopped the 30 GPM [gallons per minute] identified leakage out of the PZR Relief Tank rupture disc into containment. This condition is what caused the fire detection alarm in containment, and is also Unusual Event criteria. Unit 2 containment was entered and it was confirmed that NO fire existed in containment. The Unusual Event was terminated at 0018 CST on 3/6/15 based on no fire and no identified RCS leakage into containment. The plant is currently in Mode 3. The health and safety of the public was not jeopardized."

The licensee informed state/local agencies and the NRC Resident Inspector and does plan to issue a press release.

Notified R3DO (Stone), EO (Ross-Lee) and IRD (Stapleton).

Notified other Federal Agencies (DHS SWO, FEMA Ops, FEMA NWC, NICC Watch Officer and NuclearSSA).

Page Last Reviewed/Updated Friday, March 06, 2015
Friday, March 06, 2015