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Event Notification Report for March 24, 2015

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
03/23/2015 - 03/24/2015

** EVENT NUMBERS **


50886 50892 50897 50898 50912 50917 50918

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Agreement State Event Number: 50886
Rep Org: TENNESSEE DIV OF RAD HEALTH
Licensee: ST. JUDE CHILDREN'S RESEARCH HOSPITAL
Region: 1
City: MEMPHIS State: TN
County:
License #: R-79037-Ll5
Agreement: Y
Docket:
NRC Notified By: CHARLIE ARNOTT
HQ OPS Officer: DANIEL MILLS
Notification Date: 03/13/2015
Notification Time: 11:20 [ET]
Event Date: 03/05/2015
Event Time: [EDT]
Last Update Date: 03/13/2015
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
WILLIAM COOK (R1DO)
NMSS_EVENTS_NOTIFIC (EMAI)

Event Text

AGREEMENT STATE REPORT - RESEARCH IRRADIATOR DOOR FAILED TO OPEN

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

"The door to a J. L. Shepherd Mark 1-68 irradiator containing 10,000 curies (assayed 2/11/2002) of Cesium 137, being used to irradiate mice, would not open. The source was determined to be in the safe position. St. Jude trustworthiness-approved radiation safety and biomedical engineering (BME) personnel responded and attempted to extract the mice without success. A call to the licensed service representative went unanswered. The Associate Radiation Safety Officer who was present approved BME [personnel] to take measures to disengage the door. This involved breaking security seals on the timer control mechanism and door interlock box. Also, the lock on the interlock box was cut since the key was not present. Strict radiological controls were employed including; badging all personnel, survey meter present, continuous health physicist presence, confirmation of source in safe position, and unplugging irradiator to ensure the source could not move. The animals were extracted without incident. The irradiator was locked and removed from service. The service representative came March 11, 2015, and repaired the unit such that it was fully operational. Evidently, the door interlock switch that had been replaced in January had failed."

TN Event Report ID Number: TN-15-036

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Agreement State Event Number: 50892
Rep Org: UTAH DIVISION OF RADIATION CONTROL
Licensee: BIG WEST OIL COMPANY
Region: 4
City: NORTH SALT LAKE State: UT
County:
License #: UT 0600256
Agreement: Y
Docket:
NRC Notified By: MIKE GIVENS
HQ OPS Officer: DANIEL MILLS
Notification Date: 03/13/2015
Notification Time: 19:29 [ET]
Event Date: 03/04/2015
Event Time: [MDT]
Last Update Date: 03/13/2015
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
NEIL OKEEFE (R4DO)
NMSS_EVENTS_NOTIFIC (EMAI)

Event Text

AGREEMENT STATE REPORT - FIXED GAUGE SHUTTER OPEN IMPROPERLY DURING MAINTENANCE WORK

The following is a synopsis of information received from the State of Utah:

Two workers entered a confined space to perform work near a fixed gauge. One of the workers remained in the area for 9 minutes and the other remained in the area for 90 minutes. It was later determined that the fixed gauge shutter had not been closed. Surveys conducted by the licensee to measure dose rates in the area where the workers had been present indicated dose rates ranging from 0.5 mR/hr to 4 mR/hr. Utah inspectors performed confirmatory measurements that indicated dose rates between 0.97 mR/hr and 2.2 mR/hr.

Utah Event ID Number: UT150001

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Agreement State Event Number: 50897
Rep Org: PA BUREAU OF RADIATION PROTECTION
Licensee: JANX OF PARMA, MI
Region: 1
City: ZELIENOPLE State: PA
County:
License #: PA-1363
Agreement: Y
Docket:
NRC Notified By: JOE MELNIC
HQ OPS Officer: HOWIE CROUCH
Notification Date: 03/16/2015
Notification Time: 15:05 [ET]
Event Date: 03/12/2015
Event Time: [EDT]
Last Update Date: 03/16/2015
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
GLENN DENTEL (R1DO)
NMSS_EVENTS_NOTIFIC (EMAI)

Event Text

AGREEMENT STATE REPORT - INABILITY TO RETRACT SOURCE TO ITS SHIELDED POSITION

The following information was obtained from the Commonwealth of Pennsylvania via email and fax:

"The Department [Pennsylvania Department of Environmental Protection] was notified of this event on Friday, March 13, 2015. It is reportable within 24 hours as per 10 CFR 34.101(a)(2) and 30.50(b)(2).

"A 68 curie (Ci) iridium-192 (lr-192) source could not be retracted back into the exposure device. The guide tube had become disconnected when the lr-192 source was in the collimator.

"The guide tube was not properly connected to the front of the exposure device, therefore preventing the source to be fully retracted back into the device. This event was due to human error.

"The repair/retrieval was performed quickly by the assistant RSO who received a total of 5 mR during the entire process. A reactive inspection is planned by the [Pennsylvania DEP] regional office."

Event Report ID No: PA150005

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Agreement State Event Number: 50898
Rep Org: PA BUREAU OF RADIATION PROTECTION
Licensee: SOLAR TESTING OF PA
Region: 1
City: PITTSBURGH State: PA
County:
License #: PA-1377
Agreement: Y
Docket:
NRC Notified By: JOE MELNIC
HQ OPS Officer: HOWIE CROUCH
Notification Date: 03/16/2015
Notification Time: 15:10 [ET]
Event Date: 03/13/2015
Event Time: [EDT]
Last Update Date: 03/16/2015
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
GLENN DENTEL (R1DO)
NMSS_EVENTS_NOTIFIC (EMAI)
ILTAB (EMAI)

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

Event Text

AGREEMENT STATE REPORT - LOST NUCLEAR DENSITY GAUGE

The following information was obtained from the Commonwealth of Pennsylvania via email and fax:

"The Department [Pennsylvania Department of Environmental Protection] received a phone call on March 13, 2015 regarding a lost/missing nuclear density gauge. This event is reportable within 24-hours per 10 CFR 20.2201 (a)(1)(i).

"The gauge was last used on December 16, 2014 at a job site in New Brighton, PA and discovered missing during the next routine quarterly inventory. The case and lock were both intact inside a locked storage area. There were no signs of forced entry and nothing else was missing. The employee, after being questioned, claims no knowledge of the whereabouts of the gauge.

"[Gauge] Model: Troxler 3411B
Serial #: 8254
Isotope: Cs-137 & Am-241
Activity: 9 mCi Cs-137 and 44 mCi Am-241

"The police have been notified. The Department will conduct an in depth reactive inspection. A press release will be issued requesting information from the public. More information will be provided upon receipt."

Event Report ID No: PA 150006

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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Fuel Cycle Facility Event Number: 50912
Facility: NUCLEAR FUEL SERVICES INC.
RX Type: URANIUM FUEL FABRICATION
Comments: HEU CONVERSION & SCRAP RECOVERY
                   NAVAL REACTOR FUEL CYCLE
                   LEU SCRAP RECOVERY
Region: 2
City: ERWIN State: TN
County: UNICOI
License #: SNM-124
Agreement: Y
Docket: 07000143
NRC Notified By: MICHAEL TESTER
HQ OPS Officer: DONALD NORWOOD
Notification Date: 03/20/2015
Notification Time: 16:49 [ET]
Event Date: 03/20/2015
Event Time: 12:30 [EDT]
Last Update Date: 03/20/2015
Emergency Class: NON EMERGENCY
10 CFR Section:
70.50(b)(3) - MED TREAT INVOLVING CONTAM
Person (Organization):
BINOY DESAI (R2DO)
NMSS_EVENTS_NOTIFIC (EMAI)

Event Text

UNPLANNED MEDICAL TREATMENT

"A nuclear operator sustained a laceration to the right hand on a piece of metal flashing while working in a radiological controlled area onsite. The individual was transported to the onsite NFS medical facility for treatment. Radiological surveys of the individual taken at the onsite medical facility indicated no contamination. The individual was subsequently transported to an area hospital for further medical care. Follow-up radiological surveys performed in areas where the injury occurred, in the vehicle used for onsite transport, and in the onsite medical facility also indicated no contamination."

The licensee notified the NRC Resident Inspector.

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Power Reactor Event Number: 50917
Facility: OCONEE
Region: 2 State: SC
Unit: [1] [2] [3]
RX Type: [1] B&W-L-LP,[2] B&W-L-LP,[3] B&W-L-LP
NRC Notified By: MATTHEW WALKER
HQ OPS Officer: VINCE KLCO
Notification Date: 03/23/2015
Notification Time: 11:16 [ET]
Event Date: 03/23/2015
Event Time: 07:17 [EDT]
Last Update Date: 03/23/2015
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(xi) - OFFSITE NOTIFICATION
Person (Organization):
BINOY DESAI (R2DO)

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
3 N Y 100 Power Operation 100 Power Operation

Event Text

OFFSITE NOTIFICATION DUE TO DEATH OF EMPLOYEE

"At approximately 0605 EDT on March 23, 2015, the Oconee Nuclear Station main control room and Security received an emergency call for an employee experiencing a non-work related medical issue. Site first responders were dispatched in conjunction with a request for off-site medical assistance. The individual was transported by ambulance to the Oconee Medical Center and was pronounced dead at 0717 EDT. The individual was outside of the protected area (within the owner controlled area) and no radioactive material or contamination was involved. The cause of death has not been determined.

"This notification is being made in accordance with 10 CFR 50.72(b )(2)(xi) for situations related to the health of on-site personnel for which a notification to other government agencies has been made. The South Carolina Occupational Safety and Health Administration (SCOSHA) was notified at 0920 EDT.

"The NRC Resident Inspector has been notified."

The licensee notified Pickens County, South Carolina and Oconee County Emergency Managements.

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Power Reactor Event Number: 50918
Facility: PERRY
Region: 3 State: OH
Unit: [1] [ ] [ ]
RX Type: [1] GE-6
NRC Notified By: ED CONDO
HQ OPS Officer: DANIEL MILLS
Notification Date: 03/23/2015
Notification Time: 16:28 [ET]
Event Date: 03/23/2015
Event Time: 15:26 [EDT]
Last Update Date: 03/23/2015
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xii) - OFFSITE MEDICAL
Person (Organization):
JAMNES CAMERON (R3DO)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
1 N N 0 Refueling 0 Refueling

Event Text

POTENTIALLY CONTAMINATED INDIVIDUAL TRANSPORTED OFFSITE DUE TO MEDICAL CONDITION

"At approximately 1526 EDT, the control room received a report of an individual experiencing chest pains. An ambulance was called to transport the individual to an offsite medical facility. The initial Radiation Protection survey did not detect any contamination, however the protective clothing the individual wore could not be removed. The individual is considered 'potentially contaminated' due to not being able to perform a complete frisk. Radiation Protection personnel escorted the individual offsite. The individual will be frisked at the medical facility."

The licensee has notified the NRC Resident Inspector and will notify the state and local government.

* * * UPDATE AT 1722 EDT ON 3/23/2015 FROM ED CONDO TO MARK ABRAMOVITZ * * *

"At approximately 1652 [EDT], Perry Radiation Protection confirmed the individual was not contaminated. Additionally no contamination was found in the ambulance or at the hospital. Perry Radiation Protection is in possession of and returning all protective clothing worn by the individual to the plant."

The licensee notified the NRC Resident Inspector.

Notified the R3DO (Cameron).

Page Last Reviewed/Updated Tuesday, March 24, 2015
Tuesday, March 24, 2015