|
U.S. Nuclear Regulatory Commission
Operations Center
Event Reports For
05/12/2015 - 05/13/2015
** EVENT NUMBERS **
|
| Power Reactor |
Event Number: 50998 |
Facility: HATCH
Region: 2 State: GA
Unit: [1] [2] [ ]
RX Type: [1] GE-4,[2] GE-4
NRC Notified By: STEVE BRUNSON
HQ OPS Officer: CHARLES TEAL |
Notification Date: 04/20/2015
Notification Time: 21:26 [ET]
Event Date: 08/07/2014
Event Time: 17:07 [EDT]
Last Update Date: 05/12/2015 |
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(ii)(B) - UNANALYZED CONDITION |
Person (Organization):
ALAN BLAMEY (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 |
90 |
Power Operation |
90 |
Power Operation |
Event Text
THIS IS A CONTINUATION OF EN #50351
* * * UPDATE FROM STEVE BRUNSON TO CHARLES TEAL ON 4/20/15 AT 2126 EDT * * *
"During an expanded scope inspection, deficiencies in the following areas were observed that caused the affected barriers to be considered nonfunctional:
- A gap ¬" wide, 1" tall, and 6" deep was found at penetration 1Z43H594D on the west wall of the U1 East Cableway (separating Fire Area 1104 and Fire Area 1020)
- Near penetration 1Z43J837D, and approximately 12" south and above 1Z43H837D, gaps were observed in the mortar joint between CMU on the west wall of the U1 East Cableway (separating Fire Area 1104 and Fire Area 1020)
- A triangular gap 1" wide, 1" tall and 6" deep was found at penetration 1Z43H592D on the west wall of the U1 East Cableway (separating Fire Area 1104 and Fire Area 1020)
- A gap 4" tall and 3" wide was found behind Turn Box TB1-1272 which covers penetrations 1Z43H590D, 1Z43H589D, 1Z43H588, and 1Z43H587D on the west wall of the U1 East Cableway (separating Fire Area 1104 and Fire Area 1020)
- At the architectural joint between the vertical wall to the horizontal floor/ceiling assembly above door 1C-22, above and to the south of 1Z43H1105D, a gap was observed approximately ¬" tall, 3" wide, and 6" deep on the west wall of the U1 East Cableway Foyer (separating Fire Area 1105 and Fire Area 0014K)
- Gap between the grout and the conduit of penetration 1Z43H778D approximately ¬" tall x 1.5" wide x 6" deep on the east wall of the Unit 1 130' Elevation Control Building Working Floor Hallway (separating Fire Area 0014K and Fire Area 1105)
"The nonconforming conditions observed for the affected fire penetrations and fire barriers were identified as affecting both safe shutdown paths for Unit 2. Compensatory measures were already in place in accordance with the plant's Fire Hazard Analysis (FHA) as a result of previous conditions involving degraded barriers in the same fire areas and will remain in place until the fire barriers are repaired. The presence of the compensatory measures in addition to portable fire protection equipment located in adjacent areas ensure the safe shutdown paths are preserved until the degraded conditions are repaired.
"CR 10058276; CR 10058278
"The following deficiencies were also observed causing the affected penetrations to be considered nonfunctional:
- A gap ¬" wide, 1" tall, and 6" deep was located at penetration 1Z43H532D on the west wall of the U1 East Cableway (separating Fire Area 1104 and Fire Area 0014M)
- A gap 1/8" wide, 1" tall and 6" deep was located at penetration 1Z43H780D on the west wall of the U1 East Cableway (separating Fire Area 1104 and Fire 0014M)
- A gap 1" wide, 1" tall, and 6" deep was located at penetration 1Z43H781D on the west wall of the U1 East Cableway (separating Fire Area 1104 and Fire 0014M). A ¬" x «" defect was also identified at penetration 1Z43H781D on the east wall of the Men's Restroom in the Control Building (separating Fire Area 0014M and Fire Area 1104)
"The nonconforming conditions observed for the affected penetrations were identified as affecting both safe shutdown paths for Unit 1 and Unit 2. Compensatory measures were already in place in accordance with the plant's Fire Hazard Analysis (FHA) as a result of previous conditions involving degraded barriers in the same fire areas and will remain in place until the fire barriers are repaired. The presence of compensatory measures in addition to portable fire protection equipment located in adjacent areas ensures the safe shutdown paths are preserved until degraded conditions are repaired.
"CR 10058277
"The expanded scope inspection activity is continuing and this and any subsequent similar condition(s) that meets the reporting requirements will be included in an ENS Update Report as required and will be documented in a revised LER at the end of the inspection activity."
The licensee has notified the NRC Resident Inspector. Notified R2DO (Blamey).
* * * UPDATE FROM SCOTT BRITT TO DONG PARK ON 4/23/15 AT 1654 EDT * * *
"During an expanded scope inspection, deficiencies in the following areas were observed that caused the affected barriers to be considered nonfunctional:
- A gap 1/4" wide, 1" tall and 7" deep was found at penetration 1Z43H1138D on the east wall of the U1 RPS MG Set Room (separating Fire Area 1013 and Fire Area 0040). No seal material was seen between the sleeve and the cinderblock on the north side of penetration.
- A void 1" tall, 1" wide, and 7" deep was found in the south upper corner under a concrete beam at column line T12 above penetration 1Z43H941D on the east wall of the U1 RPS MG Set Room (separating Fire Area 1013 and Fire Area 0040).
- At penetration 1Z43H1139D, it appears that combustible neoprene insulation is used around the pipe within the plane of the west wall of the Vertical Cable Chase Room (separating Fire Area 0040 and Fire Area 1013). Combustible materials would not be part of a rated pen seal.
- A gap 1" wide, 1" tall and 7" deep was observed at penetration 1Z43H1138D on the west wall of the Vertical Cable Chase Room (separating Fire Area 0040 and Fire Area 1013).
"The nonconforming conditions observed for the affected fire penetrations and fire barriers were identified as affecting both safe shutdown paths for Unit 1. Compensatory measures were already in place in accordance with the plant's Fire Hazard Analysis (FHA) as a result of previous conditions involving degraded barriers in the same fire areas and will remain in place until the fire barriers are repaired. The presence of the compensatory measures in addition to portable fire protection equipment located in adjacent areas ensures the safe shutdown paths are preserved until the degraded conditions are repaired. The expanded scope inspection activity is continuing, and this and any subsequent similar condition(s) that meets the reporting requirements will be included in an ENS Update Report as required and will be documented in a revised LER at the end of the inspection activity.
"CR 10060228"
The licensee will notify the NRC Resident Inspector. Notified R2DO (Blamey).
* * * UPDATE FROM STANLEY STONE TO DONG PARK ON 4/27/15 AT 2047 EDT * * *
"During an expanded scope inspection, deficiencies in the following areas were observed that caused the affected barriers to be considered nonfunctional:
-An opening in the grout 1/4" wide, 1/2" tall and over 7" deep was found between the wall and the outside sleeve for penetration 2Z43H028D on the west wall of the U2 Transformer Room (separating Fire Area 2019 and Fire Area 2016).
-A 1/4" diameter hole in the grout approximately 2.5" deep was found above conduit 2MI2128 on the west wall of the U2 Transformer Room (separating Fire Area 2019 and Fire Area 2016).
"The nonconforming conditions observed for the affected penetration and fire barrier were identified as affecting both safe shutdown paths for Unit 1 and Unit 2. Compensatory measures were already in place in accordance with the plant's Fire Hazard Analysis (FHA) as a result of previous conditions involving degraded barriers in the same fire areas and will remain in place until the fire barriers are repaired. The presence of the compensatory measures in addition to portable fire protection equipment located in adjacent areas ensures the safe shutdown paths are preserved until the degraded conditions are repaired. The expanded scope inspection activity is continuing, and this and any subsequent similar condition(s) that meets the reporting requirements will be included in an ENS Update Report as required and will be documented in a revised LER at the end of the inspection activity.
"CR 10061830"
The licensee notified the NRC Resident Inspector. Notified R2DO (Blamey).
* * * UPDATE FROM PAUL UNDERWOOD TO DONG PARK ON 4/28/15 AT 1640 EDT * * *
"During an expanded scope inspection, deficiencies in the following areas were observed that caused the affected barriers in the Unit 2 Control Building 130' elevation to be considered nonfunctional and represented degraded conditions of penetrations through the wall separating the Unit 2 Switchgear Access Hallway - Fire Area 2014, from the U2 West 600 V Switchgear Room - Fire Area 2016.
"The following conditions were located on the south wall of the Unit 2 Switchgear Access Hallway (Fire Area 2014).
1. An opening between the conduit and the wall 1/4" wide, 2" long and probed to be at least 2 1/2" deep was identified for penetration 2Z43H668D. A similar condition exists for this penetration on the opposite side of the wall in Fire Area 2016.
2. An opening between the conduit and the wall 1/4" wide, 1/2" long and probed to be at least 3" deep was identified for penetration 2Z43H667D. A similar condition exists for this penetration on the opposite side of the wall in Fire Area 2016.
The following conditions were located on the opposite side of the same wall. This is the north wall of the U2 West 600V Switchgear Room (Fire Area 2016):
3. An opening between the conduit and the wall 1/8" wide, 1" long and probed to be at least 4" deep was identified for penetration 2Z43H668D.
4. An opening between the conduit and the wall 1/8" wide, 1/2" long and probed to be at least 3" deep was identified for penetration 2Z43H667D.
5. An opening between the conduit and the wall 2 1/2" wide, 2 1/2" long and probed to be at least 4" deep was identified around the 2" continuous run conduit located above cable tray penetration 2Z43H031D.
6. An opening between the conduit and the wall 1/4" wide, 3/4" long and probed to be at least 6" deep was identified above a 3/4" continuous run conduit (first of three) located at the ceiling near column line TE.
7. An opening between the conduit and the wall 1/4" wide, 1/2" long and probed to be at least 6" deep was identified above a 3/4" continuous run conduit (second of three) located at the ceiling near column line TE.
8. An opening between the conduit and the wall 1/4" wide, 3/4" long and probed to be at least 5" deep was identified above a 3/4" continuous run conduit (third of three) located at the ceiling near column line TE.
"The nonconforming conditions observed for the affected penetration and fire barrier were identified as affecting both safe shutdown paths for Unit 2. Compensatory measures were already in place in accordance with the plant's Fire Hazard Analysis (FHA) as a result of previous conditions involving degraded barriers in the same fire areas and will remain in place until the fire barriers are repaired. The presence of the compensatory measures in addition to portable fire protection equipment located in adjacent areas ensures the safe shutdown paths are preserved until the degraded conditions are repaired. The expanded scope inspection activity is continuing, and this and any subsequent similar condition(s) that meets the reporting requirements will be included in an ENS Update Report as required and will be documented in a revised LER at the end of the inspection activity.
"CR 10062254"
The licensee notified the NRC Resident Inspector. Notified R2DO (Ehrhardt).
* * * UPDATE FROM PAUL UNDERWOOD TO DANIEL MILLS ON 4/29/15 AT 1804 EDT * * *
"During an expanded scope inspection, deficiencies in the Unit 2 Control Building 130 foot elevation were observed that caused the affected barriers to be considered nonfunctional and represented degraded conditions of penetrations through the wall separating the Unit 2 West DC Switchgear Room 2A (Fire Area 2018) and the Unit 2 Switchgear Access Hallway (Fire Area 2014).
"The following conditions were located on the west wall of the Unit 2 Switchgear Access Hallway (Fire Area 2014).
1. An opening between the conduit and the wall ¬ inch wide, 1 inch long and probed to be greater than 2 inch deep, was identified for penetration 2Z43H673D.
2. There is insufficient masonry material to fill the full depth of the wall above the ductwork that passes through penetration 2Z43H032D. This deficiency affects a small area on the south side of the ductwork and penetrations 2Z43H789D, 2Z43H790D, and 2Z43H791D.
3. An opening between the conduit and the wall ¬ inch wide, 1 inch long and probed to be 4 inch deep was identified for penetration 2Z43H671D. A similar condition exists for this penetration on the opposite side of the wall (see Item 5 below).
"The following conditions were located on the east wall of the Unit 2 West DC Switchgear Room 2A (Fire Area 2018).
4. There are openings between the conduits and the wall ¬ inch wide and 1 inch long for penetrations 2Z43H789D, 2Z43H790D, and 2Z43H791D. These penetrations are affected in Item 2 above.
5. An opening between the conduit and the wall 1 inch wide, 1 inch long and probed to be greater than 6 inch deep, was identified for penetration 2Z43H671D.
6. An opening between the conduit and the wall ¬ inch wide, 1 inch long and probed to be at least 2 inch deep, was identified for penetration 2Z43H673D.
7. An opening between the conduit and the wall ¬ inch wide, 1 inch long and probed to be at least 2 « inch deep, was identified for penetration 2Z43H676D.
"The nonconforming conditions observed for the affected penetrations were identified as affecting both safe shutdown paths for Unit 2. Compensatory measures were already in place in accordance with the plant's Fire Hazard Analysis (FHA) as a result of previous conditions involving degraded barriers in the same fire areas and will remain in place until the fire barriers are repaired. The presence of the compensatory measures in addition to portable fire protection equipment located in adjacent areas ensures the safe shutdown paths are preserved until the degraded conditions are repaired. The expanded scope inspection activity is continuing, and this and any subsequent similar condition(s) that meets the reporting requirements will be included in an ENS Update Report as required and will be documented in a revised LER at the end of the inspection activity.
"CR10062955"
The licensee notified the NRC Resident Inspector. Notified R2DO (Ehrhardt).
* * * UPDATE FROM JOHN MITCHELL TO HOWIE CROUCH AT 2137 EDT * * *
"During an expanded scope inspection, deficiencies in the Control Building 130' elevation were observed that caused the affected barriers to be considered nonfunctional and represented degraded conditions of the following penetrations through the wall separating the Unit 2 East Cableway (Fire Area 2104) and the Health Physics Hallway and Counting Room (Fire Areas 0014B and 0014G).
- Penetration 2Z43H783D terminates open within a foot of the east wall of the Health Physics Counting Room (Fire Area 0014G)
- Penetration 2Z43H603D contains no visible seal material and is located on the east wall of the Health Physics Hallway (Fire Area 0014B).
"The nonconforming conditions observed for the affected penetrations were identified as affecting both safe shutdown paths for Unit 1 and Unit 2.
"Deficiencies were also observed that caused the affected barriers to be considered nonfunctional and represented degraded condition of the wall separating the Unit 2 East Cableway (Fire Area 2104) from the common East Cableway Foyer (Fire Area 1105).
- Gap near penetration 2Z43H170D between a conduit and the concrete masonry unit (CMU) wall located on the south wall of the Unit 2 East Cableway (Fire Area 2104).
"The nonconforming conditions observed for the affected fire barriers were identified as affecting both safe shutdown paths for Unit 1.
"Compensatory measures were already in place in accordance with the plant's Fire Hazard Analysis (FHA) as a result of previous conditions involving degraded barriers in the same fire areas but were modified based on the nature of the degradations noted in the condition report and will remain in place until the fire barriers are repaired. The presence of the compensatory measures in addition to portable fire protection equipment located in adjacent areas ensures the safe shutdown paths are preserved until the degraded conditions are repaired. The expanded scope inspection activity is continuing, and this and any subsequent similar condition(s) that meets the reporting requirements will be included in an ENS Update Report as required and will be documented in a revised LER at the end of the inspection activity.
"CR10063642"
Notified R2DO (Ehrhardt).
* * * UPDATE FROM JOHN MITCHELL TO JOHN SHOEMAKER AT 1638 EDT ON 5/7/15 * * *
"During an expanded scope inspection, deficiencies in the Control Building 147' elevation were observed that caused the affected barriers to be considered nonfunctional. These deficiencies represented degraded conditions of the following penetrations through the wall separating the Unit 1 CO2 Tank Room (Fire Area 0025) and the Computer Room (Fire Areas 0024B) as well as a discrepancy in the affected wall.
- In Fire Area 0024B, a small gap in the foam, approximately 6 [inch] deep was identified in Penetration 1Z43H592F. The adjacent Fire Area is FA 0025.
- In Fire Area 0024B, penetration 1Z43H325F was identified with no sealant for the penetration sleeve. The adjacent Fire Area is FA 0025.
- In Fire Area 0024B, foam sealant was missing in cable-tray, 1Z43H061F. The adjacent Fire Area is FA 0025
- In Fire Area 0024B, a gap was identified in a concrete masonry unit (CMU) wall joint, directly above 1Z43H062F.
"The nonconforming conditions observed for the affected fire barriers were identified as affecting both safe shutdown paths for Unit 1 and Unit 2.
"Compensatory measures were already in place in accordance with the plant's Fire Hazard Analysis (FHA) as a result of previous conditions involving degraded barriers in the same fire areas and will remain in place until the fire barriers are repaired. The presence of the compensatory measures in addition to portable fire protection equipment located in adjacent areas ensures the safe shutdown paths are preserved until the degraded conditions are repaired. The expanded scope inspection activity is continuing, and this and any subsequent similar condition(s) that meets the reporting requirements will be included in an ENS Update Report as required and will be documented in a revised LER at the end of the inspection activity.
"CR10066678"
The licensee has notified the NRC Resident Inspector.
Notified the R2DO (Sandal).
* * * UPDATE AT 2151 EDT ON 05/07/15 FROM SCOTT BRITT TO S. SANDIN * * *
"During an expanded scope inspection, a deficiency in the Control Building 147 ft. elevation was observed that caused the affected barrier to be considered nonfunctional. This deficiency represented degraded conditions of the following fire barrier separating the Unit 1 CO2 Tank Room (Fire Area 0025) and the Cable Spreading Room (Fire Areas 0024A).
- A 1/4 inch x 2 inch x approximately 4 inch deep gap in the east CMU wall of Unit 1 CO2 Tank Room above penetration 1Z43H046F.
"The nonconforming condition observed for the affected fire barrier was identified as affecting both safe shutdown paths for Unit 1 and Unit 2. Compensatory measures were already in place in accordance with the plant's Fire Hazard Analysis (FHA) as a result of previous conditions involving degraded barriers in the same fire areas and will remain in place until the fire barriers are repaired. The presence of the compensatory measures in addition to portable fire protection equipment located in adjacent areas ensures the safe shutdown paths are preserved until the degraded conditions are repaired. The expanded scope inspection activity is continuing, and this and any subsequent similar condition(s) that meets the reporting requirements will be included in an ENS Update Report as required and will be documented in a revised LER at the end of the inspection activity.
"CR10066844"
The licensee will inform the NRC Resident Inspector. Notified R2DO (Sandal).
* * * UPDATE AT 2029 EDT ON 05/08/15 FROM SCOTT A. BRITT TO S. SANDIN * * *
"During an expanded scope inspection, deficiencies in the Control Building 147 ft. elevation were observed that caused the affected barrier to be considered nonfunctional. These deficiencies represent degraded conditions of the following fire barrier separating the Cable Spreading Room (FA 0024A) and the CO2 Tank Room (FA 0025).
- Multiple gaps in the caulk at the top of the ceiling of the west wall of the Cable Spreading Room (separating FA 0024A and FA 0025).
"The nonconforming condition observed for the affected fire barrier was identified as affecting both safe shutdown paths for Unit 1 and Unit 2. Compensatory measures were already in place in accordance with the plant's Fire Hazard Analysis (FHA) as a result of previous conditions involving degraded barriers in the same fire areas and will remain in place until the fire barriers are repaired. The presence of the compensatory measures in addition to portable fire protection equipment located in adjacent areas ensures the safe shutdown paths are preserved until the degraded conditions are repaired. The expanded scope inspection activity is continuing, and this and any subsequent similar condition(s) that meets the reporting requirements will be included in an ENS Update Report as required and will be documented in a revised LER at the end of the inspection activity.
"CR 10067163"
The licensee will inform the NRC Resident Inspector. Notified R2DO (Sandal).
* * * UPDATE FROM PAUL UNDERWOOD TO DANIEL MILLS ON 5/11/15 AT 1711 EDT * * *
"During an expanded scope inspection activity, multiple fire penetrations on the Control Building El. 130' elevation were identified that resulted in the affected barriers being considered NON-FUNCTIONAL.
"An issue was identified with the wall separating the Vertical Cable Chase, Fire Area 0040, from the Unit 2 RPS MG Set Room, Fire Area 2013.
- A 1/4" wide x 1/2" long x approximately 6" deep gap in the grout of a 2" continuous run conduit, 6" away from 2Z43H581D was identified.
- A 1/4" wide x 3" long x approximately 6" deep gap in the grout of penetration 2Z43H581D was identified.
- A 1/2" wide x 2" long x approximately 6" deep gap in the grout of penetration 2Z43H580D was identified.
"The nonconforming condition observed for the affected fire barrier was identified as affecting both safe shutdown paths for Unit 2. Compensatory measures were already in place in accordance with the plant's Fire Hazard Analysis (FHA) as a result of previous conditions involving degraded barriers in the same fire areas and will remain in place until the fire barriers are repaired. The presence of the compensatory measures in addition to portable fire protection equipment located in adjacent areas ensures the safe shutdown paths are preserved until the degraded conditions are repaired. The expanded scope inspection activity is continuing, and this and any subsequent similar condition(s) that meets the reporting requirements will be included in an ENS Update Report as required and will be documented in a revised LER at the end of the inspection activity.
"CR 10068138"
The NRC Resident Inspector has been notified. Notified R2DO (Bonser).
* * * UPDATE FROM GUY GRIFFIS TO DANIEL MILLS ON 5/12/15 AT 2151 EDT * * *
"During an expanded scope inspection activity, a fire barrier on the Control Building El. 164' elevation was identified as being NON-FUNCTIONAL as follows;
- A discrepancy was identified with the fire barrier separating the Unit 1 Turbine Building Main Floor Area, Fire Area 0101A from the Main Control Room, Fire Area 0024C. The condition consists of a small gap 1/4" wide, 3" long and probed to be greater than 6" deep between the wall and conduit at penetration 1Z43H605J on the Turbine Building side of the wall.
"The nonconforming condition observed for the affected fire barrier was identified as affecting both safe shutdown paths for Units 1 and 2. Compensatory measures were already in place in accordance with the plant's Fire Hazard Analysis (FHA) as a result of previous conditions involving degraded barriers in the same fire areas and will remain in place until the fire barriers are repaired. The presence of the compensatory measures in addition to portable fire protection equipment located in adjacent areas ensures the safe shutdown paths are preserved until the degraded conditions are repaired. The expanded scope inspection activity is continuing, and this and any subsequent similar condition(s) that meets the reporting requirements will be included in an ENS Update Report as required and will be documented in a revised LER at the end of the inspection activity.
"CR 10068842"
The NRC Resident Inspector has been notified. Notified R2DO (Bonser). |
| Agreement State |
Event Number: 51039 |
Rep Org: WISCONSIN RADIATION PROTECTION
Licensee: GUNDERSEN LUTHERAN MEDICAL CENTER, INC.
Region: 3
City: LA CROSSE State: WI
County:
License #: 063-1121-01
Agreement: Y
Docket:
NRC Notified By: EMILY EGGERS
HQ OPS Officer: DONG HWA PARK |
Notification Date: 05/04/2015
Notification Time: 17:52 [ET]
Event Date: 05/01/2015
Event Time: [CDT]
Last Update Date: 05/04/2015 |
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE |
Person (Organization):
RICHARD SKOKOWSKI (R3DO)
NMSS_EVENTS_NOTIFICA (EMAI) |
Event Text
AGREEMENT STATE REPORT - PATIENT RECEIVED LESS THAN PRESCRIBED Y-90 DOSE
The following was received from the State of Wisconsin via email:
"On May 4, 2015, the Wisconsin Radiation Protection Section received a notice from an Authorized Medical Physicist [AMP] at Gundersen Lutheran Medical Center, Inc., of a medical event that occurred during a Yttrium-90 Therasphere procedure on May 1, 2015. The licensee did not have enough information to determine if the procedure constituted a medical event on May 1, 2015. Upon further evaluation, the AMP determined it was a medical event as of 3 pm CST May 4, 2015. The patient was scheduled to receive two separate Y-90 Therasphere doses to two separate segments of the liver. During the first injection, the overpressure valve opened and filled the overflow vial with the Authorized User applying very little pressure to the saline filled syringe. The patient was to get 147 Gy to Segment 6 of the liver. From residue measurements, the patient received 35.5 percent or 52.2 Gy to Segment 6. The Radiation Protection Section will perform an investigation and update through NMED [Nuclear Material Events Database].
"Event Report ID No.: WI150006"
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. |
| Non-Agreement State |
Event Number: 51042 |
Rep Org: DEPARTMENT OF VETERAN AFFAIRS
Licensee: DEPARTMENT OF VETERAN AFFAIRS
Region: 3
City: NORTH CHICAGO State: IL
County:
License #: 03-23853-01VA
Agreement: Y
Docket:
NRC Notified By: THOMAS HUSTON
HQ OPS Officer: CHARLES TEAL |
Notification Date: 05/05/2015
Notification Time: 10:44 [ET]
Event Date: 05/05/2015
Event Time: 06:15 [CDT]
Last Update Date: 05/05/2015 |
Emergency Class: NON EMERGENCY
10 CFR Section:
20.1906(d)(2) - EXTERNAL RAD LEVELS > LIMITS |
Person (Organization):
RICHARD SKOKOWSKI (R3DO)
GREG PICK (R4DO)
NMSS EVENTS NOTIFICA (EMAI) |
Event Text
SURFACE CONTAMINATION ON OUTSIDE OF PACKAGE EXCEEDING REPORTING LIMITS
"Per 10 CFR 20.1906(d)(1), [the Veterans Health Administration (VHA) is] reporting receipt of a package of radioactive material with removable surface contamination on the outside of the package greater than NRC reporting limits.
"The package was received today (May 5, 2015) and surveyed for contamination around 0615 CDT by Captain James A. Lovell Federal Health Care Center, North Chicago, Illinois. The health care center holds permit number 12-10057-04 issued by VHA per the MML [Master Materials License].
"Wipe tests performed on the external surface of the package indicated a removable contamination level of 690 dpm/cm2 as compared to the regulatory reporting limit of 240 dpm/cm2 for beta-gamma emitters.
"The package contained five unit dosages of Technetium-99m (about 144 millicuries total) and was shipped and delivered by Triad Isotopes in Elk Grove, Illinois. The nuclear medicine technologist who surveyed the package immediately notified, by telephone, the Pharmacy Manager at Triad Isotopes about the contaminated package.
"The exterior of the package was able to be decontaminated by the nuclear medicine technologist to levels below reporting limits by performing successive wipes on the surface. The inner packaging materials and dosage containers were surveyed and no contamination was identified such that the dosages were not impacted. There was no spread of contamination at the health care center from the package. The contaminated materials have been isolated in a restricted area at the health care center and will be held for decay.
"Veterans Health Administration (T. Huston) has also notified NRC Region III (K. Null) by telephone of this event." |
| Power Reactor |
Event Number: 51065 |
Facility: TURKEY POINT
Region: 2 State: FL
Unit: [ ] [4] [ ]
RX Type: [3] W-3-LP,[4] W-3-LP
NRC Notified By: SEAN BLOOM
HQ OPS Officer: DONG HWA PARK |
Notification Date: 05/12/2015
Notification Time: 05:48 [ET]
Event Date: 05/12/2015
Event Time: 04:30 [EDT]
Last Update Date: 05/12/2015 |
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 |
Person (Organization):
BRIAN BONSER (R2DO) |
| Unit |
SCRAM Code |
RX CRIT |
Initial PWR |
Initial RX Mode |
Current PWR |
Current RX Mode |
| 4 |
A/R |
Y |
81 |
Power Operation |
0 |
Hot Standby |
Event Text
REACTOR TRIP DUE TO MAIN GENERATOR DIFFERENTIAL TRIP
"This is an non-emergency notification to the NRC [Headquarters] Operations Center in accordance with 10 CFR 50.72(b)(2)(iv)(B) for a valid actuation of the reactor protection system (RPS) (four hour notification) and 10 CFR 50.72(b)(3)(iv)(A) for a valid Engineered Safeguards (ESF) actuation (eight hour notification) due to auxiliary feedwater (AFW) initiation.
"On 5/12/15 at 0430 EDT, Unit 4 experienced an automatic reactor trip due to Generator Differential Trip. Investigation is underway to determine the cause. Auxiliary feedwater automatically initiated as expected. All systems operated correctly in response to the reactor trip. Unit 4 is currently in Mode 3 and stable."
All control rods fully inserted. Normal offsite power is available with decay heat is being removed by the atmospheric steam dumps. There is no known primary to secondary reactor coolant system leakage.
The licensee has notified the NRC Resident Inspector. |
| Power Reactor |
Event Number: 51066 |
Facility: BROWNS FERRY
Region: 2 State: AL
Unit: [ ] [ ] [3]
RX Type: [1] GE-4,[2] GE-4,[3] GE-4
NRC Notified By: ANDREW MITCHELL
HQ OPS Officer: DONG HWA PARK |
Notification Date: 05/12/2015
Notification Time: 09:08 [ET]
Event Date: 05/12/2015
Event Time: 01:04 [CDT]
Last Update Date: 05/12/2015 |
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(v)(D) - ACCIDENT MITIGATION |
Person (Organization):
BRIAN BONSER (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 |
Event Text
HIGH PRESSURE COOLANT INJECTION DECLARED INOPERABLE
"On May 12, 2015, at 0104 CDT, during performance of 3-SR-3.3.6.1.2(3B), High Pressure Coolant Injection (HPCI) System Steam Supply Pressure Low Functional Test, an inadvertent PCIS Group 4 (HPCI) isolation occurred. All automatic actions occurred as designed. HPCI was declared inoperable and Technical Specification LCO 3.5.1.C was entered with required action to verify immediately that RCIC is operable administratively and to restore HPCI to operable within 14 days. HPCI was returned to service at 0125 CDT, declared operable and TS LCO 3.5.1.C was exited. The cause of the isolation is unknown with an investigation in progress.
"This condition is reportable as an 8-hour ENS notification under 10CFR 50.72(b)(3)(v)(D) due to the failure of a single train system affecting accident mitigation.
"This condition also requires a 60 day written report.
"The NRC Resident Inspector has been notified." |
| Power Reactor |
Event Number: 51068 |
Facility: COLUMBIA GENERATING STATION
Region: 4 State: WA
Unit: [2] [ ] [ ]
RX Type: [2] GE-5
NRC Notified By: DON GREGOIRE
HQ OPS Officer: DANIEL MILLS |
Notification Date: 05/12/2015
Notification Time: 22:13 [ET]
Event Date: 04/03/2015
Event Time: [PDT]
Last Update Date: 05/12/2015 |
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE |
Person (Organization):
MICHAEL VASQUEZ (R4DO) |
| 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 RADIOLOGICAL ASSESSMENT CAPABILITY DUE TO NON-FUNCTIONAL RADIATION MONITOR
"On 4/21/2015, during performance of source check surveillance on the liquid effluent radiation monitor for the Plant Service Water (TSW), a non-radioactive system, it was discovered that the instrument was determined to be nonfunctional. It was determined on 4/25/15 that the failure was due to an incorrect 'as left' setting from testing conducted on 4/3/2015. The instrument was determined to be non-functional from the period 4/03/15 to 4/25/15 when the setting was corrected.
"On 5/12/15 it was recognized that because no compensatory measures were implemented during the time the instrument was non-functional that this condition constituted a major loss of radiation assessment capability which is reportable in accordance with 10 CFR 50.72(b)(3)(xiii).
"The NRC Resident Inspector will be notified." |
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