Event Notification Report for July 15, 2015
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
07/14/2015 - 07/15/2015
EVENT NUMBERS
51232512355123651237
Power Reactor
Event Number: 51232
Facility: DRESDEN
Region: 3 State: IL
Unit: [] [2] [3]
RX Type: [1] GE-1,[2] GE-3,[3] GE-3
NRC Notified By: PATRICK HAARHOSS
HQ OPS Officer: VINCE KLCO
Region: 3 State: IL
Unit: [] [2] [3]
RX Type: [1] GE-1,[2] GE-3,[3] GE-3
NRC Notified By: PATRICK HAARHOSS
HQ OPS Officer: VINCE KLCO
Notification Date: 07/15/2015
Notification Time: 01:04 [ET]
Event Date: 07/15/2015
Event Time: 00:04 [CDT]
Last Update Date: 07/17/2015
Notification Time: 01:04 [ET]
Event Date: 07/15/2015
Event Time: 00:04 [CDT]
Last Update Date: 07/17/2015
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
STEVE ORTH (R3DO)
STEVE ORTH (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 |
| 3 | N | Y | 100 | Power Operation | 100 | Power Operation |
TECHNICAL SUPPORT CENTER OUT OF SERVICE DUE TO PLANNED MAINTENANCE
"At 0004 [CDT] on Wednesday, July 15, 2015, the Dresden Nuclear Power Station (DNPS) Technical Support Center (TSC) emergency ventilation system will be removed from service for planned maintenance activities. During the maintenance, the TSC Ventilation will be shut down. The TSC air filtration fan and dampers will be non-functional, rendering the TSC HVAC accident mode non-functional. This maintenance is scheduled to minimize out of service time. The planned TSC ventilation outage is scheduled to be completed in approximately 24 hours.
"Contingency plans are in place so that if an emergency is declared requiring TSC activation during this period, the TSC will be staffed and activated using existing Emergency Planning (EP) procedures and checklists. If radiological or environmental conditions require TSC facility evacuation during ventilation system restoration; the Station Emergency Director will relocate the TSC staff in accordance with station procedures."
"The NRC Resident Inspector has been notified."
* * * UPDATE FROM TRAVIS PRELLWITZ TO DONALD NORWOOD AT 1733 EDT ON 7/17/2015 * * *
"At 1347 CDT on July 17, 2015, Dresden TSC Ventilation was restored. The Dresden TSC Ventilation is Functional at this time.
"The NRC Resident Inspector has been notified."
Notified R3DO (Orth).
"At 0004 [CDT] on Wednesday, July 15, 2015, the Dresden Nuclear Power Station (DNPS) Technical Support Center (TSC) emergency ventilation system will be removed from service for planned maintenance activities. During the maintenance, the TSC Ventilation will be shut down. The TSC air filtration fan and dampers will be non-functional, rendering the TSC HVAC accident mode non-functional. This maintenance is scheduled to minimize out of service time. The planned TSC ventilation outage is scheduled to be completed in approximately 24 hours.
"Contingency plans are in place so that if an emergency is declared requiring TSC activation during this period, the TSC will be staffed and activated using existing Emergency Planning (EP) procedures and checklists. If radiological or environmental conditions require TSC facility evacuation during ventilation system restoration; the Station Emergency Director will relocate the TSC staff in accordance with station procedures."
"The NRC Resident Inspector has been notified."
* * * UPDATE FROM TRAVIS PRELLWITZ TO DONALD NORWOOD AT 1733 EDT ON 7/17/2015 * * *
"At 1347 CDT on July 17, 2015, Dresden TSC Ventilation was restored. The Dresden TSC Ventilation is Functional at this time.
"The NRC Resident Inspector has been notified."
Notified R3DO (Orth).
Non-Agreement State
Event Number: 51235
Rep Org: UNITED STATES AIR FORCE
Licensee: UNITED STATES AIR FORCE
Region: 3
City: WRIGHT-PATTERNSON AFB State: OH
County:
License #: 42-23539-01AF
Agreement: Y
Docket:
NRC Notified By: RAMACHANDRA BHAT
HQ OPS Officer: DONG HWA PARK
Licensee: UNITED STATES AIR FORCE
Region: 3
City: WRIGHT-PATTERNSON AFB State: OH
County:
License #: 42-23539-01AF
Agreement: Y
Docket:
NRC Notified By: RAMACHANDRA BHAT
HQ OPS Officer: DONG HWA PARK
Notification Date: 07/15/2015
Notification Time: 15:52 [ET]
Event Date: 07/15/2015
Event Time: 15:15 [EDT]
Last Update Date: 07/15/2015
Notification Time: 15:52 [ET]
Event Date: 07/15/2015
Event Time: 15:15 [EDT]
Last Update Date: 07/15/2015
Emergency Class: NON EMERGENCY
10 CFR Section:
20.2201(a)(1)(i) - LOST/STOLEN LNM>1000X
10 CFR Section:
20.2201(a)(1)(i) - LOST/STOLEN LNM>1000X
Person (Organization):
VINCENT GADDY (R4DO)
NMSS_EVENTS_NOTIFICA (EMAI)
ILTAB (EMAI)
VINCENT GADDY (R4DO)
NMSS_EVENTS_NOTIFICA (EMAI)
ILTAB (EMAI)
LOST Am-241 SOURCES
The following was received via email:
"The Installation Radiation Safety Officer of the Wright- Patterson AFB telephoned at 1515 [EDT] stating that they lost two sources which have 10 microcuries of Am-241 each. IAW 10 CFR 20.2201, [the licensee has] reported the loss of sources to the NRC Operation Center."
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
The following was received via email:
"The Installation Radiation Safety Officer of the Wright- Patterson AFB telephoned at 1515 [EDT] stating that they lost two sources which have 10 microcuries of Am-241 each. IAW 10 CFR 20.2201, [the licensee has] reported the loss of sources to the NRC Operation Center."
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
Power Reactor
Event Number: 51236
Facility: COOPER
Region: 4 State: NE
Unit: [1] [] []
RX Type: [1] GE-4
NRC Notified By: JAMES DEDIC
HQ OPS Officer: VINCE KLCO
Region: 4 State: NE
Unit: [1] [] []
RX Type: [1] GE-4
NRC Notified By: JAMES DEDIC
HQ OPS Officer: VINCE KLCO
Notification Date: 07/16/2015
Notification Time: 04:41 [ET]
Event Date: 07/15/2015
Event Time: 23:32 [CDT]
Last Update Date: 07/16/2015
Notification Time: 04:41 [ET]
Event Date: 07/15/2015
Event Time: 23:32 [CDT]
Last Update Date: 07/16/2015
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
VINCENT GADDY (R4DO)
VINCENT GADDY (R4DO)
| Unit | SCRAM Code | RX Crit | Initial PWR | Initial RX Mode | Current PWR | Current RX Mode |
|---|---|---|---|---|---|---|
| 1 | N | Y | 100 | Power Operation | 100 | Power Operation |
LOSS OF EMERGENCY ASSESSMENT CAPABILITY DUE TO METEOROLOGICAL TOWER SOFTWARE FAILURE
"This notification is being made due to a loss of emergency assessment capability in accordance with 10CFR 50.72(b)(3)(xiii). At 2332 [CDT], on 07/15/2015, the meteorological tower computer system software failed which resulted in a loss of meteorological data to the plant. Proceduralized compensatory measures for dose assessment include use of National Weather Service followed by historically determined default values. Information Technology personnel reported to the plant and successfully reset the software. Meteorological data to the plant was restored at 0216 [CDT] on 07/16/2015.
"The NRC Resident Inspector has been notified."
"This notification is being made due to a loss of emergency assessment capability in accordance with 10CFR 50.72(b)(3)(xiii). At 2332 [CDT], on 07/15/2015, the meteorological tower computer system software failed which resulted in a loss of meteorological data to the plant. Proceduralized compensatory measures for dose assessment include use of National Weather Service followed by historically determined default values. Information Technology personnel reported to the plant and successfully reset the software. Meteorological data to the plant was restored at 0216 [CDT] on 07/16/2015.
"The NRC Resident Inspector has been notified."
Agreement State
Event Number: 51237
Rep Org: PA BUREAU OF RADIATION PROTECTION
Licensee: READING HOSPITAL
Region: 1
City: WEST READING State: PA
County:
License #: PA-0023
Agreement: Y
Docket:
NRC Notified By: JOSEPH MELNIC
HQ OPS Officer: DONALD NORWOOD
Licensee: READING HOSPITAL
Region: 1
City: WEST READING State: PA
County:
License #: PA-0023
Agreement: Y
Docket:
NRC Notified By: JOSEPH MELNIC
HQ OPS Officer: DONALD NORWOOD
Notification Date: 07/16/2015
Notification Time: 14:09 [ET]
Event Date: 07/15/2015
Event Time: 00:00 [EDT]
Last Update Date: 07/16/2015
Notification Time: 14:09 [ET]
Event Date: 07/15/2015
Event Time: 00:00 [EDT]
Last Update Date: 07/16/2015
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
FRANK ARNER (R1DO)
NMSS_EVENTS_NOTIFIC (EMAI)
FRANK ARNER (R1DO)
NMSS_EVENTS_NOTIFIC (EMAI)
AGREEMENT STATE REPORT - OVERDOSE TO PATIENT DURING PROSTATE SEED IMPLANT
The following information was received via facsimile:
"On July 16, 2015 the licensee informed the Department's [Pennsylvania Department of Environmental Protection Bureau of Radiation Protection] Central Office of a medical event. The event is reportable within 24-hours per 10 CFR 35.3045(a)(1)(i). Both the patient and referring physician were notified.
"On July 15, 2015, a patient was scheduled to receive a partial iodine-125 (I-125) prostate seed implant of 107 Gy, to be followed by a course of external beam radiation therapy of 45 Gy. During the procedure, the physician made an error and administered a full I-125 implant of 160 Gy. This resulted in a 49.5 percent overdose. No harm is expected to the patient.
"Cause of the event: Human error.
"The licensee plans to compensate for the overdose by eliminating the follow-up external beam therapy. A full report is expected within 15 days. The Southcentral Regional Office plans to perform a reactive inspection. More information will be provided as received."
Pennsylvania Event Report ID No.: PA150020
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.
The following information was received via facsimile:
"On July 16, 2015 the licensee informed the Department's [Pennsylvania Department of Environmental Protection Bureau of Radiation Protection] Central Office of a medical event. The event is reportable within 24-hours per 10 CFR 35.3045(a)(1)(i). Both the patient and referring physician were notified.
"On July 15, 2015, a patient was scheduled to receive a partial iodine-125 (I-125) prostate seed implant of 107 Gy, to be followed by a course of external beam radiation therapy of 45 Gy. During the procedure, the physician made an error and administered a full I-125 implant of 160 Gy. This resulted in a 49.5 percent overdose. No harm is expected to the patient.
"Cause of the event: Human error.
"The licensee plans to compensate for the overdose by eliminating the follow-up external beam therapy. A full report is expected within 15 days. The Southcentral Regional Office plans to perform a reactive inspection. More information will be provided as received."
Pennsylvania Event Report ID No.: PA150020
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.