Event Notification Report for October 21, 2015

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
10/20/2015 - 10/21/2015

** EVENT NUMBERS **


51465 51466 51483 51484

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Agreement State Event Number: 51465
Rep Org: KANSAS DEPT OF HEALTH & ENVIRONMENT
Licensee: KAW VALLEY ENGINEERING
Region: 4
City: KANSAS CITY State: KS
County: JOHNSON
License #: Kansas Lic#22
Agreement: Y
Docket:
NRC Notified By: JASON BARNEY
HQ OPS Officer: JOHN SHOEMAKER
Notification Date: 10/12/2015
Notification Time: 10:55 [ET]
Event Date: 10/10/2015
Event Time: 08:30 [CDT]
Last Update Date: 10/12/2015
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
RYAN ALEXANDER (R4DO)
NMSS_EVENTS_NOTIFIC (EMAI)

Event Text

AGREEMENT STATE REPORT - DAMAGED DENSITY GAUGE

The following information was received from the state of Kansas via email:

"At 0843 [CDT] hours, on 10/10/15, a call was received by the State of Kansas Staff Duty Officer (SDO), to the SDO line regarding a radiological 'accident'. The caller, [the licensee technician], stated that he had an accident involving a density gauge, and that the radiation sources had been compromised from their cases (Cs-137 less than 9 mCi, Am/Be less than 44 mCi.) [The State] asked him if this involved radiation which had contaminated the highway, and he stated that it had not. [The licensee] further explained that he had isolated the source rods in a cooler. [The licensee technician] stated that he was wearing his nuclear badge, and had not detected a change in the level of radiation.

"In response to this, [the State] made a phone notification to the KDEM [Kansas Department of Environmental Management] Response and Recovery Branch Director, KDHE [Kansas Department of Health and Environment] Radiation Control staff, and Johnson County Emergency Management. [The State] then called [the licensee] back to confirm details regarding the accident. According to [the licensee], he started the equipment, and placed it on his truck to let it 'warm up'. [The licensee technician] stated he then forgot the machine, and drove away. When this happened, the machine fell from the truck, and was broken when it hit the ground. [The licensee technician] stated he had not called any first responders about the incident. [The licensee technician] stated he picked up the pieces, and isolated the sources in the cooler. [The licensee technician] stated he would wait for personnel to respond, if needed. [The State] informed [the licensee] that KDHE was requesting that he make notification to them as well. [The licensee technician] was given the contact information, and stated he would do so.

"Local Response: Johnson County Emergency Management indicated they were planning to coordinate a local response to the scene, to ensure no further action would be needed.

"At 1038 [CDT], the Kansas Radiation Program Director dispatched two KDHE Radiation Control staff, with instrumentation to the scene with an ETA of 1145. Company [licensee] RSO could not be reached . [The licensee technician's] supervisor arrived on scene. [The licensee technician] was advised by [Kansas Radiation Program Director] to fill the cooler with dirt and/or sand to aid in shielding.

"1148, [the licensee technician] reported that Johnson County HazMat surveys were not showing any radiation exposure rate readings above background. As soon as KDHE staff confirm the readings, [the licensee] will transport the device back to their business where it will be stored in a secure location. The licensee already in communication and coordination with Troxler to return the damaged gauge to them. KDHE staff arrived on site.

"1202, KDHE staff verified that radiation sources were secured. Swipes taken and analyzed by KDHE staff showed no contamination on container with surveys confirming Johnson County readings. [The licensee technician] was able to contact the [licensee] RSO. Instructions were provided and arrangements made for storing the device in a secure location at [licensee] headquarters. Licensee transported RAM to their headquarters with a follow up report forthcoming."

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Agreement State Event Number: 51466
Rep Org: VIRGINIA RAD MATERIALS PROGRAM
Licensee: FAUQUIER HOSPITAL
Region: 1
City: WARRENTON State: VA
County:
License #: 061-092-1
Agreement: Y
Docket:
NRC Notified By: MIKE WELLING
HQ OPS Officer: MARK ABRAMOVITZ
Notification Date: 10/13/2015
Notification Time: 11:03 [ET]
Event Date: 06/25/2015
Event Time: [EDT]
Last Update Date: 10/13/2015
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
DON JACKSON (R1DO)
NMSS_EVENTS_NOTIFICA (EMAI)

Event Text

AGREEMENT STATE REPORT - MEDICAL UNDERDOSE

"A prostate brachytherapy implant using I-125 performed at Fauquier Hospital on 6/25/2015, resulted in a dose distribution having a D90 percent of 97Gy as measured on post implant CT done on 8/12/15. The written directive prescribed a D90 percent of 145Gy. The implanted dose of 97 Gy is 66.9 percent of the intended 145 Gy. The patient was notified and is being monitored to determine if additional treatment is required.

"The final determination was not made until 10/8/15 and Fauquier notified VRMP [Virginia Radioactive Materials Program] by email on 10/8/15. A telephone conversation was held on 10/13/15 regarding the 15 day written report. VRMP will review the report and determine whether an inspection will be performed."

Virginia Report ID: VA-15-14

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.

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Power Reactor Event Number: 51483
Facility: DAVIS BESSE
Region: 3 State: OH
Unit: [1] [ ] [ ]
RX Type: [1] B&W-R-LP
NRC Notified By: WILLIAM RAYBURN
HQ OPS Officer: DONALD NORWOOD
Notification Date: 10/20/2015
Notification Time: 21:06 [ET]
Event Date: 10/20/2015
Event Time: 20:24 [EDT]
Last Update Date: 10/20/2015
Emergency Class: UNUSUAL EVENT
10 CFR Section:
50.72(a) (1) (i) - EMERGENCY DECLARED
Person (Organization):
ROBERT DALEY (R3DO)
CYNTHIA PEDERSEN (R3RA)
BRIAN HOLIAN (NSIR)
BERNARD STAPLETON (IRD)
ADAM TUCKER (ILTA)
SCOTT MORRIS (NRR)

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

Event Text

UNUSUAL EVENT DUE TO SUSPICIOUS VEHICLE IN OWNER CONTROLLED AREA

"Security condition in the Owner Controlled Area outside of the Protected Area. [There is] an unknown vehicle located on the South side of the Intake Canal. The vehicle is locked, the engine is not running, and the parking lights are on. Security is performing an inspection of the vehicle for explosives or other contraband in conjunction with local law enforcement."

The Unusual Event was declared based on EAL HU-1.

The licensee notified the NRC Resident Inspector. The licensee notified State and local government agencies.

Notified (via phone and E-mail): DHS SWO, FEMA Ops Center, and NICC Watch Officer. Notified (via E-mail): FEMA NWC and NuclearSSA.


* * * UPDATE FROM WILLIAM RAYBURN TO DONALD NORWOOD AT 2255 EDT ON 10/20/15 * * *

"At 2229 EDT, the Unusual Event for a Security Condition at Davis-Besse Nuclear Power Station was terminated.

"An inspection of the vehicle in question was performed and it was determined that no threat existed to the site at any time."

The licensee notified the NRC Resident Inspector. The licensee notified State and local government agencies.

Notified R3DO (Daley), IRD (Stapleton), NRR (Morris) and ILTAB (Tucker).

Notified (via phone and E-mail): DHS SWO, FEMA Ops Center, and NICC Watch Officer. Notified (via E-mail): FEMA NWC and NuclearSSA.

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Power Reactor Event Number: 51484
Facility: DUANE ARNOLD
Region: 3 State: IA
Unit: [1] [ ] [ ]
RX Type: [1] GE-4
NRC Notified By: TODD FETCHO
HQ OPS Officer: MARK ABRAMOVITZ
Notification Date: 10/20/2015
Notification Time: 23:55 [ET]
Event Date: 10/20/2015
Event Time: 18:00 [CDT]
Last Update Date: 10/21/2015
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(iv)(A) - VALID SPECIF SYS ACTUATION
Person (Organization):
ROBERT DALEY (R3DO)

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

Event Text

DIESEL GENERATORS STARTED AFTER TRANSMISSION LINE LIGHTNING STRIKES

"This report is being made under 10CFR50.72(b)(3)(iv)(A) 'any event or condition that results in a valid actuation of any system listed in paragraph (b)(3)(iv)(B) of this section' due to the automatic start of 'A' and 'B' Standby Diesel Generators.

"The automatic start of the Standby Diesel Generators occurred on a valid bus under-voltage condition caused by severe weather (lightning strikes) in the DAEC [Duane Arnold Energy Center] area. The Standby Diesel Generator output breakers did not close onto their respective essential buses. Essential electrical buses remained powered from off-site circuits through their normal power supply transformer, 1X3 Startup Transformer, during and after the event.

"The Standby Diesel Generators have been returned to the standby readiness condition. Both credited off-site power circuits were available before the event and remain available after the event."

The licensee notified the NRC Resident Inspector.

Page Last Reviewed/Updated Wednesday, March 24, 2021