Event Notification Report for November 09, 2015
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
11/08/2015 - 11/09/2015
EVENT NUMBERS
51526515225152351670
Power Reactor
Event Number: 51526
Facility: COLUMBIA GENERATING STATION
Region: 4 State: WA
Unit: [2] [] []
RX Type: [2] GE-5
NRC Notified By: BRYAN HEAVILIN
HQ OPS Officer: DONALD NORWOOD
Region: 4 State: WA
Unit: [2] [] []
RX Type: [2] GE-5
NRC Notified By: BRYAN HEAVILIN
HQ OPS Officer: DONALD NORWOOD
Notification Date: 11/10/2015
Notification Time: 04:15 [ET]
Event Date: 11/09/2015
Event Time: 20:40 [PST]
Last Update Date: 11/10/2015
Notification Time: 04:15 [ET]
Event Date: 11/09/2015
Event Time: 20:40 [PST]
Last Update Date: 11/10/2015
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(v)(C) - POT UNCNTRL RAD REL 50.72(b)(3)(v)(D) - ACCIDENT MITIGATION
10 CFR Section:
50.72(b)(3)(v)(C) - POT UNCNTRL RAD REL 50.72(b)(3)(v)(D) - ACCIDENT MITIGATION
Person (Organization):
DAVID PROULX (R4DO)
DAVID PROULX (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 |
REACTOR BUILDING VACUUM LESS THAN TECHNICAL SPECIFICATIONS REQUIREMENT
"At 2040 PST on 11/9/2015, Reactor Building (Secondary Containment) pressure increased to above the Technical Specification Surveillance requirement of 0.25 inches vacuum water gauge for approximately seven minutes. Operators took action to manually start Standby Gas Treatment System to restore Reactor Building pressure. This event is reportable as an event that could have prevented fulfillment of a safety function needed to control the release of radiation and mitigate the consequences of an accident. The cause of the event is under investigation.
"There were no radiological releases associated with the event.
"No safety system actuations or isolations occurred.
"The licensee notified the NRC Resident Inspector."
"At 2040 PST on 11/9/2015, Reactor Building (Secondary Containment) pressure increased to above the Technical Specification Surveillance requirement of 0.25 inches vacuum water gauge for approximately seven minutes. Operators took action to manually start Standby Gas Treatment System to restore Reactor Building pressure. This event is reportable as an event that could have prevented fulfillment of a safety function needed to control the release of radiation and mitigate the consequences of an accident. The cause of the event is under investigation.
"There were no radiological releases associated with the event.
"No safety system actuations or isolations occurred.
"The licensee notified the NRC Resident Inspector."
Power Reactor
Event Number: 51522
Facility: PALO VERDE
Region: 4 State: AZ
Unit: [] [2] []
RX Type: [1] CE,[2] CE,[3] CE
NRC Notified By: C. R. OROZCO
HQ OPS Officer: DONALD NORWOOD
Region: 4 State: AZ
Unit: [] [2] []
RX Type: [1] CE,[2] CE,[3] CE
NRC Notified By: C. R. OROZCO
HQ OPS Officer: DONALD NORWOOD
Notification Date: 11/09/2015
Notification Time: 08:40 [ET]
Event Date: 11/09/2015
Event Time: 05:47 [MST]
Last Update Date: 11/09/2015
Notification Time: 08:40 [ET]
Event Date: 11/09/2015
Event Time: 05:47 [MST]
Last Update Date: 11/09/2015
Emergency Class: UNUSUAL EVENT
10 CFR Section:
50.72(a) (1) (i) - EMERGENCY DECLARED
10 CFR Section:
50.72(a) (1) (i) - EMERGENCY DECLARED
Person (Organization):
DAVID PROULX (R4DO)
MARC DAPAS (R4RA)
WILLIAM DEAN (DNRR)
JEFFERY GRANT (IRD)
SCOTT MORRIS (NRR)
DAVID PROULX (R4DO)
MARC DAPAS (R4RA)
WILLIAM DEAN (DNRR)
JEFFERY GRANT (IRD)
SCOTT MORRIS (NRR)
| Unit | SCRAM Code | RX Crit | Initial PWR | Initial RX Mode | Current PWR | Current RX Mode |
|---|---|---|---|---|---|---|
| 2 | N | N | 0 | Cold Shutdown | 0 | Cold Shutdown |
UNUSUAL EVENT DECLARED DUE TO CONTAINMENT FIRE ALARM
"The following event description is based on information currently available. If through subsequent reviews of this event additional information is identified that is pertinent to this event or alters the information being provided at this time a follow-up notification will be made via the ENS or under the reporting requirements of 10 CFR 50.73.
"During Palo Verde Nuclear Generating Station Unit 2 containment pressurization for integrated leak rate testing in Mode 5, a containment fire alarm in Fire Zone 63B (Steam Generator 2 all elevations of containment) was received. Containment temperature and pressure at time of event were 72 degrees F and 13 PSIG.
"Due to the inability to access containment to validate the fire alarm, an Unusual Event (HU2.1) was declared at 0547 [MST] for a Fire in containment which was unable to be validated within 15 minutes of receipt. No safety functions have been impacted due to the fire alarm. No automatic or manual RPS or ESF actuations occurred and none were required.
"Actions are being taken to depressurize containment to enter and validate the fire alarm.
"The NRC Resident Inspector has been notified."
There has been no effect on U-1 or U-3 due to this fire alarm.
Notified DHS SWO, FEMA Ops Center, NICC Watch Officer and via E-mail only FEMA NWC and Nuclear SSA.
* * * UPDATE FROM ROB WARNER TO DONALD NORWOOD AT 1125 EST ON 11/9/2015 * * *
"Containment was entered following depressurization. Operations and Fire Protection personnel inspection of containment and Fire Zone 63B identified no indication of fire or smoke and the fire alarm was determined to be invalid. No other impacts to plant equipment were identified. The Unusual Event was terminated on 11/9/2015 at 0901 MST.
"The NRC Resident Inspector has been notified."
Notified R4DO (Proulx), NRR EO (Morris), and IRD (Grant).
Notified DHS SWO, FEMA Ops Center, NICC Watch Officer and via E-mail only FEMA NWC and Nuclear SSA.
"The following event description is based on information currently available. If through subsequent reviews of this event additional information is identified that is pertinent to this event or alters the information being provided at this time a follow-up notification will be made via the ENS or under the reporting requirements of 10 CFR 50.73.
"During Palo Verde Nuclear Generating Station Unit 2 containment pressurization for integrated leak rate testing in Mode 5, a containment fire alarm in Fire Zone 63B (Steam Generator 2 all elevations of containment) was received. Containment temperature and pressure at time of event were 72 degrees F and 13 PSIG.
"Due to the inability to access containment to validate the fire alarm, an Unusual Event (HU2.1) was declared at 0547 [MST] for a Fire in containment which was unable to be validated within 15 minutes of receipt. No safety functions have been impacted due to the fire alarm. No automatic or manual RPS or ESF actuations occurred and none were required.
"Actions are being taken to depressurize containment to enter and validate the fire alarm.
"The NRC Resident Inspector has been notified."
There has been no effect on U-1 or U-3 due to this fire alarm.
Notified DHS SWO, FEMA Ops Center, NICC Watch Officer and via E-mail only FEMA NWC and Nuclear SSA.
* * * UPDATE FROM ROB WARNER TO DONALD NORWOOD AT 1125 EST ON 11/9/2015 * * *
"Containment was entered following depressurization. Operations and Fire Protection personnel inspection of containment and Fire Zone 63B identified no indication of fire or smoke and the fire alarm was determined to be invalid. No other impacts to plant equipment were identified. The Unusual Event was terminated on 11/9/2015 at 0901 MST.
"The NRC Resident Inspector has been notified."
Notified R4DO (Proulx), NRR EO (Morris), and IRD (Grant).
Notified DHS SWO, FEMA Ops Center, NICC Watch Officer and via E-mail only FEMA NWC and Nuclear SSA.
Power Reactor
Event Number: 51523
Facility: PILGRIM
Region: 1 State: MA
Unit: [1] [] []
RX Type: [1] GE-3
NRC Notified By: KENNETH GRACIA
HQ OPS Officer: VINCE KLCO
Region: 1 State: MA
Unit: [1] [] []
RX Type: [1] GE-3
NRC Notified By: KENNETH GRACIA
HQ OPS Officer: VINCE KLCO
Notification Date: 11/09/2015
Notification Time: 09:10 [ET]
Event Date: 11/09/2015
Event Time: 08:00 [EST]
Last Update Date: 11/09/2015
Notification Time: 09:10 [ET]
Event Date: 11/09/2015
Event Time: 08:00 [EST]
Last Update Date: 11/09/2015
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):
FRANK ARNER (R1DO)
FRANK ARNER (R1DO)
| Unit | SCRAM Code | RX Crit | Initial PWR | Initial RX Mode | Current PWR | Current RX Mode |
|---|---|---|---|---|---|---|
| 1 | N | Y | 100 | Power Operation | 100 | Power Operation |
TECHNICAL SUPPORT CENTER UNAVAILABLE DUE TO PLANNED MAINTENANCE
"On Monday, November 9, 2015 at 0800 [EST], planned routine maintenance was initiated on the Technical Support Center/Operations Support Center (TSC/OSC) ventilation system. The planned maintenance is to replace the charcoal filters and test the HVAC trains. All other TSC/OSC functions remain available.
"Under certain accident conditions the TSC/OSC may become unavailable as a result of the ventilation system not being available. Existing Emergency Procedures direct the responsible Emergency Plant Manager to relocate the TSC/OSC staff to the designated alternate location. The affected Emergency Response Organization facility leads have been informed.
"The licensee has notified the NRC Senior Resident Inspector.
"The Commonwealth of Massachusetts will be notified.
"This notification to the USNRC Operations Center is being made in accordance with 10 CFR 50.72(b)(3)(xiii) due to the potential loss of an Emergency Response Facility (ERF)."
* * * UPDATE ON 11/9/15 AT 1750 EST FROM KENNETH GRACIA TO DONG PARK * * *
"At 1730 EST on Monday, November 9, 2015, the TSC/OSC ventilation system was restored to service."
The licensee will notify the NRC Resident Inspector.
Notified R1DO (Arner).
"On Monday, November 9, 2015 at 0800 [EST], planned routine maintenance was initiated on the Technical Support Center/Operations Support Center (TSC/OSC) ventilation system. The planned maintenance is to replace the charcoal filters and test the HVAC trains. All other TSC/OSC functions remain available.
"Under certain accident conditions the TSC/OSC may become unavailable as a result of the ventilation system not being available. Existing Emergency Procedures direct the responsible Emergency Plant Manager to relocate the TSC/OSC staff to the designated alternate location. The affected Emergency Response Organization facility leads have been informed.
"The licensee has notified the NRC Senior Resident Inspector.
"The Commonwealth of Massachusetts will be notified.
"This notification to the USNRC Operations Center is being made in accordance with 10 CFR 50.72(b)(3)(xiii) due to the potential loss of an Emergency Response Facility (ERF)."
* * * UPDATE ON 11/9/15 AT 1750 EST FROM KENNETH GRACIA TO DONG PARK * * *
"At 1730 EST on Monday, November 9, 2015, the TSC/OSC ventilation system was restored to service."
The licensee will notify the NRC Resident Inspector.
Notified R1DO (Arner).
Agreement State
Event Number: 51670
Rep Org: COLORADO DEPT OF HEALTH
Licensee: SAINT JOSEPH HOSPITAL
Region: 4
City: DENVER State: CO
County:
License #: CO 038-02
Agreement: Y
Docket:
NRC Notified By: PHILLIP PETERSON
HQ OPS Officer: HOWIE CROUCH
Licensee: SAINT JOSEPH HOSPITAL
Region: 4
City: DENVER State: CO
County:
License #: CO 038-02
Agreement: Y
Docket:
NRC Notified By: PHILLIP PETERSON
HQ OPS Officer: HOWIE CROUCH
Notification Date: 01/20/2016
Notification Time: 18:32 [ET]
Event Date: 11/09/2015
Event Time: 00:00 [MST]
Last Update Date: 01/20/2016
Notification Time: 18:32 [ET]
Event Date: 11/09/2015
Event Time: 00:00 [MST]
Last Update Date: 01/20/2016
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
JAMES DRAKE (R4DO)
PAMELA HENDERSON (NMSS)
NMSS_EVENTS_NOTIFIC (EMAI)
JAMES DRAKE (R4DO)
PAMELA HENDERSON (NMSS)
NMSS_EVENTS_NOTIFIC (EMAI)
AGREEMENT STATE REPORT - MEDICAL EVENT INVOLVING HIGH DOSE RATE THERAPY
"The Department [Colorado Department of Public Health and Environment (CDPHE)] received a phone report from the Radiation Safety Officer for Saint Joseph Hospital regarding a medical event involving the HDR [high dose rate therapy]. A patient was scheduled to receive three fractions of HDR treatment in November, 2015. It is believed the second fraction caused the medical event on November 9, 2015. In December, the patient reported to their primary care physician, burns to the leg. The authorized user was notified in December by the patient and/or primary care physician. The authorized medical physicist and radiation safety officer were notified of the event on January 19, 2016 and notified CDPHE on January 20, 2016. The intended dose to the treatment site was 6,000 cGy with all of the intended dose being delivered to the patient's leg. The preliminary cause was an error with the transfer tube-applicator interface, but the licensee is still conducting an internal investigation.
"The Department is expecting a full report from the licensee within 15 days and preparing for a visit to investigate the event."
Colorado Event Report ID No.: CO16-M16-01
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 Department [Colorado Department of Public Health and Environment (CDPHE)] received a phone report from the Radiation Safety Officer for Saint Joseph Hospital regarding a medical event involving the HDR [high dose rate therapy]. A patient was scheduled to receive three fractions of HDR treatment in November, 2015. It is believed the second fraction caused the medical event on November 9, 2015. In December, the patient reported to their primary care physician, burns to the leg. The authorized user was notified in December by the patient and/or primary care physician. The authorized medical physicist and radiation safety officer were notified of the event on January 19, 2016 and notified CDPHE on January 20, 2016. The intended dose to the treatment site was 6,000 cGy with all of the intended dose being delivered to the patient's leg. The preliminary cause was an error with the transfer tube-applicator interface, but the licensee is still conducting an internal investigation.
"The Department is expecting a full report from the licensee within 15 days and preparing for a visit to investigate the event."
Colorado Event Report ID No.: CO16-M16-01
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.