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Event Notification Report for November 12, 2015

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
11/10/2015 - 11/12/2015

** EVENT NUMBERS **


51461 51511 51526 51527 51528 51530

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Non-Agreement State Event Number: 51461
Rep Org: DEPARTMENT OF THE ARMY ABERDEEN
Licensee: DEPARTMENT OF THE ARMY
Region: 1
City: ABERDEEN State: MD
County:
License #: 19-31127-01
Agreement: Y
Docket: 030-3713
NRC Notified By: BARRY SCOTT DAVIDSON
HQ OPS Officer: DANIEL MILLS
Notification Date: 10/09/2015
Notification Time: 09:32 [ET]
Event Date: 10/08/2015
Event Time: [EDT]
Last Update Date: 11/10/2015
Emergency Class: NON EMERGENCY
10 CFR Section:
20.2201(a)(1)(i) - LOST/STOLEN LNM>1000X
Person (Organization):
BRICE BICKETT (R1DO)
NMSS_EVENTS_NOTIFIC (EMAI)
CNSNS (MEXICO) (EMAI)
MATTHEW HAHN (ILTA)
ANN MARIE STONE (R3DO)
NICK TAYLOR (R4DO)

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

Event Text

SOURCE LOST DURING SHIPPING

A 1.2 mCi Californium-252 sealed source was shipped from Aberdeen Proving Ground, MD to Fort Irwin, CA via common carrier. The source did not arrive as expected and the common carrier has initiated a trace.

Licensee will notify NRC Region 1.

* * * UPDATE FROM SCOTT DAVIDSON TO DANIEL MILLS AT 1328 EST ON 11/10/15 * * *

The following was received via email:

"The package did not arrive at its destination (Fort Irwin, CA) but was delivered to Dugway Proving Ground, UT (DPG). We [Department of the Army] were notified on 3 NOV 15 that the package was at DPG with a photo of the package showing the same serial number as the package that was shipped. The package [was held] at DPG awaiting coordinating instructions to have it returned to the unit responsible for shipping the package."

The package has since been received and will be repackaged for shipment to its original destination.

Notified R1DO (Arner), R3DO (Kozak), R4DO (Gaddy), ILTAB (Wray), NMSS Events Notification (email), CNSNS (Mexico - via fax)

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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Agreement State Event Number: 51511
Rep Org: PA BUREAU OF RADIATION PROTECTION
Licensee: ST. LUKE'S UNIVERSITY HEALTH NETWORK
Region: 1
City: BETHLEHEM State: PA
County:
License #: PA-0073
Agreement: Y
Docket:
NRC Notified By: JOSEPH MELNIC
HQ OPS Officer: DANIEL MILLS
Notification Date: 11/02/2015
Notification Time: 10:34 [ET]
Event Date: 10/30/2015
Event Time: [EST]
Last Update Date: 11/02/2015
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
JOHN ROGGE (R1DO)
NMSS_EVENTS_NOTIFIC (EMAI)

Event Text

UNDERDOSE DUE TO MALFUNCTION OF THE DOSE DELIVERY SYSTEM

The following was received via email:

"During the administration of an yttrium-90 SIR Spheresr procedure, a portion of the dose began to leak out of the top of the vial containing the activity. To prevent contamination of the interventional radiographic suite, the medical physicist and authorized user aborted the administration. It is estimated that only 10 - 20% of the dose noted on the written directive was actually delivered to the patient. The patient and radiation safety officer were notified immediately following the cancellation of the administration and the patient has agreed to be treated again in the near future. Knowing the exact administered activity is nearly impossible given the characteristics of the procedure and radiopharmaceutical. No harm is expected to the patient.

"The event seems to be due to a malfunction of the dose delivery system. It appeared to the interventional radiologist that the leak was located at the top of the dose vial and likely at the original puncture site of the radiopharmacy upon preparation of the dose for administration."

Event Report # PA150028

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: 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
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
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
Person (Organization):
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

Event Text

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."

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Power Reactor Event Number: 51527
Facility: SEQUOYAH
Region: 2 State: TN
Unit: [ ] [2] [ ]
RX Type: [1] W-4-LP,[2] W-4-LP
NRC Notified By: CLAY CAMENISCH
HQ OPS Officer: DANIEL MILLS
Notification Date: 11/10/2015
Notification Time: 20:13 [ET]
Event Date: 11/10/2015
Event Time: 15:02 [EST]
Last Update Date: 11/10/2015
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(v)(B) - POT RHR INOP
50.72(b)(3)(v)(D) - ACCIDENT MITIGATION
50.72(b)(3)(ii)(B) - UNANALYZED CONDITION
Person (Organization):
FRANK EHRHARDT (R2DO)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
2 N Y 81 Power Operation 81 Power Operation

Event Text

UNANALYZED CONDITION DUE TO DEBRIS DROPPED INTO REACTOR CAVITY EQUIPMENT PIT

"On 11/10/2015 at 1502 [EST], Unit 2 MCR [main control room] was notified by workers in containment that 2 ice suits had been dropped into the Unit 2 Containment Reactor Cavity Equipment Pit. Based upon size and location of the dropped suits, Unit 2 entered LCO 3.6.15 (Containment Recirculation Drains) Condition B and LCO 3.0.3 for refueling canal drains being inoperable. The two refueling canal drains and the ice condenser drains function with the ice bed, Containment Spray System and ECCS to limit the pressure and temperature that could be expected following a DBA [Design Basis Accident]. Following performance of a Safety Function Determination it was determined that, during the short duration when both coats were in the process of being retrieved, they could have potentially clogged the drains and prevented the fulfillment of safety functions if there was a DBA. Both suits were retrieved from the equipment pit by 1556 [EST] and all LCO conditions were exited."

The licensee notified the NRC Resident Inspector.

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Power Reactor Event Number: 51528
Facility: PRAIRIE ISLAND
Region: 3 State: MN
Unit: [1] [2] [ ]
RX Type: [1] W-2-LP,[2] W-2-LP
NRC Notified By: NATHAN BIBUS
HQ OPS Officer: DANIEL MILLS
Notification Date: 11/11/2015
Notification Time: 11:48 [ET]
Event Date: 11/11/2015
Event Time: 08:26 [CST]
Last Update Date: 11/11/2015
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
LAURA KOZAK (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
2 N N 0 Cold Shutdown 0 Cold Shutdown

Event Text

SHIELD BUILDING VENT GAS RADIATION MONITOR OUT OF SERVICE FOR PLANNED MAINTENANCE

"At 0826 CST on 11/11/2015, 1R-22, Shield Building Vent Gas Radiation Monitor, was removed from service for planned maintenance. This monitor has no compensatory measure that will allow timely classification of two Emergency Action Levels (EALs) - NUE (Notification of Unusual Event) and Alert classifications - when out of service. It is also used for offsite dose projection calculations. This results in a Loss of Emergency Assessment Capability while 1R-22 is out of service. This is a reportable condition in accordance with 10 CFR 50.72(b)(3)(xiii).

"Unit 1 Shield Building Ventilation Stack is also monitored by high range monitor, 1R-50, which is used for the same purpose in Site Area or General Emergency classifications. 1R-50 is being monitored and is indicating normal values. There are no radioactive leaks that will impact the Shield Building as evidenced by normal readings on 1R-22 prior to its removal from service. The duration of this maintenance is scheduled for 24 hours and will continue until the monitor is returned to service. Maintenance will not result in the unplanned release of radioactivity to the environment and will not adversely affect the safe operation of the plant or health and safety of the public.

"The licensee has notified the NRC Resident Inspector."

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Power Reactor Event Number: 51530
Facility: LASALLE
Region: 3 State: IL
Unit: [1] [2] [ ]
RX Type: [1] GE-5,[2] GE-5
NRC Notified By: WAYNE CLAYTON
HQ OPS Officer: DANIEL MILLS
Notification Date: 11/11/2015
Notification Time: 19:40 [ET]
Event Date: 11/11/2015
Event Time: 13:44 [CST]
Last Update Date: 11/11/2015
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
LAURA KOZAK (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
2 N Y 100 Power Operation 100 Power Operation

Event Text

SEISMIC MONITOR INOPERABLE

"At 1344 CST on 11/11/15, the seismic monitor was found inoperable. The seismic monitor was inoperable such that emergency classification at the ALERT level could not be obtained with site instrumentation.

"The loss of assessment capability is reportable to the NRC within 8 hours of discovery in accordance with 10 CFR 50.72(b)(3)(xiii).

"[The NRC] Senior Resident Inspector has been notified."

Page Last Reviewed/Updated Thursday, November 12, 2015
Thursday, November 12, 2015