Event Notification Report for January 05, 2016

PART 21 - IMPROPER ACCESSORY MOUNTING BRACKET PROCESSING

"Equipment Affected by this lnformation Notice: Accessory mounting brackets subject to this Fisher Information Notice (FIN) were provided to Sanmen Unit 1 and Haiyang Unit 1 per Change Notice 32 to Westinghouse Electric Company PO 4500280610, and the Fisher Controls International LLC (Fisher) orders noted below. These orders pertain to Westinghouse Electric Company AP1000 units currently under construction in the Peoples' Republic of China.

"Fisher Order 004 - B001252772, Sanmen Unit 1, S/N: 19073505
"Fisher Order 004 - B001252773, Haiyang Unit 1, S/N: 19073506

"Purpose: The purpose of this FIN is to alert Westinghouse Electric Company that as of 5 January 2016, Fisher became aware of a situation which may affect the performance of the mounting brackets including their safety-related function. Fisher is informing Westinghouse Electric Company of this circumstance in accordance with Section 21.21 (b) of 10CFR 21.

"Applicability: This FlN applies only to the subject mounting brackets supplied by Fisher to Westinghouse Electric Company via the aforementioned orders.

"Discussion: Change Notice 32 to Westinghouse Electric Company PO 4500280610 was issued to add commercial grade electronic transmitters to the above referenced serial numbers, which were previously shipped to the Sanmen and Haiyang sites. During the mounting design, it was decided to incorporate the transmitter mounting with an existing switch magnet mounting bracket. Because the transmitter was commercial grade, its mounting parts could also be commercial grade and were processed as such. At that time, Fisher failed to recognize that the existing switch magnet mounting plate was a safety-related item, meaning that the new dual purpose transmitter / magnet mounting bracket should have also been supplied as a safety related item. This resulted in the dual purpose brackets being shipped as a commercial grade item. This oversight was discovered during the processing of other items utilizing the dual purpose bracket for other AP1000 sites.

"Action Required: Fisher will provide properly processed safety-related mounting brackets to Sanmen Unit 1 and Haiyang Unit 1. Unshipped AP1000 items having these brackets for Sanmen Unit 2, Haiyang Unit 2, Summer Units 2 & 3 and Vogtle Units 3 & 4 have been identified and will be verified as having the proper safety-related mounting brackets prior to shipping. Corrective Action Request (CAR) 1793 has been opened to identify root causes and corrective actions required to prevent reoccurrence.

"10 CFR 21 Implications: Fisher requests that the recipient of this notice review it and take appropriate action in accordance with 10CFR 21. If there are any technical questions or concerns, please contact:
Ben Ahrens, Quality Manager
Emerson Process Management
Fisher Controls International LLC
301 South First Avenue
Marshalltown, IA 50158
Phone: (641) 754-2249
Benjamin.ahrens@emerson.com"

AGREEMENT STATE - FIXED NUCLEAR GAUGE REPORTED MISSING

The following report was received from the North Carolina Department of Health and Human Services via email:

"The RSO [Radiation Safety Officer for International Paper Company], first noticed the missing FNG [fixed nuclear gauge] after the renovation of an older chute and replacement by the new metal chute. The older scrap parts had been taken to Southern Metals in Wilmington, NC scrapyard. The six month inventory was due at the time and the specific date of the inventory check was January 5, 2016. Several rechecks have been made within the storage areas where other gauges are stored and secured and contacts with the metal chute manufacturer, ICBS Group, and the scrapyard have been made, without a trace of the gauge.

"Source/Radioactive Material: Cs137, 9 mCi; Thermo Measure Tech, source model 57157C

"Device: Thermo Measure Tech, gauge model 5192 SN# B3195

"State inspectors [North Carolina Department of Health and Human Services] will be conducting a reactive on site investigation tomorrow (1/14/2016) to determine causes and if any corrective actions have been implemented. Our Agency [North Carolina Department of Health and Human Services] will also be visiting the scrapyard where old licensee parts were shipped in the event the gauge was sent there by accident. Portal monitors and scrap material will be checked for functionality and presence of heightened radiation, respectively."

NC Report ID No.: NC160003

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

TECHNICAL SUPPORT CENTER VENTILATION OUT OF SERVICE

"A condition impacting functionality of the TSC [Technical Support Center] ventilation system was discovered on 1/5/2016 at 1120 [EST]. The issue involves a loss of cooling capability of the TSC ventilation system due to a failed compressor. Maintenance will begin repairs as soon as parts are made available. Estimated time to repair is unknown at this time.

"If an emergency is declared requiring TSC activation during this period, the TSC will be staffed and activated using existing emergency planning procedures unless the TSC becomes uninhabitable. If relocation of the TSC becomes necessary, the Emergency Coordinator will relocate the TSC staff to an alternate location in accordance with applicable site procedures. The Emergency Response Organization team will be notified of the condition and the possible need to relocate during an emergency. This condition does not affect the health and safety of the public or station employees. The NRC Resident Inspector has been notified."

AGREEMENT STATE REPORT - MEDICAL UNDERDOSE

The following was received from New Jersey via fax:

"The hospital's Radiation Safety Officer reported that a patient was due to receive a therapeutic treatment of Y-90 SIR-Spheres. The prescribed dose was 10.5 milliCuries to the left lobe of the liver. The dose administered was only 65% of the prescribed dose. Approximately 3.2 milliCuries remained in the vial after the administration was completed. The patient was underdosed and has been informed. Additional details will be forthcoming from the hospital."

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.

SECONDARY CONTAINMENT DECLARED INOPERABLE

"At [2258] CST, on January 5, 2016, with the plant operating at 100 percent power, the main control room alarm indicating high pressure in the auxiliary building actuated. Operators confirmed that the building pressure, corrected for temperature, indicated slightly positive, whereas the building pressure limit in Technical Specifications is 0.0 - 3.0 inches of water negative pressure. Secondary containment was declared inoperable, and the Division 2 standby gas system was started. This action restored building pressure to the acceptable range, and the building was declared operable at [0027 CST] on January 6.

"This condition is being reported in accordance with 10 CFR 50.72(b)(3)(v)(C) as an event that caused the secondary containment to be potentially incapable of performing its safety function. The NRC Senior Resident Inspector was notified."