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Event Notification Report for January 13, 2016

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
01/12/2016 - 01/13/2016

** EVENT NUMBERS **


51636 51646 51649 51650

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Agreement State Event Number: 51636
Rep Org: NEW JERSEY DEPT OF ENVIR PROTECTION
Licensee: ENGLEWOOD HOSPITAL & MEDICAL CENTER
Region: 1
City: ENGLEWOOD State: NJ
County:
License #: 332543
Agreement: Y
Docket:
NRC Notified By: RICHARD PEROS
HQ OPS Officer: DANIEL MILLS
Notification Date: 01/05/2016
Notification Time: 16:13 [ET]
Event Date: 01/05/2016
Event Time: [EST]
Last Update Date: 01/05/2016
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
ANTHONY DIMITRIADIS (R1DO)
NMSS_EVENTS_NOTIFIC (EMAI)

Event Text

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.

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Power Reactor Event Number: 51646
Facility: CALLAWAY
Region: 4 State: MO
Unit: [1] [ ] [ ]
RX Type: [1] W-4-LP
NRC Notified By: TODD WITT
HQ OPS Officer: VINCE KLCO
Notification Date: 01/12/2016
Notification Time: 11:14 [ET]
Event Date: 01/11/2016
Event Time: 12:00 [CST]
Last Update Date: 01/12/2016
Emergency Class: NON EMERGENCY
10 CFR Section:
26.719 - FITNESS FOR DUTY
Person (Organization):
RAY KELLAR (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

Event Text

FITNESS FOR DUTY

"Event Report per 10 CFR 26.719(b)(2)(ii)

"On January 11, 2016, Callaway determined a violation of two provisions of the site Fitness For Duty policy were committed offsite by a non-licensed supervisory employee. Unescorted access for the employee has been denied."

The licensee notified the NRC Resident Inspector.

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Power Reactor Event Number: 51649
Facility: CALLAWAY
Region: 4 State: MO
Unit: [1] [ ] [ ]
RX Type: [1] W-4-LP
NRC Notified By: DAVID LANTZ
HQ OPS Officer: JEFF ROTTON
Notification Date: 01/12/2016
Notification Time: 18:37 [ET]
Event Date: 01/12/2016
Event Time: 12:53 [CST]
Last Update Date: 01/12/2016
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
RAY KELLAR (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

Event Text

LOSS OF VENTILATION SYSTEM TO EMERGENCY OFF-SITE FACILITY

"On January 12, 2016, during performance of an EOF [Emergency Off-Site Facility] Diesel Operability Test, the EOF Air Conditioning unit and EOF Air Return fan did not run as expected. Per plant procedure, the operators placed the system in filtration mode and then back in normal mode. Again, both units did not run as expected. The EOF was declared non-functional due to the failure of the air conditioning unit and fan.

"The EOF is available for emergency response purposes unless the temperature can not be maintained or a release is in progress. The backup EOF is available for use if needed."

The licensee notified the NRC Resident Inspector.

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Power Reactor Event Number: 51650
Facility: QUAD CITIES
Region: 3 State: IL
Unit: [1] [2] [ ]
RX Type: [1] GE-3,[2] GE-3
NRC Notified By: GARY HEUSINKVELD
HQ OPS Officer: DONALD NORWOOD
Notification Date: 01/12/2016
Notification Time: 19:08 [ET]
Event Date: 01/12/2016
Event Time: 13:40 [CST]
Last Update Date: 01/12/2016
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(v)(C) - POT UNCNTRL RAD REL
Person (Organization):
ERIC DUNCAN (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

MOMENTARY LOSS OF SECONDARY CONTAINMENT

"On January 12, 2016, at 1340 CST, an alarm was received indicating secondary containment differential pressure rose unexpectedly above the Technical Specification Surveillance Requirement, SR 3.6.4.1.1, limit of 0.10 inch of vacuum water gauge. A reactor building supply fan was immediately secured to restore differential pressure below the Technical Specification limit. The secondary containment differential pressure returned to below the Technical Specification limit within one minute. The Standby Gas Treatment System remained in standby, and fully operable. At 1341 CST, the secured reactor building supply fan was restarted to restore the normal ventilation lineup. The secondary containment differential pressure remained below the Technical Specification limit. Troubleshooting is in progress.

"This condition represents a failure to meet Surveillance Requirement 3.6.4.1.1. As a result, entry into Technical Specification 3.6.4.1, Condition A, was made momentarily due to secondary containment being inoperable.

"Given the temporary loss of secondary containment, this event is reportable under 50.72(b)(3)(v)(c) as an event or condition that could have prevented the fulfillment of a safety function.

"The NRC Senior Resident Inspector has been notified."

Page Last Reviewed/Updated Wednesday, January 13, 2016
Wednesday, January 13, 2016