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Event Notification Report for February 4, 2016

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
02/03/2016 - 02/04/2016

** EVENT NUMBERS **


50359 51685 51686 51688 51689 51706

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Part 21 Event Number: 50359
Rep Org: NUTHERM INTERNATIONAL, INC
Licensee: NUTHERM INTERNATIONAL, INC
Region: 3
City: MOUNT VERNON State: IL
County:
License #:
Agreement: Y
Docket:
NRC Notified By: ADRIENNE SMITH
HQ OPS Officer: JEFF ROTTON
Notification Date: 08/01/2014
Notification Time: 15:16 [ET]
Event Date: 08/01/2014
Event Time: [CDT]
Last Update Date: 02/03/2016
Emergency Class: NON EMERGENCY
10 CFR Section:
21.21(a)(2) - INTERIM EVAL OF DEVIATION
Person (Organization):
SILAS KENNEDY (R1DO)
GEORGE HOPPER (R2DO)
CHRISTINE LIPA (R3DO)
VIVIAN CAMPBELL (R4DO)
PART 21 GROUP (EMAI)

Event Text

POTENTIAL ISSUE REGARDING INCORRECT INDUSTRIAL IRRADIATION DOSE

The following information was received via facsimile:

Nutherm International, Inc. was notified by Steris Isomedix Services that the applied radiation dose reported on their Component Irradiation Certificates did not account for all uncertainties involved (i.e. density of unrelated products in carriers, off-carrier location within the irradiator and Cobalt-60 source decay). This issue was originally identified as part of NRC Inspection Report No. 99901445/2014-201.

"Nutherm International, Inc. is conducting an evaluation to determine whether a defect as defined by 10 CFR Part 21 exists. The impact of this failure to account for all uncertainties will be evaluated for all projects that required data from any sample irradiated by this supplier.

"At the conclusion of the evaluation, any customer impacted by this issue will be notified and the U.S. Nuclear Regulatory Commission will be notified in accordance with the requirements of 10 CFR Part 21.21.

"If you have any questions regarding this issue please do not hesitate to contact Adrienne Smith, Quality Assurance Manager at 618-244-6000, adrienne.smith@nutherm.com."

The supplier will update this report when the evaluation is complete. This event report was originally received by the NRC Operations Center on 08/01/2014

* * * UPDATE AT 1727 ON 8/31/2015 FROM THOMAS STERBIS TO MARK ABRAMOVITZ * * *

The following information was received via fax:

"Nutherm has identified one customer where there is a potential impact to the conclusions of the equipment qualification that Nutherm does not have the capability to perform further evaluations to determine if a defect exists.

"Nutherm International, Inc. performed equipment qualification testing for SOR, Inc., Lenexa, KS under SOR, Inc. Purchase Order number 166984 which included irradiation performed by Steris Isomedix. Based on the location of the sample during the irradiation and the total variability for this location provided by Steris Isomedix, Nutherm has verified that the test specimens received a minimum irradiation dose that meets the customer's TID requirement but does not meet the customer's TID requirement with the 10 percent IEEE 323 margin.

"In accordance with the requirements of 10 CFR Part 21.21, SOR Inc. has been notified regarding this issue to allow them to evaluate this deviation or failure to comply."

Notified the R4DO (Werner), NMSS Events Resource (via e-mail), and the Part-21 Group (via e-mail)

* * * UPDATE FROM NUTHERM INTERNATIONAL, INC. AT 1658 EST ON 2/3/16 * * *

The following information is summarized from the information received from Nutherm International, Inc. via fax:

Nutherm has completed their evaluation of past equipment qualifications and identified that the following U.S. facilities may be impacted: Cooper Nuclear Plant, Oconee Station, J.A. Fitzpatrick Station, Point Beach Nuclear, Brunswick Nuclear, Susquehanna Nuclear and Electric Power Research Institute.

Nutherm has notified the affected facilities.

Notified R1DO (Rogge), R2DO (Musser), R3DO (Kozak), R4DO (Pick) and the Part 21 group via email.

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Agreement State Event Number: 51685
Rep Org: COLORADO DEPT OF HEALTH
Licensee: PARK HYATT BEAVER CREEK
Region: 4
City: AVON State: CO
County:
License #: CO-GENERAL LI
Agreement: Y
Docket:
NRC Notified By: LINDA BARTISH
HQ OPS Officer: DANIEL MILLS
Notification Date: 01/26/2016
Notification Time: 11:08 [ET]
Event Date: 01/14/2016
Event Time: [MST]
Last Update Date: 01/26/2016
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
THOMAS FARNHOLTZ (R4DO)
NMSS_EVENTS_NOTIFIC (EMAI)

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

Event Text

AGREEMENT STATE REPORT - LOST TRITIUM EXIT SIGNS

The following was received from Colorado via email:

"An inspection of the property was conducted to report the registration of inventory from the annual mailing received from CDPHE, Radioactive Materials Unit. Six of the eight exit signs registered for the Park Hyatt Beaver Creek were found. Two were not located and are reported as missing. The remaining six signs are being returned to the manufacturer.

"The hotel will no longer carry self-luminous exit signs and a policy is in place to purchase LED exit signs only. Should they choose to purchase any Tritium exit signs in the future they will ensure that all devices will be tracked and monitored annually.

"Serial numbers for missing exit signs: 12-01538, 12-01539, 12-10540, 12-01541.
"Model: SLX60
"Manufacturer: Isolite Corporation
"Isotope: H-3
"Activity: 6.2 Ci

"An inspection of the property revealed six of eight exit signs. Upon receipt of exit signs staff were unaware the signs contained Tritium and were regulated materials. No tracking or recording of material was kept. Several signs were found still in the original shipping carton and kept in storage. Remaining Tritium exit signs were removed and shipped back to the manufacturer and replaced with LED signs."

Colorado Event Report ID No.: C016-116-01

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: 51686
Rep Org: TEXAS DEPT OF STATE HEALTH SERVICES
Licensee: TERRACON CONSULTANTS INC
Region: 4
City: FORT WORTH State: TX
County:
License #: 05268
Agreement: Y
Docket:
NRC Notified By: KAREN BLANCHARD
HQ OPS Officer: JOHN SHOEMAKER
Notification Date: 01/26/2016
Notification Time: 13:04 [ET]
Event Date: 01/25/2016
Event Time: 18:15 [CST]
Last Update Date: 01/26/2016
Emergency Class:
10 CFR Section:
AGREEMENT STATE
Person (Organization):
THOMAS FARNHOLTZ (R4DO)
NMSS_EVENTS_NOTIFIC (EMAI)

Event Text

AGREEMENT STATE REPORT - VEHICLE ACCIDENT WHILE TRANSPORTING A TROXLER MOISTURE DENSITY GAUGE

The following report was received from the State of Texas via email:

"On January 26, 2016, at approximately 1015 CST, the licensee notified the Agency [Texas Department of State Health Services] that at approximately 1815 CST on January 25, 2016, one of its technicians had been involved in a vehicle accident while transporting a Troxler Model 3430 (Serial #24412) moisture/density gauge. The accident occurred near Cumby, Texas. The technician was hospitalized as a result of injuries received in the accident.

"The gauge contained a 40 millicurie americium-241 and an 8 millicurie cesium-137 source. The licensee reported that the gauge's insertion rod was locked and the gauge was inside its transport case which had locks on the hasps, the transport case was chained with locks inside a steel box which was bolted to the bed of the pick-up, and there were 2 locks on the steel box. A wrecker service removed the vehicle from the scene and took it to its business location where the vehicle was placed behind a fence with a locked gate. The licensee was notified of the accident after midnight. One of the licensee's employees retrieved the gauge from the vehicle at approximately 0830 this morning. The employee reported the shipping papers were on the seat of the vehicle. The licensee reported that it does not appear anyone was aware of the presence of the gauge until the employee removed it this morning. The gauge was not damaged. More information will be provided as it is obtained in accordance with SA-300."

Texas incident #: I 9375

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Agreement State Event Number: 51688
Rep Org: FLORIDA BUREAU OF RADIATION CONTROL
Licensee: CARDINAL HEALTH NUCLEAR PHARMACY
Region: 1
City: TAMPA State: FL
County:
License #: 3453-13
Agreement: Y
Docket:
NRC Notified By: KELLIE ANDERSON
HQ OPS Officer: STEVEN VITTO
Notification Date: 01/27/2016
Notification Time: 10:18 [ET]
Event Date: 01/27/2016
Event Time: [EST]
Last Update Date: 01/27/2016
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
BRICE BICKETT (R1DO)
NMSS_EVENTS_NOTIFIC (EMAI)

Event Text

AGREEMENT STATE REPORT: RADIATION OVEREXPOSURE TO EXTERNAL WHOLE BODY

The following was received from the State of Florida via email:

"Tampa inspection office [State of Florida Bureau of Radiation Control] conducted a routine inspection on January 22, 2016. Searching their records [the inspector] found that [one] employee had exceed the annual limit of 5 Rem per year (not including the month of December). [The employee] had nine high exposure investigative reports recorded in the last year. The report also noted that the RSO [Radiation Safety Officer] failed to take any action to mitigate more exposure to ionizing radiation.

"The RSO will be required to submit a report. The BRC [State of Florida Bureau of Radiation Control] will request a safety inspection of the facility paying particular attention to [the employee] daily duties and make recommendations to reduce exposure. The BRC would also suggest additional unannounced inspections to insure improvement to their adherence to regulations.

"Isotope: F-18
Activity: 16.5 MeV Cyclotron
Material Form: Particle Accelerator
External Whole Body exposure
Maximum Dose Received: 5.2 Rem/year (excluding December)
Florida Incident Number FL16-016."

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Agreement State Event Number: 51689
Rep Org: KENTUCKY DEPT OF RADIATION CONTROL
Licensee: NORTON HOSPITAL
Region: 1
City: LOUISVILLE State: KY
County:
License #: 201-031-26
Agreement: Y
Docket:
NRC Notified By: MARISSA VEGA VELEZ
HQ OPS Officer: JOHN SHOEMAKER
Notification Date: 01/27/2016
Notification Time: 12:36 [ET]
Event Date: 01/18/2016
Event Time: [CST]
Last Update Date: 01/27/2016
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
BRICE BICKETT (R1DO)
NMSS_EVENTS_NOTIFIC (EMAI)

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

Event Text

AGREEMENT STATE REPORT - LOST I-125 MEDICAL SEED

The following report was received from the Commonwealth of Kentucky via email:

"[The licensee] reported the loss of a I-125 localization seed (lsoAid Advantage, Model IAI-125A). On 1/19/16, the licensee discovered the number of seeds in storage did not match the number recorded. After the licensee conducted an investigation, they believe the seed was lost when it was transferred from the vial, pathology puts them in, to the Cidex storage/decontamination vial. The seeds in the vial had been placed there between 12/21/15 and 1/18/16. As part of the investigation the licensee verified that all seeds were removed from patients during that time and the hot lab was thoroughly searched.

"They [the licensee] believe the I-125 seed was most likely disposed of in the trash and taken to landfill with other waste from the hospital. The licensee reported the missing seed came from one of the three orders, lot #39858, 0.147 mCi as of 1/19/16, lot #39809, 0.128 mCi as of 1/19/16, or lot #39111, 0.075 mCi as of 1/19/16. Corrective actions include retraining Nuclear Medicine Techs in the handling of radioactive breast seeds, including stressing the importance of surveying all material to verify that the seed was placed in the Cidex vial and not lost in the surrounding area.

Kentucky Event Report ID No.: KY160001

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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Part 21 Event Number: 51706
Rep Org: WECTEC LLC (FORMERLY CB&I)
Licensee: IHI CORPORATION
Region: 1
City: CHARLOTTE State: NC
County:
License #:
Agreement: Y
Docket:
NRC Notified By: CURTIS CASTELL
HQ OPS Officer: DONG HWA PARK
Notification Date: 02/03/2016
Notification Time: 13:29 [ET]
Event Date: 10/09/2015
Event Time: [EST]
Last Update Date: 02/03/2016
Emergency Class: NON EMERGENCY
10 CFR Section:
21.21(d)(3)(i) - DEFECTS AND NONCOMPLIANCE
Person (Organization):
RANDY MUSSER (R2DO)
PART 21/50.55 REACT (EMAI)

Event Text

PART 21 REPORT REGARDING DEVIATIONS OF PIPE PENETRATION SLEEVES FOR AP1000 PROJECTS

The following information is summarized from notification received by WECTEC LLC via email:

"[This report] provides a report in accordance with 10 CFR 21.21 pertaining to deviations of piping penetration sleeves for Vogtle Unit 4 and V. C. Summer Unit 3 AP1000r projects.

"During inspection of the listed piping penetration sleeves, corrosion was found. It has been conservatively determined that the penetrations could have failed if they were used in the corroded condition. Therefore, it is conservatively concluded that if left uncorrected this condition could have caused a substantial safety hazard for the V. C. Summer and Vogtle AP1000r projects.

"Name and address of the individual or individuals informing the Commission.
Deborah A. Gustafson
Vice President of Engineering
WECTEC LLC
128 S. Tryon St., Suite 1000
Charlotte, NC 28202"

Page Last Reviewed/Updated Thursday, February 04, 2016
Thursday, February 04, 2016