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Event Notification Report for August 5, 2016

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
08/04/2016 - 08/05/2016

** EVENT NUMBERS **


52131 52152 52153

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Agreement State Event Number: 52131
Rep Org: WA OFFICE OF RADIATION PROTECTION
Licensee: VIRGINIA MASON MEDICAL CENTER
Region: 4
City: SEATTLE State: WA
County:
License #: WA-M048
Agreement: Y
Docket:
NRC Notified By: TRISTAN HAY
HQ OPS Officer: STEVE SANDIN
Notification Date: 07/28/2016
Notification Time: 20:00 [ET]
Event Date: 07/27/2016
Event Time: [PDT]
Last Update Date: 07/28/2016
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
GREG PICK (R4DO)
NMSS_EVENTS_NOTIFIC (EMAI)

Event Text

AGREEMENT STATE REPORT - PATIENT RECEIVED LESS THAN THE PRESCRIBED DOSE OF I-131

The following information was provided by the State of Washington via email:

"At approximately 3:50 pm [PDT] on Thursday, July 28th 2016, the Director of Radiology of Virginia Mason Medical Center called the radioactive materials section [WA Office of Radiation Protection] to report a medical event. The event occurred on the previous day, July 27th 2016, but was not noticed until the 28th . A patient was supposed to receive 120.8 mCi of I-131 in the form of two capsules for thyroid treatment. However, the patient only received one capsule resulting in the patient only receiving 53 mCi of the 120.8 mCi. The event was discovered (8:45 am [on] July 28, 2016) when an I-131 capsule was returned to the pharmacy on the 28th and it was noticed that the patient did not get both capsules as intended."

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: 52152
Facility: HARRIS
Region: 2 State: NC
Unit: [1] [ ] [ ]
RX Type: [1] W-3-LP
NRC Notified By: CHUCK YARLEY
HQ OPS Officer: VINCE KLCO
Notification Date: 08/04/2016
Notification Time: 17:54 [ET]
Event Date: 08/04/2016
Event Time: 11:00 [EDT]
Last Update Date: 08/04/2016
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
LADONNA SUGGS (R2DO)

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

TECHNICAL SUPPORT CENTER VENTILATION OUT-OF-SERVICE

"This is a non-emergency eight-hour notification for a loss of Emergency Assessment Capability.

"This event is reportable in accordance with 10 CFR 50.72(b)(3)(xiii) as the discovered condition affects the functionality of an emergency response facility.

"A condition impacting functionality due to a loss of cooling of the Technical Support Center (TSC) Ventilation system was discovered on 8/4/16 at 1100 EDT. Repairs are complete.

"If an emergency would have been declared requiring TSC activation during this period, the TSC would have been staffed and activated using existing emergency planning procedures unless the TSC had become uninhabitable. If relocation of the TSC had been necessary, the Site Emergency Coordinator would have relocated the TSC staff to the Alternate TSC in accordance with applicable emergency plan implementing procedures.

"The Emergency Response Manager and Site Emergency Coordinator were 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."

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Power Reactor Event Number: 52153
Facility: MONTICELLO
Region: 3 State: MN
Unit: [1] [ ] [ ]
RX Type: [1] GE-3
NRC Notified By: LORI KIFFMEYER
HQ OPS Officer: JOHN SHOEMAKER
Notification Date: 08/04/2016
Notification Time: 22:04 [ET]
Event Date: 08/04/2016
Event Time: 14:15 [CDT]
Last Update Date: 08/04/2016
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
RICHARD SKOKOWSKI (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

Event Text

BATTERY ROOM FIRE DETECTION SYSTEM INOPERABLE

"At 1415 CDT on August 4, 2016, while performing a scheduled fire protection surveillance, it was discovered that a component within fire panel FZCP-7, BATTERY ROOM FIRE DETECTION had failed resulting in the inability of the installed fire detectors to detect a fire within the Division 1 and Division 2, 125 VDC battery rooms as well as the Division 2, 250 VDC battery room. This is being reported under 10 CFR 50.72(b)(3)(xiii) for a Loss Of Emergency Assessment Capability as the Control Room would not receive automatic notification of a fire in these areas for evaluation of HU2.1 and HA2.1 for fire within impacted battery rooms which are located within the Protected Area. There is no impact to the health and safety of the public. A 15 minute fire watch has been established for the affected fire zones.

"The NRC Resident Inspector has been notified."

Page Last Reviewed/Updated Friday, August 05, 2016
Friday, August 05, 2016