United States Nuclear Regulatory Commission - Protecting People and the Environment
Home > NRC Library > Document Collections > Reports Associated with Events > Event Notification Reports > 2016 > August 17

Event Notification Report for August 17, 2016

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
08/16/2016 - 08/17/2016

** EVENT NUMBERS **


52128 52160 52164 52183 52184 52187 52188

To top of page
Agreement State Event Number: 52128
Rep Org: ARIZONA RADIATION REGULATORY AGENCY
Licensee: NORTHWEST HOSPITAL, LLC
Region: 4
City: TUCSON State: AZ
County:
License #: AZ 10-097
Agreement: Y
Docket:
NRC Notified By: BRIAN GORETZKI
HQ OPS Officer: DONALD NORWOOD
Notification Date: 07/26/2016
Notification Time: 18:00 [ET]
Event Date: 07/26/2016
Event Time: [MST]
Last Update Date: 08/16/2016
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
GREG PICK (R4DO)
NMSS_EVENTS_NOTIFICA (EMAI)
ADAM TUCKER (ILTA)

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

Event Text

AGREEMENT STATE REPORT - LOST IODINE-125 SOURCE

The following information was received via E-mail:

"At approximately 1300 MST on July 26, 2016, the licensee contacted the Agency [Arizona Radiation Regulatory Agency] and reported that a 0.4 millicurie Iodine-125 source, which was being used for localization, was discovered missing. An initial radiation survey of the department did not locate the source. The licensee does not know the exact date or time that the I-125 source went missing.

"The agency is continuing to investigate the event.

"The Governor's Office and NRC are being notified of this event."

Arizona First Notice Number: 16-013

Notified Mexico via E-mail.

* * * UPDATE AT 1540 EDT ON 8/16/16 FROM BRIAN GORETZKI TO JEFF HERRERA * * *

The following update was received from the Arizona Radiation Regulatory Agency via email:

"On August 12, 2016, the licensee notified the Agency [Arizona Radiation Regulatory Agency] that the initial notification was incorrect and that a 0.5 [micro Curie] Cs-137 button source had been lost and not an I-125 seed. The Administrative Director stated that he had assumed it was an I-125 seed because the lost source was from pathology but he did not clarify."

Notified R4DO (Proulx), NMSS (email), ILTAB (email), MEXICO(email).

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

To top of page
Agreement State Event Number: 52160
Rep Org: ILLINOIS EMERGENCY MGMT. AGENCY
Licensee: GE HEALTHCARE
Region: 3
City: ARLINGTON HEIGHTS State: IL
County:
License #: IL-01109-01
Agreement: Y
Docket:
NRC Notified By: DAREN PERRERO
HQ OPS Officer: STEVEN VITTO
Notification Date: 08/08/2016
Notification Time: 16:32 [ET]
Event Date: 08/08/2016
Event Time: [CDT]
Last Update Date: 08/08/2016
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
LAURA KOZAK (R3DO)
NMSS_EVENTS_NOTIFIC (EMAI)
LANCE ENGLISH (ILTA)
ART BURRITT (R1DO)

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

Event Text

AGREEMENT STATE REPORT: LOST IODINE-125 SEEDS

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

"The radiation safety officer, (RSO) at GE Health, called to advise that two identical packages of I-125 seeds which had been given to [common carrier] to deliver to Athens, Greece had not reached their destination by the desired date. The packages are the typical 'shoebox' size of 11x7x10 inches of 'excepted package - limited quantity'. Both contain 15 seeds with 6.5 milliCi (actual) in each box for a total of 13 milliCi calibrated for Friday 7/29/16 at noon. The RSO has been in touch with [common carrier] since the July 26, 2016 when GE's customer service became concerned while routinely performing package tracking. [Common carrier] last had positive tracking for these packages in Newark, NJ on the 23rd. [Common carrier] is still conducting visual surveys in Newark and Athens in an attempt to locate the boxes and has no evidence to indicate the materials have been delivered to an outside entity. Surveys conducted at O'Hare Airport in Chicago were negative. [Common carrier] reports that it is still conducting searches and has put a 'world wide tracer' into effect to locate the material as it still believes it is within their delivery system."

Illinois Report Number: IL16005


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

To top of page
Agreement State Event Number: 52164
Rep Org: UTAH DIVISION OF RADIATION CONTROL
Licensee: UNIVERSITY OF UTAH RADIOLOGICAL HEALTH DEPARTMENT
Region: 4
City: SALT LAKE CITY State: UT
County:
License #: UT 1800001
Agreement: Y
Docket:
NRC Notified By: SPENCER WICKHAM
HQ OPS Officer: STEVEN VITTO
Notification Date: 08/09/2016
Notification Time: 18:41 [ET]
Event Date: 08/04/2016
Event Time: [MDT]
Last Update Date: 08/09/2016
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
NEIL OKEEFE (R4DO)
NMSS_EVENTS_NOTIFIC (EMAI)

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

Event Text

AGREEMENT STATE REPORT - MISSING TRITIUM (H-3) EXIT SIGN

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

"On July 19, 2016, the licensee [University of Utah] was performing a 6-month inventory of the H-3 exit signs, when the individual performing the inventory noticed that one of the signs was missing. The licensee left a message with the University's facilities management office to see if the sign was removed by them. On August 4, 2016, the licensee was informed by the [facilities] management group that they had not removed the sign. The licensee then determined that the sign was missing and presumed stolen. The licensee notified the DWMRC [Division of Waste Management and Radiation Control] of the missing sign on August 9, 2016. The licensee will continue to investigate the incident, and will submit a written report to the DWMRC. The DWMRC will possibly perform an investigation on August 10, 2016.

"Manufacturer: Safety Lite Corporation
"Model: unknown
"Serial #: 025297
"Activity on manufacture date: 20 Ci of H-3"

Utah Event Report Number: UT160003

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

To top of page
Independent Spent Fuel Storage Installation Event Number: 52183
Rep Org: ZION
Licensee: ZION SOLUTIONS
Region: 3
City: ZION State: IL
County: LAKE
License #: GL
Agreement: Y
Docket: 05000295
NRC Notified By: JERRY HOUFF
HQ OPS Officer: JOHN SHOEMAKER
Notification Date: 08/16/2016
Notification Time: 09:14 [ET]
Event Date: 08/15/2016
Event Time: 15:20 [CDT]
Last Update Date: 08/17/2016
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(xi) - OFFSITE NOTIFICATION
Person (Organization):
KENNETH RIEMER (R3DO)
NMSS_EVENTS_NOTIFICA (EMAI)

Event Text

OFFSITE NOTIFICATION

"On 8/12/16 at 1356 CDT, an ISFSI security officer noticed that two male children were walking west on the railroad tracks on the south end of the OCA, approximately 50 yards onto the property. The children appeared to be between 7 and 10 years of age. The children, presumably upon noticing Security's presence, then ran northeast and back towards the beach fence line. It appeared that the children somehow left the property through the east fence line back onto the beach. Industrial Security and shift RP tech began vehicle and foot patrols to search for the children and ensure that they did, in fact, leave the property. The children were not seen again.

"In accordance with 49 CFR 1580.105 - Reporting Significant Security Concerns, at 1520 on 8/15/16, the Radioactive Waste Group supervisor contacted the designated Transportation Safety Administration inspector to discuss the trespassing incident from 8/12/16. After the discussion with the inspector, the Radwaste supervisor was informed to contact the Department of Homeland Security Freedom Center and provide details of the incident. This contact was made at 1540 on 8/15/16.

"The notification is being made in accordance with 10 CFR 50.72(b)(2)(xi) notification to offsite government agency."

The licensee has notified the NRC Resident Inspector.

To top of page
Power Reactor Event Number: 52184
Facility: WOLF CREEK
Region: 4 State: KS
Unit: [1] [ ] [ ]
RX Type: [1] W-4-LP
NRC Notified By: LARRY HAUTH
HQ OPS Officer: JEFF HERRERA
Notification Date: 08/16/2016
Notification Time: 15:43 [ET]
Event Date: 08/16/2016
Event Time: 11:00 [CDT]
Last Update Date: 08/16/2016
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
DAVID PROULX (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

FAILURE OF ALL EMERGENCY SIRENS

"On 8/16/2016, while operating at 100% in Mode 1, routine testing of the off-site sirens for Wolf Creek was scheduled. The county dispatcher was unable to actuate any sirens. The dispatch supervisor was contacted to ensure there was not a personnel qualification issue. Both the dispatcher and the supervisor were unable to actuate any sirens, either manually or using the normal computer controls.

"Coffey county personnel, assisted by Wolf Creek personnel, determined that a battery had failed causing a fuse to blow and de-energizing the equipment needed to actuate the sirens. The battery has been replaced, the fuse has been replaced, and the system has been tested satisfactorily. The emergency sirens were restored to service at 12:20 CDT 8/16/2016.

"NRC resident has been notified.

"No plant systems were affected by this failure of notification equipment.
"The plant remained at 100% power Mode 1 throughout this event."

To top of page
Power Reactor Event Number: 52187
Facility: SEQUOYAH
Region: 2 State: TN
Unit: [1] [2] [ ]
RX Type: [1] W-4-LP,[2] W-4-LP
NRC Notified By: ROBERT URBANSKI
HQ OPS Officer: VINCE KLCO
Notification Date: 08/17/2016
Notification Time: 17:46 [ET]
Event Date: 08/17/2016
Event Time: 17:22 [EDT]
Last Update Date: 08/17/2016
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(ii)(B) - UNANALYZED CONDITION
Person (Organization):
SHANE SANDAL (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
2 N Y 100 Power Operation 100 Power Operation

Event Text

UNANALYZED CONDITION DUE TO NOT MEETING SINGLE FAILURE CRITERIA

"At 1722 [EDT] on 8/17/16, a Past Operability Evaluation (POE) determined the configuration of the Emergency Gas Treatment System (EGTS) flow controllers that existed prior to 0420 on 8/6/16 constituted an Unanalyzed Condition due to not meeting single failure criteria. This POE examined the condition where EGTS may auto-swap from the flow control path in A-Auto to the Standby flow control path upon the start of a Design Basis Event (DBE). The intended design of the EGTS swap over flow control path in Auto to Standby was to detect and respond to an actual failure of the A-Auto flow control path. The unnecessary auto-swap to Standby could prevent the EGTS train configured in Auto from performing its required safety function during a DBE. The POE performed a detailed calculation to determine the release effects due to the failure of the redundant trains of EGTS controllers. These calculations concluded that failure of both trains of EGTS controllers would not result in exceeding the 10CFR100 limits, however this condition was unanalyzed and failed to meet single failure criteria.

"This condition is reportable under 10CFR50.72(b)(3)(ii)(B), Unanalyzed Condition due to a system required to meet the single failure criterion does not do so.

"This condition had no impact to the health and safety of the public.

"The NRC Resident Inspector has been notified."

To top of page
Power Reactor Event Number: 52188
Facility: FORT CALHOUN
Region: 4 State: NE
Unit: [1] [ ] [ ]
RX Type: (1) CE
NRC Notified By: CHARLES SMITH
HQ OPS Officer: VINCE KLCO
Notification Date: 08/17/2016
Notification Time: 21:30 [ET]
Event Date: 08/17/2016
Event Time: 18:26 [CDT]
Last Update Date: 08/17/2016
Emergency Class: NON EMERGENCY
10 CFR Section:
OTHER UNSPEC REQMNT
Person (Organization):
DAVID PROULX (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

OFFSITE POWER SOURCE BELOW THE OPERABILITY LIMIT

"At 1826 [CDT], Operators identified that off-site 161 kV power source predicted post-trip voltage was below the operability limit of 161.3 kV. [Operators] entered AOP-31, 161 kV Grid Malfunctions, Section 1, 161 kV Grid Instability, and declared House Service Transformers T1A-3 and T1A-4 inoperable. [Operators] entered Technical Specification 2.7(2)c. Per Technical Specification 2.7(2)c, 'Both house service transformers T1A-3 and T1A-4 (4.16kV) may be inoperable for up to 72 hours. The loss of the 161kV incoming line renders both transformers inoperable. The NRC Operations Center shall be notified by telephone within 4 hours after inoperability of both transformers.'

"Per OPPD [Omaha Public Power District] Transmission, grid conditions are currently stable. OPPD Transmission has successfully raised predicted post-trip 161 kV voltage with all predicted voltages meeting or exceeding operability requirement of 161.3 kV as of 1834. Current post-trip predicted voltage is 162.2 kV as of 2029.

"Lowest observed actual voltage was 163.7 kV. The 161 kV line and transformers T1A-3 and T1A-4 remained available at all times."

The licensee notified the NRC Resident Inspector.

Page Last Reviewed/Updated Thursday, August 18, 2016
Thursday, August 18, 2016