Event Notification Report for September 22, 2016
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
09/21/2016 - 09/22/2016
Agreement State
Event Number: 52263
Rep Org: ARKANSAS DEPARTMENT OF HEALTH
Licensee: BRYCE CORPORATION
Region: 4
City: SEARCY State: AR
County:
License #: ARK-0819-0312
Agreement: Y
Docket:
NRC Notified By: STEVE MACK
HQ OPS Officer: VINCE KLCO
Licensee: BRYCE CORPORATION
Region: 4
City: SEARCY State: AR
County:
License #: ARK-0819-0312
Agreement: Y
Docket:
NRC Notified By: STEVE MACK
HQ OPS Officer: VINCE KLCO
Notification Date: 09/26/2016
Notification Time: 00:00 [ET]
Event Date: 09/22/2016
Event Time: 00:00 [CDT]
Last Update Date: 12/12/2017
Notification Time: 00:00 [ET]
Event Date: 09/22/2016
Event Time: 00:00 [CDT]
Last Update Date: 12/12/2017
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
JEREMY GROOM (R4DO)
NMSS_EVENTS_NOTIFICA (EMAI)
JEREMY GROOM (R4DO)
NMSS_EVENTS_NOTIFICA (EMAI)
AGREEMENT STATE REPORT - SHUTTER ON DENSITY GAUGE
The following information was provided by the State of Arkansas via email:
"On September 23, 2016 at 1300 CDT, the licensee contacted the Department [Arkansas Department of Health] reporting that during operations on September 22, 2016, the licensee discovered that the shutter on a Vega Americas Model BAL density gauge would not open. The gauge contains 300 milliCuries of Krypton-85.
"The gauge was replaced with a spare gauge and has been placed in a secure storage area and radiation exposure is maintained at less than 2 mR/hr.
"The licensee is contacting the manufacturer to request repair or disposal of the gauge.
"In accordance with RH-1502.f.2 (10 CFR 30.50(b)(2)) the malfunctioning shutter is reportable within 24 hours.
"The State of Arkansas is awaiting a written report from the licensee. The State's event number is AR-2016-011."
* * * UPDATE AT 1021 EST ON 12/12/2017 FROM STEVE MACK TO MARK ABRAMOVITZ * * *
The following update was received via e-mail:
"The licensee stated that the shutter solenoid was 24 years old and had been in continuous service over that time. The shutter failed to open on September 22, 2016 and the gauge was removed from service and placed in storage. On November 28, 2017, the manufacturer took possession of the gauge for disposal.
"The Department considers this event to be CLOSED."
Notified the R4DO (Deese) and NMSS Events Notification (E-mail).
The following information was provided by the State of Arkansas via email:
"On September 23, 2016 at 1300 CDT, the licensee contacted the Department [Arkansas Department of Health] reporting that during operations on September 22, 2016, the licensee discovered that the shutter on a Vega Americas Model BAL density gauge would not open. The gauge contains 300 milliCuries of Krypton-85.
"The gauge was replaced with a spare gauge and has been placed in a secure storage area and radiation exposure is maintained at less than 2 mR/hr.
"The licensee is contacting the manufacturer to request repair or disposal of the gauge.
"In accordance with RH-1502.f.2 (10 CFR 30.50(b)(2)) the malfunctioning shutter is reportable within 24 hours.
"The State of Arkansas is awaiting a written report from the licensee. The State's event number is AR-2016-011."
* * * UPDATE AT 1021 EST ON 12/12/2017 FROM STEVE MACK TO MARK ABRAMOVITZ * * *
The following update was received via e-mail:
"The licensee stated that the shutter solenoid was 24 years old and had been in continuous service over that time. The shutter failed to open on September 22, 2016 and the gauge was removed from service and placed in storage. On November 28, 2017, the manufacturer took possession of the gauge for disposal.
"The Department considers this event to be CLOSED."
Notified the R4DO (Deese) and NMSS Events Notification (E-mail).
Agreement State
Event Number: 52259
Rep Org: CALIFORNIA RADIATION CONTROL PRGM
Licensee: REGENTS OF THE UNIVERSITY OF CALIFORNIA, LOS ANGELES
Region: 4
City: LOS ANGELES State: CA
County:
License #: 1335-19
Agreement: Y
Docket:
NRC Notified By: ANDREW TAYLOR
HQ OPS Officer: JEFF HERRERA
Licensee: REGENTS OF THE UNIVERSITY OF CALIFORNIA, LOS ANGELES
Region: 4
City: LOS ANGELES State: CA
County:
License #: 1335-19
Agreement: Y
Docket:
NRC Notified By: ANDREW TAYLOR
HQ OPS Officer: JEFF HERRERA
Notification Date: 09/23/2016
Notification Time: 17:57 [ET]
Event Date: 09/22/2016
Event Time: 00:00 [PDT]
Last Update Date: 09/23/2016
Notification Time: 17:57 [ET]
Event Date: 09/22/2016
Event Time: 00:00 [PDT]
Last Update Date: 09/23/2016
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
RICK DEESE (R4DO)
NMSS_EVENTS_NOTIFIC (EMAI)
RICK DEESE (R4DO)
NMSS_EVENTS_NOTIFIC (EMAI)
AGREEMENT STATE REPORT - PATIENT UNDERDOSAGE OF YTTRIUM-90
The following report was received from the California Department of Public Health via email:
"On September 23, 2016, the Radiation Safety Officer of the University of California, Los Angeles (UCLA), contacted the Brea office of the Radiologic Health Branch to report a medical event.
"A patient was treated with Nordion TheraSpheres containing yttrium-90 (Y-90) on September 22, 2016. The prescribed dose was 100 gray (Gy) to the left lobe of the liver. Upon completing the dose assessment after the treatment, it was discovered that only approximately 50 percent of the intended dosage of Y-90 was delivered to the patient (left lobe of the liver). The remainder of the Y-90 dosage appears to have remained in the delivery system, primarily in the system waste container. The licensee performed surveys to confirm that the areas surrounding the delivery system and patient were not contaminated.
"The patient has been notified, and the licensee is investigating to determine the cause of the event."
CA 5010 Number: 092316
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.
The following report was received from the California Department of Public Health via email:
"On September 23, 2016, the Radiation Safety Officer of the University of California, Los Angeles (UCLA), contacted the Brea office of the Radiologic Health Branch to report a medical event.
"A patient was treated with Nordion TheraSpheres containing yttrium-90 (Y-90) on September 22, 2016. The prescribed dose was 100 gray (Gy) to the left lobe of the liver. Upon completing the dose assessment after the treatment, it was discovered that only approximately 50 percent of the intended dosage of Y-90 was delivered to the patient (left lobe of the liver). The remainder of the Y-90 dosage appears to have remained in the delivery system, primarily in the system waste container. The licensee performed surveys to confirm that the areas surrounding the delivery system and patient were not contaminated.
"The patient has been notified, and the licensee is investigating to determine the cause of the event."
CA 5010 Number: 092316
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.
Power Reactor
Event Number: 52255
Facility: SUSQUEHANNA
Region: 1 State: PA
Unit: [1] [2] []
RX Type: [1] GE-4,[2] GE-4
NRC Notified By: ALEX MCLELLAN
HQ OPS Officer: STEVEN VITTO
Region: 1 State: PA
Unit: [1] [2] []
RX Type: [1] GE-4,[2] GE-4
NRC Notified By: ALEX MCLELLAN
HQ OPS Officer: STEVEN VITTO
Notification Date: 09/22/2016
Notification Time: 10:58 [ET]
Event Date: 09/22/2016
Event Time: 03:20 [EDT]
Last Update Date: 09/22/2016
Notification Time: 10:58 [ET]
Event Date: 09/22/2016
Event Time: 03:20 [EDT]
Last Update Date: 09/22/2016
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(v)(C) - POT UNCNTRL RAD REL
10 CFR Section:
50.72(b)(3)(v)(C) - POT UNCNTRL RAD REL
Person (Organization):
PAUL KROHN (R1DO)
PAUL KROHN (R1DO)
| 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 |
LOSS OF SECONDARY CONTAINMENT DIFFERENTIAL PRESSURE
"On September 22, 2016, at 0320 [EDT], Secondary Containment Zone 2 (Unit 2 Reactor Building) differential pressure lowered to 0.15 [inch] WG due to a stuck non-safety related exhaust damper on the in service Zone 2 exhaust fan. Required differential pressure per SR 3.6.4.1.1 could not be maintained. Zone 2 differential pressure recovered to greater than 0.25 [inch] WG on September 22, 2016 at 0342 [EDT] by starting the standby Zone 2 exhaust fan. Zone 1 (Unit 1 Reactor Building) and Zone 3 (Unit 1&2 Reactor Buildings) ventilation remained in service and stable.
"This event is being reported under 10 CFR 50.72(b)(3)(v)(C) and per the guidance of NUREG 1022 Rev 3 section 3.2.7 as a loss of a Safety Function. There is no redundant Susquehanna Secondary Containment System."
The Licensee notified the NRC Resident Inspector.
"On September 22, 2016, at 0320 [EDT], Secondary Containment Zone 2 (Unit 2 Reactor Building) differential pressure lowered to 0.15 [inch] WG due to a stuck non-safety related exhaust damper on the in service Zone 2 exhaust fan. Required differential pressure per SR 3.6.4.1.1 could not be maintained. Zone 2 differential pressure recovered to greater than 0.25 [inch] WG on September 22, 2016 at 0342 [EDT] by starting the standby Zone 2 exhaust fan. Zone 1 (Unit 1 Reactor Building) and Zone 3 (Unit 1&2 Reactor Buildings) ventilation remained in service and stable.
"This event is being reported under 10 CFR 50.72(b)(3)(v)(C) and per the guidance of NUREG 1022 Rev 3 section 3.2.7 as a loss of a Safety Function. There is no redundant Susquehanna Secondary Containment System."
The Licensee notified the NRC Resident Inspector.