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Event Notification Report for December 20, 2016

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
12/19/2016 - 12/20/2016

** EVENT NUMBERS **


52420 52421 52422 52424 52443 52445

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Agreement State Event Number: 52420
Rep Org: OHIO BUREAU OF RADIATION PROTECTION
Licensee: UNIV OF CINCINNATTI MEDICAL CTR
Region: 3
City: CINCINNATTI State: OH
County: HAMILTON
License #: 02110-31-0001
Agreement: Y
Docket:
NRC Notified By: MICHAEL SNEE
HQ OPS Officer: KARL DIEDERICH
Notification Date: 12/09/2016
Notification Time: 10:54 [ET]
Event Date: 12/07/2016
Event Time: [EST]
Last Update Date: 12/09/2016
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
ANN MARIE STONE (R3DO)
NMSS_EVENTS_NOTIFICA (EMAI)

Event Text

AGREEMENT STATE REPORT - CANCER TREATMENT DOSE LESS THAN PRESCRIBED

The following was received from the state of Ohio via e-mail:

"On 12/9/16, the licensee reported a medical event that occurred on 12/7/16 and was discovered on 12/8/16. During a prostate seed implant procedure, the patient received a dose that was 30.57% less than the prescribed dose. The patient was informed and the physician is evaluating if a boost will be administered. The patient is not expected to have any adverse affects."

Ohio report: OH160010.

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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Non-Agreement State Event Number: 52421
Rep Org: ANS CONSULTANTS
Licensee: ANS CONSULTANTS
Region: 1
City: CEDAR GROVE State: NJ
County:
License #: 29-30183-01 /
Agreement: Y
Docket:
NRC Notified By: ATUL SHAH
HQ OPS Officer: HOWIE CROUCH
Notification Date: 12/09/2016
Notification Time: 17:02 [ET]
Event Date: 12/08/2016
Event Time: 16:30 [EST]
Last Update Date: 12/12/2016
Emergency Class: NON EMERGENCY
10 CFR Section:
30.50(b)(2) - SAFETY EQUIPMENT FAILURE
Person (Organization):
ART BURRITT (R1DO)
NMSS_EVENTS_NOTIFICA (EMAI)

Event Text

TROXLER MOISTURE DENSITY GAUGE DAMAGED BY PAVING EQUIPMENT

While preparing to conduct a measurement, the gauge operator placed the gauge on the asphalt. A paving roller operator did not see the gauge and ran it over.

At the time of the accident, the source was in its shielded and locked position. While the case and controls of the gauge were damaged, there was no damage to the source or the shield. As a precaution, the Radiation Safety Officer contacted the local hazmat team to confirm the source was not damaged. A leak check swipe was performed by the gauge owner and it was sent to Troxler for evaluation. There were no overexposures to the workers or members of the public.

The gauge is a Troxler model 3430 (serial number 37669). It contains a 9 mCi Cs-137 source (serial number 77-4904) and a 44 mCi AmBe source (serial number 78-2427). The gauge will be returned to Troxler for disposal.

* * * UPDATE FROM THE STATE OF NEW JERSEY (DANIEL RICE) TO HOWIE CROUCH AT 1544 EST ON 12/12/16 * * *

The licensee also reported the event to the New Jersey Department of Environmental Protection (NJDEP) at 1630 EST on 12/9/16. Additional information included:

"The license reported the gauge user was nearby, but not in direct observation of the device, at the time of the incident.

"NJDEP will be investigating further. The incident is reportable within 24-hours under N.J.A.C. 7:28-51.1 (10 CFR 30.50(b)2). NJDEP is tracking this incident internally as incident ID# C62454. NMED Report No. to be assigned."

Notified R1DO (Schroeder) and NMSS_EVENTS_NOTIFICATION Resource, both via email.

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Non-Agreement State Event Number: 52422
Rep Org: JANX INTEGRITY GROUP
Licensee: JANX INTEGRITY GROUP
Region: 3
City: DANVILLE State: IN
County:
License #: 21-16560-01
Agreement: N
Docket:
NRC Notified By: STEVE FLICKINGER
HQ OPS Officer: HOWIE CROUCH
Notification Date: 12/09/2016
Notification Time: 17:21 [ET]
Event Date: 12/09/2016
Event Time: 09:00 [EST]
Last Update Date: 12/09/2016
Emergency Class: NON EMERGENCY
10 CFR Section:
30.50(b)(2) - SAFETY EQUIPMENT FAILURE
Person (Organization):
ANN MARIE STONE (R3DO)
NMSS_EVENTS_NOTIFICA (EMAI)

Event Text

RADIOGRAPHY SOURCE BECAME TEMPORARILY STUCK OUTSIDE OF SHIELD

While preparing to perform his first exposure of the day, the radiographer determined that the source became stuck near the camera and guide tube connection. He notified the client, verified his boundaries, and contacted the Radiation Safety Officer (RSO).

After discussion with the radiographer, the RSO believed the source was lodged due to freezing temperatures and a small amount of ice within the guide tube. The radiographer was able to obtain a heater and, after about an hour of warming the guide tube, was able to retrieve the source into the camera normally.

No overexposures occurred due to this event.

The camera is a SPEC-150 that contains 47 Ci of Ir-192.

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Agreement State Event Number: 52424
Rep Org: TEXAS DEPT OF STATE HEALTH SERVICES
Licensee: ACUREN INSPECTION INC
Region: 4
City: LA PORTE State: TX
County:
License #: 01774
Agreement: Y
Docket:
NRC Notified By: ART TUCKER
HQ OPS Officer: MARK ABRAMOVITZ
Notification Date: 12/10/2016
Notification Time: 11:12 [ET]
Event Date: 12/09/2016
Event Time: [CST]
Last Update Date: 12/10/2016
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
VINCENT GADDY (R4DO)
NMSS_EVENTS_NOTIFICA (EMAI)

Event Text

AGREEMENT STATE REPORT - RADIOGRAPHY SOURCE COULD NOT BE RETRACTED

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

"On December 10, 2016, the Agency [Texas Department of State Health Services] was notified that on December 9, 2016, the licensee [while working at Exxon Mobil in Beaumont, Texas] was required to perform a source retrieval of a 74.9 curie iridium-192 source. The exposure device associated with the source is a QSA 880 exposure device. The licensee reported the exposure device fell on the guide tube and crimped it to a point where the source could not pass by. The radiographers verified their boundaries and contacted their radiation safety officer. The licensee sent a qualified recovery team to the location. The recovery team cut the guide tube and was able to retract the source. No individual received an exposure that exceeded any limits. No member of the general public was exposed as a result of this event. The licensee stated the camera would be sent to the manufacturer for inspection. The licensee stated they would provide additional information on December 13, 2016. Additional information will be provided as it is received in accordance with SA-300."

Texas Incident #: I - 9447

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Power Reactor Event Number: 52443
Facility: COLUMBIA GENERATING STATION
Region: 4 State: WA
Unit: [2] [ ] [ ]
RX Type: [2] GE-5
NRC Notified By: DAVID PORTER
HQ OPS Officer: BETHANY CECERE
Notification Date: 12/19/2016
Notification Time: 07:39 [ET]
Event Date: 12/18/2016
Event Time: 23:20 [PST]
Last Update Date: 12/19/2016
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(v)(D) - ACCIDENT MITIGATION
50.72(b)(3)(ii)(A) - DEGRADED CONDITION
Person (Organization):
RAY KELLAR (R4DO)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
2 N N 0 Hot Shutdown 0 Hot Shutdown

Event Text

UNISOLABLE LEAK ON HIGH PRESSURE CORE SPRAY

"On December 18, 2016 at 2320 [PST], a leak was discovered on the High Pressure Core Spray (HPCS) system minimum flow line. The leak is located at a bolted flange downstream of the manual isolation valve HPCS-V-53. The location of the leak is not isolable from the suppression pool. This provides a direct path from inside the Primary Containment to the Reactor Building.

"High Pressure Core Spray system is a single train Emergency Core Cooling System (ECCS) system, therefore inoperability is reportable per 10 CFR 50.72(b)(3)(v)(D).

"Based on the location of the leak, Primary Containment integrity is compromised. Primary Containment was declared inoperable and is reportable per 10 CFR 50.72(b)(3)(ii)(A).

"The cause of the leak is under investigation. Actions are underway to cool down and enter MODE 4."

The licensee has notified the NRC Resident Inspector.

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Non-Agreement State Event Number: 52445
Rep Org: U.S. ARMY
Licensee: U.S. ARMY CHEMICAL BIOLOGICAL & RADIOLOGICAL NUCLEAR SCHOOL
Region: 3
City: FT. LEONARDWOOD State: MO
County:
License #: 24-32221-01
Agreement: N
Docket:
NRC Notified By: MICHAEL GRAY
HQ OPS Officer: JEFF HERRERA
Notification Date: 12/19/2016
Notification Time: 16:30 [ET]
Event Date: 12/15/2016
Event Time: 13:00 [CST]
Last Update Date: 12/19/2016
Emergency Class: NON EMERGENCY
10 CFR Section:
30.50(b)(1) - UNPLANNED CONTAMINATION
Person (Organization):
STEVE ORTH (R3DO)
NMSS_EVENTS_NOTIFIC (EMAI)

Event Text

REMOVABLE CONTAMINATION IDENTIFIED IN VAULT

At 1300 CST on December 15, 2016, during a survey, removable contamination above 1000 dpm was identified in a normally controlled and restricted area. Access was restricted to the area, the area was roped off and a decontamination team was assigned to decontaminate the area. Additional surveys were conducted outside the area identified and no additional areas were found to be contaminated. The licensee reported that the initial investigation indicates that none of the individuals who had access were contaminated or accessed the area.

The cause of the contamination is still under investigation.

Page Last Reviewed/Updated Tuesday, December 20, 2016
Tuesday, December 20, 2016