Event Notification Report for January 24, 2017
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
01/23/2017 - 01/24/2017
Power Reactor
Event Number: 52508
Facility: QUAD CITIES
Region: 3 State: IL
Unit: [1] [2] []
RX Type: [1] GE-3,[2] GE-3
NRC Notified By: JASON SWAIN
HQ OPS Officer: JOHN SHOEMAKER
Region: 3 State: IL
Unit: [1] [2] []
RX Type: [1] GE-3,[2] GE-3
NRC Notified By: JASON SWAIN
HQ OPS Officer: JOHN SHOEMAKER
Notification Date: 01/24/2017
Notification Time: 14:00 [ET]
Event Date: 01/24/2017
Event Time: 10:00 [CST]
Last Update Date: 01/24/2017
Notification Time: 14:00 [ET]
Event Date: 01/24/2017
Event Time: 10:00 [CST]
Last Update Date: 01/24/2017
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):
KENNETH RIEMER (R3DO)
KENNETH RIEMER (R3DO)
| Unit | SCRAM Code | RX Crit | Initial PWR | Initial RX Mode | Current PWR | Current RX Mode |
|---|---|---|---|---|---|---|
| 1 | N | Y | 98 | Power Operation | 98 | Power Operation |
| 2 | N | Y | 100 | Power Operation | 100 | Power Operation |
SECONDARY CONTAINMENT INTERLOCK DOORS OPEN SIMULTANEOUSLY
"On January 24, 2017, at 1000 hours [CST], Operations was notified that two Secondary Containment interlock doors (between the Unit 2 Reactor Building and Unit 2 Turbine Building) were open simultaneously. The doors were immediately closed and Secondary Containment pressure remained negative. Unit 1 and Unit 2 share secondary containment.
"This condition represents a failure to meet Surveillance Requirement 3.6.4.1.2 given two doors in a single access opening were open. As a result, entry into Technical Specification 3.6.4.1, Condition A. was made momentarily due to Secondary Containment being inoperable.
"This event is reportable under 50.72(b)(3)(v)(C) as an event or condition that could have prevented the fulfillment of a safety function.
"The NRC Senior Resident Inspector has been notified."
The cause of this event was due to an equipment interlock (solenoid) failure and the doors are currently blocked closed.
"On January 24, 2017, at 1000 hours [CST], Operations was notified that two Secondary Containment interlock doors (between the Unit 2 Reactor Building and Unit 2 Turbine Building) were open simultaneously. The doors were immediately closed and Secondary Containment pressure remained negative. Unit 1 and Unit 2 share secondary containment.
"This condition represents a failure to meet Surveillance Requirement 3.6.4.1.2 given two doors in a single access opening were open. As a result, entry into Technical Specification 3.6.4.1, Condition A. was made momentarily due to Secondary Containment being inoperable.
"This event is reportable under 50.72(b)(3)(v)(C) as an event or condition that could have prevented the fulfillment of a safety function.
"The NRC Senior Resident Inspector has been notified."
The cause of this event was due to an equipment interlock (solenoid) failure and the doors are currently blocked closed.
Non-Agreement State
Event Number: 52509
Rep Org: KINROSS
Licensee: KINROSS
Region: 4
City: FAIRBANKS State: AK
County:
License #: 50-29098-01
Agreement: N
Docket:
NRC Notified By: BRIAN SHORT
HQ OPS Officer: JOHN SHOEMAKER
Licensee: KINROSS
Region: 4
City: FAIRBANKS State: AK
County:
License #: 50-29098-01
Agreement: N
Docket:
NRC Notified By: BRIAN SHORT
HQ OPS Officer: JOHN SHOEMAKER
Notification Date: 01/24/2017
Notification Time: 19:40 [ET]
Event Date: 01/24/2017
Event Time: 14:30 [YST]
Last Update Date: 01/24/2017
Notification Time: 19:40 [ET]
Event Date: 01/24/2017
Event Time: 14:30 [YST]
Last Update Date: 01/24/2017
Emergency Class: NON EMERGENCY
10 CFR Section:
30.50(b)(2) - SAFETY EQUIPMENT FAILURE
10 CFR Section:
30.50(b)(2) - SAFETY EQUIPMENT FAILURE
Person (Organization):
JESSE ROLLINS (R4DO)
NMSS_EVENTS_NOTIFIC (EMAI)
JESSE ROLLINS (R4DO)
NMSS_EVENTS_NOTIFIC (EMAI)
STUCK OPEN SHUTTER
During the semi-annual inspection, the licensee discovered that the shutter on a fixed density gauge would not close. The gauge is used to monitor slurry flow at a gold mining operation and the shutter is normally open. The gauge remains in operation and does not present a safety concern to personnel. There are no exposures involved with this event. The licensee has notified the manufacturer of the gauge to request that an authorized technician repair the shutter.
The gauge is Ronan SA-1 Density Gauge containing a Cs-137 1000 mCi source, Serial # M4884.
During the semi-annual inspection, the licensee discovered that the shutter on a fixed density gauge would not close. The gauge is used to monitor slurry flow at a gold mining operation and the shutter is normally open. The gauge remains in operation and does not present a safety concern to personnel. There are no exposures involved with this event. The licensee has notified the manufacturer of the gauge to request that an authorized technician repair the shutter.
The gauge is Ronan SA-1 Density Gauge containing a Cs-137 1000 mCi source, Serial # M4884.
Agreement State
Event Number: 52514
Rep Org: ILLINOIS EMERGENCY MGMT. AGENCY
Licensee: CHILDREN'S HOSPITAL OF CHICAGO - MEDICAL CENTER
Region: 3
City: CHICAGO State: IL
County:
License #: IL-01165-01
Agreement: Y
Docket:
NRC Notified By: DAREN PERRERO
HQ OPS Officer: DONG HWA PARK
Licensee: CHILDREN'S HOSPITAL OF CHICAGO - MEDICAL CENTER
Region: 3
City: CHICAGO State: IL
County:
License #: IL-01165-01
Agreement: Y
Docket:
NRC Notified By: DAREN PERRERO
HQ OPS Officer: DONG HWA PARK
Notification Date: 01/27/2017
Notification Time: 12:10 [ET]
Event Date: 01/24/2017
Event Time: 00:00 [CST]
Last Update Date: 01/27/2017
Notification Time: 12:10 [ET]
Event Date: 01/24/2017
Event Time: 00:00 [CST]
Last Update Date: 01/27/2017
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
KENNETH RIEMER (R3DO)
ANGELA MCINTOSH (NMSS)
NMSS_EVENTS_NOTIFIC (EMAI)
KENNETH RIEMER (R3DO)
ANGELA MCINTOSH (NMSS)
NMSS_EVENTS_NOTIFIC (EMAI)
AGREEMENT STATE REPORT - UNPLANNED CONTAMINATION AT HOSPITAL
The following was received from the State of Illinois via email:
"On January 25, the licensee's Radiation Safety Officer (RSO) contacted the Agency [Illinois Emergency Management Agency] to report an issue with an administration of a capsule containing I-131 which had occurred the previous afternoon. A nominal dose of 30 milliCi in capsule form was given to a child within the nuclear medicine department of the licensee's facility. Although the patient was being treated on an outpatient basis, the licensee was keeping the patient for a short time to ensure there would be no complications before being sent home. During this period, staff checked in on the patient several times and during one of the visits, discovered that rather than swallowing the capsule as instructed, the patient had spit the capsule out into their hand and was hiding the capsule. This resulted in extensive contamination of the patient's hand, clothing and the chair they were sitting in as well as the immediate surrounding area. During the process to evaluate and decontaminate the patient, additional contamination was discovered in adjacent camera rooms and corridors where the staff had traversed. Staff moved to close the department and restrict passage into/out of the nearby areas to prevent additional spread of contamination. Initial estimates suggest that the patient ingested little if any of the activity and that excessive levels were throughout the area of the nuclear medicine department. Based on this finding, barriers were erected and the department was closed for over 48 hours while assessment and decontamination efforts were ongoing.
"Agency inspectors were at the site on January 26 to perform assessments of exposure, contamination levels, potential uptake by staff and corrective action being taken by the licensee. This matter will remain open while those assessments are on going. Initial bioassay results suggest only negligible uptakes have occurred with staff. Potential exposures/uptakes continue to be evaluated by the licensee throughout the decontamination process. The licensee is exploring the potential for having additional outside resources complete the necessary decontamination and remediation steps so that the department can reopen and provide at least limited services."
Illinois Item Number: IL17002
The following was received from the State of Illinois via email:
"On January 25, the licensee's Radiation Safety Officer (RSO) contacted the Agency [Illinois Emergency Management Agency] to report an issue with an administration of a capsule containing I-131 which had occurred the previous afternoon. A nominal dose of 30 milliCi in capsule form was given to a child within the nuclear medicine department of the licensee's facility. Although the patient was being treated on an outpatient basis, the licensee was keeping the patient for a short time to ensure there would be no complications before being sent home. During this period, staff checked in on the patient several times and during one of the visits, discovered that rather than swallowing the capsule as instructed, the patient had spit the capsule out into their hand and was hiding the capsule. This resulted in extensive contamination of the patient's hand, clothing and the chair they were sitting in as well as the immediate surrounding area. During the process to evaluate and decontaminate the patient, additional contamination was discovered in adjacent camera rooms and corridors where the staff had traversed. Staff moved to close the department and restrict passage into/out of the nearby areas to prevent additional spread of contamination. Initial estimates suggest that the patient ingested little if any of the activity and that excessive levels were throughout the area of the nuclear medicine department. Based on this finding, barriers were erected and the department was closed for over 48 hours while assessment and decontamination efforts were ongoing.
"Agency inspectors were at the site on January 26 to perform assessments of exposure, contamination levels, potential uptake by staff and corrective action being taken by the licensee. This matter will remain open while those assessments are on going. Initial bioassay results suggest only negligible uptakes have occurred with staff. Potential exposures/uptakes continue to be evaluated by the licensee throughout the decontamination process. The licensee is exploring the potential for having additional outside resources complete the necessary decontamination and remediation steps so that the department can reopen and provide at least limited services."
Illinois Item Number: IL17002