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Event Notification Report for February 17, 2017

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
02/16/2017 - 02/17/2017

** EVENT NUMBERS **


52538 52540 52541 52545 52546 52555 52556 52557 52558

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Agreement State Event Number: 52538
Rep Org: COLORADO DEPT OF HEALTH
Licensee: COLORADO DEPT OF CORRECTIONS STERLING CORRECTIONAL
Region: 4
City: STERLING State: CO
County:
License #: GL
Agreement: Y
Docket:
NRC Notified By: LINDA BARTISH
HQ OPS Officer: DONG HWA PARK
Notification Date: 02/08/2017
Notification Time: 12:21 [ET]
Event Date: 02/07/2017
Event Time: 12:00 [MST]
Last Update Date: 02/10/2017
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
GREG WARNICK (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 EXIT SIGNS

The following information was received via e-mail:

"Detail: The general license section of the Radioactive Materials Program sent out the annual notification requesting response regarding tritium exit signs reported in use at the location given by the manufacturer. Upon an audit of the annual mailing for non-responders, Colorado Dept of Corrections - Sterling Correctional was contacted. The contact at Sterling Correctional explained they conducted an inspection of the property and were not able to find any of the exit signs ordered from SRB Technologies still in use. It is unknown what occurred with the Tritium exit signs since 16 years have passed. The contact was not able to confirm if the tritium exit signs were ever installed in the building.

"SRB Technologies was contacted to obtain information from a purchase order number provided on the manufacturer report. No response has been received. The information on the manufactures report shows the ship to address as Holcomb & Hoke MFG CO. Inc. In trying to contact them it was discovered the business had closed several years ago. When the tritium signs were shipped to them the company was manufacturing movable walls/panels for large spaces. Note: companies who make movable walls will install tritium exit signs in the wall prior to shipping to end user.

"The lost tritium exit signs are model # BX-10-WH, Serial Numbers 243257 thru 243261, 5 signs, Isotope H-3, Activity 10 Curies, Shipped 07/06/2001.
No further information is obtainable.

"The Colorado Dept of Corrections is being asked to supply a corrective action with policy and procedure should any additional signs are ordered.

"Event Report ID No.: CO17-0004"


* * * UPDATE FROM LINDA BARTISH TO DONALD NORWOOD AT 1553 EST ON 2/10/2017 * * *

The following information was received via E-mail:

"After contacting the Colorado Sterling Correctional Facility and explaining we [Colorado Department of Health] needed a corrective action regarding how they will track additional remaining tritium exit signs and asking for a safety policy and procedure guide, I guess the plant manager decided to go and see if they actually had any of the movable wall in the facility. As it turns out he did find the area with the walls and the 5 Tritium Exit Signs.

"They are now in the process of taking the signs out to return to the manufacturer.

"Case Closed."

Notified R4DO (Warnick) and NMSS Events Notification.

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

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Agreement State Event Number: 52540
Rep Org: TEXAS DEPT OF STATE HEALTH SERVICES
Licensee: MEDI PHYSICS INC
Region: 4
City: HOUSTON State: TX
County:
License #: 05517
Agreement: Y
Docket:
NRC Notified By: GENTRY HEARN
HQ OPS Officer: DONG HWA PARK
Notification Date: 02/08/2017
Notification Time: 13:28 [ET]
Event Date: 02/08/2017
Event Time: [CST]
Last Update Date: 02/08/2017
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
GREG WARNICK (R4DO)
NMSS_EVENTS_NOTIFIC (EMAI)

Event Text

AGREEMENT STATE REPORT - CONTAMINATED PACKAGES

The following report was received via e-mail:

"On February 8, 2016, the Agency [Texas Department of State Health Services] was notified by the licensee (a nuclear pharmacy) that three packages received were contaminated with radioactive material. The contamination does not seem to have come from the contents of the packages themselves, the receiving facility, or the origin facility. Additional information will be shared as it is received in accordance with SA-300."

* * * UPDATE ON 2/8/17 AT 1655 EST FROM GENTRY HEARN TO DONG PARK * * *

The following report was received via e-mail:

"On February 8, 2016, the Agency [Texas Department of State Health Services] dispatched an inspector to the licensee's facility to investigate. No additional contamination was found in the licensee's facility. No likely sources of contamination for the packages were identified. The truck and driver that had delivered the packages was intercepted by the shipper and redirected back to the licensee's facility. The truck and driver were surveyed for fixed and removable contamination. No contamination was found on the truck, driver, or associated equipment. Additional information will be shared as is received in accordance with SA-300.

"Texas Incident #: I - 9462"

Notified R4DO (Warnick) and NMSS Events Notifications via email.

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Agreement State Event Number: 52541
Rep Org: KENTUCKY DEPT OF RADIATION CONTROL
Licensee: BIG RIVERS ELECTRIC CORPORATION
Region: 1
City: WEST CENTERTOWN State: KY
County:
License #: 201-208-56
Agreement: Y
Docket:
NRC Notified By: ERIC PERRY
HQ OPS Officer: DONG HWA PARK
Notification Date: 02/08/2017
Notification Time: 14:37 [ET]
Event Date: 02/08/2017
Event Time: [CST]
Last Update Date: 02/08/2017
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
MARC FERDAS (R1DO)
NMSS_EVENTS_NOTIFIC (EMAI)

Event Text

AGREEMENT STATE REPORT - FAILURE OF FIXED GAUGE MOUNTING SYSTEM

The following report was received from the Kentucky Department of Public Health and Safety, Radiation Health Branch via email:

"Licensee discovered fixed gauge had become dismounted from associated equipment due to failed mounting system. RSO supervised placing gauge in safe condition which included closing the shutter mechanism and placing the gauge in secure storage. The licensee does not suspect any radiation related injuries or exposures; however, they are still investigating."

KY Event Report ID No.: KY170001

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Agreement State Event Number: 52545
Rep Org: WISCONSIN RADIATION PROTECTION
Licensee: BEMIS CORPORATION
Region: 3
City: NEENAH State: WI
County:
License #: GL
Agreement: Y
Docket:
NRC Notified By: KYLE WALTON
HQ OPS Officer: JEFF HERRERA
Notification Date: 02/09/2017
Notification Time: 11:57 [ET]
Event Date: 02/08/2017
Event Time: 16:31 [CST]
Last Update Date: 02/09/2017
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
MICHAEL KUNOWSKI (R3DO)
NMSS_EVENTS_NOTIFIC (EMAI)

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

Event Text

AGREEMENT STATE - RADIOACTIVE DEVICE FOUND IN SCRAP YARD

The following report was received from the Wisconsin Department of Health Services Radiation Protection Section via email:

"We [Wisconsin Department of Health] have an immediately reportable event under DHS 157.32(1)(a)1 regarding stolen, lost or missing material that is equal to or greater than 1,000 times the quantity specified in Appendix F. A phone message was left with the Wisconsin Department of Health Services at 1631 [CST] on February 8, 2017 [concerning] found radioactive material. The message was returned this morning, February 9, 2017 and the following information has been gathered. An NDC System 101 thickness gauge (SSD CA0471D102B), containing 150 mCi of Am-241 was recovered at a scrap yard in Wisconsin. The device was received in a load of scrap originating from Bemis Corporation in Neenah Wisconsin. The device, with serial number 11125, with 150 mCi of Am-241 assayed on 12/28/2009 is generally licensed to Bemis Corporation. The device was separated out of a load at Alter Trading in Green Bay Wisconsin. The State is currently in contact with both Alter Trading and Bemis Corporation to coordinate a response. An individual at Alter measured up to 3000 microR/h with their survey meter. The department will verify this measurement and determine if there is any contamination or personnel exposure. The department has dispatched staff to the site for response and to help facilitate transfer of the device to the owner."

Wisconsin Event ID No.: WI-170001

* * * UPDATE AT 1701 EST ON 02/09/07 FROM KYLE WALTON TO JEFF HERRERA * * *

The following update was received via email:

"Inspectors investigated on February 9 at Alter Trading in Green Bay, where the device was being stored. It was determined that the device had unintentionally been removed from a machine during maintenance work at Bemis Company, Inc. and that it was then grouped with scrap metal before being transported to Alter Trading. While the shutter was open, the time spent around the device by any employees or members of the public, or employees of either Bemis or Alter, is believed to be minimal. The shutter has been closed, and wipe tests confirm that there is no removable contamination. There are no known or suspected overexposures resulting from this incident. Bemis is working with a service provider to arrange for packaging and transportation of the gauge back to their facility. Inspectors will perform an inspection of Bemis on February 10 to gather more information."

Notified the R3DO (Kunowski) and NMSS Events (via 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

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Agreement State Event Number: 52546
Rep Org: TEXAS DEPT OF STATE HEALTH SERVICES
Licensee: MOTIVA ENTERPRISES LLC
Region: 4
City: PORT ARTHUR State: TX
County:
License #: 05211
Agreement: Y
Docket:
NRC Notified By: KAREN BLANCHARD
HQ OPS Officer: DONALD NORWOOD
Notification Date: 02/09/2017
Notification Time: 13:12 [ET]
Event Date: 02/08/2017
Event Time: [CST]
Last Update Date: 02/09/2017
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
GREG WARNICK (R4DO)
NMSS_EVENTS_NOTIFIC (EMAI)

Event Text

AGREEMENT STATE REPORT - FIXED PROCESS GAUGE STUCK SHUTTER

The following information was received via E-mail:

"On February 9, 2017, the licensee notified the Agency [Texas Department of State Health Services] that on February 8, 2017, it was attempting to close the shutter on a Vega SHLG-1 fixed nuclear gauge to shut down the unit it was mounted on for maintenance and the shutter would not close. The gauge contains a 2,000 millicurie cesium-137 source, serial number 6380GG. The licensee reported there was no risk of exposure to employees or members of the public. A licensed service company is onsite and will secure a lead plate onto the device then remove the device and return it to the manufacturer for repairs.

"More information will be provided as it is obtained in accordance with SA-300."

Texas Incident No.: I-9463

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Power Reactor Event Number: 52555
Facility: CLINTON
Region: 3 State: IL
Unit: [1] [ ] [ ]
RX Type: [1] GE-6
NRC Notified By: DUANE AVERY
HQ OPS Officer: VINCE KLCO
Notification Date: 02/16/2017
Notification Time: 13:03 [ET]
Event Date: 02/15/2017
Event Time: 15:15 [CST]
Last Update Date: 02/16/2017
Emergency Class: NON EMERGENCY
10 CFR Section:
26.719 - FITNESS FOR DUTY
Person (Organization):
PATRICIA PELKE (R3DO)
FFD GROUP (EMAI)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
1 N Y 99 Power Operation 99 Power Operation

Event Text

FAILURE OF SECURITY DATABASE TO INCLUDE ALL PERSONNEL IN THE FFD POOL FOR RANDOM TESTING

"On February 15, 2017 at 1515, it was discovered by corporate Fitness for Duty (FFD) personnel that an unescorted access reactivation feature in the security database (Illuminate) does not reset the flag to include an individual in the random FFD pool due to a database coding error. The Illuminate database was implemented fleet-wide 1/3/17.

"Review by corporate FFD personnel found one individual currently badged at Clinton Power Station was affected by the coding error. The individual was not in the FFD random pool from 1/3/17 until 2/15/17. Corporate security personnel found no other individuals to be affected by this issue.

"Affected individual was added to the FFD random pool. Corporate security personnel notified all Exelon sites of the issue. Sites were notified that the ability to use the re-activation feature in Illuminate would be removed from use by site personnel. Pending removal, a daily query would be run in the database to assure the re-activation feature had not been used by site personnel."

The licensee informed the NRC Resident Inspector.

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Power Reactor Event Number: 52556
Facility: LASALLE
Region: 3 State: IL
Unit: [1] [2] [ ]
RX Type: [1] GE-5,[2] GE-5
NRC Notified By: MARK S. SMITH
HQ OPS Officer: STEVE SANDIN
Notification Date: 02/16/2017
Notification Time: 13:54 [ET]
Event Date: 02/16/2017
Event Time: 08:35 [CST]
Last Update Date: 02/16/2017
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(v)(C) - POT UNCNTRL RAD REL
50.72(b)(3)(v)(D) - ACCIDENT MITIGATION
Person (Organization):
PATRICIA PELKE (R3DO)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
1 N Y 5 Startup 5 Startup
2 N N 0 Defueled 0 Defueled

Event Text

SECONDARY CONTAINMENT INOPERABLE DUE TO INTERLOCK FAILURE

"This report is being made in accordance with 10 CFR 50.72(b)(3)(v)(C), for an event or condition that could have prevented fulfillment of a safety function needed to control the release of radioactive material and 10 CFR 50.72(b)(3)(v)(D) for an event or condition that could have prevented fulfillment of a safety function needed to mitigate the consequences of an accident. An employee entered a secondary containment airlock and identified that both doors of the airlock opened simultaneously when the door on the reactor building side was opened. The employee immediately secured both doors in the airlock and notified the Main Control Room Supervisor. Both doors in the airlock were open for approximately 5 seconds.

"With both doors open, Technical Specifications (TS) Surveillance Requirement (SR) 3.6.4.1.2 was not met. This rendered secondary containment inoperable in accordance with TS 3.6.4.1. Reactor Building differential pressure, as observed in the Main Control Room, has remained more negative than -0.25 inches of vacuum water gauge at all times. Initial investigation determined that the interlock for the doors was malfunctioning. Administrative controls have been put in place to ensure the doors remain closed pending repairs to the interlock."

The licensee informed the NRC Resident Inspector.

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Power Reactor Event Number: 52557
Facility: BROWNS FERRY
Region: 2 State: AL
Unit: [ ] [2] [ ]
RX Type: [1] GE-4,[2] GE-4,[3] GE-4
NRC Notified By: MARK MOEBES
HQ OPS Officer: STEVE SANDIN
Notification Date: 02/16/2017
Notification Time: 15:57 [ET]
Event Date: 02/16/2017
Event Time: 10:52 [CST]
Last Update Date: 02/16/2017
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(v)(D) - ACCIDENT MITIGATION
Person (Organization):
BRIAN BONSER (R2DO)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
2 N Y 77 Power Operation 77 Power Operation

Event Text

HPCI SYSTEM INOPERABLE DUE TO BLOWN FUSE

"On February 16, 2017 at 1052 CST, Unit 2 received a High Pressure Coolant Injection (HPCI) System 120V Power Failure alarm. Troubleshooting identified a cleared fuse for the HPCI System Flow Controller, 2-FIC-73-33, which would have prevented automatic or manual HPCI System initiation and rendered the HPCI System inoperable. At 1145 CST, the cleared fuse was replaced and the HPCI system was declared available. The HPCI System remains inoperable for additional troubleshooting.

"This constitutes an unplanned HPCI System inoperability and requires an 8 hour ENS notification in accordance with 10 CFR 50.72(b)(3)(v)(D), due to the failure of a single train system affecting accident mitigation and a 60 day written report in accordance with 10 CFR 50.73(a)(2)(v)(D).

"The Senior NRC Resident Inspector has been notified."

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Power Reactor Event Number: 52558
Facility: HATCH
Region: 2 State: GA
Unit: [ ] [2] [ ]
RX Type: [1] GE-4,[2] GE-4
NRC Notified By: PAUL UNDERWOOD
HQ OPS Officer: STEVE SANDIN
Notification Date: 02/16/2017
Notification Time: 17:28 [ET]
Event Date: 02/16/2017
Event Time: 13:20 [EST]
Last Update Date: 02/16/2017
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(iv)(A) - VALID SPECIF SYS ACTUATION
Person (Organization):
BRIAN BONSER (R2DO)

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

Event Text

UNEXPECTED AUTOSTART OF AN EMERGENCY DIESEL GENERATOR

"On February 16, 2017 at 1320 EST, the 2A Emergency Diesel Generator (EDG) started in response to a valid actuation signal due to the momentary loss of the 2C Startup Transformer (SAT). While performing maintenance activities on the 2D SAT, the alternate supply breaker tripped and reclosed, allowing the 4160 2E Emergency Bus to be momentarily de-energized. When the 4160 2E Emergency Bus de-energized, the 2A EDG received a valid autostart signal due to emergency bus low voltage. Although, the 2A EDG did autostart, it did not tie to the 4160 2E Emergency Bus as the 4160 2E Emergency Bus was re-energized from the 2C SAT.

"This event is reportable per 10 CFR 50.72(b)(3)(iv)(A) since the autostart of the 2A EDG was not part of a pre-planned sequence and the event resulted in the valid actuation of an emergency ac electrical power system.

"CR 10332134

"The NRC Resident has been notified."

Page Last Reviewed/Updated Friday, February 17, 2017
Friday, February 17, 2017