U.S. Nuclear Regulatory Commission Operations Center Event Reports For 03/13/2017 - 03/14/2017 ** EVENT NUMBERS ** | Agreement State | Event Number: 52588 | Rep Org: TEXAS DEPT OF STATE HEALTH SERVICES Licensee: MARATHON PETROLEUM COMPANY LLC Region: 4 City: TEXAS CITY State: TX County: License #: 04431 Agreement: Y Docket: NRC Notified By: IRENE CASARES HQ OPS Officer: HOWIE CROUCH | Notification Date: 03/03/2017 Notification Time: 14:40 [ET] Event Date: 03/02/2017 Event Time: [CST] Last Update Date: 03/03/2017 | Emergency Class: NON EMERGENCY 10 CFR Section: AGREEMENT STATE | Person (Organization): RICK DEESE (R4DO) NMSS_EVENTS_NOTIFIC (EMAI) | Event Text TEXAS AGREEMENT STATE REPORT - STUCK OPEN SHUTTER ON A NUCLEAR GAUGE The following information was obtained from the state of Texas via email: "On March 3, 2017, SunTrac Services called about licensee Marathon Petroleum. They reported a stuck shutter found yesterday afternoon on a vessel. The line level indicator device was found with the shutter stuck open (normal operating position) during preparations to empty the vessel for entry to complete maintenance on the vessel. The measuring device was a Vega model SHF2 containing a Cs-137, 500 milliCurie source, serial number 0174CO. The device was removed from the fluid catalytic cracking unit and placed in storage by Suntrac Services, per authorization on their license. A lead plate will be affixed to the gauge to cover the source. The device will be serviced by either the manufacture or TexStar servicing company within the next two weeks while the vessel undergoes maintenance. There is no risk of exposure to any employees or member of the public. A written report will be provided in the next 30 days as per the consultant. "Updates will be in accordance with SA-300." Texas Incident #: I-9469 | Agreement State | Event Number: 52590 | Rep Org: OHIO BUREAU OF RADIATION PROTECTION Licensee: THE UROLOGY CENTER Region: 3 City: CINCINNATI State: OH County: License #: 02200310002 Agreement: Y Docket: NRC Notified By: MICHAEL SNEE HQ OPS Officer: JEFF HERRERA | Notification Date: 03/03/2017 Notification Time: 16:29 [ET] Event Date: 03/02/2017 Event Time: [EST] Last Update Date: 03/03/2017 | Emergency Class: NON EMERGENCY 10 CFR Section: AGREEMENT STATE | Person (Organization): HIRONORI PETERSON (R3DO) NMSS_EVENTS_NOTIFIC (EMAI) | Event Text AGREEMENT STATE REPORT - TOTAL DOSE DELIVERED TO PATIENT DIFFERED FROM PRESCRIBED DOSE BY MORE THAN 20 PERCENT The following report was received from the Ohio Department of Health via email: "On March 3, 2017, The Urology Center, LLC, Ohio Radioactive Material licensee no. 02200310002, reported an incident pursuant to which the total dose delivered differed from the prescribed dose by more than 20 [percent]. The radiant source was brachytherapy seeds surgically inserted to the prostate. The incident occurred on March 2, 2017 and was confirmed on March 3, 2017 by a review of the post procedure CT [computed tomography] scan. The prescribed dose was 110 cGy using I-125 (model AgX100) seeds. The post CT plan shows that the actual dose delivered to the prostate was 27.6 cGy. The physicians do not believe that there are side effects to the rectum, urethra or neurovascular bundle as a result. "The patient has been informed." OH NMED Item Number: OH170001 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. | Agreement State | Event Number: 52593 | Rep Org: NEW YORK STATE DEPT. OF HEALTH Licensee: NOT PROVIDED Region: 1 City: State: NY County: License #: Agreement: Y Docket: NRC Notified By: JANAKI KRISHNAMOORTHY HQ OPS Officer: JEFF ROTTON | Notification Date: 03/06/2017 Notification Time: 11:40 [ET] Event Date: 03/04/2017 Event Time: [EST] Last Update Date: 03/06/2017 | Emergency Class: NON EMERGENCY 10 CFR Section: AGREEMENT STATE | Person (Organization): JAMES DWYER (R1DO) NMSS_EVENTS_NOTIFICA (EMAI) | This material event contains a "Less than Cat 3 " level of radioactive material. | Event Text AGREEMENT STATE REPORT - MISSING IODINE 125 CALIBRATION SOURCES The following information was provided by the State of New York via Facsimile: "A New York Licensee's RSO [Radiation Safety Officer] left voice mail on March 5, Sunday afternoon, stating that he was informed on the evening of the previous day (March 4, 2017) that 2 vials containing 15 seeds of I-125 that were to be used for calibration purposes were missing from their inventory. The total activity of the 15 seeds was reported to be less than 7 mCi. The surface exposure rates at the exterior of the lead shielded vials was stated to be at background radiation levels. The AU [Authorizing User] physician and the RSO conducted a thorough search on March 5, 2017, but and were unable to locate the seeds. "DOH will staff became aware of the event earlier this morning [March 6, 2017] on arrival at work. Will update after following up with the licensee." NY State Event Report ID NO. NYDOH-NY-17-05 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 | Power Reactor | Event Number: 52607 | Facility: CALLAWAY Region: 4 State: MO Unit: [1] [ ] [ ] RX Type: [1] W-4-LP NRC Notified By: SHANNON GAYDOS HQ OPS Officer: HOWIE CROUCH | Notification Date: 03/13/2017 Notification Time: 16:47 [ET] Event Date: 03/13/2017 Event Time: 13:58 [CDT] Last Update Date: 03/13/2017 | Emergency Class: NON EMERGENCY 10 CFR Section: 50.72(b)(3)(ii)(B) - UNANALYZED CONDITION 50.72(b)(3)(v)(A) - POT UNABLE TO SAFE SD 50.72(b)(3)(v)(B) - POT RHR INOP 50.72(b)(3)(v)(D) - ACCIDENT MITIGATION | Person (Organization): NEIL OKEEFE (R4DO) | Unit | SCRAM Code | RX CRIT | Initial PWR | Initial RX Mode | Current PWR | Current RX Mode | 1 | N | Y | 90 | Power Operation | 90 | Power Operation | Event Text DISCOVERY OF NON-CONFORMING CONDITIONS DURING TORNADO HAZARDS ANALYSIS "On March 13, 2017, during evaluation of protection for Technical Specification (TS) equipment from the damaging effects of tornados, Callaway Plant identified non-conforming conditions in the plant design such that specific Technical Specification equipment is considered to not be adequately protected from tornado missiles. "The Emergency Fuel Oil Truck Connection Lines for both redundant Emergency Fuel Oil trains extend through the Plant South wall of the Diesel Generator Building structure where they may be exposed to design bases tornado missile impact. The direct impact by the design basis missile could result in damage to the fuel oil transfer lines, thereby preventing delivery of the fuel supply from the Emergency Fuel Oil buried storage tank to the Fuel Oil Day Tank. This condition affects the fuel supply to both supported Emergency Diesel Generator trains. "This condition is reportable per 10 CFR 50.72(b)(3)(ii)(B) for any event or condition that results in the nuclear power plant being in an unanalyzed condition that significantly degrades plant safety, and per 10 CFR 50.72(b)(3)(v) for any event or condition that at the time of discovery could have prevented the fulfillment of the safety function of structures or systems that are needed to (A) Shut down the reactor and maintain it in a safe shutdown condition, (B) Remove residual heat, or (D) Mitigate the consequences of an accident. "These conditions are being addressed in accordance with EGM 15-002 and DSS-ISG-2016-01 [enforcement discretion and interim guidance documents]. "The NRC Resident Inspector has been notified." | |