Event Notification Report for April 12, 2017
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
04/11/2017 - 04/12/2017
!!!!! THIS EVENT HAS BEEN RETRACTED !!!!!
!!!!! THIS EVENT HAS BEEN RETRACTED !!!!!
Power Reactor
Event Number: 52674
Facility: OYSTER CREEK
Region: 1 State: NJ
Unit: [1] [] []
RX Type: [1] GE-2
NRC Notified By: THOMAS J. BUSK
HQ OPS Officer: DONG HWA PARK
Region: 1 State: NJ
Unit: [1] [] []
RX Type: [1] GE-2
NRC Notified By: THOMAS J. BUSK
HQ OPS Officer: DONG HWA PARK
Notification Date: 04/12/2017
Notification Time: 21:06 [ET]
Event Date: 04/12/2017
Event Time: 15:30 [EDT]
Last Update Date: 04/20/2017
Notification Time: 21:06 [ET]
Event Date: 04/12/2017
Event Time: 15:30 [EDT]
Last Update Date: 04/20/2017
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
DON JACKSON (R1DO)
DON JACKSON (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 |
LOSS OF THE TECHNICAL SUPPORT CENTER VENTILATION SYSTEM
"Oyster Creek Generating Station has experienced a loss of the Technical Support Center (TSC) ventilation system due to charcoal filter test failure. A charcoal filter replacement is planned.
"If an emergency is declared requiring TSC activation during the time TSC ventilation is non-functional, the TSC will be staffed and activated using existing emergency planning procedure unless the TSC becomes uninhabitable due to ambient temperature, radiological, or other conditions. If relocation of the TSC becomes necessary, the Emergency Director will relocate the TSC staff to an alternate location in accordance with applicable site procedures.
"This notification is being made in accordance with 10 CFR 50.72(b)(3)(xiii) due to a loss of the TSC. An update will be provided once the TSC ventilation has been restored to normal operation.
"The NRC Resident Inspector will be notified."
* * * RETRACTION ON 4/20/17 AT 1447 EDT FROM JIM RITCHIE TO DONG PARK * * *
"This is a retraction of ENS notification 52674. After further testing and evaluation, the station concluded that the TSC Ventilation Charcoal filter met the acceptance criteria, and the TSC Ventilation was not inoperable at the moment the original ENS notification was performed."
The licensee will notify the NRC Resident Inspector. Notified R1DO (Arner).
"Oyster Creek Generating Station has experienced a loss of the Technical Support Center (TSC) ventilation system due to charcoal filter test failure. A charcoal filter replacement is planned.
"If an emergency is declared requiring TSC activation during the time TSC ventilation is non-functional, the TSC will be staffed and activated using existing emergency planning procedure unless the TSC becomes uninhabitable due to ambient temperature, radiological, or other conditions. If relocation of the TSC becomes necessary, the Emergency Director will relocate the TSC staff to an alternate location in accordance with applicable site procedures.
"This notification is being made in accordance with 10 CFR 50.72(b)(3)(xiii) due to a loss of the TSC. An update will be provided once the TSC ventilation has been restored to normal operation.
"The NRC Resident Inspector will be notified."
* * * RETRACTION ON 4/20/17 AT 1447 EDT FROM JIM RITCHIE TO DONG PARK * * *
"This is a retraction of ENS notification 52674. After further testing and evaluation, the station concluded that the TSC Ventilation Charcoal filter met the acceptance criteria, and the TSC Ventilation was not inoperable at the moment the original ENS notification was performed."
The licensee will notify the NRC Resident Inspector. Notified R1DO (Arner).
Agreement State
Event Number: 52697
Rep Org: NEW YORK STATE DEPT. OF HEALTH
Licensee: NOT PROVIDED
Region: 1
City: NOT PROVIDED State: NY
County:
License #:
Agreement: Y
Docket:
NRC Notified By: JANAKI KRISHNAMOORTHY
HQ OPS Officer: DONG HWA PARK
Licensee: NOT PROVIDED
Region: 1
City: NOT PROVIDED State: NY
County:
License #:
Agreement: Y
Docket:
NRC Notified By: JANAKI KRISHNAMOORTHY
HQ OPS Officer: DONG HWA PARK
Notification Date: 04/20/2017
Notification Time: 15:38 [ET]
Event Date: 04/12/2017
Event Time: 00:00 [EDT]
Last Update Date: 04/20/2017
Notification Time: 15:38 [ET]
Event Date: 04/12/2017
Event Time: 00:00 [EDT]
Last Update Date: 04/20/2017
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
FRANK ARNER (R1DO)
NMSS_EVENTS_NOTIFIC (EMAI)
FRANK ARNER (R1DO)
NMSS_EVENTS_NOTIFIC (EMAI)
AGREEMENT STATE REPORT - LESS THAN INTENDED DOSE ADMINISTERED TO THE PATIENT
The following information was provided by the State of New York via facsimile:
"On 04/12/2017, a patient with widespread neoplasm of liver, intrahepatic bile duct, received treatment with Y90 SIRTEX microspheres to 2 separate segments in the right lobe. The intended activities were 0.946 GBq (25.6 mCi) to a small segment and 2.38 GBq (64.3 mCi) to the large segment.
"On 4/18/17, during a review of the patient's medical record, the AU [authorized user] physician discovered that the activity ordered for the large lesion was 0.38 GBq, not 2.38 GBq, as the written directive had stated. NYS DOH [New York State Department of Health] was informed on 4/19/17. Both the patient and the referring physician have been informed. AU physician stated that there is no harm to the patient, because they plan to administer the deficit dose to this segment in the right lobe during the procedure scheduled to treat the left lobe next month.
"The licensee stated that documentation/communication appears to be the primary cause. Facility is investigating. Will update when more information becomes available."
NY Event Report ID No. NYDOH-NY-17-07
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 information was provided by the State of New York via facsimile:
"On 04/12/2017, a patient with widespread neoplasm of liver, intrahepatic bile duct, received treatment with Y90 SIRTEX microspheres to 2 separate segments in the right lobe. The intended activities were 0.946 GBq (25.6 mCi) to a small segment and 2.38 GBq (64.3 mCi) to the large segment.
"On 4/18/17, during a review of the patient's medical record, the AU [authorized user] physician discovered that the activity ordered for the large lesion was 0.38 GBq, not 2.38 GBq, as the written directive had stated. NYS DOH [New York State Department of Health] was informed on 4/19/17. Both the patient and the referring physician have been informed. AU physician stated that there is no harm to the patient, because they plan to administer the deficit dose to this segment in the right lobe during the procedure scheduled to treat the left lobe next month.
"The licensee stated that documentation/communication appears to be the primary cause. Facility is investigating. Will update when more information becomes available."
NY Event Report ID No. NYDOH-NY-17-07
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.