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Event Notification Report for December 28, 2017

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
12/27/2017 - 12/28/2017

** EVENT NUMBERS **


53117 53127 53129 53130 53131

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!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED !!!!!
Power Reactor Event Number: 53117
Facility: GRAND GULF
Region: 4 State: MS
Unit: [1] [ ] [ ]
RX Type: [1] GE-6
NRC Notified By: WESLEY MARSHALL
HQ OPS Officer: STEVEN VITTO
Notification Date: 12/12/2017
Notification Time: 20:34 [ET]
Event Date: 12/12/2017
Event Time: 13:30 [CST]
Last Update Date: 12/27/2017
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(v)(D) - ACCIDENT MITIGATION
Person (Organization):
RICK DEESE (R4DO)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
1 N Y 15 Power Operation 15 Power Operation

Event Text

HIGH PRESSURE CORE SPRAY DECLARED INOPERABLE

"At approximately 1330 CST on Tuesday, December 12, 2017, Grand Gulf Nuclear Station declared Division 3 'C' Battery inoperable due to questions concerning battery terminal connection continuity. Technical Specification 3.8.4, DC Sources - Operating, Condition E, Required Action E.1, requires the station to declare the High Pressure Core Spray System inoperable immediately. The Division 3 'C' Battery and High Pressure Core Spray System was declared operable and the LCOs [Limiting condition of operation] were declared met at 1731CST on Tuesday, December 12, 2017. Based on field measurements of terminal torque and resistance, the as-found and as-left terminal resistance micro-ohm readings indicated satisfactorily all times. Formal evaluation of the as-found condition of the battery is in progress.

"This report is to notify the NRC of a loss of safety function on the High Pressure Core Spray System."

The NRC Resident Inspector was notified.

* * * UPDATE AT 1612 EST ON 12/27/17 FROM GERRY ELLIS TO S. SANDIN * * *

The report is retracted based on the following:

"This was initially reported under 50.72(b)(3)(v)(D). However, after subsequent investigation of the identified condition, a degraded condition was confirmed to not exist. The 1C3 battery bank connections were torque checked, inspected, and resistance values were checked. All torque, resistance values and seismic condition were confirmed to be satisfactory. The operability evaluation confirmed that the battery was and remained operable, and therefore the initial determination of operability and reportability was incorrect.

"Division 3 Battery 1C3 was at the time of discovery OPERABLE and therefore this is not a reportable condition."

The licensee informed the NRC Resident Inspector.

Notified the R4DO (Haire).

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Agreement State Event Number: 53127
Rep Org: ILLINOIS EMERGENCY MGMT. AGENCY
Licensee: UNIVERSITY OF CHICAGO HOSPITAL
Region: 3
City: CHICAGO State: IL
County:
License #: IL-01678-02
Agreement: Y
Docket:
NRC Notified By: GIBB VINSON
HQ OPS Officer: VINCE KLCO
Notification Date: 12/19/2017
Notification Time: 17:05 [ET]
Event Date: 12/15/2017
Event Time: [CST]
Last Update Date: 12/19/2017
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
BILLY DICKSON (R3DO)
NMSS_EVENTS_NOTIFICA (EMAI)

Event Text

AGREEMENT STATE REPORT - UNDERDOSE

The following information was received from the State of Illinois:

"The University of Chicago Medical Center reported an underdose of Y90 Theraspheres today [12/19/17] to a patient. 53.4 % of dose was delivered with 46.6% stuck in catheter. 21 mCi was ordered and 11.21 was delivered. CT scan verified dose administered in correct location. On 12/18/17, it was still undetermined why remaining dose hung up in catheter. Additional dose [is] being ordered to complete the therapy as a fractionated dose. The licensee is investigating why the catheter became blocked. A 15 day written report will follow."

Illinois Incident: IL177059

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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Agreement State Event Number: 53129
Rep Org: FLORIDA BUREAU OF RADIATION CONTROL
Licensee: REYNOLDS, SMITH AND HILLS CS, INC
Region: 1
City: ORLANDO State: FL
County:
License #: 2732-2
Agreement: Y
Docket:
NRC Notified By: TIM DUNN
HQ OPS Officer: VINCE KLCO
Notification Date: 12/19/2017
Notification Time: 18:28 [ET]
Event Date: 11/14/2017
Event Time: [EST]
Last Update Date: 12/19/2017
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
DONNA JANDA (R1DO)
NMSS_EVENTS_NOTIFICA (EMAI)
ILTAB (EMAI)

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

Event Text

AGREEMENT STATE REPORT - STOLEN AND RETRIEVED TROXLER GAUGE

The following information was excerpted from an email received from the State of Florida:

The State of Florida received a notice on 11/15/17 that a Troxler Gauge and a company vehicle was stolen from the licensee by an employee. A City of Orlando Police report was issued (2017-442672). On 12/7/2017, a notice was received from the licensee to inform State of Florida Bureau of Radiation Control that the gauge was found intact and undamaged.

The Troxler moisture density gauge is a model number 3440; serial number 27931; Cs-137/AmBe; 8mCi/40mCi.

Florida Incident Number: FL17-298.

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

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: 53130
Rep Org: FLORIDA BUREAU OF RADIATION CONTROL
Licensee: ZEVACOR
Region: 1
City: SANFORD State: FL
County:
License #: 3287-1
Agreement: Y
Docket:
NRC Notified By: TIM DUNN
HQ OPS Officer: VINCE KLCO
Notification Date: 12/19/2017
Notification Time: 17:40 [ET]
Event Date: 11/09/2017
Event Time: [EST]
Last Update Date: 12/19/2017
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
DONNA JANDA (R1DO)
NMSS_EVENTS_NOTIFICA (EMAI)
GRETCHEN RIVERA-CAPE (NMSS)
PATRICIA MILLIGAN (INES)

Event Text

AGREEMENT STATE REPORT - POTENTIAL OVER-EXPOSURE

The following was excerpted from an email received from the State of Florida:

The State of Florida received a notice of an over-exposure from the licensee. An employee received a whole body dose of 5019 mR read on her dosimeter on 10/10/2017. The investigation determined that the most likely cause of the over-exposure was due to an unusual number of equipment failures with the synthesis units requiring employee intervention to correct the issues. Dose rates and doses to the employee were not being monitored real time. The employee has been retrained on the standard operating procedures. Alarming personal electronic dosimeters have been purchased and are in use to alert personnel of the radiation fields.

Florida Incident Number: FL17-299

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Agreement State Event Number: 53131
Rep Org: FLORIDA BUREAU OF RADIATION CONTROL
Licensee: CONTOUR ENGINEERING, LLC
Region: 1
City: TAMPA State: FL
County:
License #: 4574-1
Agreement: Y
Docket:
NRC Notified By: MARK SEIDENSTICKER
HQ OPS Officer: STEVEN VITTO
Notification Date: 12/20/2017
Notification Time: 09:29 [ET]
Event Date: 12/20/2017
Event Time: [EST]
Last Update Date: 12/20/2017
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
DONNA JANDA (R1DO)
NMSS_EVENTS_NOTIFICA (EMAI)

Event Text

AGREEMENT STATE REPORT - VEHICLE ACCIDENT INVOLVING A TROXLER GAUGE

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

"Vehicle accident involving a transported Troxler gauge. Driver rear ended the vehicle in front and was transported to hospital. Troxler case was in back of pick up truck and apparently suffered a broken clasp but gauge still intact. [Florida State Inspector] is responding to investigate and take possession of the gauge until the RSO arrives on scene."

Incident Number: FL17-300

Page Last Reviewed/Updated Thursday, December 28, 2017
Thursday, December 28, 2017