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Event Notification Report for April 23, 2018

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
04/20/2018 - 04/23/2018

** EVENT NUMBERS **


53330 53331 53332 53333 53337 53338 53349 53352 53353 53354 53355 53356
53358

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Agreement State Event Number: 53330
Rep Org: TEXAS DEPT OF STATE HEALTH SERVICES
Licensee: WILCO NDT
Region: 4
City: NEEDVILLE State: TX
County:
License #: L06916
Agreement: Y
Docket:
NRC Notified By: IRENE CASARES
HQ OPS Officer: HOWIE CROUCH
Notification Date: 04/13/2018
Notification Time: 11:44 [ET]
Event Date: 04/12/2018
Event Time: [CDT]
Last Update Date: 04/13/2018
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
RAY KELLAR (R4DO)
NMSS_EVENTS_NOTIFICA (EMAI)

Event Text

TEXAS AGREEMENT STATE REPORT - RADIOGRAPHY CAMERA PIGTAIL CONNECTOR FAILED

The following information was obtained from the state of Texas via email:

"On April 13, 2018, the Agency [Texas Department of State Health Services] received notice that a radiography camera had an equipment failure yesterday, April 12, 2018. The radiography crew was on a temporary jobsite and was setting up for a job. When the radiographer tried to connect the guide tube, the pigtail on the cable broke and the camera/cable was unusable. The radiographer contacted his radiation safety officer who informed the crew to bring the camera back to the office. The source did not leave the camera. No exposure to an individual occurred. The camera was a Spec-150, #2489 with an Iridium-192 source, G60 -VC1403 at 80 Curies. The manufacturer will be sent the equipment and a full report will be provided by the radiation safety officer within the next few days. Updates will be provide as received in accordance with SA300."

Texas Incident #9558

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Fuel Cycle Facility Event Number: 53331
Facility: GLOBAL NUCLEAR FUEL - AMERICAS
RX Type: URANIUM FUEL FABRICATION
Comments: LEU CONVERSION (UF6 TO UO2)
                   LEU FABRICATION
                   LWR COMMERICAL FUEL
Region: 2
City: WILMINGTON State: NC
County: NEW HANOVER
License #: SNM-1097
Agreement: Y
Docket: 07001113
NRC Notified By: SCOTT MURRAY
HQ OPS Officer: HOWIE CROUCH
Notification Date: 04/13/2018
Notification Time: 15:00 [ET]
Event Date: 04/12/2018
Event Time: 19:00 [EDT]
Last Update Date: 04/13/2018
Emergency Class: NON EMERGENCY
10 CFR Section:
PART 70 APP A (b)(2) - LOSS OR DEGRADED SAFETY ITEMS
Person (Organization):
MARVIN SYKES (R2DO)
NMSS_EVENTS_NOTIFICA (EMAI)
MARGIE KOTZALAS (NMSS)

Event Text

POTENTIALLY DEGRADED ITEMS RELIED ON FOR SAFETY

"GNF-A's [Global Nuclear Fuels - Americas] Fuel Manufacturing Operation maintains a safe geometry Radwaste accumulation tank to receive certain liquid discharges from operations. During the annual shutdown work activities and routine inspections, an accumulation of material was identified in a safe geometry Radwaste accumulation tank.

"The accumulation appears to have occurred due to reduced recirculation flow, an engineered feature that mixes the contents of the tank as part of a density control. The accumulation of material is an indication that the tank density control had degraded.

"Plant operations attempted to remove and quantify the material per normal requirements. On 4/12/18 at approximately 1900 [EDT], GNF-A determined that the material could not be quantified in a timely manner.

"In the absence of quantification, GNF-A has conservatively determined that this condition is a failure to meet performance requirements and is therefore reporting it within 24 hours of discovery pursuant to Part 70 Appendix A (b)(2).

"Additional controls on the tank geometry remained intact and at no time was an unsafe condition present. In addition, there are no sources that could result in a rapid addition of uranium to the system.

"Additional corrective actions, extent of condition, and extent of cause are being investigated."

The licensee will be notifying their NRC Program Manager (Vukovinsky), the Radiation Protection Section at North Carolina Department of Health and Human Services, and Hanover County Emergency Management Agency.

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Agreement State Event Number: 53332
Rep Org: TEXAS DEPT OF STATE HEALTH SERVICES
Licensee: TECHCORR USA MANAGEMENT LLC
Region: 4
City: PASADENA State: TX
County: BRAZOS
License #: L05972
Agreement: Y
Docket:
NRC Notified By: CHRIS MOORE
HQ OPS Officer: HOWIE CROUCH
Notification Date: 04/13/2018
Notification Time: 16:12 [ET]
Event Date: 04/13/2018
Event Time: [CDT]
Last Update Date: 04/18/2018
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
RAY KELLAR (R4DO)
NMSS_EVENTS_NOTIFICA (EMAI)

Event Text

TEXAS AGREEMENT STATE REPORT - OVEREXPOSURE TO A RADIOGRAPHER

The following information was obtained from the State of Texas via email:

"On April 13, 2018, the Agency [Texas Department of State Health Services] was notified by the Licensee's Radiation Safety Officer (RSO) that an overexposure occurred after a film badge that was sent off earlier this week for an immediate reading came back with a total whole body dose of 6 Rem. On or about April 9, 2018, a radiographer working at a fabrication shop was using a QSA 880D [camera] containing 70 Curies of Iridium-192. After the camera was used to conduct some shots at one location, the radiographer carried the camera and attached cables to a different location. When he walked by a Radiographer Supervisor, the Supervisor's rate alarm starting alarming. The camera was put down, the cranks operated and the source was then fully locked inside the camera. Details of why the source was not fully inserted in the camera are not known at this time. The RSO is enroute to conduct an investigation and interviews on April 16, 2018. The camera and cranks were tested several times and appear to be working normally. No other personnel appeared to receive any significant dose. Additional information will be supplied as it is received in accordance with SA-300."

Texas Incident Number: 9559


* * * UPDATE ON 4/18/18 AT 0940 EDT FROM KAREN BLANCHARD TO BETHANY CECERE * * *

The update was obtained from the State of Texas via email:

"Per new information received from the licensee, please change the activity of the source from 70 Curies to 102.8 Curies.

"Investigation into this event is still ongoing."

Notified R4DO (O'Keefe) and NMSS Events Notification (email).

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Agreement State Event Number: 53333
Rep Org: TEXAS DEPT OF STATE HEALTH SERVICES
Licensee: IRISNDT INC
Region: 4
City: HOUSTON State: TX
County:
License #: L06435
Agreement: Y
Docket:
NRC Notified By: IRENE CASARES
HQ OPS Officer: HOWIE CROUCH
Notification Date: 04/13/2018
Notification Time: 17:18 [ET]
Event Date: 04/13/2018
Event Time: [CDT]
Last Update Date: 04/13/2018
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
RAY KELLAR (R4DO)
NMSS_EVENTS_NOTIFICA (EMAI)

Event Text

TEXAS AGREEMENT STATE REPORT - ATTEMPTED BREAK-IN AT A FACILITY HOUSING RADIOGRAPHY EQUIPMENT

The following information was obtained from the state of Texas via email:

"On April 13, 2018, the Agency [Texas Department of State Health Services] received notification from a radiation safety officer (RSO) for a radiography company. The RSO stated that they experienced an attempted theft at one of their locations. The workday ended at 6:00 p.m. [CDT] yesterday and began at 6:00 a.m. today. At some point during the night hours, the lock on the complex gate was forced to the point of breakage. The complex is surrounded by a six foot fence and contains radiography vehicles, an office, and a radiography storage vault. The attempt to enter the complex was not successful. The company found the bent/broken lock and noted no items disturbed or stolen. The company informed the local law enforcement servicing the area. The company also increased its video surveillance by adding more cameras and signs communicating the area was under surveillance to deter any future attempts of criminal activity."

Texas Incident #9560

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Agreement State Event Number: 53337
Rep Org: TEXAS DEPT OF STATE HEALTH SERVICES
Licensee: BJ SERVICES LLC
Region: 4
City: HOUSTON State: TX
County:
License #: L06859
Agreement: Y
Docket:
NRC Notified By: KAREN BLANCHARD
HQ OPS Officer: HOWIE CROUCH
Notification Date: 04/14/2018
Notification Time: 20:55 [ET]
Event Date: 04/13/2018
Event Time: 20:55 [CDT]
Last Update Date: 04/14/2018
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
RAY KELLAR (R4DO)
NMSS_EVENTS_NOTIFICA (EMAI)

Event Text

TEXAS AGREEMENT STATE REPORT - RECOVERY BY U.S. CUSTOMS AND BORDER PROTECTION OF A FIXED NUCLEAR GAUGE

The following information was obtained by the state of Texas via email:

"On April 13, 2018, at approximately 8:55 p.m. [CDT], U.S. Customs and Border Protection (CBP) notified the Agency [Texas Department of State Health Services] that it had discovered and identified a cesium [fixed] gauge - Thermo Fisher Scientific Model 5192, containing 200 milliCuries of cesium-137, SN: B8087 - in the bed of a pickup truck of an individual (road construction worker) who was crossing from Texas into Mexico at the Tornillo-Marcelino Serna port of entry in Tornillo, Texas. The individual told the CBP officer that he had found the gauge on the side of the road near Kermit, Texas, and had picked it up and put it in the back of his truck as he was leaving that area to travel to Mexico ('home'); he collects scrap metal and sells it across the border. CBP took possession of the device and the Agency contacted the owner/licensee. The licensee dispatched an employee who retrieved the device at approximately 6:00 a.m. on April 14, 2018. The licensee reported that the device packaging appeared to be secure and has performed a leak test which was sent to a third party for analysis. While there has been no indication that any individual has been exposed above any regulatory limit, the licensee's and Agency's investigations thus far have not been able to definitively make that determination. Therefore, this report is being submitted. More information will be provided as it is obtained in accordance with SA-300."

Texas Incident #I-9561

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Agreement State Event Number: 53338
Rep Org: FLORIDA BUREAU OF RADIATION CONTROL
Licensee: MAYO CLINIC
Region: 1
City: JACKSONVILLE State: FL
County:
License #: 1812-3
Agreement: Y
Docket:
NRC Notified By: MARK SEIDENSTICKER
HQ OPS Officer: HOWIE CROUCH
Notification Date: 04/14/2018
Notification Time: 21:39 [ET]
Event Date: 04/13/2018
Event Time: [EDT]
Last Update Date: 04/14/2018
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
DON JACKSON (R1DO)
NMSS_EVENTS_NOTIFICA (EMAI)

Event Text

FLORIDA AGREEMENT STATE REPORT - PATIENT RECEIVED 65 PERCENT OF PRESCRIBED DOSE TO INTENDED TREATMENT SITE

The following information was obtained from the state of Florida via email:

"An underdose of Y-90 Theraspheres to the patient's liver was reported to the BRC [Florida Bureau of Radiation Control] on 4/14/2018 at 3:15 p.m. [EDT]. Incident occurred on Friday, 4/13/2018 sometime during the afternoon. 60 mCi of Y-90 Theraspheres prescribed, of which 65% was delivered to patient's liver and 35% went to the waist. The RSO [Radiation Safety Officer] to follow up with documentation and a corrective action plan."

Florida Incident No.: FL18-050

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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Power Reactor Event Number: 53349
Facility: WATTS BAR
Region: 2 State: TN
Unit: [1] [2] [ ]
RX Type: [1] W-4-LP,[2] W-4-LP
NRC Notified By: CHARLES BROESCHE
HQ OPS Officer: THOMAS KENDZIA
Notification Date: 04/20/2018
Notification Time: 00:55 [ET]
Event Date: 04/19/2018
Event Time: 19:44 [EDT]
Last Update Date: 04/20/2018
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(ii)(B) - UNANALYZED CONDITION
Person (Organization):
ALAN BLAMEY (R2DO)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
1 N Y 100 Power Operation 100 Power Operation
2 N Y 100 Power Operation 100 Power Operation

Event Text

UNANALYZED CONDITION RELATED TO EMERGENCY CORE COOLING GAS ACCUMULATION ACCEPTANCE CRITERIA

"On April 19, 2018 at 1944 EDT, Watts Bar Nuclear Plant (WBN) determined that a preliminary analysis shows current acceptance criteria for gas accumulation in the WBN Unit 1 and Unit 2 Safety Injection System (SIS) and Residual Heat Removal System (RHRS) discharge piping may be non-conservative. The surveillances that check void values and allow venting of the systems are to be performed utilizing conservative criteria at more frequent intervals to ensure gas void volumes remain under acceptable limits. Additional analysis is being performed to determine final actions.

"The NRC Resident Inspector has been notified."

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Power Reactor Event Number: 53352
Facility: SUSQUEHANNA
Region: 1 State: PA
Unit: [1] [2] [ ]
RX Type: [1] GE-4,[2] GE-4
NRC Notified By: DAVID HOPPE
HQ OPS Officer: JEFF HERRERA
Notification Date: 04/20/2018
Notification Time: 16:05 [ET]
Event Date: 04/20/2018
Event Time: [EDT]
Last Update Date: 04/20/2018
Emergency Class: NON EMERGENCY
10 CFR Section:
26.719 - FITNESS FOR DUTY
Person (Organization):
JON LILLIENDAHL (R1DO)
FFD GROUP (EMAI)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
1 N N 0 Refueling 0 Refueling
2 N Y 100 Power Operation 100 Power Operation

Event Text

FITNESS FOR DUTY POLICY VIOLATION

A non-licensed supervisory contract worker was found in violation of the Fitness for Duty Program. The individual's access to the plant has been terminated.

The licensee notified the NRC Resident Inspector.

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Power Reactor Event Number: 53353
Facility: BRAIDWOOD
Region: 3 State: IL
Unit: [1] [ ] [ ]
RX Type: [1] W-4-LP,[2] W-4-LP
NRC Notified By: ALEX TRESPALACIOS
HQ OPS Officer: DONG HWA PARK
Notification Date: 04/20/2018
Notification Time: 17:57 [ET]
Event Date: 04/20/2018
Event Time: 10:42 [CDT]
Last Update Date: 04/20/2018
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(v)(B) - POT RHR INOP
Person (Organization):
KENNETH RIEMER (R3DO)

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

Event Text

BOTH DIESEL GENERATORS INOPERABLE

On Friday, April 20, 2018 at 1042 CDT, Braidwood Station Unit 1 was at 0 percent power in Mode 6. The 1A Diesel Generator (DG) was inoperable with troubleshooting in progress. The 1B DG was being run for a normal monthly run in accordance with 1 BwOSR 3.8.1.2-2, 'Unit One 1B Diesel Generator Operability Surveillance,' and subsequently tripped. The trip was due to a failure of the overspeed butterfly valve actuator and springs, and not an actual overspeed condition. The unit entered Technical Specification (TS) 3.8.2, 'AC Sources - Shutdown,' Condition B for required DG inoperable. All required TS actions were met at the time of the 1B DG inoperability. The offsite power source remains available. At no time was residual heat removal lost.

"This event is reportable under 10 CFR 50.72(b)(3)(v)(B) 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 remove residual heat.

"The licensee has notified the NRC Resident Inspector."

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Power Reactor Event Number: 53354
Facility: BRAIDWOOD
Region: 3 State: IL
Unit: [1] [ ] [ ]
RX Type: [1] W-4-LP,[2] W-4-LP
NRC Notified By: RICH ROWE
HQ OPS Officer: DONG HWA PARK
Notification Date: 04/20/2018
Notification Time: 22:22 [ET]
Event Date: 04/20/2018
Event Time: 17:30 [CDT]
Last Update Date: 04/20/2018
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(ii)(A) - DEGRADED CONDITION
Person (Organization):
KENNETH RIEMER (R3DO)

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

Event Text

DEGRADED REACTOR VESSEL HEAD

"On Friday, April 20, 2018 at 1730 CDT, during the Braidwood Station Unit 1 refueling outage (A1R20), a scheduled ultrasonic test (UT) was performed on the top head to upper center disc weld of the Unit 1 reactor head. The UT identified 19 indications, 9 of which are not acceptable per ASME Section XI, 2001 Edition, 2003 Addenda, Paragraph IWB-3510.

"This event is reportable under 10 CFR 50.72(b)(3)(ii)(A) for 'Any event or condition that results in the condition of the nuclear power plant, including its principal safety barriers, being seriously degraded'.

"The licensee notified the NRC Resident Inspector."

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Power Reactor Event Number: 53355
Facility: WATTS BAR
Region: 2 State: TN
Unit: [1] [ ] [ ]
RX Type: [1] W-4-LP,[2] W-4-LP
NRC Notified By: JUSTIN GALLAGHER
HQ OPS Officer: DAVID AIRD
Notification Date: 04/22/2018
Notification Time: 02:34 [ET]
Event Date: 04/21/2018
Event Time: 21:52 [EDT]
Last Update Date: 04/22/2018
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(v)(B) - POT RHR INOP
Person (Organization):
ALAN BLAMEY (R2DO)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
1 N Y 100 Power Operation 100 Power Operation

Event Text

BOTH TRAINS OF RESIDUAL HEAT REMOVAL INOPERABLE

"On April 21, 2018 at 2152 EDT, Watts Bar Nuclear Plant (WBN) Unit 1 entered TS [Technical Specifications] LCO [Limiting Condition for Operation] 3.0.3 due to both trains of the Residual Heat Removal System (RHRS) becoming inoperable. During surveillance testing, the gas void values on Emergency Core Cooling System (ECCS) piping common to both trains did not meet acceptance criteria. This caused both RHRS trains to become inoperable. Operations subsequently vented the RHRS to meet the acceptance criteria and exited TS LCO 3.0.3 at 2222 EDT. More frequent surveillances will be conducted to monitor gas void volumes while additional analysis is being performed to determine corrective actions."

The NRC Resident Inspector has been notified.

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Power Reactor Event Number: 53356
Facility: WATTS BAR
Region: 2 State: TN
Unit: [ ] [2] [ ]
RX Type: [1] W-4-LP,[2] W-4-LP
NRC Notified By: JUSTIN GALLAGHER
HQ OPS Officer: DAVID AIRD
Notification Date: 04/22/2018
Notification Time: 04:28 [ET]
Event Date: 04/22/2018
Event Time: 02:22 [EDT]
Last Update Date: 04/22/2018
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(v)(B) - POT RHR INOP
Person (Organization):
ALAN BLAMEY (R2DO)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
2 N Y 100 Power Operation 100 Power Operation

Event Text

BOTH TRAINS OF RESIDUAL HEAT REMOVAL INOPERABLE

"On April 22, 2018 at 0222 EDT, Watts Bar Nuclear Plant (WBN) Unit 2 entered TS [Technical Specifications] LCO [Limiting Condition for Operation] 3.0.3 due to both trains of the Residual Heat Removal System (RHRS) becoming inoperable. During surveillance testing, the gas void values on Emergency Core Cooling System (ECCS) piping common to both trains did not meet acceptance criteria. This caused both RHRS trains to become inoperable. Operations subsequently vented the RHRS to meet the acceptance criteria and exited TS LCO 3.0.3 at 0227 EDT. More frequent surveillances will be conducted to monitor gas void volumes while additional analysis is being performed to determine corrective actions."

The NRC Resident Inspector has been notified.

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Power Reactor Event Number: 53358
Facility: BRAIDWOOD
Region: 3 State: IL
Unit: [1] [ ] [ ]
RX Type: [1] W-4-LP,[2] W-4-LP
NRC Notified By: RICH ROWE
HQ OPS Officer: DONG HWA PARK
Notification Date: 04/22/2018
Notification Time: 22:40 [ET]
Event Date: 04/22/2018
Event Time: 16:46 [CDT]
Last Update Date: 04/22/2018
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(iv)(A) - VALID SPECIF SYS ACTUATION
Person (Organization):
KENNETH RIEMER (R3DO)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
1 N N 0 Cold Shutdown 0 Cold Shutdown

Event Text

UNDERVOLTAGE ACTUATION OF THE ENGINEERED SAFETY FEATURE BUS

"On Sunday, April 22, 2018 at 1646 CDT, a valid actuation of Engineered Safety Feature (ESF) Bus 141 Undervoltage (UV) Relay occurred. At the time, Braidwood Station Unit 1 was performing a pre-planned 1A Diesel Generator (DG) Emergency Core Cooling System (ECCS) Actuation Surveillance, initiating the 1A DG to emergency start and sequence loads on a safety injection signal. Following the 1A DG solely supplying electrical power to Bus 141, the 1A DG lost voltage, resulting in an unplanned UV actuation of ESF Bus 141. The 1A DG output breaker was manually opened and local emergency stop of the 1A DG was attempted. The 1A DG continued to run at idle. Fuel supply was secured to the 1A DG and the engine stopped. Subsequently, operators restored power to ESF Bus 141 from the Unit 1 Offsite Power Source. Shutdown cooling was maintained throughout the event as the 1B Residual Heat Removal train was unaffected by the actuation.

"This event is reportable under 10 CFR 50.72(b)(3)(iv)(A) for 'Any event or condition that results in valid actuation of any of the systems listed...', specifically 10 CFR 50.72(b)(3)(iv)(B)(8) for the 'Emergency ac electrical power systems, including: emergency diesel generators (EDGs)...'.

"The licensee notified the NRC resident inspector."

Page Last Reviewed/Updated Monday, April 23, 2018
Monday, April 23, 2018