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Event Notification Report for May 15, 2018

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
5/14/2018 - 5/15/2018

** EVENT NUMBERS **


53383 53384 53390 53391 53401

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Agreement State Event Number: 53383
Rep Org: TEXAS DEPT OF STATE HEALTH SERVICES
Licensee: TEAM INDUSTRIAL SERVICE INC
Region: 4
City: ALVIN   State: TX
County:
License #: L 00087
Agreement: Y
Docket:
NRC Notified By: ART TUCKER
HQ OPS Officer: DONG HWA PARK
Notification Date: 05/04/2018
Notification Time: 13:52 [ET]
Event Date: 05/04/2018
Event Time: 09:27 [CDT]
Last Update Date: 05/04/2018
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
RAY AZUA (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
JIM WHITNEY (ILTAB)

Event Text

AGREEMENT STATE REPORT - BOMB THREAT

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

"On May 4, 2018, the Agency [Texas Department of State Health Services] was notified by the licensee that on May 4, 2018, at 0927 hours [CDT], one of their managers had received a phone call from an individual who made a bomb threat against the licensee's offices in Beaumont, Texas. The licensee contacted local law enforcement (LLE) who then contacted the Federal Bureau of Investigation (FBI). LLE responded to the location within 7 minutes of the call to them and the FBI was at the location before the radiation safety officer (RSO) arrived at the office 12 minutes after the call was received. The fire department also responded. The building was evacuated and the FBI, LLE, bomb squad, Fire Marshall, and the RSO inspected the building and the areas around the building. No explosive device was found. The facility was released at 1029 hours [CDT]. Additional information will be provided as it is received in accordance with SA-300."

TX Incident #: 9568

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Fuel Cycle Facility Event Number: 53384
Facility: NUCLEAR FUEL SERVICES INC.
RX Type: URANIUM FUEL FABRICATION
Comments: HEU CONVERSION & SCRAP RECOVERY
NAVAL REACTOR FUEL CYCLE
LEU SCRAP RECOVERY
Region: 2
City: ERWIN   State: TN
County: UNICOI
License #: SNM-124
Docket: 07000143
NRC Notified By: TIM KNOWLES
HQ OPS Officer: HOWIE CROUCH
Notification Date: 05/04/2018
Notification Time: 15:40 [ET]
Event Date: 05/04/2018
Event Time: 11:45 [EDT]
Last Update Date: 05/04/2018
Emergency Class: NON EMERGENCY
10 CFR Section:
PART 70 APP A (c) - OFFSITE NOTIFICATION/NEWS REL
Person (Organization):
BINOY DESAI (R2DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
- FUELS GROUP (EMAIL)

Event Text

CONCURRENT REPORT FOR AN OFFSITE NOTIFICATION MADE TO THE STATE OF TENNESSEE

"This is a concurrent report of a 24-hour report that was made to the state of Tennessee regarding a break in the main fire water loop due to construction activities. The fire loop is fed by city water. The fire water pipe break was isolated by closing isolation valves upstream of the break. A portion of the water and dirt from the excavation flowed into a nearby storm water drainage system. This drainage system has a storm gate which was closed prior to the event to contain the dirt and water. The dirt is still contained in the storm water system located within the protected area of NFS. The dirt is currently being removed from the storm water system. The storm gate will remain closed until the dirt removal activity has been completed.

Potential health and safety consequences to the workers, the public and the environment: "There are no actual safety consequences to workers, the public, or the environment. The potential consequence was a slightly elevated but less than the 10 CFR 20 Table 2 limits of contaminated liquid effluent from a construction accident.

"The licensee notified the NRC Resident Inspector."

Fire watches have been established for the areas affected by the fire loop break. No criticality controls were affected by this event.

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Agreement State Event Number: 53390
Rep Org: KANSAS DEPT OF HEALTH & ENVIRONMENT
Licensee: WESLEY MEDICAL CENTER LLC
Region: 4
City: WICHITA   State: KS
County:
License #: 19-C041-01
Agreement: Y
Docket:
NRC Notified By: JAMES UHLEMEYER
HQ OPS Officer: OSSY FONT
Notification Date: 05/07/2018
Notification Time: 18:20 [ET]
Event Date: 05/04/2018
Event Time: 00:00 [CDT]
Last Update Date: 05/07/2018
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
MARK HAIRE (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)

Event Text

AGREEMENT STATE REPORT - MISADMINISTRATION OF INCORRECT MEDICATION

"A lung scan was incorrectly performed at Wesley Medical Center in Wichita, Kansas last Friday, the 4th of May. It was reported [to the State] at approximately 1500 [CDT] on 5/7/2018. The DTPA [pentetic acid] dose was supposed to go through a nebulizer, and an MMA [methylmalonic acid] dose was supposed to be injected for perfusion, but they accidentally injected the DTPA instead. The patient was able to go through the scan as normal, but the end result is that 40 mCi of DTPA (what should have been the MMA dose, by [the State's] understanding) were injected instead of 4 mCi (what should have been the DTPA dose). The bladder dose was over 5 rads.

"A full report has been promised by the licensee tomorrow, which will be forwarded to [the NRC] and entered into NMED [Nuclear Material Events Database]."

It is unknown if the patient and the prescribing physician have been notified at the time of this report.

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: 53391
Rep Org: TEXAS DEPT OF STATE HEALTH SERVICES
Licensee: E I DU PONT DE NEMOURS & COMPANY
Region: 4
City: ORANGE   State: TX
County:
License #: L00005
Agreement: Y
Docket:
NRC Notified By: ARTHUR TUCKER
HQ OPS Officer: OSSY FONT
Notification Date: 05/07/2018
Notification Time: 22:11 [ET]
Event Date: 05/05/2018
Event Time: 00:00 [CDT]
Last Update Date: 06/20/2018
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
MARK HAIRE (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)

Event Text

AGREEMENT STATE REPORT - SOURCE DISCONNECTED FROM GAUGE'S OPERATING ROD

"On May 7, 2018, the Agency [Texas Department of State Health Services] was notified by the licensee's radiation safety officer [RSO] that on the night of May 5, 2018, they discovered the 100 milliCurie (original activity) source had disconnected from the operating rod of a Berthold model P2608.100 gauge. The RSO stated a set of tongs were used to remove the source from the vessel and place it in a lead pig designed for the source. The RSO stated the manufacturer has been contacted for assistance in repairing the gauge. The individuals who removed the source from the vessel were wearing dosimetry and the RSO stated they were sending the dosimeters in for processing. The RSO stated they had no reason to believe any individual exceeded any limit. Additional information will be provided as it is received in accordance with SA-300."

Texas Incident # 9570

* * * UPDATE ON 6/20/2018 AT 1117 EDT FROM ART TUCKER TO DONG PARK * * *

The following was received via e-mail:

"During the licensee's investigation of this event, the radiation safety officer (RSO) found that the source on a second, almost identical, gauge had also separated from the operating rod. The second gauge, model HPS-1, contains a 500 milliCurie cobalt - 60 source. The failure does not create an exposure risk to any individual. The RSO stated they had received the results for the dosimetry sent for processing from the first reported failure and all readings were 0.0 millirem. The highest lifetime dose for any individual in the report was 105 millirem. Additional information will be provided as it is received in accordance with SA-300."

Notified R4DO (Hay), and NMSS Events Notification via email.

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Power Reactor Event Number: 53401
Facility: CALVERT CLIFFS
Region: 1     State: MD
Unit: [1] [] []
RX Type: [1] CE,[2] CE
NRC Notified By: DAN GENEVA
HQ OPS Officer: DONALD NORWOOD
Notification Date: 05/14/2018
Notification Time: 13:17 [ET]
Event Date: 05/14/2018
Event Time: 13:05 [EDT]
Last Update Date: 05/14/2018
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(ii)(B) - UNANALYZED CONDITION
50.72(b)(3)(v)(D) - ACCIDENT MITIGATION
Person (Organization):
GLENN DENTEL (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

Event Text

SALTWATER SYSTEM NON-CONFORMING WITH LICENSING BASIS FOR TORNADO GENERATED MISSILES

"On May 14, 2018, during evaluation of protection for Technical Specification (TS) equipment from the damaging effects of a tornado generated missile, Calvert Cliffs identified a non-conforming condition in the plant design such that specific TS equipment is considered to not be adequately protected from a tornado generated missile. A tornado could generate a missile that could strike the Unit 1 Saltwater system header and associated piping. This could result in damage to the unit 1 Saltwater system header which could affect the ability of the Unit 1 Saltwater subsystems to perform their design function if such a tornado would occur.

"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)(D) 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 mitigate the consequences of an accident.

"This condition is being addressed in accordance with NRC enforcement guidance provided in EGM 15-002 and DSS-ISG-2016-01. Compensatory measures have been implemented in accordance with these documents.

"The NRC Resident Inspector has been informed of this notification."

Page Last Reviewed/Updated Thursday, March 25, 2021