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Event Notification Report for July 10, 2018

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
7/9/2018 - 7/10/2018

** EVENT NUMBERS **


53480 53482 53483 53496 53497 53498 53499

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Agreement State Event Number: 53480
Rep Org: LOUISIANA RADIATION PROTECTION DIV
Licensee: WOOD MATERIAL
Region: 4
City: NEW ORLEANS   State: LA
County: JEFFERSON
License #:
Agreement: Y
Docket:
NRC Notified By: JAMES PATE
HQ OPS Officer: KENNETH MOTT
Notification Date: 06/29/2018
Notification Time: 22:31 [ET]
Event Date: 06/29/2018
Event Time: 00:00 [CDT]
Last Update Date: 07/03/2018
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
RYAN ALEXANDER (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB (EMAIL)
This material event contains a "Less than Cat 3" level of radioactive material.

Event Text

AGREEMENT STATE REPORT - STOLEN AND RECOVERED RADIATION DEVICE

The following report was received from the State of Louisiana via phone:

On June 29, 2018 the Louisiana Radiation Protection Division was notified that an employee of Wood Material (a dredging company) stole a radiation device. The radiation device was subsequently sold by the employee to the ERM Southern Recycling center. The recycling center identified and recovered the device. The recycling center then performed a leak test on the device to confirm that the device was not leaking. The device was then isolated and secured in a drum by the recycling center.

The device is manufactured by Ronan Engineering and has a serial number of 211023A, but the activity is not known at this time.

A police report was filed on the employee who stole the device.

Louisiana has notified the NRC regional office.

* * * UPDATE ON 7/3/18 AT 0923 EDT FROM JAMES PATE TO BETHANY CECERE * * *

The following report was received from the State of Louisiana by email:

"The gauge was a Ronan Engineering Flow Meter Gauge Model RLLI, Device S/N: 211023A, Source Model Number: CDC.700, Isotope: Cs-137 with Activity: 0.90 mCi.

"The gauge was stolen by an employee from Wood Materials, 6148 River Road, New Orleans 70123. A police report was made & filed. The employee confessed to scraping the gauge for scrap metal. Employee terminated.

"The gauge is secure at this time. Enforcement action will be taken on the licensee of the gauge for not securing the gauge. This matter is considered closed out."

Notified the R4DO (Miller), NMSS Events, and ILTAB.

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: 53482
Rep Org: KANSAS DEPT OF HEALTH & ENVIRONMENT
Licensee: VIA CHRISTI REGIONAL MEDICAL CENTER
Region: 4
City: WICHITA   State: KS
County:
License #: 18-C753-01
Agreement: Y
Docket:
NRC Notified By: JAMES HARRIS
HQ OPS Officer: BETHANY CECERE
Notification Date: 07/02/2018
Notification Time: 11:27 [ET]
Event Date: 01/15/2016
Event Time: 00:00 [CDT]
Last Update Date: 07/02/2018
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
GEOFFREY MILLER (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)

Event Text

AGREEMENT STATE REPORT - UNPLANNED CONTAMINATION

The following information was received from the State of Kansas via email:

"The licensee had an incident with an I-131 patient that resulted in the Iodine Patient room being badly contaminated along with the patient's bed and some other room furniture. The room is secured and removed from service. When the licensee has their Weekday management staff meeting on Monday, they develop a plan to complete the room decontamination and return it to service. The room is removed from clinical service at 2100 today (15 Jan 16).

"The contamination is contained within the room and there is no risk to Hospital staff or members of the public. No unintended dose to the patient, staff or other personnel. The patient was on a Foley catheter with the urine bag in a roll able pig. She got out of bed and walked around the room and "dragged" the pig. The hose connection inside the pig was damaged and urine spilled inside the pig and some was spilled on the floor. No one was contaminated - skin or clothing ... just the floor. The easily removable contamination / urine is cleaned up and will leave the room to decay for a half-life. That will make clean-up easier and also will reduce dose to those who are involved in the detailed cleanup.

"The licensee will notify the department when the room is returned to service.

"6/28/2018 - Patient administered 159.8 milliCuries Iodine-131 on 1/13/2016.
"The patient placed on a catheter because they were incontinent, had early Alzheimer's, and was not able to comply with instruction.

"The patient catheter with urine bag was placed in a 'rollable pig' which was dragged around the room when the patient walked around the room. The hose connection was damaged about the second day and urine spilled in the pig and onto the floor covering, bedding, linens, and absorbent chucks.

"The patient was released with an estimated 28 milliCuries Iodine-131 remaining on 1/15/2016.
"The initial room survey indicated high contamination levels. The decision was made to allow the contamination to decay over the weekend to allow for lower exposure to personnel performing the decontamination, and determine the contamination levels, location and a plan to decontaminate the room.
"The contamination was determined to be confined to the bed (mattress), linens, absorbent chucks and plastic sheeting. Minor contamination was found on the floor under the plastic sheeting.

"The contaminated items were removed from the room and held for 10 half-lives decay.
"The floor was surveyed and contaminated spots were decontaminated. The room was returned to clinical service Monday morning 1/18/2016. The time out of service was approximately 60 hours.

"6/29/2018 - Integrated Material Performance Evaluation Program (IMPEP) review identified the event had not been reported to the NRC as required."

Kansas Item Number: KS160001

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Agreement State Event Number: 53483
Rep Org: KENTUCKY DEPT OF RADIATION CONTROL
Licensee: ARKEMA, INC.
Region: 1
City: CALVERT CITY   State: KY
County:
License #: 201-308-56
Agreement: Y
Docket:
NRC Notified By: AJ BHATTACHARYYA
HQ OPS Officer: STEVEN VITTO
Notification Date: 07/02/2018
Notification Time: 15:30 [ET]
Event Date: 06/28/2018
Event Time: 00:00 [CDT]
Last Update Date: 07/02/2018
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
RAY POWELL (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)

Event Text

AGREEMENT STATE REPORT - STUCK SHUTTERS

The following was received from the Commonwealth of Kentucky via fax:

"On 6/28/18 while conducting a 6-month physical inventory and shutter check (on-off mechanism) the licensee, ARKEMA, Inc., discovered the shutters malfunctioned on two separate fixed gauging devices, namely:

"1) TN Technologies fixed gauging device model 5208 Serial No. MB 4251 containing 8 Ci Cs-137. The licensee has attempted to contact Thermo Scientific to repair the shutter. The root cause of the failure of the on/off mechanism was due to corrosion and dust due to the gauging device's environment. This licensee produces industrial chemicals and the gauging device is operated in a corrosive environment. This event was reported to the [Kentucky Radiation Health Branch] KY RHB as required by regulation on 6/29/18.

"2) Ronan Engineering fixed gauging device model SA-1 Serial Number M8107, containing 5 Ci Cs-137. The licensee has contacted Ronan Engineering and repairs will be conducted during the week starting on 7/16/18. This licensee produces industrial chemicals and the gauging device is operated in a corrosive environment. The event was reported to KY RHB as required by regulation on 6/29/18.

"No accidental overexposures have been reported due to the malfunction."

Kentucky Event Report ID No.: KY180002

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Power Reactor Event Number: 53496
Facility: DUANE ARNOLD
Region: 3     State: IA
Unit: [1] [] []
RX Type: [1] GE-4
NRC Notified By: SCHUYLER VREEMAN
HQ OPS Officer: STEVEN VITTO
Notification Date: 07/09/2018
Notification Time: 16:25 [ET]
Event Date: 07/09/2018
Event Time: 13:34 [CDT]
Last Update Date: 07/09/2018
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(v)(C) - POT UNCNTRL RAD REL
Person (Organization):
MARK JEFFERS (R3DO)
Unit SCRAM Code RX Crit Initial PWR Initial RX Mode Current PWR Current RX Mode
1 N Y 97 Power Operation 97 Power Operation

Event Text

SECONDARY CONTAINMENT INOPERABLE

"At approximately 1334 CDT on 7/9/18, both doors of a Secondary Containment Airlock were reported to be open simultaneously for a period of less than 3 seconds. The brief time that the doors were simultaneously open constituted an inoperable condition of Secondary Containment. Secondary Containment was immediately restored to operable by closing the airlock doors. Subsequently, the airlock interlock was verified to operate correctly.

"This event is being reported pursuant of 10 CFR 50.72(b)(3)(v)(C). The Senior NRC Resident Inspector has been notified."

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Power Reactor Event Number: 53497
Facility: BROWNS FERRY
Region: 2     State: AL
Unit: [1] [] []
RX Type: [1] GE-4,[2] GE-4,[3] GE-4
NRC Notified By: ANTHONY ALSUP
HQ OPS Officer: STEVEN VITTO
Notification Date: 07/09/2018
Notification Time: 17:01 [ET]
Event Date: 07/09/2018
Event Time: 09:58 [CDT]
Last Update Date: 07/09/2018
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(v)(D) - ACCIDENT MITIGATION
Person (Organization):
RANDY MUSSER (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

HIGH PRESSURE COOLANT INJECTION SYSTEM DECLARED INOPERABLE

"On 07/09/2018 at 1111 CDT, Browns Ferry Unit 1 Operators identified U1 High Pressure Cooling Injection system steam supply valves were isolated. After reviewing ICS [Integrated Computer System], Operations determined isolation occurred at 0958 CDT during performance of surveillance testing. The Browns Ferry Nuclear Plant Unit 1 High Pressure Coolant Injection (HPCI) system was declared inoperable at 0958 CDT due to an inadvertent isolation that occurred during testing. During performance of surveillance procedure 1-SR-3.3.6.1.2(3B) HPCI System Steam Supply Low Pressure Functional test, an erroneous signal was induced causing actuation of primary containment isolation system group IV (i.e., HPCI Isolation). Technical Specification 3.5.1, ECCS-Operating, Condition C was entered as a result of the inoperable HPCI system. This constitutes an unplanned HPCI system inoperability and requires an 8-hour NRC notification in accordance with 10 CFR 50.72(b)(3)(v)(D). The erroneous signal was cleared and the HPCI isolation was reset. Upon reset of the isolation signal, the HPCI system was returned to available status. The HPCI system was unavailable for 2 hours and 55 minutes, however the HPCI system remains inoperable.

"There was no impact to the health and safety of the public or plant personnel as a result of this condition.

"The NRC Resident Inspector has been notified.

"A condition report has been entered into the Licensee's Corrective Action Program to capture this event."

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Power Reactor Event Number: 53498
Facility: MCGUIRE
Region: 2     State: NC
Unit: [1] [2] []
RX Type: [1] W-4-LP,[2] W-4-LP
NRC Notified By: ERIC WILKINSON
HQ OPS Officer: HOWIE CROUCH
Notification Date: 07/09/2018
Notification Time: 18:23 [ET]
Event Date: 07/09/2018
Event Time: 11:55 [EDT]
Last Update Date: 07/09/2018
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
RANDY MUSSER (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

UNPLANNED LOSS OF TECHNICAL SUPPORT CENTER (TSC) VENTILATION

"On July 9, 2018, at 1155 hours [EDT], while testing the TSC Ventilation System, an equipment malfunction occurred that resulted in an unplanned loss of TSC ventilation functionality/habitability for greater than seventy-five minutes.

"If an emergency had been declared requiring TSC activation during this period, the TSC would have been staffed and activated using existing emergency planning procedures. If relocation of the TSC had been necessary, the Emergency Coordinator would have relocated the TSC staff to an alternate location in accordance with applicable site procedures. The TSC ventilation system has been placed in an interim configuration that restored functionality and habitability. Additional maintenance is planned to promptly resolve the malfunctioning equipment.

"This is an eight-hour, non-emergency notification for a loss of Emergency Assessment Capability. This event is reportable in accordance with 10 CFR 50.72(b)(3)(xiii) because the equipment malfunction affected the functionality of an emergency response facility.

"There was no impact on the health and safety of the public or plant personnel. The NRC Resident Inspector has been notified."

The equipment malfunction (a failed solenoid valve) resulted in the loss of the ability to pressurize and filter the air in the TSC.

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Power Reactor Event Number: 53499
Facility: VOGTLE
Region: 2     State: GA
Unit: [3] [4] []
RX Type: [3] W-AP1000,[4] W-AP1000
NRC Notified By: DANIEL MICKINAC
HQ OPS Officer: STEVEN VITTO
Notification Date: 07/09/2018
Notification Time: 20:05 [ET]
Event Date: 07/09/2018
Event Time: 15:15 [EDT]
Last Update Date: 07/09/2018
Emergency Class: NON EMERGENCY
10 CFR Section:
26.719 - FITNESS FOR DUTY
Person (Organization):
RANDY MUSSER (R2DO)
FFD GROUP (EMAIL)
Unit SCRAM Code RX Crit Initial PWR Initial RX Mode Current PWR Current RX Mode
3 N N 0 Under Construction 0 Under Construction
4 N N 0 Under Construction 0 Under Construction

Event Text

CONTRACTOR SUPERVISOR TESTS POSITIVE ON FITNESS FOR DUTY TEST

"At 1515 [EDT] on July 9, 2018, Southern Nuclear Operating Company (SNC) determined a contractor supervisor confirmed positive for a controlled substance during a for cause Fitness-for-Duty (FFD) test. The employee's unescorted access to the plant has been suspended. The NRC Resident Inspector has been notified."


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