| U.S. Nuclear Regulatory Commission
Operations Center Event Reports For
11/21/2018 - 11/23/2018 ** EVENT NUMBERS ** |
| Agreement State | Event Number: 53737 | Rep Org: PA BUREAU OF RADIATION PROTECTION
Licensee: FOX CHASE CANCER CENTER
Region: 1
City: PHILADELPHIA State: PA
County:
License #: PA-0293A
Agreement: Y
Docket:
NRC Notified By: JOHN CHIPPO
HQ OPS Officer: KAREN COTTON | Notification Date: 11/14/2018
Notification Time: 07:47 [ET]
Event Date: 11/13/2018
Event Time: 00:00 [EST]
Last Update Date: 11/14/2018 | Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
| Person (Organization):
JONATHAN GREIVES (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL) | Event Text AGREEMENT STATE REPORT- IRRADIATOR ACCESS CONTROL SYSTEM INOPERABLE
The following was received from the state of Pennsylvania via email:
"On November 13, 2018, the Department [Pennsylvania Department of Environmental Protection] was notified by the licensee that part of the access control system to their J. L. Shepherd Model 81-14 beam irradiator containing approximately 9900 Curies of cesium 137 is currently inoperable. Specifically, the 'activation of the visual and audible alarm' and 'notification of another individual who is onsite of the entry' parts of 10 CFR 36.23(b). Non-compliance with this regulation also renders them in non-compliance with 10 CFR 36.23(c). The licensee is currently complaint with all other parts of the regulation. They have taken the alarm system off-line since it currently is alarming every time the facility door is opened, even though the source is in the shielded position. A security system vendor is on site as of today and is working on both issues. The licensee is currently also performing a root cause analysis alongside this security system vendor, and the state will perform a reactive inspection."
PA Event Report ID No: PA180019 |
| Agreement State | Event Number: 53738 | Rep Org: PA BUREAU OF RADIATION PROTECTION
Licensee: U.S. STEEL CORPORATION
Region: 1
City: WEST MIFFLIN State: PA
County:
License #: PA-G0309
Agreement: Y
Docket:
NRC Notified By: JOHN S. CHIPPO
HQ OPS Officer: DONG HWA PARK | Notification Date: 11/15/2018
Notification Time: 11:13 [ET]
Event Date: 10/18/2018
Event Time: 00:00 [EST]
Last Update Date: 11/15/2018 | Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
| Person (Organization):
JONATHAN GREIVES (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL) | Event Text AGREEMENT STATE REPORT- FAILED SHUTTER
The following was received from the state of Pennsylvania via email:
"Notifications: On November 14, 2018, the licensee informed the Department [Pennsylvania Department of Environmental Protection] of a failed shutter. It is reportable per 10 CFR 30.50(b)(2).
"Event Description: The licensee reported that on October 18, 2018, a IRMS Model TG-2 gauge, serial number 00MO397-15, containing 3000 milliCuries of americium 241 did not properly perform following scheduled maintenance. Specifically, the shutter failed to open completely and then would not open at all. The gauge was taken out of service and a service provider was contacted, responded and corrected the problem. The licensee has since contacted the same service provider and, on November 2, 2018, transferred the device for proper disposal. Licensee and service provider survey results indicated no abnormal amounts of radiation in the area before, during or after the event or removal of the device. There were no overexposures related to this event.
"Cause of the Event: Equipment failure.
"Actions: The Department will perform a reactive inspection. More information will be provided upon receipt."
PA Event Report ID No: PA180020 |
| Agreement State | Event Number: 53739 | Rep Org: ARKANSAS DEPARTMENT OF HEALTH
Licensee: 3D IMAGING DRUG DESIGN DEVELOPMENT, LLC
Region: 4
City: LITTLE ROCK State: AR
County:
License #: ARK-1008-03214
Agreement: Y
Docket:
NRC Notified By: STEVE MACK
HQ OPS Officer: JEFF HERRERA | Notification Date: 11/15/2018
Notification Time: 12:02 [ET]
Event Date: 11/14/2018
Event Time: 00:00 [CST]
Last Update Date: 12/14/2018 | Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
| Person (Organization):
MARK HAIRE (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
PATRICIA MILLIGAN (INES) | Event Text AGREEMENT STATE REPORT - RADIATION WORKER RECEIVES HIGH DOSIMETRY READING
The following report was received from the Arkansas Department of Health via email:
"The RSO reported at 1100 [CST], on November 14, 2018, that the dosimetry provider had reported to the licensee one radiation worker badge had received a possible exposure of 9,000 mR for the month of October. The dosimetry provider has stated the exposure was a dynamic exposure with atypical exposure to the badge.
"The licensee began to investigate the cause of the high reading. The worker had worked with other employees and had not worked independently during the month. Other workers had routine exposures for the month.
"The licensee requires workers to wear SRD's [Self Reading Dosimeter] while working in the restricted area. The worker's cumulative reading for the time period was 200 mR. The worker's ring badge had routine exposure readings.
"During investigation by the licensee, there was no recollection of the badge being separated from the worker during the month. During off hours, all dosimetry is stored with the worker's lab coats outside the restricted area.
"The licensee develops PET [Positron Emission Tomography] radionuclides for radiopharmaceutical research and development.
"Since the time period of the exposure cannot be determined, the Arkansas Program is reporting this event under RH-1502.b. of the Arkansas Regulations equivalent to 10 CFR 20.2202(b)(1) of the NRC Regulations.
"The licensee and the State continue to investigate.
"The State of Arkansas will update when additional information is known.
"Arkansas event number AR-2018-006."
* * * UPDATE ON 12/14/18 AT 1535 EST FROM STEVE MACK TO BETHANY CECERE * * *
The following update was received from the Arkansas Department of Health (Department) via email:
"The licensee provided a written report dated November 15, 2018, outlining the investigation performed to verify the overexposure reported.
"This report restated the requirements of additional dosimetry worn by the worker with no significant indication exposure above routine doses. The report also indicated that at no time during the month was contamination detected when conducting personnel surveys leaving the restricted area. The licensee continues to believe that the dose was only received by the badge and not to the whole body of the radiation worker.
"The licensee submitted its own dose estimate on December 3, 2018, in which the licensee calculated a possible contamination event of the badge that would provide the dose yet exclude dose to other measuring devices and could evade detection when exiting the restricted area.
"The Department has taken this dose estimate into consideration and is requesting that the October, 2018 dose for the radiation worker be reduced to 250 mrem.
"The Department considers this event closed."
Notified R4DO (Taylor), NMSS Events Notification group, and INES (Milligan) by email. |
| Agreement State | Event Number: 53740 | Rep Org: FLORIDA BUREAU OF RADIATION CONTROL
Licensee: UNIVERSITY OF MIAMI
Region: 1
City: MIAMI State: FL
County:
License #: 1319-2
Agreement: Y
Docket:
NRC Notified By: ED POMBIER
HQ OPS Officer: MARK ABRAMOVITZ | Notification Date: 11/15/2018
Notification Time: 13:13 [ET]
Event Date: 11/14/2018
Event Time: 00:00 [EST]
Last Update Date: 11/15/2018 | Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
| Person (Organization):
JONATHAN GREIVES (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL) | Event Text AGREEMENT STATE REPORT - MEDICAL EXPOSURE READ AS OCCUPATIONAL EXPOSURE
The following report was received via e-mail:
"On Wednesday, November 14, [the University of Miami Radiation Safety Officer (RSO)] received an Occupational Exposure Report from Mirion Technologies indicating that for wear dates July 1 through July 31, 2018, x-ray technologist [redacted] received the following doses: Deep: 8328 mR, Eye: 8328 mR, and Shallow: 8328 mR.
"Upon interviewing Mr. [redacted], in the presence of his supervisor, Mr. [redacted] indicated that he had a therapeutic Nuclear Medicine procedure for hyperthyroidism during the month of July in one of our facilities. Upon review of his medical records it was confirmed that Mr. [redacted] received 24 microCuries of iodine-131 for an uptake scan on July 10, 2018, and a therapeutic dose of 28.9 mCi of iodine-131 on July 17, 2018. It was noted that Mr. [redacted] wears his dosimeter high on the collar of his scrubs, very close to the area overlying his thyroid and continued to wear it throughout the period in question. Based on this information it is [the RSO's] professional judgement that this dose does not constitute an Occupational Dose but is rather a medical dose, and he will be requesting that his dosimetry provider remove it from Mr. [redacted] Occupational [dose]."
Florida Incident: FL18-139 |
| Power Reactor | Event Number: 53749 | Facility: PALISADES
Region: 3 State: MI
Unit: [1] [] []
RX Type: [1] CE
NRC Notified By: JAMES BYRD
HQ OPS Officer: OSSY FONT | Notification Date: 11/21/2018
Notification Time: 17:27 [ET]
Event Date: 11/21/2018
Event Time: 00:00 [EST]
Last Update Date: 11/21/2018 | Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(ii)(A) - DEGRADED CONDITION
| Person (Organization):
JAMNES CAMERON (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 CONDITION IDENTIFIED DURING SURFACE INSPECTION OF REACTOR HEAD NOZZLE PENETRATION
"On November 21, 2018, during an extent of condition review, after completion of ultrasonic testing, further interrogation of reactor vessel closure head (RVCH) penetration 36 was performed using eddy current testing. The testing detected three repairable indications. No indication of boric acid leakage was identified at this location during the bare metal visual inspection. Extent of condition review is complete on all RVCH penetrations.
"The plant was in cold shutdown at 0 percent power and in Mode 6 for a refueling outage at the time of discovery. Repair actions will be completed prior to plant startup from the outage.
"This condition has no impact to the health and safety of the public.
"This report is being made in accordance with 10 CFR 50.72(b)(3)(ii)(A) for degradation of a principal safety barrier.
"The licensee notified the NRC Senior Resident Inspector." |
| !!!!! THIS EVENT HAS BEEN RETRACTED.THIS EVENT HAS BEEN RETRACTED !!!!! | | Power Reactor | Event Number: 53750 | Facility: BROWNS FERRY
Region: 2 State: AL
Unit: [1] [] []
RX Type: [1] GE-4,[2] GE-4,[3] GE-4
NRC Notified By: ANGEL YARBROUGH
HQ OPS Officer: DAN LIVERMORE | Notification Date: 11/22/2018
Notification Time: 03:56 [ET]
Event Date: 11/21/2018
Event Time: 21:25 [CST]
Last Update Date: 12/28/2018 | Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(v)(D) - ACCIDENT MITIGATION
| Person (Organization):
STEVE ROSE (R2DO) | | Unit | SCRAM Code | RX Crit | Initial PWR | Initial RX Mode | Current PWR | Current RX Mode | | 1 | N | Y | 13 | Power Operation | 13 | Power Operation | Event Text HPCI UNEXPECTEDLY TRANSFERRED TO ALTERNATE SUCTION SOURCE DURING TESTING
"At 2125 [CST] on 11/21/2018, it was discovered that U1 High Pressure Coolant Injection System (HPCI) was inoperable; therefore, this condition is being reported as an eight-hour, non-emergency notification per 10 CFR 50.72(b)(3)(v), as an 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.
"During performance of a routine surveillance, HPCI automatically transferred from its normal suction source to the alternate suction source. The control room operator then manually tripped the HPCI turbine. HPCI was already inoperable in accordance with Technical Specifications (TS) Limiting Condition for Operability (LCO) 3.5.1, ECCS Operating, Condition C during performance of the surveillance. However, this condition was not expected nor induced by the testing.
"There was no impact to the safety of the public or plant personnel. The NRC Resident Inspector has been notified.
"CR 1469109 documents this condition in the Corrective Action Program."
* * * RETRACTION ON 12/28/18 AT 1300 EST FROM MARK MOEBES TO JEFFREY WHITED * * *
"ENS Event Number 53750, made on November 22, 2018, is being retracted.
"NRC notification 53750 was made to ensure that the Eight-Hour Non-Emergency reporting requirements of 10 CFR 50.72(b)(3)(v)(D) were met when the licensee discovered an 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.
"During performance of a routine surveillance, the High Pressure Coolant Injection (HPCI) System automatically transferred from its normal suction source to the alternate suction source. As a result, Unit 1 HPCI was declared inoperable.
"On December 20, 2018, a Past Operability Evaluation was completed which determined that the HPCI System remained operable. The evaluation determined that the HPCI System could have performed its specified safety function of vessel injection throughout the time that the suction path was aligned to the torus. Therefore, this event is not reportable under 10 CFR 50.72(b)(3)(v)(D).
"TVA's evaluation of this event is documented in the Corrective Action Program in Condition Report 1469109.
"The licensee has notified the NRC Resident Inspector."
Notified R2DO (Desai). | |