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Event Notification Report for March 18, 2019

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
3/15/2019 - 3/18/2019

** EVENT NUMBERS **


53914 53915 53916 53917 53919 53920 53934 53937 53941 53942

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Non-Agreement State Event Number: 53914
Rep Org: ELI LILLY AND COMPANY
Licensee: ELI LILLY AND COMPANY
Region: 3
City: INDIANAPOLIS   State: IN
County:
License #: 13-01133-02
Agreement: N
Docket:
NRC Notified By: TRENTON MAYS
HQ OPS Officer: ANDREW WAUGH
Notification Date: 03/07/2019
Notification Time: 12:30 [ET]
Event Date: 03/07/2019
Event Time: 00:00 [EST]
Last Update Date: 03/07/2019
Emergency Class: NON EMERGENCY
10 CFR Section:
20.2201(a)(1)(i) - LOST/STOLEN LNM>1000X
Person (Organization):
DAVID HILLS (R3DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB (EMAIL)
This material event contains a "Less than Cat 3" level of radioactive material.

Event Text

LOST TRITIUM EXIT SIGN

The following is a summary of a phone call with the licensee:

During a routine inventory Eli Lilly and Company discovered that one of their tritium exit signs was missing. The company believes the sign went missing during a remodeling project. The company is still actively looking for the sign, but believes that it is out of their possession at this time.

The tritium exit sign, serial number A11223, was manufactured by Isolite in January of 2001. The activity at the time of manufacturing was 7.5 Ci, which would be approximately 2.5 Ci today.

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: 53915
Rep Org: NEW YORK STATE DEPT. OF HEALTH
Licensee: ROSWELL PARK CANCER INSTITUTE CORP.
Region: 1
City: BUFFALO   State: NY
County:
License #: 2923
Agreement: Y
Docket:
NRC Notified By: DANIEL J. SAMSON
HQ OPS Officer: JEFF HERRERA
Notification Date: 03/07/2019
Notification Time: 13:56 [ET]
Event Date: 02/18/2019
Event Time: 00:00 [EST]
Last Update Date: 03/07/2019
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
ART BURRITT (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB (EMAIL)
CNSC (CANADA) (EMAIL)
This material event contains a "Less than Cat 3" level of radioactive material.

Event Text

AGREEMENT STATE REPORT - LOST IODINE-125 LOCALIZATION SEED

The following report was received from the New York State Department of Health via email:

"On February 20, 2019 the Department [New York State Department of Health] was notified of a missing I-125 localization seed (Activity:[approximately] 215 microCuries) at Roswell Park Cancer Institute in Buffalo, New York.

"An lodine-125 localization seed was removed from a patient, along with a specimen, in a procedure that took place on February 18, 2019 (to be confirmed in the written report). Images confirm that the seed was removed from the patient. The seed and specimen are believed to have been delivered to the facility's Pathology Department. The RSO [Radiation Safety Officer] was informed of the missing seed on February 19, 2019. Currently, the facility is trying to locate the missing seed. Updates will be provided as they become available."

Event Report ID No.: NYDOH-19-03

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: 53916
Rep Org: ARKANSAS DEPARTMENT OF HEALTH
Licensee: GTS, INC.
Region: 4
City: ROGERS   State: AR
County:
License #: ARK-0995-03121
Agreement: Y
Docket:
NRC Notified By: CHRISTOPHER
HQ OPS Officer: JEFFREY WHITED
Notification Date: 03/08/2019
Notification Time: 09:50 [ET]
Event Date: 03/05/2019
Event Time: 00:00 [CST]
Last Update Date: 03/08/2019
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
GREG WERNER (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)

Event Text

AGREEMENT STATE REPORT - TROXLER GAUGE DESTROYED WHEN RUN OVER

The following was received from the Arkansas Department of Health via e-mail:

"The Department [Arkansas Department of Health Radioactive Materials Program] received notification on March 5, 2019, from licensee GTS, Inc. that a Troxler gauge model 3440 [serial number: 73390, 40mCi Am-241, 8 mCi Cs-137] had been struck by a skid steer while performing routine measurements at a road construction site. As a result of the incident, the source had been pulled from its testing position and become partially exposed.

"Upon review of the event, it was noted that the technician quickly created a thirty (30) foot containment barrier and notified his company's Radiation Safety Officer [RSO]. The [RSO] for GTS mobilized to the event location and contacted the [Department].

"Upon receiving an exemption from the Department, the RSO was able to manipulate the source into the shielded position and place the remnants into the transportation container for transport to the permanent storage location. The gauge was returned to the permanent storage location at approximately 1330 [CST] on March 5, 2019. The licensee performed leak tests of the sources, surveys of the gauge transport container, and surveys of the storage location.

"[Department] inspectors visited the licensee on March 6, 2019, to investigate the event. Surveys at the exterior of the transport container were determined to be 3-5 mR/hr. Surveys performed inside of the transport container were measured to be a maximum of 15 mR/hr at a location close to the surface of the shielded source.

"The [Department] considers this investigation open pending receipt and review of the licensee's 30 day report"

State of Arkansas Event Report No. : AR-2019-002

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Agreement State Event Number: 53917
Rep Org: FLORIDA BUREAU OF RADIATION CONTROL
Licensee: KELLER, SCHLEICHER, MACWILLIAM ENGINEERING & TESTING
Region: 1
City: SEBASTIAN   State: FL
County:
License #: FL 3686-1
Agreement: Y
Docket:
NRC Notified By: MATT SENISON
HQ OPS Officer: BETHANY CECERE
Notification Date: 03/08/2019
Notification Time: 15:15 [ET]
Event Date: 03/08/2019
Event Time: 11:30 [EST]
Last Update Date: 03/08/2019
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
ART BURRITT (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
JEFFERY GRANT (IRD)

Event Text

AGREEMENT STATE REPORT - DAMAGED MOISTURE DENSITY GAUGE

The following is a synopsis of an email from the state of Florida:

A nuclear density gauge (CPN Model: MC-1 Elite, Serial number: 30803) was not secured properly on the licensee's transport truck and released during a traffic accident with a passenger vehicle at the intersection of Knotty Pine Road and US-192 in West Melbourne, FL. The truck was on its way to a job site for further testing.

Brevard County Fire and Rescue HazMat teams and the Brevard County Emergency Management radiological coordinator responded to the scene. The 10 mCi Cs-137 source separated from the gauge housing, but the 50 mCi Am/Be source was intact. No injuries or fatalities were reported. No evacuations were reported, however a 15 ft. perimeter was established around the material until surveys were completed. Surveys were 592 mR/hour at 1 inch, 23 mR/hour at 1 foot, and there was no removable contamination detected. There was no release of radioactive material during this event, and the personnel who picked up the item were surveyed and cleared.

The sources were secured by the licensee, placed in a transport case (with added shielding), and taken to their permanent storage location in Sebastian. The licensee will return the gauge to CPN for repair or replacement.

Florida Incident Number: FL19-033.

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Agreement State Event Number: 53919
Rep Org: TEXAS DEPT OF STATE HEALTH SERVICES
Licensee: TAMKO BUILDING PRODUCTS INC
Region: 4
City: DALLAS   State: TX
County:
License #: GLA 02152
Agreement: Y
Docket:
NRC Notified By: MATTHEW KENNINGTON
HQ OPS Officer: JEFF HERRERA
Notification Date: 03/08/2019
Notification Time: 16:59 [ET]
Event Date: 03/08/2019
Event Time: 00:00 [CST]
Last Update Date: 03/08/2019
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
GREG WERNER (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)

Event Text

AGREEMENT STATE REPORT - FIXED NUCLEAR GAUGE SHUTTER FAILED TO OPEN COMPLETELY

The following report was received from the Texas Department of State Health Services via email:

"On March 8, 2019, a licensee reported to the Agency [Texas Department of State Health Services] that a shutter on a fixed nuclear gauge failed to open completely. The gauge is a Thermo Fisher Scientific model SCL-1C, serial number UM900, containing 100 milliCuries of strontium-90. No individuals received any exposure due to this equipment failure. The manufacturer has repaired the gauge and the shutter now functions as intended."

Texas Incident #: 9662

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Agreement State Event Number: 53920
Rep Org: TEXAS DEPT OF STATE HEALTH SERVICES
Licensee: A&R ENGINEERING AND TESTING INCORPORATED
Region: 4
City: HOUSTON   State: TX
County:
License #: L05318
Agreement: Y
Docket:
NRC Notified By: MATTHEW KENNINGTON
HQ OPS Officer: JEFF HERRERA
Notification Date: 03/08/2019
Notification Time: 17:50 [ET]
Event Date: 03/08/2019
Event Time: 00:00 [CST]
Last Update Date: 03/08/2019
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
GREG WERNER (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 - MOISTURE DENSITY GAUGE RECOVERED BY FIRE DEPARTMENT

The following report was provided by the Texas Department of State Health Services via email:

"On March 8, 2019, the Agency [Texas Department of State Health Services] was notified by the Houston Fire Department that they had recovered a moisture density gauge belonging to a Texas licensee. The gauge contained 10 milliCuries of cesium-137 and 40 milliCuries of americium-241. The Agency has not yet been notified by the licensee about this loss. Investigation is ongoing. Updates will be provided in accordance with SA-300."

Texas Incident #: 9663

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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Power Reactor Event Number: 53934
Facility: COOPER
Region: 4     State: NE
Unit: [1] [] []
RX Type: [1] GE-4
NRC Notified By: IAN KERR
HQ OPS Officer: THOMAS KENDZIA
Notification Date: 03/15/2019
Notification Time: 07:08 [ET]
Event Date: 03/15/2019
Event Time: 05:46 [CDT]
Last Update Date: 03/15/2019
Emergency Class: UNUSUAL EVENT
10 CFR Section:
50.72(a) (1) (i) - EMERGENCY DECLARED
50.72(b)(2)(xi) - OFFSITE NOTIFICATION
Person (Organization):
JEREMY GROOM (R4DO)
WILLIAM GOTT (IRD)
MARK SHAFFER (R4DRA)
HO NIEH (NRRD)
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

UNUSUAL EVENT DECLARED DUE TO HIGH RIVER LEVEL

At 0546 CDT, Cooper Nuclear Station declared an Unusual Event due to the Missouri River level reaching 899.05 feet above mean sea level (MSL), which is above the Emergency Action Level (EAL) HU 1.5 elevation of 899 feet above MSL. The river is expected to crest above 901 feet above MSL within the next day, and remain above 899 feet above MSL for the next several days.

Declaration of an Unusual Event is a 1 hour report, and is reportable under 10 CFR 50.72.a.1.1. Actions are in progress in accordance with site flooding procedure, including strategic placement of barriers at building entrances and important facilities. There is no major plant equipment out of service at this time. Personnel access to the site is not presently impeded and emergency evacuation routes remain available.

A press release is planned for this event, which is a four hour report, reportable under 10 CFR 50.72.b.2.11.

If the Missouri River were to reach 901.5 feet above MSL, Cooper would initiate a unit shutdown in accordance with their procedures. If the Missouri River were to rise greater than 902 feet above MSL, Cooper will declare an Alert.

The licensee notified the NRC Resident Inspector.

Notified DHS SWO, FEMA Operations Center, DHS NICC, FEMA NWC (email), DHS Nuclear SSA (email), and FEMA NRCC SASC (email).

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Power Reactor Event Number: 53937
Facility: INDIAN POINT
Region: 1     State: NY
Unit: [2] [] []
RX Type: [2] W-4-LP,[3] W-4-LP
NRC Notified By: DAVID SCHEPPERLY
HQ OPS Officer: JOANNA BRIDGE
Notification Date: 03/15/2019
Notification Time: 13:39 [ET]
Event Date: 03/15/2019
Event Time: 13:00 [EDT]
Last Update Date: 03/15/2019
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(iv)(B) - RPS ACTUATION - CRITICAL
50.72(b)(3)(iv)(A) - VALID SPECIF SYS ACTUATION
Person (Organization):
FRED BOWER (R1DO)
Unit SCRAM Code RX Crit Initial PWR Initial RX Mode Current PWR Current RX Mode
2 A/R Y 100 Power Operation 0 Hot Standby

Event Text

AUTOMATIC REACTOR TRIP DUE TO TURBINE GENERATOR TRIP

"On March 15, 2019 at 1300 EDT, Indian Point Unit 2 automatically tripped offline from mode 1 - 100% power operations. Reactor Operators verified the reactor trip and the plant is currently stable in mode 3. All automatic systems functioned as required. The auxiliary feedwater system actuated following the trip, as expected. All control rods fully inserted upon the trip, as expected.

"This event is reportable under 10 CFR 50.72(b)(3)(iv)(A) and 10 CFR 50.72(b)(2)(iv)(B). The unit remains on offsite power in hot standby at normal operating temperature and pressure. Decay heat is being removed from the steam generators via the auxiliary feedwater system and the condensate steam dump valves.

"Unit 3 remains in mode 6 for a scheduled refueling outage.

"The licensee notified the NRC Resident Inspector, the local transmission company, and New York State Independent System Operator."

The Indian Point Unit 2 automatic trip was caused by the trip of the main generator. The cause of the generator trip is unknown at this time.

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Power Reactor Event Number: 53941
Facility: COOPER
Region: 4     State: NE
Unit: [1] [] []
RX Type: [1] GE-4
NRC Notified By: ROY GILES
HQ OPS Officer: JOANNA BRIDGE
Notification Date: 03/16/2019
Notification Time: 13:42 [ET]
Event Date: 03/16/2019
Event Time: 11:00 [CDT]
Last Update Date: 03/16/2019
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
JEREMY GROOM (R4DO)
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

LOSS OF TONE ALERT RADIO TRANSMISSION TOWER

"At approximately 1100 CDT on March 15, 2019, Cooper Nuclear Station was notified by the National Weather Service that the Shubert radio transmission tower was not functioning due to evacuating their office in Omaha as a result of local flooding. This affects the tone alert radios used to notify the public in event of an emergency condition. Loss of function of this tower is reportable at 1100 CDT on March 16, 2019, when the tower could not be restored within 24 hours of the loss. This condition is reportable under 10 CFR 50.72(b)(3)(xiii). A backup notification method is available and will be utilized for notifications if needed.

"A return to service time for the Shubert tower is not currently available.

"The NRC Senior Resident Inspector has been informed."

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Power Reactor Event Number: 53942
Facility: BROWNS FERRY
Region: 2     State: AL
Unit: [] [] [3]
RX Type: [1] GE-4,[2] GE-4,[3] GE-4
NRC Notified By: MATTHEW SLOUKA
HQ OPS Officer: DONALD NORWOOD
Notification Date: 03/17/2019
Notification Time: 14:10 [ET]
Event Date: 03/17/2019
Event Time: 07:35 [CDT]
Last Update Date: 03/17/2019
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(v)(D) - ACCIDENT MITIGATION
Person (Organization):
SCOTT SHAEFFER (R2DO)
Unit SCRAM Code RX Crit Initial PWR Initial RX Mode Current PWR Current RX Mode
3 N Y 47 Power Operation 47 Power Operation

Event Text

HIGH PRESSURE COOLANT INJECTION SYSTEM DECLARED INOPERABLE

"At 0735 CDT on March 17, 2019, the High Pressure Coolant Injection (HPCI) system was isolated due to a water-side leak from the HPCI Gland Seal Condenser. Unit 3 declared the HPCI system Inoperable and entered Technical Specification LCO 3.5.1 Condition C with required actions to verify the Reactor Core Isolation Cooling system is Operable, and to restore the HPCI system to Operable status within 14 days. All other Unit 3 Emergency Core Cooling Systems (ECCS) remain Operable.

"This condition is being reported pursuant to 10 CFR 50.72(b)(3)(V)(D), '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 is also reportable as a 60-day written report in accordance with 10 CFR 50.73(a)(2)(V)(D).

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


Page Last Reviewed/Updated Monday, March 18, 2019
Monday, March 18, 2019