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Event Notification Report for March 26, 2019

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
3/25/2019 - 3/26/2019

** EVENT NUMBERS **


53935 53936 53938 53939 53940 53943 53955

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Agreement State Event Number: 53935
Rep Org: NC DIV OF RADIATION PROTECTION
Licensee: CERTAIN TEED CORPORATION
Region: 1
City: OXFORD   State: NC
County:
License #: 0411-0G
Agreement: Y
Docket:
NRC Notified By: TRAVIS CARTOSKI
HQ OPS Officer: MARK ABRAMOVITZ
Notification Date: 03/15/2019
Notification Time: 10:03 [ET]
Event Date: 03/14/2019
Event Time: 00:00 [EDT]
Last Update Date: 03/15/2019
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
FRED BOWER (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)

Event Text

AGREEMENT STATE REPORT - FIXED NUCLEAR GAUGE SHUTTER STUCK IN CLOSED POSITION

The following report was received via e-mail:

"On 3/14/2019, NC Radioactive Materials Branch (RMB) was notified that a fixed nuclear gauge was stuck in the closed position (found that day). The reporting licensee had the vendor arrive on site, the same day, and repaired the gauge."

Source Sr-90, 100 milliCuries

North Carolina State Tracking ID: 190009

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Agreement State Event Number: 53936
Rep Org: CALIFORNIA RADIATION CONTROL PRGM
Licensee: KOURY ENGINEERING
Region: 4
City: CHINO   State: CA
County:
License #: 6449
Agreement: Y
Docket:
NRC Notified By: L. ROBERT GREGER
HQ OPS Officer: JEFF HERRERA
Notification Date: 03/15/2019
Notification Time: 11:03 [ET]
Event Date: 03/14/2019
Event Time: 00:00 [PDT]
Last Update Date: 03/15/2019
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
JEREMY GROOM (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)

Event Text

AGREEMENT STATE REPORT - MOISTURE DENSITY GAUGE DAMAGED BY BACKHOE

The following report was received from the California Department of Public Health via email:

"A moisture density gauge was being used at a construction site when it was struck by a backhoe. The gauge operator had visual contact with the gauge, and had been assured by the backhoe operator that the gauge would not be impacted by the backhoe operation. However, that was not the case. The backhoe bucket struck the gauge source rod extension, bending it, and damaging the gauge casing. Due to the damage, the source rod could not be fully shielded and locked in the storage position."

CA 5010 Number: 031419

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Agreement State Event Number: 53938
Rep Org: PA BUREAU OF RADIATION PROTECTION
Licensee: CONSTRUCTION ENGINEERING CONSULTANTS
Region: 1
City: WHITE TOWNSHIP   State: PA
County:
License #: PA-1034
Agreement: Y
Docket:
NRC Notified By: DAVID ALLARD
HQ OPS Officer: JOANNA BRIDGE
Notification Date: 03/15/2019
Notification Time: 14:05 [ET]
Event Date: 03/14/2019
Event Time: 00:00 [EDT]
Last Update Date: 03/15/2019
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
FRED BOWER (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)

Event Text

AGREEMENT STATE - STUCK OPEN GAUGE SHUTTER

The following was received via e-mail:

"On March 14, 2019, the licensee informed the Department [Pennsylvania Department of Environmental Protection (DEP)] of a moisture/density nuclear gauge with a stuck open shutter. It is reportable per 10 CFR 30.50(b)(2).

"While at a temporary job site, a DEP inspector found a Troxler gauge with a stuck open shutter. The technician did not know how long the shutter had been open and was only able to get the Tungsten sliding block closed by tapping on the gauge. After it was closed the technician was unable to get the sliding block open again. The DEP will update this event as soon as more information is provided.

"The Department will perform a reactive inspection. More information will be provided upon receipt."

Pennsylvania Event Report ID No: PA190008

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Agreement State Event Number: 53939
Rep Org: LA DEPT OF ENVIRONMENTAL QUALITY
Licensee: TURNER INDUSTRIES GROUP, LLC
Region: 4
City: PORT ALLEN   State: LA
County:
License #: LA-5820-L01
Agreement: Y
Docket:
NRC Notified By: JAMES PATE
HQ OPS Officer: JOANNA BRIDGE
Notification Date: 03/15/2019
Notification Time: 14:37 [ET]
Event Date: 03/15/2019
Event Time: 10:30 [CDT]
Last Update Date: 03/15/2019
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
JEREMY GROOM (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)

Event Text

AGREEMENT STATE - THREATENED OVER-EXPOSURE

The following was received via e-mail:

"On March 14, 2019 around 1430 CDT, Turner Industries Group, LLC was performing work in a permanent shooting cell. Two industrial radiographers got into a verbal altercation, which lead to one industrial radiographer cranking out a source onto the other industrial radiographer. Dose reconstruction indicated less than 2 millirem/hr whole body to the one radiographer. The first radiographer was twelve feet from the four Half-Value Layer (HVL) collimator and ran to a shielded condition within seconds after realizing the source had been cranked out. The second radiographer was behind a shooting cell wall performing the crankout.

"The radiographer performing the crankout has been terminated and led off the property. All access that he had has been revoked and access codes changed."

Louisiana Event Report ID No.: LA20190004

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Agreement State Event Number: 53940
Rep Org: CA DEPARTMENT OF PUBLIC HEALTH
Licensee: REGENTS OF THE UNIVERSITY OF CALIFORNIA, LOS ANGELES
Region: 4
City: LOS ANGELES   State: CA
County:
License #: 1335-19
Agreement: Y
Docket:
NRC Notified By: DONALD OESTERLE
HQ OPS Officer: JOANNA BRIDGE
Notification Date: 03/15/2019
Notification Time: 17:37 [ET]
Event Date: 03/14/2019
Event Time: 00:00 [PDT]
Last Update Date: 03/15/2019
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
JEREMY GROOM (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)

Event Text

AGREEMENT STATE - UNDER-DOSAGE TO PATIENT

The following was received via e-mail:

"On March 15, 2019, the University of California Los Angeles (UCLA) notified the Radiologic Health Branch that a medical event involving Y-90 TheraSphere had occurred on March 14, 2019. A patient was prescribed 120 Gy to the left lobe of their liver with Y-90 TheraSpheres. However, the authorized user (physician) was only able to deliver 80.9 Gy (67.4 percent of the prescribed dose) due to suspected complications with the delivery system. UCLA's Office of Environment, Health and Safety (EH&S) team will continue to investigate and notify the BTG Radiation Safety Officer (RSO) group to examine the delivery system.

"The patient was notified of the under-dosage and potential continuation of their treatment. The patient was discharged in a stable condition."

CA 5010 No.: 031419

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: 53943
Rep Org: NJ RAD PROT AND REL PREVENTION PGM
Licensee: JOHN BLEWETT, INC
Region: 1
City: HOWELL   State: NJ
County:
License #:
Agreement: Y
Docket:
NRC Notified By: RICHARD PEROS
HQ OPS Officer: BETHANY CECERE
Notification Date: 03/18/2019
Notification Time: 14:09 [ET]
Event Date: 03/05/2019
Event Time: 00:00 [EDT]
Last Update Date: 03/18/2019
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
CHRISTOPHER CAHILL (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)

Event Text

AGREEMENT STATE REPORT - SCRAP METAL WITH RADIUM DISCOVERED

The following was received from the state of New Jersey by email:

"The Pennsylvania Department of Environmental Protection informed the New Jersey Department of Environmental Protection that a load of scrap metal from the John Blewett company in Howell, New Jersey set off the radiation alarm at Sims Metal Management in Morrisville, Pennsylvania. Sims rejected the load and it was returned to Blewett in Howell via a U.S. DOT special permit. Once returned to Blewitt, the load was dumped and what appeared to be the instrument panel from a World War II era plane was found to be the cause of the elevated readings. Based on readings taken at the site, it is estimated that the panel contains 61 microCi of Ra-226. The highest reading seen was 12.5 mR/hr on contact. Some of the glass covering over a gauge was broken. A gross wipe test indicated removable contamination was present. Those individuals who had touched the panel were checked for contamination or advised to check. The area where the panel had been originally placed was also checked, with slightly elevated readings discovered. All surfaces were cleaned to background levels, as well as the area where the panel had been originally secured. The panel and all items involved in the clean-up were placed in a five-gallon bucket and will be secured pending proper disposition through a waste broker."

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Power Reactor Event Number: 53955
Facility: BRUNSWICK
Region: 2     State: NC
Unit: [1] [2] []
RX Type: [1] GE-4,[2] GE-4
NRC Notified By: MIKE FIORINO
HQ OPS Officer: MARK ABRAMOVITZ
Notification Date: 03/25/2019
Notification Time: 11:14 [ET]
Event Date: 03/25/2019
Event Time: 04:02 [EDT]
Last Update Date: 03/25/2019
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(iv)(A) - VALID SPECIF SYS ACTUATION
Person (Organization):
JONATHAN MONTGOMERY (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 N 0 Cold Shutdown 0 Cold Shutdown

Event Text

AUTOMATIC START OF FOUR EMERGENCY DIESEL GENERATORS

"At 0402 Eastern Daylight Time (EDT) on March 25, 2019, an actuation of the four Emergency Diesel Generators (EDGs) occurred. At the time of the event, Unit 1 was in Mode 1 at approximately 100% power and Unit 2 was in Mode 4 at 0% power. Unit 2 was in the process of aligning the electrical distribution system to power the emergency buses via the Unit Auxiliary Transformer (UAT) in accordance with plant procedures. It was determined that a fault occurred on the power path between the 230 KV switchyard and the UAT. This caused a main generator differential lockout relay to actuate; thereby starting the EDGs. All emergency buses remained energized from offsite power via the Startup Auxiliary Transformer and, therefore, the EDGs did not tie to their respective buses. The EDGs responded per design to this event. This event is being reported in accordance with 10 CFR 50.72(b)(3)(iv)(A) as an event that results in valid actuation of the EDGs. Due to the shared configuration of the Brunswick electrical system, both Unit 1 and Unit 2 are affected.

"The Unit 2 main generator lockout was reset and the EDGs have been restored to standby condition. Troubleshooting activities to determine the cause of the fault are in progress.

"There was no impact on the health and safety of the public or plant personnel.

"The NRC Resident Inspector has been notified."


Page Last Reviewed/Updated Tuesday, March 26, 2019
Tuesday, March 26, 2019