United States Nuclear Regulatory Commission - Protecting People and the Environment
Home > NRC Library > Document Collections > Reports Associated with Events > Event Notification Reports > 2019 > April 17

Event Notification Report for April 17, 2019

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
4/16/2019 - 4/17/2019

** EVENT NUMBERS **


53984 53985 53986 53987 53988 54002 54005 54008

To top of page
Agreement State Event Number: 53984
Rep Org: NEW YORK STATE DEPT. OF HEALTH
Licensee: PALL HAUPPAUGE
Region: 1
City: HAUPPAUGE   State: NY
County:
License #: C1935
Agreement: Y
Docket:
NRC Notified By: DANIEL SAMSON
HQ OPS Officer: KARL DIEDERICH
Notification Date: 04/08/2019
Notification Time: 14:25 [ET]
Event Date: 04/06/2019
Event Time: 09:30 [EDT]
Last Update Date: 04/08/2019
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
ANNE DeFRANCISCO (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)

Event Text

AGREEMENT STATE REPORT - DRY SOURCE STORAGE IRRADIATOR SOURCE RACK DID NOT RETRACT COMPLETELY

The following was received from the state of New York via fax:

"The New York State Department of Health (NYSDOH) was notified that on Saturday, April 6, 2019, at approximately 0930 [EDT], a bearing in the pulley that is part of the 'slack cable' switch/mechanism failed to function as intended. The failure caused the source cable to bind where it passes through the slack cable switch, which prevented the source from reaching its full down/safe position. When the licensee freed the cable from the slack cable switch, the source easily returned to its down/safe position. The radiation levels in the irradiator confirmed that the source was in its shielded position. The licensee repaired the slack cable switch (in a way that will prevent re-occurrence) and cycled the source up and down many times with no further incident. Pall Hauppauge is licensed to possess cobalt 60 for use in a Nordion International panoramic dry [source] storage irradiator.

"The licensee sent an email and left a voice mail to the NYSDOH mail log, which was not read or listened to until 0830 [EDT] on Monday morning. The licensee failed to contact the NYS Warning Point who would have then immediately notified responsible individuals within NYSDOH. NYSDOH will conduct a site visit since this is the second time in less than a year that they have had issues with source retraction."

The earlier event was on 11/9/18 reported in EN53729.

Incident Report#: NY-19-05.

To top of page
!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED !!!!!
Agreement State Event Number: 53985
Rep Org: LOUISIANA RADIATION PROTECTION DIV
Licensee: GEORGIA PACIFIC CONSUMER PRODUCTS
Region: 4
City: ZACHARY   State: LA
County:
License #: LA-2162-L01, AI #2617
Agreement: Y
Docket:
NRC Notified By: JOSEPH NOBLE
HQ OPS Officer: KARL DIEDERICH
Notification Date: 04/08/2019
Notification Time: 15:17 [ET]
Event Date: 04/08/2019
Event Time: 13:46 [CDT]
Last Update Date: 04/10/2019
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
GREG WERNER (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)

Event Text

AGREEMENT STATE REPORT - SHUTTER STUCK IN OPEN POSITION

The following was received by e-mail from the state of Louisiana:

On 4/8/19, Georgia Pacific Consumer Products (GA-PAC) reported that an additional level density gauge malfunction was discovered during process unit decommissioning. The first gauge was reported on 3/11/19 via a phone call to Louisiana Department of Environmental Quality (LDEQ) - see EN 53927. This second gauge was reported via e-mail on 4/8/19 to LDEQ as part of the written follow-up to the first gauge.

"A level density gauge on a process [unit] had a shutter malfunction. GA-PAC was attempting to inventory and package [the gauge] for disposal. In the lock-out/tag-out process, they discovered the shutter handle would not turn to completely close the shutter. The gauge is a RONAN SA8-C5 device/source holder, S/N 9775GG with a 50 mCi Cs-137 source.

"GA-PAC called a service contractor, BBP Sales, to evaluate the situation and determine the best course of action to correct the problem. The sources and gauges were packaged by BBP Sales and sent to QSA Global for disposal on 4/2/19. GA-PAC is decommissioning this unit. This is not a radiation exposure hazard and does not pose a health and safety situation for the GA-PAC employees or the general public.

"This event is considered closed by LDEQ. This event is being reported to the NRC as required by 10 CFR 30.50(b)(2) and LAC 33:XV341.B."

LA Event Report ID No.: LA-190005.

* * * RETRACTION AT 1155 EDT ON 4/10/19 FROM JOSEPH NOBLE TO JEFF HERRERA * * *

The following information was reported by the Louisiana Department of Environmental Quality via email:

"The reported information was not a new event. This was follow up information for two previously reported events."

Notified the R4DO (Werner) and NMSS_Events (via email).

To top of page
Agreement State Event Number: 53986
Rep Org: OHIO BUREAU OF RADIATION PROTECTION
Licensee: ROMANOFF ELECTRIC
Region: 3
City: GAHANNA   State: OH
County:
License #: GL
Agreement: Y
Docket:
NRC Notified By: MICHAEL SNEE
HQ OPS Officer: OSSY FONT
Notification Date: 04/09/2019
Notification Time: 08:46 [ET]
Event Date: 03/08/2019
Event Time: 00:00 [EDT]
Last Update Date: 04/10/2019
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
STEVE ORTH (R3DO)
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 TRITIUM EXIT SIGNS

The following was received from the Ohio Department of Health (the bureau) via email:

"On April 8, 2019, Romanoff Electric informed the bureau that three H-3 exits signs [Manufacturer: SRB TECHNOLOGIES INC; Model: BX-10-WH-S-RD] that were in storage at a project site in Johnstown, Ohio were missing. The signs were acquired in December 2018, and were in storage prior to installation at the job site. The signs were not found during a search of the job site and the licensee's warehouse."

Item Number: OH190006

* * * UPDATE ON 4/10/2019 AT 0829 EDT FROM MICHAEL SNEE TO JEFFREY WHITED * * *

The state of Ohio provided the following update to the event via e-mail:

Source 1: H3 Exit Sign (9.83 Ci; Model Number BX-10WH-S-RD; s/n C157764)
Source 2: H3 Exit Sign (9.83 Ci; Model Number BX-10WH-S-RD; s/n C157765)
Source 3: H3 Exit Sign (9.83 Ci; Model Number BX-10WH-S-RD; s/n C160439)

The state also noted that the licensee is creating new procedures as a corrective action to prevent recurrence.

Notified the R3DO (Orth) and NMSS Events Notification, ILTAB, and CNSC (Canada) via e-mail.


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

To top of page
Agreement State Event Number: 53987
Rep Org: ILLINOIS EMERGENCY MGMT. AGENCY
Licensee: HEUFT USA, INC
Region: 3
City: DOWNERS GROVE   State: IL
County:
License #: IL-01354-22
Agreement: Y
Docket:
NRC Notified By: GARY FORSEE
HQ OPS Officer: KARL DIEDERICH
Notification Date: 04/09/2019
Notification Time: 14:39 [ET]
Event Date: 04/09/2019
Event Time: 00:00 [CDT]
Last Update Date: 04/09/2019
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
STEVE ORTH (R3DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB (EMAIL)
This material event contains a "Less than Cat 3" level of radioactive material.

Event Text

AGREEMENT STATE REPORT - LOST THEN FOUND Am-241 FILL LEVEL GAUGE SOURCES

The following report was received from the State of Illinois via e-mail:

"The Agency [Illinois Emergency Management Agency] was contacted at approximately 1213 CDT on 4/9/19 by the radiation safety officer (RSO) for Heuft USA to advise that a 0.88 Ci shipment of Am-241 sealed sources enroute to their facility did not arrive as expected by April 8, 2019. The shipment was found as of 1330 CDT by the carrier at their terminal in Illinois.

"The shipment was not a Cat 1 or Cat 2 quantity. The shipment was labeled White-I and packaged in a 28 pound, 5 gallon, Type A drum. [Prior to being found], the package's last known (physically confirmed) location was the [common carrier's] facility in Columbus, OH on 4/5/19. A manifest was present at [the common carrier's] Chicago Heights facility, indicating it may have arrived there. The RSO for the licensee was the individual who personally packaged the sources and offered them for consignment to [the common carrier]. There was no indication of intentional theft or diversion.

"Heuft USA is a licensee of the Agency (IL-01354-22) authorized for the possession, installation and maintenance of Am-241 fill level gauges. This shipment contained (2) QSA Global AMC.17 fill level gauges containing 300 mCi each, (1) XN.240 fill level gauge containing 100 mCi, and (4) AMC.25 fill level gauges containing 45 mCi each. State of Ohio radiation control program staff were notified.

"While writing the report, the carrier located the package on their dock and began to finalize the shipment to the licensee. Pending confirmation of receipt by the licensee, this matter is considered closed."

Illinois item number: IL190011.


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

To top of page
Agreement State Event Number: 53988
Rep Org: CALIFORNIA RADIATION CONTROL PRGM
Licensee: GEOSOLUTIONS, INC
Region: 4
City: SAN LUIS OBISPO   State: CA
County:
License #: 6286-40
Agreement: Y
Docket:
NRC Notified By: DONALD OESTERLE
HQ OPS Officer: KARL DIEDERICH
Notification Date: 04/09/2019
Notification Time: 15:20 [ET]
Event Date: 04/09/2019
Event Time: 00:00 [PDT]
Last Update Date: 04/15/2019
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
GREG WERNER (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB (EMAIL)
- CNSNS (MEXICO) (EMAIL)
This material event contains a "Less than Cat 3" level of radioactive material.

Event Text

AGREEMENT STATE REPORT - STOLEN MOISTURE DENSITY GAUGE

The following report was received from the State of California via e-mail:

"On April 9, 2019, the [Radiation Safety Officer] RSO for GeoSolutions in San Luis Obispo, CA notified the RHB [Radiologic Health Branch] Brea office that a moisture density gauge had been reported stolen from his employee's vehicle that was parked overnight at a residence in Orcutt, Santa Barbara County, CA. Reporting person states that a Humboldt Scientific Instrument 5001C nuclear moisture density testing device, serial number 1749, was stolen. The device contained 0.37 GBq (10 mCi) Cs-137 and 1.48 GBq (40 mCi) Am-241. The theft has been reported to local law enforcement, Santa Maria Police report number 2019R03937, and to the local service provider Pacific Nuclear Technology.

"The device was in a locked protective case at the time it was stolen; its transport index is 0.2; DOT class 7 type A package. The owner found the chain securing the device to the truck bed was also cut. The operator reported that the Cs-137 source rod was locked in the safe position on the gauge. The device was stolen on 4/9/2019 at an unknown time during the night. RHB will continue to investigate."

California 5010 number: 040919.

* * * UPDATE AT 2003 EDT ON 4/15/19 FROM L. ROBERT GREGER TO MARK ABRAMOVITZ * * *

The following was received via e-mail:

"The moisture density gauge that was reported stolen was reported by the licensee to have been recovered on 4/11/19. The gauge, inside its transportation container (the transportation container lock was missing, but the gauge was locked in the shielded position), was found in a trash dumpster at a local convenience store. Police are currently reviewing security camera tapes in an attempt to determine who placed the gauge in the convenience store trash dumpster."

Notified the R4DO (Pick) and NMSS (via e-mail).

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

To top of page
Power Reactor Event Number: 54002
Facility: FARLEY
Region: 2     State: AL
Unit: [1] [2] []
RX Type: [1] W-3-LP,[2] W-3-LP
NRC Notified By: RICHARD LANGFORD
HQ OPS Officer: JEFFREY WHITED
Notification Date: 04/16/2019
Notification Time: 02:59 [ET]
Event Date: 04/15/2019
Event Time: 23:55 [CDT]
Last Update Date: 04/16/2019
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(xi) - OFFSITE NOTIFICATION
Person (Organization):
NICOLE COOVERT (R2DO)
CHRIS MILLER (NRR EO)
WILLIAM GOTT (IRD)
Unit SCRAM Code RX Crit Initial PWR Initial RX Mode Current PWR Current RX Mode
1 N Y 97 Power Operation 97 Power Operation
2 N N 0 Defueled 0 Defueled

Event Text

OFFSITE NOTIFICATION - ON SITE FATAILITY

"At 2355 CDT on 4/15/19, life-saving activities by offsite medical personnel for a Farley employee were terminated. The coroner declared the individual deceased at the plant site at 0130 CDT.

"The fatality is not believed to be work-related and the individual was inside of the Radiological Controlled Area.

"This is a four-hour notification, non-emergency for a notification of other government agency. This event is reportable in accordance with 10 CFR 50.72(b)(2)(xi). The NRC Resident Inspector has been notified."

The licensee will be notifying the Occupational Safety and Health Administration due to the on-site fatality.

The licensee will perform a radiological survey of the individual prior to transportation offsite.

To top of page
Power Reactor Event Number: 54005
Facility: CALLAWAY
Region: 4     State: MO
Unit: [1] [] []
RX Type: [1] W-4-LP
NRC Notified By: LELAND BLAND
HQ OPS Officer: THOMAS KENDZIA
Notification Date: 04/17/2019
Notification Time: 06:25 [ET]
Event Date: 04/17/2019
Event Time: 01:37 [CDT]
Last Update Date: 04/17/2019
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(iv)(A) - VALID SPECIF SYS ACTUATION
Person (Organization):
GREG PICK (R4DO)
Unit SCRAM Code RX Crit Initial PWR Initial RX Mode Current PWR Current RX Mode
1 N N 0 Defueled 0 Defueled

Event Text

UNDERVOLTAGE TO A SAFETY RELATED BUS RESULTING IN VALID SYSTEM ACTUATION

"At approximately 0137 CDT, with the Plant [Callaway] in No Mode (Defueled) the "B" Switchyard Bus cleared resulting in a loss of normal power to "A" Train Safety Related Transformer XNB01. This resulted in an under voltage condition on Safety Related Bus NB01. The "A" Emergency Diesel started per design and re-energized Bus NB01. This actuated the shutdown sequencer which first sheds loads including the "A" Spent Fuel Pool Cooling Pump and started "A" Essential Service Water Pump, "A" Component Cooling Water Pump, "A" Control Room A/C and other design loads. No complications were identified. The "A" Switchyard Bus remained energized at all times. The "A" Spent Fuel Pool Cooling Pump was restarted per off normal procedure response at 0149 CDT. Spent Fuel Pool water temperature started at 102 F and rose to 103 F prior to restart. There was no movement of irradiated fuel in progress in the Fuel Building during this time. The plant remains stable in No Mode (Defueled).

"At the time of the loss of "B" Switchyard Bus, the plant was closing Generator Output breaker MDV53 to establish a backfeed alignment. Further investigation is in progress.

"This event is reportable per 10 CFR 50.72(b)(3)(iv)(A).

"The NRC Senior Resident has been notified."

To top of page
Power Reactor Event Number: 54008
Facility: HARRIS
Region: 2     State: NC
Unit: [1] [] []
RX Type: [1] W-3-LP
NRC Notified By: TIM ENGLISH
HQ OPS Officer: ANDREW WAUGH
Notification Date: 04/17/2019
Notification Time: 15:21 [ET]
Event Date: 04/17/2019
Event Time: 08:12 [EDT]
Last Update Date: 04/17/2019
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(v)(D) - ACCIDENT MITIGATION
Person (Organization):
FRANK EHRHARDT (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

TURBINE TRIP SOLENOIDS FAILURE TO ACTUATE

"At 0812 EDT on 4/17/2019, it was discovered that both sets of turbine trip solenoids were previously unable to actuate within the allowable time frames; therefore, this condition is being reported as an eight-hour, non-emergency notification per 10 CFR 50.72(b)(3)(v)(D). At the time of discovery, one set of turbine trip solenoids had been restored.

"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 Thursday, July 11, 2019
Thursday, July 11, 2019