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Event Notification Report for May 31, 2019

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
5/30/2019 - 5/31/2019

** EVENT NUMBERS **


54049 54066 54080 54082 54094

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!!!!! THIS EVENT HAS BEEN RETRACTED.THIS EVENT HAS BEEN RETRACTED !!!!!
Power Reactor Event Number: 54049
Facility: COOPER
Region: 4     State: NE
Unit: [1] [] []
RX Type: [1] GE-4
NRC Notified By: RANDY KOUBA
HQ OPS Officer: JEFFREY WHITED
Notification Date: 05/05/2019
Notification Time: 20:41 [ET]
Event Date: 05/05/2019
Event Time: 14:05 [CDT]
Last Update Date: 05/30/2019
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(v)(C) - POT UNCNTRL RAD REL
Person (Organization):
GREG WERNER (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



EN Revision Imported Date : 5/31/2019

EN Revision Text: SECONDARY CONTAINMENT DECLARED INOPERABLE DUE TO POTENTIAL EQUIPMENT FAILURE

"At 1405 CDT, Secondary Containment differential pressure exceeded the Technical Specification limit due to a potential equipment failure. This required entry into [Limiting Condition of Operation] LCO 3.6.4.1 Condition A for Secondary Containment inoperability. An event or condition that could have prevented the fulfillment of a safety function requires an 8 hour report per 10 CFR 50.72(b)(3)(v)(C) for Control of Rad Release. Secondary Containment differential pressure was restored to greater than or equal to 0.25 inches vacuum, water gauge in accordance with plant procedures. Secondary Containment was declared operable at 1600 CDT. The issue has been entered in the Corrective Action Program and investigation of the cause is in progress.

"The NRC Senior Resident Inspector has been informed of this condition."

* * * RETRACTION AT 1759 EDT ON 5/30/2019 FROM ROY GILES TO JEFF HERRERA * * *

"CNS [Cooper Nuclear Station] is retracting the 8-hour notification made for event 54049 which occurred on May 5, 2019 at 1405 CDT. Subsequent evaluation determined that no equipment failure occurred. In addition, there were no procedure inadequacies or human performance issues identified. The indications observed were expected and part of a pre-planned evolution which included entry into a planned LCO for the Secondary Containment."

The NRC Resident Inspector has been notified.

Notified the R4DO (Kozal).

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Agreement State Event Number: 54066
Rep Org: FL DIVISION OF EMERGENCY MANAGEMENT
Licensee:
Region: 1
City: ORLANDO   State: FL
County:
License #:
Agreement: Y
Docket:
NRC Notified By: MARK SEIDENSTICKER
HQ OPS Officer: JOANNA BRIDGE
Notification Date: 05/16/2019
Notification Time: 00:54 [ET]
Event Date: 05/16/2019
Event Time: 00:00 [EDT]
Last Update Date: 05/16/2019
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
DON JACKSON (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
SILAS KENNEDY (IRD)

Event Text

AGREEMENT STATE REPORT - TRANSPORTATION ACCIDENT

The following is a summary of an e-mail received from the State of Florida:

On May 15, 2019 at 2327 EDT, the Florida Division of Emergency Management, Radiation Control Duty Officer, contacted the NRC via e-mail to report that all westbound lanes of East Colonial Drive, in Orlando FL, were closed and the entrance and exit ramps to/from State Route 417 were closed. The State Trooper on scene reported that there was a potential release of an unknown quantity of medical grade radioactive material, Molybdenum-99. This material is used in the treatment of cancer. Orange County HAZMAT was dispatched to the scene and requested a call back for assistance. A state inspector was dispatched to the scene. The inspector found no damage to the radioactive material and no contamination. The material was housed in a lead lined box, surrounded by styrofoam, in a cardboard shipping container. There was one person reported with minor injuries due to the crash.

Florida Report No.: 2019-2728

Notified DOT Crisis Management Center, DOE and DHS SWO.

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Agreement State Event Number: 54080
Rep Org: OR DEPT OF HEALTH RAD PROTECTION
Licensee: CENTRAL GEOTECH SERVICES
Region: 4
City: SANDY   State: OR
County:
License #: 91211
Agreement: Y
Docket:
NRC Notified By: HILLARY HASKINS
HQ OPS Officer: HOWIE CROUCH
Notification Date: 05/22/2019
Notification Time: 17:49 [ET]
Event Date: 05/22/2019
Event Time: 11:15 [PDT]
Last Update Date: 05/22/2019
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
HEATHER GEPFORD (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)

Event Text

AGREEMENT STATE REPORT - DAMAGED TROXLER MOISTURE DENSITY GAUGE

The following information was obtained from the state of Oregon via email:

"[The licensee] was asked to perform density testing of the roadway at the intersection of US Hwy. 26 and SE Firwood in Sandy, Oregon. [The licensee's client], Fall Line Construction, is working for DEPCOM Power.

"At approximately 1115 [PDT], [the gauge user] was asked to move [his] vehicle by the construction workers onsite. [The user] moved the Nuclear Densometer to a place where [he] believed would be safe from equipment onsite.

"While [the user] was parking (approximately 400 feet away), [he] saw some construction workers waving down the bulldozer operator who had backed into [the] Nuclear Densometer.

"[The user] checked to see if the gauge had been damaged. The lead shield had not been damaged. The handle for the gauge had been bent. Due to this deformation, the [source] was stuck in the safe position.

"[The user] tested the gauge with [a] Geiger counter and there appeared to be no excessive radiation coming from the gauge.

"The gauge was loaded back into the transport box and returned to the permanent storage place. The gauge will be sent out for repair either today or tomorrow."

The gauge is a Troxler model 3440, SN 26146, containing 9 mCi of Cs-137 and 44 mCi of Am-241:Be.

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Agreement State Event Number: 54082
Rep Org: FLORIDA BUREAU OF RADIATION CONTROL
Licensee: FLORIDA CANCER SPECIALISTS - NEW PORT RICHEY
Region: 1
City: NEW PORT RICHEY   State: FL
County:
License #: 3825-13
Agreement: Y
Docket:
NRC Notified By: MATTHEW SENISON
HQ OPS Officer: HOWIE CROUCH
Notification Date: 05/23/2019
Notification Time: 16:55 [ET]
Event Date: 05/21/2019
Event Time: 00:00 [EDT]
Last Update Date: 05/23/2019
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
FRANK ARNER (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)

Event Text

AGREEMENT STATE REPORT - ACTUAL DOSE GREATER THAN PRESCRIBED DOSE BY 87.6%

The following information was obtained from the state of Florida via email:

"On May 22, 2019, [the licensee Radiation Safety Officer] notified the BRC [Florida Bureau of Radiation Control] of an overdose of radiation treatment to a female 60 year-old Caucasian patient. Patient was prescribed ten 340 cGy planning target volume (ptv) fractionated treatments: 2 per day for 5 days. Minimum dose of 340 cGy per fraction, mean dose value 625 cGy per fraction, actual dose administered 1167.3 cGy in single fraction. Source S/N: 24-01-7403-001-032119-13092-68. Licensee has notified the patient that an overdose did occur, and expects no harm to the patient due to this fraction of treatment. Patient has five more treatments."

The machine used was a Varying GammaMed+, SN 641053, using a 7.385 Ci Iridium-192 GammaMed 232 source.

Florida Incident number: FL19-071

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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Power Reactor Event Number: 54094
Facility: FERMI
Region: 3     State: MI
Unit: [2] [] []
RX Type: [2] GE-4
NRC Notified By: KELLEY BELENKY
HQ OPS Officer: JEFFREY WHITED
Notification Date: 05/30/2019
Notification Time: 00:10 [ET]
Event Date: 05/29/2019
Event Time: 22:10 [EDT]
Last Update Date: 05/30/2019
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(v)(C) - POT UNCNTRL RAD REL
Person (Organization):
ROBERT DALEY (R3DO)
Unit SCRAM Code RX Crit Initial PWR Initial RX Mode Current PWR Current RX Mode
2 N Y 100 Power Operation 100 Power Operation

Event Text

SECONDARY CONTAINMENT DECLARED INOPERABLE

"On May 29, 2019, at 2210 EDT, plant personnel notified the Main Control Room that both doors in the Secondary Containment Airlock on the Reactor Building First Floor were opened simultaneously for a period of approximately two seconds. This resulted in Technical Specification (TS) Surveillance Requirement (SR) 3.6.4.1.3 not being met. Secondary Containment pressure observed during that time remained unchanged and within TS limits. There were no radiological releases associated with this event.

"Declaring Secondary Containment inoperable as a result of not meeting TS SR 3.6.4.1.3 is reportable under 10 CFR 50.72(b)(3)(v)(C) as an event or condition that could have prevented the fulfillment of a safety function needed to control the release of radioactive material.

"The licensee has notified the NRC Resident Inspector."


Page Last Reviewed/Updated Friday, May 31, 2019
Friday, May 31, 2019