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Event Notification Report for August 06, 2019

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
8/5/2019 - 8/6/2019

** EVENT NUMBERS **
 
54184 54199 54201

Agreement State Event Number: 54184
Rep Org: PA BUREAU OF RADIATION PROTECTION
Licensee: WEST PENN ALLEGHENY HEALTH SYSTEMS INC
Region: 1
City: PITTSBURGH   State: PA
County:
License #: PA-0031
Agreement: Y
Docket:
NRC Notified By: JOSHUA MYERS
HQ OPS Officer: JEFFREY WHITED		 Notification Date: 07/26/2019
Notification Time: 14:34 [ET]
Event Date: 07/25/2019
Event Time: 00:00 [EDT]
Last Update Date: 07/26/2019
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE		 Person (Organization):
MEL GRAY (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)

Event Text

AGREEMENT STATE REPORT - SOURCE FAILED TO RETRACT

The following was received via e-mail:

"On Thursday, July 25, 2019, the licensee called to report an equipment failure event where, during a cardiovascular brachytherapy treatment, the source failed to retract at the end of the treatment time due to a kink in the catheter line. The unit being used was a Best Vascular, Inc., A1000 Series using the Novoste Beta-Cath 3.5 Delivery System and a Sr-90 source with a source strength of 79.3 mCi. A service engineer for Best Vascular was present during the time of treatment and was able to unkink the catheter line allowing the source to fully retract into the unit. There was no harm to the patient and no overexposure occurred."

Event Report No.: PA190017

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.

Power Reactor Event Number: 54199
Facility: NINE MILE POINT
Region: 1     State: NY
Unit: [1] [] []
RX Type: [1] GE-2,[2] GE-5
NRC Notified By: JOE BLAKELEY
HQ OPS Officer: HOWIE CROUCH		 Notification Date: 08/05/2019
Notification Time: 01:28 [ET]
Event Date: 08/04/2019
Event Time: 17:45 [EDT]
Last Update Date: 08/05/2019
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(v)(A) - POT UNABLE TO SAFE SD		 Person (Organization):
FRED BOWER (R1DO)
Unit SCRAM Code RX Crit Initial PWR Initial RX Mode Current PWR Current RX Mode
1 N Y 100 Power Operation 89 Power Operation

Event Text

AVERAGE POWER RANGE MONITORS DECLARED INOPERABLE

"On August 4, 2019 at 1745 [EDT], Reactor Recirculation Pump (RRP) 11 tripped. The cause for the trip is under investigation.

"Following the RRP trip, the Average Power Range Monitors (APRMs) flow bias trips are inoperable due to reverse flow through RRP 11. The APRMs were restored to operable on August 4, 2019 at 1807, when the RRP 11 Discharge Blocking Valve was closed.

"This 8-hour non-emergency report is being made based upon requirements of 10CFR50.72(b)(3)(v)(A) which states: 'Licensee shall notify the NRC of 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: (A) Shut down the reactor and maintain it in a safe shutdown condition.'"

The licensee has notified the NRC Resident Inspector.

Power Reactor Event Number: 54201
Facility: GRAND GULF
Region: 4     State: MS
Unit: [1] [] []
RX Type: [1] GE-6
NRC Notified By: RONALD WALTERS
HQ OPS Officer: THOMAS KENDZIA		 Notification Date: 08/05/2019
Notification Time: 17:06 [ET]
Event Date: 08/05/2019
Event Time: 09:36 [CDT]
Last Update Date: 08/05/2019
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(v)(C) - POT UNCNTRL RAD REL		 Person (Organization):
GREG WARNICK (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

SECONDARY CONTAINMENT PERSONNEL DOOR UNABLE TO BE CLOSED AND LATCHED

"On August 5, 2019, at 0936 CDT, Grand Gulf entered Technical Specification (TS) 3.6.4.1 due to a Secondary Containment personnel door, 1A401B, not being able to meet its design function. Door 1A401B was unable to be closed and latched. This condition is being reported as a loss of safety function. The station also entered 05-S-01-EP-4, Auxiliary Building Control (Secondary Containment) to address Auxiliary Building differential pressure due to the opened Secondary Containment penetration.

"Actions were taken to close and latch Door 1A401B. Secondary Containment has been declared operable. TS 3.6.4.1 and 05-S-01-EP-4 were exited.

"The NRC Resident Inspector was notified of the condition."

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