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Event Notification Report for November 01, 2019

U.S. Nuclear Regulatory Commission
Operations Center

EVENT REPORTS FOR
10/31/2019 - 11/01/2019

EVENT NUMBERS
5436454373

Power Reactor
Event Number: 54364
Facility: NINE MILE POINT
Region: 1     State: NY
Unit: [] [2] []
RX Type: [1] GE-2,[2] GE-5
NRC Notified By: CARL JONES
HQ OPS Officer: DONALD NORWOOD
Notification Date: 11/01/2019
Notification Time: 10:03 [ET]
Event Date: 11/01/2019
Event Time: 03:16 [EDT]
Last Update Date: 11/01/2019
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(v)(D) - ACCIDENT MITIGATION
Person (Organization):
MATT YOUNG (R1DO)
Power Reactor Unit Info
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
HIGH PRESSURE CORE SPRAY (HPCS) SYSTEM INOPERABLE

"On November 1, 2019 at 0316 EDT, Nine Mile Point Unit 2 (NMP2) received Control Room annunciation for HPCS SYSTEM INOPERABLE and inoperable status light indication for TRIP UNITS OUT OF FILE/POWER FAIL. Initial investigation has identified a potential failed 24 vdc power supply which supplies power to the HPCS trip units for system initiation and control. The HPCS system has been declared inoperable per TS 3.5.1 resulting in an unplanned 14 day LCO.

"All other plant systems functioned as required.

"NMP2 is currently at 100 percent power in Mode 1.

"This condition is reportable under 10 CFR 50.72(b)(3)(v)(D) as, '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: (D) Mitigate the consequences of an accident.'"

The licensee notified the NRC Resident Inspector.


Agreement State
Event Number: 54373
Rep Org: COLORADO DEPT OF HEALTH
Licensee: CHILDREN'S HOSPITAL COLORADO
Region: 4
City: AURORA   State: CO
County:
License #: CO 075-02
Agreement: Y
Docket:
NRC Notified By: PHILLIP PETERSON
HQ OPS Officer: OSSY FONT
Notification Date: 11/06/2019
Notification Time: 16:34 [ET]
Event Date: 11/01/2019
Event Time: 00:00 [MST]
Last Update Date: 11/06/2019
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
JAMES DRAKE (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
Event Text
AGREEMENT STATE REPORT - CONTAMINATION DUE TO DISLODGED CATHETER

The following was received from the Colorado Radioactive Materials Unit via email:

"On 11/6/19, the Colorado Department of Public Health and Environment was notified of a potential reportable contamination event. On 11/1/19, approximately 12 hours after an I-131 MIBG [meta-iodobenzylguanidine] administration (293.6 mCi) on 10/31/19, the patient's catheter was dislodged [while asleep]. I-131 contaminated urine spilled out of the catheter and contaminated the patient, bed, bedding, and floor under the bed. Most of the spill was located under the bed. The patient was decontaminated after the spill was identified and has since been released from the facility. After the patient was released, the extent of the spill was identified by the licensee. The treatment room has not been released for unrestricted use as of 11/6/19. Dose rates taken by the licensee indicate the potential for greater than 5 times the ALI [annual limit on intake] prior to decontamination efforts."

Colorado Event Report No: CO190018

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.