Event Notification Report for January 28, 2020
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U.S. Nuclear Regulatory Commission Event Reports For ** EVENT NUMBERS ** |
| 54483 | 54484 | 54492 | 54495 |
| Agreement State | Event Number: 54483 |
| Rep Org: ALABAMA RADIATION CONTROL Licensee: EAST ALABAMA MEDICAL CENTER Region: 1 City: OPELIKA State: AL County: License #: 105 Agreement: Y Docket: NRC Notified By: CASON COAN HQ OPS Officer: HOWIE CROUCH |
Notification Date: 01/17/2020 Notification Time: 11:57 [ET] Event Date: 01/16/2020 Event Time: 14:45 [CST] Last Update Date: 01/17/2020 |
| Emergency Class: NON EMERGENCY 10 CFR Section: AGREEMENT STATE |
Person (Organization): GLENN DENTEL (R1DO) NMSS_EVENTS_NOTIFICATION (EMAIL) |
Event Text
| ALABAMA AGREEMENT STATE REPORT - PATIENT RECEIVED GREATER DOSE THAN PRESCRIBED The following information was received from the state of Alabama via facsimile: "On January 16, 2020 at approximately 1445 CST, [the radiation safety officer (RSO)] of Alabama licensee East Alabama Medical Center notified the Alabama Office of Radiation Control [the Agency] that a patient apparently received more dose than prescribed during a treatment via HDR [high dose rate] afterloader on or around Thursday, 1/9/2020. [The RSO] stated that he noted the matter yesterday (1/15/20 at around 1530); he stated that the physician associated with the patient's case confirmed [the RSO's] concerns about the patient's dose. [The RSO] reported that the patient apparently received dose in 1 fraction that was to be administered over 2-3 fractions. The Agency has no further information on this matter as of the date of submission of this memo. "Of note, East Alabama Medical Center is authorized to possess and use an Elekta Flexitron model 136149A02 HDR medical irradiator under Alabama license 105, with a maximum of 12 Ci of Ir-192." Alabama Event 20-01 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. |
| Agreement State | Event Number: 54484 |
| Rep Org: NORTH DAKOTA DEPARTMENT OF HEALTH Licensee: IRIS NDT Region: 4 City: MANDAN State: ND County: License #: 33-56806-01 Agreement: Y Docket: NRC Notified By: DAVID STRADINGER HQ OPS Officer: HOWIE CROUCH |
Notification Date: 01/17/2020 Notification Time: 17:00 [ET] Event Date: 12/18/2019 Event Time: 22:15 [MST] Last Update Date: 01/17/2020 |
| Emergency Class: NON EMERGENCY 10 CFR Section: AGREEMENT STATE |
Person (Organization): CALE YOUNG (R4DO) NMSS_EVENTS_NOTIFICATION (EMAIL) |
Event Text
| NORTH DAKOTA AGREEMENT STATE REPORT - RADIOGRAPHY CAMERA SOURCE DISCONNECT The following information is summarized from an email received from the state of North Dakota: At approximately 2215 MST on 12/18/2019, while setting up for a radiography shot, the radiography team experienced a source disconnect. When the team realized a disconnect occurred, they established a 2 mR/hr. boundary and contacted the radiation safety officer (RSO). The RSO arrived on site and was able to retrieve the source back into the shielded position. No overexposures were reported. The licensee removed the camera from service and returned it to their facility in Bismarck, ND. The licensee determined that poor camera maintenance and personnel error contributed to the guide tube being only partially connected to the camera which led to the disconnect. The radiography crew was briefed on the cause of the event and the proper steps to maintain and inspect a camera prior to use. The camera was a SPEC 150, serial number 2592 , with a 66 Ci Ir-192 source, serial number AK 2405. |
| !!!!! THIS EVENT HAS BEEN RETRACTED.THIS EVENT HAS BEEN RETRACTED !!!!! | |
| Fuel Cycle Facility | Event Number: 54492 |
| Facility: LOUISIANA ENERGY SERVICES RX Type: Comments: URANIUM ENRICHMENT FACILITY GAS CENTRIFUGE FACILITY Region: 2 City: EUNICE State: NM County: LEA License #: SNM-2010 Docket: 70-3103 NRC Notified By: WYATT PADGETT HQ OPS Officer: THOMAS KENDZIA |
Notification Date: 01/22/2020 Notification Time: 19:00 [ET] Event Date: 01/22/2020 Event Time: 16:23 [MST] Last Update Date: 01/27/2020 |
| Emergency Class: NON EMERGENCY 10 CFR Section: PART 70 APP A (a)(4) - ALL SAFETY ITEMS UNAVAILABLE |
Person (Organization): NICOLE COOVERT (R2DO) NMSS_EVENTS_NOTIFICATION (EMAIL) |
Event Text
| REQUIRED PROCEDURAL CONTROLS WERE NOT FOLLOWED "Urenco USA is conservatively reporting a condition in that Uranic bearing material was placed into the Small Component Decontamination Train (SCDT) without meeting all conditions of IROFS54a and IROFS54b. "IROFS54a and IROFS54b are Mass Controls that ensure the configuration of the SCDT remains sub-critical. Bookkeeping elements of the IROFS were performed correctly and the masses of the components were determined properly. However the visual inspection of the SCDT to ensure it is empty, prior to introducing components, was not performed in accordance with procedure instructions. "The components were removed and the visual inspection was performed which confirmed the SCDT was in fact empty. "The facility was and remains in a safe and stable configuration." The licensee will notify NRC Region 2 tomorrow. * * * RETRACTION ON 1/24/20 AT 1130 EST FROM BLAKE BIXENMAN TO RODNEY CLAGG * * * "This event was determined to not be reportable. "Consistent with NRC FCSS ISG-12, Rev 1, 10 CFR Part 70, Appendix A - Reportable Safety Events, UUSA has concluded that EN54492 was not reportable. All situations where IROFS have failed or degraded are reportable under Paragraphs (a)(4) or (b)(2), exceptions include the following: The capabilities of the degraded IROFS are still sufficient to meet the performance requirements of 10 CFR 70.61. "On 01-17-2020, UUSA completed a discharge of material to the slab tanks in the Liquid Effluent Collection Treatment & Storage (LECTS) Room. Upon completion of decontamination activities in the SCDT, procedurally required actions were performed to ensure all in process uranic material was removed and verification of the uranic material hold-up value was still valid in accordance with IROFS54a&b. IROFS54a&b tags and locks were then installed indicating the IROFS functions had been performed. "On 01-22-2020, a new work evolution began which included bookkeeping measurements to ensure the calculated mass of uranium was below the allowable threshold prior to introduction to the SCDT. In summary, all requirements of the IROFS54a&b boundary were functionally complete and the capabilities of the degraded IROFS remained sufficient to meet the performance requirements of 10 CFR 70.61." Notified the R2DO (Coovert) and NMSS Events Notification (email) |
| Power Reactor | Event Number: 54495 |
| Facility: SUMMER Region: 2 State: SC Unit: [1] [] [] RX Type: [1] W-3-LP,[2] W-AP1000,[3] W-AP1000 NRC Notified By: JEFF MANROSS HQ OPS Officer: KERBY SCALES |
Notification Date: 01/27/2020 Notification Time: 09:29 [ET] Event Date: 01/26/2020 Event Time: 23:54 [EST] Last Update Date: 01/27/2020 |
| Emergency Class: NON EMERGENCY 10 CFR Section: 50.72(b)(2)(xi) - OFFSITE NOTIFICATION |
Person (Organization): NICOLE COOVERT (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
| INADVERTANT ACTIVATION OF AN EARLY WARNING SIREN "At 2354 EST, on January 26, 2020, officials with the State Emergency Operations Center and Newberry County, SC were notified of an apparent inadvertent actuation of a single siren in the VC Summer Early Warning Siren System (EWSS). "[VC Summer Nuclear Station] VCSNS received a report of siren actuation from a local resident at approximately 2340 EST. The EWSS indication at the Emergency Operations Facility showed siren #35 had actuated. A reset of the EWSS was performed. VCSNS is working to confirm actual siren activation and troubleshoot the issue. This event is still under investigation. "This is a non-emergency 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 notified state and local agencies. |
Page Last Reviewed/Updated Wednesday, March 24, 2021
Page Last Reviewed/Updated Wednesday, March 24, 2021