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Event Notification Report for January 31, 2020

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
1/30/2020 - 1/31/2020

** EVENT NUMBERS **
 
53136 54489 54490 54493 54502

!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED !!!!!
Agreement State Event Number: 53136
Rep Org: CALIFORNIA RADIATION CONTROL PRGM
Licensee: GLENDALE ADVENTIST MEDICAL CENTER
Region: 4
City: GLENDALE   State: CA
County: LOS ANGELES
License #: 0237-19
Agreement: Y
Docket:
NRC Notified By: THOMAS MIKO
HQ OPS Officer: MARK ABRAMOVITZ		 Notification Date: 12/22/2017
Notification Time: 16:40 [ET]
Event Date: 12/06/2017
Event Time: 16:48 [PST]
Last Update Date: 01/30/2020
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE		 Person (Organization):
GREG PICK (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
PATRICIA MILLIGAN (INES)

Event Text



EN Revision Imported Date : 1/31/2020

EN Revision Text: AGREEMENT STATE REPORT - NUCLEAR MEDICINE EMPLOYEE OVER EXPOSURE

The following report was received via e-mail:

"On December 6, 2017, the Radiation Safety Officer at Glendale Adventist Medical Center notified the Principal Radiation Protection Specialist at Los Angeles County Radiation Management that at Glendale Adventist Medical Center, a nuclear medicine employee had unusually high readings on his Landauer dosimeters over the last several months: 490 mrem DDE [deep dose equivalent](July 2017), 490 mrem DDE (August 2017), 892 mrem DDE (September 2017), 12,870 mrem DDE (October 2017), and 166 mrem DDE (November 2017)."

California Report: 120617

* * * RETRACTION ON 1/30/2020 AT 1232 EST FROM THOMAS MIKO TO ANDREW WAUGH * * *

The following information was received from the state of California via email:

"The Radiation Safety Officer at Glendale Adventist Medical Center in Glendale, California performed an in-house investigation, and has stated in his report to Los Angeles County that he does not believe that the employee actually received the exposures recorded on his dosimeters. Policy and procedure changes were implemented to avoid having employee dosimeters artificially exposed to x-ray equipment (while not being worn by the employee), which they believe to be the cause of the elevated exposure reports. Los Angeles County did not rescind this report until now, because they waited to perform reviews of the same employee's dosimetry records for the length of 2018 and 2019. No new incidents have occurred. Please rescind the attached report that was submitted in December of 2017."

Notified R4DO (Dixon) and NMSS Events (email).

Non-Agreement State Event Number: 54489
Rep Org: TILDEN MINING COMPANY
Licensee: TILDEN MINING COMPANY
Region: 3
City: ISHPEMING   State: MI
County:
License #: 21-26748-01
Agreement: N
Docket:
NRC Notified By: LAWRENCE GRAY
HQ OPS Officer: THOMAS KENDZIA		 Notification Date: 01/22/2020
Notification Time: 12:19 [ET]
Event Date: 01/22/2020
Event Time: 12:19 [EST]
Last Update Date: 01/22/2020
Emergency Class: NON EMERGENCY
10 CFR Section:
30.50(b)(2) - SAFETY EQUIPMENT FAILURE		 Person (Organization):
HIRONORI PETERSON (R3DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)

Event Text

GAUGE SHUTTER STUCK OPEN

During biannual inventory/shutter check maintenance the licensee identified a gauge shutter stuck open on the 6A pebble mill cyclone underflow. The gauge is a Kay Ray Model #7050, Serial #1397 containing 1000 milllicurie of Cs 137. The issue is not a risk to personnel. The licensee will replace the gauge.

!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED !!!!!
Agreement State Event Number: 54490
Rep Org: NE DIV OF RADIOACTIVE MATERIALS
Licensee: GATEWAY MALL
Region: 4
City: LINCOLN   State: NE
County:
License #: GL0457
Agreement: Y
Docket:
NRC Notified By: DEB WILSON
HQ OPS Officer: THOMAS KENDZIA		 Notification Date: 01/22/2020
Notification Time: 17:46 [ET]
Event Date: 01/22/2020
Event Time: 00:00 [CST]
Last Update Date: 01/23/2020
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE		 Person (Organization):
PATRICIA SILVA (R4DO)
ILTAB (EMAIL)
NMSS_EVENTS_NOTIFICATION (EMAIL)
This material event contains a "Less than Cat 3" level of radioactive material.

Event Text

AGREEMENT STATE REPORT - MISSING SELF LUMINOUS SIGNS CONTAINING TRITIUM

The following was received via phone notification from the State of Nebraska Department of Radiological Health (NDRH):

On January 22, 2020, the NDRH received notification in the mail that during the annual survey, the Gateway Mall identified that 2 self luminous signs were missing and 7 signs that were removed during construction were unaccounted for. These signs contained tritium (H3), originally in the amount of 11.5 Curies each.

NDRH is going to follow-up on this event.

* * * UPDATE ON 1/23/2020 AT 1032 EST FROM DEB WILSON TO ANDREW WAUGH * * *

It was identified that eight of the tritium signs contained 11.5 Curies each and one of the signs contained 20 Curies. The Gateway Mall will follow up with the construction company to verify whether the signs have been properly disposed of as well as double checking with the maintenance shop to see if the report of the missing signs had been made in error.

Notified R4DO (Silvia), ILTAB (email), and NMSS Events (email).

* * * RETRACTION ON 1/23/2020 AT 1434 EST FROM DEB WILSON TO THOMAS KENDZIA * * *

"Gateway Mall General Manager was able to contact the construction company. It was determined that the signs had been removed from service by the construction company and stored at Gateway Mall. Signs reported missing in the maintenance shop were located as well. All nine signs have been located and accounted for."

Notified R4DO (Silvia), ILTAB (email), and NMSS Events (email).

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

Agreement State Event Number: 54493
Rep Org: UTAH DIVISION OF RADIATION CONTROL
Licensee:
Region: 4
City: SALT LAKE CITY   State: UT
County:
License #:
Agreement: Y
Docket:
NRC Notified By: GWYN GALLOWAY
HQ OPS Officer: THOMAS KENDZIA		 Notification Date: 01/23/2020
Notification Time: 21:32 [ET]
Event Date: 01/21/2020
Event Time: 10:15 [MST]
Last Update Date: 01/23/2020
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE		 Person (Organization):
PATRICIA SILVA (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)

Event Text

AGREEMENT STATE REPORT - FOUND SOURCE

The following is a synopses of a report received from the Utah Department of Environmental Quality (the Division) via email:

On January 21, 2020, a licensee left a message for the Division that a source had been found lying outside of the locked gate of one of the licensee's facilities. The licensee reported that it was not their source, but they moved it inside of their facility in order to secure the source and keep a member of the public from finding it. The licensee did not have much information regarding the source when staff spoke with them, but sent a picture of the source that was found. The picture showed a small can labeled with a Beckman Instruments, Inc. label. The label stated that the can contained 40 microcuries of Cs-137 assayed on July 30, 1981. The label was consistent with a generally licensed source and appeared to have been manufactured in CA. The licensee did not know where the source came from or why it was deposited close to their entrance gate. A member of the Division's staff will go to the licensee's facility tomorrow to read the serial number and the full label from the can.

Utah Event Report ID #: UT200001

Power Reactor Event Number: 54502
Facility: SOUTH TEXAS
Region: 4     State: TX
Unit: [1] [2] []
RX Type: [1] W-4-LP,[2] W-4-LP
NRC Notified By: ROBERT TATRO
HQ OPS Officer: ANDREW WAUGH		 Notification Date: 01/30/2020
Notification Time: 17:15 [ET]
Event Date: 01/30/2020
Event Time: 11:45 [CST]
Last Update Date: 01/30/2020
Emergency Class: NON EMERGENCY
10 CFR Section:
26.719 - FITNESS FOR DUTY		 Person (Organization):
JOHN DIXON (R4DO)
FFD GROUP (EMAIL)
Unit SCRAM Code RX Crit Initial PWR Initial RX Mode Current PWR Current RX Mode
1 N Y 100 Power Operation 100 Power Operation
2 N Y 100 Power Operation 100 Power Operation

Event Text

FITNESS-FOR-DUTY - CONTRACTOR SUPERVISOR FAILED FOR-CAUSE TEST

On January 30, 2020, a non-licensed contractor supervisor had a confirmed positive for alcohol during a for-cause fitness-for-duty test. The employee's unescorted access to the plant has been terminated.

The NRC Resident Inspector has been notified.

Page Last Reviewed/Updated Thursday, March 25, 2021