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Event Notification Report for June 04, 2020

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
6/3/2020 - 6/4/2020

** EVENT NUMBERS **


54728 54734 54735

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Agreement State Event Number: 54728
Rep Org: ALABAMA RADIATION CONTROL
Licensee: USA Health University Hospital
Region: 1
City: Mobile   State: AL
County:
License #: 584
Agreement: Y
Docket:
NRC Notified By: Cason Coan
HQ OPS Officer: Brian Lin
Notification Date: 05/27/2020
Notification Time: 08:06 [ET]
Event Date: 05/26/2020
Event Time: 15:30 [CDT]
Last Update Date: 05/27/2020
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
Person (Organization):
JOSEPH DEBOER (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)

Event Text

AGREEMENT STATE REPORT - POSSIBLE ADMINISTRATION AT THE WRONG TREATMENT SITE

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

"The Alabama Department of Public Health Office of Radiation Control was notified on May 26, 2020, at about 1620 CDT by the Radiation Safety Officer (RSO) of the University of South Alabama Health University Hospital (license 584) of a possible misadministration via HDR [high dose rate] afterloader. The RSO stated that the patient was apparently treated at the wrong treatment site on May 26, 2020 around 1530 CDT; the prescribed dose for the fraction was 700 cGy (treatment course to total 2100 cGy). The licensee is currently working to reconstruct dosimetry at the time of this report, and is unsure of the variance from the prescribed dose. The licensee is authorized to possess an Elekta 136149A02, with a maximum of 12 Ci of Ir-192."

Alabama Incident Report No.: 20-09.

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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Part 21 Event Number: 54734
Rep Org: PARAGON ENERGY SOLUTIONS
Licensee: NLI
Region: 4
City: Fort Worth   State: TX
County:
License #:
Agreement: Y
Docket:
NRC Notified By: Tracy Bolt
HQ OPS Officer: Ossy Font
Notification Date: 06/03/2020
Notification Time: 11:31 [ET]
Event Date: 06/01/2020
Event Time: 00:00 [CDT]
Last Update Date: 06/03/2020
Emergency Class: Non Emergency
10 CFR Section:
21.21(d)(3)(i) - Defects And Noncompliance
Person (Organization):
MARK MILLER (R2DO)
DAVID PROULX (R4DO)
- PART 21/50.55 REACTORS (EMAIL)

Event Text

PART 21 REPORT - FAILURE OF SIZE 1 AND 2 FREEDOM SERIES AUXILIARY CONTACTS

The following was received from Paragon Energy Solutions via email:

"Pursuant to 10 CFR 21.21(d)(3)(i), Paragon Energy Solutions is providing initial notification of the identification of a defect.

"Duke Energy Harris Plant has identified instances where Size 1 and 2 starters have failed to function as expected in assemblies that were originally supplied by NLI. The auxiliary contacts have degraded prematurely and have failed to change state when the starter was energized which has affected indication and other controlling actions within the circuit.

"The identified starters have been installed for 3-5 years, operating in a continuous duty application.

"Formal notification will be submitted on or before 6/30/2020."

For any questions or comments, please contact:
Tracy Bolt, Chief Nuclear Officer
Paragon Energy Solutions
817-284-0077
tbolt@paragones.com

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Power Reactor Event Number: 54735
Facility: Mcguire
Region: 2     State: NC
Unit: [1] [2] []
RX Type: [1] W-4-LP,[2] W-4-LP
NRC Notified By: James Dudley
HQ OPS Officer: Ossy Font
Notification Date: 06/03/2020
Notification Time: 17:10 [ET]
Event Date: 06/03/2020
Event Time: 13:00 [EDT]
Last Update Date: 06/03/2020
Emergency Class: Non Emergency
10 CFR Section:
26.719 - Fitness For Duty
Person (Organization):
MARK MILLER (R2DO)
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

FAILED FITNESS FOR DUTY TEST

A non-licensed employee supervisor had a confirmed positive for drugs during a random fitness-for-duty test. The employee's access to the plant has been terminated.


Page Last Reviewed/Updated Thursday, June 04, 2020
Thursday, June 04, 2020