Event Notification Report for August 27, 2020
U.S. Nuclear Regulatory Commission Event Reports For ** EVENT NUMBERS ** |
54840 | 54841 | 54842 | 54845 | 54846 | 54859 |
Agreement State | Event Number: 54840 |
Rep Org: OHIO DEPARTMENT OF HEALTH Licensee: RIVERSIDE METHODIST HOSPITAL Region: 3 City: Columbus State: OH County: License #: OH-02120250070 Agreement: Y Docket: NRC Notified By: Michael Rubadue HQ OPS Officer: Michael Bloodgood |
Notification Date: 08/18/2020 Notification Time: 13:13 [ET] Event Date: 08/18/2020 Event Time: 00:00 [EDT] Last Update Date: 08/18/2020 |
Emergency Class: Non Emergency 10 CFR Section: Agreement State |
Person (Organization): RICHARD SKOKOWSKI (R3DO) NMSS_EVENTS_NOTIFICATION (EMAIL) |
Event Text
AGREEMENT STATE REPORT - PATIENT UNDERDOSE The following report was received from the Ohio Department of Health via email. "On August 14, 2020, the licensee attempted to treat a patient with Y-90 TheraSphere microspheres. Under the guidance of the manufacturer's representative, the AU [Authorized User] performed pre-patient checks on the device, including tubing patency check. After the infusion was started it became apparent the patient was not receiving the dose, and the licensee was unable to clear the blockage in the tubing. The procedure was terminated and the patient and referring physician were notified. Approximately 93% of the activity remained in the device. Static imaging was performed on the patient to determine the dose received. There was no measurable activity in the patient." Ohio Event No.: OH200004 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: 54841 |
Rep Org: COLORADO DEPT OF HEALTH Licensee: COS School District #11, Holmes Middle School Region: 4 City: Colorado Springs State: CO County: License #: GL002325 Agreement: Y Docket: NRC Notified By: Kathryn Mote HQ OPS Officer: Michael Bloodgood |
Notification Date: 08/18/2020 Notification Time: 16:47 [ET] Event Date: 08/18/2020 Event Time: 00:00 [MDT] Last Update Date: 08/18/2020 |
Emergency Class: Non Emergency 10 CFR Section: Agreement State |
Person (Organization): NICK TAYLOR (R4DO) NMSS_EVENTS_NOTIFICATION (EMAIL) ILTAB (EMAIL) |
This material event contains a "Less than Cat 3" level of radioactive material. |
Event Text
AGREEMENT STATE - LOST TRITIUM EXIT SIGNS The following information was received from the Colorado Department of Health via email. The licensee is unable to locate sixteen tritium exit signs that have an activity of 11.5 Ci each. The signs may have been removed by a contractor. 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: 54842 |
Rep Org: ALABAMA RADIATION CONTROL Licensee: PPG Industries Region: 1 City: Huntsville State: AL County: License #: Agreement: Y Docket: NRC Notified By: Cason Coan HQ OPS Officer: Michael Bloodgood |
Notification Date: 08/18/2020 Notification Time: 17:36 [ET] Event Date: 08/14/2020 Event Time: 00:00 [CDT] Last Update Date: 08/18/2020 |
Emergency Class: Non Emergency 10 CFR Section: Agreement State |
Person (Organization): JONATHAN GREIVES (R1DO) NMSS_EVENTS_NOTIFICATION (EMAIL) ILTAB (EMAIL) |
This material event contains a "Less than Cat 3" level of radioactive material. |
Event Text
AGREEMENT STATE REPORT - LOST SOURCE The following information was received from the Alabama Department of Public Health via email. "On August 14, 2020, the Agency [Alabama Department of Public Health] received e-mail communication from PPG Industries, a general license device registrant in Huntsville, Alabama. The registrant reported that apparently a registered device containing 10 milliCuries of polonium-210 (at assay) was unable to be located for inventory. The registrant reported that the area of use was searched for 3 weeks; the device remains unaccounted for. The device has been reported to the manufacturer (NRD Systems) as lost." Alabama Event No.: 20-19 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: 54845 |
Rep Org: COLORADO DEPT OF HEALTH Licensee: Bison Innovative Products Region: 4 City: Denver State: CO County: License #: GL002523 Agreement: Y Docket: NRC Notified By: Kathryn Mote HQ OPS Officer: Donald Norwood |
Notification Date: 08/19/2020 Notification Time: 18:08 [ET] Event Date: 06/10/2020 Event Time: 00:00 [MDT] Last Update Date: 08/19/2020 |
Emergency Class: Non Emergency 10 CFR Section: Agreement State |
Person (Organization): NICK TAYLOR (R4DO) NMSS_EVENTS_NOTIFICATION (EMAIL) ILTAB (EMAIL) |
This material event contains a "Less than Cat 3" level of radioactive material. |
Event Text
AGREEMENT STATE REPORT - LOST TRITIUM EXIT SIGN The following information was received via e-mail: New owner reported one tritium exit sign lost. Model number SLXTU1RW10 containing 7.09 Ci of H-3. 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: 54846 |
Rep Org: COLORADO DEPT OF HEALTH Licensee: Professional Flooring Supply Region: 4 City: Colorado Springs State: CO County: License #: GL001819 Agreement: Y Docket: NRC Notified By: Kathryn Mote HQ OPS Officer: Donald Norwood |
Notification Date: 08/19/2020 Notification Time: 18:14 [ET] Event Date: 06/09/2020 Event Time: 00:00 [MDT] Last Update Date: 08/19/2020 |
Emergency Class: Non Emergency 10 CFR Section: Agreement State |
Person (Organization): NICK TAYLOR (R4DO) NMSS_EVENTS_NOTIFICATION (EMAIL) ILTAB (EMAIL) |
This material event contains a "Less than Cat 3" level of radioactive material. |
Event Text
AGREEMENT STATE REPORT - LOST TRITIUM EXIT SIGN The following information was received via e-mail: One tritium exit sign, model number SLXTUIGW10, containing 7.09 Ci of H-3 was reported as missing during annual registration. 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 |
Power Reactor | Event Number: 54859 |
Facility: Prairie Island Region: 3 State: MN Unit: [1] [] [] RX Type: [1] W-2-LP,[2] W-2-LP NRC Notified By: Jason Rhody HQ OPS Officer: Kerby Scales |
Notification Date: 08/26/2020 Notification Time: 18:10 [ET] Event Date: 08/26/2020 Event Time: 13:19 [CDT] Last Update Date: 08/26/2020 |
Emergency Class: Non Emergency 10 CFR Section: 50.72(b)(2)(iv)(B) - RPS Actuation - Critical 50.72(b)(3)(iv)(A) - Valid Specif Sys Actuation |
Person (Organization): RICHARD SKOKOWSKI (R3DO) |
Unit | SCRAM Code | RX Crit | Initial PWR | Initial RX Mode | Current PWR | Current RX Mode | |||||||
1 | A/R | Y | 95 | Power Operation | 0 | Hot Standby |
Event Text
AUTOMATIC REACTOR TRIP DUE TO FLUX RATE "At 1319 CDT, on August 26, 2020, with Unit 1 in Mode 1 at 95.2 percent power in coast down for the 1R32 refueling outage, the reactor automatically tripped due to flux rate. All systems responded normally to these conditions with auxiliary feedwater initiating as expected. Operations stabilized the plant without complication. Decay heat is being removed via a main feedwater pump to the steam generators. Unit 2 is not affected and remains at 100 percent power. Due to the Reactor Protection System actuation while critical, this event is being reported as a four-hour, non-emergency notification per 10 CFR 50.72(b)(2)(iv)(B) and an eight-hour report per 10 CFR 50.72(b)(3)(iv)(A), specified system actuation. The cause of the scram is under investigation. "There was no impact on the health and safety of the public or plant personnel. "The NRC Resident Inspector has been notified." |
Page Last Reviewed/Updated Thursday, March 25, 2021
Page Last Reviewed/Updated Thursday, March 25, 2021