Event Notification Report for April 07, 2021
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
04/06/2021 - 04/07/2021
Agreement State
Event Number: 55157
Rep Org: OHIO BUREAU OF RADIATION PROTECTION
Licensee: Cleveland Clinic Foundation
Region: 3
City: Cleveland State: OH
County:
License #: 02110180013
Agreement: Y
Docket:
NRC Notified By: Michael J Rubadue
HQ OPS Officer: Lloyd Desotell
Notification Date: 03/29/2021
Notification Time: 09:10 [ET]
Event Date: 03/26/2021
Event Time: 14:00 [EDT]
Last Update Date: 03/29/2021
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
Person (Organization):
STEVE ORTH (R3DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
Event Text
EN Revision Imported Date: 4/7/2021
EN Revision Text: AGREEMENT STATE REPORT - MEDICAL EVENT REPORT - UNDERDOSAGE
The following was received from the Ohio Radioactive Materials Program via email:
"On Friday March 26, 2021 at approximately 1400 [EDT], a patient was treated with a single dose of Yttrium-90 Theraspheres. Following the procedure, the licensee determined that 76.1 percent of the prescribed dose was delivered to the patient based upon post treatment surveys of the catheter, tubing and other waste.
"No contamination was detected on the delivery system or in the room post procedure. No staff members were contaminated and there was no harm to the patient. The patient and referring physician were notified."
Ohio NMED Report: OH210002
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: 55159
Rep Org: CALIFORNIA RADIATION CONTROL PRGM
Licensee: Construction Testing Services, Inc.
Region: 4
City: Sacramento State: CA
County:
License #: 6431
Agreement: Y
Docket:
NRC Notified By: Robert Greger
HQ OPS Officer: Brian P. Smith
Notification Date: 03/29/2021
Notification Time: 21:05 [ET]
Event Date: 03/26/2021
Event Time: 08:13 [PDT]
Last Update Date: 03/29/2021
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
Person (Organization):
RYAN ALEXANDER (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB (EMAIL)
This material event contains a "Less than Cat 3" level of radioactive material.
Event Text
EN Revision Imported Date: 4/7/2021
EN Revision Text: AGREEMENT STATE REPORT - GAUGE ABANDONED ON SIDE OF ROAD
The following report is from the California Department of Public Health, Radiation Health Branch (CDPH-RHB):
"CDPH-RHB forwarded a March 26, 2021, 0813 [PDT] email from a Sacramento County Environmental Specialist. The message stated that a moisture density gauge had been found alongside Jackson Highway in Sacramento the previous night and was being stored at the Caltrans yard in Sacramento. A separate report of the recovered gauge was received from the Department of Energy Radiological Assistance Program, Region 7, after they received a report from Sacramento Hazmat of the recovered gauge.
"CDPH-RHB opened an investigation on March 26, 2021 to determine the gauge owner (Construction Testing Services, Reactor Materials License Number 6431), and the circumstances of how the Troxler gauge (partial serial number 12475) ended up abandoned on the side of Jackson Highway in Sacramento."
California Event No: 032621
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: 55164
Rep Org: COLORADO DEPT OF HEALTH
Licensee: South Metro Fire Rescue Authority
Region: 4
City: Cherry Hills State: CO
County:
License #: GL001765
Agreement: Y
Docket:
NRC Notified By: Kathryn Mote
HQ OPS Officer: Bethany Cecere
Notification Date: 03/31/2021
Notification Time: 15:30 [ET]
Event Date: 03/29/2021
Event Time: 00:00 [MDT]
Last Update Date: 03/31/2021
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
Person (Organization):
ALEXANDER, RYAN (R4DO)
NMSS_EVENTS_NOTIFICATION, (EMAIL)
ILTAB, (EMAIL)
Event Text
EN Revision Imported Date: 4/7/2021
EN Revision Text: AGREEMENT STATE REPORT - MISSING ION MOBILITY SPECTROMETERS
The following is a summary of information received from the Colorado Department of Public Health & Environment by email:
The General License coordinator requested past due inventory registrations. After the licensee conducted a thorough search, two ion mobility spectrometers (Ni-63; 0.01 Ci each) could not be found.
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: 55172
Facility: Perry
Region: 3 State: OH
Unit: [1] [] []
RX Type: [1] GE-6
NRC Notified By: Clifford Jones
HQ OPS Officer: Donald Norwood
Notification Date: 04/06/2021
Notification Time: 04:32 [ET]
Event Date: 04/05/2021
Event Time: 21:49 [EDT]
Last Update Date: 04/06/2021
Emergency Class: Non Emergency
10 CFR Section:
50.72(b)(3)(iv)(A) - Valid Specif Sys Actuation
Person (Organization):
PELKE, PATRICIA (R3)
Power Reactor Unit Info
| Unit |
SCRAM Code |
RX Crit |
Initial PWR |
Initial RX Mode |
Current PWR |
Current RX Mode |
| 1 |
M/R |
N |
0 |
Startup |
0 |
Hot Standby |
Event Text
EN Revision Imported Date: 4/7/2021
EN Revision Text: MANUAL REACTOR PROTECTION SYSTEM (RPS) ACTUATION AT ZERO PERCENT POWER
"At 2149 EDT on April 5, 2021, with the power plant in Mode 2 at zero percent power, an actuation of the RPS system occurred following the decision to abort plant start-up. The reason for the RPS actuation was to align the plant to Mode 3, from Mode 2, following manually inserting all control rods using the Rod Control System. The RPS system initiated as designed when the mode switch was taken from 'Start-up' to 'Shutdown' to align the plant to Mode 3 from Mode 2.
"This event is being reported in accordance with 10 CFR 50.72(b)(3)(iv)(A) as an event that results in a valid actuation of the RPS system.
"There was no impact on the health and safety of the public or plant personnel. The NRC Resident Inspector has been notified.