Event Notification Report for April 14, 2021
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
04/13/2021 - 04/14/2021
Agreement State
Event Number: 55173
Rep Org: LOUISIANA DEQ
Licensee: QSA Global
Region: 4
City: Baton Rouge State: LA
County:
License #: LA-5934-L01
Agreement: Y
Docket:
NRC Notified By: Judith Schuerman
HQ OPS Officer: Lloyd Desotell
Licensee: QSA Global
Region: 4
City: Baton Rouge State: LA
County:
License #: LA-5934-L01
Agreement: Y
Docket:
NRC Notified By: Judith Schuerman
HQ OPS Officer: Lloyd Desotell
Notification Date: 04/06/2021
Notification Time: 12:17 [ET]
Event Date: 04/05/2021
Event Time: 09:40 [CDT]
Last Update Date: 04/07/2021
Notification Time: 12:17 [ET]
Event Date: 04/05/2021
Event Time: 09:40 [CDT]
Last Update Date: 04/07/2021
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
WERKHEISER, DAVE (R1DO)
NMSS_EVENTS_NOTIFICATION, (EMAIL)
KENNEDY, SILAS (IR)
RICHARDSON, REBECCA (ILTAB)
MILLIGAN, PATRICIA (INES)
WERKHEISER, DAVE (R1DO)
NMSS_EVENTS_NOTIFICATION, (EMAIL)
KENNEDY, SILAS (IR)
RICHARDSON, REBECCA (ILTAB)
MILLIGAN, PATRICIA (INES)
EN Revision Imported Date: 4/16/2021
EN Revision Text: AGREEMENT STATE REPORT - SEALED SOURCE MISSING IN TRANSIT
The following information was received from the Louisiana Department of Environmental Quality via email:
"A common carrier picked up a black overpack package from QSA Global containing a Delta 880 Industrial Radiography camera (S/N D15673) containing 106 Curies (3922 GBQ) of Ir-192 at 1623 CDT on April 1, 2021.
"[The package] left Baton Rouge, LA via common carrier at 2003 CDT and arrived in Memphis, TN at 2319 CDT on April 1, 2021. [The package] was scanned internally at the common carrier's Memphis facility at 0230 CDT on April 2, 2021. That is the last record of this 54 pound package. The [package] destination was Acuren Inspection [located] at 2060 Afton Place in Farmington, NM 87401. (They have not received it.) "
Common Carrier Tracking Number: 9860 8682 9990
LA Incident Tracking Number: LA20210005
Notified: DHS SWO, DOE Operations Center, FEMA Operations Center, HHS Operations Center, CISA Central, USDA Operations Center, EPA Emergency Operations Center, FDA Emergency Operations Center (email), FEMA NWC (email), DHS Nuclear SSA (email), and FEMA NRCC SASC (email), CWMD Watch Desk (email).
* * * UPDATE ON 4/7/2021 AT 1612 EDT FROM JAMES PATE TO JEFFREY WHITED * * *
The following is a summary of information received from the Louisiana Department of Environmental Quality via email:
The lost transportation package from QSA Global containing a Delta 880 Industrial Radiography camera (S/N D15673) containing 106 Curies (3922 GBQ) of Ir-192 was delivered to its intended licensee this morning.
Notified: R1DO (Werkheiser), IRMOC (Kennedy), NMSS (Rivera-Capella), INES (Milligan), ILTAB (Roundtree), NMSS Event Notifications (email), DHS SWO, DOE Operations Center, FEMA Operations Center, HHS Operations Center, CISA Central, USDA Operations Center, EPA Emergency Operations Center, FDA Emergency Operations Center (email), FEMA NWC (email), DHS Nuclear SSA (email), and FEMA NRCC SASC (email), CWMD Watch Desk (email).
THIS MATERIAL EVENT CONTAINS A 'Category 2' LEVEL OF RADIOACTIVE MATERIAL
Category 2 sources, if not safely managed or securely protected, could cause permanent injury to a person who handled them, or were otherwise in contact with them, for a short time (minutes to hours). It could possibly be fatal to be close to this amount of unshielded radioactive material for a period of hours to days. These sources are typically used in practices such as industrial gamma radiography, high dose rate brachytherapy and medium dose rate brachytherapy. For additional information go to http://www-pub.iaea.org/MTCD/publications/PDF/Pub1227_web.pdf
EN Revision Text: AGREEMENT STATE REPORT - SEALED SOURCE MISSING IN TRANSIT
The following information was received from the Louisiana Department of Environmental Quality via email:
"A common carrier picked up a black overpack package from QSA Global containing a Delta 880 Industrial Radiography camera (S/N D15673) containing 106 Curies (3922 GBQ) of Ir-192 at 1623 CDT on April 1, 2021.
"[The package] left Baton Rouge, LA via common carrier at 2003 CDT and arrived in Memphis, TN at 2319 CDT on April 1, 2021. [The package] was scanned internally at the common carrier's Memphis facility at 0230 CDT on April 2, 2021. That is the last record of this 54 pound package. The [package] destination was Acuren Inspection [located] at 2060 Afton Place in Farmington, NM 87401. (They have not received it.) "
Common Carrier Tracking Number: 9860 8682 9990
LA Incident Tracking Number: LA20210005
Notified: DHS SWO, DOE Operations Center, FEMA Operations Center, HHS Operations Center, CISA Central, USDA Operations Center, EPA Emergency Operations Center, FDA Emergency Operations Center (email), FEMA NWC (email), DHS Nuclear SSA (email), and FEMA NRCC SASC (email), CWMD Watch Desk (email).
* * * UPDATE ON 4/7/2021 AT 1612 EDT FROM JAMES PATE TO JEFFREY WHITED * * *
The following is a summary of information received from the Louisiana Department of Environmental Quality via email:
The lost transportation package from QSA Global containing a Delta 880 Industrial Radiography camera (S/N D15673) containing 106 Curies (3922 GBQ) of Ir-192 was delivered to its intended licensee this morning.
Notified: R1DO (Werkheiser), IRMOC (Kennedy), NMSS (Rivera-Capella), INES (Milligan), ILTAB (Roundtree), NMSS Event Notifications (email), DHS SWO, DOE Operations Center, FEMA Operations Center, HHS Operations Center, CISA Central, USDA Operations Center, EPA Emergency Operations Center, FDA Emergency Operations Center (email), FEMA NWC (email), DHS Nuclear SSA (email), and FEMA NRCC SASC (email), CWMD Watch Desk (email).
THIS MATERIAL EVENT CONTAINS A 'Category 2' LEVEL OF RADIOACTIVE MATERIAL
Category 2 sources, if not safely managed or securely protected, could cause permanent injury to a person who handled them, or were otherwise in contact with them, for a short time (minutes to hours). It could possibly be fatal to be close to this amount of unshielded radioactive material for a period of hours to days. These sources are typically used in practices such as industrial gamma radiography, high dose rate brachytherapy and medium dose rate brachytherapy. For additional information go to http://www-pub.iaea.org/MTCD/publications/PDF/Pub1227_web.pdf
Agreement State
Event Number: 55175
Rep Org: ILLINOIS EMERGENCY MGMT. AGENCY
Licensee: Howell Asphalt Company
Region: 3
City: Mattoon State: IL
County:
License #: IL-01725-01
Agreement: Y
Docket:
NRC Notified By: Gary Forsee
HQ OPS Officer: Eric Simpson
Licensee: Howell Asphalt Company
Region: 3
City: Mattoon State: IL
County:
License #: IL-01725-01
Agreement: Y
Docket:
NRC Notified By: Gary Forsee
HQ OPS Officer: Eric Simpson
Notification Date: 04/07/2021
Notification Time: 10:45 [ET]
Event Date: 04/06/2021
Event Time: 15:00 [CDT]
Last Update Date: 04/07/2021
Notification Time: 10:45 [ET]
Event Date: 04/06/2021
Event Time: 15:00 [CDT]
Last Update Date: 04/07/2021
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
PELKE, PATRICIA (R3)
NMSS_EVENTS_NOTIFICATION, (EMAIL)
PELKE, PATRICIA (R3)
NMSS_EVENTS_NOTIFICATION, (EMAIL)
EN Revision Imported Date: 4/16/2021
EN Revision Text: AGREEMENT SATE REPORT - GAUGE DAMAGED BY CONSTRUCTION VEHICLE
The following was received from the Illinois Emergency Management Agency (the Agency) via email:
"The Agency was contacted on 4/6/21 by the Radiation Safety Officer (RSO) for Howell Asphalt Company to report a damaged Troxler Gauge. The incident occurred at approximately 1500 CDT at a temporary job site on Locust Street in Centralia, IL.
"The RSO for Howell Asphalt Company called to report that a Troxler 3440 gauge was run over by a vehicle and was stuck under a car. Reportedly, the driver of the vehicle dismissed the barriers and entered the construction zone. Emergency response personnel arrived on site to isolate and assist in moving the vehicle off the gauge. At the time of the accident, the gauge was in use for backscatter measurements and therefore, all sources were in the shielded position. The RSO responded to the site and reported that both the Cs-137 and the Am-241 sources appeared to be shielded and that only the gauge housing was damaged.
"At 1555 CDT, the RSO called to provide an update. The RSO reported that both sources were undamaged and had been retrieved. The RSO has secured the gauge and is returning it to the Effingham office for disposal through Troxler. The gauge will be transported in its Troxler case which was undamaged. Source and gauge serial numbers are pending and the report will be updated once available. Agency staff will continue to track this matter pending receipt of leak tests and confirmation of disposal"
Illinois Incident Number: IL210007
EN Revision Text: AGREEMENT SATE REPORT - GAUGE DAMAGED BY CONSTRUCTION VEHICLE
The following was received from the Illinois Emergency Management Agency (the Agency) via email:
"The Agency was contacted on 4/6/21 by the Radiation Safety Officer (RSO) for Howell Asphalt Company to report a damaged Troxler Gauge. The incident occurred at approximately 1500 CDT at a temporary job site on Locust Street in Centralia, IL.
"The RSO for Howell Asphalt Company called to report that a Troxler 3440 gauge was run over by a vehicle and was stuck under a car. Reportedly, the driver of the vehicle dismissed the barriers and entered the construction zone. Emergency response personnel arrived on site to isolate and assist in moving the vehicle off the gauge. At the time of the accident, the gauge was in use for backscatter measurements and therefore, all sources were in the shielded position. The RSO responded to the site and reported that both the Cs-137 and the Am-241 sources appeared to be shielded and that only the gauge housing was damaged.
"At 1555 CDT, the RSO called to provide an update. The RSO reported that both sources were undamaged and had been retrieved. The RSO has secured the gauge and is returning it to the Effingham office for disposal through Troxler. The gauge will be transported in its Troxler case which was undamaged. Source and gauge serial numbers are pending and the report will be updated once available. Agency staff will continue to track this matter pending receipt of leak tests and confirmation of disposal"
Illinois Incident Number: IL210007
Agreement State
Event Number: 55176
Rep Org: TEXAS DEPT OF STATE HEALTH SERVICES
Licensee: CHI St. Luke's Health Baylor College of Medicine
Region: 4
City: Houston State: TX
County:
License #: L-06661
Agreement: Y
Docket:
NRC Notified By: Randall Redd
HQ OPS Officer: Jeffrey Whited
Licensee: CHI St. Luke's Health Baylor College of Medicine
Region: 4
City: Houston State: TX
County:
License #: L-06661
Agreement: Y
Docket:
NRC Notified By: Randall Redd
HQ OPS Officer: Jeffrey Whited
Notification Date: 04/07/2021
Notification Time: 16:46 [ET]
Event Date: 04/06/2021
Event Time: 00:00 [CDT]
Last Update Date: 04/07/2021
Notification Time: 16:46 [ET]
Event Date: 04/06/2021
Event Time: 00:00 [CDT]
Last Update Date: 04/07/2021
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
KOZAL, JASON (R4)
NMSS_EVENTS_NOTIFICATION, (EMAIL)
KOZAL, JASON (R4)
NMSS_EVENTS_NOTIFICATION, (EMAIL)
EN Revision Imported Date: 4/16/2021
EN Revision Text: AGREEMENT STATE REPORT - MEDICAL EVENT
The following was received from the Texas Department of State Health Services via email:
"On April 7, 2021, the licensee reported that a significant amount of Y-90 Theraspheres leaked out of the connection between the tubing and the catheter during a therapeutic procedure in which 24 mCi (a prescribed dose of 200 Gy) was to be delivered to the liver. The liquid was observed dripping out of the connection between the patient catheter and tubing onto the towels and drapings. The dose to skin of patient and worker cleaning up is not known because of the apparently large amount of contaminated towels and such. The [Radiation Safety Officer] RSO will attempt to address this and the cause in the coming days as the activity decreases. The RSO reports that both the patient and patient's physician were notified within 24 hours. More information will be provided as it is obtained in accordance with SA-300."
Texas Incident #: I-9837
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.
EN Revision Text: AGREEMENT STATE REPORT - MEDICAL EVENT
The following was received from the Texas Department of State Health Services via email:
"On April 7, 2021, the licensee reported that a significant amount of Y-90 Theraspheres leaked out of the connection between the tubing and the catheter during a therapeutic procedure in which 24 mCi (a prescribed dose of 200 Gy) was to be delivered to the liver. The liquid was observed dripping out of the connection between the patient catheter and tubing onto the towels and drapings. The dose to skin of patient and worker cleaning up is not known because of the apparently large amount of contaminated towels and such. The [Radiation Safety Officer] RSO will attempt to address this and the cause in the coming days as the activity decreases. The RSO reports that both the patient and patient's physician were notified within 24 hours. More information will be provided as it is obtained in accordance with SA-300."
Texas Incident #: I-9837
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: 55177
Rep Org: NH DEPT OF HEALTH & HUMAN SERVICES
Licensee: Anheuser-Busch, Inc.
Region: 1
City: State: NH
County: Merrimack
License #: General Licensee
Agreement: Y
Docket:
NRC Notified By: David Scalise
HQ OPS Officer: Jeffrey Whited
Licensee: Anheuser-Busch, Inc.
Region: 1
City: State: NH
County: Merrimack
License #: General Licensee
Agreement: Y
Docket:
NRC Notified By: David Scalise
HQ OPS Officer: Jeffrey Whited
Notification Date: 04/07/2021
Notification Time: 13:49 [ET]
Event Date: 01/31/2017
Event Time: 00:00 [EST]
Last Update Date: 04/07/2021
Notification Time: 13:49 [ET]
Event Date: 01/31/2017
Event Time: 00:00 [EST]
Last Update Date: 04/07/2021
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
WERKHEISER, DAVE (R1)
NMSS_EVENTS_NOTIFICATION, (EMAIL)
WERKHEISER, DAVE (R1)
NMSS_EVENTS_NOTIFICATION, (EMAIL)
EN Revision Imported Date: 4/16/2021
EN Revision Text: AGREEMENT STATE REPORT - STUCK GAUGE SHUTTER
The following was received from the New Hampshire Radiological Health Section via email:
"[In January 2017], during routine maintenance of a generally licensed fill-level gauge, it was discovered that the gauge shutter would not close by ordinary means. A manual shutter handle within the actuation assembly was used to attempt to close the shutter, but the linkage was binding and causing the shutter to remain open. The gauge was already out of service for maintenance, and remained so until the shutter mechanism was repaired. No personnel exposure resulted.
"The cause was determined by the service technician as a binding solenoid spool. The spool bushing was reamed out and the shutter linkage was lubricated, which allowed the solenoid spool to resume moving freely as designed."
Gauge Details: Americium-241, 300mCi (11.1 GBq) sealed source; Industrial Dynamics Model 19567; s/n 156LX; no detectable leakage
The New Hampshire Radiological Health Section considers this event closed.
Report ID #: #NH17-0003
EN Revision Text: AGREEMENT STATE REPORT - STUCK GAUGE SHUTTER
The following was received from the New Hampshire Radiological Health Section via email:
"[In January 2017], during routine maintenance of a generally licensed fill-level gauge, it was discovered that the gauge shutter would not close by ordinary means. A manual shutter handle within the actuation assembly was used to attempt to close the shutter, but the linkage was binding and causing the shutter to remain open. The gauge was already out of service for maintenance, and remained so until the shutter mechanism was repaired. No personnel exposure resulted.
"The cause was determined by the service technician as a binding solenoid spool. The spool bushing was reamed out and the shutter linkage was lubricated, which allowed the solenoid spool to resume moving freely as designed."
Gauge Details: Americium-241, 300mCi (11.1 GBq) sealed source; Industrial Dynamics Model 19567; s/n 156LX; no detectable leakage
The New Hampshire Radiological Health Section considers this event closed.
Report ID #: #NH17-0003
Agreement State
Event Number: 55178
Rep Org: NH DEPT OF HEALTH & HUMAN SERVICES
Licensee: OSRAM Sylvania
Region: 1
City: Hillsboro State: NH
County:
License #: General Licensee
Agreement: Y
Docket:
NRC Notified By: David Scalise
HQ OPS Officer: Jeffrey Whited
Licensee: OSRAM Sylvania
Region: 1
City: Hillsboro State: NH
County:
License #: General Licensee
Agreement: Y
Docket:
NRC Notified By: David Scalise
HQ OPS Officer: Jeffrey Whited
Notification Date: 04/07/2021
Notification Time: 13:49 [ET]
Event Date: 04/11/2017
Event Time: 00:00 [EDT]
Last Update Date: 04/07/2021
Notification Time: 13:49 [ET]
Event Date: 04/11/2017
Event Time: 00:00 [EDT]
Last Update Date: 04/07/2021
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
WERKHEISER, DAVE (R1)
NMSS_EVENTS_NOTIFICATION, (EMAIL)
ILTAB, (EMAIL)
CNSC (CANADA), - (FAX)
WERKHEISER, DAVE (R1)
NMSS_EVENTS_NOTIFICATION, (EMAIL)
ILTAB, (EMAIL)
CNSC (CANADA), - (FAX)
EN Revision Imported Date: 4/16/2021
EN Revision Text: AGREEMENT STATE REPORT - MISSING STATIC ELIMINATORS
The following was received from the New Hampshire Radiological Health Section via email:
"[In April 2017], a generally-licensed static eliminator was lost during a routine replacement of a series of 30 static eliminators. The devices are leased from NRD Corporation and are affixed to assembly line machines. Annually, they are removed from service and returned to NRD Corporation. The missing device was last in use during a production run on 3/10/17 between 1500 EDT and 2400 EDT. Device exchange occurred during the 2nd shift after the line was shut down. The missing device was noticed during the subsequent 1st shift when supervision performed accountability. A facility search and employee interviews were conducted. Roll-off containers servicing the 'household' and 'recyclables' waste streams were searched without success, likely because the roll-offs contained a significant amount of waste that impeded the search for the relatively small device. The device was still missing after 30 days. The licensee concluded the device was inadvertently disposed in the 'household' waste stream, which is taken to a waste-to-energy incinerator."
Device Details: Polonium-210, 10 mCi (0.37 GBq); NRD Corporation, Model P-2021-8000 static eliminator, s/n A2KN339
The New Hampshire Radiological Health Section considers this event closed.
Report ID #: #NH17-0004
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
EN Revision Text: AGREEMENT STATE REPORT - MISSING STATIC ELIMINATORS
The following was received from the New Hampshire Radiological Health Section via email:
"[In April 2017], a generally-licensed static eliminator was lost during a routine replacement of a series of 30 static eliminators. The devices are leased from NRD Corporation and are affixed to assembly line machines. Annually, they are removed from service and returned to NRD Corporation. The missing device was last in use during a production run on 3/10/17 between 1500 EDT and 2400 EDT. Device exchange occurred during the 2nd shift after the line was shut down. The missing device was noticed during the subsequent 1st shift when supervision performed accountability. A facility search and employee interviews were conducted. Roll-off containers servicing the 'household' and 'recyclables' waste streams were searched without success, likely because the roll-offs contained a significant amount of waste that impeded the search for the relatively small device. The device was still missing after 30 days. The licensee concluded the device was inadvertently disposed in the 'household' waste stream, which is taken to a waste-to-energy incinerator."
Device Details: Polonium-210, 10 mCi (0.37 GBq); NRD Corporation, Model P-2021-8000 static eliminator, s/n A2KN339
The New Hampshire Radiological Health Section considers this event closed.
Report ID #: #NH17-0004
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: 55179
Rep Org: NH DEPT OF HEALTH & HUMAN SERVICES
Licensee: Anheuser-Busch Inc.
Region: 1
City: Merrimack State: NH
County:
License #: General Licensee
Agreement: Y
Docket:
NRC Notified By: David Scalise
HQ OPS Officer: Jeffrey Whited
Licensee: Anheuser-Busch Inc.
Region: 1
City: Merrimack State: NH
County:
License #: General Licensee
Agreement: Y
Docket:
NRC Notified By: David Scalise
HQ OPS Officer: Jeffrey Whited
Notification Date: 04/07/2021
Notification Time: 13:49 [ET]
Event Date: 01/25/2018
Event Time: 00:00 [EST]
Last Update Date: 04/07/2021
Notification Time: 13:49 [ET]
Event Date: 01/25/2018
Event Time: 00:00 [EST]
Last Update Date: 04/07/2021
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
WERKHEISER, DAVE (R1)
NMSS_EVENTS_NOTIFICATION, (EMAIL)
WERKHEISER, DAVE (R1)
NMSS_EVENTS_NOTIFICATION, (EMAIL)
EN Revision Imported Date: 4/16/2021
EN Revision Text: AGREEMENT STATE REPORT - STUCK SHUTTER
The following was received from the New Hampshire Radiological Health Section via email:
"[In January 2018], during routine semi-annual leak testing of a generally licensed fill-level gauge, it was discovered that the gauge shutter would not close completely by ordinary means and the red 'Source ON' status indicator lamp remained continuously lit. A manual shutter handle within the actuation assembly was used to close the shutter. While doing so, a green wire was noted as brushing against the shutter linkage and impeding its operation. The gauge was already out of service for maintenance, and remained so until the shutter mechanism was repaired. No personnel exposure.
"The cause was determined by the service technician as a wire interfering with the path of the shutter linkage, preventing full closer of the shutter. The wire was moved out of the way, allowing the shutter to move along its full path as designed."
Gauge Details: Americium-241, 300mCi (11.1 GBq) sealed source; Industrial Dynamics Model 19567; s/n 156LX; no detectable leakage
The New Hampshire Radiological Health Section considers this event closed.
Report ID #: #NH18-0001
EN Revision Text: AGREEMENT STATE REPORT - STUCK SHUTTER
The following was received from the New Hampshire Radiological Health Section via email:
"[In January 2018], during routine semi-annual leak testing of a generally licensed fill-level gauge, it was discovered that the gauge shutter would not close completely by ordinary means and the red 'Source ON' status indicator lamp remained continuously lit. A manual shutter handle within the actuation assembly was used to close the shutter. While doing so, a green wire was noted as brushing against the shutter linkage and impeding its operation. The gauge was already out of service for maintenance, and remained so until the shutter mechanism was repaired. No personnel exposure.
"The cause was determined by the service technician as a wire interfering with the path of the shutter linkage, preventing full closer of the shutter. The wire was moved out of the way, allowing the shutter to move along its full path as designed."
Gauge Details: Americium-241, 300mCi (11.1 GBq) sealed source; Industrial Dynamics Model 19567; s/n 156LX; no detectable leakage
The New Hampshire Radiological Health Section considers this event closed.
Report ID #: #NH18-0001
Power Reactor
Event Number: 55187
Facility: Hatch
Region: 2 State: GA
Unit: [2] [] []
RX Type: [1] GE-4,[2] GE-4
NRC Notified By: Kevin Carter
HQ OPS Officer: Kerby Scales
Region: 2 State: GA
Unit: [2] [] []
RX Type: [1] GE-4,[2] GE-4
NRC Notified By: Kevin Carter
HQ OPS Officer: Kerby Scales
Notification Date: 04/12/2021
Notification Time: 09:17 [ET]
Event Date: 02/12/2021
Event Time: 23:23 [EDT]
Last Update Date: 04/12/2021
Notification Time: 09:17 [ET]
Event Date: 02/12/2021
Event Time: 23:23 [EDT]
Last Update Date: 04/12/2021
Emergency Class: Non Emergency
10 CFR Section:
50.73(a)(1) - Invalid Specif System Actuation
10 CFR Section:
50.73(a)(1) - Invalid Specif System Actuation
Person (Organization):
MILLER, MARK (R2)
MILLER, MARK (R2)
| Unit | SCRAM Code | RX Crit | Initial PWR | Initial RX Mode | Current PWR | Current RX Mode |
|---|---|---|---|---|---|---|
| 2 | N | Y | 0 | Cold Shutdown | 94 | Power Operation |
EN Revision Imported Date: 4/16/2021
EN Revision Text: AUTOMATIC ACTUATION OF GROUP I CONTAINMENT ISOLATION LOGIC
"At 2323 EST on 02/12/2021, with Unit 2 in Mode 5 at zero percent power, an actuation of the Group I containment isolation logic occurred during fluid flushing of turbine stop valves. The reason for the actuation was due to a maintenance activity resulting in turbine stop valve movement with no condenser vacuum which is a Group I isolation signal. Two Group I isolation valves, 2B31F019 and 2B31F020, reactor water sample valves, automatically isolated as designed when the system actuation signal was received. The other Group I valves had already been removed from service as part of the refueling outage schedule.
"This event is being reported in accordance with 10 CFR 50.73(a)(2)(iv)(A) as an event that results in an invalid actuation of the Group I containment isolation system.
"There was no impact on the health and safety of the public or plant personnel. The NRC Resident Inspector has been notified."
EN Revision Text: AUTOMATIC ACTUATION OF GROUP I CONTAINMENT ISOLATION LOGIC
"At 2323 EST on 02/12/2021, with Unit 2 in Mode 5 at zero percent power, an actuation of the Group I containment isolation logic occurred during fluid flushing of turbine stop valves. The reason for the actuation was due to a maintenance activity resulting in turbine stop valve movement with no condenser vacuum which is a Group I isolation signal. Two Group I isolation valves, 2B31F019 and 2B31F020, reactor water sample valves, automatically isolated as designed when the system actuation signal was received. The other Group I valves had already been removed from service as part of the refueling outage schedule.
"This event is being reported in accordance with 10 CFR 50.73(a)(2)(iv)(A) as an event that results in an invalid actuation of the Group I containment isolation system.
"There was no impact on the health and safety of the public or plant personnel. The NRC Resident Inspector has been notified."
Power Reactor
Event Number: 55188
Facility: Hatch
Region: 2 State: GA
Unit: [2] [] []
RX Type: [1] GE-4,[2] GE-4
NRC Notified By: Kevin Carter
HQ OPS Officer: Kerby Scales
Region: 2 State: GA
Unit: [2] [] []
RX Type: [1] GE-4,[2] GE-4
NRC Notified By: Kevin Carter
HQ OPS Officer: Kerby Scales
Notification Date: 04/12/2021
Notification Time: 09:17 [ET]
Event Date: 02/17/2021
Event Time: 23:20 [EDT]
Last Update Date: 04/12/2021
Notification Time: 09:17 [ET]
Event Date: 02/17/2021
Event Time: 23:20 [EDT]
Last Update Date: 04/12/2021
Emergency Class: Non Emergency
10 CFR Section:
50.73(a)(1) - Invalid Specif System Actuation
10 CFR Section:
50.73(a)(1) - Invalid Specif System Actuation
Person (Organization):
MILLER, MARK (R2)
MILLER, MARK (R2)
| Unit | SCRAM Code | RX Crit | Initial PWR | Initial RX Mode | Current PWR | Current RX Mode |
|---|---|---|---|---|---|---|
| 2 | N | Y | 0 | Cold Shutdown | 94 | Power Operation |
EN Revision Imported Date: 4/16/2021
EN Revision Text: AUTOMATIC ACTUATION OF GROUP 2 CONTAINMENT ISOLATION LOGIC
"At 2320 EST on 02/17/2021, with Unit 2 in Mode 5 at zero percent power, an actuation of the Group 2 containment isolation logic occurred on the inboard valves. The reason for the actuation was most likely due to air entrapment in reactor water level sensing lines following maintenance. Group 2 inboard isolation valves in the drywell floor and equipment drain system and the fission product monitor system automatically isolated as designed. As a corrective action, the variable leg and reference leg of the instrumentation were backfilled with water to ensure all air was removed from the line.
"This event is being reported in accordance with 10 CFR 50.73(a)(2)(iv)(A) as an event that results in an invalid actuation of the Group 2 containment isolation system.
"There was no impact on the health and safety of the public or plant personnel. The NRC Resident Inspector has been notified."
EN Revision Text: AUTOMATIC ACTUATION OF GROUP 2 CONTAINMENT ISOLATION LOGIC
"At 2320 EST on 02/17/2021, with Unit 2 in Mode 5 at zero percent power, an actuation of the Group 2 containment isolation logic occurred on the inboard valves. The reason for the actuation was most likely due to air entrapment in reactor water level sensing lines following maintenance. Group 2 inboard isolation valves in the drywell floor and equipment drain system and the fission product monitor system automatically isolated as designed. As a corrective action, the variable leg and reference leg of the instrumentation were backfilled with water to ensure all air was removed from the line.
"This event is being reported in accordance with 10 CFR 50.73(a)(2)(iv)(A) as an event that results in an invalid actuation of the Group 2 containment isolation system.
"There was no impact on the health and safety of the public or plant personnel. The NRC Resident Inspector has been notified."
Agreement State
Event Number: 55145
Rep Org: NORTH DAKOTA DEPARTMENT OF ENV QUAL
Licensee: Sanford Medical Center
Region: 4
City: Fargo State: ND
County:
License #: 33-10227-02
Agreement: Y
Docket:
NRC Notified By: Brooke Olson
HQ OPS Officer: Lloyd Desotell
Licensee: Sanford Medical Center
Region: 4
City: Fargo State: ND
County:
License #: 33-10227-02
Agreement: Y
Docket:
NRC Notified By: Brooke Olson
HQ OPS Officer: Lloyd Desotell
Notification Date: 03/19/2021
Notification Time: 12:05 [ET]
Event Date: 03/18/2021
Event Time: 00:00 [MDT]
Last Update Date: 04/14/2021
Notification Time: 12:05 [ET]
Event Date: 03/18/2021
Event Time: 00:00 [MDT]
Last Update Date: 04/14/2021
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
RAY KELLAR (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
RAY KELLAR (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
EN Revision Imported Date: 4/16/2021
EN Revision Text: AGREEMENT STATE REPORT - MEDICAL EVENT (INCORRECT DOSE LOCATION)
The following report was received from the state of North Dakota Department of Environmental Quality via email:
"Received a phone call at 1600 [CST] on Thursday March 18 that a PET/CT patient was injected with 10 milliCuries of Fluorine-18 and it was found that all of the injected Fluorine-18 had infiltrated in the arm of the patient [rather than being dispersed throughout the body]. Patient's arm was imaged by PET scanner to confirm dose was in fact infiltrated in the arm. Dose calculations are being performed by licensee to determine the dose to the patient's skin. "
ND NMED Event # ND210001
* * * RETRACTION ON 14 APRIL 2021 AT 1522 EDT FROM BROOKE OLSON TO JOANNA BRIDGE * * *
The following is a summary of a phone conversation with Brooke Olson from the North Dakota Department of Environmental Quality:
After calculations were performed, it was determined that the event did not meet the reporting requirements of a medical event and is being retracted.
Notified: R4DO (Pick) and NMSS (Email).
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.
EN Revision Text: AGREEMENT STATE REPORT - MEDICAL EVENT (INCORRECT DOSE LOCATION)
The following report was received from the state of North Dakota Department of Environmental Quality via email:
"Received a phone call at 1600 [CST] on Thursday March 18 that a PET/CT patient was injected with 10 milliCuries of Fluorine-18 and it was found that all of the injected Fluorine-18 had infiltrated in the arm of the patient [rather than being dispersed throughout the body]. Patient's arm was imaged by PET scanner to confirm dose was in fact infiltrated in the arm. Dose calculations are being performed by licensee to determine the dose to the patient's skin. "
ND NMED Event # ND210001
* * * RETRACTION ON 14 APRIL 2021 AT 1522 EDT FROM BROOKE OLSON TO JOANNA BRIDGE * * *
The following is a summary of a phone conversation with Brooke Olson from the North Dakota Department of Environmental Quality:
After calculations were performed, it was determined that the event did not meet the reporting requirements of a medical event and is being retracted.
Notified: R4DO (Pick) and NMSS (Email).
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: 55181
Rep Org: WA OFFICE OF RADIATION PROTECTION
Licensee: NSSI/Recovery Services, Inc.
Region: 4
City: Houston State: TX
County:
License #: LO2991
Agreement: Y
Docket:
NRC Notified By: Cheryl K. Rogers
HQ OPS Officer: Lloyd Desotell
Licensee: NSSI/Recovery Services, Inc.
Region: 4
City: Houston State: TX
County:
License #: LO2991
Agreement: Y
Docket:
NRC Notified By: Cheryl K. Rogers
HQ OPS Officer: Lloyd Desotell
Notification Date: 04/08/2021
Notification Time: 12:03 [ET]
Event Date: 03/03/2021
Event Time: 00:00 [CST]
Last Update Date: 04/08/2021
Notification Time: 12:03 [ET]
Event Date: 03/03/2021
Event Time: 00:00 [CST]
Last Update Date: 04/08/2021
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
KOZAL, JASON (R4DO)
NMSS_EVENTS_NOTIFICATION, (EMAIL)
WERKHEISER, DAVE (R1DO)
KOZAL, JASON (R4DO)
NMSS_EVENTS_NOTIFICATION, (EMAIL)
WERKHEISER, DAVE (R1DO)
EN Revision Imported Date: 4/16/2021
EN Revision Text: AGREEMENT STATE REPORT - REMOVABLE CONTAMINATION EXCEEDS LIMITS
The following was received from the State of Washington via email:
"NSSI of Houston, Texas violated 49 CFR 173.443(b) and will be suspended from further shipments. Contamination was found on shipment packages. No contamination was found outside of the conveyance. No staff were contaminated, or internal dose assigned. WA State licensee corrected the shipment to allow the conveyance to proceed. NSSI's shipping privileges may be reinstated upon submittal of a root case analysis to the department and a successful point-of-origin inspection performed by the department.
"On February 24, 2021 NSSI/Recovery Services, Inc. of Houston Texas shipped 38 drums containing liquid tritium, LSA II, Exclusive Use, closed conveyance. Twenty-one drums were destined for Perma-Fix Northwest (PFNW) in Richland Washington for processing, and the additional 17 drums were to proceed to Perma-Fix DSSI, in Kingston, Tennessee.
"The truck arrived at PFNW on March 1, 2021. PFNW received and offloaded 21 of the drums. Prior to releasing the truck to continue to DSSI, PFNW conducted surveys of the truck and trailer. On March 3, 2021 the PFNW Radiation Safety Officer notified the WA State Department of Health (Department) that tritium contamination was found inside the trailer (survey results were not provided). PFNW did not find contamination outside of the trailer. PFNW notified and surveyed the driver; no contamination was found on the driver.
"After discussions with PFNW, it was determined that PFNW would ensure that the shipment was in compliance by offloading the 17 drums in order to inspect, decontaminate and, if necessary, over-pack the 17 drums prior to putting the conveyance on the road [to Kingston, TN] . PFNW offloaded, inspected, and overpacked the 17 drums, then loaded them on a new trailer. PFNW stated that the bungs on a few on the drums required tightening. The shipment was received at DSSI in Tennessee without incident.
"The Department requested survey results. After receipt and review of the survey results, the Department determined that 6 of the drums destined for DSSI, 1 drum offloaded at PFNW, and areas of the trailer floorboards were in excess of DOT's external contamination limits, 49 CFR 173.443(b). Results ranged from 2,902 - 973,124 [disintegrations per minute per square centimeter] (dpm/cm^2) (taking in account the 10 percent wipe efficiency); the 49 CFR 173.443(b) contamination limit is 2,400 dpm/cm^2 at any time during transit of an exclusive-use shipment. The contaminated trailer is currently at PFNW where the contaminated floorboards will be removed and disposed. Bioassays of the four participating PFNW staff were performed; no PFNW staff were assigned internal dose or were contaminated.
"NSSI violated 49 CFR 173.443(b), and will be suspended from further shipments to PFNW. Suspension tracked under WMS-DOT-21-01"
Washington Incident No.: WMS-INC-21-01
EN Revision Text: AGREEMENT STATE REPORT - REMOVABLE CONTAMINATION EXCEEDS LIMITS
The following was received from the State of Washington via email:
"NSSI of Houston, Texas violated 49 CFR 173.443(b) and will be suspended from further shipments. Contamination was found on shipment packages. No contamination was found outside of the conveyance. No staff were contaminated, or internal dose assigned. WA State licensee corrected the shipment to allow the conveyance to proceed. NSSI's shipping privileges may be reinstated upon submittal of a root case analysis to the department and a successful point-of-origin inspection performed by the department.
"On February 24, 2021 NSSI/Recovery Services, Inc. of Houston Texas shipped 38 drums containing liquid tritium, LSA II, Exclusive Use, closed conveyance. Twenty-one drums were destined for Perma-Fix Northwest (PFNW) in Richland Washington for processing, and the additional 17 drums were to proceed to Perma-Fix DSSI, in Kingston, Tennessee.
"The truck arrived at PFNW on March 1, 2021. PFNW received and offloaded 21 of the drums. Prior to releasing the truck to continue to DSSI, PFNW conducted surveys of the truck and trailer. On March 3, 2021 the PFNW Radiation Safety Officer notified the WA State Department of Health (Department) that tritium contamination was found inside the trailer (survey results were not provided). PFNW did not find contamination outside of the trailer. PFNW notified and surveyed the driver; no contamination was found on the driver.
"After discussions with PFNW, it was determined that PFNW would ensure that the shipment was in compliance by offloading the 17 drums in order to inspect, decontaminate and, if necessary, over-pack the 17 drums prior to putting the conveyance on the road [to Kingston, TN] . PFNW offloaded, inspected, and overpacked the 17 drums, then loaded them on a new trailer. PFNW stated that the bungs on a few on the drums required tightening. The shipment was received at DSSI in Tennessee without incident.
"The Department requested survey results. After receipt and review of the survey results, the Department determined that 6 of the drums destined for DSSI, 1 drum offloaded at PFNW, and areas of the trailer floorboards were in excess of DOT's external contamination limits, 49 CFR 173.443(b). Results ranged from 2,902 - 973,124 [disintegrations per minute per square centimeter] (dpm/cm^2) (taking in account the 10 percent wipe efficiency); the 49 CFR 173.443(b) contamination limit is 2,400 dpm/cm^2 at any time during transit of an exclusive-use shipment. The contaminated trailer is currently at PFNW where the contaminated floorboards will be removed and disposed. Bioassays of the four participating PFNW staff were performed; no PFNW staff were assigned internal dose or were contaminated.
"NSSI violated 49 CFR 173.443(b), and will be suspended from further shipments to PFNW. Suspension tracked under WMS-DOT-21-01"
Washington Incident No.: WMS-INC-21-01
Non-Agreement State
Event Number: 55182
Rep Org: U.S. Navy
Licensee: U.S. Navy
Region: 3
City: Bedford State: IN
County:
License #:
Agreement: N
Docket:
NRC Notified By: CAPT. Tony Williams
HQ OPS Officer: Jeffrey Whited
Licensee: U.S. Navy
Region: 3
City: Bedford State: IN
County:
License #:
Agreement: N
Docket:
NRC Notified By: CAPT. Tony Williams
HQ OPS Officer: Jeffrey Whited
Notification Date: 04/02/2021
Notification Time: 10:10 [ET]
Event Date: 03/05/2021
Event Time: 00:00 [EST]
Last Update Date: 04/13/2021
Notification Time: 10:10 [ET]
Event Date: 03/05/2021
Event Time: 00:00 [EST]
Last Update Date: 04/13/2021
Emergency Class: Non Emergency
10 CFR Section:
20.2201(a)(1)(ii) - Lost/Stolen Lnm>10x
10 CFR Section:
20.2201(a)(1)(ii) - Lost/Stolen Lnm>10x
Person (Organization):
WERKHEISER, DAVE (R1DO)
NMSS_EVENTS_NOTIFICATION, (EMAIL)
WERKHEISER, DAVE (R1DO)
NMSS_EVENTS_NOTIFICATION, (EMAIL)
EN Revision Imported Date: 4/16/2021
EN Revision Text: LOST THEN FOUND SOURCE MATERIAL
The following is a summary of information received from the U.S. Navy via phone and email:
On March 5, 2021, the it was discovered that IBIS units (400 micro Ci total) had not been properly removed from 4 helicopter blades that were sent for recycling. The IBIS units were discovered when the detectors alarmed at the recycling facility in Bedford, IN. The blades were redirected to the Army Joint Munitions Command Morris Consolidation facility in Rock Island, IL for proper disposal.
Based on the shipping paperwork, the helicopter blades that contained the four IBIS were received at the recycling facility on 11/17/2020, and were picked up from the facility on 3/16/2021.
The highest reading was 0.7 mR/hr on contact without the cover installed for one blade. For the 3 other blades in their casing, needle deflection was observed, but had no appreciable dose rate.
It is not likely that personnel spent an appreciable amount of time in the vicinity of the helicopter blades.
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
EN Revision Text: LOST THEN FOUND SOURCE MATERIAL
The following is a summary of information received from the U.S. Navy via phone and email:
On March 5, 2021, the it was discovered that IBIS units (400 micro Ci total) had not been properly removed from 4 helicopter blades that were sent for recycling. The IBIS units were discovered when the detectors alarmed at the recycling facility in Bedford, IN. The blades were redirected to the Army Joint Munitions Command Morris Consolidation facility in Rock Island, IL for proper disposal.
Based on the shipping paperwork, the helicopter blades that contained the four IBIS were received at the recycling facility on 11/17/2020, and were picked up from the facility on 3/16/2021.
The highest reading was 0.7 mR/hr on contact without the cover installed for one blade. For the 3 other blades in their casing, needle deflection was observed, but had no appreciable dose rate.
It is not likely that personnel spent an appreciable amount of time in the vicinity of the helicopter blades.
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: 55183
Rep Org: WISCONSIN RADIATION PROTECTION
Licensee: Acuren Inspection, Inc.
Region: 3
City: Neenah State: WI
County:
License #: 133-2008-01
Agreement: Y
Docket:
NRC Notified By: Mark Paulson
HQ OPS Officer: Jeffrey Whited
Licensee: Acuren Inspection, Inc.
Region: 3
City: Neenah State: WI
County:
License #: 133-2008-01
Agreement: Y
Docket:
NRC Notified By: Mark Paulson
HQ OPS Officer: Jeffrey Whited
Notification Date: 04/08/2021
Notification Time: 19:47 [ET]
Event Date: 04/08/2021
Event Time: 00:00 [CDT]
Last Update Date: 04/08/2021
Notification Time: 19:47 [ET]
Event Date: 04/08/2021
Event Time: 00:00 [CDT]
Last Update Date: 04/08/2021
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
WERKHEISER, DAVE (R1DO)
PELKE, PATRICIA (R3DO)
NMSS_EVENTS_NOTIFICATION, (EMAIL)
ILTAB, (EMAIL)
CNSC (CANADA), - (EMAIL)
WERKHEISER, DAVE (R1DO)
PELKE, PATRICIA (R3DO)
NMSS_EVENTS_NOTIFICATION, (EMAIL)
ILTAB, (EMAIL)
CNSC (CANADA), - (EMAIL)
EN Revision Imported Date: 4/16/2021
EN Revision Text: AGREEMENT STATE REPORT - SOURCE LOST DURING SHIPMENT
The follow was received from the Wisconsin Department of Health Services (Wisconsin DHS) via email:
"On April 8, 2021, the licensee's [Radiation Safety Officer] RSO reported a missing QSA global model 880 D exposure device containing a 28.9 Ci selenium-75 source. The package was shipped Monday April 5, 2021 via [the common carrier] from Neenah, WI to another Acuren location in Kingsport, TN. The package was shipped `overnight' with the intent to be delivered on Tuesday April 6, 2021. The package was reported delayed by [the common carrier] at Memphis, TN facility during the week. Then package arrived on Thursday April 8, 2021, damaged and without the shipped contents. Package weight information gathered as [the common carrier] handled the packaged indicates that the package contents were separated before final delivery, the exact location is unknown at the time of this report.
"The licensee is in contact with [the common carrier] and device manufacture QSA to locate the device and source. Wisconsin DHS will monitor efforts to locate the device and coordinated with other jurisdictions as necessary."
Event Report No.: WI210002
THIS MATERIAL EVENT CONTAINS A 'Category 3' LEVEL OF RADIOACTIVE MATERIAL
Category 3 sources, if not safely managed or securely protected, could cause permanent injury to a person who handled them, or were otherwise in contact with them, for some hours. It could possibly - although it is unlikely - be fatal to be close to this amount of unshielded radioactive material for a period of days to weeks. These sources are typically used in practices such as fixed industrial gauges involving high activity sources (for example: level gauges, dredger gauges, conveyor gauges and spinning pipe gauges) and well logging. For additional information go to http://www-pub.iaea.org/MTCD/publications/PDF/Pub1227_web.pdf
EN Revision Text: AGREEMENT STATE REPORT - SOURCE LOST DURING SHIPMENT
The follow was received from the Wisconsin Department of Health Services (Wisconsin DHS) via email:
"On April 8, 2021, the licensee's [Radiation Safety Officer] RSO reported a missing QSA global model 880 D exposure device containing a 28.9 Ci selenium-75 source. The package was shipped Monday April 5, 2021 via [the common carrier] from Neenah, WI to another Acuren location in Kingsport, TN. The package was shipped `overnight' with the intent to be delivered on Tuesday April 6, 2021. The package was reported delayed by [the common carrier] at Memphis, TN facility during the week. Then package arrived on Thursday April 8, 2021, damaged and without the shipped contents. Package weight information gathered as [the common carrier] handled the packaged indicates that the package contents were separated before final delivery, the exact location is unknown at the time of this report.
"The licensee is in contact with [the common carrier] and device manufacture QSA to locate the device and source. Wisconsin DHS will monitor efforts to locate the device and coordinated with other jurisdictions as necessary."
Event Report No.: WI210002
THIS MATERIAL EVENT CONTAINS A 'Category 3' LEVEL OF RADIOACTIVE MATERIAL
Category 3 sources, if not safely managed or securely protected, could cause permanent injury to a person who handled them, or were otherwise in contact with them, for some hours. It could possibly - although it is unlikely - be fatal to be close to this amount of unshielded radioactive material for a period of days to weeks. These sources are typically used in practices such as fixed industrial gauges involving high activity sources (for example: level gauges, dredger gauges, conveyor gauges and spinning pipe gauges) and well logging. For additional information go to http://www-pub.iaea.org/MTCD/publications/PDF/Pub1227_web.pdf
Power Reactor
Event Number: 55191
Facility: Brunswick
Region: 2 State: NC
Unit: [2] [] []
RX Type: [1] GE-4,[2] GE-4
NRC Notified By: Richard Barrett
HQ OPS Officer: Brian Lin
Region: 2 State: NC
Unit: [2] [] []
RX Type: [1] GE-4,[2] GE-4
NRC Notified By: Richard Barrett
HQ OPS Officer: Brian Lin
Notification Date: 04/14/2021
Notification Time: 13:00 [ET]
Event Date: 02/17/2021
Event Time: 15:07 [EDT]
Last Update Date: 04/14/2021
Notification Time: 13:00 [ET]
Event Date: 02/17/2021
Event Time: 15:07 [EDT]
Last Update Date: 04/14/2021
Emergency Class: Non Emergency
10 CFR Section:
50.73(a)(1) - Invalid Specif System Actuation
10 CFR Section:
50.73(a)(1) - Invalid Specif System Actuation
Person (Organization):
MILLER, MARK (R2)
MILLER, MARK (R2)
| Unit | SCRAM Code | RX Crit | Initial PWR | Initial RX Mode | Current PWR | Current RX Mode |
|---|---|---|---|---|---|---|
| 2 | N | Y | 100 | Power Operation | 100 | Power Operation |
EN Revision Imported Date: 4/16/2021
EN Revision Text: INVALID ACTUATION OF CONTAINMENT ISOLATION VALVES
"This 60-day optional telephone notification is being made in lieu of an LER submittal as allowed by 10 CFR 50.73(a)(1). This notification is made pursuant to the reporting requirements specified in 10 CFR 50.73(a)(2)(iv)(A) for an invalid actuation of one of the systems listed in 10 CFR 50.73(a)(2)(iv)(B).
"At approximately 1507 EDT on February 17, 2021, during performance of isolation logic periodic testing associated with Primary Containment Isolation System Groups 2 and 6, an invalid actuation of Group 6 Primary Containment Isolation Valves (PCIVs) (i.e., Containment Atmospheric Control/Monitoring and Post Accident Sampling isolation valves) occurred. The Group 6 isolation signal resulted from the reactor building ventilation radiation monitor `B' Channel exceeding the setpoint value. This condition likely resulted from the radiation monitor electronics being impacted by humidity levels, which exceeded the instrument design requirements that developed in the area over time as a result of the Unit 2 reactor building ventilation being secured per the test procedure. The `A' Channel, located in the same plenum, remained steady and below the setpoint value through the entire event. This, along with readings made by a Radiation Protection Technician, confirmed that there was no actual high radiation condition in the reactor building exhaust. Upon returning Unit 2 reactor building ventilation to service, the `B' Channel readings returned to be consistent with the `A' Channel.
"The PCIVs functioned successfully and the actuation was complete. The actuation was not initiated in response to actual plant conditions, it was not an intentional manual initiation, and there were no parameters satisfying the requirements for initiation of the system. Therefore, this event has been determined to be an invalid actuation.
"This event did not result in any adverse impact to the health and safety of the public.
"The NRC Resident Inspector was notified."
EN Revision Text: INVALID ACTUATION OF CONTAINMENT ISOLATION VALVES
"This 60-day optional telephone notification is being made in lieu of an LER submittal as allowed by 10 CFR 50.73(a)(1). This notification is made pursuant to the reporting requirements specified in 10 CFR 50.73(a)(2)(iv)(A) for an invalid actuation of one of the systems listed in 10 CFR 50.73(a)(2)(iv)(B).
"At approximately 1507 EDT on February 17, 2021, during performance of isolation logic periodic testing associated with Primary Containment Isolation System Groups 2 and 6, an invalid actuation of Group 6 Primary Containment Isolation Valves (PCIVs) (i.e., Containment Atmospheric Control/Monitoring and Post Accident Sampling isolation valves) occurred. The Group 6 isolation signal resulted from the reactor building ventilation radiation monitor `B' Channel exceeding the setpoint value. This condition likely resulted from the radiation monitor electronics being impacted by humidity levels, which exceeded the instrument design requirements that developed in the area over time as a result of the Unit 2 reactor building ventilation being secured per the test procedure. The `A' Channel, located in the same plenum, remained steady and below the setpoint value through the entire event. This, along with readings made by a Radiation Protection Technician, confirmed that there was no actual high radiation condition in the reactor building exhaust. Upon returning Unit 2 reactor building ventilation to service, the `B' Channel readings returned to be consistent with the `A' Channel.
"The PCIVs functioned successfully and the actuation was complete. The actuation was not initiated in response to actual plant conditions, it was not an intentional manual initiation, and there were no parameters satisfying the requirements for initiation of the system. Therefore, this event has been determined to be an invalid actuation.
"This event did not result in any adverse impact to the health and safety of the public.
"The NRC Resident Inspector was notified."