Event Notification Report for June 04, 2021
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
06/03/2021 - 06/04/2021
Part 21
Event Number: 55126
Rep Org: Crane Nuclear, Inc.
Licensee: Crane Nuclear, Inc.
Region: 3
City: Bolingbrook State: IL
County:
License #:
Agreement: N
Docket:
NRC Notified By: Joyce Hammam
HQ OPS Officer: Joanna Bridge
Licensee: Crane Nuclear, Inc.
Region: 3
City: Bolingbrook State: IL
County:
License #:
Agreement: N
Docket:
NRC Notified By: Joyce Hammam
HQ OPS Officer: Joanna Bridge
Notification Date: 03/05/2021
Notification Time: 16:20 [ET]
Event Date: 01/06/2021
Event Time: 00:00 [CST]
Last Update Date: 06/03/2021
Notification Time: 16:20 [ET]
Event Date: 01/06/2021
Event Time: 00:00 [CST]
Last Update Date: 06/03/2021
Emergency Class: Non Emergency
10 CFR Section:
21.21(d)(3)(i) - Defects And Noncompliance
10 CFR Section:
21.21(d)(3)(i) - Defects And Noncompliance
Person (Organization):
BURKET, ELISE (R1DO)
MILLER, MARK (R2DO)
HILLS, DAVID (R3DO)
GROOM, JEREMY (R4DO)
PART 21/50.55 REACTORS, - (EMAIL)
BURKET, ELISE (R1DO)
MILLER, MARK (R2DO)
HILLS, DAVID (R3DO)
GROOM, JEREMY (R4DO)
PART 21/50.55 REACTORS, - (EMAIL)
EN Revision Imported Date: 6/4/2021
EN Revision Text: INTERIM PART 21 REPORT - WELD PROCEDURES DO NOT MEET ASME CODE
The following is a summary of the report provided by the supplier:
On January 6, 2021, Crane Nuclear, Inc (CNI) received an e-mail message from a customer identifying that the weld procedures Crane summitted for use on the customer's purchase order were unacceptable, as the procedure did not meet the requirements of ASME Code Section IX. CNI immediately began research and determined the customer to be correct.
CNI is currently conducting research to determine where the affected weld procedures were used. The scope of supply is Code and safety related valve and valve parts supplied by CNI since 2009.
Joyce Hammam
Director, Safety and Quality
(678) 451-2280
Crane Nuclear, Inc.
860 Remington Blvd
Bolingbrook, IL 60440
* * * RETRACTION ON 6/3/21 AT 1453 EDT FROM JOYCE HAMMAN TO JOANNA BRIDGE * * *
The following was received from the supplier:
"Update 6/3/21: Eleven procedures were identified by CNI as not having a supporting [Procedure Qualification Record] (PQR) for welding on greater than 1 inch base metal. Of those eleven, three have never been used. Those three procedures are being corrected to identify the procedure applies to base metal of up to 1 inch only.
"The remaining eight procedures have had a 1 inch coupon welded and tested. All coupons passed the penetrant test, the hardness tests, and macro testing, as required by table QW-453 of ASME Code Section IX.
"As a result, CNI is updating the affected procedures. This is a paperwork issue for Crane and not a Part 21 concern for the industry."
Notified R1DO (Bicket), R2DO (Miller), R3DO (Dickson), R4DO (Groom) and PART 21/50.55 REACTORS (by email).
EN Revision Text: INTERIM PART 21 REPORT - WELD PROCEDURES DO NOT MEET ASME CODE
The following is a summary of the report provided by the supplier:
On January 6, 2021, Crane Nuclear, Inc (CNI) received an e-mail message from a customer identifying that the weld procedures Crane summitted for use on the customer's purchase order were unacceptable, as the procedure did not meet the requirements of ASME Code Section IX. CNI immediately began research and determined the customer to be correct.
CNI is currently conducting research to determine where the affected weld procedures were used. The scope of supply is Code and safety related valve and valve parts supplied by CNI since 2009.
Joyce Hammam
Director, Safety and Quality
(678) 451-2280
Crane Nuclear, Inc.
860 Remington Blvd
Bolingbrook, IL 60440
* * * RETRACTION ON 6/3/21 AT 1453 EDT FROM JOYCE HAMMAN TO JOANNA BRIDGE * * *
The following was received from the supplier:
"Update 6/3/21: Eleven procedures were identified by CNI as not having a supporting [Procedure Qualification Record] (PQR) for welding on greater than 1 inch base metal. Of those eleven, three have never been used. Those three procedures are being corrected to identify the procedure applies to base metal of up to 1 inch only.
"The remaining eight procedures have had a 1 inch coupon welded and tested. All coupons passed the penetrant test, the hardness tests, and macro testing, as required by table QW-453 of ASME Code Section IX.
"As a result, CNI is updating the affected procedures. This is a paperwork issue for Crane and not a Part 21 concern for the industry."
Notified R1DO (Bicket), R2DO (Miller), R3DO (Dickson), R4DO (Groom) and PART 21/50.55 REACTORS (by email).
Agreement State
Event Number: 55257
Rep Org: CALIFORNIA RADIATION CONTROL PRGM
Licensee: University of California Davis
Region: 4
City: Sacramento State: CA
County:
License #: CA-RML 1334-57
Agreement: Y
Docket:
NRC Notified By: Robert Greger
HQ OPS Officer: Kerby Scales
Licensee: University of California Davis
Region: 4
City: Sacramento State: CA
County:
License #: CA-RML 1334-57
Agreement: Y
Docket:
NRC Notified By: Robert Greger
HQ OPS Officer: Kerby Scales
Notification Date: 05/13/2021
Notification Time: 20:41 [ET]
Event Date: 05/12/2021
Event Time: 00:00 []
Last Update Date: 06/03/2021
Notification Time: 20:41 [ET]
Event Date: 05/12/2021
Event Time: 00:00 []
Last Update Date: 06/03/2021
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
GADDY, VINCENT (R4DO)
NMSS_EVENTS_NOTIFICATION, (EMAIL)
Kevin Williams (NMSS/DIR)
GADDY, VINCENT (R4DO)
NMSS_EVENTS_NOTIFICATION, (EMAIL)
Kevin Williams (NMSS/DIR)
EN Revision Imported Date: 6/4/2021
EN Revision Text: AGREEMENT STATE REPORT - OVERDOSE AND WRONG TREATMENT SITE
The following was received from the California Department of Public Health via email:
"On May 12, 2021, licensee notified the [Radiologic Health Branch] RHB of a possible medical event which occurred on May 10, 2021 involving a Gamma Knife patient who likely received a dose greater than 0.5 Sv (50 rem) to a tissue other than the treatment site and over 50% of the expected dose to that site from the procedure if the administration had been given in accordance with the written directive. No further details have been provided at this time. The licensee is currently investigating and will provide a full report within 15 days. RHB is investigating this event."
California Item Number: 051221
* * * RETRACTION ON 1 JUNE 2021 AT 1454 EDT FROM L. ROBERT GREGER TO JOANNA BRIDGE * * *
The following was received via e-mail from the state of California via e-mail:
"The licensee's initial dose calculation performed on the impacted non-target tissue was made to a non-dimensional point adjacent to the target tissue. Upon further licensee consideration, the non-target dose calculation was performed on the 1.55 cc non-target tissue (muscle) most impacted by a planning error for the gamma knife treatment. The revised calculation resulted in a dose to the non-target muscle tissue of 140 rad (1.4 Gy) compared to the 120 rad (1.2 Gy) that the 1.55 cc non-target muscle tissue would have received had the planning error not occurred. Therefore, the Medical Event criterion was not exceeded."
Notified R4DO (Groom) and NMSS Events (by 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 - OVERDOSE AND WRONG TREATMENT SITE
The following was received from the California Department of Public Health via email:
"On May 12, 2021, licensee notified the [Radiologic Health Branch] RHB of a possible medical event which occurred on May 10, 2021 involving a Gamma Knife patient who likely received a dose greater than 0.5 Sv (50 rem) to a tissue other than the treatment site and over 50% of the expected dose to that site from the procedure if the administration had been given in accordance with the written directive. No further details have been provided at this time. The licensee is currently investigating and will provide a full report within 15 days. RHB is investigating this event."
California Item Number: 051221
* * * RETRACTION ON 1 JUNE 2021 AT 1454 EDT FROM L. ROBERT GREGER TO JOANNA BRIDGE * * *
The following was received via e-mail from the state of California via e-mail:
"The licensee's initial dose calculation performed on the impacted non-target tissue was made to a non-dimensional point adjacent to the target tissue. Upon further licensee consideration, the non-target dose calculation was performed on the 1.55 cc non-target tissue (muscle) most impacted by a planning error for the gamma knife treatment. The revised calculation resulted in a dose to the non-target muscle tissue of 140 rad (1.4 Gy) compared to the 120 rad (1.2 Gy) that the 1.55 cc non-target muscle tissue would have received had the planning error not occurred. Therefore, the Medical Event criterion was not exceeded."
Notified R4DO (Groom) and NMSS Events (by 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: 55278
Rep Org: TEXAS DEPT OF STATE HEALTH SERVICES
Licensee: Valero Refining Company Texas LP
Region: 4
City: Texas City State: TX
County:
License #: L 02578
Agreement: Y
Docket:
NRC Notified By: Art Tucker
HQ OPS Officer: Bethany Cecere
Licensee: Valero Refining Company Texas LP
Region: 4
City: Texas City State: TX
County:
License #: L 02578
Agreement: Y
Docket:
NRC Notified By: Art Tucker
HQ OPS Officer: Bethany Cecere
Notification Date: 05/27/2021
Notification Time: 09:41 [ET]
Event Date: 05/26/2021
Event Time: 00:00 [CDT]
Last Update Date: 05/27/2021
Notification Time: 09:41 [ET]
Event Date: 05/26/2021
Event Time: 00:00 [CDT]
Last Update Date: 05/27/2021
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
GEPFORD, HEATHER (R4)
NMSS_EVENTS_NOTIFICATION, (EMAIL)
GEPFORD, HEATHER (R4)
NMSS_EVENTS_NOTIFICATION, (EMAIL)
EN Revision Imported Date: 6/4/2021
EN Revision Text: AGREEMENT STATE REPORT - STUCK SHUTTERS ON TWO GAUGES
The following was received from the Texas Department of State Health Services (the Agency) by email:
"On May 26,2021, the Agency was notified by the licensee service provider that the shutters on two nuclear gauges were found stuck in the open position. Open is the normal operating position. The gauges are Vega model SH-F1 each containing a 20 milliCurie cesium-137 sources. The licensee stated there is no increased risk of exposure to members of the general public or workers at the facility due to the event. Additional information will be provided as it is received in accordance with SA-300."
Texas Incident #: 9850
EN Revision Text: AGREEMENT STATE REPORT - STUCK SHUTTERS ON TWO GAUGES
The following was received from the Texas Department of State Health Services (the Agency) by email:
"On May 26,2021, the Agency was notified by the licensee service provider that the shutters on two nuclear gauges were found stuck in the open position. Open is the normal operating position. The gauges are Vega model SH-F1 each containing a 20 milliCurie cesium-137 sources. The licensee stated there is no increased risk of exposure to members of the general public or workers at the facility due to the event. Additional information will be provided as it is received in accordance with SA-300."
Texas Incident #: 9850
Agreement State
Event Number: 55279
Rep Org: NORTH CAROLINA DIV OF RAD PROTECTIO
Licensee: Vidant Beaufort Hospital
Region: 1
City: Washington State: NC
County:
License #: 007-0311-2
Agreement: Y
Docket:
NRC Notified By: Travis Cartoski
HQ OPS Officer: Lloyd Desotell
Licensee: Vidant Beaufort Hospital
Region: 1
City: Washington State: NC
County:
License #: 007-0311-2
Agreement: Y
Docket:
NRC Notified By: Travis Cartoski
HQ OPS Officer: Lloyd Desotell
Notification Date: 05/27/2021
Notification Time: 14:31 [ET]
Event Date: 05/26/2021
Event Time: 00:00 [EDT]
Last Update Date: 05/27/2021
Notification Time: 14:31 [ET]
Event Date: 05/26/2021
Event Time: 00:00 [EDT]
Last Update Date: 05/27/2021
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
BOWER, FRED (R1)
NMSS_EVENTS_NOTIFICATION, (EMAIL)
BOWER, FRED (R1)
NMSS_EVENTS_NOTIFICATION, (EMAIL)
EN Revision Imported Date: 6/4/2021
EN Revision Text: AGREEMENT STATE REPORT - MEDICAL EVENT
The following report was received from the North Carolina Division of Health Service Regulation via email:
"The facility had two I-125 prostate implant procedures scheduled for 5/26/2021, one from approximately 0800-1030 EDT and another one following that. During the preparation of the second patient, the [authorized medical physicist/ radiation safety officer] (AMP/RSO) realized he may have made a mistake inputting the source strength into the treatment planning computer. The treatment planning computer has two options for source strength (millicuries and air-kerma). He went back to verify and realized he had input the millicurie source strength (0.357 mCi) into the air-kerma strength (0.453 U) spot and not air-kerma. This resulted in the treatment planning computer to believe the activity of the sources were lower than they actually were and generated a plan off of this strength. This caused the delivered dosage to be 27 percent greater than the prescribed dosage (~1400 Gy not 1100 Gy). The referring physician was present for the procedure and was notified upon the realization of the error. The patient was still in recovery from the procedure and was informed by the authorized user as soon as he was recovered and able to receive the news, before leaving the facility. The AMP/RSO stated that no negative outcome was expected for the patient, as this was the first part of a two part treatment plan, with the second part being linear accelerator treatment on the prostate. The second part of the treatment can be adjusted to accommodate for the increased dose given during the permanent implant, with no expected harm to the patient."
NC Tracking Number: NC210008
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 report was received from the North Carolina Division of Health Service Regulation via email:
"The facility had two I-125 prostate implant procedures scheduled for 5/26/2021, one from approximately 0800-1030 EDT and another one following that. During the preparation of the second patient, the [authorized medical physicist/ radiation safety officer] (AMP/RSO) realized he may have made a mistake inputting the source strength into the treatment planning computer. The treatment planning computer has two options for source strength (millicuries and air-kerma). He went back to verify and realized he had input the millicurie source strength (0.357 mCi) into the air-kerma strength (0.453 U) spot and not air-kerma. This resulted in the treatment planning computer to believe the activity of the sources were lower than they actually were and generated a plan off of this strength. This caused the delivered dosage to be 27 percent greater than the prescribed dosage (~1400 Gy not 1100 Gy). The referring physician was present for the procedure and was notified upon the realization of the error. The patient was still in recovery from the procedure and was informed by the authorized user as soon as he was recovered and able to receive the news, before leaving the facility. The AMP/RSO stated that no negative outcome was expected for the patient, as this was the first part of a two part treatment plan, with the second part being linear accelerator treatment on the prostate. The second part of the treatment can be adjusted to accommodate for the increased dose given during the permanent implant, with no expected harm to the patient."
NC Tracking Number: NC210008
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: 55280
Rep Org: MA RADIATION CONTROL PROGRAM
Licensee: Thermo Scientific Portable Analytical Instruments Inc.
Region: 1
City: Tewksbury State: MA
County:
License #: 55-0238
Agreement: Y
Docket:
NRC Notified By: Anthony Carpenito
HQ OPS Officer: Jeffrey Whited
Licensee: Thermo Scientific Portable Analytical Instruments Inc.
Region: 1
City: Tewksbury State: MA
County:
License #: 55-0238
Agreement: Y
Docket:
NRC Notified By: Anthony Carpenito
HQ OPS Officer: Jeffrey Whited
Notification Date: 05/27/2021
Notification Time: 22:11 [ET]
Event Date: 05/27/2021
Event Time: 15:51 [EDT]
Last Update Date: 05/28/2021
Notification Time: 22:11 [ET]
Event Date: 05/27/2021
Event Time: 15:51 [EDT]
Last Update Date: 05/28/2021
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
BOWER, FRED (R1DO)
NMSS_EVENTS_NOTIFICATION, (EMAIL)
BOWER, FRED (R1DO)
NMSS_EVENTS_NOTIFICATION, (EMAIL)
EN Revision Imported Date: 6/4/2021
EN Revision Text: AGREEMENT STATE REPORT - LEAKING SOURCE
The following was received from the Massachusetts Radiation Control Program via email:
"At 1551 EDT on May 27, 2021, the Massachusetts Radiation Control Program received a phone call from the Radiation Safety Officer (RSO) of Thermo Scientific Portable Analytical Instruments, License Number 55-0238. The RSO stated that a source was removed from the licensee's manufactured device that was sent to them for servicing. During this receipt procedure, a wipe sample taken on the device resulted in positive contamination. The Nickel-63 source was found to be leaking and the wipe test indicated a removable contamination level of 0.0728 microcurie. The limit for reporting the activity is 0.005 microcurie.
"Further information will be forthcoming as the event is under investigation."
* * * UPDATE ON MAY 28, 2021 AT 1603 EDT FROM ANTHONY CARPENITO TO BRIAN P. SMITH * * *
The following update was received from the Massachusetts Radiation Control Program [MRCP] via email:
"The licensee notified the MRCP at 1202 [EDT] on May 28, 2021 to correct and update its earlier report. The sealed source isotope of interest is Iron-55 (Fe-55), not Nickel-63 as reported earlier, and the source activity is 20 millicuries. [The] Source was contained within an X-ray fluorescence device Model XLi 969, SN 5249. The customer had shipped the device to the licensee for decommissioning rather than service/repair. The accompanying leak test result prior to shipment was negative for contamination. Wipe survey results for areas within the licensee's facility where the device had been were negative for contamination. End of update."
Notified R1DO (Bower) and NMSS Events Notification
EN Revision Text: AGREEMENT STATE REPORT - LEAKING SOURCE
The following was received from the Massachusetts Radiation Control Program via email:
"At 1551 EDT on May 27, 2021, the Massachusetts Radiation Control Program received a phone call from the Radiation Safety Officer (RSO) of Thermo Scientific Portable Analytical Instruments, License Number 55-0238. The RSO stated that a source was removed from the licensee's manufactured device that was sent to them for servicing. During this receipt procedure, a wipe sample taken on the device resulted in positive contamination. The Nickel-63 source was found to be leaking and the wipe test indicated a removable contamination level of 0.0728 microcurie. The limit for reporting the activity is 0.005 microcurie.
"Further information will be forthcoming as the event is under investigation."
* * * UPDATE ON MAY 28, 2021 AT 1603 EDT FROM ANTHONY CARPENITO TO BRIAN P. SMITH * * *
The following update was received from the Massachusetts Radiation Control Program [MRCP] via email:
"The licensee notified the MRCP at 1202 [EDT] on May 28, 2021 to correct and update its earlier report. The sealed source isotope of interest is Iron-55 (Fe-55), not Nickel-63 as reported earlier, and the source activity is 20 millicuries. [The] Source was contained within an X-ray fluorescence device Model XLi 969, SN 5249. The customer had shipped the device to the licensee for decommissioning rather than service/repair. The accompanying leak test result prior to shipment was negative for contamination. Wipe survey results for areas within the licensee's facility where the device had been were negative for contamination. End of update."
Notified R1DO (Bower) and NMSS Events Notification
Fuel Cycle Facility
Event Number: 55288
Facility: American Centrifuge Plant
Region: 2 State: OH
Unit: [] [] []
RX Type: Uranium Enrichment Facility
NRC Notified By: Brian Summers
HQ OPS Officer: Donald Norwood
Region: 2 State: OH
Unit: [] [] []
RX Type: Uranium Enrichment Facility
NRC Notified By: Brian Summers
HQ OPS Officer: Donald Norwood
Notification Date: 06/03/2021
Notification Time: 10:04 [ET]
Event Date: 06/03/2021
Event Time: 08:36 [EDT]
Last Update Date: 06/03/2021
Notification Time: 10:04 [ET]
Event Date: 06/03/2021
Event Time: 08:36 [EDT]
Last Update Date: 06/03/2021
Emergency Class: Non Emergency
10 CFR Section:
PART 70 APP A (c) - Offsite Notification/News Rel
10 CFR Section:
PART 70 APP A (c) - Offsite Notification/News Rel
Person (Organization):
NMSS_EVENTS_NOTIFICATION (EMAIL)
MILLER, MARK (R2DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
MILLER, MARK (R2DO)
EN Revision Imported Date: 6/7/2021
EN Revision Text: REPORT OF OFFSITE NOTIFICATIONS
"Event meets ACD2-RG-044 App. B N.1 'The licensee shall notify the NRC Operations Center of any event or situation, related to the health and safety of the public or onsite personnel, or protection of the environment, for which a news release is planned or notification to other government agencies has been or will be made. Such an event may include an on-site fatality or inadvertent release of radioactively contaminated materials.'"
"Received preliminary notification from TestAmerica Colorado that there was an exceedance of the Total Suspended Solids NPDES permit limit at Outfall 013. This was not unexpected with the current state of the settling pond above Outfall 013. An Ohio EPA [OEPA] 24 hour non-compliance notification form was filled out and sent to OEPA NPDES inspector.
"Notification [to NRC] concurrent to the OEPA notification."
EN Revision Text: REPORT OF OFFSITE NOTIFICATIONS
"Event meets ACD2-RG-044 App. B N.1 'The licensee shall notify the NRC Operations Center of any event or situation, related to the health and safety of the public or onsite personnel, or protection of the environment, for which a news release is planned or notification to other government agencies has been or will be made. Such an event may include an on-site fatality or inadvertent release of radioactively contaminated materials.'"
"Received preliminary notification from TestAmerica Colorado that there was an exceedance of the Total Suspended Solids NPDES permit limit at Outfall 013. This was not unexpected with the current state of the settling pond above Outfall 013. An Ohio EPA [OEPA] 24 hour non-compliance notification form was filled out and sent to OEPA NPDES inspector.
"Notification [to NRC] concurrent to the OEPA notification."
Part 21
Event Number: 55174
Rep Org: Meggitt Safety Systems Inc.
Licensee: Meggitt Safety Systems Inc.
Region: 4
City: Simi Valley State: CA
County:
License #:
Agreement: Y
Docket:
NRC Notified By: Ayelet Cohen-Tucker
HQ OPS Officer: Jeffrey Whited
Licensee: Meggitt Safety Systems Inc.
Region: 4
City: Simi Valley State: CA
County:
License #:
Agreement: Y
Docket:
NRC Notified By: Ayelet Cohen-Tucker
HQ OPS Officer: Jeffrey Whited
Notification Date: 04/06/2021
Notification Time: 12:31 [ET]
Event Date: 02/05/2021
Event Time: 00:00 [PDT]
Last Update Date: 06/04/2021
Notification Time: 12:31 [ET]
Event Date: 02/05/2021
Event Time: 00:00 [PDT]
Last Update Date: 06/04/2021
Emergency Class: Non Emergency
10 CFR Section:
21.21(a)(2) - Interim Eval Of Deviation
10 CFR Section:
21.21(a)(2) - Interim Eval Of Deviation
Person (Organization):
MILLER, MARK (R1DO)
MILLER, MARK (R2DO)
PELKE, PATRICIA (R3DO)
KOZAL, JASON (R4DO)
PART 21/50.55 REACTORS, - (EMAIL)
MILLER, MARK (R1DO)
MILLER, MARK (R2DO)
PELKE, PATRICIA (R3DO)
KOZAL, JASON (R4DO)
PART 21/50.55 REACTORS, - (EMAIL)
EN Revision Imported Date: 6/7/2021
EN Revision Text: PART 21 INTERIM REPORT OF DEVIATION
"Meggitt Safety Systems, Inc. (Meggitt) has recently identified situations where the appropriate amount of testing was not performed to verify the acceptability of critical characteristics for commercially procured materials for use in safety related products in the Nuclear Cable Product Line. On February 5, 2021 during an internal audit, it was discovered that material verification for critical characteristics for several components had not been performed in accordance with Meggitt Engineering Document (ER94113 Rev T). These components are used on Meggitt nuclear safety related cables for in-containment instrumentation and control cables. These are also used on fire-resistant (Appendix R) power and control cables. The safety function of the in-containment and Appendix R cables is to reliably interconnect the detection/sensing device to the plant instrumentation during normal and [Loss of Coolant Accident] LOCA conditions and to interconnect the remote control location to critical devices during normal and abnormal/fire conditions respectively. Without the material verification there is a potential that the cables would not perform their Safety function properly.
"Meggitt is revalidating materials and engaging suppliers to satisfy critical characteristics verification requirements. Meggitt's preliminary assessment is that there is no impact to the safety function, however the COVID-19 pandemic has impacted our ability to complete our investigation. As a result, Meggitt is unable to meet the 60 day requirement and requests an additional 60 days to complete the Part 21 Safety Evaluation. The expected completion date is June 4, 2021."
Contact Information:
Jim Healy
Senior Vice-President and General Manager
Meggitt Safety Systems, Inc.
1785 Voyager Ave Simi Valley, CA 93063
(805) 581-8608
* * * UPDATE ON 6/4/21 AT 1641 EST FROM LINA PADEN TO BETHANY CECERE * * *
"Meggitt's evaluation has been concluded with satisfactory results. There is no safety hazard on delivered nuclear cables as a result of inadequate constituent component material verification, nor does the failure to comply potentially cause a substantial safety hazard. These conditions are not reportable under Meggitt Airframe Systems procedure SOP 6045 and regulation 10CFR Part 21 and 10 CFR 50.55(e)."
Notified R1DO (Bickett), R2DO (Miller), R3DO (Dickson), R4DO (Groom), and Part 21 Reactors Group (by email).
EN Revision Text: PART 21 INTERIM REPORT OF DEVIATION
"Meggitt Safety Systems, Inc. (Meggitt) has recently identified situations where the appropriate amount of testing was not performed to verify the acceptability of critical characteristics for commercially procured materials for use in safety related products in the Nuclear Cable Product Line. On February 5, 2021 during an internal audit, it was discovered that material verification for critical characteristics for several components had not been performed in accordance with Meggitt Engineering Document (ER94113 Rev T). These components are used on Meggitt nuclear safety related cables for in-containment instrumentation and control cables. These are also used on fire-resistant (Appendix R) power and control cables. The safety function of the in-containment and Appendix R cables is to reliably interconnect the detection/sensing device to the plant instrumentation during normal and [Loss of Coolant Accident] LOCA conditions and to interconnect the remote control location to critical devices during normal and abnormal/fire conditions respectively. Without the material verification there is a potential that the cables would not perform their Safety function properly.
"Meggitt is revalidating materials and engaging suppliers to satisfy critical characteristics verification requirements. Meggitt's preliminary assessment is that there is no impact to the safety function, however the COVID-19 pandemic has impacted our ability to complete our investigation. As a result, Meggitt is unable to meet the 60 day requirement and requests an additional 60 days to complete the Part 21 Safety Evaluation. The expected completion date is June 4, 2021."
Contact Information:
Jim Healy
Senior Vice-President and General Manager
Meggitt Safety Systems, Inc.
1785 Voyager Ave Simi Valley, CA 93063
(805) 581-8608
* * * UPDATE ON 6/4/21 AT 1641 EST FROM LINA PADEN TO BETHANY CECERE * * *
"Meggitt's evaluation has been concluded with satisfactory results. There is no safety hazard on delivered nuclear cables as a result of inadequate constituent component material verification, nor does the failure to comply potentially cause a substantial safety hazard. These conditions are not reportable under Meggitt Airframe Systems procedure SOP 6045 and regulation 10CFR Part 21 and 10 CFR 50.55(e)."
Notified R1DO (Bickett), R2DO (Miller), R3DO (Dickson), R4DO (Groom), and Part 21 Reactors Group (by email).
Agreement State
Event Number: 55283
Rep Org: TEXAS DEPT OF STATE HEALTH SERVICES
Licensee: Raba-Kistner Consultants
Region: 4
City: San Antonio State: TX
County:
License #: L-01571
Agreement: Y
Docket:
NRC Notified By: Art Tucker
HQ OPS Officer: Kerby Scales
Licensee: Raba-Kistner Consultants
Region: 4
City: San Antonio State: TX
County:
License #: L-01571
Agreement: Y
Docket:
NRC Notified By: Art Tucker
HQ OPS Officer: Kerby Scales
Notification Date: 05/30/2021
Notification Time: 14:39 [ET]
Event Date: 05/30/2021
Event Time: 00:00 [CDT]
Last Update Date: 05/30/2021
Notification Time: 14:39 [ET]
Event Date: 05/30/2021
Event Time: 00:00 [CDT]
Last Update Date: 05/30/2021
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
GEPFORD, HEATHER (R4)
ILTAB, (EMAIL)
NMSS_EVENTS_NOTIFICATION, (EMAIL)
CNSNS (MEXICO), - (EMAIL)
GEPFORD, HEATHER (R4)
ILTAB, (EMAIL)
NMSS_EVENTS_NOTIFICATION, (EMAIL)
CNSNS (MEXICO), - (EMAIL)
EN Revision Imported Date: 6/7/2021
EN Revision Text: AGREEMENT STATE REPORT - STOLEN GUAGE
The following was received from the Texas Department of State Health Services (the Agency) via email:
"On May 30, 2021, the Agency was notified by the licensee's radiation safety officer (RSO) that a Humboldt model 5001 EZ was stolen from a truck parked overnight at a technician's home. The gauge contains a 40 millicurie americium - 241 source and an 10 millicurie cesium - 137 source. The technician had taken the gauge home on May 29, 2021. The gauge was locked in the truck with two independent chains and locks. The technician went to their truck at 0900 [CDT] on May 30, 2021 and found both were cut and the transport case and the gauge were stolen. The RSO stated the operating arm was locked in the shielded position. The RSO stated the technician drove around in the immediate area in an attempt to find the gauge. The RSO stated local law enforcement had been notified. Additional information will be provided as it is received in accordance with SA-300."
Texas Incident Number: 9852
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 - STOLEN GUAGE
The following was received from the Texas Department of State Health Services (the Agency) via email:
"On May 30, 2021, the Agency was notified by the licensee's radiation safety officer (RSO) that a Humboldt model 5001 EZ was stolen from a truck parked overnight at a technician's home. The gauge contains a 40 millicurie americium - 241 source and an 10 millicurie cesium - 137 source. The technician had taken the gauge home on May 29, 2021. The gauge was locked in the truck with two independent chains and locks. The technician went to their truck at 0900 [CDT] on May 30, 2021 and found both were cut and the transport case and the gauge were stolen. The RSO stated the operating arm was locked in the shielded position. The RSO stated the technician drove around in the immediate area in an attempt to find the gauge. The RSO stated local law enforcement had been notified. Additional information will be provided as it is received in accordance with SA-300."
Texas Incident Number: 9852
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: 55284
Rep Org: TEXAS DEPT OF STATE HEALTH SERVICES
Licensee: IRIS NDT
Region: 4
City: Houston State: TX
County:
License #: L-06435
Agreement: Y
Docket:
NRC Notified By: Karen Blanchard
HQ OPS Officer: Kerby Scales
Licensee: IRIS NDT
Region: 4
City: Houston State: TX
County:
License #: L-06435
Agreement: Y
Docket:
NRC Notified By: Karen Blanchard
HQ OPS Officer: Kerby Scales
Notification Date: 05/30/2021
Notification Time: 18:43 [ET]
Event Date: 05/28/2021
Event Time: 15:00 [CDT]
Last Update Date: 05/30/2021
Notification Time: 18:43 [ET]
Event Date: 05/28/2021
Event Time: 15:00 [CDT]
Last Update Date: 05/30/2021
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
GEPFORD, HEATHER (R4)
NMSS_EVENTS_NOTIFICATION, (EMAIL)
WILLIAMS, KEVIN (DIR MSST)
GEPFORD, HEATHER (R4)
NMSS_EVENTS_NOTIFICATION, (EMAIL)
WILLIAMS, KEVIN (DIR MSST)
EN Revision Imported Date: 6/7/2021
EN Revision Text: AGREEMENT STATE REPORT - POTENTIAL OVEREXPOSURE TO RADIOGRAPHER
The following was received from the Texas Department of State Health Services via email:
"On May 30, 2021, at approximately [1500] CDT one of the licensee's radiographers reported to the radiation safety officer that on May 28, 2021, he had handled a collimator while the source was in it. The radiographer was using a SPEC 150 camera with a 22 curie Iridium-192 source. The radiographer had taken a shot on top of a 2-inch pipe on a pipe stand. He then set up for the next shot by taking hold of the collimator (back, shielded side) and slid it down to the side of the pipe (90 degree). The beam was always facing the pipe. When he walked back to the camera to crank out the source, he found he had not cranked it back in after the first shot. The radiographer was not wearing an alarming rate meter, a pocket dosimeter, or a dosimetry badge, and he was not carrying/using a survey meter at the time of the incident. The licensee's initial, rough calculations indicate the dose will be lower than the reporting criteria used for this report, but until they can get more information, this report is being made as an immediate report. The radiographer was seen by a physician today and the licensee reported white blood cell counts were normal. The licensee is investigating the event and also why the radiographer did not report the incident when it occurred. More information will be provided as it is obtained in accordance with SA-300."
Texas Incident number not assigned as of the time of the report.
EN Revision Text: AGREEMENT STATE REPORT - POTENTIAL OVEREXPOSURE TO RADIOGRAPHER
The following was received from the Texas Department of State Health Services via email:
"On May 30, 2021, at approximately [1500] CDT one of the licensee's radiographers reported to the radiation safety officer that on May 28, 2021, he had handled a collimator while the source was in it. The radiographer was using a SPEC 150 camera with a 22 curie Iridium-192 source. The radiographer had taken a shot on top of a 2-inch pipe on a pipe stand. He then set up for the next shot by taking hold of the collimator (back, shielded side) and slid it down to the side of the pipe (90 degree). The beam was always facing the pipe. When he walked back to the camera to crank out the source, he found he had not cranked it back in after the first shot. The radiographer was not wearing an alarming rate meter, a pocket dosimeter, or a dosimetry badge, and he was not carrying/using a survey meter at the time of the incident. The licensee's initial, rough calculations indicate the dose will be lower than the reporting criteria used for this report, but until they can get more information, this report is being made as an immediate report. The radiographer was seen by a physician today and the licensee reported white blood cell counts were normal. The licensee is investigating the event and also why the radiographer did not report the incident when it occurred. More information will be provided as it is obtained in accordance with SA-300."
Texas Incident number not assigned as of the time of the report.