Event Notification Report for June 09, 2021

U.S. Nuclear Regulatory Commission
Operations Center

EVENT REPORTS FOR
06/08/2021 - 06/09/2021

EVENT NUMBERS
55261 55286 55295 55297
!!!!! THIS EVENT HAS BEEN RETRACTED !!!!!
!!!!! THIS EVENT HAS BEEN RETRACTED !!!!!
Power Reactor
Event Number: 55261
Facility: Peach Bottom
Region: 1     State: PA
Unit: [2] [] []
RX Type: [2] GE-4,[3] GE-4
NRC Notified By: Brett Henry
HQ OPS Officer: Brian Lin
Notification Date: 05/17/2021
Notification Time: 13:12 [ET]
Event Date: 05/17/2021
Event Time: 12:38 [EDT]
Last Update Date: 06/08/2021
Emergency Class: Unusual Event
10 CFR Section:
50.72(a) (1) (i) - Emergency Declared
Person (Organization):
GREIVES, JONATHAN (R1)
LEW, DAVE (R1 RA)
MILLER, CHRIS (NRR EO)
GRANT, JEFFERY (IR)
CASTELVETER, DAVID (PAO)
Power Reactor Unit Info
Unit SCRAM Code RX Crit Initial PWR Initial RX Mode Current PWR Current RX Mode
2 N Y 40 Power Operation 40 Power Operation
Event Text
EN Revision Imported Date: 6/9/2021

EN Revision Text: UNUSUAL EVENT DUE TO A FIRE ALARM INSIDE THE DRYWELL

[Peach Bottom Atomic Power Station declared an unusual event due to a] "receipt of a single fire alarm in the Unit 2 drywell and the existence of the fire not verified in less than 30 minutes of alarm receipt."

The NRC Resident Inspector and State and Local Authorities were notified.

Notified DHS SWO, FEMA Operations Center, CISA Central, FEMA NWC (email), DHS Nuclear SSA (email), and FEMA NRCC SASC (email).

* * * UPDATE ON 5/17/21 AT 1423 EDT FROM BRETT HENRY TO HOWIE CROUCH * * *
At 1355 EDT, the licensee terminated the notification of unusual event. The basis for termination was that the smoke has dissipated and there were no signs of fire.

The licensee notified State and Local Authorities and the NRC Resident Inspector.

Notified R1DO (Grieves), NRR EO (Miller), and IRD MOC (Grant). Notified DHS SWO, FEMA Operations Center, CISA Central, FEMA NWC (email), DHS Nuclear SSA (email), FEMA NRCC THD (email) and FEMA NRCC SASC (email).


* * * RETRACTION ON 6/8/2021 AT 1249 EDT FROM JAMES BROWN TO DONALD NORWOOD * * *

"Peach Bottom Atomic Power Station is retracting notification EN 55261, 'Peach Bottom - Unusual Event,' based on the following additional information not available at the time of the notification:

"Following a Unit 2 drywell inspection, analysis of temperature data, and evaluation of equipment in operation; it was concluded that a fire did not exist.

"The smoke's most likely apparent cause was the result of heating residual oil/grease in the drywell.

"Peach Bottom reported the condition and entry into the UE initially based on the available information at the time and to ensure timeliness with emergency declaration and reporting notification requirements.

"The licensee has notified the NRC Resident Inspector."

Notified R1DO (Ferdas).


!!!!! THIS EVENT HAS BEEN RETRACTED !!!!!
!!!!! THIS EVENT HAS BEEN RETRACTED !!!!!
Agreement State
Event Number: 55286
Rep Org: IOWA DEPARTMENT OF PUBLIC HEALTH
Licensee: Spencer Municipal Hospital
Region: 3
City: Spencer   State: IA
County:
License #: 0164121M1
Agreement: Y
Docket:
NRC Notified By: Randal S. Dahlin
HQ OPS Officer: Joanna Bridge
Notification Date: 06/01/2021
Notification Time: 14:40 [ET]
Event Date: 04/07/2021
Event Time: 00:00 [CDT]
Last Update Date: 06/07/2021
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
Person (Organization):
FELIZ-ADORNO, NESTOR (R3)
NMSS_EVENTS_NOTIFICATION, (EMAIL)
RIVERA-CAPELLA, GRETCHEN (NMSS DAY)
Event Text
EN Revision Imported Date: 6/9/2021

EN Revision Text: AGREEMENT STATE REPORT - MEDICAL EVENT

The following was received from the state of Iowa via e-mail:

"The licensee reported a potential medical event involving a prostate seed implant therapy. The procedure was performed on April 7, 2021 and the post plan CT scan was conducted on May 27, 2021. The CT scan revealed that a number of seeds were implanted outside of the treatment site. The licensee called and emailed Iowa Department of Public Health (IDPH) Radioactive Materials (RAM) staff on Friday, May 28, 2021. RAM staff, who were out on extended memorial day holiday, did not receive the email or phone message until June 1, 2021 when returning to the office. RAM staff has reached out to the licensee for additional information. RAM staff is intending to conduct a reactive inspection of the licensee [the first week in June]. The licensee will be providing the 15 day written report as required by rule. This event will be updated once the additional information requested from the licensee is received.

"Item Number: IA210002"

* * * UPDATE ON 06/04/2021 AT 1036 EDT FROM RANDAL DAHLIN TO JEFFREY WHITED * * *

The following was received from the Iowa Department of Public Health (IDPH) via e-mail:

"IDPH conducted an onsite investigation on June 3, 2021. This event is being updated based on that investigation.

"It appears that the iodine-125 seeds were implanted correctly on the day of the procedure, but due to swelling of the prostate and the 50 days until the post plan CT when the prostate swelling had reduced, the plan showed 16 seeds outside of the target volume. IDPH staff found no procedural problems with the licensees implant procedure. This possible event will be updated once again when the written report is received from the licensee."

Notified R3DO (Dickson), NMSS EO (Sida) and NMSS Event Notifications (email).

* * * RETRACTION ON 06/07/2021 AT 1527 EDT FROM RANDAL DAHLIN TO LLOYD DESOTELL * * *

The following was received from the Iowa Department of Public Health (IDPH) via e-mail:

"On June 1, 2021 Iowa reported a potential medical event at Spencer Municipal Hospital (License number 0164-1-21-M1) involving Iodine-125 prostate implant seeds. This potential medical event occurred on April 7, 2021 and was discovered by the licensee on May 27, 2021 during their post procedure review. This event was reported to the State on May 28, 2021 and Iowa Department of Public Health (IDPH) Radioactive Materials Program (RAM) staff became aware of the event on June 1, 2021 after the long Memorial Day weekend.

"IDPH RAM staff conducted a reactive inspection at Spencer Municipal Hospital on June 3, 2021 to interview staff involved in the prostate treatment therapy procedure. IDPH staff determined that all seventy-one Iodine-125 seeds were implanted in the correct location of the prostate based on the treatment pre-plan and that when the post procedure CT scan was evaluated it was determined that sixteen seeds had migrated outside of the target volume. Therefore, this does not meet the definition of a reportable medical event per Iowa Administrative Code 641-38.2(136C).

"IDPH program staff had a meeting with NRC Region III staff (Darren Piccirillo and Geoff Warren) via Microsoft Teams on Monday, June 7, 2021 to discuss this potential medical event. Region III staff agreed with IDPH that this seed migration is not a reportable medical event.

"Therefore Iowa is retracting event number 55286 (IA210002)."

Notified R3DO (Kunowski) and NMSS Event Notifications (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.


Power Reactor
Event Number: 55295
Facility: Comanche Peak
Region: 4     State: TX
Unit: [2] [] []
RX Type: [1] W-4-LP,[2] W-4-LP
NRC Notified By: Kris Brigman
HQ OPS Officer: Howie Crouch
Notification Date: 06/07/2021
Notification Time: 18:31 [ET]
Event Date: 06/07/2021
Event Time: 15:27 [CDT]
Last Update Date: 06/07/2021
Emergency Class: Non Emergency
10 CFR Section:
50.72(b)(2)(iv)(B) - RPS Actuation - Critical
50.72(b)(3)(iv)(A) - Valid Specif Sys Actuation
Person (Organization):
DRAKE, JAMES (R4)
Power Reactor Unit Info
Unit SCRAM Code RX Crit Initial PWR Initial RX Mode Current PWR Current RX Mode
2 A/R Y 100 Power Operation 0 Hot Standby
Event Text
EN Revision Imported Date: 6/9/2021

EN Revision Text: AUTOMATIC REACTOR TRIP ON TURBINE TRIP DUE TO FAULT AND FIRE IN THE MAIN TRANSFORMER

"At 1527 (Central Standard Time) Unit 2 Reactor tripped caused by a turbine trip due to a fault and fire on Unit 2 Main Transformer #1. All Aux Feedwater Pumps started due to steam generator Lo-Lo levels.

"Unit 2 is being maintained in Hot Standby (Mode 3) in accordance with Integrated Plant Operating Procedure IPO-007B. The Emergency Response Guideline Network has been exited. Decay heat is being rejected to the Main Condenser via the steam dump valves.

"Fire was extinguished at 1546 without offsite assistance. No major injuries reported and no personnel transported offsite for medical attention. Cause of the fault and fire are under investigation.

"NRC Resident Inspector has been notified."

All rods inserted into the core during the trip. There were no relief valves or safety valves lifted during the transient. The plant is stable in its normal shutdown electrical lineup via the auxiliary transformer with all safety equipment available. Unit 1 was not affected by the transient.


Power Reactor
Event Number: 55297
Facility: Summer
Region: 2     State: SC
Unit: [1] [] []
RX Type: [1] W-3-LP,[2] W-AP1000,[3] W-AP1000
NRC Notified By: Tracey Stewart
HQ OPS Officer: Brian P. Smith
Notification Date: 06/08/2021
Notification Time: 08:37 [ET]
Event Date: 06/07/2021
Event Time: 10:27 [EDT]
Last Update Date: 06/08/2021
Emergency Class: Non Emergency
10 CFR Section:
26.719 - Fitness For Duty
Person (Organization):
MILLER, MARK (R2)
FFD GROUP, (EMAIL)
Power Reactor Unit Info
Unit SCRAM Code RX Crit Initial PWR Initial RX Mode Current PWR Current RX Mode
1 N Y 100 Power Operation 100 Power Operation
Event Text
EN Revision Imported Date: 6/9/2021

EN Revision Text: FAILED FITNESS FOR DUTY TEST

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

The NRC Resident Inspector has been notified.