Event Notification Report for June 10, 2021
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
06/09/2021 - 06/10/2021
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: 06/09/2021
Notification Time: 14:31 [ET]
Event Date: 05/26/2021
Event Time: 00:00 [EDT]
Last Update Date: 06/09/2021
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: 6/10/2021
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.
* * * UPDATE FROM TRAVIS CARTOSKI TO DONALD NORWOOD AT 1512 EDT ON 6/9/2021 * * *
The following information was received via E-mail from the North Carolina Division of Health Service Regulation:
"Corrective Actions: Procedure Revision."
The North Carolina Division of Health Service Regulation has completed their investigation and considers the event closed.
Notified R1DO (Ferdas) and the NMSS Events Notification E-mail group.
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.
* * * UPDATE FROM TRAVIS CARTOSKI TO DONALD NORWOOD AT 1512 EDT ON 6/9/2021 * * *
The following information was received via E-mail from the North Carolina Division of Health Service Regulation:
"Corrective Actions: Procedure Revision."
The North Carolina Division of Health Service Regulation has completed their investigation and considers the event closed.
Notified R1DO (Ferdas) and the NMSS Events Notification E-mail group.
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
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
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
10 CFR Section:
26.719 - Fitness For Duty
Person (Organization):
MILLER, MARK (R2)
FFD GROUP, (EMAIL)
MILLER, MARK (R2)
FFD GROUP, (EMAIL)
| Unit | SCRAM Code | RX Crit | Initial PWR | Initial RX Mode | Current PWR | Current RX Mode |
|---|---|---|---|---|---|---|
| 1 | N | Y | 100 | Power Operation | 100 | Power Operation |
EN Revision Imported Date: 6/10/2021
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.
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.
Power Reactor
Event Number: 55299
Facility: Surry
Region: 2 State: VA
Unit: [1] [2] []
RX Type: [1] W-3-LP,[2] W-3-LP
NRC Notified By: Alan Bialowas
HQ OPS Officer: Donald Norwood
Region: 2 State: VA
Unit: [1] [2] []
RX Type: [1] W-3-LP,[2] W-3-LP
NRC Notified By: Alan Bialowas
HQ OPS Officer: Donald Norwood
Notification Date: 06/09/2021
Notification Time: 15:02 [ET]
Event Date: 06/09/2021
Event Time: 11:15 [EDT]
Last Update Date: 06/09/2021
Notification Time: 15:02 [ET]
Event Date: 06/09/2021
Event Time: 11:15 [EDT]
Last Update Date: 06/09/2021
Emergency Class: Non Emergency
10 CFR Section:
50.72(b)(2)(xi) - Offsite Notification 50.72(b)(3)(xiii) - Loss Comm/Asmt/Response
10 CFR Section:
50.72(b)(2)(xi) - Offsite Notification 50.72(b)(3)(xiii) - Loss Comm/Asmt/Response
Person (Organization):
MILLER, MARK (R2)
MILLER, MARK (R2)
| Unit | SCRAM Code | RX Crit | Initial PWR | Initial RX Mode | Current PWR | Current RX Mode |
|---|---|---|---|---|---|---|
| 1 | N | Y | 100 | Power Operation | 100 | Power Operation |
| 2 | N | Y | 100 | Power Operation | 100 | Power Operation |
EN Revision Imported Date: 6/11/2021
EN Revision Text: LOSS OF CAPABILITY TO ACTIVATE EMERGENCY SIRENS AND OFFSITE NOTIFICATION OF SAME
"At 1115 EDT on June 9, 2021, during a siren activation test, a loss of the capability to activate the sirens from both Surry local activation sites was identified. The Virginia EOC was participating in the activation test and is aware of the issue and notified the local government authorities in the Surry EPZ of the situation. The NRC Resident has been notified of this issue.
"The station telecommunications department has been contacted and is aware of the issue. In the event that a radiological emergency should occur at the Surry Power Station, Primary Route Alerting procedures will be put in use by the local jurisdictions.
"This report is being made in accordance with 10 CFR 50.72(b)(2)(xi) and 10 CFR 50.72(b)(3)(xiii) due to notification of other state and local government agencies of the failure of the Alert & Notification system for Surry."
EN Revision Text: LOSS OF CAPABILITY TO ACTIVATE EMERGENCY SIRENS AND OFFSITE NOTIFICATION OF SAME
"At 1115 EDT on June 9, 2021, during a siren activation test, a loss of the capability to activate the sirens from both Surry local activation sites was identified. The Virginia EOC was participating in the activation test and is aware of the issue and notified the local government authorities in the Surry EPZ of the situation. The NRC Resident has been notified of this issue.
"The station telecommunications department has been contacted and is aware of the issue. In the event that a radiological emergency should occur at the Surry Power Station, Primary Route Alerting procedures will be put in use by the local jurisdictions.
"This report is being made in accordance with 10 CFR 50.72(b)(2)(xi) and 10 CFR 50.72(b)(3)(xiii) due to notification of other state and local government agencies of the failure of the Alert & Notification system for Surry."
Agreement State
Event Number: 55289
Rep Org: TEXAS DEPT OF STATE HEALTH SERVICES
Licensee: Tampco
Region: 4
City: Dallas State: TX
County:
License #: L 02152
Agreement: Y
Docket:
NRC Notified By: Randall Redd
HQ OPS Officer: Thomas Herrity
Licensee: Tampco
Region: 4
City: Dallas State: TX
County:
License #: L 02152
Agreement: Y
Docket:
NRC Notified By: Randall Redd
HQ OPS Officer: Thomas Herrity
Notification Date: 06/04/2021
Notification Time: 16:52 [ET]
Event Date: 04/21/2021
Event Time: 00:00 [CDT]
Last Update Date: 06/04/2021
Notification Time: 16:52 [ET]
Event Date: 04/21/2021
Event Time: 00:00 [CDT]
Last Update Date: 06/04/2021
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
GROOM, JEREMY (R4)
NMSS_EVENTS_NOTIFICATION, (EMAIL)
GROOM, JEREMY (R4)
NMSS_EVENTS_NOTIFICATION, (EMAIL)
EN Revision Imported Date: 6/11/2021
EN Revision Text: AGREEMENT STATE REPORT - MALFUNCTIONING GAUGE
The following was received from the State of Texas, Department of State Health Services (the Agency) via email:
"On April 21, 2021 a Licensee found that the count rate for one of their gauges was the same with shielding present and not present. The count rate was consistent with previous count rates with the shielding present. The Licensee shut down the device and called for service and repair who replaced two items resulting in the device working properly again. The Licensee then sent a letter dated May 2, 2021 to the Agency who received/stamped it on May 10, 2021. The letter was eventually passed to Randall Redd of the Investigations group on June 4, 2021. The letter provided a serial number for something. The Licensee was contacted on June 4, 2021 multiple times but I was unable to get any further information as multiple people are not in the office but on vacation. One person was able to give me the license number for the Licensee but when they looked at the serial number in the report it did not match any of the devices on their inventory. A meeting is set up for late Monday [June 7, 2021] to get this information. Additional information will be provided in accordance with SA-300."
Texas Event Report Number: 55289
EN Revision Text: AGREEMENT STATE REPORT - MALFUNCTIONING GAUGE
The following was received from the State of Texas, Department of State Health Services (the Agency) via email:
"On April 21, 2021 a Licensee found that the count rate for one of their gauges was the same with shielding present and not present. The count rate was consistent with previous count rates with the shielding present. The Licensee shut down the device and called for service and repair who replaced two items resulting in the device working properly again. The Licensee then sent a letter dated May 2, 2021 to the Agency who received/stamped it on May 10, 2021. The letter was eventually passed to Randall Redd of the Investigations group on June 4, 2021. The letter provided a serial number for something. The Licensee was contacted on June 4, 2021 multiple times but I was unable to get any further information as multiple people are not in the office but on vacation. One person was able to give me the license number for the Licensee but when they looked at the serial number in the report it did not match any of the devices on their inventory. A meeting is set up for late Monday [June 7, 2021] to get this information. Additional information will be provided in accordance with SA-300."
Texas Event Report Number: 55289
Agreement State
Event Number: 55290
Rep Org: ILLINOIS EMERGENCY MGMT. AGENCY
Licensee: Rush University Hospital
Region: 3
City: Chicago State: IL
County:
License #: IL-01766-01
Agreement: Y
Docket:
NRC Notified By: Robin Muzzalupo
HQ OPS Officer: Thomas Herrity
Licensee: Rush University Hospital
Region: 3
City: Chicago State: IL
County:
License #: IL-01766-01
Agreement: Y
Docket:
NRC Notified By: Robin Muzzalupo
HQ OPS Officer: Thomas Herrity
Notification Date: 06/04/2021
Notification Time: 16:43 [ET]
Event Date: 06/03/2021
Event Time: 00:00 [CDT]
Last Update Date: 06/04/2021
Notification Time: 16:43 [ET]
Event Date: 06/03/2021
Event Time: 00:00 [CDT]
Last Update Date: 06/04/2021
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
DICKSON, BILLY (R3)
NMSS_EVENTS_NOTIFICATION, (EMAIL)
DICKSON, BILLY (R3)
NMSS_EVENTS_NOTIFICATION, (EMAIL)
EN Revision Imported Date: 6/11/2021
EN Revision Text: AGREEMENT STATE REPORT - MEDICAL EVENT
The following was received from the Radioactive Materials Inspection & Enforcement, of the Illinois Emergency Management Agency (the Agency) via email:
"Rush University Medical Center in Chicago, IL-01766-01, contacted the Agency the afternoon of June 4, 2021, to report a medical underdose of Y-90 that occurred on June 3, 2021. Although information provided was preliminary, no untoward medical impact is expected to the patient.
"The Radiation Safety Officer for the licensee, contacted the Agency at 10:05 on June 4, 2021, to report a patient scheduled to receive Y-90 microsphere therapy (Theraspheres) received only 75 percent of the dose prescribed in the written directive. The Agency understands this to be one of two fractions delivered. Additional data is forthcoming.
"Reportedly, the underdose was due to a pinch clamp that was remaining on the infusion line during administration. It was noticed after the authorized user felt more pressure than normal when pushing the syringe, and stopped. The clamp was removed, and the authorized user completed the administration. No personnel or area contamination occurred.
"The system was flushed five times to ensure no microspheres were caught in the tubing of the kit. Images of the waste container were taken immediately after the event, showing the remaining microspheres were contained in the inlet and outlet lines. Following the manufacturer's procedures, the license determined the patient only received 21.62 mCi of the intended 28.86 mCi. The licensee believes that it was still a clinically effective dose.
"Agency staff are evaluating, and this report will be updated as information becomes available."
Illinois Item Number: IL210017
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 Radioactive Materials Inspection & Enforcement, of the Illinois Emergency Management Agency (the Agency) via email:
"Rush University Medical Center in Chicago, IL-01766-01, contacted the Agency the afternoon of June 4, 2021, to report a medical underdose of Y-90 that occurred on June 3, 2021. Although information provided was preliminary, no untoward medical impact is expected to the patient.
"The Radiation Safety Officer for the licensee, contacted the Agency at 10:05 on June 4, 2021, to report a patient scheduled to receive Y-90 microsphere therapy (Theraspheres) received only 75 percent of the dose prescribed in the written directive. The Agency understands this to be one of two fractions delivered. Additional data is forthcoming.
"Reportedly, the underdose was due to a pinch clamp that was remaining on the infusion line during administration. It was noticed after the authorized user felt more pressure than normal when pushing the syringe, and stopped. The clamp was removed, and the authorized user completed the administration. No personnel or area contamination occurred.
"The system was flushed five times to ensure no microspheres were caught in the tubing of the kit. Images of the waste container were taken immediately after the event, showing the remaining microspheres were contained in the inlet and outlet lines. Following the manufacturer's procedures, the license determined the patient only received 21.62 mCi of the intended 28.86 mCi. The licensee believes that it was still a clinically effective dose.
"Agency staff are evaluating, and this report will be updated as information becomes available."
Illinois Item Number: IL210017
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: 55291
Rep Org: WISCONSIN RADIATION PROTECTION
Licensee: RAM Services, Inc.
Region: 3
City: Two Rivers State: WI
County:
License #: 071-1234-01
Agreement: Y
Docket:
NRC Notified By: Megan Shober
HQ OPS Officer: Bethany Cecere
Licensee: RAM Services, Inc.
Region: 3
City: Two Rivers State: WI
County:
License #: 071-1234-01
Agreement: Y
Docket:
NRC Notified By: Megan Shober
HQ OPS Officer: Bethany Cecere
Notification Date: 06/04/2021
Notification Time: 16:47 [ET]
Event Date: 06/04/2021
Event Time: 00:00 [CDT]
Last Update Date: 06/04/2021
Notification Time: 16:47 [ET]
Event Date: 06/04/2021
Event Time: 00:00 [CDT]
Last Update Date: 06/04/2021
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
DICKSON, BILLY (R3)
ILTAB, (EMAIL)
NMSS_EVENTS_NOTIFICATION, (EMAIL)
CNSC (CANADA), - (EMAIL)
DICKSON, BILLY (R3)
ILTAB, (EMAIL)
NMSS_EVENTS_NOTIFICATION, (EMAIL)
CNSC (CANADA), - (EMAIL)
EN Revision Imported Date: 6/11/2021
EN Revision Text: AGREEMENT STATE REPORT - MISSING RADIOACTIVE MATERIAL SHIPMENT
The following report from the state of Wisconsin was received by email:
"On June 4, 2021 the licensee reported to the Department [of Health Services] that a package containing 25 Curies of Cs-137 had been shipped from Wisconsin on April 16, 2021 and did not arrive at its destination in California. The last known location of the package was in Chicago, Illinois on April 22, 2021. The licensee is following up with the common carrier, but to date the package has not been located."
WI Event Report ID No.: WI210004
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 - MISSING RADIOACTIVE MATERIAL SHIPMENT
The following report from the state of Wisconsin was received by email:
"On June 4, 2021 the licensee reported to the Department [of Health Services] that a package containing 25 Curies of Cs-137 had been shipped from Wisconsin on April 16, 2021 and did not arrive at its destination in California. The last known location of the package was in Chicago, Illinois on April 22, 2021. The licensee is following up with the common carrier, but to date the package has not been located."
WI Event Report ID No.: WI210004
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
Agreement State
Event Number: 55292
Rep Org: UTAH DIVISION OF RADIATION CONTROL
Licensee: Kennecott Utah Copper, LLC
Region: 4
City: South Jordan State: UT
County:
License #: UT1800289
Agreement: Y
Docket:
NRC Notified By: Gwyn Galloway
HQ OPS Officer: Bethany Cecere
Licensee: Kennecott Utah Copper, LLC
Region: 4
City: South Jordan State: UT
County:
License #: UT1800289
Agreement: Y
Docket:
NRC Notified By: Gwyn Galloway
HQ OPS Officer: Bethany Cecere
Notification Date: 06/04/2021
Notification Time: 19:03 [ET]
Event Date: 06/03/2021
Event Time: 00:00 [MDT]
Last Update Date: 06/04/2021
Notification Time: 19:03 [ET]
Event Date: 06/03/2021
Event Time: 00:00 [MDT]
Last Update Date: 06/04/2021
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
GROOM, JEREMY (R4)
ILTAB, (EMAIL)
NMSS_EVENTS_NOTIFICATION, (EMAIL)
GROOM, JEREMY (R4)
ILTAB, (EMAIL)
NMSS_EVENTS_NOTIFICATION, (EMAIL)
EN Revision Imported Date: 6/11/2021
EN Revision Text: AGREEMENT STATE REPORT - MISSING FIXED GAUGING DEVICE
The following information from the state of Utah was received by email:
"The Utah Division of Waste Management and Radiation Control (DWMRC) was notified by the licensee that a fixed gauge was missing on 06/04/2021 at approximately 1430 MST.
"The licensee was reconfiguring a portion of their facility and had relocated a number of gauges from one location to another location in their operations for use at the new location. One of the fixed gauging devices, a Thermo Fisher, model 5202, serial number B3339, containing 500 milliCuries of cesium-137 (Cs-137) would not fit at the new location. The fixed gauge was supposed to be removed from the hopper where it was located and placed in storage for future use. For some reason, this removal did not occur. The fixed gauge was left in place and had not been moved to a secured storage location. The shutter on the gauge was locked in the closed position.
"Yesterday afternoon (06/03/2021), the Radiation Safety Officer (RSO) was notified that the structure that the gauge had been located on had been demolished and the whereabouts of the gauge was not known. All of the materials from the demolition of the structure are still located in the area and are on the licensee's property. The licensee's staff began looking for the device. At about 1000 to 1100 MST this morning (06/04/2021), the licensee indicated that they had verified which gauge was missing and that it could not be located. The RSO began notifying all of the company personnel he is to notify when this occurs. The RSO thought he had 24 hours to report the gauge as missing to the DWMRC instead of the immediate notification that was required and did not immediately notify the DWMRC.
"At this point, the licensee is continuing to search through the demolished parts of the structure for the gauge and will continue to do so. The materials from the demolition are not to be relocated or removed from the licensee's property until a through search of all of the materials can be made or the device is located. The DWMRC will conduct an on-site investigation of this issue."
UT Event Report ID No.: UT-21-0001
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 FIXED GAUGING DEVICE
The following information from the state of Utah was received by email:
"The Utah Division of Waste Management and Radiation Control (DWMRC) was notified by the licensee that a fixed gauge was missing on 06/04/2021 at approximately 1430 MST.
"The licensee was reconfiguring a portion of their facility and had relocated a number of gauges from one location to another location in their operations for use at the new location. One of the fixed gauging devices, a Thermo Fisher, model 5202, serial number B3339, containing 500 milliCuries of cesium-137 (Cs-137) would not fit at the new location. The fixed gauge was supposed to be removed from the hopper where it was located and placed in storage for future use. For some reason, this removal did not occur. The fixed gauge was left in place and had not been moved to a secured storage location. The shutter on the gauge was locked in the closed position.
"Yesterday afternoon (06/03/2021), the Radiation Safety Officer (RSO) was notified that the structure that the gauge had been located on had been demolished and the whereabouts of the gauge was not known. All of the materials from the demolition of the structure are still located in the area and are on the licensee's property. The licensee's staff began looking for the device. At about 1000 to 1100 MST this morning (06/04/2021), the licensee indicated that they had verified which gauge was missing and that it could not be located. The RSO began notifying all of the company personnel he is to notify when this occurs. The RSO thought he had 24 hours to report the gauge as missing to the DWMRC instead of the immediate notification that was required and did not immediately notify the DWMRC.
"At this point, the licensee is continuing to search through the demolished parts of the structure for the gauge and will continue to do so. The materials from the demolition are not to be relocated or removed from the licensee's property until a through search of all of the materials can be made or the device is located. The DWMRC will conduct an on-site investigation of this issue."
UT Event Report ID No.: UT-21-0001
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
Part 21
Event Number: 55300
Rep Org: Paragon Energy Solutions
Licensee: Paragon Energy Solutions
Region: 4
City: Ft. Worth State: TX
County:
License #:
Agreement: Y
Docket:
NRC Notified By: Tracy Bolt
HQ OPS Officer: Donald Norwood
Licensee: Paragon Energy Solutions
Region: 4
City: Ft. Worth State: TX
County:
License #:
Agreement: Y
Docket:
NRC Notified By: Tracy Bolt
HQ OPS Officer: Donald Norwood
Notification Date: 06/10/2021
Notification Time: 15:56 [ET]
Event Date: 06/08/2021
Event Time: 00:00 [CDT]
Last Update Date: 06/10/2021
Notification Time: 15:56 [ET]
Event Date: 06/08/2021
Event Time: 00:00 [CDT]
Last Update Date: 06/10/2021
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):
DRAKE, JAMES (R4)
MILLER, MARK (R2DO)
PART 21/50.55 REACTORS, - (EMAIL)
DRAKE, JAMES (R4)
MILLER, MARK (R2DO)
PART 21/50.55 REACTORS, - (EMAIL)
PART 21 INITIAL REPORT - DEVIATION IDENTIFIED IN BOLTING UTILIZED TO MAINTAIN SEISMIC QUALIFICATION:
"Pursuant to 10 CFR 21.21 (d)(3)(i), Paragon Energy Solutions is providing initial notification of the identification of a deviation.
"Condition that requires evaluation:
"NLI 280-ton Custom Chillers, Serial Numbers XHX-0001A / XHX-0001B / XHX-0001C. The Chillers were originally supplied by Nuclear Logistics under PO: NU-02SR726683 in 2010.
"The original seismic qualification was questioned by plant personnel related to the size of the bolting utilized for the diagonal cross braces on the two lower chiller frames. Paragon performed a review and additional analysis of the original qualification report. It was confirmed that the bolting which was utilized to install the pinned diagonal braces on the condenser and compressor frame sections does not have a sufficient load bearing capacity to support the application loading during a seismic event.
"The upset and emergency loading for the diagonal brace is 5.59 kip and 8.59 kip, respectively. Compared to the load capacity of 2.32 kip and 3.09 kip for upset and emergency, respectively, for the 3/8" bolt in single-shear configuration with threads included in the shear plane.
"This condition does not affect normal operation of the chiller. However, this deviation has the potential to impact the ability to maintain structural integrity during a seismic event.
"Date of Discovery: 6/8/2021
"Formal notification will be submitted on or before 7/8/2021.
"Paragon contact: Tracy Bolt, Chief Nuclear Officer, Paragon Energy Solutions, 817-284-0077, tbolt@paragones.com."
This equipment was supplied to V.C. Summer Nuclear Station.
"Pursuant to 10 CFR 21.21 (d)(3)(i), Paragon Energy Solutions is providing initial notification of the identification of a deviation.
"Condition that requires evaluation:
"NLI 280-ton Custom Chillers, Serial Numbers XHX-0001A / XHX-0001B / XHX-0001C. The Chillers were originally supplied by Nuclear Logistics under PO: NU-02SR726683 in 2010.
"The original seismic qualification was questioned by plant personnel related to the size of the bolting utilized for the diagonal cross braces on the two lower chiller frames. Paragon performed a review and additional analysis of the original qualification report. It was confirmed that the bolting which was utilized to install the pinned diagonal braces on the condenser and compressor frame sections does not have a sufficient load bearing capacity to support the application loading during a seismic event.
"The upset and emergency loading for the diagonal brace is 5.59 kip and 8.59 kip, respectively. Compared to the load capacity of 2.32 kip and 3.09 kip for upset and emergency, respectively, for the 3/8" bolt in single-shear configuration with threads included in the shear plane.
"This condition does not affect normal operation of the chiller. However, this deviation has the potential to impact the ability to maintain structural integrity during a seismic event.
"Date of Discovery: 6/8/2021
"Formal notification will be submitted on or before 7/8/2021.
"Paragon contact: Tracy Bolt, Chief Nuclear Officer, Paragon Energy Solutions, 817-284-0077, tbolt@paragones.com."
This equipment was supplied to V.C. Summer Nuclear Station.