Skip to main content

Event Notification Report for August 20, 2021

U.S. Nuclear Regulatory Commission
Operations Center

EVENT REPORTS FOR
08/19/2021 - 08/20/2021

Agreement State
Event Number: 55404
Rep Org: TENNESSEE DIV OF RAD HEALTH
Licensee: Energy Solutions
Region: 1
City: Oak Ridge   State: TN
County:
License #: R-73016
Agreement: Y
Docket:
NRC Notified By: Andrew Holcomb
HQ OPS Officer: Kerby Scales
Notification Date: 08/12/2021
Notification Time: 14:54 [ET]
Event Date: 08/10/2021
Event Time: 16:00 [EDT]
Last Update Date: 08/12/2021
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
Person (Organization):
WERKHEISER, DAVE (R1)
NMSS_EVENTS_NOTIFICATION, (EMAIL)
Event Text
EN Revision Imported Date: 8/20/2021

EN Revision Text: AGREEMENT STATE REPORT - SAFETY EQUIPMENT FAILS TO FUNCTION

The following report was received from the state of Tennessee via email:

"Power loss site wide at Energy Solutions. Power was restarted by the utility. However, the power at the Radioactive Materials Solutions (RMS) building did not return. As a result, the ventilation system at the RMS building was not functional. The back up generator failed to function under load of ventilation fans. Currently, the RMS building operations have ceased due to loss of power. An area monitor is in place and showing no signs of elevated activity from air monitoring inside of the building. The contractor was contacted to reestablish power to site. Security patrols have been established to monitor quantities of concern. A follow-up report will be submitted to include corrective actions from the licensee."

Tennessee Event Report Number: TN-21-082


Non-Agreement State
Event Number: 55405
Rep Org: U. S. CUSTOMS SERVICE
Licensee: U. S. Customs and Border Patrol
Region: 1
City: Miami   State: FL
County:
License #: 08-17447-01
Agreement: Y
Docket:
NRC Notified By: David Park
HQ OPS Officer: Jeffrey Whited
Notification Date: 08/13/2021
Notification Time: 13:22 [ET]
Event Date: 08/12/2021
Event Time: 09:00 [EDT]
Last Update Date: 08/13/2021
Emergency Class: Non Emergency
10 CFR Section:
20.2201(a)(1)(i) - Lost/Stolen LNM>1000x
Person (Organization):
WERKHEISER, DAVE (R1)
ILTAB, (EMAIL)
NMSS_EVENTS_NOTIFICATION, (EMAIL)
Event Text
EN Revision Imported Date: 8/23/2021

EN Revision Text: STOLEN SOURCE REPORT

The following is a summary of a report by Customs and Border Patrol received via telephone:

Five sources were stolen from the back of a truck while it was parked in a hotel lot in the Miami area, after the lock on the truck was broken. The sources were being transported to calibrate Radiation Portal Monitors at Customs and Border Patrol offices in the Miami area.

The theft was reported to the US NRC Region 1 Office and the Miami-Dade Police Department (report number: PD210812-254442).

Source details: Cf-252, 5.16 microCuries (S/N: N7-402); Co-57, 75.44 microCuries (S/N: 2187-53-6); Co-60, 9.3 microCuries (S/N: 2185-40-6); Ba-133, 6.7 microCuries (S/N: 1794-56-5); and Cs-137, 6.79 microCuries (S/N: 1288-76-5).

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: 55406
Rep Org: ILLINOIS EMERGENCY MGMT. AGENCY
Licensee: Loyola University Medical Center
Region: 3
City: Maywood   State: IL
County:
License #: IL-01131-02
Agreement: Y
Docket:
NRC Notified By: Gary Forsee
HQ OPS Officer: Howie Crouch
Notification Date: 08/13/2021
Notification Time: 16:44 [ET]
Event Date: 08/13/2021
Event Time: 00:00 [CDT]
Last Update Date: 08/13/2021
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
Person (Organization):
SKOKOWSKI, RICHARD (R3)
NMSS_EVENTS_NOTIFICATION, (EMAIL)
Event Text
EN Revision Imported Date: 8/23/2021

EN Revision Text: AGREEMENT STATE REPORT - MEDICAL EVENT
The following information was obtained from the Illinois Emergency Management Agency (the Agency) via email:

"Loyola University Medical Center contacted the Agency this afternoon to report a medical underdose of Lu-177 that occurred today, August 13, 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 approximately 1500 CDT on August 13, 2021, to report that a patient scheduled to receive 200 mCi of Lu-177, Lutathera therapy for neuroendocrine tumors, received only 14 percent of the dose prescribed (28 mCi) in the written directive. The underdosing was intentionally aborted by the authorized user after the patient advised they had received the planned chemotherapy injection the day before, rather than after the radiopharmaceutical administration per procedure. The licensee is investigating root cause. The licensee is calculating organ dose to the kidney, but preliminary estimates are 67 rad. If the dose falls beneath 50 rad, the incident may be retracted. Notification to the patient and the referring physician has been completed. Agency inspectors are awaiting additional information but plan a reactive inspection within 10 days. The reporting requirements for the licensee, as specified in 32 Ill. Adm. Code 335.1080(c) were met, and the licensee is aware of the need for a written report within 15 days. This report will be updated as additional information becomes available."

Illinois NMED Report No.: IL210024

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: 55413
Facility: Beaver Valley
Region: 1     State: PA
Unit: [1] [] []
RX Type: [1] W-3-LP,[2] W-3-LP
NRC Notified By: Robert W. Klindworth
HQ OPS Officer: Howie Crouch
Notification Date: 08/18/2021
Notification Time: 01:07 [ET]
Event Date: 08/18/2021
Event Time: 00:24 [EDT]
Last Update Date: 08/18/2021
Emergency Class: Unusual Event
10 CFR Section:
50.72(a) (1) (i) - Emergency Declared
Person (Organization):
JACKSON, DON (R1)
Andrea Veil (NRR)
David Lew (R1RA)
GOTT, WILLIAM (IR)
Russ Felts (NRR EO)
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: 8/20/2021

EN Revision Text: NOTIFICATION OF UNUSUAL EVENT DECLARED DUE TO FIRE ALARMS IN CABLE TUNNEL

"At 0024 EDT on 8/18/21, an unusual event was declared (EAL HU 4.1) due to receipt of multiple fire alarms and halon discharge in the cable tunnel. At 0036, the fire brigade verified no signs of fire. Unit 1 remained at 100 percent power and stable."

The area is currently being ventilated. Unit 2 was not affected by this event.

The licensee has notified State and local authorities and the NRC Resident Inspector.

R1 Public Affairs (Screnci) was notified.

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

* * * UPDATE FROM ROBERT KLINDWORTH TO HOWIE CROUCH AT 0414 EDT ON 8/18/21 * * *

At 0401 EDT, Beaver Valley terminated their notification of unusual event. The basis for termination was that there was no indication of fire.

The licensee will be notifying the NRC Resident Inspector and has notified State and local authorities.

Notified R1DO (Jackson), IRD MOC (Gott), NRR EO (Felts), DHS SWO, FEMA Operations Center, CISA Central, FEMA NWC (email), DHS Nuclear SSA (email), and FEMA NRCC SASC (email).


Fuel Cycle Facility
Event Number: 55415
Facility: Framatome ANP Richland
Region: 2     State: WA
Unit: [] [] []
RX Type: Uranium Fuel Fabrication
Comments: Leu Conversion
Fabrication & Scrap Recovery
Commercial Lwr Fuel
NRC Notified By: Calvin Manning
HQ OPS Officer: Mike Stafford
Notification Date: 08/18/2021
Notification Time: 12:20 [ET]
Event Date: 08/17/2021
Event Time: 11:00 [PDT]
Last Update Date: 08/18/2021
Emergency Class: Non Emergency
10 CFR Section:
PART 70 APP A (c) - Offsite Notification/News Rel
Person (Organization):
NMSS_EVENTS_NOTIFICATION (EMAIL)
MILLER, MARK (R2DO)
Event Text
EN Revision Imported Date: 8/20/2021

EN Revision Text: CONCURRENT REPORT FOR OFFSITE NOTIFICATION

"RCW 49.17(1)(a) requires an employer report 'within 24 hours.that 10 or more of their employees at the workplace or worksite in this state have tested positive for the infectious or contagious disease that is the subject of the public health emergency, must report the positive tests to the department in a form prescribed by the department.' This is the new Health Emergency Labor Standards Act - HELSA. ESSB 5115.SL

"On 8/17/2021 the Framatome Horn Rapids Road site hit that threshold of 10 COVID positive cases. These cases do not appear to be worker-to-worker transmissions of the virus.

"This notification is being made under the concurrent reporting requirement of 10CFR70 Appendix A concurrent reporting."

NRC Region will be notified.


Power Reactor
Event Number: 55416
Facility: Wolf Creek
Region: 4     State: KS
Unit: [1] [] []
RX Type: [1] W-4-LP
NRC Notified By: Justin Marchant
HQ OPS Officer: Mike Stafford
Notification Date: 08/18/2021
Notification Time: 13:51 [ET]
Event Date: 08/18/2021
Event Time: 10:36 [CDT]
Last Update Date: 08/18/2021
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):
DEESE, RICK (R4)
Power Reactor Unit Info
Unit SCRAM Code RX Crit Initial PWR Initial RX Mode Current PWR Current RX Mode
1 A/R Y 100 Power Operation 0 Hot Standby
Event Text
EN Revision Imported Date: 8/20/2021

EN Revision Text: AUTOMATIC REACTOR TRIP

"At 1036 CDT on 8/18/2021, Wolf Creek experienced a reactor trip due to low level in B Steam Generator. Auxiliary feedwater system actuated as designed. All systems actuated as expected. Decay heat is currently being removed by the auxiliary feedwater system. The NRC Senior Resident Inspector has been informed.

"All control rods fully inserted, and offsite power remained available."


Power Reactor
Event Number: 55418
Facility: Point Beach
Region: 3     State: WI
Unit: [1] [2] []
RX Type: [1] W-2-LP,[2] W-2-LP
NRC Notified By: Travis Nettekoven
HQ OPS Officer: Kerby Scales
Notification Date: 08/19/2021
Notification Time: 18:14 [ET]
Event Date: 08/19/2021
Event Time: 08:42 [CDT]
Last Update Date: 08/19/2021
Emergency Class: Non Emergency
10 CFR Section:
26.719 - Fitness For Duty
Person (Organization):
PETERSON, HIRONORI (R3)
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
2 N Y 100 Power Operation 100 Power Operation
Event Text
EN Revision Imported Date: 8/23/2021

EN Revision Text: PERSONNEL VIOLATED FFD POLICY

A covered employee had a confirmed positive during a for-cause fitness-for-duty test. The employee's access to the plant has been terminated.

The NRC Resident Inspector has been notified.


Agreement State
Event Number: 55407
Rep Org: ARKANSAS DEPARTMENT OF HEALTH
Licensee: Materials Testing
Region: 4
City: Maumelle   State: AR
County:
License #: ARK-0859-03121
Agreement: Y
Docket:
NRC Notified By: Angie Morgan Hill
HQ OPS Officer: Kerby Scales
Notification Date: 08/16/2021
Notification Time: 15:25 [ET]
Event Date: 08/16/2021
Event Time: 09:30 [CDT]
Last Update Date: 08/16/2021
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
Person (Organization):
DEESE, RICK (R4)
NMSS_EVENTS_NOTIFICATION, (EMAIL)
Event Text
EN Revision Imported Date: 8/23/2021

EN Revision Text: AGREEMENT STATE REPORT - DAMAGED TROXLER GAUGE

The following information was obtained from the Arkansas Department of Health (the Department) via email:

"The Agreement State Radioactive Materials Licensee immediately reported to the State of Arkansas, Arkansas Department of Health, at 0930 CDT on August 16, 2021, that a Troxler 3430 (Device SN: 22686; Cs-137 SN: 75-4448; Am-241/Be SN: 47-18528) portable gauge fell off a truck in Maumelle, Arkansas, and the gauge was lost. At 0955 CDT hours on August 16, 2021, a Member of the Public notified the Agreement State Radioactive Materials Program that the Troxler 3430 gauge was found on the road and is being held in the bed of pick-up truck at a local gas station. The Agreement State Radioactive Materials Program personnel and Agreement State Radioactive Materials Licensee met with said Member of the Public for exchange to licensee. The found Troxler 3430 had minor damage by screws being exposed on bottom of the gauge. The sealed sources and gauge appear to remain intact during the Department's inspection. Exposure surveys were performed by the Department with the surface of portable gauge reading 2.5 mR/hr maximum. Leak tests were performed by the Radiation Safety Officer during the Department's event response and inspection.

"Pending outcome of the leak tests by the licensee, it is not expected that the Member of the Public will exceed the dose limits for Individual Members of the Public. The Member of the Public stated he/she only picked-up the gauge to place into the bed of truck."

Arkansas State Event Report ID Number: AR-2021-006


Agreement State
Event Number: 55408
Rep Org: MARYLAND DEPT OF THE ENVIRONMENT
Licensee: 100 Percent Lead Inspections, LLC
Region: 1
City: Baltimore   State: MD
County:
License #: MD-05-244-01
Agreement: Y
Docket:
NRC Notified By: Atnatiwos Meshesha
HQ OPS Officer: Kerby Scales
Notification Date: 08/16/2021
Notification Time: 17:01 [ET]
Event Date: 08/11/2021
Event Time: 16:30 [EDT]
Last Update Date: 08/16/2021
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
Person (Organization):
JACKSON, DON (R1)
NMSS_EVENTS_NOTIFICATION, (EMAIL)
ILTAB, (EMAIL)
Event Text
EN Revision Imported Date: 8/23/2021

EN Revision Text: AGREEMENT STATE REPORT - STOLEN XRF LEAD PAINT ANALYZER

The following was received from the Maryland Department of Environment Radiological Health Program via email:

"On August 11, 2021, at approximately 1630 EDT, the Radiological Safety Officer (RSO) who is the authorized user put down the locked [Lead-Paint Analyzer] (LPA) (XRF case, with the XRF device inside) on the sidewalk next to his vehicle that was parked on the corner of Pennsylvania Avenue and Laurens Street in Baltimore City, Maryland after testing the exterior of a property nearby on Pennsylvania Avenue. The RSO was moving a few items around the trunk of his car to better place a ladder and went to grab the XRF case, it was gone. The RSO made the effort to check for the LPA around the block and asked individuals in the area, but the attempt was unsuccessful.

"On August 12, 2021, at about 1415 EDT the Maryland Department of the Environment Radiological Health Program (MDE/RHP) was contacted via telephone by the RSO of 100 percent Lead Inspections that a portable Lead-Paint Analyzer (LPA) was missing from 100 percent Lead Inspections, LLC (license number MD-05-244-01). The Lead-Paint Analyzer was identified as Viken Detection (formerly known as Heuresis), model pb200i XRF, device serial number 2861 with nominal activities of 6 milliCi of Co-57 source (on 11/15/2020), and source model A3901-02 and source serial number T3-296.

"The event has been later reported to the Baltimore City Police Department, in Baltimore; the Incident Number 1-210803237.

"MDE/RHP will conduct a reactive investigation."



THIS MATERIAL EVENT CONTAINS A 'Less than Cat 3' LEVEL OF RADIOACTIVE MATERIAL

Sources that are "Less than IAEA Category 3 sources," are either sources that are very unlikely to cause permanent injury to individuals or contain a very small amount of radioactive material that would not cause any permanent injury. Some of these sources, such as moisture density gauges or thickness gauges that are Category 4, the amount of unshielded radioactive material, if not safely managed or securely protected, could possibly - although it is unlikely - temporarily injure someone who handled it or were otherwise in contact with it, or who were close to it for a period of many weeks. For additional information go to http://www-pub.iaea.org/MTCD/publications/PDF/Pub1227_web.pdf


Power Reactor
Event Number: 55420
Facility: Hatch
Region: 2     State: GA
Unit: [1] [2] []
RX Type: [1] GE-4,[2] GE-4
NRC Notified By: Kevin Carter
HQ OPS Officer: Thomas Kendzia
Notification Date: 08/20/2021
Notification Time: 12:53 [ET]
Event Date: 08/20/2021
Event Time: 08:43 [EDT]
Last Update Date: 08/20/2021
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
2 N Y 100 Power Operation 100 Power Operation
Event Text
EN Revision Imported Date: 8/23/2021

EN Revision Text: FITNESS FOR DUTY REPORT

A licensed operator failed a pre-access authorization test specified by the FFD testing program test. The employee's access to the plant has been terminated.

The NRC Resident Inspector has been notified.


Power Reactor
Event Number: 55421
Facility: Sequoyah
Region: 2     State: TN
Unit: [1] [2] []
RX Type: [1] W-4-LP,[2] W-4-LP
NRC Notified By: Jeffery Blaine
HQ OPS Officer: Thomas Kendzia
Notification Date: 08/20/2021
Notification Time: 16:00 [ET]
Event Date: 08/20/2021
Event Time: 09:05 [EDT]
Last Update Date: 08/20/2021
Emergency Class: Non Emergency
10 CFR Section:
50.72(b)(3)(v)(C) - Pot Uncntrl Rad Rel 50.72(b)(3)(v)(D) - Accident Mitigation
Person (Organization):
MILLER, MARK (R2)
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
2 N Y 100 Power Operation 100 Power Operation
Event Text
EN Revision Imported Date: 8/23/2021

EN Revision Text: AUXILIARY BUILDING GAS TREATMENT SYSTEMS INOPERABLE

"At 0905 EDT, it was discovered both trains of Auxiliary Building Gas Treatment System (ABGTS) were simultaneously INOPERABLE due to the auxiliary building secondary containment enclosure (ABSCE) being inoperable; therefore, this condition is being reported as an eight-hour, non-emergency notification per 10 CFR 50.72(b)(3)(v).

"There was no impact on the health and safety of the public or plant personnel. The NRC Resident Inspector has been notified."

ABSCE and ABGTS were returned to operable.


Power Reactor
Event Number: 55423
Facility: Fermi
Region: 3     State: MI
Unit: [2] [] []
RX Type: [2] GE-4
NRC Notified By: Whitney Hemingway
HQ OPS Officer: Thomas Kendzia
Notification Date: 08/22/2021
Notification Time: 12:10 [ET]
Event Date: 08/22/2021
Event Time: 05:29 [EDT]
Last Update Date: 08/22/2021
Emergency Class: Non Emergency
10 CFR Section:
50.72(b)(3)(v)(D) - Accident Mitigation
Person (Organization):
PETERSON, HIRONORI (R3)
Power Reactor Unit Info
Unit SCRAM Code RX Crit Initial PWR Initial RX Mode Current PWR Current RX Mode
2 N Y 100 Power Operation 100 Power Operation
Event Text
EN Revision Imported Date: 8/23/2021

EN Revision Text: HPCI DECLARED INOPERABLE

"At 0529 EDT on August 22, 2021, HPCI [(High Pressure Coolant Injection System)] was declared inoperable due to receiving the HPCI Inverter Circuit Failure annunciator. The cause of the annunciator was a fuse failure. The cause of the fuse failure is unknown at this time and is under investigation. Concurrent with the HPCI fuse failure was a similar fuse failure within the Division 2 EDG [(emergency diesel generators)] Load Sequencer which renders the Division 2 EDGs inoperable. Relation to the HPCI issue is unknown and is part of the investigation.

"The RCIC [(Reactor Core Isolation Cooling System)] was verified operable per Tech Spec 3.5.1 E.1. In addition, offsite circuits were verified operable per Tech Spec 3.8.1.B. Division 1 EDGs remain operable.

"This report is being made pursuant to 10CFR50.72(b)(3)(v)(D) based on an unplanned HPCI inoperability.

"There was no impact on the health and safety of the public or plant personnel.

"The Senior NRC Resident Inspector has been notified."