Event Notification Report for September 30, 2021
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
09/29/2021 - 09/30/2021
Agreement State
Event Number: 55500
Rep Org: WA OFFICE OF RADIATION PROTECTION
Licensee: Professional Services Industries
Region: 4
City: Walla Walla State: WA
County:
License #: WN-IR021-1
Agreement: Y
Docket:
NRC Notified By: James Killingbeck
HQ OPS Officer: Kerby Scales
Licensee: Professional Services Industries
Region: 4
City: Walla Walla State: WA
County:
License #: WN-IR021-1
Agreement: Y
Docket:
NRC Notified By: James Killingbeck
HQ OPS Officer: Kerby Scales
Notification Date: 09/30/2021
Notification Time: 13:59 [ET]
Event Date: 09/30/2021
Event Time: 05:00 [PDT]
Last Update Date: 09/30/2021
Notification Time: 13:59 [ET]
Event Date: 09/30/2021
Event Time: 05:00 [PDT]
Last Update Date: 09/30/2021
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
PROULX, DAVID (R4)
NMSS_EVENTS_NOTIFICATION, (EMAIL)
ILTAB, (EMAIL)
CNSC (CANADA), - (EMAIL)
PROULX, DAVID (R4)
NMSS_EVENTS_NOTIFICATION, (EMAIL)
ILTAB, (EMAIL)
CNSC (CANADA), - (EMAIL)
EN Revision Imported Date: 10/29/2021
EN Revision Text: AGREEMENT STATE REPORT - STOLE MOISTURE DENSITY GAUGE
The following report was received from the state of Washington via email:
"A pickup truck containing a InstroTek, Inc. Model 3500 Xplorer portable moisture density gauge in the cab was parked overnight at a hotel in Walla Walla, WA. The shipping case was locked and chained to the steering wheel of the pickup truck, and the cab of the pickup truck was locked. During the night, the portable moisture density gauge was stolen. The technician noticed that it was missing at about [0500 PDT]. The theft has been reported to the Walla Walla Police Department."
Gauge Serial Number: 4233
Radionuclides and Activities:
Gamma Source: Cesium-137, 10 millicuries. Source Model Number: Eckert & Ziegler HEG-137. Source Code: HEG-0085. Source Serial Number: BG1234.
Neutron Source: Americium-241:Be, 40 millicuries. Source Model Number: Eckert & Ziegler AM1.N02. Source Code: PHI-0161. Source Serial Number K433/20.
Date of Latest Leak Test of Sealed Sources: February 24, 2021.
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 - STOLE MOISTURE DENSITY GAUGE
The following report was received from the state of Washington via email:
"A pickup truck containing a InstroTek, Inc. Model 3500 Xplorer portable moisture density gauge in the cab was parked overnight at a hotel in Walla Walla, WA. The shipping case was locked and chained to the steering wheel of the pickup truck, and the cab of the pickup truck was locked. During the night, the portable moisture density gauge was stolen. The technician noticed that it was missing at about [0500 PDT]. The theft has been reported to the Walla Walla Police Department."
Gauge Serial Number: 4233
Radionuclides and Activities:
Gamma Source: Cesium-137, 10 millicuries. Source Model Number: Eckert & Ziegler HEG-137. Source Code: HEG-0085. Source Serial Number: BG1234.
Neutron Source: Americium-241:Be, 40 millicuries. Source Model Number: Eckert & Ziegler AM1.N02. Source Code: PHI-0161. Source Serial Number K433/20.
Date of Latest Leak Test of Sealed Sources: February 24, 2021.
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: 55501
Rep Org: VIRGINIA RAD MATERIALS PROGRAM
Licensee: ECS Mid-Atlantic
Region: 1
City: Mechanicsville State: VA
County:
License #: 540-314-9
Agreement: Y
Docket:
NRC Notified By: Sheila Nelson
HQ OPS Officer: Thomas Kendzia
Licensee: ECS Mid-Atlantic
Region: 1
City: Mechanicsville State: VA
County:
License #: 540-314-9
Agreement: Y
Docket:
NRC Notified By: Sheila Nelson
HQ OPS Officer: Thomas Kendzia
Notification Date: 10/01/2021
Notification Time: 08:38 [ET]
Event Date: 09/30/2021
Event Time: 02:55 [EDT]
Last Update Date: 10/01/2021
Notification Time: 08:38 [ET]
Event Date: 09/30/2021
Event Time: 02:55 [EDT]
Last Update Date: 10/01/2021
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
SCHROEDER, DAN (R1)
NMSS_EVENTS_NOTIFICATION, (EMAIL)
SCHROEDER, DAN (R1)
NMSS_EVENTS_NOTIFICATION, (EMAIL)
EN Revision Imported Date: 11/1/2021
EN Revision Text: AGREEMENT STATE REPORT - DAMAGE TO PORTABLE MOISTURE DENSITY GAUGE
The following was received from the Virginia Radioactive Materials Program (VRMP) via email:
"On September 30, 2021 at 1530 EDT, the Virginia Radioactive Materials Program (VRMP) received a report via telephone from the licensee that a portable nuclear moisture/density gauge (Troxler Model 3430, serial number 25698, containing 8 millicuries of Cesium-137 and 40 millicuries of Americium-241/Beryllium) was damaged. It was hit by a compaction vehicle/machine at a temporary jobsite at approx. 1455 on 9/30/2021. The source rod was not out. The gauge housing was damaged but the source appeared to remain intact within the safe position. The licensee's survey of the gauge yielded readings of approx. 2.0 mR/hr at about 6 inches from the gauge. The readings were at or below background (0.02 mR/hr) along a 4 foot radius around the gauge. The gauge was transported to the licensee's office in its transport container. A survey was also performed on the ground and the reading was reported as background. The gauge will be tested for leakage and will be sent to the Troxler Electronics Laboratories for evaluation. The RSO indicated the gauge is not functional. The VRMP is working with the licensee to obtain additional information. This report will be updated once the licensee's investigation is complete."
Event Report ID No.: VA210006
EN Revision Text: AGREEMENT STATE REPORT - DAMAGE TO PORTABLE MOISTURE DENSITY GAUGE
The following was received from the Virginia Radioactive Materials Program (VRMP) via email:
"On September 30, 2021 at 1530 EDT, the Virginia Radioactive Materials Program (VRMP) received a report via telephone from the licensee that a portable nuclear moisture/density gauge (Troxler Model 3430, serial number 25698, containing 8 millicuries of Cesium-137 and 40 millicuries of Americium-241/Beryllium) was damaged. It was hit by a compaction vehicle/machine at a temporary jobsite at approx. 1455 on 9/30/2021. The source rod was not out. The gauge housing was damaged but the source appeared to remain intact within the safe position. The licensee's survey of the gauge yielded readings of approx. 2.0 mR/hr at about 6 inches from the gauge. The readings were at or below background (0.02 mR/hr) along a 4 foot radius around the gauge. The gauge was transported to the licensee's office in its transport container. A survey was also performed on the ground and the reading was reported as background. The gauge will be tested for leakage and will be sent to the Troxler Electronics Laboratories for evaluation. The RSO indicated the gauge is not functional. The VRMP is working with the licensee to obtain additional information. This report will be updated once the licensee's investigation is complete."
Event Report ID No.: VA210006
Agreement State
Event Number: 55502
Rep Org: MISSISSIPPI DIV OF RAD HEALTH
Licensee: Applied Technical Services
Region: 1
City: Mobile State: AL
County:
License #: 1454
Agreement: Y
Docket:
NRC Notified By: Julia McRoberts
HQ OPS Officer: Lloyd Desotell
Licensee: Applied Technical Services
Region: 1
City: Mobile State: AL
County:
License #: 1454
Agreement: Y
Docket:
NRC Notified By: Julia McRoberts
HQ OPS Officer: Lloyd Desotell
Notification Date: 10/01/2021
Notification Time: 23:46 [ET]
Event Date: 09/30/2021
Event Time: 00:00 [CDT]
Last Update Date: 10/09/2021
Notification Time: 23:46 [ET]
Event Date: 09/30/2021
Event Time: 00:00 [CDT]
Last Update Date: 10/09/2021
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
NMSS_EVENTS_NOTIFICATION, (EMAIL)
Erin Carfang (R1DO)
DIXON, JOHN (R4DO)
NMSS_EVENTS_NOTIFICATION, (EMAIL)
Erin Carfang (R1DO)
DIXON, JOHN (R4DO)
EN Revision Imported Date: 11/8/2021
EN Revision Text: AGREEMENT STATE REPORT - UNRETRACTABLE SOURCE
The following was received from the Mississippi Division of Radiological Health via email:
"On 30 September 2021, a Radiography crew was conducting radiography testing of a 12 inch pipe located at Plant Dudley, 308 Moselle Seminary Road, Moselle, Mississippi. During their test, the crew realized the 118 Ci, Ir-192 source (QSA Global, Sentinel, Serial#: 33736M) was not in the camera (QSA Global, Sentinel 880D, Serial#: D6695). The crew notified the Radiation Safety Officer (RSO) at approximately 1300 EDT and he instructed them to cover the collimator with lead shot bags and additional shielding. Upon arrival into the restricted area and [after] four [retrieval] attempts, the RSO discovered the cable behind the connector had separated (130 mR total on [RSO] pocket dosimeter). The collimator was facing down and the source was 90 percent shielded, according to the RSO. The RSO was approximately six inches from the source as he cut away the tube, which lasted for three and half to four minutes (saturated pocket dosimeter and electronic dosimeter read 6 R). During the entirety of the incident, the location was secure and under constant surveillance. Weather in the area was rainy. Upon completion of the source retrieval, the RSO brought the crank/cable to the Applied Technical Services (ATS) Metallurgy Lab to perform a chemistry and forensics investigation. Once the ATS, Inc. investigation is complete, the crank/cable will be sent to QSA Global. Currently, the camera is being stored at the Alabama storage location."
Mississippi Event Number: MS-210002
* * * UPDATE ON 10/09/2021 AT 0132 EDT FROM THE STATE OF MISSISSIPPI (MCROBERTS) TO HOWIE CROUCH* * *
"The RSO sent his dosimetry results to Landauer for immediate processing, and he received the results, Tuesday, October 5, 2021. Please see below:
7/1/2021-9/30/2021:
Collar:
DDE: 1456 mrem
LDE: 1460 mrem
SDE: 1461 mrem
Rt Finger: 10255 mrem
Lt Finger: 35538 mrem
Rt Ankle: 721 mrem
Lt Ankle: 336 mrem
9/1/2021-9/30/2021
Chest:
DDE: 2581 mrem
LDE: 2581 mrem
SDE: 2530 mrem
Quarter 3
Collar and Chest:
DDE: 4040 mrem
LDE: 4045 mrem
SDE: 3995 mrem
Rt Finger: 10255 mrem
Lt Finger: 35538 mrem
Rt Ankle: 721 mrem
Lt Ankle: 336 mrem
Total Year to Date:
Collar and Chest:
DDE: 4045 mrem
LDE: 4052 mrem
SDE: 4015 mrem
Rt Finger: 10255 mrem
Lt Finger: 35538 mrem
Rt Ankle: 721 mrem
Lt Ankle: 336 mrem
"The investigation into this event is ongoing. Information will continue to be provided as it is received according to SA-300."
Notified R1DO (Carfang), R4DO (Dixon) and NMSS Events Resource (email).
EN Revision Text: AGREEMENT STATE REPORT - UNRETRACTABLE SOURCE
The following was received from the Mississippi Division of Radiological Health via email:
"On 30 September 2021, a Radiography crew was conducting radiography testing of a 12 inch pipe located at Plant Dudley, 308 Moselle Seminary Road, Moselle, Mississippi. During their test, the crew realized the 118 Ci, Ir-192 source (QSA Global, Sentinel, Serial#: 33736M) was not in the camera (QSA Global, Sentinel 880D, Serial#: D6695). The crew notified the Radiation Safety Officer (RSO) at approximately 1300 EDT and he instructed them to cover the collimator with lead shot bags and additional shielding. Upon arrival into the restricted area and [after] four [retrieval] attempts, the RSO discovered the cable behind the connector had separated (130 mR total on [RSO] pocket dosimeter). The collimator was facing down and the source was 90 percent shielded, according to the RSO. The RSO was approximately six inches from the source as he cut away the tube, which lasted for three and half to four minutes (saturated pocket dosimeter and electronic dosimeter read 6 R). During the entirety of the incident, the location was secure and under constant surveillance. Weather in the area was rainy. Upon completion of the source retrieval, the RSO brought the crank/cable to the Applied Technical Services (ATS) Metallurgy Lab to perform a chemistry and forensics investigation. Once the ATS, Inc. investigation is complete, the crank/cable will be sent to QSA Global. Currently, the camera is being stored at the Alabama storage location."
Mississippi Event Number: MS-210002
* * * UPDATE ON 10/09/2021 AT 0132 EDT FROM THE STATE OF MISSISSIPPI (MCROBERTS) TO HOWIE CROUCH* * *
"The RSO sent his dosimetry results to Landauer for immediate processing, and he received the results, Tuesday, October 5, 2021. Please see below:
7/1/2021-9/30/2021:
Collar:
DDE: 1456 mrem
LDE: 1460 mrem
SDE: 1461 mrem
Rt Finger: 10255 mrem
Lt Finger: 35538 mrem
Rt Ankle: 721 mrem
Lt Ankle: 336 mrem
9/1/2021-9/30/2021
Chest:
DDE: 2581 mrem
LDE: 2581 mrem
SDE: 2530 mrem
Quarter 3
Collar and Chest:
DDE: 4040 mrem
LDE: 4045 mrem
SDE: 3995 mrem
Rt Finger: 10255 mrem
Lt Finger: 35538 mrem
Rt Ankle: 721 mrem
Lt Ankle: 336 mrem
Total Year to Date:
Collar and Chest:
DDE: 4045 mrem
LDE: 4052 mrem
SDE: 4015 mrem
Rt Finger: 10255 mrem
Lt Finger: 35538 mrem
Rt Ankle: 721 mrem
Lt Ankle: 336 mrem
"The investigation into this event is ongoing. Information will continue to be provided as it is received according to SA-300."
Notified R1DO (Carfang), R4DO (Dixon) and NMSS Events Resource (email).
Hospital
Event Number: 55563
Rep Org: Community Health Network
Licensee: Community Health Network
Region: 3
City: Indianapolis State: IN
County:
License #: 13-06001-01
Agreement: N
Docket:
NRC Notified By: Erin Bell
HQ OPS Officer: Mike Stafford
Licensee: Community Health Network
Region: 3
City: Indianapolis State: IN
County:
License #: 13-06001-01
Agreement: N
Docket:
NRC Notified By: Erin Bell
HQ OPS Officer: Mike Stafford
Notification Date: 11/05/2021
Notification Time: 15:30 [ET]
Event Date: 09/30/2021
Event Time: 00:00 [EDT]
Last Update Date: 11/05/2021
Notification Time: 15:30 [ET]
Event Date: 09/30/2021
Event Time: 00:00 [EDT]
Last Update Date: 11/05/2021
Emergency Class: Non Emergency
10 CFR Section:
35.3047(a) - Embryo/Fetus Dose > 50 Msv
10 CFR Section:
35.3047(a) - Embryo/Fetus Dose > 50 Msv
Person (Organization):
McCraw, Aaron (R3)
NMSS_Events_Notification, (EMAIL)
Rivera-Capella, Gretchen (NMSS DAY)
McCraw, Aaron (R3)
NMSS_Events_Notification, (EMAIL)
Rivera-Capella, Gretchen (NMSS DAY)
EN Revision Imported Date: 12/3/2021
EN Revision Text: DOSE TO AN EMBRYO
The following is a summary of a phone call with Community Health Network:
A patient came in to receive a radiotherapy treatment of 148 mCi I-131 on September 30, 2021. The patient received a negative pregnancy test prior to the treatment. At a later date, the patient realized that she was pregnant and estimated the date of conception to be either September 29, 2021 or October 10, 2021. The radiation safety officer estimated the dose to the embryo to be 394 mSv (39.4 rem) based on a conception date of September 29. The estimated dose to the embryo would be 1.7 mSv (0.17 rem) based on a conception date of October 10. The licensee is reporting this event based on the conception date of September 29 because of the potential for higher dose to the embryo.
EN Revision Text: DOSE TO AN EMBRYO
The following is a summary of a phone call with Community Health Network:
A patient came in to receive a radiotherapy treatment of 148 mCi I-131 on September 30, 2021. The patient received a negative pregnancy test prior to the treatment. At a later date, the patient realized that she was pregnant and estimated the date of conception to be either September 29, 2021 or October 10, 2021. The radiation safety officer estimated the dose to the embryo to be 394 mSv (39.4 rem) based on a conception date of September 29. The estimated dose to the embryo would be 1.7 mSv (0.17 rem) based on a conception date of October 10. The licensee is reporting this event based on the conception date of September 29 because of the potential for higher dose to the embryo.
Power Reactor
Event Number: 55602
Facility: Beaver Valley
Region: 1 State: PA
Unit: [1] [] []
RX Type: [1] W-3-LP,[2] W-3-LP
NRC Notified By: Kent Sloan
HQ OPS Officer: Thomas Kendzia
Region: 1 State: PA
Unit: [1] [] []
RX Type: [1] W-3-LP,[2] W-3-LP
NRC Notified By: Kent Sloan
HQ OPS Officer: Thomas Kendzia
Notification Date: 11/23/2021
Notification Time: 09:10 [ET]
Event Date: 09/30/2021
Event Time: 09:07 [EST]
Last Update Date: 11/23/2021
Notification Time: 09:10 [ET]
Event Date: 09/30/2021
Event Time: 09:07 [EST]
Last Update Date: 11/23/2021
Emergency Class: Non Emergency
10 CFR Section:
50.73(a)(1) - Invalid Specif System Actuation
10 CFR Section:
50.73(a)(1) - Invalid Specif System Actuation
Person (Organization):
Defrancisco, Anne (R1)
Defrancisco, Anne (R1)
| 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: 12/23/2021
EN Revision Text: 60-DAY OPTIONAL TELEPHONIC NOTIFICATION FOR AN INVALID EMERGENCY DIESEL GENERATOR ACTUATION
"This 60-day telephone notification is being made per the reporting requirements specified by 10 CFR 50.73(a)(2)(iv)(A) and 10 CFR 50.73(a)(1) to describe an invalid specific system actuation.
At 0907 [EDT] on September 30, 2021, with Unit 1 in Mode 1, at 100 percent power, an actuation of the 1-1 emergency diesel generator (EDG) occurred during loss of voltage relay functional testing. The 1-1 EDG auto-start was due to human error during performance of the test procedure when the bus 1AE undervoltage signal was improperly defeated and a simulated undervoltage signal was applied. No actual undervoltage condition was present during this event. The 1-1 EDG automatically started as designed when the bus undervoltage signal was received. This was a complete actuation of an EDG to start and come to rated speed, and all affected systems functioned as expected in response to the actuation. Following the actuation, the relays were restored and the 1-1 EDG was shut down in accordance with plant procedures.
"This event is considered an invalid system actuation reportable under 10 CFR 50.73(a)(2)(iv)(A).
"The actuation was not initiated in response to actual plant conditions or parameters and was not a manual initiation. Therefore, in accordance with 10 CFR 50.73(a)(1), this telephone notification is provided within 60 days after discovery of the event instead of submitting a written Licensee Event Report.
"There was no impact on the health and safety of the public or plant personnel. The NRC Resident Inspector has been notified."
EN Revision Text: 60-DAY OPTIONAL TELEPHONIC NOTIFICATION FOR AN INVALID EMERGENCY DIESEL GENERATOR ACTUATION
"This 60-day telephone notification is being made per the reporting requirements specified by 10 CFR 50.73(a)(2)(iv)(A) and 10 CFR 50.73(a)(1) to describe an invalid specific system actuation.
At 0907 [EDT] on September 30, 2021, with Unit 1 in Mode 1, at 100 percent power, an actuation of the 1-1 emergency diesel generator (EDG) occurred during loss of voltage relay functional testing. The 1-1 EDG auto-start was due to human error during performance of the test procedure when the bus 1AE undervoltage signal was improperly defeated and a simulated undervoltage signal was applied. No actual undervoltage condition was present during this event. The 1-1 EDG automatically started as designed when the bus undervoltage signal was received. This was a complete actuation of an EDG to start and come to rated speed, and all affected systems functioned as expected in response to the actuation. Following the actuation, the relays were restored and the 1-1 EDG was shut down in accordance with plant procedures.
"This event is considered an invalid system actuation reportable under 10 CFR 50.73(a)(2)(iv)(A).
"The actuation was not initiated in response to actual plant conditions or parameters and was not a manual initiation. Therefore, in accordance with 10 CFR 50.73(a)(1), this telephone notification is provided within 60 days after discovery of the event instead of submitting a written Licensee Event Report.
"There was no impact on the health and safety of the public or plant personnel. The NRC Resident Inspector has been notified."