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Event Notification Report for December 29, 2021

U.S. Nuclear Regulatory Commission
Operations Center

EVENT REPORTS FOR
12/28/2021 - 12/29/2021

Agreement State
Event Number: 55668
Rep Org: Louisiana DEQ
Licensee: Rubicon, LLC
Region: 4
City: Geismar   State: LA
County:
License #: LA-2232-L01, Amend. No. 47
Agreement: Y
Docket:
NRC Notified By: Russell S. Clark II
HQ OPS Officer: Ossy Font
Notification Date: 12/21/2021
Notification Time: 11:13 [ET]
Event Date: 12/20/2021
Event Time: 13:55 [CST]
Last Update Date: 12/21/2021
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
Person (Organization):
O'Keefe, Neil (R4)
NMSS_Events_Notification, (EMAIL)
Event Text
EN Revision Imported Date: 12/29/2021

EN Revision Text: AGREEMENT STATE REPORT - EQUIPMENT MALFUNCTION

The following was received from the Louisiana Department of Environmental Quality (LDEQ) via e-mail:

"On December 20, 2021, at approximately 1:55 pm, Central Standard Time, [the] Radiation Safety Officer for Rubicon, LLC, notified LDEQ of equipment malfunctions. Three Ohmart Model SH-F1 level/density gauges experienced shutter malfunctions, two installed on a vessel within the MDI-III process unit and one Model SH-F1 gauge installed on a vessel in the MDI-I processing unit. The gauges in the MDI-III unit possess two nominally 20 mCi sealed sources of Cs-137 and the gauge in MDI-I possesses a nominally 70 mCi sealed source of Cs-137. The above gauges were undergoing routine annual shutter tests when the above malfunctions were observed. The first gauge sealed source, 1566CG, installed on October 15, 2001, item 73 on the licensee's source inventory, is mounted on vessel MM-9303 in the MDI-3 unit. The second gauge source, 1567CG, installed on October 15, 2001, item 74 on the licensee's source inventory, is also mounted on vessel MM-9303. The third gauge source, 72930, installed on January 19, 1998, item 38 on the licensee's source inventory, is mounted on the P1 PI scrubber in the MDI-1 unit. [The] Zone Maintenance Coordinator, notified [the RSO] concerning the shearing of screws even with the top of each rotor on the two gauges in the MDI-III unit. [The Zone Maintenance Coordinator] also reported to the RSO that the source holder in the MDI-1 unit experienced a problem with the rotor mechanism not aligning with the shutter handle, which prevented the gauge shutter from closing fully. [The Zone Maintenance Coordinator] learned of the malfunctions during annual inventory work and reported the problem to the RSO on December 16, 2021 at approximately 2:30 pm. The situation with each gauge is under the licensee's control, and there were no exposures to members of the public approaching regulatory limits. Currently, the shutters on gauges, 73, 74, and 38 remain in the open position, as the gauge sources are needed to operate process control equipment. The gauges cannot be locked out in their current state. As a result, no vessel entries will be conducted on either vessel MM-9303 or the P1 PI scrubber vessel until the gauges are repaired by BBP Sales (BBP). Work orders have been written to correct the malfunction of all three devices. The licensee will continue to monitor the gauges and their status of repair. The licensee stated they would keep the LDEQ updated on progress of the repairs."

Louisiana Event Report ID No.: LA 210012


Agreement State
Event Number: 55669
Rep Org: California Radiation Control Prgm
Licensee: Anbessaw Consulting, Inc.
Region: 4
City: Pomona   State: CA
County:
License #: 8357-19
Agreement: Y
Docket:
NRC Notified By: Robert Greger
HQ OPS Officer: Thomas Kendzia
Notification Date: 12/21/2021
Notification Time: 15:01 [ET]
Event Date: 12/21/2021
Event Time: 04:30 [PST]
Last Update Date: 12/21/2021
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
Person (Organization):
O'Keefe, Neil (R4)
NMSS_Events_Notification, (EMAIL)
ILTAB, (EMAIL)
CNSNS (Mexico), - (EMAIL)
Event Text
EN Revision Imported Date: 12/29/2021

EN Revision Text: AGREEMENT STATE REPORT - STOLEN MOSITURE DENSITY GAUGE

The following information was received from the California Department of Public Health, Radiologic Health Branch (RHB) via email:

"On Tuesday, December 21, 2021, Anbessaw Consulting, Inc. RSO [ ] reported the theft of a CPN MC-3 (#M320500859) containing sealed sources of Cs-137 (10 mCi) and Am-241:Be (50 mCi). The theft occurred overnight between Monday and Tuesday 12/20-21/2021 at an authorized gauge user's apartment complex located at 642 Montgomery Circle, Claremont, CA 91711. The AU discovered that his truck was broken into at approximately 0430 PST Tuesday 12/21/21, the truck was parked in a non-covered space in the apartment complex parking area. The AU had returned to his apartment from a jobsite in Glendora at 2100 PST Monday and was scheduled to return to the jobsite early on Tuesday. The CPN nuclear gauge handle was locked to prevent operation, the gauge was locked in its transport case, and the transport case was locked inside the truck cab. Other equipment and personal items were also stolen from the truck. A police report was filed with the Claremont police department (DR# 2103145). The licensee also submitted a reward ad in the local Daily Breeze stolen section which will run from 12/23-29/2021."

CA 5010 Number: 122121

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: 55670
Rep Org: Kansas Dept of Health & Environment
Licensee: Chanute Manufacturing
Region: 4
City: Chanute   State: KS
County:
License #: 21-B189-01
Agreement: Y
Docket:
NRC Notified By: David M Lawrenz
HQ OPS Officer: Mike Stafford
Notification Date: 12/22/2021
Notification Time: 20:52 [ET]
Event Date: 12/22/2021
Event Time: 00:00 [CST]
Last Update Date: 12/22/2021
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
Person (Organization):
O'Keefe, Neil (R4)
NMSS_Events_Notification, (EMAIL)
Event Text
EN Revision Imported Date: 12/30/2021

EN Revision Text: AGREEMENT STATE REPORT - RADIOGRAPHY SOURCE UNABLE TO RETRACT

The following information was received from the state of Kansas via email:

"Initial notification from State of KANSAS that we have a radiography licensee reporting that they have a source that is unable to retract. The licensee is a fixed radiography licensee and the source is exposed inside one of their main shops. The shop is not occupied, their [standard operating procedure] (SOP) is to have radiography work after hours when the work spaces are vacant. The area is secured by the radiographer/[assistant radiation safety officer] (ARSO) and his assistant. It appears the stand the guide tube was on fell [and] it is assumed the tube was damaged by the fallen stand. This is an initial report, more information will follow."

The device contains a 24.8 Ci selenium-75 source.


Power Reactor
Event Number: 55674
Facility: Harris
Region: 2     State: NC
Unit: [1] [] []
RX Type: [1] W-3-LP
NRC Notified By: Lonnie Hickerson
HQ OPS Officer: Kerby Scales
Notification Date: 12/27/2021
Notification Time: 16:49 [ET]
Event Date: 12/22/2021
Event Time: 12:45 [EST]
Last Update Date: 12/29/2021
Emergency Class: Non Emergency
10 CFR Section:
50.72(b)(3)(xiii) - Loss Comm/Asmt/Response
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
Event Text
EN Revision Imported Date: 12/30/2021

EN Revision Text: LOSS OF SIREN SYSTEM

The following information was provided by the licensee via email:

"On December 27, 2021, at 1014 EST, a system error in the site's Alert and Notification Siren System was identified, indicating a loss of the siren system affecting a greater than 25% of the emergency planning zone population. Review of the system's data logger indicates the system error has been present within the system since December 22, 2021, at 1245 EST.

"The fleet's telecommunications department has been contacted and is aware of the issue. In the event that a radiological emergency should occur at the Shearon Harris Nuclear Power Plant, Primary Route Alerting procedures will be put in use by the local jurisdictions.

"This condition is reportable as a Loss of Emergency Preparedness Capabilities per 10 CFR 50.72(b)(3)(xiii).

"The NRC Resident, state and local agencies have been notified."

* * * RETRACTION ON 12/29/21 AT 1630 EST FROM SARAH MCDANIEL TO KAREN COTTON * * *
The following information was provided by the Licensee via email:

"Further troubleshooting efforts identified that the Chatham County EOC Siren Activation Point remained capable of sending an alert signal to the sirens for the duration of the event described above. This ensures siren activation would be performed in a timely manner in the event of a radiological emergency. This Event Notification is therefore retracted, as no loss of emergency preparedness capabilities has occurred."

The NRC Resident and local agencies have been notified.

Notified R2DO (Miller)


Agreement State
Event Number: 55671
Rep Org: Ohio Bureau of Radiation Protection
Licensee: Cardinal Health PET Manufacturing Services
Region: 3
City: Columbus   State: OH
County:
License #: 02511250002
Agreement: Y
Docket:
NRC Notified By: Michael Rubadue
HQ OPS Officer: Bethany Cecere
Notification Date: 12/23/2021
Notification Time: 08:48 [ET]
Event Date: 11/26/2021
Event Time: 09:21 [EST]
Last Update Date: 12/23/2021
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
Person (Organization):
Hills, David (R3)
NMSS_Events_Notification, (EMAIL)
Event Text
EN Revision Imported Date: 12/30/2021

EN Revision Text: AGREEMENT STATE REPORT - WORKER EXTREMITY OVEREXPOSURE

The following was received from the state of Ohio by email:

"On December 16, 2021, the Ohio Department of Health was notified by Cardinal Health 414 LLC PET Manufacturing Services that one of their employees exceeded their extremity dose limits.

"On November 26, 2021 at 0440 EST, an employee of Cardinal Health was synthesizing Fluorine-18 FDG in a mini-cell. The employee heard a sound indicating the conical reservoir cap blew-off during synthesis and opened the door to the mini-cell. He contaminated his gloves, lab coat and pants, which he removed and replaced. He did not contaminate his skin, and the licensee stated surveys were conducted showing the floor was not contaminated as a result of this event.

"The Columbus PET Manufacturing RSO (MRSO) sent the employee's finger rings and TLD to Landauer for processing. The dosimetry is sent in biweekly. For the period of November 15 to November 28, the employee received 208 mRem total DDE to the chest, 58,330 mRem to the left hand, and 6,442 mRem to the right hand.

"On December 9, 2021 the MRSO notified the Corporate RSO of the event and removed the employee from radiation related work."

Ohio Item Number: OH210011


Agreement State
Event Number: 55672
Rep Org: NE Div of Radioactive Materials
Licensee: Aurora Cooperative Ethanol, LLC
Region: 4
City: Aurora   State: NE
County:
License #: GL0704
Agreement: Y
Docket:
NRC Notified By: Deb Wilson
HQ OPS Officer: Caty Nolan
Notification Date: 12/23/2021
Notification Time: 10:05 [ET]
Event Date: 10/11/2021
Event Time: 12:00 [CST]
Last Update Date: 12/23/2021
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
Person (Organization):
O'Keefe, Neil (R4)
ILTAB, (EMAIL)
NMSS_Events_Notification, (EMAIL)
Event Text
EN Revision Imported Date: 12/30/2021

EN Revision Text: AGREEMENT STATE REPORT - LOST TRITIUM EXIT SIGNS

The following information was provided by the Nebraska Department of Health and Human Services via email:

"During annual inventory inspection, two devices were found missing and new non-radioactive exit lights had been installed. Further investigation found that on October 11, 2021, Slater Electric of Grand Island, NE was hired to install the devices. Removal of the tritium [23 curies] devices was not part of the scope of work, but Slater took it upon themselves to remove the old devices and disposed of them in the garbage at their shop in Grand Island, NE which has since went to the landfill. To avoid future instances, Aurora Cooperative discussed with Slater Electric the importance of proper disposal of the signs containing radioactive material and steps to take if hired to do such work again. No further follow up is needed.

"Item Number: NE210004"

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: 55679
Facility: Hatch
Region: 2     State: GA
Unit: [1] [] []
RX Type: [1] GE-4,[2] GE-4
NRC Notified By: Ron Wheeler
HQ OPS Officer: Karen Cotton-Gross
Notification Date: 12/29/2021
Notification Time: 19:16 [ET]
Event Date: 12/29/2021
Event Time: 15:52 [EST]
Last Update Date: 12/29/2021
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):
Miller, Mark (R2)
Power Reactor Unit Info
Unit SCRAM Code RX Crit Initial PWR Initial RX Mode Current PWR Current RX Mode
1 M/R Y 90 Power Operation 0 Hot Standby
Event Text
MANUAL REACTOR TRIP and AUTOMATIC ACTUATION OF CONTAINMENT ISOLATION VALVES

This following information was conveyed by the licensee via phone and email:

"At 1552 EST on 12/29/21, with Unit 1 in Mode 1 at 90 percent power, the reactor was manually tripped due to reactor pressure perturbations. The cause of the reactor pressure perturbations is under investigation. Additionally, closure of [containment isolation valves] CIVs in multiple systems occurred during the trip as a result of reaching the actuation setpoint on reactor water level. The trip was not complex, with all systems responding normally post-trip.

"Operations responded and stabilized the plant. Reactor water level is being maintained via condensate / feedwater. Decay heat is being removed by discharging steam to the main condenser using the turbine bypass valves. Unit 2 is not affected.

"Due to the Reactor Protection System actuation while critical, this event is being reported as a four-hour, non-emergency notification per 10 CFR 50.72(b)(2)(iv)(B). It is also reportable under 10 CFR 50.72(b)(3)(iv)(A) as an event that results in a valid actuation of CIVs.

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