Event Notification Report for January 04, 2022

EN Revision Imported Date: 1/4/2022

EN Revision Text: AGREEMENT STATE REPORT - LOST SOURCE

The following information from the New York State Department of Health was received via email:

"The New York State Department of Health (NYSDOH) conducted a routine inspection of an x-ray registrant on October 15, 2021, where the inspector was made aware that the registrant, M & M Environmental Corporation rented an XRF Lead-in- Paint Analyzer containing 5 mCi of Cobalt-57 (Viken Pb200i; S/N 1173) without possessing a New York State Department of Health Radioactive Materials License, thereby violating the requirements in 10 NYCRR 16.100.

"Geotech Environmental Equipment, Inc. provided M & M Environmental Corporation with the rental XRF in question. M & M Environmental did apply for a New York State Radioactive Materials License in August 2021, but the license was not yet approved due to failure to respond to NYSDOH's request for additional information and still not issued to date under Licensing Action No. 2021-0557.

"The Radiation Safety Officer for M & M Environmental Corporation also mentioned on September 25, 2021, the rental XRF was reported as stolen/lost in the 42nd Street Station of New York City. This was reported to NYCPD [(New York City Police Department)]. The XRF device is still missing to date. A formal written report to NYSDOH is also pending to date in accordance with 10 NYCRR 16.15(a)(2).

"NYSDOH will continue to monitor this incident under NYSDOH Incident No. 1367. The applicant will be providing additional information on the event, corrective actions, and steps to prevent recurrence in the future. Subsequently, NYSDOH is working with Washington State Department of Health regarding the involvement of Geotech Environmental Equipment, Inc. in this incident and to identify other potential recipients in New York State that received an XRF device without a specific license in violation of 10 NYCRR 16.100."

New York Incident No.: NY-21-03


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 Imported Date: 1/4/2022

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

The following was received from the state of Nebraska via email:

"During annual inventory, it was noticed by Siouxland Ethanol that one device was missing. The device was not scheduled to be removed or replaced. Part of the mounting hardware and a small portion of the sign casing remained, but the rest of the sign was no longer intact or accounted for. [An employee] checked with maintenance who reported that they had not removed the sign and offered that by the look of what was left it looked like it may have been hit by an implement and the remainder cleaned up by staff not knowing it contained radioactive material. The sign is presumed to have been thrown away in the trash and taken to the landfill. It will be replaced with an LED. No further follow-up is needed. We spoke to them about the need for these signs to be properly disposed of as quite a few in their inventory are nearing the end of their useful life and directed them to where they could find disposal instructions."

Nebraska Item Number: NE210005


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 Imported Date: 1/4/2022

EN Revision Text: AGREEMENT STATE REPORT - UNDERDOSING OF PATIENT WITH YTTRIUM-90 MICROSPHERES

The following was received from the state of Washington via email.

"The patient was scheduled to receive three doses of yttrium-90 microspheres [to the liver], but only the first two doses were successfully administered. However, it appears that only five percent of the final dose was administered, and the rest was caught up in the tubing from the vial. The exact radiation dose administered is not known at this time. The licensee will investigate this event further and provide a written report."

Washington State Incident Number: WA-21-027

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.

AUTOMATIC REACTOR TRIP DUE TO LOSS OF ELECTRICAL LOAD

The following information was provided by the licensee via email:

"At 1223 [EST] on 01/03/2022, Calvert Cliffs Unit 2 automatically tripped from 100 percent power due to loss of electrical load. The cause is under investigation.

"The site Senior Resident Inspector has been notified."

The following additional information was obtained from the licensee in accordance with Headquarters Operations Officers Report Guidance:

All rods inserted and decay heat is being removed via the condenser. The plant is in a normal shutdown electrical lineup. There was no impact on Unit 1.

FAILED FITNESS-FOR-DUTY TEST

The following information was provided by the licensee via email:

"On January 3, 2022, a Licensed Reactor Operator violated the station's Fitness for Duty policy. The employee's unescorted access to Limerick Generating Station has been terminated in accordance with station procedures. The event was determined to be reportable under 10 CFR 26.719(b)(2)(ii).

"The NRC Resident Inspector has been notified."