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Home NRC Library Document Collections Events, Reports Associated with Event Notification Reports 2022

Event Notification Report for January 05, 2022

U.S. Nuclear Regulatory Commission
Operations Center

EVENT REPORTS FOR
01/04/2022 - 01/05/2022

EVENT NUMBERS
55678 55684 55685 55686
Agreement State
Event Number: 55678
Rep Org: Colorado Dept of Health
Licensee: Saint Mary Corwin Hospital
Region: 4
City: Pueblo   State: CO
County:
License #: CO 235-02
Agreement: Y
Docket:
NRC Notified By: Derek Bailey
HQ OPS Officer: Karen Cotton-Gross
Notification Date: 12/29/2021
Notification Time: 11:34 [ET]
Event Date: 12/20/2021
Event Time: 00:00 [MST]
Last Update Date: 12/29/2021
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
Person (Organization):
Werner, Greg (R4)
NMSS_Events_Notification, (EMAIL)
ILTAB, (EMAIL)
Event Text
EN Revision Imported Date: 1/5/2022

EN Revision Text: AGREEMENT STATE REPORT - MISSING/UNACCOUNTED FOR IODINE-125 SEED

The following was sent by the state of Colorado Health Department (Division) via e-mail:

"On Tuesday December 28, 2021, the Division received an email from St. Mary Corwin Hospital, indicating an unaccounted for iodine-125 seed. The seed was discovered missing on December 20, 2021.

"An internal investigation by St. Mary Corwin Hospital verified that all patients that had an iodine-125 seed implanted had their seeds removed. Additionally, the physics and pathology area and equipment were surveyed by two physicists. The investigation by St. Mary Corwin Hospital concluded the seed was likely disposed of in the municipal waste stream.

"Estimated dose to any worker: St. Mary Corwin Hospital concluded that due to the high likelihood the seed was in a trash bin, no person would've come within a meter of the seed for any extended period. At [when measured by] a meter, any of these seeds would be at or below background, so most likely the exposure to an individual would be indistinguishable from background."

Colorado Event Report No. CO 210046

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.

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: 55684
Facility: Calvert Cliffs
Region: 1     State: MD
Unit: [2] [] []
RX Type: [1] CE,[2] CE
NRC Notified By: Britain Foster
HQ OPS Officer: Lloyd Desotell
Notification Date: 01/03/2022
Notification Time: 15:58 [ET]
Event Date: 01/03/2022
Event Time: 12:23 [EST]
Last Update Date: 01/03/2022
Emergency Class: Non Emergency
10 CFR Section:
50.72(b)(2)(iv)(B) - RPS Actuation - Critical
Person (Organization):
Greives, Jonathan (R1)
Power Reactor Unit Info
Unit SCRAM Code RX Crit Initial PWR Initial RX Mode Current PWR Current RX Mode
2 A/R Y 100 Power Operation 0 Hot Standby
Event Text
EN Revision Imported Date: 1/5/2022

EN Revision Text: 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.


Power Reactor
Event Number: 55685
Facility: Limerick
Region: 1     State: PA
Unit: [1] [2] []
RX Type: [1] GE-4,[2] GE-4
NRC Notified By: Richard Wagner
HQ OPS Officer: Lloyd Desotell
Notification Date: 01/03/2022
Notification Time: 17:01 [ET]
Event Date: 01/03/2022
Event Time: 08:41 [EST]
Last Update Date: 01/03/2022
Emergency Class: Non Emergency
10 CFR Section:
26.719 - Fitness For Duty
Person (Organization):
Greives, Jonathan (R1)
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: 1/5/2022

EN Revision Text: 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."


Fuel Cycle Facility
Event Number: 55686
Facility: Framatome ANP Richland
RX Type: Uranium Fuel Fabrication
Comments: Leu Conversion
Fabrication & Scrap Recovery
Commercial Lwr Fuel
Region: 2
City: Richland   State: WA
County: Benton
License #: SNM-1227
Docket: 07001257
NRC Notified By: Calvin Manning
HQ OPS Officer: Bethany Cecere
Notification Date: 01/04/2022
Notification Time: 10:42 [ET]
Event Date: 01/03/2022
Event Time: 16:15 [PST]
Last Update Date: 01/04/2022
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
OFFSITE NOTIFICATION

The following information was provided by the licensee email:

"RCW 49.17.062 (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.'

"On 1/03/2022, at 1615 PST, the Framatome Horn Rapids Road human resources manager notified Washington State Division of Occupational Safety and Health that the Richland Fuel Fabrication site hit that threshold of 10 COVID-19 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."