Event Notification Report for March 11, 2022

U.S. Nuclear Regulatory Commission
Operations Center

EVENT REPORTS FOR
03/10/2022 - 03/11/2022

EVENT NUMBERS
55763 55766 55775 55780
Agreement State
Event Number: 55763
Rep Org: Iowa Department of Public Health
Licensee: Arconic Davenport, LLC
Region: 3
City: Bettendoff   State: IA
County:
License #: 0162182FG
Agreement: Y
Docket:
NRC Notified By: Dahlin Randal
HQ OPS Officer: Karen Cotton-Gross
Notification Date: 03/03/2022
Notification Time: 09:57 [ET]
Event Date: 03/02/2022
Event Time: 00:00 [CST]
Last Update Date: 03/03/2022
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
Person (Organization):
Feliz-Adorno, Nestor (R3)
NMSS_Events_Notification, (EMAIL)
Event Text
EN Revision Imported Date: 3/11/2022

EN Revision Text: AGREEMENT STATE REPORT - STUCK SHUTTER GAUGE
The following information was provided by the Iowa Department of Public Health via email:

"A stuck shutter was discovered Wednesday, March 2nd on the B-gauge, shutter 1. Entry to the gauge house has been prohibited per protocol. Measurements indicate an increase dose rate relative to background at the south side adjacent to the gauge and shutter 1 position, with a maximum reading of 0.11 mR/hr. The licensee's service provider, SenTek, has been requested to perform emergency repair work. The B-Gauge was repaired last night around 1900 CST. The shutter failed to close due to the solenoid valve that opens and closes the shutter, which would not vent pressure. The failed solenoid valve was replaced by a new valve. The project to replace these gauges with x-ray technology is ongoing and on track to be replaced by first quarter, 2023."

"Source/Radioactive Material: SEALED SOURCE GAUGE
Manufacturer: Isotope Measuring Systems, Inc.
Model Number: NOT KNOWN IAEA Category: 3
Serial Number: 2332-2336L
Radionuclide: AM-241
Activity: 5 Ci (185 GBq)"

Iowa Event Number: IA220001


Agreement State
Event Number: 55766
Rep Org: PA Bureau of Radiation Protection
Licensee: Reading Hospital
Region: 1
City: Reading   State: PA
County:
License #: PA-0023
Agreement: Y
Docket:
NRC Notified By: John Chippo
HQ OPS Officer: Thomas Herrity
Notification Date: 03/04/2022
Notification Time: 11:23 [ET]
Event Date: 03/03/2022
Event Time: 00:00 [EST]
Last Update Date: 03/04/2022
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
Person (Organization):
Lilliendahl, Jon (R1)
NMSS_Events_Notification, (EMAIL)
Event Text
EN Revision Imported Date: 3/11/2022

EN Revision Text: AGREEMENT STATE - UNDERDOSE
The following was received from the Commonwealth of Pennsylvania, Department of Environmental Protection (DEP) via e-mail:

"On March 3, 2022 a patient was receiving a Lutetium-177 (Lutatherar) treatment. During treatment, the vial lost pressure resulting in the inability to deliver the majority of the dose to the patient. Remedial measures were attempted, such as Dermabond and the addition of air, however, the procedure still could not continue, and it was terminated. No contamination was found outside of the delivery box. The prescribed dose was 200 milliCuries and it is estimated that the patient received 1.4 milliCuries. An investigation into the cause of the event is underway by the licensee. No adverse effects to the patient are noted at this time and the patient and prescribing physician have been informed. The DEP will update this event as soon as more information is provided."

PA Event Report ID No: PA220009

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: 55775
Facility: Davis Besse
Region: 3     State: OH
Unit: [1] [] []
RX Type: [1] B&W-R-LP
NRC Notified By: Robert Oesterle
HQ OPS Officer: Donald Norwood
Notification Date: 03/09/2022
Notification Time: 00:47 [ET]
Event Date: 03/08/2022
Event Time: 19:19 [EST]
Last Update Date: 03/09/2022
Emergency Class: Non Emergency
10 CFR Section:
26.719 - Fitness For Duty
Person (Organization):
Hanna, John (R3DO)
FFD Group, (EMAIL)
Power Reactor Unit Info
Unit SCRAM Code RX Crit Initial PWR Initial RX Mode Current PWR Current RX Mode
1 N N 0 Refueling 0 Refueling
Event Text
EN Revision Imported Date: 3/11/2022

EN Revision Text: FITNESS-FOR-DUTY REPORT - CONTRACT SUPERVISOR FAILED FITNESS-FOR-DUTY TEST

The following information was provided by the licensee via phone and email:

A non-licensed, contract employee supervisor had a confirmed positive for alcohol during a follow-up fitness-for-duty test. The employee's access to the plant has been terminated.

The NRC Resident Inspector has been notified.


Power Reactor
Event Number: 55780
Facility: Brunswick
Region: 2     State: NC
Unit: [2] [] []
RX Type: [1] GE-4,[2] GE-4
NRC Notified By: Jason Krupp
HQ OPS Officer: Dan Livermore
Notification Date: 03/09/2022
Notification Time: 23:20 [ET]
Event Date: 03/09/2022
Event Time: 20:13 [EST]
Last Update Date: 03/09/2022
Emergency Class: Non Emergency
10 CFR Section:
50.72(b)(3)(v)(D) - Accident Mitigation
Person (Organization):
Miller, Mark (R2DO)
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: 3/11/2022

EN Revision Text: HIGH PRESSURE COOLANT INJECTION (HPCI) INOPERABLE

The following information was provided by the licensee:

"At 2013 EST on March 9, 2022, the HPCI System was declared inoperable following evaluation of routine HPCI surveillance testing data indicating that the required response time for reaching rated conditions was not met. Therefore, this condition is being reported as an eight-hour, non-emergency notification per 10 CFR 50.72(b)(3)(v)(D). The Reactor Core Isolation Cooling (RCIC) System and Automatic Depressurization System (ADS) are operable.

"There was no impact on the health and safety of the public or plant personnel. Investigation is in-progress to determine the cause.

"Unit 1 is not affected by this event. Unit 1 is in a refueling outage.

"The NRC Resident Inspector has been notified."