Event Notification Report for August 31, 2022
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
08/30/2022 - 08/31/2022
Power Reactor
Event Number: 56080
Facility: Fermi
Region: 3 State: MI
Unit: [2] [] []
RX Type: [2] GE-4
NRC Notified By: Levi Smith
HQ OPS Officer: Mike Stafford
Region: 3 State: MI
Unit: [2] [] []
RX Type: [2] GE-4
NRC Notified By: Levi Smith
HQ OPS Officer: Mike Stafford
Notification Date: 08/31/2022
Notification Time: 11:56 [ET]
Event Date: 08/31/2022
Event Time: 00:30 [EDT]
Last Update Date: 02/14/2023
Notification Time: 11:56 [ET]
Event Date: 08/31/2022
Event Time: 00:30 [EDT]
Last Update Date: 02/14/2023
Emergency Class: Non Emergency
10 CFR Section:
26.719 - Fitness For Duty
10 CFR Section:
26.719 - Fitness For Duty
Person (Organization):
Hills, David (R3DO)
FFD Group, (EMAIL)
Hills, David (R3DO)
FFD Group, (EMAIL)
| Unit | SCRAM Code | RX Crit | Initial PWR | Initial RX Mode | Current PWR | Current RX Mode |
|---|---|---|---|---|---|---|
| 2 | N | Y | 100 | Power Operation | 100 | Power Operation |
EN Revision Imported Date: 2/15/2023
EN Revision Text: FITNESS FOR DUTY REPORT
A contract supervisor refused to provide a specimen during a fitness-for-duty test. The employee's access to the plant has been terminated.
The licensee notified the NRC Resident Inspector.
EN Revision Text: FITNESS FOR DUTY REPORT
A contract supervisor refused to provide a specimen during a fitness-for-duty test. The employee's access to the plant has been terminated.
The licensee notified the NRC Resident Inspector.
Agreement State
Event Number: 56083
Rep Org: Illinois Emergency Mgmt. Agency
Licensee: Bard Brachytherapy
Region: 3
City: Carol Stream State: IL
County:
License #: IL-02062
Agreement: Y
Docket:
NRC Notified By: Gary Forsee
HQ OPS Officer: Ian Howard
Licensee: Bard Brachytherapy
Region: 3
City: Carol Stream State: IL
County:
License #: IL-02062
Agreement: Y
Docket:
NRC Notified By: Gary Forsee
HQ OPS Officer: Ian Howard
Notification Date: 09/01/2022
Notification Time: 17:36 [ET]
Event Date: 08/31/2022
Event Time: 00:00 [CDT]
Last Update Date: 09/01/2022
Notification Time: 17:36 [ET]
Event Date: 08/31/2022
Event Time: 00:00 [CDT]
Last Update Date: 09/01/2022
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
Hills, David (R3DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB, (EMAIL)
Hills, David (R3DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB, (EMAIL)
AGREEMENT STATE REPORT - LOST I-125 BRACHYTHERAPY SEEDS
The following information was provided by Illinois Emergency Management Agency, Radioactive Materials Branch (the Agency) via email:
"The Agency received a partial report via email from the licensee on September 1, 2022, indicating the potential loss of two brachytherapy seeds, accounting for a maximum estimated activity of 1.05 millicuries. The licensee has conducted an investigation and although the package appeared undamaged; believes the seeds may have been lost in transit from Atlanta Medical Center in Atlanta, GA. Requests for clarification and the nuclide (either I-125 or Pd-103) have not yet been returned. The amount and form of radioactivity would not be useful for illicit intent and there is no indication of intentional theft or diversion. While incomplete, this incident has the potential to be reportable and will be communicated to the United States Nuclear Regulatory Commission Headquarters Operations Officers today.
"On August 8, 2022, Bard Brachytherapy received a package from the Atlanta Medical Center. The package contained sources that were outside of the primary container and were lodged in the packaging foam. The shipping box looked undamaged from the outside, but three of the four primary containers were loose or open inside. The licensee counted the sources in the package and found 28. The return sticker included in the box from Atlanta Medical Center listed that 30 sources should have been returned. Surveys were conducted of the packaging material, the receiving and returns processing areas, and the path between to verify that the unaccounted-for sources were not in the Illinois facility. The counts were verified with the shipper and the licensee confirms two brachytherapy seeds (likely I-125) were most likely lost in transit."
Illinois Incident Number: IL220031
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
The following information was provided by Illinois Emergency Management Agency, Radioactive Materials Branch (the Agency) via email:
"The Agency received a partial report via email from the licensee on September 1, 2022, indicating the potential loss of two brachytherapy seeds, accounting for a maximum estimated activity of 1.05 millicuries. The licensee has conducted an investigation and although the package appeared undamaged; believes the seeds may have been lost in transit from Atlanta Medical Center in Atlanta, GA. Requests for clarification and the nuclide (either I-125 or Pd-103) have not yet been returned. The amount and form of radioactivity would not be useful for illicit intent and there is no indication of intentional theft or diversion. While incomplete, this incident has the potential to be reportable and will be communicated to the United States Nuclear Regulatory Commission Headquarters Operations Officers today.
"On August 8, 2022, Bard Brachytherapy received a package from the Atlanta Medical Center. The package contained sources that were outside of the primary container and were lodged in the packaging foam. The shipping box looked undamaged from the outside, but three of the four primary containers were loose or open inside. The licensee counted the sources in the package and found 28. The return sticker included in the box from Atlanta Medical Center listed that 30 sources should have been returned. Surveys were conducted of the packaging material, the receiving and returns processing areas, and the path between to verify that the unaccounted-for sources were not in the Illinois facility. The counts were verified with the shipper and the licensee confirms two brachytherapy seeds (likely I-125) were most likely lost in transit."
Illinois Incident Number: IL220031
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: 56084
Rep Org: Colorado Dept of Health
Licensee: CTC-Geotek, Inc.
Region: 4
City: Lakewood State: CO
County: Jefferson
License #: CO 552-01
Agreement: Y
Docket:
NRC Notified By: Will Hageman
HQ OPS Officer: Karen Cotton-Gross
Licensee: CTC-Geotek, Inc.
Region: 4
City: Lakewood State: CO
County: Jefferson
License #: CO 552-01
Agreement: Y
Docket:
NRC Notified By: Will Hageman
HQ OPS Officer: Karen Cotton-Gross
Notification Date: 09/01/2022
Notification Time: 15:19 [ET]
Event Date: 08/31/2022
Event Time: 04:15 [MDT]
Last Update Date: 09/01/2022
Notification Time: 15:19 [ET]
Event Date: 08/31/2022
Event Time: 04:15 [MDT]
Last Update Date: 09/01/2022
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
Josey, Jeffrey (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB, (EMAIL)
Josey, Jeffrey (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB, (EMAIL)
AGREEMENT STATE REPORT - STOLEN PORTABLE GAUGE
The following information was provided by the Colorado Department of Public Health and Environment via email:
"A call was received on 9/1/2022, at approximately 1200 MST from the RSO [Radiation Safety Officer] for CTC-Geotek, Inc. reporting a theft of a portable nuclear gauge, Instrotek model 3430, serial number 32097, containing 10 mCi of Cesium -137 and 40 mCi of Americium - 241:Beryllium. The gauge was stolen from the back of an employee's truck that was parked at their residence. The truck was in the parking lot of their apartment complex. Bolt cutters broke the chains used to secure the gauge transport case to the truck. Local law enforcement was informed."
Colorado Event Report ID No.: CO220030
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
The following information was provided by the Colorado Department of Public Health and Environment via email:
"A call was received on 9/1/2022, at approximately 1200 MST from the RSO [Radiation Safety Officer] for CTC-Geotek, Inc. reporting a theft of a portable nuclear gauge, Instrotek model 3430, serial number 32097, containing 10 mCi of Cesium -137 and 40 mCi of Americium - 241:Beryllium. The gauge was stolen from the back of an employee's truck that was parked at their residence. The truck was in the parking lot of their apartment complex. Bolt cutters broke the chains used to secure the gauge transport case to the truck. Local law enforcement was informed."
Colorado Event Report ID No.: CO220030
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
Part 21
Event Number: 56085
Rep Org: Diversified Machine Components, LLC
Licensee:
Region: 3
City: Brook Park State: OH
County:
License #:
Agreement: Y
Docket:
NRC Notified By: Ronald T. Harris
HQ OPS Officer: Adam Koziol
Licensee:
Region: 3
City: Brook Park State: OH
County:
License #:
Agreement: Y
Docket:
NRC Notified By: Ronald T. Harris
HQ OPS Officer: Adam Koziol
Notification Date: 09/02/2022
Notification Time: 11:20 [ET]
Event Date: 08/31/2022
Event Time: 12:00 [EDT]
Last Update Date: 09/07/2022
Notification Time: 11:20 [ET]
Event Date: 08/31/2022
Event Time: 12:00 [EDT]
Last Update Date: 09/07/2022
Emergency Class: Non Emergency
10 CFR Section:
21.21(d)(3)(i) - Defects And Noncompliance
10 CFR Section:
21.21(d)(3)(i) - Defects And Noncompliance
Person (Organization):
Hills, David (R3DO)
Gray, Mel (R1DO)
Part 21 Materials, - (EMAIL)
Part 21/50.55 Reactors, - (EMAIL)
Hills, David (R3DO)
Gray, Mel (R1DO)
Part 21 Materials, - (EMAIL)
Part 21/50.55 Reactors, - (EMAIL)
EN Revision Imported Date: 9/8/2022
EN Revision Text: PART 21 REPORT - INCORRECT THREAD LENGTH ON LOCKNUTS
The following information was provided by the licensee via email:
"Identification of the manufacturer of the component that contains the defect:
Diversified Machine Components- Howden Part Number 00900490-00114N
LOCKNUT/NYLON
INSERT 1-1/8-12 STL-ZINC NUCLEAR
Howden PO075865
"During assembly of the nuts onto a rotor, Westinghouse stripped a nut. After removal it was discovered that the nut that stripped had a machined bore with incorrect thread length. The nuts supplied on the above purchase order were all supplied from one heat. Diversified Machine Components and Howden have been and continue to be in communication on this matter. The nuts on PO075685 have been returned to Howden for evaluation and remain on hold as nonconforming product.
"Howden issued NCR 3589 for Part Number 00900490-00114N Lock Nut which was received by Diversified Machine on 8/31/22. Howden has also issued Corrective Action request #HACAR336 also received by Diversified Machine on 8/31/22.
"At this time, based on initial evaluations Diversified Machine Components has supplied Howden with a total of five purchase orders which have been identified and submitted to Howden for review. The five purchase orders identified are: 16 Pcs. on PO052609, 16 pcs on PO052645, 16 pcs on PO056804, 16 pcs on PO068879 and 16 pcs on PO075685. The nuts on PO075685 have been segregated and the returned to Howden for evaluation.
"A Nonconformance Report has been issued which describes with as much information as possible to give a clear understanding and description of the nonconforming condition as found. The evaluation of the nonconformance report and the corrective action to be taken shall be completed by authorized personnel at Diversified Machine in a timely manner.
"Diversified Machine shall continue to communicate with Howden as required. If there are any questions pertaining to this communication, please feel free to contact me at 440-942-5701."
* * * UPDATE ON 9/7/2022 AT 1158 EDT FROM ADAM GAUSE TO MICHAEL BLOODGOOD * * *
The following information was provided by Diversified Machine Components via email:
"The basic component that contains the defect is part number 00900490-00114N. The lock nut has been machined with a counterbore removing half of the threads from the nut.
"After removal they discovered the nut that stripped was miss machined and only had threads in less than 1/2 of the bore."
Known affected plants:
Ameren Callaway Plant
ASCO NPP (Howden Customer - Ergytech, Inc.)
Notified R1DO (Defrancisco), R3DO (Orlikowski), R4DO (Pick) and via email: Part 21 Materials and Part 21 Reactors
EN Revision Text: PART 21 REPORT - INCORRECT THREAD LENGTH ON LOCKNUTS
The following information was provided by the licensee via email:
"Identification of the manufacturer of the component that contains the defect:
Diversified Machine Components- Howden Part Number 00900490-00114N
LOCKNUT/NYLON
INSERT 1-1/8-12 STL-ZINC NUCLEAR
Howden PO075865
"During assembly of the nuts onto a rotor, Westinghouse stripped a nut. After removal it was discovered that the nut that stripped had a machined bore with incorrect thread length. The nuts supplied on the above purchase order were all supplied from one heat. Diversified Machine Components and Howden have been and continue to be in communication on this matter. The nuts on PO075685 have been returned to Howden for evaluation and remain on hold as nonconforming product.
"Howden issued NCR 3589 for Part Number 00900490-00114N Lock Nut which was received by Diversified Machine on 8/31/22. Howden has also issued Corrective Action request #HACAR336 also received by Diversified Machine on 8/31/22.
"At this time, based on initial evaluations Diversified Machine Components has supplied Howden with a total of five purchase orders which have been identified and submitted to Howden for review. The five purchase orders identified are: 16 Pcs. on PO052609, 16 pcs on PO052645, 16 pcs on PO056804, 16 pcs on PO068879 and 16 pcs on PO075685. The nuts on PO075685 have been segregated and the returned to Howden for evaluation.
"A Nonconformance Report has been issued which describes with as much information as possible to give a clear understanding and description of the nonconforming condition as found. The evaluation of the nonconformance report and the corrective action to be taken shall be completed by authorized personnel at Diversified Machine in a timely manner.
"Diversified Machine shall continue to communicate with Howden as required. If there are any questions pertaining to this communication, please feel free to contact me at 440-942-5701."
* * * UPDATE ON 9/7/2022 AT 1158 EDT FROM ADAM GAUSE TO MICHAEL BLOODGOOD * * *
The following information was provided by Diversified Machine Components via email:
"The basic component that contains the defect is part number 00900490-00114N. The lock nut has been machined with a counterbore removing half of the threads from the nut.
"After removal they discovered the nut that stripped was miss machined and only had threads in less than 1/2 of the bore."
Known affected plants:
Ameren Callaway Plant
ASCO NPP (Howden Customer - Ergytech, Inc.)
Notified R1DO (Defrancisco), R3DO (Orlikowski), R4DO (Pick) and via email: Part 21 Materials and Part 21 Reactors