Event Notification Report for November 14, 2022
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
11/13/2022 - 11/14/2022
Power Reactor
Event Number: 56221
Facility: Oconee
Region: 2 State: SC
Unit: [1] [] []
RX Type: [1] B&W-L-LP,[2] B&W-L-LP,[3] B&W-L-LP
NRC Notified By: Paul Marshall
HQ OPS Officer: Donald Norwood
Region: 2 State: SC
Unit: [1] [] []
RX Type: [1] B&W-L-LP,[2] B&W-L-LP,[3] B&W-L-LP
NRC Notified By: Paul Marshall
HQ OPS Officer: Donald Norwood
Notification Date: 11/14/2022
Notification Time: 13:05 [ET]
Event Date: 11/14/2022
Event Time: 07:30 [EST]
Last Update Date: 11/14/2022
Notification Time: 13:05 [ET]
Event Date: 11/14/2022
Event Time: 07:30 [EST]
Last Update Date: 11/14/2022
Emergency Class: Non Emergency
10 CFR Section:
50.72(b)(3)(ii)(A) - Degraded Condition
10 CFR Section:
50.72(b)(3)(ii)(A) - Degraded Condition
Person (Organization):
Miller, Mark (R2DO)
Miller, Mark (R2DO)
| Unit | SCRAM Code | RX Crit | Initial PWR | Initial RX Mode | Current PWR | Current RX Mode |
|---|---|---|---|---|---|---|
| 1 | N | N | 0 | Refueling | 0 | Refueling |
EN Revision Imported Date: 11/18/2022
EN Revision Text: REACTOR COOLANT SYSTEM (RCS) PRESSURE BOUNDARY DEGRADED
The following information was provided by the licensee via email:
"During a scheduled refueling outage, a walkdown inside containment discovered a small amount of boron on the 1B2 Reactor Coolant Pump (RCP) lower bearing temperature instrument. At 0730 EST on November 14, 2022, with Unit 1 in Mode 6, disassembly of the instrument indicated the source of the boron was from a leak in the thermowell. The thermowell is considered part of the reactor coolant system pressure boundary and as such the condition is reportable. Repairs for the condition are in progress.
"This event is being reported as an eight-hour non-emergency notification per 10 CFR 50.72(b)(3)(ii)(A).
"There was no impact on the health and safety of the public or plant personnel. The NRC Resident Inspector has been notified."
EN Revision Text: REACTOR COOLANT SYSTEM (RCS) PRESSURE BOUNDARY DEGRADED
The following information was provided by the licensee via email:
"During a scheduled refueling outage, a walkdown inside containment discovered a small amount of boron on the 1B2 Reactor Coolant Pump (RCP) lower bearing temperature instrument. At 0730 EST on November 14, 2022, with Unit 1 in Mode 6, disassembly of the instrument indicated the source of the boron was from a leak in the thermowell. The thermowell is considered part of the reactor coolant system pressure boundary and as such the condition is reportable. Repairs for the condition are in progress.
"This event is being reported as an eight-hour non-emergency notification per 10 CFR 50.72(b)(3)(ii)(A).
"There was no impact on the health and safety of the public or plant personnel. The NRC Resident Inspector has been notified."
Agreement State
Event Number: 56223
Rep Org: Ohio Bureau of Radiation Protection
Licensee: Shelly & Sands, Inc.
Region: 3
City: Zanesville State: OH
County:
License #: 31210610005
Agreement: Y
Docket:
NRC Notified By: Michael Snee
HQ OPS Officer: Lloyd Desotell
Licensee: Shelly & Sands, Inc.
Region: 3
City: Zanesville State: OH
County:
License #: 31210610005
Agreement: Y
Docket:
NRC Notified By: Michael Snee
HQ OPS Officer: Lloyd Desotell
Notification Date: 11/15/2022
Notification Time: 10:30 [ET]
Event Date: 11/14/2022
Event Time: 00:00 [EST]
Last Update Date: 11/15/2022
Notification Time: 10:30 [ET]
Event Date: 11/14/2022
Event Time: 00:00 [EST]
Last Update Date: 11/15/2022
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
McCraw, Aaron (R3DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
McCraw, Aaron (R3DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
AGREEMENT STATE REPORT - DAMAGED GAUGE
The following information was provided by the State of Ohio via email:
"The Ohio Department of Health (ODH) received a call on November 14, 2022, concerning a Troxler model 3241-C gauge [100 mCi Am-Be source], that was damaged in a fire at a job site in Wellston (Jackson County). The gauge was stored in a trailer at a temporary asphalt plant. The plant closed last week for the winter and the gauge was going to be removed this week. The fire destroyed the trailer and melted the plastic outer shell of the device. An ODH inspector responded to the site. The source was located under the remains of the trailer but is buried in the ashes from the trailer. The highest dose rate detected was 7mR/hr which indicates that the source is shielded by the lead in the device. A licensed service provider will be on site on November 15, 2022, to retrieve the source and transport it for disposal. The licensee will provide security at the site until the source is removed."
Ohio Item number: OH220011
The following information was provided by the State of Ohio via email:
"The Ohio Department of Health (ODH) received a call on November 14, 2022, concerning a Troxler model 3241-C gauge [100 mCi Am-Be source], that was damaged in a fire at a job site in Wellston (Jackson County). The gauge was stored in a trailer at a temporary asphalt plant. The plant closed last week for the winter and the gauge was going to be removed this week. The fire destroyed the trailer and melted the plastic outer shell of the device. An ODH inspector responded to the site. The source was located under the remains of the trailer but is buried in the ashes from the trailer. The highest dose rate detected was 7mR/hr which indicates that the source is shielded by the lead in the device. A licensed service provider will be on site on November 15, 2022, to retrieve the source and transport it for disposal. The licensee will provide security at the site until the source is removed."
Ohio Item number: OH220011
Agreement State
Event Number: 56224
Rep Org: Tennessee Div of Rad Health
Licensee: Holston Valley Medical Center
Region: 1
City: Kingsport State: TN
County:
License #: R-82031
Agreement: Y
Docket:
NRC Notified By: Andrew Holcomb
HQ OPS Officer: Brian P. Smith
Licensee: Holston Valley Medical Center
Region: 1
City: Kingsport State: TN
County:
License #: R-82031
Agreement: Y
Docket:
NRC Notified By: Andrew Holcomb
HQ OPS Officer: Brian P. Smith
Notification Date: 11/16/2022
Notification Time: 16:02 [ET]
Event Date: 11/14/2022
Event Time: 00:00 [EST]
Last Update Date: 11/16/2022
Notification Time: 16:02 [ET]
Event Date: 11/14/2022
Event Time: 00:00 [EST]
Last Update Date: 11/16/2022
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
Dimitriadis, Anthony (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
Williams, Kevin (NMSS)
Dimitriadis, Anthony (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
Williams, Kevin (NMSS)
AGREEMENT STATE REPORT - WRONG INITIAL DOSE TO PATIENT
The following report was received via email from the Tennessee Division of Radiological Health:
"Medical Physicist for Holston Valley Medical Center reported that a patient was mistakenly given all fractions of a cervical treatment on November 14, 2022. The patient was scheduled for five 600 centigray (cGy) fractions of Ir-192 for a total of 3000 cGy. The medical physicist misread the prescription and gave the full 3000 cGy in the initial dose. As of November 15, 2022, the patient had not been notified. However, the patient will be returning on November 16, 2022, for the next treatment.
"Corrective actions or reports will be updated with a report within 30 days."
Tennessee Event Number: TN-22-069
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.
The following report was received via email from the Tennessee Division of Radiological Health:
"Medical Physicist for Holston Valley Medical Center reported that a patient was mistakenly given all fractions of a cervical treatment on November 14, 2022. The patient was scheduled for five 600 centigray (cGy) fractions of Ir-192 for a total of 3000 cGy. The medical physicist misread the prescription and gave the full 3000 cGy in the initial dose. As of November 15, 2022, the patient had not been notified. However, the patient will be returning on November 16, 2022, for the next treatment.
"Corrective actions or reports will be updated with a report within 30 days."
Tennessee Event Number: TN-22-069
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.
Non-Agreement State
Event Number: 56222
Rep Org: XCEL NDT
Licensee: XCEL NDT
Region: 4
City: Billings State: MT
County:
License #: 15-35544-01
Agreement: N
Docket:
NRC Notified By: Stuart White
HQ OPS Officer: Ian Howard
Licensee: XCEL NDT
Region: 4
City: Billings State: MT
County:
License #: 15-35544-01
Agreement: N
Docket:
NRC Notified By: Stuart White
HQ OPS Officer: Ian Howard
Notification Date: 11/14/2022
Notification Time: 13:09 [ET]
Event Date: 11/14/2022
Event Time: 07:10 [MST]
Last Update Date: 11/14/2022
Notification Time: 13:09 [ET]
Event Date: 11/14/2022
Event Time: 07:10 [MST]
Last Update Date: 11/14/2022
Emergency Class: Non Emergency
10 CFR Section:
20.2201(a)(1)(i) - Lost/Stolen LNM>1000x
10 CFR Section:
20.2201(a)(1)(i) - Lost/Stolen LNM>1000x
Person (Organization):
Gaddy, Vincent (R4DO)
NMSS_Events_Notification, (EMAIL)
Grant, Jeffery (IR)
Gaddy, Vincent (R4DO)
NMSS_Events_Notification, (EMAIL)
Grant, Jeffery (IR)
LOST/RECOVERED RADIOACTIVE SOURCE
The following is a synopsis of information provided by XCEL NDT (the Licensee) via phone call in accordance with Headquarters Operations Officers Report Guidance:
On November 14, 2022, the licensee's corporate Radiation Safety Officer (RSO) received a report of the theft (loss of control) and subsequent recovery of a vehicle that contained a locked and shielded Ir-192 sealed source. The 52.3 Curie Ir-192 sealed source is from an Industrial Radiography Camera. No damage to the source was indicated.
The vehicle was stolen at 0710 MST on November 14, 2022 in Billings, MT and was recovered later the same day at 1023 MST. The RSO was immediately notified. The RSO immediately notified local law enforcement. There is an ongoing police investigation.
THIS MATERIAL EVENT CONTAINS A 'Category 2' LEVEL OF RADIOACTIVE MATERIAL
Category 2 sources, if not safely managed or securely protected, could cause permanent injury to a person who handled them, or were otherwise in contact with them, for a short time (minutes to hours). It could possibly be fatal to be close to this amount of unshielded radioactive material for a period of hours to days. These sources are typically used in practices such as industrial gamma radiography, high dose rate brachytherapy and medium dose rate brachytherapy. For additional information go to http://www-pub.iaea.org/MTCD/publications/PDF/Pub1227_web.pdf
The following is a synopsis of information provided by XCEL NDT (the Licensee) via phone call in accordance with Headquarters Operations Officers Report Guidance:
On November 14, 2022, the licensee's corporate Radiation Safety Officer (RSO) received a report of the theft (loss of control) and subsequent recovery of a vehicle that contained a locked and shielded Ir-192 sealed source. The 52.3 Curie Ir-192 sealed source is from an Industrial Radiography Camera. No damage to the source was indicated.
The vehicle was stolen at 0710 MST on November 14, 2022 in Billings, MT and was recovered later the same day at 1023 MST. The RSO was immediately notified. The RSO immediately notified local law enforcement. There is an ongoing police investigation.
THIS MATERIAL EVENT CONTAINS A 'Category 2' LEVEL OF RADIOACTIVE MATERIAL
Category 2 sources, if not safely managed or securely protected, could cause permanent injury to a person who handled them, or were otherwise in contact with them, for a short time (minutes to hours). It could possibly be fatal to be close to this amount of unshielded radioactive material for a period of hours to days. These sources are typically used in practices such as industrial gamma radiography, high dose rate brachytherapy and medium dose rate brachytherapy. For additional information go to http://www-pub.iaea.org/MTCD/publications/PDF/Pub1227_web.pdf