Event Notification Report for December 08, 2023
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
12/07/2023 - 12/08/2023 
Part 21
        Event Number: 56821
        
                      Rep Org: Curtiss Wright Flow Control Co.
Licensee:
Region: 4
City: Brea State: CA
County:
License #:
Agreement: Y
Docket:
NRC Notified By: Loretta Anaya
HQ OPS Officer: Lawrence Criscione
        Licensee:
Region: 4
City: Brea State: CA
County:
License #:
Agreement: Y
Docket:
NRC Notified By: Loretta Anaya
HQ OPS Officer: Lawrence Criscione
          Notification Date: 10/27/2023
Notification Time: 20:57 [ET]
Event Date: 08/30/2023
Event Time: 00:00 [PDT]
Last Update Date: 12/07/2023
        Notification Time: 20:57 [ET]
Event Date: 08/30/2023
Event Time: 00:00 [PDT]
Last Update Date: 12/07/2023
          Emergency Class: Non Emergency
10 CFR Section:
21.21(a)(2) - Interim Eval Of Deviation
        10 CFR Section:
21.21(a)(2) - Interim Eval Of Deviation
          Person (Organization):
Deese, Rick (R4DO)
Part 21/50.55 Reactors, - (EMAIL)
                                                
      Deese, Rick (R4DO)
Part 21/50.55 Reactors, - (EMAIL)
        EN Revision Imported Date: 12/8/2023
EN Revision Text: PART 21 - INCONSISTENT POTENTIOMETER RESISTANCE VALUES
The following is a synopsis of information that was provided by Curtiss-Wright via fax:
On August 30, 2023, Enertech (a division of Curtiss-Wright) determined a potential defect for potentiometer part number D2060S based on the inspection of a returned items from Korea Hydro and Electro Power in Korea. A number of returned potentiometers exhibited inconsistent resistance values at certain stroke positions. The potentiometers are used in modulating actuators.
A shorter wiper was used in the manufacture of the potentiometers that introduced the possibility of intermittent separation between the wiper (sliding contact) and the coil at certain stroke positions, resulting in momentary signal interruptions.
The evaluation at Enertech is also ongoing regarding the potential effects of wiper separation on the functionality of the modulating actuator and will not be completed within 60 days. The expected date of completion is December 20, 2023.
South Texas Project Electric Generating Station (Operator: STP Nuclear Operating Company) purchased defective modulating actuators on four occasions.
Questions should be directed to Loretta Anaya, Quality Assurance Manager, Enertech, at 714-982-1856.
Known potentially affected plant(s): South Texas Project
* * * UPDATE ON 12/7 AT 1807 EST FROM SANDRA VALDIVIA TO ERNEST WEST * * *
Enertech has completed their evaluation of the deviation described in their interim report submitted on 27 October, 2023, and concluded that the deviation does not potentially create a substantial safety hazard.
Notified R4DO (Dixon) and Part 21 Group (Email)
      EN Revision Text: PART 21 - INCONSISTENT POTENTIOMETER RESISTANCE VALUES
The following is a synopsis of information that was provided by Curtiss-Wright via fax:
On August 30, 2023, Enertech (a division of Curtiss-Wright) determined a potential defect for potentiometer part number D2060S based on the inspection of a returned items from Korea Hydro and Electro Power in Korea. A number of returned potentiometers exhibited inconsistent resistance values at certain stroke positions. The potentiometers are used in modulating actuators.
A shorter wiper was used in the manufacture of the potentiometers that introduced the possibility of intermittent separation between the wiper (sliding contact) and the coil at certain stroke positions, resulting in momentary signal interruptions.
The evaluation at Enertech is also ongoing regarding the potential effects of wiper separation on the functionality of the modulating actuator and will not be completed within 60 days. The expected date of completion is December 20, 2023.
South Texas Project Electric Generating Station (Operator: STP Nuclear Operating Company) purchased defective modulating actuators on four occasions.
Questions should be directed to Loretta Anaya, Quality Assurance Manager, Enertech, at 714-982-1856.
Known potentially affected plant(s): South Texas Project
* * * UPDATE ON 12/7 AT 1807 EST FROM SANDRA VALDIVIA TO ERNEST WEST * * *
Enertech has completed their evaluation of the deviation described in their interim report submitted on 27 October, 2023, and concluded that the deviation does not potentially create a substantial safety hazard.
Notified R4DO (Dixon) and Part 21 Group (Email)
Agreement State
        Event Number: 56876
        
                      Rep Org: Arizona Dept of Health Services
Licensee: Banner University MC - Tucson
Region: 4
City: Tucson State: AZ
County:
License #: 10-044
Agreement: Y
Docket:
NRC Notified By: Brian Goretzki
HQ OPS Officer: Thomas Herrity
        Licensee: Banner University MC - Tucson
Region: 4
City: Tucson State: AZ
County:
License #: 10-044
Agreement: Y
Docket:
NRC Notified By: Brian Goretzki
HQ OPS Officer: Thomas Herrity
          Notification Date: 11/29/2023
Notification Time: 11:45 [ET]
Event Date: 11/28/2023
Event Time: 00:00 [MST]
Last Update Date: 11/30/2023
        Notification Time: 11:45 [ET]
Event Date: 11/28/2023
Event Time: 00:00 [MST]
Last Update Date: 11/30/2023
          Emergency Class: Non Emergency
10 CFR Section:
Agreement State
        10 CFR Section:
Agreement State
          Person (Organization):
Taylor, Nick (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
                                                
      Taylor, Nick (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
        AGREEMENT STATE REPORT - Y-90 UNDERDOSE
The following information was received from the Arizona Department of Health Services (the Department) via email:
"On November 29, 2023, the Department received notification from the licensee about a medical event involving Y-90 TheraSpheres that occurred on 11/28/2023. A patient was prescribed a dose of 1.766 GBq, but was delivered 1.019 GBq. The dose delivered was 57.7 percent of the prescribed dose. The Department has requested additional information and continues to investigate the event."
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 information was received from the Arizona Department of Health Services (the Department) via email:
"On November 29, 2023, the Department received notification from the licensee about a medical event involving Y-90 TheraSpheres that occurred on 11/28/2023. A patient was prescribed a dose of 1.766 GBq, but was delivered 1.019 GBq. The dose delivered was 57.7 percent of the prescribed dose. The Department has requested additional information and continues to investigate the event."
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.
Part 21
        Event Number: 56882
        
                      Rep Org: Tioga Pipe Inc.
Licensee:
Region: 1
City: Easton State: PA
County:
License #:
Agreement: Y
Docket:
NRC Notified By: Bryan Nichols
HQ OPS Officer: Kerby Scales
        Licensee:
Region: 1
City: Easton State: PA
County:
License #:
Agreement: Y
Docket:
NRC Notified By: Bryan Nichols
HQ OPS Officer: Kerby Scales
          Notification Date: 12/08/2023
Notification Time: 16:47 [ET]
Event Date: 11/15/2023
Event Time: 00:00 [EST]
Last Update Date: 12/08/2023
        Notification Time: 16:47 [ET]
Event Date: 11/15/2023
Event Time: 00:00 [EST]
Last Update Date: 12/08/2023
          Emergency Class: Non Emergency
10 CFR Section:
21.21(a)(2) - Interim Eval Of Deviation
        10 CFR Section:
21.21(a)(2) - Interim Eval Of Deviation
          Person (Organization):
Miller, Mark (R2DO)
Part 21/50.55 Reactors, - (EMAIL)
                                                
      Miller, Mark (R2DO)
Part 21/50.55 Reactors, - (EMAIL)
        PART 21 - INTERIM REPORT FOR BUTTWELD 90 DEGREE ELBOWS
The following is a synopsis of information that was provided by Tioga Pipe Incorporated via fax:
On November 15, 2023, nine pieces of one-inch buttweld long radius 90 degree elbows were determined not to meet correct thickness requirements. Three of the nine fittings were installed in the plant. The supplier requested that the uninstalled material be quarantined and tagged as nonconforming. The supplier doesn't know where the fittings were installed in the plant.
Brunswick Nuclear Generating Station is the only plant affected.
For questions concerning this 10 CFR 21 issue, please contact:
Bryan Nichols
Director of Quality Assurance
Tioga Pipe Incorporated
(484) 546-5613
bnichols@tiogapipe.com
      The following is a synopsis of information that was provided by Tioga Pipe Incorporated via fax:
On November 15, 2023, nine pieces of one-inch buttweld long radius 90 degree elbows were determined not to meet correct thickness requirements. Three of the nine fittings were installed in the plant. The supplier requested that the uninstalled material be quarantined and tagged as nonconforming. The supplier doesn't know where the fittings were installed in the plant.
Brunswick Nuclear Generating Station is the only plant affected.
For questions concerning this 10 CFR 21 issue, please contact:
Bryan Nichols
Director of Quality Assurance
Tioga Pipe Incorporated
(484) 546-5613
bnichols@tiogapipe.com
 
        