Event Notification Report for April 11, 2025
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
04/10/2025 - 04/11/2025
Fuel Cycle Facility
Event Number: 57644
Facility: American Centrifuge Plant
Region: 2 State: OH
Unit: [] [] []
RX Type: Uranium Enrichment Facility
NRC Notified By: G.S. Bocook
HQ OPS Officer: Sam Colvard
Region: 2 State: OH
Unit: [] [] []
RX Type: Uranium Enrichment Facility
NRC Notified By: G.S. Bocook
HQ OPS Officer: Sam Colvard
Notification Date: 04/03/2025
Notification Time: 19:50 [ET]
Event Date: 04/03/2025
Event Time: 16:36 [EDT]
Last Update Date: 04/03/2025
Notification Time: 19:50 [ET]
Event Date: 04/03/2025
Event Time: 16:36 [EDT]
Last Update Date: 04/03/2025
Emergency Class: Non Emergency
10 CFR Section:
PART 70 APP A (c) - Offsite Notification/News Rel
10 CFR Section:
PART 70 APP A (c) - Offsite Notification/News Rel
Person (Organization):
Pearson, Laura (R2DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
Pearson, Laura (R2DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
CONCURRENT REPORT FOR OFFSITE NOTIFICATION
The following information was provided by the licensee via phone and email:
"Notification per 10 CFR Part 70, Appendix A(c), NRC FCSS ISG-12, Rev 0 (Centrus ACO Procedure ACD2-RG-044, Appendix B, Section N):
"The licensee shall notify the NRC Operations Center of any event or situation: related to the health and safety of the public or onsite personnel, or protection of the environment, for which a news release is planned. Such an event may include an on-site fatality or inadvertent release of radioactively contaminated materials; if a notification to other government agencies has been or will be made, no matter the significance.
"The Ohio EPA [Environmental Protection Agency] will be notified by FBP [Fluor BWXT Portsmouth] Environmental that approximately 500 gallons of sewage had been released to the North Pond or Outfall 013.
"Recommended actions are to install straw bales in the discharge area, to contain and clean the area, and to monitor the North Pond for solids. Sandbags have been placed at the facility exit. Centrus Environmental has also notified Ohio EPA.
"The regulatory manager provided a courtesy notification of this concurrent Ohio EPA reporting to the NRC Region II Senior Inspector and the NRC HQ Senior Program Manager."
Condition Notification Number: 12535
The following information was provided by the licensee via phone and email:
"Notification per 10 CFR Part 70, Appendix A(c), NRC FCSS ISG-12, Rev 0 (Centrus ACO Procedure ACD2-RG-044, Appendix B, Section N):
"The licensee shall notify the NRC Operations Center of any event or situation: related to the health and safety of the public or onsite personnel, or protection of the environment, for which a news release is planned. Such an event may include an on-site fatality or inadvertent release of radioactively contaminated materials; if a notification to other government agencies has been or will be made, no matter the significance.
"The Ohio EPA [Environmental Protection Agency] will be notified by FBP [Fluor BWXT Portsmouth] Environmental that approximately 500 gallons of sewage had been released to the North Pond or Outfall 013.
"Recommended actions are to install straw bales in the discharge area, to contain and clean the area, and to monitor the North Pond for solids. Sandbags have been placed at the facility exit. Centrus Environmental has also notified Ohio EPA.
"The regulatory manager provided a courtesy notification of this concurrent Ohio EPA reporting to the NRC Region II Senior Inspector and the NRC HQ Senior Program Manager."
Condition Notification Number: 12535
Agreement State
Event Number: 57646
Rep Org: Texas Dept of State Health Services
Licensee: High Mountain Inspection
Region: 4
City: Odessa State: TX
County:
License #: L-07197
Agreement: Y
Docket:
NRC Notified By: Bruce Hammond
HQ OPS Officer: Robert A. Thompson
Licensee: High Mountain Inspection
Region: 4
City: Odessa State: TX
County:
License #: L-07197
Agreement: Y
Docket:
NRC Notified By: Bruce Hammond
HQ OPS Officer: Robert A. Thompson
Notification Date: 04/04/2025
Notification Time: 17:10 [ET]
Event Date: 04/04/2025
Event Time: 00:00 [CDT]
Last Update Date: 04/04/2025
Notification Time: 17:10 [ET]
Event Date: 04/04/2025
Event Time: 00:00 [CDT]
Last Update Date: 04/04/2025
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
Agrawal, Ami (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
Agrawal, Ami (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
AGREEMENT STATE REPORT - POTENTIAL OVEREXPOSURE
The following information was provided by the Texas Department of State Health Services (the Department) via phone and email:
"On April 4, 2025, the Department was notified by the licensee of a telephonic overexposure report they received from their dosimetry provider. The licensee radiation safety officer stated the report had one of their employees with an exposure of 7.7 rem for the month of February 2025. The licensee had other readings (pocket dosimeters) that did not match this level of exposure. The licensee removed the employee from the work environment until the dose can be confirmed. The employee affected is an assistant, and neither of the other two radiographers had any exposure near this level. The licensee is still investigating.
"More information will be made available according to SA-300 requirements."
Texas incident number: 10189
NMED number: TX250022
The following information was provided by the Texas Department of State Health Services (the Department) via phone and email:
"On April 4, 2025, the Department was notified by the licensee of a telephonic overexposure report they received from their dosimetry provider. The licensee radiation safety officer stated the report had one of their employees with an exposure of 7.7 rem for the month of February 2025. The licensee had other readings (pocket dosimeters) that did not match this level of exposure. The licensee removed the employee from the work environment until the dose can be confirmed. The employee affected is an assistant, and neither of the other two radiographers had any exposure near this level. The licensee is still investigating.
"More information will be made available according to SA-300 requirements."
Texas incident number: 10189
NMED number: TX250022
Power Reactor
Event Number: 57656
Facility: Palo Verde
Region: 4 State: AZ
Unit: [1] [] []
RX Type: [1] CE,[2] CE,[3] CE
NRC Notified By: Ivory Byers
HQ OPS Officer: Tenisha Meadows
Region: 4 State: AZ
Unit: [1] [] []
RX Type: [1] CE,[2] CE,[3] CE
NRC Notified By: Ivory Byers
HQ OPS Officer: Tenisha Meadows
Notification Date: 04/09/2025
Notification Time: 03:26 [ET]
Event Date: 04/08/2025
Event Time: 19:24 [MST]
Last Update Date: 04/09/2025
Notification Time: 03:26 [ET]
Event Date: 04/08/2025
Event Time: 19:24 [MST]
Last Update Date: 04/09/2025
Emergency Class: Non Emergency
10 CFR Section:
50.72(b)(3)(iv)(A) - Valid Specif Sys Actuation
10 CFR Section:
50.72(b)(3)(iv)(A) - Valid Specif Sys Actuation
Person (Organization):
Vossmar, Patricia (R4DO)
Vossmar, Patricia (R4DO)
Unit | SCRAM Code | RX Crit | Initial PWR | Initial RX Mode | Current PWR | Current RX Mode |
---|---|---|---|---|---|---|
1 | N | N | 0 | 0 |
VALID ACTUATION OF EMERGENCY AC ELECTRICAL POWER SYSTEMS
The following information was provided by the licensee via phone and email:
"At 1924 MST on April 8, 2025, a loss of power (LOP) occurred to 'Train-A' 4.16 kV class 1E electrical bus while re-energizing 'Train-A' balance of plant (BOP) engineered safety features actuation system (ESFAS) from pre-planned maintenance. The LOP occurred when the circuit breaker supplying off-site power to the 'Train-A' 4.16 kV class 1E bus tripped when 'Train-A' BOP ESFAS system was re-energized. Operators restored power to 'Train-A' 4.16 kV class 1E bus with 'EDG-A' [emergency diesel generator for 'Train-A'] at 1934 MST. Operators restored all necessary plant loads which had lost power. Per the Palo Verde emergency plan, no emergency classification was required.
"At the time of the LOP, the reactor was defueled with the core offloaded to the spent fuel pool.
"Unit 2 and Unit 3 are not impacted by this event and remain in mode 1, 100 percent power.
"The cause of the circuit breaker supplying off-site power to the 'Train-A' 4.16 kV class 1E bus tripping is under investigation. NRC Resident Inspector has been notified.
"This event is being reported in accordance with 10 CFR 50.72(b)(3)(iv)(A) as an event that resulted in a valid actuation of emergency AC electrical power systems."
The following information was provided by the licensee via phone and email:
"At 1924 MST on April 8, 2025, a loss of power (LOP) occurred to 'Train-A' 4.16 kV class 1E electrical bus while re-energizing 'Train-A' balance of plant (BOP) engineered safety features actuation system (ESFAS) from pre-planned maintenance. The LOP occurred when the circuit breaker supplying off-site power to the 'Train-A' 4.16 kV class 1E bus tripped when 'Train-A' BOP ESFAS system was re-energized. Operators restored power to 'Train-A' 4.16 kV class 1E bus with 'EDG-A' [emergency diesel generator for 'Train-A'] at 1934 MST. Operators restored all necessary plant loads which had lost power. Per the Palo Verde emergency plan, no emergency classification was required.
"At the time of the LOP, the reactor was defueled with the core offloaded to the spent fuel pool.
"Unit 2 and Unit 3 are not impacted by this event and remain in mode 1, 100 percent power.
"The cause of the circuit breaker supplying off-site power to the 'Train-A' 4.16 kV class 1E bus tripping is under investigation. NRC Resident Inspector has been notified.
"This event is being reported in accordance with 10 CFR 50.72(b)(3)(iv)(A) as an event that resulted in a valid actuation of emergency AC electrical power systems."
Power Reactor
Event Number: 57658
Facility: River Bend
Region: 4 State: LA
Unit: [1] [] []
RX Type: [1] GE-6
NRC Notified By: Darren Farthing
HQ OPS Officer: Karen Cotton-Gross
Region: 4 State: LA
Unit: [1] [] []
RX Type: [1] GE-6
NRC Notified By: Darren Farthing
HQ OPS Officer: Karen Cotton-Gross
Notification Date: 04/09/2025
Notification Time: 10:29 [ET]
Event Date: 04/08/2025
Event Time: 13:33 [CDT]
Last Update Date: 04/09/2025
Notification Time: 10:29 [ET]
Event Date: 04/08/2025
Event Time: 13:33 [CDT]
Last Update Date: 04/09/2025
Emergency Class: Non Emergency
10 CFR Section:
26.719 - Fitness For Duty
10 CFR Section:
26.719 - Fitness For Duty
Person (Organization):
Vossmar, Patricia (R4DO)
FFD Group, (EMAIL)
Vossmar, Patricia (R4DO)
FFD Group, (EMAIL)
Unit | SCRAM Code | RX Crit | Initial PWR | Initial RX Mode | Current PWR | Current RX Mode |
---|---|---|---|---|---|---|
1 | N | Y | 80 | 0 |
FAILED FITNESS FOR DUTY
The following information was provided by the licensee via phone and email:
"On April 8, 2025, at 1333 CDT, it was determined that a licensed operator violated the station's fitness-for-duty program. The employee's access to the plant has been terminated.
"This event is being reported under 10 CFR 26.719(b)(2)(ii)."
"The NRC Resident has been notified."
The following information was provided by the licensee via phone and email:
"On April 8, 2025, at 1333 CDT, it was determined that a licensed operator violated the station's fitness-for-duty program. The employee's access to the plant has been terminated.
"This event is being reported under 10 CFR 26.719(b)(2)(ii)."
"The NRC Resident has been notified."
Power Reactor
Event Number: 57659
Facility: Palo Verde
Region: 4 State: AZ
Unit: [1] [] []
RX Type: [1] CE,[2] CE,[3] CE
NRC Notified By: Tanner Goodman
HQ OPS Officer: Tenisha Meadows
Region: 4 State: AZ
Unit: [1] [] []
RX Type: [1] CE,[2] CE,[3] CE
NRC Notified By: Tanner Goodman
HQ OPS Officer: Tenisha Meadows
Notification Date: 04/10/2025
Notification Time: 10:29 [ET]
Event Date: 04/10/2025
Event Time: 07:11 [MST]
Last Update Date: 04/10/2025
Notification Time: 10:29 [ET]
Event Date: 04/10/2025
Event Time: 07:11 [MST]
Last Update Date: 04/10/2025
Emergency Class: Unusual Event
10 CFR Section:
50.72(a) (1) (i) - Emergency Declared 50.72(b)(3)(iv)(A) - Valid Specif Sys Actuation
10 CFR Section:
50.72(a) (1) (i) - Emergency Declared 50.72(b)(3)(iv)(A) - Valid Specif Sys Actuation
Person (Organization):
Vossmar, Patricia (R4DO)
Monninger, John (R4RA)
King, Michael (NRR)
Erlanger, Craig (NSIR)
Crouch, Howard (IR)
Vossmar, Patricia (R4DO)
Monninger, John (R4RA)
King, Michael (NRR)
Erlanger, Craig (NSIR)
Crouch, Howard (IR)
Unit | SCRAM Code | RX Crit | Initial PWR | Initial RX Mode | Current PWR | Current RX Mode |
---|---|---|---|---|---|---|
1 | N | N | 0 | 0 |
UNUSUAL EVENT - LOSS OF ALL BUT ONE AC POWER SOURCE TO EMERGENCY BUSES
The following information was provided by the licensee via phone and email:
"On 4/10/2025, Unit 1 was defueled at 0 percent power. The `A' train class bus was being powered by the `A' diesel generator (DG) and the `B' train bus was out of service for maintenance. Additionally, the `A' train offsite power transformer is currently out of service for maintenance. Abnormal indication was observed on the `A' DG with lowering voltage and the decision was made to manually trip the `A' DG.
"Power was restored to the `A' class bus by crosstieing `B' train offsite power via engineering safety feature transformer NBN-X04. This resulted in a loss of all but one AC power source to emergency buses for 15 minutes or longer which is an Unusual Event (UE) CU2.1. It is currently not known at this time what caused the abnormal voltage indications on the `A' DG."
State and local agencies were notified. The NRC Resident Inspector has been notified.
Notified DHS SWO, FEMA Operations Center, CISA Central Watch Officer, FEMA NWC, DHS Nuclear SSA (email), CWMD Watch Desk (email).
The following additional information was obtained from the licensee in accordance with Headquarters Operations Officers Report Guidance:
Palo Verde Units 2 and 3 were not affected by this event. The licensee restored spent fuel pool cooling.
* * * UPDATE ON 4/10/2025 AT 1701 EDT FROM TANNER GOODMAN TO SAMUEL COLVARD * * *
The following information was provided by the licensee via phone and email:
"The following event description is based on information currently available. If through subsequent reviews of this event additional information is identified that is pertinent to the event or alters the information being provided at this time, a follow up notification will be made via the ENS or under the reporting requirements of 10 CFR 50.73.
"Train `A' emergency diesel generator (DG) was supplying power to PBA-S03 bus. At 0658 MST on April 10th, 2025, train `A' DG was exhibiting erratic and degraded voltage and was placed in emergency stop, which caused a loss of power to PBA-S03.
"When the `A' DG was stopped, train `A' balance of plant engineered safety features actuation system (BOP ESFAS) detected the loss of power condition on PBA-S03, and sent an emergency start signal to the train `A' DG. Train `A' DG did not respond as it was placed in emergency stop. Operators restored power to PBA-S03 at 0703 MST. At the time of the [loss of power], the reactor was defueled with the core offloaded to the spent fuel pool. Unit 2 and Unit 3 are not impacted by this event and remain in Mode 1, 100 percent power. Unit 1 is still currently in Unusual Event, CU2.1
"This [update] is in addition to the event reported at 1029 EDT EN 57659. The original EN reported an Emergency Classification definition as a loss of all but 1 AC power source to emergency buses for 45 minutes. The correct time is 15 minutes.
"The NRC Senior Resident Inspector has been notified of the update."
[This update is an 8-hour, non-emergency, 10 CFR 50.72(b)(3)(iv)(A) report of a valid specified system actuation due to the BOP ESFAS attempting to start 'A' DG upon loss of the PBA-SO3 bus during the initial event.]
Notified R4DO (Vossmar).
* * * UPDATE ON 4/10/2025 AT 2245 EDT FROM NGOC NGUYEN TO SAMUEL COLVARD * * *
The following information was provided by the licensee via phone:
On 4/10/2025, at 2224 EDT, Palo Verde Unit 1 terminated the Unusual Event. Restoration of 'A' DG was made by swapping to its redundant automatic voltage regulator and performance of a functional startup. This restores two sources of power to the class 1E bus: offsite power and 'A' DG in a standby configuration. The redundant automatic voltage regulator was tested in surveillance in the previous cycle and remains operable. The issues that led to the declaration of Unusual Event with 'A' DG have been entered into the corrective action program.
State and local authorities have been notified. The NRC Resident Inspector has been notified.
Internal notifications: R4DO (Vossmar), NRR EO (Felts), IR MOC (Crouch), R4 RA (Monninger), NRR (King), R4 PAO (Dricks), and NSIR (Erlanger)
External notifications: DHS SWO, FEMA Operations Center, CISA Central Watch Officer, FEMA NWC, DHS Nuclear SSA (email), CWMD Watch Desk (email)
The following information was provided by the licensee via phone and email:
"On 4/10/2025, Unit 1 was defueled at 0 percent power. The `A' train class bus was being powered by the `A' diesel generator (DG) and the `B' train bus was out of service for maintenance. Additionally, the `A' train offsite power transformer is currently out of service for maintenance. Abnormal indication was observed on the `A' DG with lowering voltage and the decision was made to manually trip the `A' DG.
"Power was restored to the `A' class bus by crosstieing `B' train offsite power via engineering safety feature transformer NBN-X04. This resulted in a loss of all but one AC power source to emergency buses for 15 minutes or longer which is an Unusual Event (UE) CU2.1. It is currently not known at this time what caused the abnormal voltage indications on the `A' DG."
State and local agencies were notified. The NRC Resident Inspector has been notified.
Notified DHS SWO, FEMA Operations Center, CISA Central Watch Officer, FEMA NWC, DHS Nuclear SSA (email), CWMD Watch Desk (email).
The following additional information was obtained from the licensee in accordance with Headquarters Operations Officers Report Guidance:
Palo Verde Units 2 and 3 were not affected by this event. The licensee restored spent fuel pool cooling.
* * * UPDATE ON 4/10/2025 AT 1701 EDT FROM TANNER GOODMAN TO SAMUEL COLVARD * * *
The following information was provided by the licensee via phone and email:
"The following event description is based on information currently available. If through subsequent reviews of this event additional information is identified that is pertinent to the event or alters the information being provided at this time, a follow up notification will be made via the ENS or under the reporting requirements of 10 CFR 50.73.
"Train `A' emergency diesel generator (DG) was supplying power to PBA-S03 bus. At 0658 MST on April 10th, 2025, train `A' DG was exhibiting erratic and degraded voltage and was placed in emergency stop, which caused a loss of power to PBA-S03.
"When the `A' DG was stopped, train `A' balance of plant engineered safety features actuation system (BOP ESFAS) detected the loss of power condition on PBA-S03, and sent an emergency start signal to the train `A' DG. Train `A' DG did not respond as it was placed in emergency stop. Operators restored power to PBA-S03 at 0703 MST. At the time of the [loss of power], the reactor was defueled with the core offloaded to the spent fuel pool. Unit 2 and Unit 3 are not impacted by this event and remain in Mode 1, 100 percent power. Unit 1 is still currently in Unusual Event, CU2.1
"This [update] is in addition to the event reported at 1029 EDT EN 57659. The original EN reported an Emergency Classification definition as a loss of all but 1 AC power source to emergency buses for 45 minutes. The correct time is 15 minutes.
"The NRC Senior Resident Inspector has been notified of the update."
[This update is an 8-hour, non-emergency, 10 CFR 50.72(b)(3)(iv)(A) report of a valid specified system actuation due to the BOP ESFAS attempting to start 'A' DG upon loss of the PBA-SO3 bus during the initial event.]
Notified R4DO (Vossmar).
* * * UPDATE ON 4/10/2025 AT 2245 EDT FROM NGOC NGUYEN TO SAMUEL COLVARD * * *
The following information was provided by the licensee via phone:
On 4/10/2025, at 2224 EDT, Palo Verde Unit 1 terminated the Unusual Event. Restoration of 'A' DG was made by swapping to its redundant automatic voltage regulator and performance of a functional startup. This restores two sources of power to the class 1E bus: offsite power and 'A' DG in a standby configuration. The redundant automatic voltage regulator was tested in surveillance in the previous cycle and remains operable. The issues that led to the declaration of Unusual Event with 'A' DG have been entered into the corrective action program.
State and local authorities have been notified. The NRC Resident Inspector has been notified.
Internal notifications: R4DO (Vossmar), NRR EO (Felts), IR MOC (Crouch), R4 RA (Monninger), NRR (King), R4 PAO (Dricks), and NSIR (Erlanger)
External notifications: DHS SWO, FEMA Operations Center, CISA Central Watch Officer, FEMA NWC, DHS Nuclear SSA (email), CWMD Watch Desk (email)
Power Reactor
Event Number: 57661
Facility: Arkansas Nuclear
Region: 4 State: AR
Unit: [1] [] []
RX Type: [1] B&W-L-LP,[2] CE
NRC Notified By: Shannon Mosby
HQ OPS Officer: Sam Colvard
Region: 4 State: AR
Unit: [1] [] []
RX Type: [1] B&W-L-LP,[2] CE
NRC Notified By: Shannon Mosby
HQ OPS Officer: Sam Colvard
Notification Date: 04/10/2025
Notification Time: 17:39 [ET]
Event Date: 04/10/2025
Event Time: 11:24 [CDT]
Last Update Date: 04/10/2025
Notification Time: 17:39 [ET]
Event Date: 04/10/2025
Event Time: 11:24 [CDT]
Last Update Date: 04/10/2025
Emergency Class: Non Emergency
10 CFR Section:
26.719 - Fitness For Duty
10 CFR Section:
26.719 - Fitness For Duty
Person (Organization):
Vossmar, Patricia (R4DO)
FFD Group, (EMAIL)
Vossmar, Patricia (R4DO)
FFD Group, (EMAIL)
Unit | SCRAM Code | RX Crit | Initial PWR | Initial RX Mode | Current PWR | Current RX Mode |
---|---|---|---|---|---|---|
1 | N | Y | 100 | 100 |
FITNESS FOR DUTY
The following information was provided by the licensee via phone and email:
"On April 10, 2025, at 1124 CDT, a licensed operator at Arkansas Nuclear One, Unit 1, had a confirmed positive result for alcohol during random testing per the Entergy fitness for duty (FFD) program. The individual's unescorted access has been terminated. This event is being reported under 10 CFR 26.719(b)(2)(ii).
"The NRC Resident Inspector has been informed."
The following information was provided by the licensee via phone and email:
"On April 10, 2025, at 1124 CDT, a licensed operator at Arkansas Nuclear One, Unit 1, had a confirmed positive result for alcohol during random testing per the Entergy fitness for duty (FFD) program. The individual's unescorted access has been terminated. This event is being reported under 10 CFR 26.719(b)(2)(ii).
"The NRC Resident Inspector has been informed."
Agreement State
Event Number: 57649
Rep Org: NC Div of Radiation Protection
Licensee: UNC Hospitals
Region: 1
City: Chapel Hill State: NC
County:
License #: 068-0565-1
Agreement: Y
Docket:
NRC Notified By: Travis Cartoski
HQ OPS Officer: Jon Lilliendahl
Licensee: UNC Hospitals
Region: 1
City: Chapel Hill State: NC
County:
License #: 068-0565-1
Agreement: Y
Docket:
NRC Notified By: Travis Cartoski
HQ OPS Officer: Jon Lilliendahl
Notification Date: 04/07/2025
Notification Time: 11:02 [ET]
Event Date: 04/04/2025
Event Time: 00:00 [EDT]
Last Update Date: 04/07/2025
Notification Time: 11:02 [ET]
Event Date: 04/04/2025
Event Time: 00:00 [EDT]
Last Update Date: 04/07/2025
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
Schussler, Jason (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
Schussler, Jason (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
AGREEMENT STATE REPORT - MEDICAL EVENT
The following is a summary of information provided by the North Carolina Radioactive Materials Branch via email:
On April 4, 2025, Y-90 SIR-spheres therapeutic split dose administration resulted in a patient being underdosed per the written directive. One of three doses administered was 27 percent or less of the prescribed dose. The referring physician and patient were notified on the same day of treatment. The cause of the underdose was a catheter clog or kink. Corrective actions consisted of retraining of personnel.
NC Event Number: 250004
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 is a summary of information provided by the North Carolina Radioactive Materials Branch via email:
On April 4, 2025, Y-90 SIR-spheres therapeutic split dose administration resulted in a patient being underdosed per the written directive. One of three doses administered was 27 percent or less of the prescribed dose. The referring physician and patient were notified on the same day of treatment. The cause of the underdose was a catheter clog or kink. Corrective actions consisted of retraining of personnel.
NC Event Number: 250004
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: 57650
Rep Org: White Forest Resources
Licensee: Clearco Preparation Plant
Region: 1
City: Clearco State: WV
County:
License #: GL
Agreement: N
Docket:
NRC Notified By: Dustin Smith
HQ OPS Officer: Josue Ramirez
Licensee: Clearco Preparation Plant
Region: 1
City: Clearco State: WV
County:
License #: GL
Agreement: N
Docket:
NRC Notified By: Dustin Smith
HQ OPS Officer: Josue Ramirez
Notification Date: 04/04/2025
Notification Time: 18:59 [ET]
Event Date: 04/04/2025
Event Time: 18:00 [EDT]
Last Update Date: 04/09/2025
Notification Time: 18:59 [ET]
Event Date: 04/04/2025
Event Time: 18:00 [EDT]
Last Update Date: 04/09/2025
Emergency Class: Non Emergency
10 CFR Section:
30.50(b)(2) - Safety Equipment Failure
10 CFR Section:
30.50(b)(2) - Safety Equipment Failure
Person (Organization):
Schussler, Jason (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
Schussler, Jason (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
STUCK OPEN GAUGE SHUTTER
The following is a summary of the information provided by the licensee via phone:
The licensee discovered a stuck-open shutter during routine checks on a gauge with a normally open shutter. The gauge is a Berthold model LB444 with a 500 mCi Cs-137 source. The area around the gauge has been flagged and there are no concerns about radiation exposure. The manufacturer will be contacted to repair the gauge.
* * * UPDATE ON 04/09/2025 AT 1257 EDT FROM DUSTIN SMITH TO JORDAN WINGATE * * *
The following is a summary of the information provided by the licensee via phone:
The licensee has been in contact with Berthold technologies, who will be sending a technician to repair the gauge. A finalized date has not yet been confirmed. Additional information will be provided as it becomes available.
Informed R1DO(Schussler) and NMSS Events Notifications (email).
The following is a summary of the information provided by the licensee via phone:
The licensee discovered a stuck-open shutter during routine checks on a gauge with a normally open shutter. The gauge is a Berthold model LB444 with a 500 mCi Cs-137 source. The area around the gauge has been flagged and there are no concerns about radiation exposure. The manufacturer will be contacted to repair the gauge.
* * * UPDATE ON 04/09/2025 AT 1257 EDT FROM DUSTIN SMITH TO JORDAN WINGATE * * *
The following is a summary of the information provided by the licensee via phone:
The licensee has been in contact with Berthold technologies, who will be sending a technician to repair the gauge. A finalized date has not yet been confirmed. Additional information will be provided as it becomes available.
Informed R1DO(Schussler) and NMSS Events Notifications (email).
Non-Agreement State
Event Number: 57651
Rep Org: Novartis Pharmaceutical Corp
Licensee: Novartis Manufacturing LLC
Region: 3
City: Indianapolis State: IN
County:
License #: 13-35658-01
Agreement: N
Docket:
NRC Notified By: C.J. Eastman
HQ OPS Officer: Josue Ramirez
Licensee: Novartis Manufacturing LLC
Region: 3
City: Indianapolis State: IN
County:
License #: 13-35658-01
Agreement: N
Docket:
NRC Notified By: C.J. Eastman
HQ OPS Officer: Josue Ramirez
Notification Date: 04/07/2025
Notification Time: 16:35 [ET]
Event Date: 03/29/2024
Event Time: 18:00 [EDT]
Last Update Date: 04/07/2025
Notification Time: 16:35 [ET]
Event Date: 03/29/2024
Event Time: 18:00 [EDT]
Last Update Date: 04/07/2025
Emergency Class: Non Emergency
10 CFR Section:
30.50(b)(1) - Unplanned Contamination
10 CFR Section:
30.50(b)(1) - Unplanned Contamination
Person (Organization):
Hills, David (R3DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
Hills, David (R3DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
UNPLANNED CONTAMINATION EVENT
The following is a summary of the information provided by the licensee via phone and email:
During an ongoing inspection, the licensee determined that the following event had not been previously reported.
On March 29, 2024, at approximately 1800 EDT, a rejected batch of individual lead pots containing glass vials of Pluvicto (Lu-177) solution was being logged into the waste room. Each dose of Pluvicto was 5ml with an activity between 7 to 12 GBq.
An individual handling the lead pots accidentally lifted a lead pot by the lid instead of the bottom. The lead pot was taped shut but the tape failed, and the vial was dropped, breaking on the floor of the waste room. The individual's clothes were contaminated but no skin contamination occurred. Based on dosimetry records the individual has a current lifetime exposure of 1 mrem of deep-dose equivalent, 2 mrem of lens dose equivalent, 2 mrem of shallow-dose equivalent, and 11 mrem to the extremity.
The spread of contamination was limited to the radioactive waste room and the individual's clothing. The radiation safety officer secured access to the radioactive waste room for approximately 48 hours while room decontamination efforts were in progress.
The following is a summary of the information provided by the licensee via phone and email:
During an ongoing inspection, the licensee determined that the following event had not been previously reported.
On March 29, 2024, at approximately 1800 EDT, a rejected batch of individual lead pots containing glass vials of Pluvicto (Lu-177) solution was being logged into the waste room. Each dose of Pluvicto was 5ml with an activity between 7 to 12 GBq.
An individual handling the lead pots accidentally lifted a lead pot by the lid instead of the bottom. The lead pot was taped shut but the tape failed, and the vial was dropped, breaking on the floor of the waste room. The individual's clothes were contaminated but no skin contamination occurred. Based on dosimetry records the individual has a current lifetime exposure of 1 mrem of deep-dose equivalent, 2 mrem of lens dose equivalent, 2 mrem of shallow-dose equivalent, and 11 mrem to the extremity.
The spread of contamination was limited to the radioactive waste room and the individual's clothing. The radiation safety officer secured access to the radioactive waste room for approximately 48 hours while room decontamination efforts were in progress.
Power Reactor
Event Number: 57663
Facility: Columbia Generating Station
Region: 4 State: WA
Unit: [2] [] []
RX Type: [2] GE-5
NRC Notified By: Robert Rood
HQ OPS Officer: Ernest West
Region: 4 State: WA
Unit: [2] [] []
RX Type: [2] GE-5
NRC Notified By: Robert Rood
HQ OPS Officer: Ernest West
Notification Date: 04/12/2025
Notification Time: 08:17 [ET]
Event Date: 04/12/2025
Event Time: 02:23 [PDT]
Last Update Date: 04/12/2025
Notification Time: 08:17 [ET]
Event Date: 04/12/2025
Event Time: 02:23 [PDT]
Last Update Date: 04/12/2025
Emergency Class: Non Emergency
10 CFR Section:
50.72(b)(2)(i) - Plant S/D Reqd By TS 50.72(b)(3)(ii)(A) - Degraded Condition
10 CFR Section:
50.72(b)(2)(i) - Plant S/D Reqd By TS 50.72(b)(3)(ii)(A) - Degraded Condition
Person (Organization):
Vossmar, Patricia (R4DO)
Crouch, Howard (IR)
Mckenna, Phillip (NRR EO)
Vossmar, Patricia (R4DO)
Crouch, Howard (IR)
Mckenna, Phillip (NRR EO)
Unit | SCRAM Code | RX Crit | Initial PWR | Initial RX Mode | Current PWR | Current RX Mode |
---|---|---|---|---|---|---|
2 | N | N | 0 | 0 |
SHUTDOWN REQUIRED BY TECHNICAL SPECIFICATIONS
The following information was provided by the licensee via phone and email:
"During a planned shutdown at Columbia Generating Station for a refueling outage, pressure boundary leakage was identified from the bonnet vent line of loop `B' discharge motor operated isolation valve during a drywell inspection. Leakage was initially identified during a drywell entry at 15 percent [reactor] power and identified as pressure boundary leakage during a subsequent entry in mode 3. The leak exceeds technical specification (TS) 3.4.5 'RCS Operational Leakage' of no pressure boundary leakage. TS action `C' was entered, requiring [the plant to be in] mode 3 in 12 hours and mode 4 in 36 hours. Columbia Generating Station was in mode 3 at time of determination for [entering TS] 3.4.5. Therefore, the event is reportable within 4 hours per 10 CFR 50.72(b)(2)(i) due to the initiation of a plant shutdown required by the plant's TS.
"The event is also reportable within 8 hours per 10 CFR 50.72(b)(3)(ii)(A) due to an event that resulted in the condition of the nuclear power plant, including principal safety barriers, being seriously degraded."
The following additional information was obtained from the licensee in accordance with Headquarters Operations Officers Report Guidance:
The NRC Resident Inspector has been informed. Columbia Generating Station estimates the leak rate to be less than 0.2 gallons per minute. Columbia Generating Station expects to enter mode 4 within the required 36 hours.
The following information was provided by the licensee via phone and email:
"During a planned shutdown at Columbia Generating Station for a refueling outage, pressure boundary leakage was identified from the bonnet vent line of loop `B' discharge motor operated isolation valve during a drywell inspection. Leakage was initially identified during a drywell entry at 15 percent [reactor] power and identified as pressure boundary leakage during a subsequent entry in mode 3. The leak exceeds technical specification (TS) 3.4.5 'RCS Operational Leakage' of no pressure boundary leakage. TS action `C' was entered, requiring [the plant to be in] mode 3 in 12 hours and mode 4 in 36 hours. Columbia Generating Station was in mode 3 at time of determination for [entering TS] 3.4.5. Therefore, the event is reportable within 4 hours per 10 CFR 50.72(b)(2)(i) due to the initiation of a plant shutdown required by the plant's TS.
"The event is also reportable within 8 hours per 10 CFR 50.72(b)(3)(ii)(A) due to an event that resulted in the condition of the nuclear power plant, including principal safety barriers, being seriously degraded."
The following additional information was obtained from the licensee in accordance with Headquarters Operations Officers Report Guidance:
The NRC Resident Inspector has been informed. Columbia Generating Station estimates the leak rate to be less than 0.2 gallons per minute. Columbia Generating Station expects to enter mode 4 within the required 36 hours.