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 Entered dateEvent description
ENS 537197 November 2018 17:28:00The following information was received from the Commonwealth of Kentucky by email: On 11/6/2018, a former licensee (formerly licensed as Wickliffe Paper Co.) reported discovery of a nuclear gauging device (TN (Texas Nuclear) model 5036 originally containing 200 mCi assayed 12/94) that it was unaware it possessed. The license was terminated on August 9, 2016 and at that time, the former licensee provided information related to the disposition of all devices the licensee was aware it possessed. License termination was due to plant closure. During engineering surveys to assess plant conditions for restart, personnel discovered the device still mounted on plant equipment. The former licensee is taking steps to have the device transferred to a licensed manufacturer for disposal. There is no reason to believe any individuals received any exposure at levels which would exceed the regulatory limits." Kentucky Event: KY180004 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
ENS 537165 November 2018 11:26:00The following information was received via email: When conducting the annual reconciliation, Karcher North America, INC. reported eleven lost static eliminators. Static Eliminators: Model: P-2021 8101. Isotope/units: PO-210, 10 mCi ea. Serial Numbers: A2JZ217, A2KH719, A2CP799, A2DM543, A2DT589, A2DU443, A2DU444, A2EZ668, A2GS233, A2JD061, A2JD062. Colorado Event Report ID No.: CO180027 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
ENS 537207 November 2018 15:44:00The following information was received by the State of Florida: At noon (on 11/7/18), (Akumin) called (the State of FL Bureau of Radiation Control) to report that both Akumin Hollywood and Akumin Aventura View ordered F-18 Fluciclovine, and received packages that were labeled as F-18 Fluciclovine, but were subsequently notified by their radiopharmaceutical vendor PET NET Solutions-Ft Lauderdale, on Thursday, November 1, 2018 that due to a 'batch error,' the packages actually contained F-18 FDG (Fludeoxyglucose). Three patients were reported as receiving the incorrect radiopharmaceutical. Activity reported as approximately 10 mCi. Florida Incident: FL18-137 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.
ENS 5370530 October 2018 16:33:00

Replacement camera sources were properly delivered by the common carrier to St. Mary's Hospital located in Jefferson City, Missouri. The sources were received by the Biomed Hospital Imaging Specialist and placed in the biomed office. Currently, the package containing the sources is missing. The licensee investigation continues. Sources are two Gd-153 (10 mCi each) and two Co-57 (0.5 microCi each).

  • * * RETRACTION ON 10/31/2018 AT 1425 EDT FROM KEN WOHLT TO ANDREW WAUGH * * *

This event is being retracted. The sources were discovered to be delivered to SSM Hospital's biomed office instead of nuclear medicine. The sources were secured and in control of the SSM Hospital at all times. There were no exposures to personnel. The licensee notified NRC Region 3 (Warren). Notified R3DO (Stoedter) and NMSS Events Notification and ILTAB via email. 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

ENS 5370028 October 2018 21:44:00

This event is being reported pursuant to 10 CFR 50.72(b)(3)(xiii) for a major loss of emergency assessment capability at the Prairie Island Nuclear Generating Plant. At 1435 CDT on October 28, 2018, troubleshooting of the Seismic Monitoring Panel resulting from the receipt of Control Room annunciator 47023-0603 (Seismic Monitor Panel) determined that the '(Operational Basis Earthquake) OBE Exceedance' alarm on the Seismic Monitoring Panel will not alarm and determined the panel is non-functional. The Seismic Monitoring Panel system functions to provide indication that the OBE threshold has been exceeded following a seismic event and is used in the Prairie Island Nuclear Generating Plant Emergency Plan to perform classification of Initiating Condition 'Seismic event greater than OBE levels' and Emergency Action Level HU2.1. Station personnel are monitoring the seismic recorders for event alarms on a 15 minute frequency due to alarm function failure. The station is developing repair plans for restoration of the alarm function. This event does not adversely affect the safe operation of the plant or health and safety of the public.

The licensee has notified the NRC Resident Inspector.

ENS 5369526 October 2018 12:11:00A patient was prescribed 200 mCi of Lutetium-177. Due to dose administration issues, a delivered dose of 135 mCi was received by the patient. The licensee notified the NRC Region 3 contact (Gattone). 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.
ENS 536465 October 2018 09:52:00

EN Revision Text: MAIN STEAM ISOLATION VALVES EXCEEDED PRIMARY CONTAINMENT LOCAL LEAK RATE ACCEPTANCE CRITERIA At 0520 (CDT), on October 05, 2018, it was discovered that a Primary Containment local leak rate test performed on Main Steam Isolation Valves (MSIV) exceeded its acceptance criteria.

During Mode 1, 2, and 3, Surveillance Requirement 3.6.1.3.10 requires MSIV leakage for a single MSIV line to be less than or equal to 106 standard cubic feet per hour (scfh) when tested at 29 psig and Surveillance Requirement 3.6.1.3.12 requires the combined leakage rate for all MSIV leakage paths to be less than or equal to 212 scfh when tested at 29 psig.

As-found for the 'C' MSIV line leakage results were unquantifiable and gave a (minimum) path value greeter than 160 scfh. This leakage rate lead to Surveillance Requirement 3.6.1.3.10 and 3.6.1.3.12 limits to be exceeded. This event is being reported as a condition of the nuclear power plant, including its principal safety barriers, being seriously degraded per 10 CFR 50.72(b)(3)(ii)(A) since the Primary Containment Isolation Valves leakage limits for MSIVs were exceeded. The NRC Resident Inspector has been notified.

  • * * RETRACTION AT 2320 EDT ON 10/24/2018 FROM THOMAS FORLAND TO MARK ABRAMOVITZ * * *

CNS (Cooper Nuclear Station) is retracting the 8-hour non-emergency notification made on October 5, 2018 at 0520 CDT (EN# 53646). Subsequent evaluation concluded that overall as-found 'C' MSIV leakage rate was not at a level that exceeded the surveillance requirement 3.6.1.3.10 and 3.6.1.3.12 limits and thus the Primary Containment Isolation Valve leakage rate limits for the MSIVs were not exceeded. The NRC Senior Resident Inspector has been notified. Notified the R4DO (Drake).

ENS 536434 October 2018 07:57:00

EN Revision Text: MANUAL REACTOR TRIP DURING LOW POWER PHYSICS TESTING At 0544 EDT on October 4, 2018, with Unit 1 in Mode 2 with reactor power in the intermediate range performing low power physics testing, the reactor was manually tripped due to a rod control urgent failure alarm. The trip was not complex, with all systems responding normally. Operations stabilized the plant in Mode 3. Decay heat is being removed through the main steam system. Unit 2 was not affected. There was no impact to the health and safety of the public or plant personnel. The NRC Resident Inspectors have been notified. All control rods inserted as expected. The cause of the rod control urgent failure is being investigated.

  • * * UPDATE FROM KEVIN LOWE TO DONALD NORWOOD AT 1408 EDT ON 10/19/2018 * * *

This Event Notification is being updated to clarify that the reactor was not critical when this event occurred. Therefore, the reporting requirement is changed from 10 CFR 50.72(b)(2)(iv)(B) to 10 CFR 50.72 (b)(3)(iv)(A). During Dynamic Rod Worth Measurement testing, Control Bank Charlie was inserted approximately 153 steps when the urgent failure occurred (CBC positioned at 75 steps out). Following the scram, additional analysis concluded that the reactor was subcritical when the Reactor Protection System was actuated." The licensee notified the NRC Resident Inspector. Notified the R2DO (McCoy).

ENS 5362626 September 2018 23:25:00

On September 26, 2018 at 1908 CDT. an automatic scram was received on U1 following main generator 345 kV output breaker 7-8 trip with 345 kV output breaker 6-7 already opened for maintenance on line 0401. Following the reactor scram, reactor water level decreased to approximately minus 15 inches, which resulted in automatic Group II and Group Ill isolations (expected response). Reactor pressure rose to approximately 1083 psig, and the 3B and 3C low set relief valves opened briefly to control reactor pressure. Reactor water level and reactor pressure have been restored to their normal bands. All systems responded properly to the event. Unit 1 remains in Mode 3, with reactor pressure being controlled on the turbine bypass valves. The cause and details of the event are under investigation.

Unit 2 was unaffected by the event and remains at 100% power. This report is being made in accordance with 10 CFR 50.72(b)(2)(iv)(B) and 10 CFR 50.72(b)(3)(iv)(A)." All control rods inserted. Decay heat is being removed via the main condenser. The licensee notified the NRC Resident Inspector.

ENS 5362326 September 2018 15:10:00At 0946 CDT on 9/26/2018, a disruption in power to the offsite 138 kV line and the subsequent trip of the Emergency Reserve Auxiliary Transformer (ERAT) Static VAR Compensator (SVC) resulted in a degraded voltage signal on the Division 1- 4.16 kV safety bus. The degraded voltage signal resulted in a trip of the ERAT feed to the bus, blocking closure of the 345 kV Reserve Auxiliary Transformer (RAT) feed to the bus and auto start of the Division 1 Emergency Diesel Generator (EDG). The Division 1 EDG successfully started and re-energized the Division 1- 4.16 kV bus as designed. The unit is stable with the Division 1 EDG carrying the Division 1- 4.16 kV bus. The Ameren Transmission System Operator in St. Louis, MO informed the station that they had received a report that a 138 kV to 13.8 kV transformer at Clinton Route 54 substation was on fire and the South feed to the Tabor substation cycled as a result of this fault. The NRC Resident Inspector and Illinois Emergency Management Agency Resident Inspector have been notified.
ENS 5362526 September 2018 21:43:00

On 9/26/2018 at 1530 EDT, it was discovered that the HPCI system was inoperable due to a blown fuse in the 10C617 Panel, E21-F15A. Therefore, this condition Is being reported as an eight-hour, non-emergency notification per 10 CFR 50.72(b)(3)(v)(D). The blown fuse also impacts 'A' channel Residual Heat Removal (RHR) subsystem and 'A' Core Spray (CS) subsystem. These Emergency Core Cooling subsystems have been declared inoperable. Remaining Emergency Core Cooling subsystems and the Reactor Core Isolation Cooling (RCIC) system remain OPERABLE.

There was no impact on the health and safety of the public or plant personnel." The licensee notified the NRC Resident Inspector and will notify the local authorities.

ENS 5361924 September 2018 14:06:00On September 22, 2018, at approximately 0050 (CDT), Duane Arnold Energy Center (DAEC) Security was contacted by a site assigned contractor that they had located what appeared to be drug paraphernalia inside the Protected Area. Local Law Enforcement was contacted and responded to DAEC. The Linn County Sheriff's office took the items into evidence for testing to determine if there was any presence of a controlled substance. On September 24, 2018, at 1013, the Linn County Sheriff's office notified DAEC that the items tested positive for the presence of a controlled substance. Therefore, this is being reported in accordance with 10 CFR 26.719. DAEC Site security is working with NextEra Corporate security regarding the investigation into this incident. The Resident Inspector has been notified.
ENS 5366916 October 2018 10:12:00The Clorox Company discovered a missing fixed gauge containing radioactive material. The gauge was a Filtec, model FT-2 containing 100 microCuries of Americium-241. Gauge S/N: 105382; Source S/N: 1786. 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
ENS 5360915 September 2018 15:45:00

EN Revision Text: UNUSUAL EVENT DUE TO SITE CONDITIONS PREVENTING PLANT ACCESS A hazardous event has resulted in on site conditions sufficient to prohibit the plant staff from accessing the site via personal vehicles due to flooding of local roads by Tropical Storm Florence. Notified DHS SWO, FEMA OPS, and DHS NICC. Notified FEMA NWC, NuclearSSA, and FEMA NRCC via email.

  • * * UPDATE FROM BRUCE HARTSCOK TO VINCE KLCO ON 9/28/2018 AT 1414 EDT * * *

On 9/18/2018 at 1400 EDT, the Unusual Event at Brunswick was terminated due to the ability to transport personnel to the site. The licensee will notify the NRC Resident Inspectors. Notified the R2DO (Guthrie), NRR EO (Miller) and the IRD MOC (Grant). Notified DHS SWO, FEMA OPS, and DHS NICC. Notified FEMA NWC, NuclearSSA, and FEMA NRCC via email.

ENS 5366011 October 2018 09:39:00

The following information was received by from ABB INC by facsimile: 1. This letter provides a notification of a defect associated with dry type transformer serial # 24-26458. The failure was caused by the breakdown of layer to layer insulation within the 4160 volt winding due to dielectric stress. Deterioration of the insulation resulted in an internal fault within the bravo phase 4160 volt winding, triggering a ground fault trip shutdown of equipment. This failure was reported by Exelon's Clinton Nuclear Station and it is the only known reported occurrence of safety related transformer failure caused by the breakdown of layer to layer insulation. Information is provided as specified in 10 CFR 21 paragraph 21.21(d)(4). 2. Notifying individual: Joey Chandler, Plant Manager, ABB ((PGTR) Power Grids Transformer Division, US), 171 Industry Drive, Bland, VA 24315. 3. Identification of the Subject component: ABB P/N 24-26458 dry type transformer. This transformer is used for stepping down voltage and was intended for providing power to safety related electrical equipment. 4. Nature of the deviation: The Exelon Clinton Nuclear Generating Station shut down due to a ground fault alarm on the 4160 volt side of the stepdown transformer that provides power to numerous safety-related components at the plant. Subsequent troubleshooting of the problem revealed that the dry-type transformer supplying 480 volt power had dielectrically failed due to apparent internal fault within the Bravo phase. Further investigation of this failure revealed an operational voltage design stress on the Nomex 410 insulation between the 4160 volt winding's layers of conductor of greater than recommended by the manufacturer (DuPont) for a 40 year design life. At the time of failure, the subject transformer had been in operation for approximately 33.5 years and had progressed 37 years and two months into its intended 40 year life given the 10/1980 ship date. ABB has no knowledge of any adverse operational variances over the course of the approximate 33.5 year life of operation to be able to assess or comment on this potential impact in terms of life. 5. The function of this dry type transformer is to step voltage down from 4160 volts to 480 volts while providing transfer of power to safety related components. Exelon's Clinton Nuclear Power Station has identified this transformer's power transfer to feed safety related equipment. An interruption of this transfer in power would result in a loss of power to the safety related equipment downstream and could potentially result in a compromise in safety. 6. ABB was notified of this transformer failure on 12/9/2017. This notification was delayed while the failure was being investigated. This investigation is documented in report: Exelon Clinton Failure Analysis_26458_011218 rev5.doc.pdf dated 09/10/2018. 7. Corrective actions include:

  a. Reviewed and verified current electrical engineering safety related design standard for allowable design stress on insulation per DuPont's recommendation for 40 year life. (Complete.)
  b. Reviewed the material used for transformer 24-26458. Found only affected safety related product to be isolated to Clinton Nuclear Station, though records may be incomplete as these records have been archived for over 35 years. (Complete.)
  c. Re-trained all involved personnel of the 10 CFR 21 reporting requirements, and the need to provide an interim report within 60 days of discovery. 
  d. ABB worked directly with Clinton Nuclear to ensure all transformers of respective design was replaced with new transformers following ABB's Technical Evaluation for Nuclear 1E Transformer, Rev. 18 which documents operational design stresses be less than or equal to 30 volts / mil of Nomex 410 insulation between layer to layer of conductor for 40 year life.

8. Recommendation: Because of the possible existence of additional affected transformers, ABB (PGTR) cannot determine the potential for a substantial safety hazard exists at any other licensee's facility. Licensees are requested to evaluate any Gould-Brown Boveri/ITE dry type transformer with the following nameplate identification below. Transformers associated with this identification are recommended to be replaced. kVA: 750AA/ 1000 FA

HV: 4160 Delta Connected
LV: 480 Wye Connected
Class: AA/ FA
Type: Vent
Frequency: 60 Hz
Temp Rise: 80 degrees C
Date of Manufacture: 10/1988 and older models

Questions concerning this notification should be directed to the Quality Manager (Rick Kinder) at the ABB transformer plant in Bland, VA at (276) 688 -3325.

ENS 535771 September 2018 10:43:00While filling up a licensee company truck at a gas station located in Ripley, West Virginia, an individual stole the company truck and its associated radiography camera (QSA 880; S/N 677846;108 Ci; Iridium-192 source). The licensee notified LLEA (West Virginia State Police) and the vehicle was recovered. The licensee inspected the properly secured equipment and observed no impact to the radiography camera. The licensee stated there was no radiological impact to the public or employees. 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
ENS 5354913 August 2018 12:05:00

The following information was received from the State of Texas via email: On August 12, 2018 at approximately 1135 (CDT)., the licensee notified the Agency (Texas Department of State Health Services) that one of its radiography crews had experienced a source disconnect. The event occurred on August 11, 2018, at approximately 1200 (CDT) at a temporary job site near Whitsett, TX. The device involved was an INC IR-100 (SN: 6792) containing a 91 curie iridium-192 source (SN: ZH0109). The crew had set up the device and performed a procedure shot and everything functioned properly. They performed the first shot of the job and the source would not retract into the device--it felt as though it had stuck on something. After a second unsuccessful attempt, the source was cranked back out into the collimator, boundaries set, and an authorized person came to the site and performed the retrieval. The drive cable and source were both new. There was no observable cause for the failure. The device and associated equipment will be sent to the manufacturer for evaluation. Per readings from all three individuals' self-reading pocket dosimeters, there were no overexposures. The source retriever's dosimetry badge is being sent for processing. An investigation into this event is ongoing. More information will be provided as it is obtained in accordance with SA-300.

  • * * UPDATE FROM KAREN BLANCHARD TO VINCE KLCO ON 8/13/18 AT 1559 EDT * * *

The following update information was received from the State of Texas via email: Clarification: The source assembly (never disconnected) from the drive cable. (The licensee was) unable to retract it back into the exposure device. Notified R4DO (Deese) and NMSS Events Notification Group via email. Texas Incident: I-9606

ENS 535373 August 2018 14:10:00At 0940 EDT on August 3, 2018, the Division 2 Mechanical Draft Cooling Tower (MDCT) fans were declared inoperable due to failure of the over speed fan brake inverter. The brakes prevent fan over speed from a design basis tornado. The MDCT fans are required to support operability of the Ultimate Heat Sink (UHS). The UHS is required to support operability of the Division 2 Emergency Equipment Cooling Water (EECW) system. The EECW system cools various safety related components, including the High Pressure Coolant Injection (HPCI) system room cooler. An unplanned HPCI inoperability occurred based on a loss of the HPCI Room Cooler. Investigation into why the Division 2 MDCT fan over speed brake inverter failed is in progress. This report is being made pursuant to 10CFR50.72(b)(3)(v)(D) based on an unplanned HPCI inoperability. The NRC Resident Inspector has been notified.
ENS 535352 August 2018 16:46:00The following information was received from the State of Louisiana via email: On 07/26/2018, (the) Radiation Safety Officer (RSO) for ExxonMobil Chemical Co. (ExMCo) reported a multi-source gauge failure to the Department (Louisiana Department of Environmental Quality), LDEQ by e-mail. On 07/25/2018 during routine annual maintenance and pm (preventative maintenance) checks it was discovered the level/density gauge had several shutters stuck in the open position. Three sources would not retract into the shielded position. However, the remaining four sources are functioning properly. The gauge is a Berthold Technologies USA multi-source device, Model LB 300 IS, utilizing AEA Technologies, Model CKC.P4 sources. There are seven (nominal) 50 mCi Co-60 sources in the device. The sources involved in this malfunction are source #1 s/n 1369-08-02, source #2 s/n 1370-08-02, and source #6 s/n 1374-08-02. All three sources will not retract into the shielded position. The device has a SS&D Registration # TN-1031-D-801-S. Only one device was manufactured and is no longer being manufactured. The manufacturer is Berthold Technologies GmbH & Co. KG, D-75323 Bad Wildbad Germany. The Berthold Model LB300 IS level density gauge is installed on G-Line High Pressure Reactor Vessel, V5300 and G-Line high pressure separator production line. ExMCo engineers and Flowmaster/Berthold engineers & service company have been contacted to fix the problem by repairing the source holders or replace the device with other comparable technology. Event type: The gauge is installed on processes and does not pose a health and safety threat to the general public or the ExMCo employees. The gauge will remain on the operational process until the repair is made to the device. This is considered an equipment failure for reporting requirements. Event Location: ExxonMobil Chemical Co. Baton Rouge Plastics Plant 11675 Scotland Avenue, (Hwy 19) Baton Rouge, LA 70807, Event description: Shutters stuck in the open position or difficult to operate shutters were detected on a level/density gauge installed on processes at ExMCo. A service company has been contacted to make the repair or replace the device. The Department will be provided a final report with corrective actions. The Department was notified and the incident was reported to the NRC Operation Center. The report to the NRC as required by 10 CFR Part 30.50 (b) (2) and required by LAC 33:XV.341.B.2.b. Louisiana Event: LA 180015
ENS 5352224 July 2018 00:57:00The following event description is based on information currently available. If through subsequent reviews of this event additional information is identified that is pertinent to this event or alters the information being provided at this time, a follow-up notification will be made via the ENS (Emergency Notification System) or under the reporting requirements of 10CFR50.73. This event is being reported pursuant to 10CFR50.72(b)(3)(xiii) as a Loss of Emergency Preparedness Capabilities at Palo Verde Nuclear Generating Station (PVNGS) Unit 2. On July 23, 2018, at approximately 1631 Mountain Standard Time (MST), the Unit 2 control room experienced an unplanned loss of Steam Generator #1 steam line monitor (RU-139), channels A and B. This monitor is used to assess dose projections for Main Steam line exhaust while in Modes 1-4 and is used in the PVNGS Emergency Plan to perform classification of Initiating Conditions 'RS1' and' RG1' and Emergency Action Levels (EALs) 'RS1.2' and 'RG1.2'. The PVNGS Emergency Plan does have two additional EALs that can be assessed for each Initiating Condition. The loss of this monitor constitutes a reportable loss of emergency assessment capability. The NRC Resident Inspector has been informed of this condition.
ENS 5360313 September 2018 14:38:00The following information was received by the State of Texas: On 09/13/2018, the Agency (Texas Department of State Health Services) was notified by a licensee that an employee received a personnel dosimetry report of 16.0 rem for the second quarter of 2018. The employee had received a report of a 3.3 rem exposure for the previous quarter. The licensee suspects that someone tampered with the dosimeter. The employee works in the nuclear medicine department and always leaves the badge attached to the lab coat on the door to the hot lab. Other employees performing similar work only received minimal exposures. Due to the amount of the reported exposure, the agency will conduct an investigation on site. Texas Incident: I-9613
ENS 5350011 July 2018 03:58:00On July 11, 2018, as part of pre-planned maintenance, the site meteorological tower will be removed from service. The tower will be out of service for approximately 11 days. As a result, this is reportable under 10CFR 50.72 (b)(3)(xiii). During the time the data is not available from the meteorological tower; compensatory measures will be in place to obtain the data from the National Weather Service if necessary. The (NRC) Resident Inspector has been notified.
ENS 534853 July 2018 19:07:00

EN Revision Text: DISCOVERY OF AN UNANALYZED CONDITION THAT SIGNIFICANTLY DEGRADES PLANT SAFETY On July 3, 2018, while performing a review of Emergency Operating Procedures, a concern was identified regarding the potential for excessive loss of ultimate heat sink inventory (UHS) through the auxiliary feedwater (AFW) system mini-flow recirculation pathway. This condition would have the potential to prevent the ultimate heat sink from providing an adequate inventory of water for a 30-day mission time.

The normal water supply for the Callaway AFW system is the condensate storage tank (CST). The CST is a non-safety grade component. The safety-grade supply for AFW is the essential service water (ESW) system. The ESW system is supplied by the UHS. The UHS thermal performance analysis accounts for a loss of UHS inventory to the AFW system up until the point of the accident sequence that the AFW pumps would be secured. The analysis did not include an allowance for loss of UHS inventory through the AFW mini-flow recirculation pathway following the AFW pumps being secured. The EOP guidance that secures the AFW pumps does not isolate the mini-flow recirculation pathway.

Initial estimates indicate that loss of UHS inventory through the mini-flow recirculation pathway, if not isolated, would preclude the UHS from completing its 30-day mission time. This potential for depletion of the UHS placed the plant in an unanalyzed condition that significantly degraded safety.

Callaway has issued interim guidance to the on-shift personnel regarding this concern to ensure that the ultimate heat sink water level is maintained at a level that will be adequate to mitigate the potential loss of inventory.

This condition is reportable per 10 CFR 50.72(b)(3)(ii)(B) for an unanalyzed condition that significantly degrades safety. The NRC Resident Inspectors have been notified of this condition.

  • * * RETRACTION ON 07/31/2018 AT 1430 EDT FROM LEE YOUNG TO ANDREW WAUGH * * *

Event Notification (EN) 53485, made on July 3, 2018, is being retracted because re-evaluation performed subsequent to the notification has demonstrated, based on actual plant equipment and environmental conditions, that the unanalyzed inventory losses previously reported by EN 53485 would not have depleted the UHS inventory to an unacceptable level during its 30-day mission time. The re-evaluation has led to the conclusion that the previously unanalyzed losses of UHS inventory would not have prevented the UHS from performing its specified safety functions and meeting its 30-day mission time requirements. With the UHS capable of performing its specified safety functions and meeting its 30-day mission time requirements, the systems supported by the UHS would have remained capable of performing their specified safety functions. Based on these considerations, it has been determined that the condition reported in EN 53485 did not result in the plant being in an unanalyzed condition that significantly degraded safety. Consequently, the condition did not meet the criteria for an 8-hour notification per 10 CFR 50.72(b)(3)(ii)(B) for an unanalyzed condition that significantly degrades safety. The NRC Resident Inspector has been notified of the Event Notification retraction. Notified R4DO (Gaddy).

ENS 534874 July 2018 23:19:00The following information was received from the State of Texas by email: On July 4, 2018, the Agency (Texas Department of State Health Services) was notified by the licensee's radiation safety officer (RSO) that one of their crews has experienced a source disconnect. The crew was using a QSA 880D exposure device containing a 70 Curie Iridium - 192 source. The licensee did not have a lot of details on the event, but stated the source had been recovered and that no over exposures had occurred. The licensee stated the connector ball on the drive cable was tested after the event and failed the test. The RSO stated they would provide additional information on July 5, 2018. Additional information will be provided as it is received in accordance with SA-300. Texas Incident- I-9591
ENS 534843 July 2018 12:00:00At 0954 (EDT) on July 3, 2018, with Unit 1 in Mode 1 at 100 percent power, the reactor was manually tripped due to high steam generator water level. The trip was not complex, with all systems responding normally. Operations stabilized the plant in Mode 3. Decay heat is being removed through the main steam lines through the steam dumps and into the condenser. The expected actuation of the Auxiliary Feedwater System (an engineered safety feature) is being reported as an eight hour report under 10 CFR 50.72 (b)(3)(iv)(A). Unit 2 was not affected. There was no impact to the health and safety of the public or plant personnel. The NRC Resident Inspectors have been notified. All control rods inserted and Unit 1 is in an electrical shutdown lineup. The cause of the high steam generator water level transient is being investigated.
ENS 5347828 June 2018 10:10:00The following information was received from the State of Texas via email: On June 27, 2018, the Agency (Texas Department of State Health Services) was notified by the licensee's corporate radiation safety officer (CRSO) that one of his radiography crew had experienced a source disconnect. The crew was using a QSA 880D exposure device containing a 113.1 Curie iridium - 192 source. After completing the first shot on a new location on the pipeline, the crew could not get the source to return to the exposure device. The crew contacted the CRSO and set up new barriers at 2 millirem. The CRSO and a second individual qualified for source retrieval arrived at the site at 1743 hours. The retrieval team (RT) surveyed the guide tube and determined the source was in the collimator. The RT removed the guide tube from the exposure device and removed the camera from the area. Using a set of long tongs, the guide tube was removed from the pipe and the source slid down the guide tube until the connector was exposed. They could see the drive cable had broken near the connector. The source was shielded with bags of lead shot. The CRSO disconnected the broken drive cable from the source pigtail and connected the pigtail to a new drive cable that had been installed on the camera. The source was retracted to the shielded position in the camera. The camera and crank out device and drive cable will be sent to the manufacturer for inspection. No overexposures occurred as a result of this event. Additional information will be provided as it is received in accordance with SA-300. Texas Incident # - 9590
ENS 5346922 June 2018 15:12:00At 0900 (EDT) on June 22, 2018, a non-licensed supervisory contractor subverted a random Fitness for Duty test. The contractor's site access has been terminated. The NRC Resident Inspector was notified.
ENS 5328725 March 2018 23:43:00

On March 25, 2018 at 1616 hours (EDT), with the reactor in cold shutdown condition, two control rod drive piping lines were determined to be potentially inoperable in the event of a design basis earthquake due to support defects. The control rod drive piping forms a portion of the reactor coolant pressure boundary and primary containment boundary. The supports will be repaired prior to plant startup. This event had no impact on the health and/or safety of the public. The NRC Resident Inspector has been notified. The licensee will notify the Commonwealth of Massachusetts.

  • * * RETRACTION FROM JOE FRATTASIO TO HOWIE CROUCH AT 1500 EDT ON 4/13/18 * * *

The purpose of the notification is to retract ENS notification 53287 made on 03/25/18 for Pilgrim Nuclear Power Station. The previous notification reported that control rod drive (CRD) piping could be potentially inoperable in the event of a design basis earthquake, at the time of discovery, due to piping support defects. Subsequent evaluation has demonstrated that the piping was not inoperable. Specifically, after an engineering evaluation, it has been determined that the CRD Hydraulic System operability was never lost and the system was operable, although non-conforming, based on the support configuration not conforming to the pipe support drawings. The affected pipe supports have been restored or reworked to the proper design condition in accordance with the design drawings. The CRD System has subsequently been restored to a fully operable status. Notified R1DO (Jackson) and IRD MOC (Pham).

ENS 5326515 March 2018 22:08:00At 1524 (EDT) on Thursday, March 15, 2018, Operations was notified of a failure to meet Appendix R requirements for Peach Bottom Atomic Power Station (PBAPS) Unit 2 and Unit 3. Valves associated with the feedwater system for both units were not properly considered as Hi-Lo Pressure interface valves as required by the Appendix R program. This results in the susceptibility to a hot short condition that could open valves, diverting flow from the reactor, damage piping and prevent injection. U3 (Unit 3) Fire Safe Shutdown Credited Reactor Core Isolation Cooling (RCIC) System is affected. U2 (Unit 2) is affected by a potential leak path through the Reactor Water Cleanup system. This event is being reported as an occurrence of an event or condition that results in the nuclear power plant being in an unanalyzed condition that significantly degrades plant safety under 10 CFR 50.72(b)(3)(ii). The Station (PBAPS) is performing hourly fire watches for the impacted areas and is also evaluating this condition for corrective action. The licensee notified the NRC Resident Inspector.
ENS 532423 March 2018 02:19:00At 2315 EST on March 2, 2018, Pilgrim Nuclear Power Station (PNPS) determined, based on information received from the Commonwealth of Massachusetts, that there may be a potential loss of offsite response capabilities due to ongoing severe natural hazard conditions (i.e., major winter storm) along the coast of Massachusetts. According to information received by PNPS, towns within the 10 Mile EP Radius could be hampered in implementing some protective actions specified in the emergency plan in the unlikely event an emergency were to occur. There is no condition at the Station that would warrant implementation of any emergency plan at this time. PNPS continues to operate safely and is monitoring the weather conditions closely. The Station maintains emergency assessment, response, and communication capability. This report is being made conservatively in accordance with 10 CFR 50.72(b)(3)(xiii) which is any event that results in a major loss of emergency assessment capability, offsite response capability, or offsite communications capability. As stated previously, the Station maintains emergency assessment, response, and communication capability. The licensee notified the NRC Resident Inspector.
ENS 5320211 February 2018 23:36:00On February 11, 2018 at 2203 (EST), the Susquehanna Control Room received indication that a loss of Secondary Containment Zone 2 differential pressure (DP) had occurred. Control Room operators noted a differential pressure of <.25" WC (inches Water Column) for several seconds. System DP was restored to normal in 1 minute. The cause of the pressure swings is under investigation. Zone 2 differential pressures being less than 0.25" WC constitutes a loss of Secondary Containment based on not meeting requirements of SR 3.6.4.1.1. This event is being reported under 10 CFR 50.72(b)(3)(v)(c) and per the guidance of NUREG 1022 Rev 3 section 3.2.7 as a loss of a Safety Function. There is no redundant Susquehanna Secondary Containment system. The licensee notified the NRC Resident Inspector.
ENS 531921 February 2018 14:23:00

At 1057 CST on February 1, 2018 with the unit in Mode 1 at approximately 27% power, a manual actuation of the Reactor Protection System (RPS) was initiated due to an unexpected trip of the B Recirc Pump with A Recirc Pump in fast speed. B Recirc Pump tripped during transfer from slow to fast speed resulting in single loop operation. Operators were unable to reconcile differing indications of core flow. This resulted in a conservative decision to initiate a manual scram. The cause of the B Recirc Pump trip and the apparent issues with core flow indication are under investigation. The plant is currently stable in Mode 3. The plant response to the scram was as expected. All control rods (fully) inserted as expected; the feedwater system is maintaining reactor vessel water level in the normal control band and reactor pressure is being maintained with steam line drains and main turbine bypass valves. The NRC Senior Resident (Inspector) has been notified.

  • * * RETRACTION AT 1015 EDT ON 03/22/2018 FROM DAVID DABADIE TO OSSY FONT * * *

This event was initially reported under 10 CFR 72(b)(2)(iv)(B) as a manual actuation of the RPS due to an unexpected trip of the B Reactor Recirculation Pump with the A Reactor Recirculation Pump running in fast speed (Single Loop Operations). Operations was unable to reconcile differing indications of core flow and made the conservative decision to perform a planned shutdown in accordance with normal operating procedures. Therefore, this event 'resulted from and was part of a pre-planned sequence during testing or reactor operation' as specified in 10 CFR 50.72(b)(2)(iv)(B), 10 CFR 50.73(a)(2)(iv)(A) and NUREG-1022 Section 3.2.6. Consequently, this event is not reportable as an actuation of RPS. The NRC Resident Inspector has been notified. R4DO (Groom) has been notified.

ENS 531911 February 2018 13:50:00A non-licensed (employee) supervisor had a confirmed positive test for alcohol during a random fitness-for-duty (FFD) test. The individual's unescorted access to the plant has been (terminated). The NRC Resident Inspector has been notified.
ENS 5318023 January 2018 05:02:00

At 0400 (CST) on 1/23/2018 the Braidwood Technical Support Center (TSC) HVAC (Heating, Ventilation and Air Conditioning) Emergency Makeup Air Filter train was taken out of service to perform a planned Makeup Air Filter charcoal replacement. The TSC HVAC Makeup Air Filter train will be rendered nonfunctional during the charcoal replacement. Subsequent charcoal and HEPA filter testing will restore functionality of the TSC HVAC Makeup Air Filter train. The expected duration of the charcoal replacement and subsequent testing is 30 hours. If an emergency is declared requiring TSC activation during the time TSC HVAC is non-functional, the TSC will be staffed and activated using existing emergency planning procedure unless the TSC becomes uninhabitable due to ambient temperature, radiological, or other conditions. If relocation of the TSC becomes necessary, the Emergency Director will relocate the TSC staff to an alternate location in accordance with applicable site procedures. This notification is being made in accordance with 10 CFR 50.72(b)(3)(xiii) due to a major loss of emergency preparedness capability. An update will be provided once the TSC HVAC Emergency Makeup Air Filter train functionality has been restored. The licensee has notified the NRC Resident Inspector.

  • * * UPDATE AT 1645 EST ON 01/26/2018 FROM PAUL ARTUSA TO JEFF HERRERA * * *

On 1/26/18 at time 1539 EST, the TSC HVAC Emergency Makeup Air Filter train was returned to service following the planned Makeup Alr Filter charcoal replacement. Functionality was verified by charcoal and HEPA filter post maintenance testing. The licensee has notified the NRC Resident Inspector. Notified the R3DO (Cameron).

ENS 531536 January 2018 06:05:00

Oyster Creek Declared an Unusual Event HU 6 Hazardous Event for an Abnormal Intake Structure Level Less than or equal to -3.0 feet MSL (Mean Sea Level) on points 23 and 24 in the Main Control Room at time 0524 (EST). The licensee notified the NRC Resident Inspector, State, and local authorities. Notified DHS SWO, FEMA Operations Center, DHS NICC, FEMA NWC (email), DHS Nuclear SSA (email), and FEMA NRCC SASC (email).

  • * * UPDATE ON 1/6/18 AT 2325 EST FROM JAMES RITCHIE TO BETHANY CECERE * * *

Oyster Creek Terminated Unusual Event HU 6 Hazardous Event for an Abnormal Intake Structure Level at time 2308 (EST). The licensee notified the NRC Resident Inspector, State, and local authorities. Notified R1DO (Werkheiser), NRR EO (King), IRD MOC (Gott), DHS SWO, FEMA Operations Center, DHS NICC, FEMA NWC (email), DHS Nuclear SSA (email), and FEMA NRCC SASC (email).

ENS 5313220 December 2017 18:18:00On December 20, 2017, at 1040 Eastern Standard Time (EST), the Watts Bar Nuclear Plant (WBN) 1B-B 6.9kV Shutdown Board (SDBD) normal feeder breaker opened. The loss of voltage to the 1B-B SDBD resulted in the start of the 1B-B Motor Driven Auxiliary Feedwater (MDAFW) pump, the Unit 1 Turbine Driven Auxiliary Feedwater (TDAFW) pump, and the start of all four Emergency Diesel Generators (EDGs). Power was restored to the 1B-B 6.9 kV SDBD when it loaded on to its associated EDG. Following initial investigation, the 1B-B 6.9 kV SDBD was transferred to its alternate offsite power source, Common Station Service Transformer (CSST) C at 1217 EST. At 1230 EST, the 1B-B 6.9 kV SDBD alternate feeder breaker opened. The loss of voltage to the 1B-B SDBD did not result in the restart of the 1B MDAFW pump, the Unit 1 TDAFW pump, or EDGs; this equipment remained running from the earlier event. Power was restored to the 1B-B 6.9 kV SDBD when it loaded on to its associated EDG. Restoration of normal offsite power to the 1B-B SDBD was completed at 1654. Other than several common Unit Technical Specifications having not been met, Unit 2 was not operationally impacted by the transfer of the 1B-B Shutdown Board to onsite power and remains in Mode 1 at 100% power. This report is made per 10 CFR 50.72(b)(3)(iv)(A). NRC Resident Inspector has been notified. The licensee investigation continues for the cause of the event.
ENS 5312819 December 2017 17:17:00

During regular power operations at 100% power, DG#1 and DG#2 were declared inoperable due to a common issue associated with indicating lights and the associated sockets installed in various control and auxiliary circuits for both DG's. The indicating lights in question are incandescent 120V AC style 120MB bulbs in a socket with a 550 ohm resistor. Style 120MB light bulbs have a failure mechanism where the bulb can cause a short circuit rather than the more common open circuit that is expected when an incandescent bulb filament fails. Cooper originally believed that the socket's integral resistor was sufficient to protect the circuit. In testing performed by an outside laboratory and confirmed on-site using warehouse stock, it was determined that the integral resistor may not have the power dissipation capability to protect the circuit ln which the light and socket are installed if a bulb fails in short circuit. This condition resulted in both DG's being declared inoperable at 1340 (CST) due to a loss of reasonable expectation that they would meet their safety function required action to start, load and run to support loads required to mitigate the consequences of an accident. This is a loss of safety function under 10CFR 50.72(b)(3)(v)(D) subject to an 8 hour report. As a result of both DG's being inoperable, the Control Room Emergency Filtration System is also inoperable. This is also a loss of safety function subject to an 8 hour report for the same criterion. The Senior Resident has been notified.

  • * * RETRACTION AT 0942 EST ON 02/14/2018 FROM DAVID VAN DERKAMP TO JEFF HERRERA * * *

CNS is retracting the 8-hour non-emergency notification made on December 19, 2017 at 1340 CST (EN# 53128). Subsequent evaluation concluded a postulated lamp short circuit failure in any of the affected circuits would not impact the ability of the Diesel Generators to perform their safety function and therefore, were operable. With DG operability not affected, the Control Room Emergency Filtration System also remained operable. The NRC Resident Inspector has been notified. Notified the R4DO (Werner).

ENS 5312719 December 2017 17:05:00The following information was received from the State of Illinois: The University of Chicago Medical Center reported an underdose of Y90 Theraspheres today (12/19/17) to a patient. 53.4 % of dose was delivered with 46.6% stuck in catheter. 21 mCi was ordered and 11.21 was delivered. CT scan verified dose administered in correct location. On 12/18/17, it was still undetermined why remaining dose hung up in catheter. Additional dose (is) being ordered to complete the therapy as a fractionated dose. The licensee is investigating why the catheter became blocked. A 15 day written report will follow. Illinois Incident: IL177059 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.
ENS 5311411 December 2017 16:29:00

The following information was received from the State of South Carolina by email: On Monday, December 11, 2017 at (1100 CST), the Department (South Carolina Department of Health and Environmental Control) was notified by (the) Corporate RSO (Radiation Safety Officer) of STERIS Isomedix Services that one of the source racks had been stuck in the 'up' position. The incident happened at (0328 CST) on Saturday, December 8, 2017. The worker saw that there was an unload fault on the system indicating that the rack was stuck so he called maintenance to try to correct the problem. At (0340 CST) the Radiation Safety Officer (and then the corporate RSO were notified) about the event. (The RSO) called and left a message on an employee voicemail rather than calling the 24 hour emergency phone number.

The workers were able to go into the penthouse to correct the problem and lower the source rack back into the pool. The workers found that a carrier had a cracked hinge. They checked all of their other carriers and replaced a total of two carrier doors. The RSO informed the CRSO (Corporate Radiation Safety Officer) that the situation was resolved at (0724 CST). The licensee stated that a written report will be sent within 30 days of the event.

ENS 531098 December 2017 17:26:00The following information was excerpted from an email received from the State of Kansas: The licensee is reporting that an ionizer containing a radioactive source (Model Number P-2063-1000) was lost. The licensee currently has 3 other ionizers of the same model. The device radioactive source was Polonium-210 (SN: A2KT674) with an activity of 31.5 mCi and was last leak tested on 9/20/2016. The device was checked out by the licensee and placed within the secure test floor while testing electrical devices at the Integra Technologies facility. The missing device use was last logged on 8/25/2017. The licensee believes that their maintenance department mistakenly threw the device away. Upon discovering that the device was missing, the licensee searched their facility several times over without finding the device. The prevention for further loss is that the remaining 3 units will be mounted in permanent locations using security screws so they cannot be removed by unauthorized personnel. 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
ENS 531088 December 2017 17:25:00U/2 HPCI (Unit 2/High Pressure Coolant Injection) was declared inoperable due to leak by of the pump discharge check valve after pump shutdown from flow testing. This resulted in cycling of the minimum flow valve. The discharge valve was closed to prevent the continued cycling of the minimum flow valve. This condition was identified during normal surveillance testing. The licensee notified the NRC Resident Inspector.
ENS 531077 December 2017 15:03:00This non-emergency notification is being made in accordance with 10 CFR 50.72(b)(2)(xi), any event or situation related to the protection of the environment for which notification to other government agencies has been made. Dominion Energy is in the process of informing the Virginia Department of Health, Department of Environmental Quality, Department of Emergency Management, and the Surry County Administrator of recent groundwater monitoring results at Surry Power Station in accordance with NEI 07-07, Industry Groundwater Protection Initiative (GPI). On December 6, 2017 at 1138 EST, Surry Power Station received analysis results of recent samples from the on-site groundwater monitoring program. As part of the program, 10 new groundwater monitoring wells were recently placed in service within the Protected Area to provide early detection, to better define the site's hydrology, and if necessary, to mitigate any potential leaks. The analysis results from one of the new wells indicated tritium activity level above the GPI communication threshold. Samples were re-analyzed, resulting in different values, with the highest result of 59,300 picoCuries per liter. Since each result was above the voluntary reporting threshold, Surry stakeholder communication was implemented in accordance with the NEI GPI Voluntary Communication Protocol, Criterion 2.2. There are no known active leaks at this location; however, Dominion Energy is continuing to investigate the source of the tritium and the reason for the variability in the sample results. Tritium was not detected in the on-site monitoring locations outside of the Protected Area. No tritium has been detected in the on-site and off-site drinking water wells. Since the activity is contained within the site restricted area, the health and safety of on-site personnel and members of the public are not affected. A 30-day report will be submitted to the NRC in accordance with NEI 07-07. The NRC Senior Resident Inspector has been notified.
ENS 5347426 June 2018 17:30:00The following information was received from the State of Texas: During the review of an event, the Agency (Texas Department of State Health Services) found a letter from a licensee reporting the shutter on a Ohmart model SHD-45 containing a 50 millicurie cesium - 137 source had failed in the closed position. The report was dated November 29, 2017. The shutter did not pose an exposure risk to any individual. The licensee has worked with the manufacturer and the gauge was scheduled to be replaced on June 21, 2018. The Agency has not been able to confirm if the gauge was repaired/replaced. Additional information will be provided as it is received in accordance with SA-300. Texas Incident Number: I-9588
ENS 5312619 December 2017 12:46:00The following information was excerpted from a facsimile received from Crane Nuclear: This letter provides notification of a defect in a Weak Link Analysis provided to the Tennessee Valley Authority (TVA) by Crane-Aloyco, Inc. (CAI), a Crane Nuclear, Inc. (CNI) predecessor business unit, for a Chapman Gate Valve, Figure L900, Item # 18, Drawing CC05307, Revision B for the Browns Ferry Nuclear (BFN) plant. The subject valve was originally procured from Crane Chapman in 1968. In 1988, TVA requested Crane to supply a Weak Leak Analysis for the original valve. A Weak Link Analysis (OTC-258 Rev.0) was developed by CAI, which identified a maximum thrust capacity of approximately 112,000 lbf. In November 2017, Crane Nuclear, Inc. developed a new Weak Link Analysis for the valve. Crane Nuclear, Inc. provided the new Weak Link Analysis (WL-103 Rev. 0) to TVA on November 17th, 2017. Crane Nuclear. Inc. identified in the new Weak Link Analysis a maximum thrust capacity of approximately 96,000 lbf. CNI is reviewing our records to determine if the maximum thrust rating in any other Weak Link Analyses provided by CNI for gate valve designs with an SMB-4T or SMB-5T actuator exceeds the rating for the thrust bearings. Should you have any questions regarding this matter, please contact me, Joyce Hamman, Director, Safety & Quality at (678) 451-2280, Burt Anderson, Site Leader, at (630) 226-4990, or Samson Kay, Engineering Manager at (630) 226-4983.
ENS 5307416 November 2017 08:17:00At 0008 CST on 11/16/2017, Cooper Nuclear Station (CNS) was notified by Omaha Weather that the NOAA broadcast and the Shubert radio tower for this area is off. This affects the tone alert radios used to notify the public in event of an emergency condition. This is considered to be a major loss of the Public Prompt Notification System capability, and is reportable under 10CFR50.72(b)(3)(xiii). The transmission outage actually began at 2007 (CST), 11/15/2017, but CNS was not notified until 0008 (CST), 11/16/2017. Backup notification methods remained available throughout the period. At time 0447 CST on 11/16/2017, Cooper Nuclear Station was notified that the NOAA broadcast and Shubert radio transmission tower was returned to service. Nemaha County, NE, Richardson County, NE, and Atchison County, MO authorities within the 10 mile EPZ were notified by Cooper Nuclear Station of the condition and the effect on the tone alert radios at 0642 (CST), 11/16/2017. This is reportable under 10CFR50.72(b)(2)(xi) as a 4 hour report. The NRC Senior Resident has been informed.
ENS 5312919 December 2017 18:28:00The following information was excerpted from an email received from the State of Florida: The State of Florida received a notice on 11/15/17 that a Troxler Gauge and a company vehicle was stolen from the licensee by an employee. A City of Orlando Police report was issued (2017-442672). On 12/7/2017, a notice was received from the licensee to inform State of Florida Bureau of Radiation Control that the gauge was found intact and undamaged. The Troxler moisture density gauge is a model number 3440; serial number 27931; Cs-137/AmBe; 8mCi/40mCi. Florida Incident Number: FL17-298. 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 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
ENS 5306713 November 2017 03:57:00At 2119 (CST) on 11/12/2017 a Control Room board walk down discovered that both of the Unit 2 Containment Spray Pump control switches were in pull-out. With the control switches in pull-out, the pumps would not automatically start as required. Unplanned TS (Technical Specifications) 3.0.3 was entered at 2119 as a result of not complying with TS 3.6.5, Containment Spray and Cooling Systems, which requires both trains of Containment Spray to be Operable while in Mode 4. Unit 2 had entered Mode 4 at 0303 on 11/12/2017. TS 3.0.3 was exited at 2127 on 11/12/2017 when both Containment Spray Pump control switches were placed in Automatic restoring Operability. Preliminary investigation determined that while Unit 2 was in Mode 5, Surveillance SP 2099, Main Steam Isolation Valve Logic Test, had taken the Containment Spray Pump control switches to pull-out but did not re-align the control switches to automatic after the test was complete. This 8-hour Non-Emergency report is being made per 10 CFR 50.72(b)(3)(v)(D), Accident Mitigation. The NRC Senior Resident Inspector has been informed.
ENS 5313019 December 2017 17:40:00The following was excerpted from an email received from the State of Florida: The State of Florida received a notice of an over-exposure from the licensee. An employee received a whole body dose of 5019 mR read on her dosimeter on 10/10/2017. The investigation determined that the most likely cause of the over-exposure was due to an unusual number of equipment failures with the synthesis units requiring employee intervention to correct the issues. Dose rates and doses to the employee were not being monitored real time. The employee has been retrained on the standard operating procedures. Alarming personal electronic dosimeters have been purchased and are in use to alert personnel of the radiation fields. Florida Incident Number: FL17-299
ENS 530597 November 2017 22:09:00On November 7, 2017 at 1810 (CST), Unit 1 High Pressure Coolant Injection (HPCI), was manually isolated following failure of the remote turbine trip pushbutton to function. Unit 1 HPCI Operability Testing was in progress to the point of securing the HPCI turbine with the remote manual pushbutton. The pushbutton failed to trip the turbine resulting in operator action to lower the flow controller setpoint and isolating the HPCI steam line. HPCI remains isolated and is Inoperable pending resolution of the Turbine Trip circuitry. This event is being reported as a condition that could have prevented fulfillment of a safety function in accordance with 10CFR50.72(b)(3)(v)(D). The HPCI system is a single train system and the loss of HPCI could impact the plant ability to mitigate the consequences of an accident. The Reactor Core Isolation Cooling (RCIC) system was confirmed operable. The NRC Senior Resident Inspector has been notified.
ENS 530556 November 2017 13:21:00The following information was received from the State of Texas by email: On November 6, 2017, the Agency (Texas Department of State Health Services) was notified by the licensee that a shutter was stuck in the closed position. The Ronan SA1 shutter was closed for maintenance on a hopper and failed to reopen. The gauge contains a 50 millicurie Cesium-137 source. The Licensee stated a service company has been contacted to repair the gauges in the next few days. No individual received significant exposure to radiation due to this event. Additional information will be provided as it is received in accordance with SA-300. Texas Incident Number: I-9519