Event Notification Report for March 25, 2023
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
03/24/2023 - 03/25/2023
Agreement State
Event Number: 56418
Rep Org: Illinois Emergency Mgmt. Agency
Licensee: G.E. Healthcare DBA/ Medi+Physics
Region: 3
City: Arlington Heights State: IL
County:
License #: IL-01109-01
Agreement: Y
Docket:
NRC Notified By: Gary Forsee
HQ OPS Officer: Ernest West
Licensee: G.E. Healthcare DBA/ Medi+Physics
Region: 3
City: Arlington Heights State: IL
County:
License #: IL-01109-01
Agreement: Y
Docket:
NRC Notified By: Gary Forsee
HQ OPS Officer: Ernest West
Notification Date: 03/17/2023
Notification Time: 14:57 [ET]
Event Date: 03/08/2023
Event Time: 22:47 [CDT]
Last Update Date: 03/17/2023
Notification Time: 14:57 [ET]
Event Date: 03/08/2023
Event Time: 22:47 [CDT]
Last Update Date: 03/17/2023
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
Nguyen, April (R3DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB, (EMAIL)
Nguyen, April (R3DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB, (EMAIL)
AGREEMENT STATE REPORT - LOST PACKAGES
The following information was provided by the Illinois Emergency Management Agency (the Agency) via email:
"The Agency was notified the evening of 3/16/23 by General Electric (GE) Healthcare in Arlington Heights, IL to advise of two radiopharmaceutical packages that were missing in transit. The last known location was the carrier hub in Memphis, TN. The carrier has advised efforts to locate the packages have ceased and both have been declared as lost. These packages do not represent a significant public safety hazard and there are no indications of intentional theft or diversion. TN and TX program officials have been notified as well. Additional details will be provided as they become available. This matter has a 30-day reporting requirement to the NRC with a required call to the [NRC] Headquarters Operations Officer. Details on the packages are as follows:
"Package 1:
[The package] shipped 3/8/23 to Doctor's Hospital at Renaissance in Edinburg, TX. [The package] contained (1) 10mL shielded vial of I-123. Package activity at the time of shipment was 14.3 mCi. [The package contains] 0.0002 mCi of activity as of 3/17/2022 at 1500 EDT. The last scan occurred 2247 CDT on 3/8/23. GE Healthcare contacted the customer and confirmed that the package was not received.
"Package 2:
[The package] shipped 3/10/23 to Panhandle Nuclear in Amarillo, TX. [The package] contained (1) 10mL shielded vial of In-111. Package activity at the time of shipment was 3.2 mCi. [The package contains] 0.585 mCi of activity as of 3/17/2022 at 1500 EDT. The last scan occurred 0009 CDT on 3/11/23. GE Healthcare contacted the customer and confirmed that the package was not received."
IL Event Number: IL230007
THIS MATERIAL EVENT CONTAINS A 'Less than Cat 3' LEVEL OF RADIOACTIVE MATERIAL
Sources that are "Less than IAEA Category 3 sources," are either sources that are very unlikely to cause permanent injury to individuals or contain a very small amount of radioactive material that would not cause any permanent injury. Some of these sources, such as moisture density gauges or thickness gauges that are Category 4, the amount of unshielded radioactive material, if not safely managed or securely protected, could possibly - although it is unlikely - temporarily injure someone who handled it or were otherwise in contact with it, or who were close to it for a period of many weeks. For additional information go to http://www-pub.iaea.org/MTCD/publications/PDF/Pub1227_web.pdf
The following information was provided by the Illinois Emergency Management Agency (the Agency) via email:
"The Agency was notified the evening of 3/16/23 by General Electric (GE) Healthcare in Arlington Heights, IL to advise of two radiopharmaceutical packages that were missing in transit. The last known location was the carrier hub in Memphis, TN. The carrier has advised efforts to locate the packages have ceased and both have been declared as lost. These packages do not represent a significant public safety hazard and there are no indications of intentional theft or diversion. TN and TX program officials have been notified as well. Additional details will be provided as they become available. This matter has a 30-day reporting requirement to the NRC with a required call to the [NRC] Headquarters Operations Officer. Details on the packages are as follows:
"Package 1:
[The package] shipped 3/8/23 to Doctor's Hospital at Renaissance in Edinburg, TX. [The package] contained (1) 10mL shielded vial of I-123. Package activity at the time of shipment was 14.3 mCi. [The package contains] 0.0002 mCi of activity as of 3/17/2022 at 1500 EDT. The last scan occurred 2247 CDT on 3/8/23. GE Healthcare contacted the customer and confirmed that the package was not received.
"Package 2:
[The package] shipped 3/10/23 to Panhandle Nuclear in Amarillo, TX. [The package] contained (1) 10mL shielded vial of In-111. Package activity at the time of shipment was 3.2 mCi. [The package contains] 0.585 mCi of activity as of 3/17/2022 at 1500 EDT. The last scan occurred 0009 CDT on 3/11/23. GE Healthcare contacted the customer and confirmed that the package was not received."
IL Event Number: IL230007
THIS MATERIAL EVENT CONTAINS A 'Less than Cat 3' LEVEL OF RADIOACTIVE MATERIAL
Sources that are "Less than IAEA Category 3 sources," are either sources that are very unlikely to cause permanent injury to individuals or contain a very small amount of radioactive material that would not cause any permanent injury. Some of these sources, such as moisture density gauges or thickness gauges that are Category 4, the amount of unshielded radioactive material, if not safely managed or securely protected, could possibly - although it is unlikely - temporarily injure someone who handled it or were otherwise in contact with it, or who were close to it for a period of many weeks. For additional information go to http://www-pub.iaea.org/MTCD/publications/PDF/Pub1227_web.pdf
Agreement State
Event Number: 56419
Rep Org: Illinois Emergency Mgmt. Agency
Licensee: G.E. Healthcare DBA/ Medi+Physics
Region: 3
City: Arlington Heights State: IL
County:
License #: IL-01109-01
Agreement: Y
Docket:
NRC Notified By: Gary Forsee
HQ OPS Officer: Ernest West
Licensee: G.E. Healthcare DBA/ Medi+Physics
Region: 3
City: Arlington Heights State: IL
County:
License #: IL-01109-01
Agreement: Y
Docket:
NRC Notified By: Gary Forsee
HQ OPS Officer: Ernest West
Notification Date: 03/17/2023
Notification Time: 16:47 [ET]
Event Date: 03/11/2023
Event Time: 00:09 [CDT]
Last Update Date: 03/17/2023
Notification Time: 16:47 [ET]
Event Date: 03/11/2023
Event Time: 00:09 [CDT]
Last Update Date: 03/17/2023
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
Nguyen, April (R3DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB, (EMAIL)
Nguyen, April (R3DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB, (EMAIL)
AGREEMENT STATE REPORT - LOST PACKAGES
The following information was provided by the Illinois Emergency Management Agency (the Agency) via email:
"Shortly after reporting the first two missing packages (see EN56418), the Agency was contacted on 3/17/23 by General Electric (GE) Healthcare in Arlington Heights, IL to advise of a third radiopharmaceutical package that went missing in transit. The last known location was the carrier hub in Memphis, TN. The carrier has advised efforts to locate the packages have ceased and the package was declared as lost. This package does not represent a significant public safety hazard and there is no indication of intentional theft or diversion. TN and AL program officials were notified. Details are provided below.
"Package Details:
[The package] shipped on 3/10/23 to Cardinal Health in Birmingham, AL. [The package] contained (1) 10mL shielded vial of In-111. Package activity at the time of shipment was 3.2 mCi. [The package] contains 0.563 mCi [as of 3/17/2023, 1647 EDT]. The last scan occurred at 0009 CDT on 3/11/23. GE Healthcare contacted the customer and confirmed that the package was not received.
"Additional details will be provided as they become available. This matter has a 30-day reporting requirement to the NRC with a required call to the NRC Headquarters Operations Officer."
IL Event Number: IL230008
THIS MATERIAL EVENT CONTAINS A 'Less than Cat 3' LEVEL OF RADIOACTIVE MATERIAL
Sources that are "Less than IAEA Category 3 sources," are either sources that are very unlikely to cause permanent injury to individuals or contain a very small amount of radioactive material that would not cause any permanent injury. Some of these sources, such as moisture density gauges or thickness gauges that are Category 4, the amount of unshielded radioactive material, if not safely managed or securely protected, could possibly - although it is unlikely - temporarily injure someone who handled it or were otherwise in contact with it, or who were close to it for a period of many weeks. For additional information go to http://www-pub.iaea.org/MTCD/publications/PDF/Pub1227_web.pdf
The following information was provided by the Illinois Emergency Management Agency (the Agency) via email:
"Shortly after reporting the first two missing packages (see EN56418), the Agency was contacted on 3/17/23 by General Electric (GE) Healthcare in Arlington Heights, IL to advise of a third radiopharmaceutical package that went missing in transit. The last known location was the carrier hub in Memphis, TN. The carrier has advised efforts to locate the packages have ceased and the package was declared as lost. This package does not represent a significant public safety hazard and there is no indication of intentional theft or diversion. TN and AL program officials were notified. Details are provided below.
"Package Details:
[The package] shipped on 3/10/23 to Cardinal Health in Birmingham, AL. [The package] contained (1) 10mL shielded vial of In-111. Package activity at the time of shipment was 3.2 mCi. [The package] contains 0.563 mCi [as of 3/17/2023, 1647 EDT]. The last scan occurred at 0009 CDT on 3/11/23. GE Healthcare contacted the customer and confirmed that the package was not received.
"Additional details will be provided as they become available. This matter has a 30-day reporting requirement to the NRC with a required call to the NRC Headquarters Operations Officer."
IL Event Number: IL230008
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
Power Reactor
Event Number: 56428
Facility: River Bend
Region: 4 State: LA
Unit: [1] [] []
RX Type: [1] GE-6
NRC Notified By: Devin Wilson
HQ OPS Officer: Donald Norwood
Region: 4 State: LA
Unit: [1] [] []
RX Type: [1] GE-6
NRC Notified By: Devin Wilson
HQ OPS Officer: Donald Norwood
Notification Date: 03/23/2023
Notification Time: 16:46 [ET]
Event Date: 03/14/2023
Event Time: 09:26 [CDT]
Last Update Date: 03/23/2023
Notification Time: 16:46 [ET]
Event Date: 03/14/2023
Event Time: 09:26 [CDT]
Last Update Date: 03/23/2023
Emergency Class: Non Emergency
10 CFR Section:
26.719 - Fitness For Duty
10 CFR Section:
26.719 - Fitness For Duty
Person (Organization):
O'Keefe, Neil (R4DO)
FFD Group, (EMAIL)
O'Keefe, Neil (R4DO)
FFD Group, (EMAIL)
| Unit | SCRAM Code | RX Crit | Initial PWR | Initial RX Mode | Current PWR | Current RX Mode |
|---|---|---|---|---|---|---|
| 1 | N | N | 0 | Power Operation | 0 | Power Operation |
FITNESS-FOR-DUTY REPORT - SUBVERSION OF THE FFD PROCESS
A non-licensed contract supervisor was confirmed to have violated the FFD policy by attempting to subvert the testing process. The individual's authorization for site access was immediately terminated.
The licensee notified the R4 Branch Chief (Josey)
A non-licensed contract supervisor was confirmed to have violated the FFD policy by attempting to subvert the testing process. The individual's authorization for site access was immediately terminated.
The licensee notified the R4 Branch Chief (Josey)
Power Reactor
Event Number: 56430
Facility: Susquehanna
Region: 1 State: PA
Unit: [2] [] []
RX Type: [1] GE-4,[2] GE-4
NRC Notified By: Robert Bingman
HQ OPS Officer: Brian P. Smith
Region: 1 State: PA
Unit: [2] [] []
RX Type: [1] GE-4,[2] GE-4
NRC Notified By: Robert Bingman
HQ OPS Officer: Brian P. Smith
Notification Date: 03/23/2023
Notification Time: 20:40 [ET]
Event Date: 03/23/2023
Event Time: 17:36 [EDT]
Last Update Date: 03/23/2023
Notification Time: 20:40 [ET]
Event Date: 03/23/2023
Event Time: 17:36 [EDT]
Last Update Date: 03/23/2023
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):
Werkheiser, Dave (R1DO)
Werkheiser, Dave (R1DO)
| Unit | SCRAM Code | RX Crit | Initial PWR | Initial RX Mode | Current PWR | Current RX Mode |
|---|---|---|---|---|---|---|
| 2 | N | N | 0 | Cold Shutdown | 0 | Cold Shutdown |
EMERGENCY DIESEL GENERATOR ACTUATION
The following information was provided by the licensee via email:
"At 1736 EDT on March 23, 2023, during overcurrent testing of the '2B' [Emergency Safeguards System] ESS Bus, the work group was re-installing tested relays and inadvertently caused a '2B' ESS Bus lockout. This resulted in the '2B' ESS Bus deenergizing and a valid start signal provided to the 'B' Emergency Diesel Generator [EDG]. The 'B' EDG started and functioned as designed.
"This is being reported as an Unplanned Actuation of Systems that Mitigate the Consequences of Significant Events in accordance with 10 CFR 50.72(b)(3)(iv)(A).
"The NRC Resident Inspector has been notified."
The following information was provided by the licensee via email:
"At 1736 EDT on March 23, 2023, during overcurrent testing of the '2B' [Emergency Safeguards System] ESS Bus, the work group was re-installing tested relays and inadvertently caused a '2B' ESS Bus lockout. This resulted in the '2B' ESS Bus deenergizing and a valid start signal provided to the 'B' Emergency Diesel Generator [EDG]. The 'B' EDG started and functioned as designed.
"This is being reported as an Unplanned Actuation of Systems that Mitigate the Consequences of Significant Events in accordance with 10 CFR 50.72(b)(3)(iv)(A).
"The NRC Resident Inspector has been notified."
Agreement State
Event Number: 56422
Rep Org: Louisiana Radiation Protection Div
Licensee: Versa Integrity Group, Inc.
Region: 4
City: Geismar State: LA
County:
License #: LA-11235-L01, 68A
Agreement: Y
Docket:
NRC Notified By: James Pate
HQ OPS Officer: Ernest West
Licensee: Versa Integrity Group, Inc.
Region: 4
City: Geismar State: LA
County:
License #: LA-11235-L01, 68A
Agreement: Y
Docket:
NRC Notified By: James Pate
HQ OPS Officer: Ernest West
Notification Date: 03/19/2023
Notification Time: 18:12 [ET]
Event Date: 03/19/2023
Event Time: 00:00 [CDT]
Last Update Date: 03/19/2023
Notification Time: 18:12 [ET]
Event Date: 03/19/2023
Event Time: 00:00 [CDT]
Last Update Date: 03/19/2023
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
Kellar, Ray (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
Kellar, Ray (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
AGREEMENT STATE REPORT - POTENTIAL OVEREXPOSURE
The following information was provided by the Louisiana Department of Environmental Quality (the Department) via email:
"On March 19, 2023, Versa Integrity Group, Inc. notified the Department that there was a possible overexposure. The industrial radiography crew was working with a QSA 880 Delta [source projector] with 100 Ci of Ir-192 at Air Liquide, Geismar, LA. The camera serial number is D14952. The Ir-192 source serial number is 72308M.
"The crew pocket ion chamber went off scale.
"The industrial radiography source is secured and properly shielded within the QSA 880 Delta camera."
The following additional information was obtained from the licensee in accordance with Headquarters Operations Officers Report Guidance:
The Department will be meeting with the licensee's radiation safety officer (RSO) and conducting an investigation tomorrow, March 20, 2023.
The following information was provided by the Louisiana Department of Environmental Quality (the Department) via email:
"On March 19, 2023, Versa Integrity Group, Inc. notified the Department that there was a possible overexposure. The industrial radiography crew was working with a QSA 880 Delta [source projector] with 100 Ci of Ir-192 at Air Liquide, Geismar, LA. The camera serial number is D14952. The Ir-192 source serial number is 72308M.
"The crew pocket ion chamber went off scale.
"The industrial radiography source is secured and properly shielded within the QSA 880 Delta camera."
The following additional information was obtained from the licensee in accordance with Headquarters Operations Officers Report Guidance:
The Department will be meeting with the licensee's radiation safety officer (RSO) and conducting an investigation tomorrow, March 20, 2023.
Power Reactor
Event Number: 56434
Facility: Susquehanna
Region: 1 State: PA
Unit: [2] [] []
RX Type: [1] GE-4,[2] GE-4
NRC Notified By: Robert Bingman
HQ OPS Officer: Eric Simpson
Region: 1 State: PA
Unit: [2] [] []
RX Type: [1] GE-4,[2] GE-4
NRC Notified By: Robert Bingman
HQ OPS Officer: Eric Simpson
Notification Date: 03/26/2023
Notification Time: 19:41 [ET]
Event Date: 03/26/2023
Event Time: 16:03 [EDT]
Last Update Date: 03/26/2023
Notification Time: 19:41 [ET]
Event Date: 03/26/2023
Event Time: 16:03 [EDT]
Last Update Date: 03/26/2023
Emergency Class: Non Emergency
10 CFR Section:
50.72(b)(3)(ii)(A) - Degraded Condition
10 CFR Section:
50.72(b)(3)(ii)(A) - Degraded Condition
Person (Organization):
Werkheiser, Dave (R1DO)
Werkheiser, Dave (R1DO)
| Unit | SCRAM Code | RX Crit | Initial PWR | Initial RX Mode | Current PWR | Current RX Mode |
|---|---|---|---|---|---|---|
| 2 | N | N | 0 | Cold Shutdown | 0 | Cold Shutdown |
DEGRADED CONDITION - LEAK RATE LIMITS EXCEEDED
The following information was provided by the licensee via email:
"On 03/26/2023 at 1603 EDT, while performing Appendix J local leak rate testing, it was determined that the Secondary Containment Bypass Leakage (SCBL) limit had been exceeded for Unit 2. During performance of the leak rate test, SE-259-027 for X-9B penetration, it was determined that the combined SCBL limit of 15 standard cubic feet per hour for the as-found minimum pathway was exceeded, as specified in Technical Specification, Surveillance Requirement 3.6.1.3.11.
"This event is being reported pursuant to 10CFR50.72(b)(3)(ii).
"The Resident Inspector has been notified."
The following information was provided by the licensee via email:
"On 03/26/2023 at 1603 EDT, while performing Appendix J local leak rate testing, it was determined that the Secondary Containment Bypass Leakage (SCBL) limit had been exceeded for Unit 2. During performance of the leak rate test, SE-259-027 for X-9B penetration, it was determined that the combined SCBL limit of 15 standard cubic feet per hour for the as-found minimum pathway was exceeded, as specified in Technical Specification, Surveillance Requirement 3.6.1.3.11.
"This event is being reported pursuant to 10CFR50.72(b)(3)(ii).
"The Resident Inspector has been notified."