U.S. Nuclear Regulatory Commission Operations Center Event Reports For 10/24/2007 - 10/25/2007 ** EVENT NUMBERS ** | General Information or Other | Event Number: 43731 | Rep Org: LOUISIANA RADIATION PROTECTION DIV Licensee: CARDINAL HEALTH Region: 4 City: NEW ORLEANS State: LA County: License #: LA-3385-L01 Agreement: Y Docket: NRC Notified By: RICHARD PENROD HQ OPS Officer: STEVE SANDIN | Notification Date: 10/19/2007 Notification Time: 09:55 [ET] Event Date: 09/24/2007 Event Time: [CDT] Last Update Date: 10/20/2007 | Emergency Class: NON EMERGENCY 10 CFR Section: AGREEMENT STATE | Person (Organization): DAVID PROULX (R4) CINDY FLANNERY (FSME) | Event Text AGREEMENT STATE REPORT INVOLVING AN IMPROPER INJECTION The following information was received from the Louisiana Department of Environmental Quality via fax: "On September 24, 2007, a customer called the pharmacy to inform them that a Tc-99m mertiatide prescription for renal imaging showed no renal distribution and instead showed only liver distribution. After an investigation by the licensee, it was determined that the error occurred in the pharmacy and all customers who could have been affected by the event were notified. Only one of the patients was injected. The radiation dose to the patient involved was minimal. Procedures not followed is the root cause of this incident. The corrective actions for this incident include retraining on policy and procedures regarding compounding doses. "Event Report ID No.: LA070028" * * * UPDATE PROVIDED BY CINDY FLANNERY (FSME) TO JEFF ROTTON AT 1243 ON 10/19/07 * * * This event (EN43731) has been reviewed and determined to not meet the definition of a medical event. Notified R4DO (Proulx) and FSME EO (Flannery). | General Information or Other | Event Number: 43733 | Rep Org: FLORIDA BUREAU OF RADIATION CONTROL Licensee: US ARMY CORPS OF ENGINEERS Region: 1 City: WHITE SPRINGS State: FL County: License #: 23-01544-09 Agreement: Y Docket: NRC Notified By: JOHN WILLIAMSON HQ OPS Officer: JOE O'HARA | Notification Date: 10/19/2007 Notification Time: 18:10 [ET] Event Date: 10/19/2007 Event Time: [EDT] Last Update Date: 10/19/2007 | Emergency Class: NON EMERGENCY 10 CFR Section: AGREEMENT STATE | Person (Organization): RONALD BELLAMY (R1) ILTAB VIA E-MAIL () MICHAEL TSCHILTZ (FSME) | This material event contains a "Less than Cat 3" level of radioactive material. | Event Text POTENTIAL RECOVERY OF LOST OR STOLEN TROXLER MOISTURE DENSITY GAUGE A local citizen contacted the State of Florida to report that he had a Troxler moisture density gauge Model 3440, S/N 22605 in his possession for a year. The individual stated that he took the gauge from his deceased neighbors home, and that the neighbor had told him he found the gauge in a field. The state representative was informed by the NRC Operations Center that this device was reported stolen from the U.S. Army Corps of Engineers in FT. Polk, LA in March 2002 and documented on NRC Event Report #38806. The state is going to retrieve the gauge this evening. 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. | General Information or Other | Event Number: 43734 | Rep Org: IOWA DEPARTMENT OF PUBLIC HEALTH Licensee: UNIVERSITY OF IOWA HOSPITAL Region: 3 City: IOWA CITY State: IA County: License #: 0037-1-52-AAB Agreement: Y Docket: NRC Notified By: MELANIE RASMUSSON HQ OPS Officer: JOE O'HARA | Notification Date: 10/19/2007 Notification Time: 18:43 [ET] Event Date: 10/19/2007 Event Time: 04:00 [CDT] Last Update Date: 10/19/2007 | Emergency Class: NON EMERGENCY 10 CFR Section: AGREEMENT STATE | Person (Organization): KENNETH RIEMER (R3) MICHAEL TSCHILTZ (FSME) | Event Text AGREEMENT STATE REPORT - PATIENT OVEREXPOSURE GREATER THAN 50 REM A patient intervened during a vaginal iridium seed implant treatment by removing one of the needles from her body. The needle was found by a nurse approximately 30 minutes after it had been removed by the patient. The needle was located at the foot of the bed near the patients right foot and ankle. The doctor directed the nurse to place the source back into the pig. There were six sources in the needle. Total activity is 7 milliCuries of Ir-192. The estimated dose to the nurses hand was 13 milliRem, and she was wearing a whole body dosimeter, which is being examined. The estimated dose to the patients right ankle is 4.6 to 165 Rem. The patient will be monitored for acute radiation signs. The patient is in the process of receiving the planned dose. 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. | General Information or Other | Event Number: 43739 | Rep Org: CALIFORNIA RADIATION CONTROL PRGM Licensee: GEOMAT TESTING LABS., INC. Region: 4 City: RIVERSIDE State: CA County: License #: 5735-33 Agreement: Y Docket: NRC Notified By: BARBARA HAMRICK HQ OPS Officer: JOHN MacKINNON | Notification Date: 10/22/2007 Notification Time: 14:21 [ET] Event Date: 10/15/2007 Event Time: 17:30 [PDT] Last Update Date: 10/22/2007 | Emergency Class: NON EMERGENCY 10 CFR Section: AGREEMENT STATE | Person (Organization): CHUCK CAIN (R4) MICHELE BURGESS (FSME) ILTAB (EMAIL) () MEXICO (EMAILED) () | This material event contains a "Less than Cat 3" level of radioactive material. | Event Text CALIFORNIA AGREEMENT STATE REPORT Received the following information via e-mail: "On October 22, 2007, a letter, dated 10/17/07, was received from Haytham (deleted), RSO, reporting a stolen nuclear gauge (Troxler 3400 Series, S/N 14411). The incident happened on 10/15/07 at San Bernardino County. According to the incident report, the nuclear gauge was taken to Southwest Calibration in San Bernardino for repair. After the repair, at about 5:30 pm, the field technician stopped at an automobile garage in San Bernardino to have the company truck tail light repaired. The nuclear gauge metal box was bolted close to the tail light access location and was asked by the shop technician to remove the box so they can repair the tail light. The metal box was placed on the side near the waiting room. Then, the technician went inside the waiting room. After the tail light was repaired, the technician went outside and did not find the nuclear gauge. "The technician called the RSO and left a message. The incident was reported to San Bernardino County Sheriff's Office (Police Report # 030705898) and an ad was placed in the 'SUN', San Bernardino newspaper for seven days. "RHB - South RAM office will investigate this incident." 5010 Number (Date Notified): 102207 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. | Power Reactor | Event Number: 43742 | Facility: ARKANSAS NUCLEAR Region: 4 State: AR Unit: [ ] [2] [ ] RX Type: [1] B&W-L-LP,[2] CE NRC Notified By: JOHN HANSON HQ OPS Officer: PETE SNYDER | Notification Date: 10/24/2007 Notification Time: 00:21 [ET] Event Date: 10/23/2007 Event Time: 23:05 [CDT] Last Update Date: 10/24/2007 | Emergency Class: ALERT 10 CFR Section: 50.72(a) (1) (i) - EMERGENCY DECLARED | Person (Organization): CHUCK CAIN (R4) ELMO COLLINS (R4) JIM DYER (NRR) STUART RICHARDS (NRR) TOM BLOUNT (IRD) E. HOISINGTON (DHS) R. TURNER (DOE) D. TIMMONS (USDA) F. THREATT (NRC) (EPA) D. BARDEN (FEMA) | Unit | SCRAM Code | RX CRIT | Initial PWR | Initial RX Mode | Current PWR | Current RX Mode | 2 | N | Y | 100 | Power Operation | 100 | Power Operation | Event Text ALERT DECLARED DUE TO ELECTRICAL FIRE IN THE AUXILIARY BUILDING At 2305 an Alert condition was declared based on Emergency Action Level (EAL) 7.6, "Fire or Explosion Onsite Affecting One Train of ESF Systems." The fire was out at the time of the notification. There was no gaseous radiological release. There were no injuries. The plant continues to operate at full power. The licensee is still assessing the full impact of any damage. The licensee notified the NRC Resident Inspector. * * * UPDATE AT 0044 ON 10/24/07 FROM JEFF GERARD TO PETE SNYDER * * * "Smoke is dissipating." The Alert condition is still in effect. There is no radiological release. There was no explosion. * * * UPDATE AT 0256 ON 10/24/07 FROM FRED VAN BUSKIRK TO PETE SNYDER * * * The Alert condition was terminated at 0133 CDT since inspections of the local area confirmed that the fire had been extinguished. | |