United States Nuclear Regulatory Commission - Protecting People and the Environment

Event Notification Report for July 7, 2011

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
07/06/2011 - 07/07/2011

** EVENT NUMBERS **


47004 47005 47006 47007 47008 47009 47011 47012 47013 47016 47018 47019
47020 47025 47026 47027 47030 47031

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Agreement State Event Number: 47004
Rep Org: NEW YORK STATE DEPT. OF HEALTH
Licensee: STANDARD MIRCOSYSTEMS
Region: 1
City: HAUPPAUGE State: NY
County:
License #: GENERAL
Agreement: Y
Docket:
NRC Notified By: ROBERT SNYDER
HQ OPS Officer: BILL HUFFMAN
Notification Date: 07/01/2011
Notification Time: 11:19 [ET]
Event Date: 08/03/2001
Event Time: [EDT]
Last Update Date: 07/01/2011
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
BLAKE WELLING (R1DO)
DEBORAH JACKSON (FSME)
ILTAB VIA E-MAIL ()

This material event contains a "Less than Cat 3" level of radioactive material.

Event Text

AGREEMENT STATE REPORT - LOST POLONIUM-210 STATIC ELIMINATORS

The following information was received from the State of NY Bureau of Environmental Radiation Protection via fax:

"The state received notification 03/06/2007 that static eliminators were lost sometime around 8/3/2001. SMSC [Standard Microsystems] suspects that they were inadvertently shipped to Delta Design because they were placed inside Delta Flex Handlers and were not visible from the outside. Delta Design presumes that the sources were scrapped sometime after 2001. The activity of the Polonium-210 at that time was less than 45 microcuries.

"The written report from SMSC indicates that 5 NRD static eliminators, model P-2042, s/n SP101713 thru SP101717, each containing 5 milliCuries on 3/9/1998 were disposed. Decay corrected activity of each foil is less than 1 nanocurie. No further action is warranted."

New York Incident: 519
New York Event: NY-11-13

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

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Agreement State Event Number: 47005
Rep Org: NV DIV OF RAD HEALTH
Licensee: UNIVERSITY MEDICAL CENTER
Region: 4
City: LAS VEGAS State: NV
County:
License #: 03-12-0034-01
Agreement: Y
Docket:
NRC Notified By: SNEHA RAVIKUMAR
HQ OPS Officer: JOE O'HARA
Notification Date: 07/01/2011
Notification Time: 12:57 [ET]
Event Date: 12/09/2009
Event Time: [PDT]
Last Update Date: 07/01/2011
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
JAMES DRAKE (R4DO)
CHRIS EINBERG (FSME)

Event Text

AGREEMENT STATE REPORT - MEDICAL EVENT - RADIOPHARAMACEUTICAL ADMINISTERED TO WRONG PATIENT

The following information was received via e-mail:

"On Wednesday, December 9, 2009, an 8 mCi dose of Tc-99m Sestamibi was administered via IV injection to an incorrect patient. The patient receiving the misinjection did not have a written order for the procedure in their medical chart. The event was reported to the RCP (Radiation Control Program) by telephone on Thursday December 10, 2009, as required in NRC 35.3045, 'Report and Notification of a Medical Event.'

"The misinjection was a result of the technologist failing to follow established written policy and procedure of verifying the patient I.D. with three identifiers: Name (patient spelling last name), DOB (verbalized by patient) and UMC Account Number and not using an interpreter as directed by policy. This procedure of patient identification has been established as a barrier to prevent such a situation from occurring. Failure to follow procedure is in direct violation of hospital policy and resulted in disciplinary action.

"The patient was immediately notified of the event. No adverse effect of the injection has been foreseen considering the activity of the radiopharmaceutical administered. The physician of the patient was also notified of the misinjection by telephone.

"The RSO has been notified of the misinjection and the details of the incident have been entered into the minutes of the radiation safety committee meeting for this quarter on December 10, 2009.

"This event is closed.

"Item Number: NV090001."

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.

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Agreement State Event Number: 47006
Rep Org: NEW YORK STATE DEPT. OF HEALTH
Licensee: STANDARD MICROSYSTEMS
Region: 1
City: NEW HYDE PARK State: NY
County:
License #: GL
Agreement: Y
Docket:
NRC Notified By: ROBERT SNYDER
HQ OPS Officer: MARK ABRAMOVITZ
Notification Date: 07/01/2011
Notification Time: 11:19 [ET]
Event Date: 06/05/2007
Event Time: [EDT]
Last Update Date: 07/01/2011
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
BLAKE WELLING (R1DO)
DEBORAH JACKSON (FSME)
ILTAB VIA E-MAIL ()

Event Text

AGREEMENT STATE REPORT - RECOVERY OF STOLEN MOISTURE DENSITY GAUGE

The following report was received from the state via fax:

"On 6/5/07, the NRC [Nuclear Regulatory Commission] called to report a Troxler gauge for sale on E-Bay. The gauge was listed as a Troxler 4640-B which contains a source of up to 9 mCi Cs-137. The seller listed the item as being in NY so the NRC contacted NYS DOH [New York State Department of Health]. After reviewing the item description it appeared to match an item that had been reported as stolen. E-Bay was notified as well as the NYPD. The item was delisted from the auction site and the seller was contacted by the NYPD to recover the device.

"The gauge for sale was determined to be one reported stolen from a licensee on 6/9/03. The gauge was recovered on 6/5/07 from a garage in Valley Stream, NY by NYPD with assistance from Nassau Co. PD and FBI. The licensee took possession of gauge on 6/6/07 from NYPD. The gauge [was] sent for maintenance and inspection prior to [being] returning to service. The NRC was notified."

New York Report: NY-11-14
New York Incident: 544

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Agreement State Event Number: 47007
Rep Org: NV DIV OF RAD HEALTH
Licensee: NEWMONT MINING CORPORATION
Region: 4
City: ELKO State: NV
County:
License #: 05-11-0041-03
Agreement: Y
Docket:
NRC Notified By: SNEHA RAVIKUMAR
HQ OPS Officer: JOE O'HARA
Notification Date: 07/01/2011
Notification Time: 13:32 [ET]
Event Date: 06/02/2011
Event Time: 09:00 [PDT]
Last Update Date: 07/01/2011
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
JAMES DRAKE (R4DO)
ANGELA MCINTOSH (FSME)

Event Text

AGREEMENT STATE REPORT - FAILED HANDLE ON BERTHOLD PROCESS GAUGE

The following information was received from the state via e-mail:

"Newmont Mining Corporation had a Berthold source, Model LB-7440, SN: 298, CS-137, 20mCi, with a handle that was found broken when doing the six month checks on 6/2/11. Currently arrangements have been made for the manufacturer, Berthold, to come onto the property to remove the old shield and put a new shield onto the source listed above. The date for repair [was scheduled for] 6/22/11. The manufacturer is scheduled to visit the facility and carry out the repair."

Item Number: NV110018

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Agreement State Event Number: 47008
Rep Org: NEW YORK STATE DEPT. OF HEALTH
Licensee: NY HOSPITAL
Region: 1
City: NEW YORK State: NY
County:
License #:
Agreement: Y
Docket:
NRC Notified By: ROBERT SNYDER
HQ OPS Officer: MARK ABRAMOVITZ
Notification Date: 07/01/2011
Notification Time: 11:19 [ET]
Event Date: 10/25/2007
Event Time: [EDT]
Last Update Date: 07/01/2011
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
BLAKE WELLING (R1DO)
DEBORAH JACKSON (FSME)

Event Text

AGREEMENT STATE REPORT - MEDICAL MISADMINISTRATION DURING GAMMA KNIFE THERAPY

The following report was received via fax:

"On 10/25/2007, [the New York State Department of Health] received a call from a radiation oncology manager to report a therapy misadministration involving a gamma knife due to a machine malfunction, couch failure. The physicist and the neurosurgeon had to go in and manually pull the couch out. The physicist's badge was read on an emergency basis and showed DDE of 1 mRem and SDE of 2 mRem. The neurosurgeon did not have his badge on when he went in. The facility has treated about 125 patients in 4 years with the gamma knife unit, according to field notes from the inspection done in February 2007 and is close to the 5 year service requirement. The facility had planned to treat 10 lesions in the brain but stopped after 3 lesions were treated due to couch failure. The rest of the lesions were not treated with radiation. The patient had already received whole brain irradiation and received additional chemotherapy after the gamma knife procedure.

"Service performed: couch repaired. Policy & Procedure regarding film badge use reviewed during next routine inspection. This event is closed."

New York Event: NY-11-15
New York Incident: 570

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.

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Agreement State Event Number: 47009
Rep Org: NEW YORK STATE DEPT. OF HEALTH
Licensee: NYS DOH WADSWORTH LABORATORY
Region: 1
City: PORT OF ALBANY State: NY
County:
License #: NY0448
Agreement: Y
Docket:
NRC Notified By: ROBERT SNYDER
HQ OPS Officer: MARK ABRAMOVITZ
Notification Date: 07/01/2011
Notification Time: 13:19 [ET]
Event Date: 11/30/2006
Event Time: [EDT]
Last Update Date: 07/01/2011
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
BLAKE WELLING (R1DO)
DEBORAH JACKSON (FSME)
ILTAB VIA E-MAIL ()

This material event contains a "Less than Cat 3" level of radioactive material.

Event Text

AGREEMENT STATE REPORT - ELECTRON CAPTURE DEVICE DISCARDED

The following report was received via fax:

"On February 07, 2007 the RSO called to report a missing ECD [Electron Capture Device] detector. Apparently the entire GC [Gas Chromatograph] was discarded as obsolete equipment in the November / December 2006 timeframe. The RSO is looking into the disposition which he believes was a dumpster / roll-off that went to the Port of Albany. Fortunately Ni-63 has a low health and safety risk compared to other common isotopes. The date of occurrence has been estimated as 11/30/2006. The date of discovery is 01/31/2007.

"No press release issued. No reward offered. Better training and inventory instituted as corrective action. Actions evaluated during next routine inspection. Incident closed."

New York Event: NY-11-12
New York Incident: 504

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

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Agreement State Event Number: 47011
Rep Org: KENTUCKY DEPT OF RADIATION CONTROL
Licensee: HIGHLANDS REGIONAL MEDICAL CENTER
Region: 1
City: PRESTONBURG State: KY
County:
License #: 202-102-26
Agreement: Y
Docket:
NRC Notified By: MICHELE GREENWELL
HQ OPS Officer: MARK ABRAMOVITZ
Notification Date: 07/01/2011
Notification Time: 14:13 [ET]
Event Date: 02/18/2008
Event Time: [CDT]
Last Update Date: 07/01/2011
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
BLAKE WELLING (R1DO)
DEBORAH JACKSON (FSME)

Event Text

AGREEMENT STATE REPORT - MEDICAL MISADMINISTRATION DURING PROSTATE THERAPY

The state found three cases of prostate seed (Pd-103) medical misadministration during an inspection on 1/14/2011. These cases are related to one doctor.

2/18/2008: 100 Gy prescribed, 70.24 Gy administered
4/8/2008: 125 Gy prescribed, 71.6 Gy administered
3/17/2009: 100 Gy prescribed, 160.8 Gy administered

The physician was notified of the misadministration however the patients were not notified.

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.

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Agreement State Event Number: 47012
Rep Org: NEW YORK STATE DEPT. OF HEALTH
Licensee: EASTMAN KODAK
Region: 1
City: AUBURN State: NY
County:
License #: NY C1347
Agreement: Y
Docket:
NRC Notified By: ROBERT SNYDER
HQ OPS Officer: MARK ABRAMOVITZ
Notification Date: 07/01/2011
Notification Time: 13:15 [ET]
Event Date: 10/29/2007
Event Time: [EDT]
Last Update Date: 07/01/2011
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
BLAKE WELLING (R1DO)
DEBORAH JACKSON (FSME)

Event Text

AGREEMENT STATE REPORT - RADIUM-226 FOUND IN DEMOLITION DEBRIS

The following information was received via fax:

"On 10/29/07, the portal monitor at Nucor Steel alarmed from a load originating at Eastman Kodak. The load contained structural demolition debris. An Exploranium GR-135 identified the source as Radium-226 with a max reading of 210 uR/hr. Eastman Kodak has been notified for follow-up."

New York Event: NY-11-16
New York Incident: 571

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Agreement State Event Number: 47013
Rep Org: NEW YORK STATE DEPT. OF HEALTH
Licensee: ROSWELL PARK CANCER INSTITUTE
Region: 1
City: BUFFALO State: NY
County:
License #: NY 2923
Agreement: Y
Docket:
NRC Notified By: ROBERT SNYDER
HQ OPS Officer: MARK ABRAMOVITZ
Notification Date: 07/01/2011
Notification Time: 13:15 [ET]
Event Date: 11/09/2007
Event Time: [EDT]
Last Update Date: 07/01/2011
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
BLAKE WELLING (R1DO)
DEBORAH JACKSON (FSME)
ILTAB VIA E-MAIL ()

This material event contains a "Less than Cat 3" level of radioactive material.

Event Text

AGREEMENT STATE REPORT - P-32 SOURCE LOST

The following information was received via fax:

"351 microcuries of P-32 was lost (on 11/9/07). The isotope was checked in, delivered and signed for at the research lab on 11/9/07. When lab personnel went to use the isotope, they could not locate it. Radiation safety staff searched dumpsters, garbage cans, and the lab, but could not locate the vial of P-32. It is possible it was put out as garbage by mistake. The RSO contacted the garbage removal contractor.

"Written report received on 11/16/07. Although the licensee could not determine the precise circumstances that caused the source to be lost, the corrective action appears to be adequate. No press release was issued. No reward offered. The incident will be reviewed during the next routine inspection. Incident closed."

New York Event: NY-11-17
New York Incident: 575

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 source is not amongst those sources or devices identified by the IAEA Code of Conduct for the Safety & Security of Radioactive Sources to be of concern from a radiological standpoint. Therefore is it being categorized as a less than Category 3 source

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Agreement State Event Number: 47016
Rep Org: NEW YORK STATE DEPT. OF HEALTH
Licensee: PRIME MATERIALS
Region: 1
City: BATAVIA State: NY
County:
License #: GL
Agreement: Y
Docket:
NRC Notified By: ROBERT SNYDER
HQ OPS Officer: MARK ABRAMOVITZ
Notification Date: 07/01/2011
Notification Time: 13:15 [ET]
Event Date: 01/01/2008
Event Time: [EDT]
Last Update Date: 07/01/2011
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
BLAKE WELLING (R1DO)
DEBORAH JACKSON (FSME)
ILTAB VIA E-MAIL ()

This material event contains a "Less than Cat 3" level of radioactive material.

Event Text

AGREEMENT STATE REPORT - TWO STATIC ELIMINATORS DISCARDED

The following report was received via fax:

"Two static eliminators were thrown out during relocation of the process line to another building. NRD [The static eliminator vendor] has been notified in case units are recovered at the landfill. No press release issued. No reward offered."

New York Event: NY-11-18
New York Incident: 579

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

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Agreement State Event Number: 47018
Rep Org: NEW YORK STATE DEPT. OF HEALTH
Licensee: REGENERON
Region: 1
City: TARRYTOWN State: NY
County:
License #: NY 2904
Agreement: Y
Docket:
NRC Notified By: ROBERT SNYDER
HQ OPS Officer: MARK ABRAMOVITZ
Notification Date: 07/01/2011
Notification Time: 13:15 [ET]
Event Date: 06/03/2008
Event Time: [EDT]
Last Update Date: 07/01/2011
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
BLAKE WELLING (R1DO)
DEBORAH JACKSON (FSME)
ILTAB VIA E-MAIL ()

This material event contains a "Less than Cat 3" level of radioactive material.

Event Text

AGREEMENT STATE REPORT - DISCARDED SOURCE

The following report was received via fax:

"06/11/08 the RSO [Radiation Safety Officer] called to report the inadvertent disposal of a Beckman Liquid Scintillation Counter instrument with the 30 micro-curie source still in place. He was not consulted in March 2008 when the Beckman was removed by a commercial waste hauler. The waste hauler was called to determine the disposition of this instrument.

"On 07/07/08 the report was received from the RSO. The RSO reported that at this time (several months after pick-up) the waste contractor was unable to provide any information on the whereabouts of this instrument. No reward was offered. No press release was issued. Incident Closed."

New York Event: NY-11-19
New York Incident: 617

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

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Agreement State Event Number: 47019
Rep Org: NEW YORK STATE DEPT. OF HEALTH
Licensee: WADSWORTH CENTER FOR LABS AND RESEARCH
Region: 1
City: ALBANY State: NY
County:
License #: NY 0448
Agreement: Y
Docket:
NRC Notified By: ROBERT SNYDER
HQ OPS Officer: MARK ABRAMOVITZ
Notification Date: 07/01/2011
Notification Time: 13:15 [ET]
Event Date: 05/01/2006
Event Time: [EDT]
Last Update Date: 07/01/2011
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
BLAKE WELLING (R1DO)
DEBORAH JACKSON (FSME)
ILTAB VIA E-MAIL ()

This material event contains a "Less than Cat 3" level of radioactive material.

Event Text

AGREEMENT STATE REPORT - LOSS OF TRITIUM AND CARBON-14 SOURCES

The following report was received via fax:

"The licensee submitted a written report June 11, 2008 documenting the loss of 31 mCi of tritium and 0.6 mCi of carbon-14 which had been discovered missing in May 2008.

"In September 2004, an incoming scientist brought the materials with him to Wadsworth. Since he was not an authorized. user, the RSO placed the material in a freezer in the chemical storage room. In May 2008 the RSO discovered the materials missing and initiated a thorough investigation. Unfortunately the disposition of the materials remains unknown.

"The RSO has implemented corrective actions which include; better inventory practices, increased vigilance over materials in long term storage with an eye towards proper disposal, and no 'general' storage of materials. No reward offered. No press release issued. Incident Closed"

New York Event: NY-11-20
New York Incident: 619

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 source is not amongst those sources or devices identified by the IAEA Code of Conduct for the Safety & Security of Radioactive Sources to be of concern from a radiological standpoint. Therefore is it being categorized as a less than Category 3 source

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Agreement State Event Number: 47020
Rep Org: NEW YORK STATE DEPT. OF HEALTH
Licensee: WADSWORTH CENTER FOR LABS AND RESEARCH
Region: 1
City: ALBANY State: NY
County:
License #: NY 0448
Agreement: Y
Docket:
NRC Notified By: ROBERT SNYDER
HQ OPS Officer: MARK ABRAMOVITZ
Notification Date: 07/01/2011
Notification Time: 13:15 [ET]
Event Date: 12/01/2008
Event Time: [EDT]
Last Update Date: 07/01/2011
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
BLAKE WELLING (R1DO)
DEBORAH JACKSON (FSME)
ILTAB VIA E-MAIL ()

Event Text

AGREEMENT STATE REPORT - MISPLACEMENT OF THREE POLONIUM-210 SOURCES

The following information was received via fax:

"On 12/9/2008, the RSO reported that a recent source inventory showed three [Po-210 Static Eliminators] missing from their last known use location. Calculations estimate that they contain less than 10 micro Curies of Po-210 each. Efforts to locate the missing units are continuing. Training is being conducted to prevent recurrence.

"On 3/22/2010 the RSO reported that the three missing Po-210 static eliminators were located in July 2009. No reward offered. No press release issued. Incident Closed"

New York Event: NY-11-21
New York Incident: 664

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Power Reactor Event Number: 47025
Facility: COOK
Region: 3 State: MI
Unit: [1] [2] [ ]
RX Type: [1] W-4-LP,[2] W-4-LP
NRC Notified By: DAN KURTH
HQ OPS Officer: STEVE SANDIN
Notification Date: 07/06/2011
Notification Time: 03:14 [ET]
Event Date: 07/06/2011
Event Time: 04:00 [EDT]
Last Update Date: 07/06/2011
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
DAVID HILLS (R3DO)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
1 N Y 100 Power Operation 100 Power Operation
2 N Y 100 Power Operation 100 Power Operation

Event Text

UNAVAILABILITY OF TSC VENTILATION SYSTEM DUE TO SCHEDULED MAINTENANCE

"At 0400 EDT on Wednesday, July 6, 2011, the Cook Nuclear Plant (CNP) Technical Support Center (TSC) air conditioning and charcoal filtration systems will be removed from service for scheduled maintenance.

"Under certain accident conditions the TSC may become unavailable due to the inability of the air conditioning and charcoal filtration systems to maintain a habitable atmosphere. Compensatory measures exist to relocate TSC personnel to the unaffected unit's control room if necessary.

"TSC ventilation system maintenance is scheduled to be completed by 1600 EDT on Wednesday, July 6, 2011.

"The licensee has notified the NRC Resident Inspector.

"This notification is being made in accordance with 10 CFR 50.72 (b)(3)(xiii) due to the loss of an emergency response facility."

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Power Reactor Event Number: 47026
Facility: CRYSTAL RIVER
Region: 2 State: FL
Unit: [3] [ ] [ ]
RX Type: [3] B&W-L-LP
NRC Notified By: DAVID MC AGY
HQ OPS Officer: PETE SNYDER
Notification Date: 07/06/2011
Notification Time: 09:10 [ET]
Event Date: 07/05/2011
Event Time: 17:14 [EDT]
Last Update Date: 07/06/2011
Emergency Class: NON EMERGENCY
10 CFR Section:
26.719 - FITNESS FOR DUTY
Person (Organization):
BRIAN BONSER (R2DO)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
3 N N 0 Refueling 0 Refueling

Event Text

SUPERVISORY EMPLOYEE TESTED POSITIVE FOR ALCOHOL

A non-licensed employee supervisor had a confirmed positive for alcohol during a for-cause fitness-for-duty test. The employee's unescorted access has been terminated. Contact the NRC Headquarters Operations Officer for additional details.

The plant is currently defueled and not in refueling mode.

The licensee notified the NRC Resident Inspector.

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Power Reactor Event Number: 47027
Facility: HATCH
Region: 2 State: GA
Unit: [1] [2] [ ]
RX Type: [1] GE-4,[2] GE-4
NRC Notified By: STANLEY STONE
HQ OPS Officer: DONALD NORWOOD
Notification Date: 07/06/2011
Notification Time: 09:42 [ET]
Event Date: 07/06/2011
Event Time: 09:03 [EDT]
Last Update Date: 07/06/2011
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
BRIAN BONSER (R2DO)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
1 N Y 100 Power Operation 100 Power Operation
2 N Y 100 Power Operation 100 Power Operation

Event Text

OPERATIONS SUPPORT CENTER OUT OF SERVICE DUE TO HVAC MAINTENANCE

"Planned preventive maintenance activities are being performed today (July 6, 2011) on the Hatch Nuclear Plant's HP [Health Physics] / Chemistry area emergency air handling unit. The HP / Chemistry area emergency HVAC is required for functionality of the Operations Support Center (OSC), as this area may be utilized during declared emergencies. These planned work activities are to be completed today within (6) hours. During the time these activities are being performed, the HP office emergency HVAC will not be available for operation and will be rendered non-functional during the performance of the work activities.

"If an emergency condition requiring activation of the OSC occurs during the time these work activities are being performed, then contingency plans call for continued utilization of the HP / Chemistry areas as long as radiological conditions allow. Habitability surveys will be performed more frequently in the areas while they are being utilized. If required, respiratory protection equipment will be utilized, as appropriate, for emergency responders utilizing this area until such time as the HP / Chemistry emergency HVAC to be returned to service.

"This event is reportable per 10CFR50.72(b)(3)(xiii) as described in NUREG-1022, Rev. 2, since this work activity affects an emergency response facility for the duration of the evolutions."

The licensee notified the NRC Resident Inspector.

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Power Reactor Event Number: 47030
Facility: QUAD CITIES
Region: 3 State: IL
Unit: [1] [2] [ ]
RX Type: [1] GE-3,[2] GE-3
NRC Notified By: TERRY GALLENTINE
HQ OPS Officer: CHARLES TEAL
Notification Date: 07/06/2011
Notification Time: 19:23 [ET]
Event Date: 07/06/2011
Event Time: 14:10 [CDT]
Last Update Date: 07/06/2011
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(v)(D) - ACCIDENT MITIGATION
Person (Organization):
DAVID HILLS (R3DO)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
1 N Y 100 Power Operation 100 Power Operation
2 N Y 100 Power Operation 100 Power Operation

Event Text

CONTROL ROOM EMERGENCY VENTILATION AC SYSTEM INOPERABLE

"On July 6, 2011 at 1410, the Control Room Emergency Ventilation Air Conditioning (CREV AC) system was declared inoperable due to unsatisfactory performance, high vibration condition of the air conditioning compressor. As a result, Technical Specification 3.7.5 condition A was entered.

"The CREV AC system maintains a habitable control room environment and ensures the operability of components in the control room emergency zone during accident conditions.

"This notification is being made in accordance with 10 CFR 50.72(b)(3)(v)(D) because the CREV system is a single train system, and loss of the CREV AC could impact the plant's ability to mitigate the consequences of an accident."

The licensee has notified the NRC Resident Inspector.

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Power Reactor Event Number: 47031
Facility: THREE MILE ISLAND
Region: 1 State: PA
Unit: [1] [ ] [ ]
RX Type: [1] B&W-L-LP,[2] B&W-L-LP
NRC Notified By: JOE SHOFFNER
HQ OPS Officer: CHARLES TEAL
Notification Date: 07/06/2011
Notification Time: 21:47 [ET]
Event Date: 07/06/2011
Event Time: 14:40 [EDT]
Last Update Date: 07/06/2011
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
DANIEL HOLODY (R1DO)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
1 N Y 100 Power Operation 100 Power Operation

Event Text

TECHNICAL SUPPORT CENTER (TSC) HVAC OUT OF SERVICE DUE TO LOSS OF POWER

"At about 1440 EDT on July 6, 2011, the Technical Support Center (TSC) HVAC lost power during motor control switch testing. The transfer switch did not fully engage resulting in loss of power to the TSC HVAC fan motor. Troubleshooting was performed and power was restored to the TSC HVAC system at approximately 1625 EDT.

"This involved an emergent loss of the TSC capability that could not be readily remediated in less than the TSC staffing time of one hour.

"Unrelated to the first event, 13.2 KV power to the TMI station office buildings was lost at approximately 1740 EDT on July 6, 2011 due to a broken electric service pole. This resulted in another loss of the TSC HVAC that could not be readily remediated. At 2115 EDT power was restored and the ventilation was started. This event resulted in another reportable condition.

"These events affected the ability of the TSC ventilation to maintain adequate radiological habitability in the event of an emergency with an airborne radiological release. All other capabilities were unaffected by this emergent condition. Existing procedures provide direction to relocate TSC personnel in the event of a TSC habitability concern, however the backup facility does not have standby electrical power or a filtered ventilation system."

The licensee has informed the NRC Resident Inspector.

Page Last Reviewed/Updated Thursday, March 29, 2012
Thursday, March 29, 2012