U.S. Nuclear Regulatory Commission Operations Center Event Reports For 09/15/2011 - 09/16/2011 ** EVENT NUMBERS ** | Fuel Cycle Facility | Event Number: 47248 | Facility: B&W NUCLEAR OPERATING GROUP, INC. RX Type: URANIUM FUEL FABRICATION Comments: HEU FABRICATION & SCRAP Region: 2 City: LYNCHBURG State: VA County: CAMPBELL License #: SNM-42 Agreement: N Docket: 070-27 NRC Notified By: JOHN CARTER HQ OPS Officer: BILL HUFFMAN | Notification Date: 09/07/2011 Notification Time: 13:12 [ET] Event Date: 09/07/2011 Event Time: [EDT] Last Update Date: 09/07/2011 | Emergency Class: NON EMERGENCY 10 CFR Section: 26.719 - FITNESS FOR DUTY | Person (Organization): DANIEL RICH (R2DO) FUELS OUO GROUP () ABY MOHSENI (NMSS) | Event Text FITNESS FOR DUTY REPORT RELATED TO INTRODUCTION OF ALCOHOL INTO PROTECTED AREA The licensee reported a fitness-for-duty violation due to an employee who inadvertently brought alcohol into the protected area. The violation was self-reported by the individual involved. The employee is being tested under the FFD program and his access has been denied pending outcome of an investigation. Contact the HOO for additional details | Agreement State | Event Number: 47254 | Rep Org: WISCONSIN RADIATION PROTECTION Licensee: ASPIRUS REGIONAL CANCER CENTER Region: 3 City: WASAU State: WI County: License #: 073-1342-01 Agreement: Y Docket: NRC Notified By: MARK PAULSON HQ OPS Officer: VINCE KLCO | Notification Date: 09/09/2011 Notification Time: 16:26 [ET] Event Date: 09/07/2011 Event Time: 12:00 [CDT] Last Update Date: 09/09/2011 | Emergency Class: NON EMERGENCY 10 CFR Section: AGREEMENT STATE | Person (Organization): CHRISTINE LIPA (R3DO) PAUL MICHALAK (FSME) | Event Text AGREEMENT STATE REPORT - MEDICAL EVENT INVOLVING AN UNDERDOSAGE "Wisconsin Department of Health Services (DHS) received notification by phone call from the licensee on September 8, 2011 about a medical event involving I-125 permanent prostate seed implants. During a standard review conducted September 7, 2011 of a post seed implant report the Authorized Medical Physicist determined that the dose delivered differed from the prescribed dose by 20% or more. Specifically it was found that only 76% (110 Gy) of the prescribed dose was delivered to 90% of the CTV for an implant completed on July 22, 2011. The licensee had established the dose based criteria that by post-operation CT, prostate D90 values are < 80% or >130% for classifying medical events. The licensee has notified the Authorized User, referring physician and will notify the patient during a scheduled examine the week of September 11, 2011. There is no expected immediate harm to the patient and the Authorized User and referring physician will discuss with the patient to determine if supplemental radiation (implant or external beam) will be done. DHS conducted an investigating of this medical event on September 9, 2011 by sending a special inspection team. The preliminarily conclusion after reviewing the licensee's procedures and discussion with the Authorized User and Authorized Medical Physicist is that the under dose was directly caused by edema of the prostate, i.e. post implant procedure swelling." Wisconsin Event Number: WI110014 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. | Agreement State | Event Number: 47262 | Rep Org: GEORGIA RADIOACTIVE MATERIAL PGM Licensee: N/A Region: 1 City: ATLANTA State: GA County: COBB License #: N/A Agreement: Y Docket: NRC Notified By: ERIC JAMESON HQ OPS Officer: STEVE SANDIN | Notification Date: 09/13/2011 Notification Time: 16:52 [ET] Event Date: 09/13/2011 Event Time: 00:00 [EDT] Last Update Date: 09/13/2011 | Emergency Class: NON EMERGENCY 10 CFR Section: AGREEMENT STATE | Person (Organization): ART BURRITT (R1DO) TIM MCCARTIN (NMSS) ADELAIDE GIANTELLI (FSME) | Event Text AGREEMENT STATE REPORT INVOLVING A TRACTOR-TRAILER INCIDENT WHILE TRANSPORTING NUCLEAR GAUGES The following report was received from the State of Georgia via fax: "Location of Event: I-20 EB near Six Flags Road (near exit 46) "A tandem tractor trailer carrying 8 Troxler moisture-density gauges overturned at [about 2330 EDT] on 9/12/2011 after hitting the guardrail. Gauges were en route from Alexandria, LA to Cleveland, TN to be calibrated. "County HAZMAT arrived on the scene, assisted by GA Environmental Radiation Program personnel (paged by GEMA at [0047 EDT], 9/13/2011). All 8 shipping containers sustained damage. Seven (7) gauges were intact in the shipping containers. One (1) gauge sustained damage: electronic components were separated from the gauge body, survey and wipe smear indicated shielding was still intact, no release of radioactive material. "At [about 0445 EDT], 9/13/2011, a local Environmental Cleanup Company took temporary possession of the gauges and secured them at their facility. A representative from the calibration lab in Cleveland, TN will bring replacement shipping containers and repackage the gauges on 9/14/2011. "Isotope: Cs-137; Am-241 "Amount of Activity: 8 mCi; 40 mCi (per gauge) "Date of Event: 9/12-13/2011 (overnight) "Date of Report to RCP (Radioactive Control Program: 9/13/2011, [0047 EDT] "Describe clean-up actions taken by RCP: Performed area surveys and took wipes to confirm integrity of the gauges (no release of radioactive material) "List radiation measurements taken by RCP: "Background: 10 uR/hr "Highest reading, outside trailer: 120 uR/hr "Damaged gauge, contact: 50 mR/hr "Damaged gauge, @1m: 50 uR/hr" GA Incident No.: GA-2011-46i National Response Center Incident No.: 989403 | Fuel Cycle Facility | Event Number: 47269 | Facility: GLOBAL NUCLEAR FUEL - AMERICAS RX Type: URANIUM FUEL FABRICATION Comments: LEU CONVERSION (UF6 TO UO2) LEU FABRICATION LWR COMMERICAL FUEL Region: 2 City: WILMINGTON State: NC County: NEW HANOVER License #: SNM-1097 Agreement: Y Docket: 07001113 NRC Notified By: SCOTT P. MURRAY HQ OPS Officer: DAN LIVERMORE | Notification Date: 09/15/2011 Notification Time: 14:45 [ET] Event Date: 09/14/2011 Event Time: 15:30 [EDT] Last Update Date: 09/15/2011 | Emergency Class: NON EMERGENCY 10 CFR Section: OTHER UNSPEC REQMNT | Person (Organization): EUGENE GUTHRIE (R2DO) TIM MCCARTIN (NMSS) MARY THOMAS (R2) | Event Text 24 HOUR REPORT DUE TO DOUBLE CONTINGENCY NOT MAINTAINED "During a GNF-A Fuel Manufacturing Operation (FMO) Integrated Safety Analysis (ISA) team walk-down of HVAC systems in the decontamination facility area, it was observed that a log entry for a waste-oil can mass was greater than the limit specified in procedural requirements. "Upon further investigation it was determined at 3:30PM on September 14, 2011 that an operator had incorrectly processed a waste oil can with a gross weight in excess of the limit specified by criticality safety requirements. This resulted in a condition where one of the two controls on mass documented as being necessary to meet double contingency had not been maintained. The second criticality control on mass was maintained at all times. "At no time was an unsafe condition present, however the decontamination oil processing area was shut down until necessary controls were available. "This event is being conservatively reported pursuant to GNF-A internal procedure reporting requirements within 24 hours of discovery." The licensee will inform the state and local agencies and the NRC Region II Office of this incident. | |