United States Nuclear Regulatory Commission - Protecting People and the Environment

Event Notification Report for September 16, 2011

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
09/15/2011 - 09/16/2011

** EVENT NUMBERS **


47248 47254 47262 47269

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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

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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.

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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

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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.

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