Home NRC Library Document Collections Events, Reports Associated with Event Notification Reports 2020

Event Notification Report for July 23, 2020

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
7/22/2020 - 7/23/2020

** EVENT NUMBERS **

Fuel Cycle Facility	Event Number: 54777
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 Docket: 07001113 NRC Notified By: Mr. Phillip Ollis HQ OPS Officer: Thomas Herrity	Notification Date: 07/14/2020 Notification Time: 10:13 [ET] Event Date: 07/13/2020 Event Time: 10:15 [EDT] Last Update Date: 07/14/2020
Emergency Class: Non Emergency 10 CFR Section: PART 70 APP A (c) - Offsite Notification/News Rel	Person (Organization): MARK MILLER (R2DO) NMSS_EVENTS_NOTIFICATION (EMAIL)

Event Text

CONCURRENT REPORT FOR FIRE SUPPRESSION OUT OF SERVICE

"At 1015 EST on July 13, 2020, the New Hanover County Deputy Fire Marshall was notified per State code requirements that the fire suppression system for various Fuel Manufacturing Operation Shop Areas was taken offline for planned maintenance to conduct a NFPA [(National Fire Protection Association)] required 5-year inspection. These inspections will be ongoing throughout the week. Compensatory measures were enacted and communicated to the Deputy Fire Marshall. Because the New Hanover County Deputy Fire Marshall was notified, a concurrent notification to the NRC Operations Center is being made per 10 CFR 70, Appendix A(c)."

Licensee will notify Region 2.

Agreement State	Event Number: 54779
Rep Org: SC DEPT OF HEALTH & ENV CONTROL Licensee: Neel-Schaffer, Inc. Region: 1 City: Columbia State: SC County: License #: SC-970 Agreement: Y Docket: NRC Notified By: Leland Cave HQ OPS Officer: Ossy Font	Notification Date: 07/15/2020 Notification Time: 10:22 [ET] Event Date: 07/15/2020 Event Time: 09:45 [EDT] Last Update Date: 07/15/2020
Emergency Class: Non Emergency 10 CFR Section: Agreement State	Person (Organization): JON LILLIENDAHL (R1DO) NMSS_EVENTS_NOTIFICATION (EMAIL) ILTAB (EMAIL)

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

Event Text

AGREEMENT STATE REPORT - STOLEN MOISTURE DENSITY GAUGES

The following is a summary from the South Carolina Department of Public Health received via phone:

At 0945 EDT on 07/15/2020, the licensee's Radiation Safety Officer (RSO) notified the State that two Troxler moisture density gauges (model 3430P, serial #'s 72756 and 75041), each containing 8 mCi of Cs-137 and 40 mCi of Am-241, were stolen from their Ballentine, SC storage facility. The devices had not been used in a few days, so it is unknown when they were stolen. The RSO reports that the job box containing the travel cases were taken, but the locks were not cut. Additionally, the roll up gate was closed but not secured. The RSO believes it could be an inside job. The RSO was in the process of calling the police.

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

Non-Agreement State	Event Number: 54780
Rep Org: Billings Clinic Licensee: Billings Clinic Region: 4 City: Billings State: MT County: License #: 25-01051-01 Agreement: N Docket: NRC Notified By: Mariah White HQ OPS Officer: Donald Norwood	Notification Date: 07/15/2020 Notification Time: 12:25 [ET] Event Date: 07/14/2020 Event Time: 11:15 [MDT] Last Update Date: 07/15/2020
Emergency Class: Non Emergency 10 CFR Section: 30.50(b)(1) - Unplanned Contamination	Person (Organization): VINCENT GADDY (R4DO) NMSS_EVENTS_NOTIFICATION (EMAIL)

Event Text

UNAUTHORIZED USE OF A RESTRICTED RADIATION ROOM AS A TOUCHDOWN SPACE

"On July 14, 2020, at approximately 1115 MDT, the Radiation Safety Officer was notified that a restricted radiation room was used intermittently for 30-45 minute periods as a touchdown space for Billings Clinic's Internal Medicine residents. The room had not been decommissioned.

"The restricted radiation room being used was the Billings Clinic Hospital I-131 Inpatient Therapy Room (room 3501; general inpatient medical floor). This room was last used for [a 153 mCi I-131 Sodium Iodine] radiation treatment on June 21, 2017. Beginning June 4, 2020, the room began being used as a touchdown space for Internal Medicine residents. Surveys were performed on July 14, 2020 using survey meters. Wipes for removable contamination were performed on a table, two computers, phone, and the floor around the area where staff were working. All items had activity levels indistinguishable from background readings. The items were removed from the room. The room has been secured with a new lock and radiation warning signs have been reposted. The radiation signs had been removed at an unknown time between June 4, 2020 and July 14, 2020.

"The licensee is not aware of any radiation exposure as a result of this reported event."

The licensee is making this report as a deviation from 10 CFR 35.13(f) as required by reporting requirement 10 CFR 30.50(b)(1)(iii).

Agreement State	Event Number: 54782
Rep Org: FLORIDA BUREAU OF RADIATION CONTROL Licensee: AdventHealth - Altamonte Springs Region: 1 City: AltamonteSprings State: FL County: License #: 2897-1 Agreement: Y Docket: NRC Notified By: Matthew Senison HQ OPS Officer: Donald Norwood	Notification Date: 07/15/2020 Notification Time: 14:35 [ET] Event Date: 07/14/2020 Event Time: 09:15 [EDT] Last Update Date: 07/15/2020
Emergency Class: Non Emergency 10 CFR Section: Agreement State	Person (Organization): JON LILLIENDAHL (R1DO) NMSS_EVENTS_NOTIFICATION (EMAIL)

Event Text

AGREEMENT STATE REPORT - THERASPHERE PROCEDURE UNDERDOSE

The following information was received via E-mail:

"On 7/15/2020, at 1340 EDT, the licensee reported that yesterday, 7/14/2020, sometime between 0915 and 0930 EDT, a male patient receiving TheraSphere treatment was underdosed by approximately 30 percent due to a leak in the delivery assembly. This was discovered around half-way through the procedure. No exposure to anyone other than the patient occurred. Contamination has been contained and removed. The prescribed activity was 5.7 GBq and dose was 150 Gy. The actual activity delivered is estimated to be 3.99 GBq and dose was 105 Gy. The patient is scheduled to return next week for follow-up treatment."

Florida Incident Number: FL20-080

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.

Non-Agreement State	Event Number: 54783
Rep Org: NASA MICHOUD ASSEMBLY FACILITY Licensee: NASA MICHOUD ASSEMBLY FACILITY Region: 4 City: New Orleans State: LA County: License #: Agreement: Y Docket: NRC Notified By: Keith Savoy HQ OPS Officer: Brian Lin	Notification Date: 07/15/2020 Notification Time: 15:15 [ET] Event Date: 07/06/2020 Event Time: 00:00 [CDT] Last Update Date: 07/15/2020
Emergency Class: Non Emergency 10 CFR Section: 20.2201(a)(1)(i) - Lost/Stolen Lnm>1000x	Person (Organization): VINCENT GADDY (R4DO) NMSS_EVENTS_NOTIFICATION (EMAIL) ILTAB (EMAIL)

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

Event Text

LOSS TRITIUM EXIT SIGN

The following information was received via email:

"The Michoud Assembly Facility [(MAF)] operates under an NRC general license. The MAF currently has a project being performed by a subcontractor to replace approximately 28 Tritium exit signs. On 7/6/2020, an employee noticed that one Tritium exit sign [source activity of 3.0 Curies] was not in the location of its last inventory. Further investigation into the incident and discussions with the project manager indicated that the exit sign was most likely removed by the subcontractor performing the demolition work on-site. The project manager notified the subcontractor to investigate the incident further, at which time the subcontractor reported the Tritium exit sign had been disposed of at the Construction and Debris (C&D) waste [facility] in the Gentilly Landfill LCC 1 located at 10200 Almonaster Blvd. in New Orleans, LA 70127."

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

Fuel Cycle Facility	Event Number: 54797
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 Docket: 07001113 NRC Notified By: Phillip Ollis HQ OPS Officer: Thomas Herrity	Notification Date: 07/22/2020 Notification Time: 10:04 [ET] Event Date: 07/21/2020 Event Time: 10:30 [EDT] Last Update Date: 07/22/2020
Emergency Class: Non Emergency 10 CFR Section: PART 70 APP A (c) - Offsite Notification/News Rel	Person (Organization): MARK MILLER (R2DO) NMSS_EVENTS_NOTIFICATION (EMAIL)

Event Text

CONCURRENT REPORT FOR FIRE SUPPRESION OUT OF SERVICE

The following was received from Global Nuclear Fuels, America:

"At 1030 (EDT) on July 21st, 2020, the New Hanover County Deputy Fire Marshall was notified per State code requirements that the fire suppression system for the Fuel Manufacturing Operation Sandblast Building was impaired. An underground pipe that feeds water to the sprinkler system had developed a leak. The building is normally unoccupied and no other buildings are affected. Compensatory measures were enacted and communicated to the Deputy Fire Marshall. Because the New Hanover County Deputy Fire Marshall was notified, a concurrent notification to the NRC Operations Center is being made per 10 CFR 70, Appendix A(c)."

The licensee will notify Region 2.

Page Last Reviewed/Updated Thursday, March 25, 2021