Event Notification Report for March 20, 2000
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
03/19/2000 - 03/20/2000
EVENT NUMBERS
3681536816368173681836813
!!!!! THIS EVENT HAS BEEN RETRACTED !!!!!
!!!!! THIS EVENT HAS BEEN RETRACTED !!!!!
Hospital
Event Number: 36815
Rep Org: CARDIOLOGY ASSOC OF FAIRFIELD CO.
Licensee: CARDIOLOGY ASSOCIATES OF FAIRFIELD COUNTY
Region: 1
City: NORWALK State: CT
County:
License #: 06-077795-01
Agreement: N
Docket:
NRC Notified By: STUART KORCHIN
HQ OPS Officer: STEVE SANDIN
Licensee: CARDIOLOGY ASSOCIATES OF FAIRFIELD COUNTY
Region: 1
City: NORWALK State: CT
County:
License #: 06-077795-01
Agreement: N
Docket:
NRC Notified By: STUART KORCHIN
HQ OPS Officer: STEVE SANDIN
Notification Date: 03/20/2000
Notification Time: 09:44 [ET]
Event Date: 03/20/2000
Event Time: 00:00 [EST]
Last Update Date: 03/21/2000
Notification Time: 09:44 [ET]
Event Date: 03/20/2000
Event Time: 00:00 [EST]
Last Update Date: 03/21/2000
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
LAURIE PELUSO (R1)
BRIAN SMITH (NMSS)
LAURIE PELUSO (R1)
BRIAN SMITH (NMSS)
EXTERNAL RADIATION LEVELS EXCEEDING THE LIMITS OF 10 CFR 71.47
CARDIOLOGY ASSOCIATES OF FAIRFIELD COUNTY LOCATED AT 40 CROSS STREET IN NORWLAK, CT, RECEIVED A PACKAGE FROM SYNCOR INTERNATIONAL IN STAMFORD, CT, LABELED WHITE I WHICH MEASURED 40 mR/HR (EXTERIOR SWIPE READ 38 DPM). THIS EXCEEDS THE EXTERNAL RADIATION LEVELS ALLOWED FOR WHITE I. THE PACKAGE CONTAINED SEVERAL LEAD PIGS OF TECHNETIUM-99m , ONE OF WHICH WAS CONTAMINATED READING 5652 DPM USING A SWIPE. THE LICENSEE NOTIFIED THE SYNCOR INTERNATIONAL AND THE NRC REGION I OFFICE (SHANBAKY).
* * * UPDATE 1116EST ON 3/21/00 BY S.SANDIN * * *
THE LICENSEE IS RETRACTING THIS REPORT AFTER FURTHER REVIEW AND DISCUSSIONS WITH REGION I (DARDEN). NOTIFIED R1DO (MANNING).
CARDIOLOGY ASSOCIATES OF FAIRFIELD COUNTY LOCATED AT 40 CROSS STREET IN NORWLAK, CT, RECEIVED A PACKAGE FROM SYNCOR INTERNATIONAL IN STAMFORD, CT, LABELED WHITE I WHICH MEASURED 40 mR/HR (EXTERIOR SWIPE READ 38 DPM). THIS EXCEEDS THE EXTERNAL RADIATION LEVELS ALLOWED FOR WHITE I. THE PACKAGE CONTAINED SEVERAL LEAD PIGS OF TECHNETIUM-99m , ONE OF WHICH WAS CONTAMINATED READING 5652 DPM USING A SWIPE. THE LICENSEE NOTIFIED THE SYNCOR INTERNATIONAL AND THE NRC REGION I OFFICE (SHANBAKY).
* * * UPDATE 1116EST ON 3/21/00 BY S.SANDIN * * *
THE LICENSEE IS RETRACTING THIS REPORT AFTER FURTHER REVIEW AND DISCUSSIONS WITH REGION I (DARDEN). NOTIFIED R1DO (MANNING).
Hospital
Event Number: 36816
Rep Org: GARDEN STATE CANCER CENTER
Licensee: GARDEN STATE CANCER CENTER
Region: 1
City: BELLVILLE State: NJ
County:
License #: 29-28554-01
Agreement: N
Docket:
NRC Notified By: TOM JACKSON
HQ OPS Officer: STEVE SANDIN
Licensee: GARDEN STATE CANCER CENTER
Region: 1
City: BELLVILLE State: NJ
County:
License #: 29-28554-01
Agreement: N
Docket:
NRC Notified By: TOM JACKSON
HQ OPS Officer: STEVE SANDIN
Notification Date: 03/20/2000
Notification Time: 11:55 [ET]
Event Date: 03/20/2000
Event Time: 00:00 [EST]
Last Update Date: 03/20/2000
Notification Time: 11:55 [ET]
Event Date: 03/20/2000
Event Time: 00:00 [EST]
Last Update Date: 03/20/2000
Emergency Class: NON EMERGENCY
10 CFR Section:
35.33 - MED MISADMINISTRATION
10 CFR Section:
35.33 - MED MISADMINISTRATION
Person (Organization):
LOUIS MANNING (R1)
DON COOL (NMSS)
LOUIS MANNING (R1)
DON COOL (NMSS)
MEDICAL MISADMINISTRATION INVOLVING TREATMENT PROTOCOL
IN DECEMBER 1999 A FEMALE PATIENT UNDERGOING A CANCER TREATMENT REGIME WAS PRESCRIBED A THERAPEUTIC DOSE OF 20 mCi Y-90 (YTTRIUM). THE COVERING PHYSICIAN TERMINATED THE TREATMENT AFTER 2 mCi WAS ADMINISTERED DUE TO A PROTOCOL ISSUE THAT REQUIRED THE PHYSICIAN VERIFY "MIRROR IMAGING" OF THE TREATMENT SITE WITH THE CAT SCANS. NO ADVERSE HEALTH EFFECTS WERE EXPERIENCED BY THE PATIENT. THE PATIENT SUBSEQUENTLY RECEIVED THE PRESCRIBED DOSE.
THE LICENSEE HAD DISCUSSIONS WITH REGION I (JIM DWYER) CONCERNING THIS REPORT.
CALL THE HEADQUARTERS OPERATIONS CENTER FOR CONTACT INFORMATION.
IN DECEMBER 1999 A FEMALE PATIENT UNDERGOING A CANCER TREATMENT REGIME WAS PRESCRIBED A THERAPEUTIC DOSE OF 20 mCi Y-90 (YTTRIUM). THE COVERING PHYSICIAN TERMINATED THE TREATMENT AFTER 2 mCi WAS ADMINISTERED DUE TO A PROTOCOL ISSUE THAT REQUIRED THE PHYSICIAN VERIFY "MIRROR IMAGING" OF THE TREATMENT SITE WITH THE CAT SCANS. NO ADVERSE HEALTH EFFECTS WERE EXPERIENCED BY THE PATIENT. THE PATIENT SUBSEQUENTLY RECEIVED THE PRESCRIBED DOSE.
THE LICENSEE HAD DISCUSSIONS WITH REGION I (JIM DWYER) CONCERNING THIS REPORT.
CALL THE HEADQUARTERS OPERATIONS CENTER FOR CONTACT INFORMATION.
!!!!! THIS EVENT HAS BEEN RETRACTED !!!!!
!!!!! THIS EVENT HAS BEEN RETRACTED !!!!!
Power Reactor
Event Number: 36817
Facility: RIVER BEND
Region: 4 State: LA
Unit: [1] [] []
RX Type: [1] GE-6
NRC Notified By: TOM LYNCH
HQ OPS Officer: BOB STRANSKY
Region: 4 State: LA
Unit: [1] [] []
RX Type: [1] GE-6
NRC Notified By: TOM LYNCH
HQ OPS Officer: BOB STRANSKY
Notification Date: 03/20/2000
Notification Time: 17:03 [ET]
Event Date: 03/20/2000
Event Time: 15:05 [CST]
Last Update Date: 03/27/2000
Notification Time: 17:03 [ET]
Event Date: 03/20/2000
Event Time: 15:05 [CST]
Last Update Date: 03/27/2000
Emergency Class: NON EMERGENCY
10 CFR Section:
73.71(b)(1) - SAFEGUARDS REPORTS
10 CFR Section:
73.71(b)(1) - SAFEGUARDS REPORTS
Person (Organization):
LAWRENCE YANDELL (R4)
LAWRENCE YANDELL (R4)
| Unit | SCRAM Code | RX Crit | Initial PWR | Initial RX Mode | Current PWR | Current RX Mode |
|---|---|---|---|---|---|---|
| 1 | N | N | 0 | Refueling | 0 | Refueling |
SECURITY REPORT
A contact employee attempted to bring contraband into the Protected Area. Immediate compensatory actions were taken upon discovery. The licensee notified the NRC resident inspector. Contact the NRC Operations Center for additional details.
* * * UPDATE AT 1513 ON 03/27/00 FROM KIM AITKEN TO JOLLIFFE * * *
Further licensee investigation revealed that there was no significant threat to River Bend Station or the public and that the vendor employee had no malevolent intent. After review of Reg Guide 5.62, NUREG 1304, and Generic Letter 91-03, the licensee has determined that this event is not reportable under 10CFR26, 10CFR50.72, 10CFR73.71, or 10CFR73, Appendix G.l.d criteria and thus, the licensee desires to retract this event. The licensee has discussed this event with Region IV security personnel and the NRC Resident Inspector. The NRC Operations Officer notified the R4DO Kriss Kennedy.
A contact employee attempted to bring contraband into the Protected Area. Immediate compensatory actions were taken upon discovery. The licensee notified the NRC resident inspector. Contact the NRC Operations Center for additional details.
* * * UPDATE AT 1513 ON 03/27/00 FROM KIM AITKEN TO JOLLIFFE * * *
Further licensee investigation revealed that there was no significant threat to River Bend Station or the public and that the vendor employee had no malevolent intent. After review of Reg Guide 5.62, NUREG 1304, and Generic Letter 91-03, the licensee has determined that this event is not reportable under 10CFR26, 10CFR50.72, 10CFR73.71, or 10CFR73, Appendix G.l.d criteria and thus, the licensee desires to retract this event. The licensee has discussed this event with Region IV security personnel and the NRC Resident Inspector. The NRC Operations Officer notified the R4DO Kriss Kennedy.
Other Nuclear Material
Event Number: 36818
Rep Org: TEMPLE UNIVERSITY
Licensee: TEMPLE UNIVERSITY
Region: 1
City: PHILADELPHIA State: PA
County:
License #: 37-00697-31
Agreement: N
Docket:
NRC Notified By: KURT BODISON
HQ OPS Officer: BOB STRANSKY
Licensee: TEMPLE UNIVERSITY
Region: 1
City: PHILADELPHIA State: PA
County:
License #: 37-00697-31
Agreement: N
Docket:
NRC Notified By: KURT BODISON
HQ OPS Officer: BOB STRANSKY
Notification Date: 03/20/2000
Notification Time: 17:07 [ET]
Event Date: 03/20/2000
Event Time: 12:00 [EST]
Last Update Date: 03/20/2000
Notification Time: 17:07 [ET]
Event Date: 03/20/2000
Event Time: 12:00 [EST]
Last Update Date: 03/20/2000
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
LOUIS MANNING (R1)
WAYNE HODGES (NMSS)
LOUIS MANNING (R1)
WAYNE HODGES (NMSS)
PACKAGE RECEIVED WITH EXTERNAL RADIAITON READING GREATER THAN LIMIT
A shipment of phosphorus-32 from New England Nuclear was received with an external radiation reading in excess of that permitted by the shipping label. The package was labeled with a Radioactive White I placard, but the licensee obtained a radiation reading of 225 mrem/hr on contact, using an ionization detector with the beta window uncovered. No external contamination was observed, although some contamination of the vial within the lead shield was found. The licensee believes that the shipment contains more than the specified 1 mCi of P-32, and that the high radiation reading is the result of bremsstrahlung. The shipment is being returned to the vendor.
The licensee has already contacted NRC Region I regarding this event.
A shipment of phosphorus-32 from New England Nuclear was received with an external radiation reading in excess of that permitted by the shipping label. The package was labeled with a Radioactive White I placard, but the licensee obtained a radiation reading of 225 mrem/hr on contact, using an ionization detector with the beta window uncovered. No external contamination was observed, although some contamination of the vial within the lead shield was found. The licensee believes that the shipment contains more than the specified 1 mCi of P-32, and that the high radiation reading is the result of bremsstrahlung. The shipment is being returned to the vendor.
The licensee has already contacted NRC Region I regarding this event.
Power Reactor
Event Number: 36813
Facility: CATAWBA
Region: 2 State: SC
Unit: [] [2] []
RX Type: [1] W-4-LP,[2] W-4-LP
NRC Notified By: DON BRADELY
HQ OPS Officer: DOUG WEAVER
Region: 2 State: SC
Unit: [] [2] []
RX Type: [1] W-4-LP,[2] W-4-LP
NRC Notified By: DON BRADELY
HQ OPS Officer: DOUG WEAVER
Notification Date: 03/20/2000
Notification Time: 05:02 [ET]
Event Date: 03/20/2000
Event Time: 04:15 [EST]
Last Update Date: 03/20/2000
Notification Time: 05:02 [ET]
Event Date: 03/20/2000
Event Time: 04:15 [EST]
Last Update Date: 03/20/2000
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(v) - OFFSITE MEDICAL
10 CFR Section:
50.72(b)(2)(v) - OFFSITE MEDICAL
Person (Organization):
AL BELISLE (R2)
AL BELISLE (R2)
| Unit | SCRAM Code | RX Crit | Initial PWR | Initial RX Mode | Current PWR | Current RX Mode |
|---|---|---|---|---|---|---|
| 2 | N | N | 0 | Refueling | 0 | Refueling |
OFFSITE TRANSPORTATION OF A POTENTIALLY CONTAMINATED WORKER
"A vendor support employee was injured due to a fall (approximately 6 to 8 feet) in Unit 2 lower containment. The individual was supporting reactor coolant pump work. Due to injuries, the individual could not be fully frisked for contamination. Until further determination, individual is considered potentially contaminated and is being transported offsite to the local medical facility."
The licensee will notify the NRC resident inspector.
* * * UPDATE AT 0930 ON 3/20/00, BY BREWER RECEIVED BY WEAVER * * *
This is a follow-up pertaining to the notification of 0500 today concerning the transport of a potentially contaminated worker to an off-site medical facility. The injured individual was NOT contaminated, however the harness and nylon choker used to lift the injured man has some low level fixed contamination. This material has been transported back to the site and all areas of the hospital and the transport vehicle have been surveyed clean.
The licensee informed the NRC resident inspector.
"A vendor support employee was injured due to a fall (approximately 6 to 8 feet) in Unit 2 lower containment. The individual was supporting reactor coolant pump work. Due to injuries, the individual could not be fully frisked for contamination. Until further determination, individual is considered potentially contaminated and is being transported offsite to the local medical facility."
The licensee will notify the NRC resident inspector.
* * * UPDATE AT 0930 ON 3/20/00, BY BREWER RECEIVED BY WEAVER * * *
This is a follow-up pertaining to the notification of 0500 today concerning the transport of a potentially contaminated worker to an off-site medical facility. The injured individual was NOT contaminated, however the harness and nylon choker used to lift the injured man has some low level fixed contamination. This material has been transported back to the site and all areas of the hospital and the transport vehicle have been surveyed clean.
The licensee informed the NRC resident inspector.