Event Notification Report for June 28, 2001
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
06/27/2001 - 06/28/2001
General Information or Other
Event Number: 38105
Rep Org: KANSAS DEPT OF HEALTH & ENVIRONMENT
Licensee: CHEMSYN SCIENCE LABORATORIES
Region: 4
City: LENEXA State: KS
County:
License #:
Agreement: Y
Docket:
NRC Notified By: JAMES JOHNSON
HQ OPS Officer: FANGIE JONES
Licensee: CHEMSYN SCIENCE LABORATORIES
Region: 4
City: LENEXA State: KS
County:
License #:
Agreement: Y
Docket:
NRC Notified By: JAMES JOHNSON
HQ OPS Officer: FANGIE JONES
Notification Date: 06/29/2001
Notification Time: 14:13 [ET]
Event Date: 06/28/2001
Event Time: 13:30 [CDT]
Last Update Date: 06/29/2001
Notification Time: 14:13 [ET]
Event Date: 06/28/2001
Event Time: 13:30 [CDT]
Last Update Date: 06/29/2001
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
GREG PICK (R4)
PATRICIA HOLAHAN (NMSS)
THOMAS DECKER (R2)
GREG PICK (R4)
PATRICIA HOLAHAN (NMSS)
THOMAS DECKER (R2)
AGREEMENT STATE REPORT: MISSING SHIPMENT OF RADIONUCLIDE
Kansas Department of Health (KDHE) was notified that a shipment to Inveresk Research in Scotland was reported missing from the Federal Express at their Memphis, TN hub terminal . The shipment from Chemsyn Science Laboratories of Lenexa, Kansas was 3.5 mCi of radiolabeled (inidazol-2-14C) NED 2000-1 dibenzenesulfonate. The shipment was sent on 6/19/2001 and the search was started on 6/26/2001 when Inveresk contacted Chemsyn about not receiving shipment.
Federal Express found the overpack, a dry ice chest (16" x 16" x 23") which originally contained 54 pounds of dry ice and the small Type A Package. The small Type A Package has not been located.
Kansas Department of Health (KDHE) was notified that a shipment to Inveresk Research in Scotland was reported missing from the Federal Express at their Memphis, TN hub terminal . The shipment from Chemsyn Science Laboratories of Lenexa, Kansas was 3.5 mCi of radiolabeled (inidazol-2-14C) NED 2000-1 dibenzenesulfonate. The shipment was sent on 6/19/2001 and the search was started on 6/26/2001 when Inveresk contacted Chemsyn about not receiving shipment.
Federal Express found the overpack, a dry ice chest (16" x 16" x 23") which originally contained 54 pounds of dry ice and the small Type A Package. The small Type A Package has not been located.
Hospital
Event Number: 38102
Rep Org: SHORE MEMORIAL HOSPITAL
Licensee: SHORE MEMORIAL HOSPITAL
Region: 1
City: SOMERS POINT State: NJ
County: ATLANTIC
License #: 29-11642-01
Agreement: N
Docket:
NRC Notified By: JONATHAN LAW
HQ OPS Officer: LEIGH TROCINE
Licensee: SHORE MEMORIAL HOSPITAL
Region: 1
City: SOMERS POINT State: NJ
County: ATLANTIC
License #: 29-11642-01
Agreement: N
Docket:
NRC Notified By: JONATHAN LAW
HQ OPS Officer: LEIGH TROCINE
Notification Date: 06/28/2001
Notification Time: 09:22 [ET]
Event Date: 06/28/2001
Event Time: 09:15 [EDT]
Last Update Date: 06/28/2001
Notification Time: 09:22 [ET]
Event Date: 06/28/2001
Event Time: 09:15 [EDT]
Last Update Date: 06/28/2001
Emergency Class: NON EMERGENCY
10 CFR Section:
20.2201(a)(1)(ii) - LOST/STOLEN LNM>10X
10 CFR Section:
20.2201(a)(1)(ii) - LOST/STOLEN LNM>10X
Person (Organization):
RICHARD BARKLEY (R1)
FRED BROWN (NMSS)
RICHARD BARKLEY (R1)
FRED BROWN (NMSS)
HISTORICAL LOSS OF TWO 0.35-MILLICURIE IODINE-125 SEEDS FROM SHORE MEMORIAL HOSPITAL IN SOMERS POINT, NEW JERSEY
On 11/22/99, two iodine-125 seeds were inadvertently flushed into the sewer system, and each seed had an activity of 0.35 millicuries. The seeds in question were used in a MIC applicator as part of a prostate treatment. The licensee stated that when the retractor is removed from the gland, the contents are typically flushed into a bowl and surveyed prior to dumping to ensure that there are no seeds. Apparently, in this instance, two seeds were flushed into the bowl, and the nurse dumped the contents of the bowl before the appropriate surveys were performed. The licensee also stated that individuals were available in the operating room to perform surveys at the time. Surveys of the sink and drain trap were immediately performed, but the seeds were not located.
The licensee stated that the fate of the seeds was known and that harm could not come to anyone as a result of the seeds being in the sewer system. This issue was determined to be reportable as a result of a recent NRC inspection and the inspectors (Neelam Bhalla) subsequent discussions with NRC Region 1 office personnel.
(Call the NRC operations office for licensee radiation safety officer contact telephone numbers.)
On 11/22/99, two iodine-125 seeds were inadvertently flushed into the sewer system, and each seed had an activity of 0.35 millicuries. The seeds in question were used in a MIC applicator as part of a prostate treatment. The licensee stated that when the retractor is removed from the gland, the contents are typically flushed into a bowl and surveyed prior to dumping to ensure that there are no seeds. Apparently, in this instance, two seeds were flushed into the bowl, and the nurse dumped the contents of the bowl before the appropriate surveys were performed. The licensee also stated that individuals were available in the operating room to perform surveys at the time. Surveys of the sink and drain trap were immediately performed, but the seeds were not located.
The licensee stated that the fate of the seeds was known and that harm could not come to anyone as a result of the seeds being in the sewer system. This issue was determined to be reportable as a result of a recent NRC inspection and the inspectors (Neelam Bhalla) subsequent discussions with NRC Region 1 office personnel.
(Call the NRC operations office for licensee radiation safety officer contact telephone numbers.)
Power Reactor
Event Number: 38103
Facility: PALISADES
Region: 3 State: MI
Unit: [1] [] []
RX Type: [1] CE
NRC Notified By: DANIEL MALONE
HQ OPS Officer: FANGIE JONES
Region: 3 State: MI
Unit: [1] [] []
RX Type: [1] CE
NRC Notified By: DANIEL MALONE
HQ OPS Officer: FANGIE JONES
Notification Date: 06/28/2001
Notification Time: 15:31 [ET]
Event Date: 06/28/2001
Event Time: 09:30 [EDT]
Last Update Date: 06/28/2001
Notification Time: 15:31 [ET]
Event Date: 06/28/2001
Event Time: 09:30 [EDT]
Last Update Date: 06/28/2001
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(ii)(A) - DEGRADED CONDITION
10 CFR Section:
50.72(b)(3)(ii)(A) - DEGRADED CONDITION
Person (Organization):
GEOFFREY WRIGHT (R3)
GEOFFREY WRIGHT (R3)
| Unit | SCRAM Code | RX Crit | Initial PWR | Initial RX Mode | Current PWR | Current RX Mode |
|---|---|---|---|---|---|---|
| 1 | N | N | 0 | Cold Shutdown | 0 | Cold Shutdown |
NON-DESTRUCTIVE EXAMINATION OF CRDM PRESSURE HOUSING FOUND CRACK INDICATION
"During non-destructive examination (NDE) of welds on control rod drive mechanism (CRDM) pressure housings, an indication was discovered on CRDM-25. The method being utilized was ultrasonic testing (UT). The indication is axial, approximately 0.6 inches long, located-on the inner surface of the pressure housing. The depth of the indication is approximately 25% through-wall. The indication is located in the top side heat affected zone of an 8 inch butt weld which joins the pressure housing's tubular section to an eccentric reducer. The material of the pressure housing is type 347 stainless steel.
"The weld examinations were being conducted as part of an extent of condition evaluation resulting from an earlier discovery, on June 21, 2001, of a through-wall axial indication on CRDM-21 [EN #38083]. The CRDM-25 indication location corresponds to the location of the earlier discovered indication in CRDM-21. Cause evaluation is ongoing."
The licensee notified the NRC Resident Inspector.
"During non-destructive examination (NDE) of welds on control rod drive mechanism (CRDM) pressure housings, an indication was discovered on CRDM-25. The method being utilized was ultrasonic testing (UT). The indication is axial, approximately 0.6 inches long, located-on the inner surface of the pressure housing. The depth of the indication is approximately 25% through-wall. The indication is located in the top side heat affected zone of an 8 inch butt weld which joins the pressure housing's tubular section to an eccentric reducer. The material of the pressure housing is type 347 stainless steel.
"The weld examinations were being conducted as part of an extent of condition evaluation resulting from an earlier discovery, on June 21, 2001, of a through-wall axial indication on CRDM-21 [EN #38083]. The CRDM-25 indication location corresponds to the location of the earlier discovered indication in CRDM-21. Cause evaluation is ongoing."
The licensee notified the NRC Resident Inspector.