Event Notification Report for August 20, 2001
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
08/19/2001 - 08/20/2001
General Information or Other
Event Number: 38226
Rep Org: SC DIV OF HEALTH & ENV CONTROL
Licensee: GEO ENVIRONMENTAL CONSULTANTS
Region: 2
City: NORTH State: SC
County:
License #: 060-0992-1
Agreement: Y
Docket:
NRC Notified By: MELINDA BRADSHAW
HQ OPS Officer: FANGIE JONES
Licensee: GEO ENVIRONMENTAL CONSULTANTS
Region: 2
City: NORTH State: SC
County:
License #: 060-0992-1
Agreement: Y
Docket:
NRC Notified By: MELINDA BRADSHAW
HQ OPS Officer: FANGIE JONES
Notification Date: 08/22/2001
Notification Time: 08:30 [ET]
Event Date: 08/20/2001
Event Time: 12:30 [EDT]
Last Update Date: 08/22/2001
Notification Time: 08:30 [ET]
Event Date: 08/20/2001
Event Time: 12:30 [EDT]
Last Update Date: 08/22/2001
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
EDWARD MCALPINE (R2)
FREDERICK STURZ (NMSS)
EDWARD MCALPINE (R2)
FREDERICK STURZ (NMSS)
AGREEMENT STATE REPORT - STOLEN TROXLER GAUGE
The licensee is licensed out of North Carolina working under reciprocity in South Carolina. A Troxler Model 3430 moisture density gauge was stolen from the back of the company pickup truck while working at the North Auxiliary Air Force Base in North, South Carolina. The gauge was not secured or chained down when stolen. The gauge contains 40 mCi Am-241:Be and 8 mCi Cs-137. The North Police Department has been notified and is investigating.
The licensee is licensed out of North Carolina working under reciprocity in South Carolina. A Troxler Model 3430 moisture density gauge was stolen from the back of the company pickup truck while working at the North Auxiliary Air Force Base in North, South Carolina. The gauge was not secured or chained down when stolen. The gauge contains 40 mCi Am-241:Be and 8 mCi Cs-137. The North Police Department has been notified and is investigating.
Power Reactor
Event Number: 38223
Facility: CALLAWAY
Region: 4 State: MO
Unit: [1] [] []
RX Type: [1] W-4-LP
NRC Notified By: JOHN R. WEEKLEY
HQ OPS Officer: STEVE SANDIN
Region: 4 State: MO
Unit: [1] [] []
RX Type: [1] W-4-LP
NRC Notified By: JOHN R. WEEKLEY
HQ OPS Officer: STEVE SANDIN
Notification Date: 08/20/2001
Notification Time: 11:51 [ET]
Event Date: 08/20/2001
Event Time: 08:10 [CDT]
Last Update Date: 08/20/2001
Notification Time: 11:51 [ET]
Event Date: 08/20/2001
Event Time: 08:10 [CDT]
Last Update Date: 08/20/2001
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(xi) - OFFSITE NOTIFICATION
10 CFR Section:
50.72(b)(2)(xi) - OFFSITE NOTIFICATION
Person (Organization):
BILL JONES (R4)
BILL JONES (R4)
| Unit | SCRAM Code | RX Crit | Initial PWR | Initial RX Mode | Current PWR | Current RX Mode |
|---|---|---|---|---|---|---|
| 1 | N | Y | 100 | Power Operation | 100 | Power Operation |
MISSOURI DEPARTMENT OF NATURAL RESOURCES (DNR) NOTIFIED OF MINOR OIL SPILL TO MISSOURI RIVER
On 8/16/01 the Missouri DNR was notified of an unmonitored oil discharge to the Missouri River. The release, approximately 19 gallons of hydraulic oil from the Intake Structure, occurred over a 14 day period. The licensee determined that the offsite notification to the state was reportable at 0810CDT on 8/20/01. The licensee informed the NRC resident inspector.
On 8/16/01 the Missouri DNR was notified of an unmonitored oil discharge to the Missouri River. The release, approximately 19 gallons of hydraulic oil from the Intake Structure, occurred over a 14 day period. The licensee determined that the offsite notification to the state was reportable at 0810CDT on 8/20/01. The licensee informed the NRC resident inspector.
Hospital
Event Number: 38224
Rep Org: WYOMING MEDICAL CENTER
Licensee: WYOMING MEDICAL CENTER
Region: 4
City: CASPER State: WY
County: NATRONA
License #: 49-00152-02
Agreement: N
Docket:
NRC Notified By: THOMAS A. CHEREWICK
HQ OPS Officer: STEVE SANDIN
Licensee: WYOMING MEDICAL CENTER
Region: 4
City: CASPER State: WY
County: NATRONA
License #: 49-00152-02
Agreement: N
Docket:
NRC Notified By: THOMAS A. CHEREWICK
HQ OPS Officer: STEVE SANDIN
Notification Date: 08/21/2001
Notification Time: 15:56 [ET]
Event Date: 08/20/2001
Event Time: 11:00 [MDT]
Last Update Date: 08/21/2001
Notification Time: 15:56 [ET]
Event Date: 08/20/2001
Event Time: 11:00 [MDT]
Last Update Date: 08/21/2001
Emergency Class: NON EMERGENCY
10 CFR Section:
35.33 - MED MISADMINISTRATION
10 CFR Section:
35.33 - MED MISADMINISTRATION
Person (Organization):
BILL JONES (R4)
BRIAN SMITH (NMSS)
BILL JONES (R4)
BRIAN SMITH (NMSS)
MEDICAL MISADMINISTRATION INVOLVING AN UNDERDOSE DUE TO PERSONNEL ERROR
On July 10, 2001 and elderly female patient received approximately 250 instead of the 500 centigray prescribed as a boost dose for urinary cancer. The device involved was a Wang applicator 3 centimeter in diameter with a hemispherical head containing a Cs-137 source. This was an adjunct procedure to surgery. The patient will be informed and there is no remedial treatment necessary or planned. The licensee discovered this error on 8/20/01 in a review while planning similar treatment for another patient. The following actions have been taken to preclude recurrence: all point dose calculations done by hand will include the dose prescription point and a planned treatment will include a review of previous treatments utilizing this particular applicator. The licensee attributes the underdose to personnel error and has discussed this report with the NRC Region 4 office (Whitten).
On July 10, 2001 and elderly female patient received approximately 250 instead of the 500 centigray prescribed as a boost dose for urinary cancer. The device involved was a Wang applicator 3 centimeter in diameter with a hemispherical head containing a Cs-137 source. This was an adjunct procedure to surgery. The patient will be informed and there is no remedial treatment necessary or planned. The licensee discovered this error on 8/20/01 in a review while planning similar treatment for another patient. The following actions have been taken to preclude recurrence: all point dose calculations done by hand will include the dose prescription point and a planned treatment will include a review of previous treatments utilizing this particular applicator. The licensee attributes the underdose to personnel error and has discussed this report with the NRC Region 4 office (Whitten).