Event Notification Report for April 04, 2002
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
04/03/2002 - 04/04/2002
Hospital
Event Number: 38834
Rep Org: HOWARD UNIVERSITY HOSPITAL
Licensee: HOWARD UNIVERSITY HOSPITAL
Region: 1
City: WASHINGTON State: DC
County:
License #: 08-03075-07
Agreement: N
Docket:
NRC Notified By: MILES McCORD
HQ OPS Officer: MIKE NORRIS
Licensee: HOWARD UNIVERSITY HOSPITAL
Region: 1
City: WASHINGTON State: DC
County:
License #: 08-03075-07
Agreement: N
Docket:
NRC Notified By: MILES McCORD
HQ OPS Officer: MIKE NORRIS
Notification Date: 04/05/2002
Notification Time: 15:27 [ET]
Event Date: 04/04/2002
Event Time: 16:30 [EST]
Last Update Date: 04/05/2002
Notification Time: 15:27 [ET]
Event Date: 04/04/2002
Event Time: 16:30 [EST]
Last Update Date: 04/05/2002
Emergency Class: NON EMERGENCY
10 CFR Section:
20.2201(a)(1)(i) - LOST/STOLEN LNM>1000X
10 CFR Section:
20.2201(a)(1)(i) - LOST/STOLEN LNM>1000X
Person (Organization):
GLENN MEYER (R1)
DOUG BROADDUS (NMSS)
GLENN MEYER (R1)
DOUG BROADDUS (NMSS)
LOST LICENSED MEDICAL MATERIALS >1000 TIMES LIMIT
RSO at Howard University Hospital reported that a 2.6 millicuries of Ir-192 was lost. The material was in ribbon form, containing 4 seeds and was used for brachytherapy on a patient. The material was believed to have been lost down the sewer system (which is an unmonitored system). The patient and work areas were surveyed with negative results. The material is reported to be reading 1 mRem/hr at 1 meter and has a half life of 74 days.
RSO at Howard University Hospital reported that a 2.6 millicuries of Ir-192 was lost. The material was in ribbon form, containing 4 seeds and was used for brachytherapy on a patient. The material was believed to have been lost down the sewer system (which is an unmonitored system). The patient and work areas were surveyed with negative results. The material is reported to be reading 1 mRem/hr at 1 meter and has a half life of 74 days.
Other Nuclear Material
Event Number: 38831
Rep Org: GUARDIAN AUTOMOTIVE, INC
Licensee: GUARDIAN AUTOMOTIVE, INC.
Region: 3
City: EVANSVILLE State: IN
County:
License #:
Agreement: N
Docket:
NRC Notified By: MARK BERTRAM
HQ OPS Officer: RICH LAURA
Licensee: GUARDIAN AUTOMOTIVE, INC.
Region: 3
City: EVANSVILLE State: IN
County:
License #:
Agreement: N
Docket:
NRC Notified By: MARK BERTRAM
HQ OPS Officer: RICH LAURA
Notification Date: 04/04/2002
Notification Time: 14:25 [ET]
Event Date: 04/04/2002
Event Time: 00:00 [CST]
Last Update Date: 04/04/2002
Notification Time: 14:25 [ET]
Event Date: 04/04/2002
Event Time: 00:00 [CST]
Last Update Date: 04/04/2002
Emergency Class: NON EMERGENCY
10 CFR Section:
20.2201(a)(1)(i) - LOST/STOLEN LNM>1000X
10 CFR Section:
20.2201(a)(1)(i) - LOST/STOLEN LNM>1000X
Person (Organization):
DAVID HILLS (R3)
CHARLES COX (NMSS)
DAVID HILLS (R3)
CHARLES COX (NMSS)
TWO STATIC ELIMINATORS DISCOVERED MISSING
"Guardian Automotive, Inc. is using this letter to notify your agency that two (2) isotopes cannot be accounted for at our facility. The isotopes contained Polonium 210 with 0.04 total Curies each.
"The isotopes are found in a device used to air spray plastic parts to reduce the static charge prior to the part being painted. Guardian Automotive, Inc. received the devices on approximately 2/28/01. Serial numbers of the devices were A2AV902 and A2AV903. Guardian Automotive, Inc. currently utilizes approximately 20 of these devices at the Evansville Plant.
"The devices were last used in mid-January (2002) in Department #23A for the purpose described above. An extensive search was conducted upon realizing that the devices were missing. It appears that the barrel of the device that contained the isotope was broken off from its handle and could not be located during the search.
"Guardian Automotive, Inc. has written procedures for handling and tracking these devices as part of our QS 9000 and ISO 1.4001 systems. These systems have been effective over the past several years to accounting for approximately 20 devices in other departments.
"Department #23A has not used such devices since the time of the incident. A daily check sheet will be utilized by Department #23A should they go back to using the devices. Furthermore, all employees that use the devices in Department #23A will be retrained on internal written QS 9000 and ISO 14001 procedures."
"Guardian Automotive, Inc. is using this letter to notify your agency that two (2) isotopes cannot be accounted for at our facility. The isotopes contained Polonium 210 with 0.04 total Curies each.
"The isotopes are found in a device used to air spray plastic parts to reduce the static charge prior to the part being painted. Guardian Automotive, Inc. received the devices on approximately 2/28/01. Serial numbers of the devices were A2AV902 and A2AV903. Guardian Automotive, Inc. currently utilizes approximately 20 of these devices at the Evansville Plant.
"The devices were last used in mid-January (2002) in Department #23A for the purpose described above. An extensive search was conducted upon realizing that the devices were missing. It appears that the barrel of the device that contained the isotope was broken off from its handle and could not be located during the search.
"Guardian Automotive, Inc. has written procedures for handling and tracking these devices as part of our QS 9000 and ISO 1.4001 systems. These systems have been effective over the past several years to accounting for approximately 20 devices in other departments.
"Department #23A has not used such devices since the time of the incident. A daily check sheet will be utilized by Department #23A should they go back to using the devices. Furthermore, all employees that use the devices in Department #23A will be retrained on internal written QS 9000 and ISO 14001 procedures."
Power Reactor
Event Number: 38832
Facility: COOK
Region: 3 State: MI
Unit: [] [2] []
RX Type: [1] W-4-LP,[2] W-4-LP
NRC Notified By: DUANE COBB
HQ OPS Officer: RICH LAURA
Region: 3 State: MI
Unit: [] [2] []
RX Type: [1] W-4-LP,[2] W-4-LP
NRC Notified By: DUANE COBB
HQ OPS Officer: RICH LAURA
Notification Date: 04/04/2002
Notification Time: 23:30 [ET]
Event Date: 04/04/2002
Event Time: 21:14 [EST]
Last Update Date: 04/05/2002
Notification Time: 23:30 [ET]
Event Date: 04/04/2002
Event Time: 21:14 [EST]
Last Update Date: 04/05/2002
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(i) - PLANT S/D REQD BY TS
10 CFR Section:
50.72(b)(2)(i) - PLANT S/D REQD BY TS
Person (Organization):
DAVID HILLS (R3)
DAVID HILLS (R3)
| Unit | SCRAM Code | RX Crit | Initial PWR | Initial RX Mode | Current PWR | Current RX Mode |
|---|---|---|---|---|---|---|
| 2 | N | Y | 100 | Power Operation | 99 | Power Operation |
INITIATION OF TS REQUIRED SHUTDOWN AT COOK INVOLVING BATTERY SURVEILLANCE TEST
"At 1812 04/04/02 Cook Unit 2 entered T.S. action statement 3.8.2.3.b due to 250 vdc battery, 2-Batt-AB. having 3 cells exhibiting cracking on top covers between the post seal and the sample tube. Cook U-2 Surveillance T.S. 4.8.2.3.2.c.1 requires '....no visual indication of physical damage or abnormal deterioration.' Since literal compliance with the T.S. was not maintained, the LCO for T.S. 3.8.2.3.b was entered . This LCO allows 2 hours for return the battery to OPERABLE status or be in at least HOT STANDBY within the next 6 hours. The battery was not returned to OPERABLE within 2 hours and initiation of the Unit shutdown was commenced at 21:14 on 04/04/02. Unit shutdown required by the plant's T.S.s is a 4 hour report to the NRC as per 10 CFR 50.72(b)(2)(i). This is that required report."
The NRC Resident Inspector was notified.
* * * UPDATE 0155 4/5/2002 FROM COBB TAKEN BY STRANSKY * * *
The unit shutdown has been terminated. A Notice of Enforcement Discretion (NOED) has been granted to the licensee by the NRC. The NRC resident inspector has been informed. Notifed R3DO (Hills).
"At 1812 04/04/02 Cook Unit 2 entered T.S. action statement 3.8.2.3.b due to 250 vdc battery, 2-Batt-AB. having 3 cells exhibiting cracking on top covers between the post seal and the sample tube. Cook U-2 Surveillance T.S. 4.8.2.3.2.c.1 requires '....no visual indication of physical damage or abnormal deterioration.' Since literal compliance with the T.S. was not maintained, the LCO for T.S. 3.8.2.3.b was entered . This LCO allows 2 hours for return the battery to OPERABLE status or be in at least HOT STANDBY within the next 6 hours. The battery was not returned to OPERABLE within 2 hours and initiation of the Unit shutdown was commenced at 21:14 on 04/04/02. Unit shutdown required by the plant's T.S.s is a 4 hour report to the NRC as per 10 CFR 50.72(b)(2)(i). This is that required report."
The NRC Resident Inspector was notified.
* * * UPDATE 0155 4/5/2002 FROM COBB TAKEN BY STRANSKY * * *
The unit shutdown has been terminated. A Notice of Enforcement Discretion (NOED) has been granted to the licensee by the NRC. The NRC resident inspector has been informed. Notifed R3DO (Hills).