Event Notification Report for July 26, 2002
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
07/25/2002 - 07/26/2002
General Information or Other
Event Number: 39096
Rep Org: COLORADO DEPT OF HEALTH
Licensee: ST. MARY'S HOSPITAL
Region: 4
City: GRAND JUNCTION State: CO
County:
License #:
Agreement: Y
Docket:
NRC Notified By: P. V. EGIDI
HQ OPS Officer: FANGIE JONES
Licensee: ST. MARY'S HOSPITAL
Region: 4
City: GRAND JUNCTION State: CO
County:
License #:
Agreement: Y
Docket:
NRC Notified By: P. V. EGIDI
HQ OPS Officer: FANGIE JONES
Notification Date: 07/26/2002
Notification Time: 19:30 [ET]
Event Date: 07/26/2002
Event Time: 16:45 [MDT]
Last Update Date: 08/05/2002
Notification Time: 19:30 [ET]
Event Date: 07/26/2002
Event Time: 16:45 [MDT]
Last Update Date: 08/05/2002
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
BILL JONES (R4)
MELVYN LEACH (NMSS)
BILL JONES (R4)
MELVYN LEACH (NMSS)
AGREEMENT STATE REPORT - MISSING I-125 SEEDS
The following is from a facsimile report:
"At approximately 4:45 PM Friday July 26, 2002, I [Colorado Department of Health and Environment] received a call from ..., RSO and Medical Physicist at St. Mary's Hospital in Grand Junction, Colorado.
"[RSO] informed us he is missing 3, I-125 prostrate seeds (approx. 0.36 mCi [millicuries] each). He was made aware of the loss late this morning. Surveys were conducted in all suspect areas of the hospital to no avail. It is possible that either the seeds never arrived due to poor inventory control of the supplier, or that the seeds went to the trash, which left the hospital around 7:00 A.M. Since the seeds are shielded, they would probably not be detected at the landfill."
* * * UPDATED AT 1800 EDT ON 8/5/02 BY TIME BONZER TO FANGIE JONES * * *
The final report is that the seeds were not found, it is indeterminate whether the seeds actually made it to the hospital. The hospital will take additional steps to insure that they actually receive the seeds they are suppose to receive.
The hospitals action plan is as follows:
"We are revising our QA processes. We will return to performing our own source counts and not be dependent on others so we do not go looking for something we may have never received. We also will increase our needle-prep area monitoring to include a more thorough area survey Including removing the lead shielding"
Notified the R4DO (Chuck Cain) and NMSS EO (E. William Brach).
The following is from a facsimile report:
"At approximately 4:45 PM Friday July 26, 2002, I [Colorado Department of Health and Environment] received a call from ..., RSO and Medical Physicist at St. Mary's Hospital in Grand Junction, Colorado.
"[RSO] informed us he is missing 3, I-125 prostrate seeds (approx. 0.36 mCi [millicuries] each). He was made aware of the loss late this morning. Surveys were conducted in all suspect areas of the hospital to no avail. It is possible that either the seeds never arrived due to poor inventory control of the supplier, or that the seeds went to the trash, which left the hospital around 7:00 A.M. Since the seeds are shielded, they would probably not be detected at the landfill."
* * * UPDATED AT 1800 EDT ON 8/5/02 BY TIME BONZER TO FANGIE JONES * * *
The final report is that the seeds were not found, it is indeterminate whether the seeds actually made it to the hospital. The hospital will take additional steps to insure that they actually receive the seeds they are suppose to receive.
The hospitals action plan is as follows:
"We are revising our QA processes. We will return to performing our own source counts and not be dependent on others so we do not go looking for something we may have never received. We also will increase our needle-prep area monitoring to include a more thorough area survey Including removing the lead shielding"
Notified the R4DO (Chuck Cain) and NMSS EO (E. William Brach).
Power Reactor
Event Number: 39098
Facility: SUSQUEHANNA
Region: 1 State: PA
Unit: [1] [2] []
RX Type: [1] GE-4,[2] GE-4
NRC Notified By: DAVID T. WALSH
HQ OPS Officer: MIKE NORRIS
Region: 1 State: PA
Unit: [1] [2] []
RX Type: [1] GE-4,[2] GE-4
NRC Notified By: DAVID T. WALSH
HQ OPS Officer: MIKE NORRIS
Notification Date: 07/27/2002
Notification Time: 01:04 [ET]
Event Date: 07/26/2002
Event Time: 21:24 [EDT]
Last Update Date: 07/27/2002
Notification Time: 01:04 [ET]
Event Date: 07/26/2002
Event Time: 21:24 [EDT]
Last Update Date: 07/27/2002
Emergency Class: NON EMERGENCY
10 CFR Section:
72.75(b)(2) - SPENT FUELCASK DEFECT 72.75(b)(3) - SPENT FUEL CASK EFFECTIVENESS REDUCTION
10 CFR Section:
72.75(b)(2) - SPENT FUELCASK DEFECT 72.75(b)(3) - SPENT FUEL CASK EFFECTIVENESS REDUCTION
Person (Organization):
RICHARD CONTE (R1)
MELVYN LEACH (NMSS)
MICHAEL TOKAR (SFPO)
RICHARD CONTE (R1)
MELVYN LEACH (NMSS)
MICHAEL TOKAR (SFPO)
| Unit | SCRAM Code | RX Crit | Initial PWR | Initial RX Mode | Current PWR | Current RX Mode |
|---|---|---|---|---|---|---|
| 1 | N | Y | 100 | Power Operation | 100 | Power Operation |
| 2 | N | Y | 100 | Power Operation | 100 | Power Operation |
DRY FUEL STORAGE CASK FILLED WITH WRONG GAS
"At 09:24 p.m. on 7/26/02, the Shift Manager was notified by the Refueling Floor Manager that a Dry Fuel Storage cask had been accidentally filled with an argon/helium gas mix in lieu of 100% helium gas as required by the certificate of compliance for Susquehanna's Dry Fuel Cask Storage program. The affected cask was in the process of being sealed and prepared for shipment from the Refueling Floor to the Horizontal Storage Module located on site. Site Engineering and the vendor have been contacted to provide guidance on the affect of the argon gas on the Storage System. Temperature monitoring is in progress to detect any changes in the loaded canister until a final determination can be made. Because of the reduction in the thermal conductivity of the argon/helium mixture, this defect is believed to represent a potential significant reduction in the effectiveness of the spent fuel confinement system and is reportable under 10 CFR 72.75(b)(2) and 10 CFR 72.75(b)(3)."
The NRC Resident Inspector has been notified.
"At 09:24 p.m. on 7/26/02, the Shift Manager was notified by the Refueling Floor Manager that a Dry Fuel Storage cask had been accidentally filled with an argon/helium gas mix in lieu of 100% helium gas as required by the certificate of compliance for Susquehanna's Dry Fuel Cask Storage program. The affected cask was in the process of being sealed and prepared for shipment from the Refueling Floor to the Horizontal Storage Module located on site. Site Engineering and the vendor have been contacted to provide guidance on the affect of the argon gas on the Storage System. Temperature monitoring is in progress to detect any changes in the loaded canister until a final determination can be made. Because of the reduction in the thermal conductivity of the argon/helium mixture, this defect is believed to represent a potential significant reduction in the effectiveness of the spent fuel confinement system and is reportable under 10 CFR 72.75(b)(2) and 10 CFR 72.75(b)(3)."
The NRC Resident Inspector has been notified.
General Information or Other
Event Number: 39094
Rep Org: FLORIDA BUREAU OF RADIATION CONTROL
Licensee:
Region: 0
City: State:
County:
License #:
Agreement: N
Docket:
NRC Notified By: JOHN WILLIAMSON
HQ OPS Officer: STEVE SANDIN
Licensee:
Region: 0
City: State:
County:
License #:
Agreement: N
Docket:
NRC Notified By: JOHN WILLIAMSON
HQ OPS Officer: STEVE SANDIN
Notification Date: 07/26/2002
Notification Time: 08:44 [ET]
Event Date: 07/26/2002
Event Time: 00:00 [EST]
Last Update Date: 07/26/2002
Notification Time: 08:44 [ET]
Event Date: 07/26/2002
Event Time: 00:00 [EST]
Last Update Date: 07/26/2002
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
MARK LESSER (R2)
DON COOL (NMSS)
MARK LESSER (R2)
DON COOL (NMSS)
AGREEMENT STATE REPORT INVOLVING CRASH OF AIRCRAFT CARRYING RAD MATERIAL
The Florida Bureau of Radiation Control was notified that a FEDEX aircraft carrying Rad I/II material, isotopes and quantities unknown, had crashed at the Tallahassee airport between 0745-0800EDT on 7/26/02. The State of Florida was responding and did not request NRC assistance at this time.
The Florida Bureau of Radiation Control was notified that a FEDEX aircraft carrying Rad I/II material, isotopes and quantities unknown, had crashed at the Tallahassee airport between 0745-0800EDT on 7/26/02. The State of Florida was responding and did not request NRC assistance at this time.