Event Notification Report for January 06, 2003
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
01/05/2003 - 01/06/2003
Hospital
Event Number: 39493
Rep Org: MIDMICHIGAN MEDICAL CENTER
Licensee: MIDMICHIGAN MEDICAL CENTER
Region: 3
City: MIDLAND State: MI
County: MIDLAND
License #: 21-01549-02
Agreement: N
Docket:
NRC Notified By: LARRY LANGRILL
HQ OPS Officer: MIKE NORRIS
Licensee: MIDMICHIGAN MEDICAL CENTER
Region: 3
City: MIDLAND State: MI
County: MIDLAND
License #: 21-01549-02
Agreement: N
Docket:
NRC Notified By: LARRY LANGRILL
HQ OPS Officer: MIKE NORRIS
Notification Date: 01/07/2003
Notification Time: 12:33 [ET]
Event Date: 01/06/2003
Event Time: 16:45 [EST]
Last Update Date: 01/07/2003
Notification Time: 12:33 [ET]
Event Date: 01/06/2003
Event Time: 16:45 [EST]
Last Update Date: 01/07/2003
Emergency Class: NON EMERGENCY
10 CFR Section:
35.3045(a)(1) - DOSE <> PRESCRIBED DOSAGE
10 CFR Section:
35.3045(a)(1) - DOSE <> PRESCRIBED DOSAGE
Person (Organization):
RONALD GARDNER (R3)
DOUG BROADDUS (NMSS)
RONALD GARDNER (R3)
DOUG BROADDUS (NMSS)
MEDICAL EVENT < 50 % OF PRESCRIBED DOSE
At 0830 on 1/7/03, it was discovered that a patient receiving braqchytherapy to the right lung using a high dose remote afterloader, received an actual dose less than the prescribed dose. The source was a 5.2 curie Ir-192 and the prescribed dose was 2000 cGy, which was to be administered in four 500 cGy increments. The computer was programmed for the four increments, but the total prescribed dose was set for 500 cGy, resulting in an actual dose delivered of 125 cGy. The patient was informed that the dose received was lower than intended and they would be receiving the total prescribed dose in the remaining three increments. The attending Physician will be notified.
At 0830 on 1/7/03, it was discovered that a patient receiving braqchytherapy to the right lung using a high dose remote afterloader, received an actual dose less than the prescribed dose. The source was a 5.2 curie Ir-192 and the prescribed dose was 2000 cGy, which was to be administered in four 500 cGy increments. The computer was programmed for the four increments, but the total prescribed dose was set for 500 cGy, resulting in an actual dose delivered of 125 cGy. The patient was informed that the dose received was lower than intended and they would be receiving the total prescribed dose in the remaining three increments. The attending Physician will be notified.
Power Reactor
Event Number: 39489
Facility: MCGUIRE
Region: 2 State: NC
Unit: [1] [2] []
RX Type: [1] W-4-LP,[2] W-4-LP
NRC Notified By: TIM HEAFNER
HQ OPS Officer: ARLON COSTA
Region: 2 State: NC
Unit: [1] [2] []
RX Type: [1] W-4-LP,[2] W-4-LP
NRC Notified By: TIM HEAFNER
HQ OPS Officer: ARLON COSTA
Notification Date: 01/06/2003
Notification Time: 15:18 [ET]
Event Date: 01/06/2003
Event Time: 11:00 [EST]
Last Update Date: 01/06/2003
Notification Time: 15:18 [ET]
Event Date: 01/06/2003
Event Time: 11:00 [EST]
Last Update Date: 01/06/2003
Emergency Class: NON EMERGENCY
10 CFR Section:
26.73 - FITNESS FOR DUTY
10 CFR Section:
26.73 - FITNESS FOR DUTY
Person (Organization):
THOMAS DECKER (R2)
THOMAS DECKER (R2)
| 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 |
FITNESS FOR DUTY
A non-licensed Supervisor tested positive for controlled substance during a random test. The employee's access to the protected area has been terminated.
The NRC Resident Inspector has been notified. Contact the HOO for additional details.
A non-licensed Supervisor tested positive for controlled substance during a random test. The employee's access to the protected area has been terminated.
The NRC Resident Inspector has been notified. Contact the HOO for additional details.
General Information or Other
Event Number: 39490
Rep Org: ARIZONA RADIATION REGULATORY AGENCY
Licensee: CONSTRUCTION INSPECTION AND TESTING
Region: 4
City: Tempe State: AZ
County:
License #: 7-98
Agreement: Y
Docket:
NRC Notified By: AUBREY V. GODWIN
HQ OPS Officer: ARLON COSTA
Licensee: CONSTRUCTION INSPECTION AND TESTING
Region: 4
City: Tempe State: AZ
County:
License #: 7-98
Agreement: Y
Docket:
NRC Notified By: AUBREY V. GODWIN
HQ OPS Officer: ARLON COSTA
Notification Date: 01/06/2003
Notification Time: 16:58 [ET]
Event Date: 01/06/2003
Event Time: 16:00 [MST]
Last Update Date: 01/06/2003
Notification Time: 16:58 [ET]
Event Date: 01/06/2003
Event Time: 16:00 [MST]
Last Update Date: 01/06/2003
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
CHUCK CAIN (R4)
JOHN GREEVES (NMSS)
CHUCK CAIN (R4)
JOHN GREEVES (NMSS)
AGREEMENT STATE REPORT - STOLEN MOISTURE DENSITY GAUGE
"At approximately 7:30 AM, January 6, 2003, the Agency [Arizona Radiation Regulatory Agency] received a voice mail message advising that a Troxler Model 3440 device, Serial Number 30391, was missing from 4440 West Mountain View Road, Glendale, AZ. The device contains 8 millicuries of Cesium-137 and 40 millicuries of Americium-241:Berylium. The information supplied indicated that there is [evidence] that the device was stolen. LICENSEE believes the source disappeared between 2:00 AM and 6:00 AM January 3, 2003. Agency investigation indicates [that] the lock was cut and the device removed from the shipping case. Glendale Police Department is also investigating this event, report number 03-972.
"The LICENSEE and the Agency continue to investigate this event.
"The States of CA, CO, NV, NM, and UT and U.S. NRC and the U.S. FBI are being notified of this event. Mexico is also being informed of this event."
"At approximately 7:30 AM, January 6, 2003, the Agency [Arizona Radiation Regulatory Agency] received a voice mail message advising that a Troxler Model 3440 device, Serial Number 30391, was missing from 4440 West Mountain View Road, Glendale, AZ. The device contains 8 millicuries of Cesium-137 and 40 millicuries of Americium-241:Berylium. The information supplied indicated that there is [evidence] that the device was stolen. LICENSEE believes the source disappeared between 2:00 AM and 6:00 AM January 3, 2003. Agency investigation indicates [that] the lock was cut and the device removed from the shipping case. Glendale Police Department is also investigating this event, report number 03-972.
"The LICENSEE and the Agency continue to investigate this event.
"The States of CA, CO, NV, NM, and UT and U.S. NRC and the U.S. FBI are being notified of this event. Mexico is also being informed of this event."