Event Notification Report for April 18, 2003
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
04/17/2003 - 04/18/2003
EVENT NUMBERS
39769397703977139782
General Information or Other
Event Number: 39769
Rep Org: OHIO BUREAU OF RADIATION PROTECTION
Licensee: SOLAR TESTING LABORATORIES
Region: 3
City: BROOKLYN HEIGHTS State: OH
County:
License #: OH31210180065
Agreement: Y
Docket:
NRC Notified By: MIKE SNEE
HQ OPS Officer: MIKE RIPLEY
Licensee: SOLAR TESTING LABORATORIES
Region: 3
City: BROOKLYN HEIGHTS State: OH
County:
License #: OH31210180065
Agreement: Y
Docket:
NRC Notified By: MIKE SNEE
HQ OPS Officer: MIKE RIPLEY
Notification Date: 04/18/2003
Notification Time: 09:31 [ET]
Event Date: 04/18/2003
Event Time: 00:00 [EDT]
Last Update Date: 04/18/2003
Notification Time: 09:31 [ET]
Event Date: 04/18/2003
Event Time: 00:00 [EDT]
Last Update Date: 04/18/2003
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
THOMAS KOZAK (R3)
MATT KORMANN (TAT)
FRED BROWN (NMSS)
THOMAS KOZAK (R3)
MATT KORMANN (TAT)
FRED BROWN (NMSS)
THEFT AND RECOVERY OF MOISTURE DENSITY GAUGE
The following information was received via facsimile from the Ohio Department of Health:
The licensee reported the theft and recovery of a Humboldt Scientific moisture/density gauge (model 5001, serial #750) containing a 44 millicurie Am-Be source and a 11 millicurie Cs-137 source. The gauge was stolen during the early hours of April 18, 2003 from the back of a truck parked at an employee's residence in Brooklyn Heights, Ohio. The truck and gauge case was broken into. The licensee notified police and the Ohio Department of Health. At 8:45 AM on April 18, the employee discovered the gauge on the side of the road a short distance from his residence where the theft occurred. The gauge did not appear to be damaged.
Notified R3DO (T. Kozak), NMSS (F. Brown), NSIR IAT (M. Kormann)
The following information was received via facsimile from the Ohio Department of Health:
The licensee reported the theft and recovery of a Humboldt Scientific moisture/density gauge (model 5001, serial #750) containing a 44 millicurie Am-Be source and a 11 millicurie Cs-137 source. The gauge was stolen during the early hours of April 18, 2003 from the back of a truck parked at an employee's residence in Brooklyn Heights, Ohio. The truck and gauge case was broken into. The licensee notified police and the Ohio Department of Health. At 8:45 AM on April 18, the employee discovered the gauge on the side of the road a short distance from his residence where the theft occurred. The gauge did not appear to be damaged.
Notified R3DO (T. Kozak), NMSS (F. Brown), NSIR IAT (M. Kormann)
Power Reactor
Event Number: 39770
Facility: SEQUOYAH
Region: 2 State: TN
Unit: [1] [2] []
RX Type: [1] W-4-LP,[2] W-4-LP
NRC Notified By: MICHAEL HOWARD
HQ OPS Officer: HOWIE CROUCH
Region: 2 State: TN
Unit: [1] [2] []
RX Type: [1] W-4-LP,[2] W-4-LP
NRC Notified By: MICHAEL HOWARD
HQ OPS Officer: HOWIE CROUCH
Notification Date: 04/18/2003
Notification Time: 16:59 [ET]
Event Date: 04/18/2003
Event Time: 14:08 [EDT]
Last Update Date: 04/18/2003
Notification Time: 16:59 [ET]
Event Date: 04/18/2003
Event Time: 14:08 [EDT]
Last Update Date: 04/18/2003
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):
THOMAS DECKER (R2)
SUSIE BLACK (NRR)
JOSEPH HOLONICH (IRO)
THOMAS DECKER (R2)
SUSIE BLACK (NRR)
JOSEPH HOLONICH (IRO)
| Unit | SCRAM Code | RX Crit | Initial PWR | Initial RX Mode | Current PWR | Current RX Mode |
|---|---|---|---|---|---|---|
| 1 | N | N | 0 | Refueling | 0 | Refueling |
| 2 | N | Y | 100 | Power Operation | 100 | Power Operation |
NON- WORK RELATED FATALITY TO CONTRACT EMPLOYEE PROMPTS OFFSITE NOTIFICATION
The following information was received from the licensee via facsimile:
"At approximately 1408 EDT on April 18, 2003, a non-work related medical emergency occurred at the Sequoyah Nuclear Plant (SNP). Specifically, a contract laborer went into cardiac arrest. The individual was attended to by SNP Emergency Medical Technicians (EMTs). The individual was transported off-site in a TVA ambulance and was subsequently transferred to a Hamilton County ambulance. The individual was pronounced dead on arrival at the hospital. The fatality was not related to the health and safety of the public or on-site personnel.
"The individual was outside of the Radiological Controlled Area and no radioactive material or contamination was involved.
"A notification was made to the Occupational Safety and Health Administration at 1555 EDT this date. This ENS notification is in response to a notification to a other government agency in accordance with 10 CFR 50.72(b)(2)(xi)."
The licensee has notified the NRC Resident Inspector.
The following information was received from the licensee via facsimile:
"At approximately 1408 EDT on April 18, 2003, a non-work related medical emergency occurred at the Sequoyah Nuclear Plant (SNP). Specifically, a contract laborer went into cardiac arrest. The individual was attended to by SNP Emergency Medical Technicians (EMTs). The individual was transported off-site in a TVA ambulance and was subsequently transferred to a Hamilton County ambulance. The individual was pronounced dead on arrival at the hospital. The fatality was not related to the health and safety of the public or on-site personnel.
"The individual was outside of the Radiological Controlled Area and no radioactive material or contamination was involved.
"A notification was made to the Occupational Safety and Health Administration at 1555 EDT this date. This ENS notification is in response to a notification to a other government agency in accordance with 10 CFR 50.72(b)(2)(xi)."
The licensee has notified the NRC Resident Inspector.
Fuel Cycle Facility
Event Number: 39771
Facility: PORTSMOUTH GASEOUS DIFFUSION PLANT
Region: 3 State: OH
Unit: [] [] []
RX Type: URANIUM ENRICHMENT FACILITY
Comments: 2 DEMOCRACY CENTER
6903 ROCKLEDGE DRIVE
BETHESDA, MD 20817 (301)564-3200
NRC Notified By: KURT SISLER
HQ OPS Officer: ARLON COSTA
Region: 3 State: OH
Unit: [] [] []
RX Type: URANIUM ENRICHMENT FACILITY
Comments: 2 DEMOCRACY CENTER
6903 ROCKLEDGE DRIVE
BETHESDA, MD 20817 (301)564-3200
NRC Notified By: KURT SISLER
HQ OPS Officer: ARLON COSTA
Notification Date: 04/19/2003
Notification Time: 00:45 [ET]
Event Date: 04/18/2003
Event Time: 23:15 [EDT]
Last Update Date: 04/19/2003
Notification Time: 00:45 [ET]
Event Date: 04/18/2003
Event Time: 23:15 [EDT]
Last Update Date: 04/19/2003
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
THOMAS KOZAK (R3)
JOHN GREEVES (NMSS)
THOMAS KOZAK (R3)
JOHN GREEVES (NMSS)
OFFSITE NOTIFICATION TO OHIO EPA OF OPACITY EXCEEDANCE
"On 4/18/03 at 2315 hours, the high pressure blower overload tripped on X-600 [Steam Plant] #3 boiler. This equipment failure caused two opacity readings (six minute average) to be above 20%. This requires a verbal notification to the Ohio Environmental Protection Agency (OEPA).
"At 2350 hours, the Plant Shift Superintendent notified OEPA of the X-600 Steam Plant opacity exceedance. UE-RA-RE1030, App. D, section P, requires a 4 hour NRC event [notification] when other government agencies are notified."
The high pressure blower overload breaker was reset and the #3 boiler is currently operational. The Licensee is investigating the cause of the blower overload trip.
The Licensee informed both the NRC Resident Inspector and the DOE Site Representative.
"On 4/18/03 at 2315 hours, the high pressure blower overload tripped on X-600 [Steam Plant] #3 boiler. This equipment failure caused two opacity readings (six minute average) to be above 20%. This requires a verbal notification to the Ohio Environmental Protection Agency (OEPA).
"At 2350 hours, the Plant Shift Superintendent notified OEPA of the X-600 Steam Plant opacity exceedance. UE-RA-RE1030, App. D, section P, requires a 4 hour NRC event [notification] when other government agencies are notified."
The high pressure blower overload breaker was reset and the #3 boiler is currently operational. The Licensee is investigating the cause of the blower overload trip.
The Licensee informed both the NRC Resident Inspector and the DOE Site Representative.
Hospital
Event Number: 39782
Rep Org: HARTFORD HOSPITAL
Licensee: HARTFORD HOSPITAL
Region: 1
City: HARTFORD State: CT
County:
License #: 06-00253-04
Agreement: N
Docket:
NRC Notified By: PETER J. MAS
HQ OPS Officer: DICK JOLLIFFE
Licensee: HARTFORD HOSPITAL
Region: 1
City: HARTFORD State: CT
County:
License #: 06-00253-04
Agreement: N
Docket:
NRC Notified By: PETER J. MAS
HQ OPS Officer: DICK JOLLIFFE
Notification Date: 04/22/2003
Notification Time: 15:12 [ET]
Event Date: 04/18/2003
Event Time: 16:00 [EDT]
Last Update Date: 04/22/2003
Notification Time: 15:12 [ET]
Event Date: 04/18/2003
Event Time: 16:00 [EDT]
Last Update Date: 04/22/2003
Emergency Class:
10 CFR Section:
35.3045(a)(1) - DOSE <> PRESCRIBED DOSAGE
10 CFR Section:
35.3045(a)(1) - DOSE <> PRESCRIBED DOSAGE
Person (Organization):
HAROLD GRAY (R1)
JOHN GREEVES
HAROLD GRAY (R1)
JOHN GREEVES
SOURCES INCORRECTLY POSITIONED IN A PATIENT.
The following is submitted as a medical event record for Hartford Hospital, Hartford, CT. This occurred late Friday, April 18, 2003 and it involved the use of the 3.5 French, 40 mm Novoste Beta-Cath unit with a Beta-Rail catheter. Novoste had a representative onsite to provide training to the interventional cardiologist. The radiation oncologist and the medical physics staff were experienced in the handling of the 3.5 French Beta-Cath unit. The Novoste representative was not in the cath lab operatory at the time of the insertion of the Beta-Rail catheter, or, of the sources. He was observing from the adjacent control area and he thought the interventional cardiologist understood the markings on the new style catheter. The interventional cardiologist imaged the patient (using fluoroscopy) and determined that the sources were incorrectly positioned. At approximately 60 seconds into the treatment, the sources were withdrawn. The catheter was correctly positioned and the sources were reinserted for the accurate treatment of the cardiac vessel. No adverse effects were seen to occur to the patient, and, none are expected to occur. A written report will be submitted to the Region I offices within 15 days as required.
Notified R1DO Harold Gray and NMSS EO John Greeves.
The following is submitted as a medical event record for Hartford Hospital, Hartford, CT. This occurred late Friday, April 18, 2003 and it involved the use of the 3.5 French, 40 mm Novoste Beta-Cath unit with a Beta-Rail catheter. Novoste had a representative onsite to provide training to the interventional cardiologist. The radiation oncologist and the medical physics staff were experienced in the handling of the 3.5 French Beta-Cath unit. The Novoste representative was not in the cath lab operatory at the time of the insertion of the Beta-Rail catheter, or, of the sources. He was observing from the adjacent control area and he thought the interventional cardiologist understood the markings on the new style catheter. The interventional cardiologist imaged the patient (using fluoroscopy) and determined that the sources were incorrectly positioned. At approximately 60 seconds into the treatment, the sources were withdrawn. The catheter was correctly positioned and the sources were reinserted for the accurate treatment of the cardiac vessel. No adverse effects were seen to occur to the patient, and, none are expected to occur. A written report will be submitted to the Region I offices within 15 days as required.
Notified R1DO Harold Gray and NMSS EO John Greeves.