Event Notification Report for July 21, 2003
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
07/20/2003 - 07/21/2003
EVENT NUMBERS
40006400074002641881
General Information or Other
Event Number: 40006
Rep Org: LANG BROTHERS, Inc.
Licensee: LANG BROTEHRS, Inc.
Region: 2
City: Parkersburg State: WV
County:
License #:
Agreement: N
Docket:
NRC Notified By: JACK HEFNER
HQ OPS Officer: JOHN MacKINNON
Licensee: LANG BROTEHRS, Inc.
Region: 2
City: Parkersburg State: WV
County:
License #:
Agreement: N
Docket:
NRC Notified By: JACK HEFNER
HQ OPS Officer: JOHN MacKINNON
Notification Date: 07/21/2003
Notification Time: 09:39 [ET]
Event Date: 07/21/2003
Event Time: 07:30 [EDT]
Last Update Date: 07/21/2003
Notification Time: 09:39 [ET]
Event Date: 07/21/2003
Event Time: 07:30 [EDT]
Last Update Date: 07/21/2003
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):
ANNE BOLAND (R2)
DOUG BROADDUS (NMSS)
ROBERTA WARREN (TAT)
ANNE BOLAND (R2)
DOUG BROADDUS (NMSS)
ROBERTA WARREN (TAT)
STOLEN TROXLER MOISTURE DENSITY GAUGE
On Monday morning, July 21, 2003 around 0730 EDT it was discovered that a Troxler Model # 3440 (serial # 18908) moisture density gauge had been stolen from a work site in Parkersburg, WV. The Troxler moisture gauge had been double locked inside a cabinet. Workers reporting to the job site had found that both locks had been pried off and the moisture density gauge was missing. The gauge was in its case. The moisture density gauge was last seen Friday evening, July 18, 2003. The moisture density gauge is owned by Lang Brothers, Inc. which is located in Bridgeport, WV. The Radiation Safety Officer (RSO) did not have the license number of the stolen moisture density with him. He did say that he would notify the local police that the moisture density gauge had been stolen. Troxler Model # 3440 contains 10 millicuries of cesium-137 and 40 millicuries of americium-241/beryllium
On Monday morning, July 21, 2003 around 0730 EDT it was discovered that a Troxler Model # 3440 (serial # 18908) moisture density gauge had been stolen from a work site in Parkersburg, WV. The Troxler moisture gauge had been double locked inside a cabinet. Workers reporting to the job site had found that both locks had been pried off and the moisture density gauge was missing. The gauge was in its case. The moisture density gauge was last seen Friday evening, July 18, 2003. The moisture density gauge is owned by Lang Brothers, Inc. which is located in Bridgeport, WV. The Radiation Safety Officer (RSO) did not have the license number of the stolen moisture density with him. He did say that he would notify the local police that the moisture density gauge had been stolen. Troxler Model # 3440 contains 10 millicuries of cesium-137 and 40 millicuries of americium-241/beryllium
Power Reactor
Event Number: 40007
Facility: WATERFORD
Region: 4 State: LA
Unit: [3] [] []
RX Type: [3] CE
NRC Notified By: MIKE BRANDON
HQ OPS Officer: HOWIE CROUCH
Region: 4 State: LA
Unit: [3] [] []
RX Type: [3] CE
NRC Notified By: MIKE BRANDON
HQ OPS Officer: HOWIE CROUCH
Notification Date: 07/22/2003
Notification Time: 11:13 [ET]
Event Date: 07/21/2003
Event Time: 14:15 [CDT]
Last Update Date: 07/23/2003
Notification Time: 11:13 [ET]
Event Date: 07/21/2003
Event Time: 14:15 [CDT]
Last Update Date: 07/23/2003
Emergency Class: NON EMERGENCY
10 CFR Section:
26.73 - FITNESS FOR DUTY
10 CFR Section:
26.73 - FITNESS FOR DUTY
Person (Organization):
TROY PRUETT (R4)
TROY PRUETT (R4)
| Unit | SCRAM Code | RX Crit | Initial PWR | Initial RX Mode | Current PWR | Current RX Mode |
|---|---|---|---|---|---|---|
| 3 | N | Y | 100 | Power Operation | 100 | Power Operation |
FITNESS FOR DUTY
This is a corrected report reissued to provide the information supplied by the licensee.
"A licensed operator tested positive for an illegal substance during a random Fitness for Duty (FFD) test. The results of this test have been reviewed and confirmed by the site's Medical Review Officer.
"Immediate action was taken to remove the individual's access to the plant. Other actions required by 10 CFR 26.27(b)(2) and company procedure are also being taken.
"A review of the employee's work is being conducted. The individual has not stood watch as a Senior Reactor Operator since 4/18/03.
"The NRC Resident Inspector has been notified of this event."
This is a corrected report reissued to provide the information supplied by the licensee.
"A licensed operator tested positive for an illegal substance during a random Fitness for Duty (FFD) test. The results of this test have been reviewed and confirmed by the site's Medical Review Officer.
"Immediate action was taken to remove the individual's access to the plant. Other actions required by 10 CFR 26.27(b)(2) and company procedure are also being taken.
"A review of the employee's work is being conducted. The individual has not stood watch as a Senior Reactor Operator since 4/18/03.
"The NRC Resident Inspector has been notified of this event."
General Information or Other
Event Number: 40026
Rep Org: OK DEQ RAD MANAGEMENT
Licensee: CONOCOPHILLIPS COMPANY
Region: 4
City: PONCA CITY State: OK
County:
License #:
Agreement: Y
Docket:
NRC Notified By: MIKE BRODERICK
HQ OPS Officer: STEVE SANDIN
Licensee: CONOCOPHILLIPS COMPANY
Region: 4
City: PONCA CITY State: OK
County:
License #:
Agreement: Y
Docket:
NRC Notified By: MIKE BRODERICK
HQ OPS Officer: STEVE SANDIN
Notification Date: 07/28/2003
Notification Time: 15:45 [ET]
Event Date: 07/21/2003
Event Time: 11:00 [CDT]
Last Update Date: 07/28/2003
Notification Time: 15:45 [ET]
Event Date: 07/21/2003
Event Time: 11:00 [CDT]
Last Update Date: 07/28/2003
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
MARK SHAFFER (R4)
TOM ESSIG (NMSS)
MARK SHAFFER (R4)
TOM ESSIG (NMSS)
FIRE DAMAGE TO NUCLEAR DENSITY GAUGE
At approximately 1100 CDT on 7/21/03, a fire at the Conoco Phillips Ponca City facility damaged the shielding on a Kay-Ray Model 7063P, Serial No. 24829, Density Meter containing a 200 millicurie Cs-137 sealed source. A preliminary survey of the device found a slight increase in rad levels near the top of the source holder indicating that the lead shield had melted and shifted slightly. Wipe tests found no evidence of source leakage. The manufacturer, Thermo Measure Tech, was contacted to make arrangements to remove the damaged gauge from the site on 7/30 and return it to their Round Rock, Texas facility for examination/repair. There was no radiation exposure associated with this incident to any plant personnel or emergency responders.
At approximately 1100 CDT on 7/21/03, a fire at the Conoco Phillips Ponca City facility damaged the shielding on a Kay-Ray Model 7063P, Serial No. 24829, Density Meter containing a 200 millicurie Cs-137 sealed source. A preliminary survey of the device found a slight increase in rad levels near the top of the source holder indicating that the lead shield had melted and shifted slightly. Wipe tests found no evidence of source leakage. The manufacturer, Thermo Measure Tech, was contacted to make arrangements to remove the damaged gauge from the site on 7/30 and return it to their Round Rock, Texas facility for examination/repair. There was no radiation exposure associated with this incident to any plant personnel or emergency responders.
Hospital
Event Number: 41881
Rep Org: SAINT VINCENT HOSPITAL
Licensee: SAINT VINCENT HOSPITAL
Region: 3
City: INDIANAPOLIS State: IN
County:
License #: 13-000133-02
Agreement: N
Docket:
NRC Notified By: EDWARD WROBLEWSKI
HQ OPS Officer: BILL HUFFMAN
Licensee: SAINT VINCENT HOSPITAL
Region: 3
City: INDIANAPOLIS State: IN
County:
License #: 13-000133-02
Agreement: N
Docket:
NRC Notified By: EDWARD WROBLEWSKI
HQ OPS Officer: BILL HUFFMAN
Notification Date: 07/29/2005
Notification Time: 15:55 [ET]
Event Date: 07/21/2003
Event Time: 00:00 [CST]
Last Update Date: 07/29/2005
Notification Time: 15:55 [ET]
Event Date: 07/21/2003
Event Time: 00:00 [CST]
Last Update Date: 07/29/2005
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):
MARK RING (R3)
SCOTT MOORE (NMSS)
MARK RING (R3)
SCOTT MOORE (NMSS)
MEDICAL EVENT - DOSE BOTH GREATER THAN AND LESS THAN PRESCRIBED
"An independent review of HDR (High Dose Rate) treatment records occurred on July 28, 2005. During this review, a Medical Event was discovered which meets reporting requirements of 10 CFR 35.3045.
"On July 21, 2003, an 87 year old male received what was to be the first of two High Dose Rate (HDR) treatments for esophageal cancer using a remote afterloading unit. The physician Authorized User prescribed a dose of 500 cGy (centiGray) at 0.5 cm from the surface of the NG (naso-gastric) tube for an active length of 5.5 cm using a 5.551 Curie iridium-192 source. The treatment plan called for 12 indexer step positions at 5.0 mm spacing. The medical physicist entered 12 indexer step positions with 2.5 mm spacing and treatment was delivered. On August 14, 2003, the second fraction occurred without incident.
"A simulated plan was calculated on July 29, 2005, to reproduce the initial treatment plan and actual treatment delivered. The simulations suggest the patient may have received as much as 74% over dosage to a portion of his esophagus and as much as 92% under dosage to a portion of his esophagus.
"The patient returned to the facility on July 14, 2005, for treatment and is currently under our care."
"An independent review of HDR (High Dose Rate) treatment records occurred on July 28, 2005. During this review, a Medical Event was discovered which meets reporting requirements of 10 CFR 35.3045.
"On July 21, 2003, an 87 year old male received what was to be the first of two High Dose Rate (HDR) treatments for esophageal cancer using a remote afterloading unit. The physician Authorized User prescribed a dose of 500 cGy (centiGray) at 0.5 cm from the surface of the NG (naso-gastric) tube for an active length of 5.5 cm using a 5.551 Curie iridium-192 source. The treatment plan called for 12 indexer step positions at 5.0 mm spacing. The medical physicist entered 12 indexer step positions with 2.5 mm spacing and treatment was delivered. On August 14, 2003, the second fraction occurred without incident.
"A simulated plan was calculated on July 29, 2005, to reproduce the initial treatment plan and actual treatment delivered. The simulations suggest the patient may have received as much as 74% over dosage to a portion of his esophagus and as much as 92% under dosage to a portion of his esophagus.
"The patient returned to the facility on July 14, 2005, for treatment and is currently under our care."