Event Notification Report for August 08, 2003
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
08/07/2003 - 08/08/2003
EVENT NUMBERS
40101400764005540053
Hospital
Event Number: 40101
Rep Org: COMMUNITY HOSPITAL OF ANDERSON
Licensee: COMMUNITY HOSPITAL OF ANDERSON
Region: 3
City: ANDERSON State: IN
County: MADISON
License #: 13-10205-01
Agreement: N
Docket:
NRC Notified By: JOE RASTETTER
HQ OPS Officer: JOHN MacKINNON
Licensee: COMMUNITY HOSPITAL OF ANDERSON
Region: 3
City: ANDERSON State: IN
County: MADISON
License #: 13-10205-01
Agreement: N
Docket:
NRC Notified By: JOE RASTETTER
HQ OPS Officer: JOHN MacKINNON
Notification Date: 08/25/2003
Notification Time: 16:20 [ET]
Event Date: 08/08/2003
Event Time: 08:30 [CST]
Last Update Date: 08/25/2003
Notification Time: 16:20 [ET]
Event Date: 08/08/2003
Event Time: 08:30 [CST]
Last Update Date: 08/25/2003
Emergency Class: NON EMERGENCY
10 CFR Section:
35.3045(a)(2) - DOSE > SPECIFIED EFF LIMITS
10 CFR Section:
35.3045(a)(2) - DOSE > SPECIFIED EFF LIMITS
Person (Organization):
CHRIS MILLER (R3)
TOM ESSIG (NMSS)
CHRIS MILLER (R3)
TOM ESSIG (NMSS)
FEMALE NOT KNOWING THAT SHE WAS PREGNANT WAS ADMINISTERED IODINE-131
A female doctor not knowing that she was pregnant was administered 29.8 millicuries of iodine-131 for a hyper thyroid condition. She was asked if she was pregnant and she stated that she was not pregnant and she chose not to take a pregnancy test before being administered the iodine-131.
Today, Community Hospital of Anderson, IN was notified that the female patient was 15 weeks pregnant when she received the 29.8 millicuries of iodine-131. The patient has been informed by her doctor. Calculated total body dose to the fetus is 11.69 rads and the calculated dose to the fetal thyroid is 27,840 rads.
A female doctor not knowing that she was pregnant was administered 29.8 millicuries of iodine-131 for a hyper thyroid condition. She was asked if she was pregnant and she stated that she was not pregnant and she chose not to take a pregnancy test before being administered the iodine-131.
Today, Community Hospital of Anderson, IN was notified that the female patient was 15 weeks pregnant when she received the 29.8 millicuries of iodine-131. The patient has been informed by her doctor. Calculated total body dose to the fetus is 11.69 rads and the calculated dose to the fetal thyroid is 27,840 rads.
Other Nuclear Material
Event Number: 40076
Rep Org: US NAVY
Licensee: US NAVY
Region: 2
City: NEW RIVER State: NC
County:
License #: 45-23645
Agreement: Y
Docket:
NRC Notified By: DAVID FARRAND
HQ OPS Officer: RICH LAURA
Licensee: US NAVY
Region: 2
City: NEW RIVER State: NC
County:
License #: 45-23645
Agreement: Y
Docket:
NRC Notified By: DAVID FARRAND
HQ OPS Officer: RICH LAURA
Notification Date: 08/15/2003
Notification Time: 10:27 [ET]
Event Date: 08/08/2003
Event Time: 00:00 [EDT]
Last Update Date: 08/08/2003
Notification Time: 10:27 [ET]
Event Date: 08/08/2003
Event Time: 00:00 [EDT]
Last Update Date: 08/08/2003
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):
DAVID AYRES (R2)
TOM ESSIG (NMSS)
DAVID AYRES (R2)
TOM ESSIG (NMSS)
LOST US NAVY SOURCE
The US Navy reported a lost device involving an IBIS (in-flight blade inspection system) used on helicopters. The device uses 500 microcuries of strontium-90. The device sealed source and registry number is CA321D103G. The master materials license number is 4523645. The US Navy reported that the device most likely fell off during flight approximately 17 miles northwest of New River, NC. A search for the device was unsuccessful.
The US Navy reported a lost device involving an IBIS (in-flight blade inspection system) used on helicopters. The device uses 500 microcuries of strontium-90. The device sealed source and registry number is CA321D103G. The master materials license number is 4523645. The US Navy reported that the device most likely fell off during flight approximately 17 miles northwest of New River, NC. A search for the device was unsuccessful.
General Information or Other
Event Number: 40055
Rep Org: TEXAS DEPARTMENT OF HEALTH
Licensee: ARIAS & KEZAR, INC.
Region: 4
City: AUSTIN State: TX
County:
License #: L04964-001
Agreement: Y
Docket:
NRC Notified By: JIM OGDEN
HQ OPS Officer: HOWIE CROUCH
Licensee: ARIAS & KEZAR, INC.
Region: 4
City: AUSTIN State: TX
County:
License #: L04964-001
Agreement: Y
Docket:
NRC Notified By: JIM OGDEN
HQ OPS Officer: HOWIE CROUCH
Notification Date: 08/11/2003
Notification Time: 16:32 [ET]
Event Date: 08/08/2003
Event Time: 00:00 [CDT]
Last Update Date: 08/11/2003
Notification Time: 16:32 [ET]
Event Date: 08/08/2003
Event Time: 00:00 [CDT]
Last Update Date: 08/11/2003
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
PHIL HARRELL (R4)
M. WAYNE HODGES (NMSS)
PHIL HARRELL (R4)
M. WAYNE HODGES (NMSS)
AGREEMENT STATE REPORT - TEXAS
"On Friday, August 11, 2003, the Licensee was transporting the gauge in a Nissan Pickup truck that had a defective tailgate. The Type 7A package was locked to the pickup with a chain but was held in place with a very small and cheap padlock. Also in the truck were concrete samples being transported for analysis. While transiting FM 471, the tailgate failed to the open position when the concrete samples shifted and pushed the gauge (Troxler Model 3430, Serial No. 28510, with two sealed sources - Am-241 /Be, nominal 40 millicuries, Serial No. 47-25576; and Cs-137, nominal 8 millicuries, Serial No. 750-2732) out of the bed and broke the lock allowing the gauge to become detached from the truck. The gauge was found by a member of the public laying in the middle of Highway FM471 being swerved around by traffic. The member of the public stopped and picked up the package and placed in his vehicle and transported it to his residence at [address deleted], Helotes, Texas. He opened the package which was not secured by a locking device. There is no indication that the member of the public exposed the sources. He made notification to the Helotes Fire Department who in turn notified the Texas Department of Health's Public Health Region 8, Radiation Control Office in San Antonio. The Public Health Region responded with a Radioactive Materials Inspector who determined that the gauge was intact and appeared to have no damage. The Licensee was notified and retrieved the gauge."
"On Friday, August 11, 2003, the Licensee was transporting the gauge in a Nissan Pickup truck that had a defective tailgate. The Type 7A package was locked to the pickup with a chain but was held in place with a very small and cheap padlock. Also in the truck were concrete samples being transported for analysis. While transiting FM 471, the tailgate failed to the open position when the concrete samples shifted and pushed the gauge (Troxler Model 3430, Serial No. 28510, with two sealed sources - Am-241 /Be, nominal 40 millicuries, Serial No. 47-25576; and Cs-137, nominal 8 millicuries, Serial No. 750-2732) out of the bed and broke the lock allowing the gauge to become detached from the truck. The gauge was found by a member of the public laying in the middle of Highway FM471 being swerved around by traffic. The member of the public stopped and picked up the package and placed in his vehicle and transported it to his residence at [address deleted], Helotes, Texas. He opened the package which was not secured by a locking device. There is no indication that the member of the public exposed the sources. He made notification to the Helotes Fire Department who in turn notified the Texas Department of Health's Public Health Region 8, Radiation Control Office in San Antonio. The Public Health Region responded with a Radioactive Materials Inspector who determined that the gauge was intact and appeared to have no damage. The Licensee was notified and retrieved the gauge."
Power Reactor
Event Number: 40053
Facility: CALLAWAY
Region: 4 State: MO
Unit: [1] [] []
RX Type: [1] W-4-LP
NRC Notified By: EURMAN HENSON
HQ OPS Officer: RICH LAURA
Region: 4 State: MO
Unit: [1] [] []
RX Type: [1] W-4-LP
NRC Notified By: EURMAN HENSON
HQ OPS Officer: RICH LAURA
Notification Date: 08/08/2003
Notification Time: 17:10 [ET]
Event Date: 08/08/2003
Event Time: 12:54 [CDT]
Last Update Date: 08/08/2003
Notification Time: 17:10 [ET]
Event Date: 08/08/2003
Event Time: 12:54 [CDT]
Last Update Date: 08/08/2003
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(ii)(B) - UNANALYZED CONDITION
10 CFR Section:
50.72(b)(3)(ii)(B) - UNANALYZED CONDITION
Person (Organization):
JACK WHITTEN (R4)
JACK WHITTEN (R4)
| Unit | SCRAM Code | RX Crit | Initial PWR | Initial RX Mode | Current PWR | Current RX Mode |
|---|---|---|---|---|---|---|
| 1 | N | Y | 100 | Power Operation | 100 | Power Operation |
UNANALYZED CONTROL ROOM HABITABILITY ISSUE AT CALLAWAY
"On 7/17/03, during a plant walkdown and design review for Control Room Habitability, it was identified that the pressure boundary doors located at Health Physics Access were open. A review of the Request For Resolution that approved leaving the pressure boundary doors open on a continuous basis revealed an error in the engineering evaluation. A previously unidentified air flow-path would allow unfiltered outside air to mix with areas of the Control Building that are credited in the Final Safety Analysis Record (FSAR) analysis of record for post-LOCA radiological consequences to Control Room personnel. The Callaway/SNUPPS Control Room HVAC design is unique in that it credits two separate mixing volumes, the Control Building and the Control Room. The air communication pathway identified on 7/17/03 impacts the Control Building volume. Initial calculations completed on 8/8/03 determined that the post LOCA thyroid dose to Control Room personnel would be approximately 31.5 REM. The FSAR reported value is 25.55 REM and the regulatory limit is 30 REM. This exceeds the current FSAR Analysis Of Record and is being reported as an unanalyzed condition. Upon initial identification of the opened doors and the air communication pathway, the doors were closed and a plant bulletin was issued informing personnel to maintain these doors closed when not in use."
The NRC Resident Inspector was notified.
"On 7/17/03, during a plant walkdown and design review for Control Room Habitability, it was identified that the pressure boundary doors located at Health Physics Access were open. A review of the Request For Resolution that approved leaving the pressure boundary doors open on a continuous basis revealed an error in the engineering evaluation. A previously unidentified air flow-path would allow unfiltered outside air to mix with areas of the Control Building that are credited in the Final Safety Analysis Record (FSAR) analysis of record for post-LOCA radiological consequences to Control Room personnel. The Callaway/SNUPPS Control Room HVAC design is unique in that it credits two separate mixing volumes, the Control Building and the Control Room. The air communication pathway identified on 7/17/03 impacts the Control Building volume. Initial calculations completed on 8/8/03 determined that the post LOCA thyroid dose to Control Room personnel would be approximately 31.5 REM. The FSAR reported value is 25.55 REM and the regulatory limit is 30 REM. This exceeds the current FSAR Analysis Of Record and is being reported as an unanalyzed condition. Upon initial identification of the opened doors and the air communication pathway, the doors were closed and a plant bulletin was issued informing personnel to maintain these doors closed when not in use."
The NRC Resident Inspector was notified.