Event Notification Report for August 05, 2004
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
08/04/2004 - 08/05/2004
EVENT NUMBERS
40926409304093740990
Power Reactor
Event Number: 40926
Facility: HATCH
Region: 2 State: GA
Unit: [1] [2] []
RX Type: [1] GE-4,[2] GE-4
NRC Notified By: ALAN WOLFE
HQ OPS Officer: STEVE SANDIN
Region: 2 State: GA
Unit: [1] [2] []
RX Type: [1] GE-4,[2] GE-4
NRC Notified By: ALAN WOLFE
HQ OPS Officer: STEVE SANDIN
Notification Date: 08/05/2004
Notification Time: 09:47 [ET]
Event Date: 08/05/2004
Event Time: 08:00 [EDT]
Last Update Date: 08/05/2004
Notification Time: 09:47 [ET]
Event Date: 08/05/2004
Event Time: 08:00 [EDT]
Last Update Date: 08/05/2004
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
MIKE ERNSTES (R2)
MIKE ERNSTES (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 | 99 | Power Operation | 99 | Power Operation |
LOSS OF PROMPT NOTIFICATION SYSTEM
"The Plant Emergency Preparedness Department contacted the NOAA weather service in Jacksonville due to an alarm on the Prompt Offsite Notification System. NOAA has confirmed that they cannot activate the Prompt Notification System which is considered a major loss of offsite notification capability.
"The problem is in the Jacksonville area and the local phone service has been notified to determine the cause and repair. The loss occurred at 0800 and all state and local agencies have been notified to use alternate means of notification.
"The plant was notified by the NOAA weather service in Jacksonville that ail service has been restored and the Prompt Notification System was returned to service at 0914 on 08/05/04."
The licensee informed both state and local agencies and the NRC Resident Inspector.
"The Plant Emergency Preparedness Department contacted the NOAA weather service in Jacksonville due to an alarm on the Prompt Offsite Notification System. NOAA has confirmed that they cannot activate the Prompt Notification System which is considered a major loss of offsite notification capability.
"The problem is in the Jacksonville area and the local phone service has been notified to determine the cause and repair. The loss occurred at 0800 and all state and local agencies have been notified to use alternate means of notification.
"The plant was notified by the NOAA weather service in Jacksonville that ail service has been restored and the Prompt Notification System was returned to service at 0914 on 08/05/04."
The licensee informed both state and local agencies and the NRC Resident Inspector.
General Information or Other
Event Number: 40930
Rep Org: ARKANSAS DEPARTMENT OF HEALTH
Licensee: UNKNOWN
Region: 4
City: DUMAS State: AR
County:
License #:
Agreement: Y
Docket:
NRC Notified By: JARED THOMPSON
HQ OPS Officer: BILL GOTT
Licensee: UNKNOWN
Region: 4
City: DUMAS State: AR
County:
License #:
Agreement: Y
Docket:
NRC Notified By: JARED THOMPSON
HQ OPS Officer: BILL GOTT
Notification Date: 08/06/2004
Notification Time: 14:01 [ET]
Event Date: 08/05/2004
Event Time: 00:00 [CDT]
Last Update Date: 08/06/2004
Notification Time: 14:01 [ET]
Event Date: 08/05/2004
Event Time: 00:00 [CDT]
Last Update Date: 08/06/2004
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
MIKE RUNYAN (R4)
TRISH HOLAHAN (NMSS)
MIKE RUNYAN (R4)
TRISH HOLAHAN (NMSS)
AGREEMENT STATE - RECOVERED DEVICE CONTAINING RADIOACTIVE MATERIAL
"On August 5, 2004, the Arkansas Department of Health, Radioactive Materials Program, recovered a device containing radioactive material from a scrap metal yard in Dumas, Arkansas. Radiation readings at contact with the port opening are 60-70 mR/hour. It appears that the shutter is open and the source is in the open position. Radiation readings at one meter from the port opening are 0.15 mR/hour.
"Analysis by the Department's Radiochemistry Laboratory identify the isotope as Krypton-85. The activity is unknown. The device is 4 inches (wide) by 3.5 inches (height) by 6.5 inches (length). The device is mounted on 10 inch diameter steel plate. There are no radiation markings or labeling on the device."
"On August 5, 2004, the Arkansas Department of Health, Radioactive Materials Program, recovered a device containing radioactive material from a scrap metal yard in Dumas, Arkansas. Radiation readings at contact with the port opening are 60-70 mR/hour. It appears that the shutter is open and the source is in the open position. Radiation readings at one meter from the port opening are 0.15 mR/hour.
"Analysis by the Department's Radiochemistry Laboratory identify the isotope as Krypton-85. The activity is unknown. The device is 4 inches (wide) by 3.5 inches (height) by 6.5 inches (length). The device is mounted on 10 inch diameter steel plate. There are no radiation markings or labeling on the device."
General Information or Other
Event Number: 40937
Rep Org: CALIFORNIA RADIATION CONTROL PRGM
Licensee: NICHOLS INSTITUTE DIAGNOSTICS
Region: 4
City: San Juan Capistrano State: CA
County:
License #: 2247-30
Agreement: Y
Docket:
NRC Notified By: ROB GREGER
HQ OPS Officer: MIKE RIPLEY
Licensee: NICHOLS INSTITUTE DIAGNOSTICS
Region: 4
City: San Juan Capistrano State: CA
County:
License #: 2247-30
Agreement: Y
Docket:
NRC Notified By: ROB GREGER
HQ OPS Officer: MIKE RIPLEY
Notification Date: 08/10/2004
Notification Time: 14:51 [ET]
Event Date: 08/05/2004
Event Time: 00:00 [PDT]
Last Update Date: 08/10/2004
Notification Time: 14:51 [ET]
Event Date: 08/05/2004
Event Time: 00:00 [PDT]
Last Update Date: 08/10/2004
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
LINDA SMITH (R4)
JOHN HICKEY (NMSS)
LINDA SMITH (R4)
JOHN HICKEY (NMSS)
AGREEMENT STATE REPORT - IODINE-125 CONTAINER MISTAKENLY DISPOSED OF AS TRASH
The following information was received via email:
"Approximately 2.5 milliCuries of I-125 was apparently mistakenly disposed to normal trash on 08/05/04. The lost I-125 was received in a single container along with a second container of approximately 2.5 milliCuries of I-125. Normally only one container is received at a time. However, this time two containers were shipped in a single package. The shipping department extracted one of the two containers from the incoming shipping package, and then dumped the remainder of the packing materials to normal trash, apparently including the second container of I-125.
"The loss was discovered 08/09/04 when the radiochemists went to utilize the I-125, and one-half of the shipment was missing. The licensee verified with the shipper that two individual containers were sent in the same package, which also agreed with the activity listed on the shipping papers. The licensee's trash was picked up early morning 08/09/04, and when contacted by the licensee, the trash hauler reported that the trash had already been dumped in a local landfill.
"Radiation levels at one foot from the shielded container were approximately 0.11 millirem/hour based on measurements made of the package that was still onsite. The shielded container holding the lost I-125 was sealed shut, and is not expected to open with normal trash hauling."
California Event # 080904
The following information was received via email:
"Approximately 2.5 milliCuries of I-125 was apparently mistakenly disposed to normal trash on 08/05/04. The lost I-125 was received in a single container along with a second container of approximately 2.5 milliCuries of I-125. Normally only one container is received at a time. However, this time two containers were shipped in a single package. The shipping department extracted one of the two containers from the incoming shipping package, and then dumped the remainder of the packing materials to normal trash, apparently including the second container of I-125.
"The loss was discovered 08/09/04 when the radiochemists went to utilize the I-125, and one-half of the shipment was missing. The licensee verified with the shipper that two individual containers were sent in the same package, which also agreed with the activity listed on the shipping papers. The licensee's trash was picked up early morning 08/09/04, and when contacted by the licensee, the trash hauler reported that the trash had already been dumped in a local landfill.
"Radiation levels at one foot from the shielded container were approximately 0.11 millirem/hour based on measurements made of the package that was still onsite. The shielded container holding the lost I-125 was sealed shut, and is not expected to open with normal trash hauling."
California Event # 080904
General Information or Other
Event Number: 40990
Rep Org: LOUISIANA RADIATION PROTECTION DIV
Licensee: CHILDREN'S HOSPITAL
Region: 4
City: NEW ORLEANS State: LA
County:
License #: LA-1448-L01
Agreement: Y
Docket:
NRC Notified By: SCOTT BLACKWELL (fax)
HQ OPS Officer: CHAUNCEY GOULD
Licensee: CHILDREN'S HOSPITAL
Region: 4
City: NEW ORLEANS State: LA
County:
License #: LA-1448-L01
Agreement: Y
Docket:
NRC Notified By: SCOTT BLACKWELL (fax)
HQ OPS Officer: CHAUNCEY GOULD
Notification Date: 08/27/2004
Notification Time: 09:35 [ET]
Event Date: 08/05/2004
Event Time: 00:00 [CDT]
Last Update Date: 08/27/2004
Notification Time: 09:35 [ET]
Event Date: 08/05/2004
Event Time: 00:00 [CDT]
Last Update Date: 08/27/2004
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
WILLIAM JOHNSON (R4)
TOM ESSIG (NMSS)
WILLIAM JOHNSON (R4)
TOM ESSIG (NMSS)
INCORRECT DOSE ADMINISTERED TO A PATIENT
A misadministration occurred on August 5, 2004. The patient was an uncooperative 20 year old Down's Syndrome who was to be injected with 20 mCi of Tc-99m MDP for a bone scan. While attempting to restrain the patient the technologist mistakenly reached for and injected a 4.2 mCi DMSA renal scan dose. The patient was notified of the error and subsequently injected with the correct dose. The misadministration did not exceed the 5 rems effective dose equivalent or the 50 rems dose equivalent to any organ. The technologist was been counseled to obtain assistance when performing such administrations in the future.
A misadministration occurred on August 5, 2004. The patient was an uncooperative 20 year old Down's Syndrome who was to be injected with 20 mCi of Tc-99m MDP for a bone scan. While attempting to restrain the patient the technologist mistakenly reached for and injected a 4.2 mCi DMSA renal scan dose. The patient was notified of the error and subsequently injected with the correct dose. The misadministration did not exceed the 5 rems effective dose equivalent or the 50 rems dose equivalent to any organ. The technologist was been counseled to obtain assistance when performing such administrations in the future.