Event Notification Report for October 19, 2007
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
10/18/2007 - 10/19/2007
General Information or Other
Event Number: 43733
Rep Org: FLORIDA BUREAU OF RADIATION CONTROL
Licensee: US ARMY CORPS OF ENGINEERS
Region: 1
City: WHITE SPRINGS State: FL
County:
License #: 23-01544-09
Agreement: Y
Docket:
NRC Notified By: JOHN WILLIAMSON
HQ OPS Officer: JOE O'HARA
Licensee: US ARMY CORPS OF ENGINEERS
Region: 1
City: WHITE SPRINGS State: FL
County:
License #: 23-01544-09
Agreement: Y
Docket:
NRC Notified By: JOHN WILLIAMSON
HQ OPS Officer: JOE O'HARA
Notification Date: 10/19/2007
Notification Time: 18:10 [ET]
Event Date: 10/19/2007
Event Time: 00:00 [EDT]
Last Update Date: 10/19/2007
Notification Time: 18:10 [ET]
Event Date: 10/19/2007
Event Time: 00:00 [EDT]
Last Update Date: 10/19/2007
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
RONALD BELLAMY (R1)
ILTAB VIA E-MAIL
MICHAEL TSCHILTZ (FSME)
RONALD BELLAMY (R1)
ILTAB VIA E-MAIL
MICHAEL TSCHILTZ (FSME)
POTENTIAL RECOVERY OF LOST OR STOLEN TROXLER MOISTURE DENSITY GAUGE
A local citizen contacted the State of Florida to report that he had a Troxler moisture density gauge Model 3440, S/N 22605 in his possession for a year. The individual stated that he took the gauge from his deceased neighbors home, and that the neighbor had told him he found the gauge in a field.
The state representative was informed by the NRC Operations Center that this device was reported stolen from the U.S. Army Corps of Engineers in FT. Polk, LA in March 2002 and documented on NRC Event Report #38806.
The state is going to retrieve the gauge this evening.
THIS MATERIAL EVENT CONTAINS A "LESS THAN CAT 3" LEVEL OF RADIOACTIVE MATERIAL
Sources that are "Less than IAEA Category 3 sources," are either sources that are very unlikely to cause permanent injury to individuals or contain a very small amount of radioactive material that would not cause any permanent injury. Some of these sources, such as moisture density gauges or thickness gauges that are Category 4, the amount of unshielded radioactive material, if not safely managed or securely protected, could possibly - although it is unlikely - temporarily injure someone who handled it or were otherwise in contact with it, or who were close to it for a period of many weeks.
A local citizen contacted the State of Florida to report that he had a Troxler moisture density gauge Model 3440, S/N 22605 in his possession for a year. The individual stated that he took the gauge from his deceased neighbors home, and that the neighbor had told him he found the gauge in a field.
The state representative was informed by the NRC Operations Center that this device was reported stolen from the U.S. Army Corps of Engineers in FT. Polk, LA in March 2002 and documented on NRC Event Report #38806.
The state is going to retrieve the gauge this evening.
THIS MATERIAL EVENT CONTAINS A "LESS THAN CAT 3" LEVEL OF RADIOACTIVE MATERIAL
Sources that are "Less than IAEA Category 3 sources," are either sources that are very unlikely to cause permanent injury to individuals or contain a very small amount of radioactive material that would not cause any permanent injury. Some of these sources, such as moisture density gauges or thickness gauges that are Category 4, the amount of unshielded radioactive material, if not safely managed or securely protected, could possibly - although it is unlikely - temporarily injure someone who handled it or were otherwise in contact with it, or who were close to it for a period of many weeks.
!!!!! THIS EVENT HAS BEEN RETRACTED !!!!!
!!!!! THIS EVENT HAS BEEN RETRACTED !!!!!
General Information or Other
Event Number: 43734
Rep Org: IOWA DEPARTMENT OF PUBLIC HEALTH
Licensee: UNIVERSITY OF IOWA HOSPITAL
Region: 3
City: IOWA CITY State: IA
County:
License #: 0037-1-52-AAB
Agreement: Y
Docket:
NRC Notified By: MELANIE RASMUSSON
HQ OPS Officer: JOE O'HARA
Licensee: UNIVERSITY OF IOWA HOSPITAL
Region: 3
City: IOWA CITY State: IA
County:
License #: 0037-1-52-AAB
Agreement: Y
Docket:
NRC Notified By: MELANIE RASMUSSON
HQ OPS Officer: JOE O'HARA
Notification Date: 10/19/2007
Notification Time: 18:43 [ET]
Event Date: 10/19/2007
Event Time: 04:00 [CDT]
Last Update Date: 01/02/2008
Notification Time: 18:43 [ET]
Event Date: 10/19/2007
Event Time: 04:00 [CDT]
Last Update Date: 01/02/2008
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
KENNETH RIEMER (R3)
MICHAEL TSCHILTZ (FSME)
KENNETH RIEMER (R3)
MICHAEL TSCHILTZ (FSME)
AGREEMENT STATE REPORT - PATIENT OVEREXPOSURE GREATER THAN 50 REM
A patient intervened during a vaginal iridium seed implant treatment by removing one of the needles from her body. The needle was found by a nurse approximately 30 minutes after it had been removed by the patient. The needle was located at the foot of the bed near the patients right foot and ankle. The doctor directed the nurse to place the source back into the pig. There were six sources in the needle. Total activity is 7 milliCuries of Ir-192. The estimated dose to the nurses hand was 13 milliRem, and she was wearing a whole body dosimeter, which is being examined. The estimated dose to the patients right ankle is 4.6 to 165 Rem. The patient will be monitored for acute radiation signs. The patient is in the process of receiving the planned dose.
* * * UPDATE PROVIDED BY MELANIE RASMUSSON TO JEFF ROTTON AT 1123 EST ON 01/02/08 * * *
The State of Iowa received a recent update stating that the licensee concluded that the patient's intended dose with IMRT (external beam Intensity Modulated Radiation Therapy) and the dose to the exposed areas of the patients' legs and ankles from the removed source showed no signs of skin reaction as of December 5, 2007 and was due to patient intervention. They are going to continue to follow the patient and said that they would keep the State of Iowa informed.
Notified R3DO (Louden) and FSME (Flannery)
A "Medical Event" may indicate potential problems in a medical facility's use of radioactive materials. It does not necessarily result in harm to the patient.
A patient intervened during a vaginal iridium seed implant treatment by removing one of the needles from her body. The needle was found by a nurse approximately 30 minutes after it had been removed by the patient. The needle was located at the foot of the bed near the patients right foot and ankle. The doctor directed the nurse to place the source back into the pig. There were six sources in the needle. Total activity is 7 milliCuries of Ir-192. The estimated dose to the nurses hand was 13 milliRem, and she was wearing a whole body dosimeter, which is being examined. The estimated dose to the patients right ankle is 4.6 to 165 Rem. The patient will be monitored for acute radiation signs. The patient is in the process of receiving the planned dose.
* * * UPDATE PROVIDED BY MELANIE RASMUSSON TO JEFF ROTTON AT 1123 EST ON 01/02/08 * * *
The State of Iowa received a recent update stating that the licensee concluded that the patient's intended dose with IMRT (external beam Intensity Modulated Radiation Therapy) and the dose to the exposed areas of the patients' legs and ankles from the removed source showed no signs of skin reaction as of December 5, 2007 and was due to patient intervention. They are going to continue to follow the patient and said that they would keep the State of Iowa informed.
Notified R3DO (Louden) and FSME (Flannery)
A "Medical Event" may indicate potential problems in a medical facility's use of radioactive materials. It does not necessarily result in harm to the patient.
Power Reactor
Event Number: 43735
Facility: BYRON
Region: 3 State: IL
Unit: [1] [2] []
RX Type: [1] W-4-LP,[2] W-4-LP
NRC Notified By: DARRELL JOHNSON`
HQ OPS Officer: JEFF ROTTON
Region: 3 State: IL
Unit: [1] [2] []
RX Type: [1] W-4-LP,[2] W-4-LP
NRC Notified By: DARRELL JOHNSON`
HQ OPS Officer: JEFF ROTTON
Notification Date: 10/19/2007
Notification Time: 19:55 [ET]
Event Date: 10/19/2007
Event Time: 18:30 [CDT]
Last Update Date: 10/19/2007
Notification Time: 19:55 [ET]
Event Date: 10/19/2007
Event Time: 18:30 [CDT]
Last Update Date: 10/19/2007
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(i) - PLANT S/D REQD BY TS
10 CFR Section:
50.72(b)(2)(i) - PLANT S/D REQD BY TS
Person (Organization):
KENNETH RIEMER (R3)
KENNETH RIEMER (R3)
| Unit | SCRAM Code | RX Crit | Initial PWR | Initial RX Mode | Current PWR | Current RX Mode |
|---|---|---|---|---|---|---|
| 1 | N | Y | 100 | Power Operation | 75 | Power Operation |
| 2 | N | Y | 100 | Power Operation | 75 | Power Operation |
TECH SPEC REQUIRED SHUTDOWN DUE TO ULTIMATE HEAT SINK INOPERABILITY
"lnitiated Unit 1 and Unit 2 plant shutdown due to inoperability of ultimate heat sink system. The inoperability is due to structural integrity failure of ASME Class 3 piping through wall leakage of the 0C Essential Service Water riser piping of the mechanical draft cooling tower."
Licensee is in Technical Specification 3.7.9 which requires the units be in Mode 3 in 6 hours and Mode 5 in 36 hours.
The licensee has notified the NRC Resident Inspector.
"lnitiated Unit 1 and Unit 2 plant shutdown due to inoperability of ultimate heat sink system. The inoperability is due to structural integrity failure of ASME Class 3 piping through wall leakage of the 0C Essential Service Water riser piping of the mechanical draft cooling tower."
Licensee is in Technical Specification 3.7.9 which requires the units be in Mode 3 in 6 hours and Mode 5 in 36 hours.
The licensee has notified the NRC Resident Inspector.