Event Notification Report for June 16, 2009
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
06/15/2009 - 06/16/2009
Power Reactor
Event Number: 45133
Facility: LIMERICK
Region: 1 State: PA
Unit: [1] [2] []
RX Type: [1] GE-4,[2] GE-4
NRC Notified By: MARK ARNOSKY
HQ OPS Officer: VINCE KLCO
Region: 1 State: PA
Unit: [1] [2] []
RX Type: [1] GE-4,[2] GE-4
NRC Notified By: MARK ARNOSKY
HQ OPS Officer: VINCE KLCO
Notification Date: 06/16/2009
Notification Time: 05:51 [ET]
Event Date: 06/16/2009
Event Time: 00:31 [EDT]
Last Update Date: 06/22/2009
Notification Time: 05:51 [ET]
Event Date: 06/16/2009
Event Time: 00:31 [EDT]
Last Update Date: 06/22/2009
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):
PAMELA HENDERSON (R1DO)
PAMELA HENDERSON (R1DO)
| 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 | 100 | Power Operation | 100 | Power Operation |
EMERGENCY RESPONSE DATA SYSTEM (ERDS) OUT OF SERVICE DUE TO COMPUTER PROBLEMS
"[The licensee experienced] a loss of the ability to send ERDS data to the NRC for greater than 60 minutes due to a computer problem. The HPN and ENS communications systems were not affected and remained available through a commercial communication line. SPDS also remained in service and remained available during this period. The ERDS system was restored to service after 109 minutes."
The licensee notified the NRC Resident Inspector.
* * * UPDATE AT 1240 EDT ON 06/22/09 FROM MARK ARNOSKY TO VINCE KLCO * * *
"06-22-2009 Update to clarify the above statement: The HPN and ENS communications systems were affected by the computer problem, however, they remained available for use through an alternate and unaffected commercial communication line."
Notified R1DO (Burritt).
"[The licensee experienced] a loss of the ability to send ERDS data to the NRC for greater than 60 minutes due to a computer problem. The HPN and ENS communications systems were not affected and remained available through a commercial communication line. SPDS also remained in service and remained available during this period. The ERDS system was restored to service after 109 minutes."
The licensee notified the NRC Resident Inspector.
* * * UPDATE AT 1240 EDT ON 06/22/09 FROM MARK ARNOSKY TO VINCE KLCO * * *
"06-22-2009 Update to clarify the above statement: The HPN and ENS communications systems were affected by the computer problem, however, they remained available for use through an alternate and unaffected commercial communication line."
Notified R1DO (Burritt).
General Information or Other
Event Number: 45135
Rep Org: FLORIDA BUREAU OF RADIATION CONTROL
Licensee: MEMORIAL HOSPITAL
Region: 1
City: JACKSONVILLE State: FL
County:
License #: 2567-1
Agreement: Y
Docket:
NRC Notified By: STEVE FURNACE
HQ OPS Officer: BILL HUFFMAN
Licensee: MEMORIAL HOSPITAL
Region: 1
City: JACKSONVILLE State: FL
County:
License #: 2567-1
Agreement: Y
Docket:
NRC Notified By: STEVE FURNACE
HQ OPS Officer: BILL HUFFMAN
Notification Date: 06/16/2009
Notification Time: 17:09 [ET]
Event Date: 06/16/2009
Event Time: 00:00 [EDT]
Last Update Date: 06/16/2009
Notification Time: 17:09 [ET]
Event Date: 06/16/2009
Event Time: 00:00 [EDT]
Last Update Date: 06/16/2009
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
ART BURRITT (R1DO)
ANDREW PERSINKO (FSME)
ART BURRITT (R1DO)
ANDREW PERSINKO (FSME)
AGREEMENT STATE REPORT - MEDICAL EVENT DUE TO DOUBLE ADMINISTRATION OF DIAGNOSTIC DOSE
The following information was received from the State of Florida Bureau of Radiation Control via facsimile:
"Patient received two doses of Thalium-201 (Liquid form - 7.2 milliCurie) for a diagnostic Cardiovascular Procedure in the Nuclear Medicine Department. Two nuclear medicine technologists were working in the same room. Second technologist misunderstood that the first tech had already delivered the first dose. Jacksonville area office will investigate."
Estimated maximum internal organ dose received by patient is 9.36 Rem.
Florida Report FL09-052
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.
The following information was received from the State of Florida Bureau of Radiation Control via facsimile:
"Patient received two doses of Thalium-201 (Liquid form - 7.2 milliCurie) for a diagnostic Cardiovascular Procedure in the Nuclear Medicine Department. Two nuclear medicine technologists were working in the same room. Second technologist misunderstood that the first tech had already delivered the first dose. Jacksonville area office will investigate."
Estimated maximum internal organ dose received by patient is 9.36 Rem.
Florida Report FL09-052
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.
General Information or Other
Event Number: 45538
Rep Org: ARKANSAS DEPARTMENT OF HEALTH
Licensee: DESERT INDUSTRIAL X-RAY
Region: 4
City: BEBEE State: AR
County:
License #: ARK-1010-3320
Agreement: Y
Docket:
NRC Notified By: ROBERT PEMBERTON
HQ OPS Officer: BILL HUFFMAN
Licensee: DESERT INDUSTRIAL X-RAY
Region: 4
City: BEBEE State: AR
County:
License #: ARK-1010-3320
Agreement: Y
Docket:
NRC Notified By: ROBERT PEMBERTON
HQ OPS Officer: BILL HUFFMAN
Notification Date: 12/03/2009
Notification Time: 15:18 [ET]
Event Date: 06/16/2009
Event Time: 00:00 [CST]
Last Update Date: 12/03/2009
Notification Time: 15:18 [ET]
Event Date: 06/16/2009
Event Time: 00:00 [CST]
Last Update Date: 12/03/2009
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
RICK DEESE (R4DO)
BILL VONTILL (FSME)
RICK DEESE (R4DO)
BILL VONTILL (FSME)
AGREEMENT STATE REPORT - RADIOGRAPHY CAMERA SOURCE FAILED TO FULLY RETRACT
The following report was provided by the Arkansas Department of Health via facsimile:
"On October 26, 2009, during a routine inspection of Desert Industrial X-Ray, ARK-1010-3320, in Beebe AR it was discovered that an INC IR-100 exposure device (SN#4520, Source Model#32, SN#N478, IR-192, 26 Ci) had failed to retract the source to the fully shielded position. The failure to retract had occurred on June 16, 2009. The Radiation Safety Officer for the location was properly trained and had to disassemble and clean the locking mechanism in order to retract the source to the fully shielded position. INC informed Desert Industrial X-Ray that this failure to retract occurs when the exposure devices are getting dirty. The licensee reports that there have been no further problems with this device. Desert Industrial X-Ray personnel reported no unusual survey readings, and no personnel exposures occurred during this incident.
"The Department [ Arkansas Department of Health] has concluded that the root cause of this incident is improper maintenance of the INC IR-100 exposure device. The licensee has implemented corrective action by introducing an enhanced maintenance program. The Department considers this incident to be closed."
See similar report EN#45539.
The following report was provided by the Arkansas Department of Health via facsimile:
"On October 26, 2009, during a routine inspection of Desert Industrial X-Ray, ARK-1010-3320, in Beebe AR it was discovered that an INC IR-100 exposure device (SN#4520, Source Model#32, SN#N478, IR-192, 26 Ci) had failed to retract the source to the fully shielded position. The failure to retract had occurred on June 16, 2009. The Radiation Safety Officer for the location was properly trained and had to disassemble and clean the locking mechanism in order to retract the source to the fully shielded position. INC informed Desert Industrial X-Ray that this failure to retract occurs when the exposure devices are getting dirty. The licensee reports that there have been no further problems with this device. Desert Industrial X-Ray personnel reported no unusual survey readings, and no personnel exposures occurred during this incident.
"The Department [ Arkansas Department of Health] has concluded that the root cause of this incident is improper maintenance of the INC IR-100 exposure device. The licensee has implemented corrective action by introducing an enhanced maintenance program. The Department considers this incident to be closed."
See similar report EN#45539.