Event Notification Report for November 19, 2009
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
11/18/2009 - 11/19/2009
Power Reactor
Event Number: 45510
Facility: GINNA
Region: 1 State: NY
Unit: [1] [] []
RX Type: [1] W-2-LP
NRC Notified By: MIKE SLABY
HQ OPS Officer: HOWIE CROUCH
Region: 1 State: NY
Unit: [1] [] []
RX Type: [1] W-2-LP
NRC Notified By: MIKE SLABY
HQ OPS Officer: HOWIE CROUCH
Notification Date: 11/19/2009
Notification Time: 13:59 [ET]
Event Date: 11/19/2009
Event Time: 13:00 [EST]
Last Update Date: 11/19/2009
Notification Time: 13:59 [ET]
Event Date: 11/19/2009
Event Time: 13:00 [EST]
Last Update Date: 11/19/2009
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(xi) - OFFSITE NOTIFICATION
10 CFR Section:
50.72(b)(2)(xi) - OFFSITE NOTIFICATION
Person (Organization):
RAYMOND MCKINLEY (R1DO)
RAYMOND MCKINLEY (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 |
OFFSITE NOTIFICATION DUE TO LOW LEVEL RADIOACTIVE SPILL
"The New York State Department of Environmental Conservation and other State and Local officials were notified today, November 19, 2009, that there had been a spill of low level radioactive material at an excavation site at the facility.
"Workers were conducting planned modification activities, replacing a section of piping, when sediment fell from the pipe to the ground and localized water at the excavation site. Samples of the localized water in the excavation after the sediment had fallen in exceeded the limit of the site procedure for notifying State and Local officials for a groundwater spill. No elevated levels have been detected in the nearest plant monitoring well. Therefore, we have no indications that there has been a release beyond the site from this source. Cleanup activities are currently in progress.
"The licensee notified the NRC Resident Inspector."
The section of piping being replaced was between the plant storm drain system and the discharge canal. The radioactive material was identified as Cs-137 but was not quantified at the time of this report.
"The New York State Department of Environmental Conservation and other State and Local officials were notified today, November 19, 2009, that there had been a spill of low level radioactive material at an excavation site at the facility.
"Workers were conducting planned modification activities, replacing a section of piping, when sediment fell from the pipe to the ground and localized water at the excavation site. Samples of the localized water in the excavation after the sediment had fallen in exceeded the limit of the site procedure for notifying State and Local officials for a groundwater spill. No elevated levels have been detected in the nearest plant monitoring well. Therefore, we have no indications that there has been a release beyond the site from this source. Cleanup activities are currently in progress.
"The licensee notified the NRC Resident Inspector."
The section of piping being replaced was between the plant storm drain system and the discharge canal. The radioactive material was identified as Cs-137 but was not quantified at the time of this report.
General Information or Other
Event Number: 45595
Rep Org: NC DIV OF RADIATION PROTECTION
Licensee: LAKE NORMAN REGIONAL MEDICAL CENTER
Region: 1
City: MOORESVILLE State: NC
County:
License #:
Agreement: Y
Docket:
NRC Notified By: RANDY CROWE
HQ OPS Officer: DONALD NORWOOD
Licensee: LAKE NORMAN REGIONAL MEDICAL CENTER
Region: 1
City: MOORESVILLE State: NC
County:
License #:
Agreement: Y
Docket:
NRC Notified By: RANDY CROWE
HQ OPS Officer: DONALD NORWOOD
Notification Date: 12/29/2009
Notification Time: 17:09 [ET]
Event Date: 11/19/2009
Event Time: 00:00 [EST]
Last Update Date: 12/29/2009
Notification Time: 17:09 [ET]
Event Date: 11/19/2009
Event Time: 00:00 [EST]
Last Update Date: 12/29/2009
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
LAWRENCE DOERFLEIN (R1DO)
CHRISTEPHER MCKENNEY (FSME)
LAWRENCE DOERFLEIN (R1DO)
CHRISTEPHER MCKENNEY (FSME)
AGREEMENT STATE REPORT - BRAYCHYTHERAPY DOSE DIFFERED FROM THE PRESCRIBED DOSE BY MORE THAN 20%
The following was received via facsimile:
"During a prostrate brachytherapy procedure using a Mick applicator and I-125 sources, 41 of 41 sources were implanted into the patient's perineal soft tissue, inferior to the prostrate [resulting in:] 1. Dose was greater than 5 rem effective dose equivalent, and/or 50 rem to an organ or tissue and 2. the total dose delivered differs from the prescribed dose by 20% or more.
"Explain the effect, if any, on the individual who received the administration: Possible perineal soft tissue fibrosis. The patient is currently without symptoms six weeks following the implant.
"Additional notes:
"Licensee's evaluation of why the event occurred: Visualization of the prostrate was difficult on ultrasound due to poor image quality, leading to needle placement inferior to the prostrate.
"What actions, if any, have been taken or are planned to prevent recurrence: Discontinuation of the procedure if the locations of the needles are not known to relative certainty.
"The patient and the referring physician were notified [of this event].
"No follow-up is required."
NC Incident Report Number: 09-63
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 was received via facsimile:
"During a prostrate brachytherapy procedure using a Mick applicator and I-125 sources, 41 of 41 sources were implanted into the patient's perineal soft tissue, inferior to the prostrate [resulting in:] 1. Dose was greater than 5 rem effective dose equivalent, and/or 50 rem to an organ or tissue and 2. the total dose delivered differs from the prescribed dose by 20% or more.
"Explain the effect, if any, on the individual who received the administration: Possible perineal soft tissue fibrosis. The patient is currently without symptoms six weeks following the implant.
"Additional notes:
"Licensee's evaluation of why the event occurred: Visualization of the prostrate was difficult on ultrasound due to poor image quality, leading to needle placement inferior to the prostrate.
"What actions, if any, have been taken or are planned to prevent recurrence: Discontinuation of the procedure if the locations of the needles are not known to relative certainty.
"The patient and the referring physician were notified [of this event].
"No follow-up is required."
NC Incident Report Number: 09-63
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.