Event Notification Report for June 21, 2011

DOSAGE DELIVERED GREATER THAN PRESCRIBED

The following occurred at St. Louis University Hospital: A 30 mCi I-131 Sodium Iodide oral capsule was prescribed for administration to a patient for ablation of residual tissue following a thyroidectomy. However, a 115 mCi I-131 Sodium Iodide capsule was administered instead, due to conflicting information in the patient record.

At this time, it is believed that there will be no adverse affect to the patient. The patient has been notified of this incident.

The Radiation Safety Officer will be reviewing this incident to determine what actions to take to prevent recurrence.

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.

* * * RETRACTION FROM FELICITY BECKFIELD TO CHARLES TEAL ON 7/5/11 AT 1332 * * *

After review by the licensee and NRC staff, it was determined that this was not a reportable event.

Notified R3DO (Hills) and FSME EO (Turtil).

TWO TRITIUM EXIT SIGNS DISCOVERED MISSING DURING ROUTINE INVENTORY

Two (2) generally licensed tritium exit signs were discovered missing from their installed location in Building 80 at the Eli Lilly facility in Indianapolis, IN. Each exit sign contained a calculated activity of 19 Curies.

Manufacturer information and serial numbers (S/N) as follows:

Manufacturer - SRBT, Mfg date - April 2010, S/N - C077812
Manufacturer - SRBT, Mfg date - May 2010, S/N - C078813

Both signs were installed on 10/6/2010.

The licensee is conducting an investigation and will determine appropriate corrective actions.

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. For additional information go to http://www-pub.iaea.org/MTCD/publications/PDF/Pub1227_web.pdf

This source is not amongst those sources or devices identified by the IAEA Code of Conduct for the Safety & Security of Radioactive Sources to be of concern from a radiological standpoint. Therefore is it being categorized as a less than Category 3 source.

60-DAY OPTIONAL TELEPHONIC NOTIFICATION OF INVALID SPECIFIED SYSTEM ACTUATION

"Invalid Actuation of Turbine Driven Auxiliary Feedwater (TDAFW) pump.

"This telephone notification is being made under reporting requirements specified by 10 CFR 50.73(a)(2)(iv)(A) and 10 CFR 50.73(a)(1).

"On 6/21/11 at 1308 EDT, during maintenance activities for replacement of relay UVTXSB/1732, associated with 6.9kv Emergency Bus 1B-SB undervoltage trip circuitry, an automatic start of the Turbine Driven Auxiliary Feedwater (TDAFW) pump occurred while using a new procedure, CM-E0032. At the time of the event, all steam generator levels were normal. The TDAFW pump was secured by Operations on 6/21/11 at 1311 EDT.

"No actual condition existed that would require an automatic start of the TDAFW pump and therefore this event has been classified as an invalid actuation.

"The start of the TDAFW is considered a complete train actuation. The system started and functioned successfully."

The licensee has notified the NRC Resident Inspector.