Event Notification Report for November 23, 2016

AGREEMENT STATE REPORT - LOST TRITIUM EXIT SIGNS

The following report was received via e-mail:

"Doan College contacted our office [Nebraska Office of Radiological Health] by phone on November 23, 2016 to notify our office of two lost exit signs. Licensee was notified they would need to send in written notification. In a letter dated November 29, 2016, the licensee indicated that multiple renovations were made to the building housing the exit signs between 2006 and 2016. The exit signs were likely removed during one of these renovations. They also estimate that the incident was not caught prior to this due to personnel changes."

Manufacturer: Safety Light Corp.
Model: 880-12-6-10
Source Activity: 7.5 Ci

Nebraska Event: NE160002

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

PART 21 - PLASTIC JAR DEDICATION SAMPLING

The following is an excerpt of a part 21 received via email:

"The purpose of this letter is to provide the NRC an interim report in general conformity to the requirements of 10CFR Part 21.21 (a)(2). During an internal audit in November 2016, the sampling plan for dedication of plastic jars used in 1E battery cells was reviewed. Two lot numbers are associated with each plastic jar, a material lot number and a molding number. A material lot may encompass several molding lots. The dedication sampling plan was based on the material lot, and may not have properly sampled variations in critical characteristics generated by molding lots. An analysis of historical data is underway to determine whether any deviations to specifications for critical characteristics may have occurred, and whether these possible deviations could represent a defect as defined by Part 21. C&D expects that this analysis will be completed by March 20, 2017.

The facilities where the components have been supplied are:
Arkansas Nuclear One, Limerick, Beaver Valley, Millstone, Braidwood, Monticello, Browns Ferry, Nine Mile Point, Byron, Oconee, Clinton, Palisades, Columbia, Perry, Cook, Point Beach, Cooper, Prairie Island, Crystal River, River Bend, Diablo Canyon, Robinson, Duane Arnold, Salem, Farley, Sequoyah, Fermi, St. Lucie, Fitzpatrick, Summer, Ft. Calhoun, Susquehanna, Grand Gulf, Three Mile Island, Harris, US Navy, Hatch, Vogtle, Hope Creek, Vermont Yankee, Indian Point, Waterford, Watts Bar, LaSalle

"If you have any questions or wish to discuss this matter or this report, please contact

"Robert Malley
VP Quality and Process Engineering
bmalley@cdtechno.com
(215) 619-7830"

* * * RETRACTION ON 3/20/17 AT 1602 EDT FROM ROBERT MALLEY TO DONG PARK * * *

The following is an excerpt of a part 21 received via email:

"Based on this review the Interim Report (NRC Log No. 2016-00-06) dated January 20, 2017 is retracted. If you have any questions or wish to discuss this matter, please contact

"Robert Malley
VP Quality and Process Engineering
bmalley@cdtechno.com
(215) 619-7830"

Notified R1DO (Bickett), R2DO (Ernstes), R3DO (Orlikowski), R4DO (Drake), Part 21/50.55 Reactors group, and Part 21 Materials group.

AGREEMENT STATE REPORT - STOLEN THEN RECOVERED LICENSED MATERIAL

The following information was received via facsimile:

"Licensee notified the Department on 11/23/16, of the theft of an RMD LPA-1 Lead-Paint Analyzer containing 12 milliCuries of Cobalt-57 (Device S/N 3447R). The theft occurred at approximately 1030 EST on 11/23/2016 at a temporary jobsite located at 40-01 Vernon Boulevard, Queens, New York 11101.

"According to the licensee, the authorized user realized the device was missing shortly after departing the jobsite. He recalled putting the protective case containing the XRF [X-Ray Fluorescence Lead Paint Spectrum Analyzer] on the ground next to his vehicle to access his vehicle keys. Soon after, he was distracted by a pedestrian asking for directions and stepped into his vehicle to travel to the next jobsite without the device. He immediately returned to the previous site to search for the device. He was unsuccessful in his search.

"After filing a report at the local police department, the authorized user returned to the jobsite. He was informed by the maintenance department that there was video surveillance at that location and was provided a copy of the tape. This video showed two men walking away with the XRF protective case from the location where the authorized user's vehicle was originally parked. The licensee indicated that fliers were put up in the neighborhood where the device was originally stolen with a reward for the safe return of the XRF.

"On December 8, 2016, the Radiation Safety Officer (RSO) notified the Department [New York State Department of Health] that someone had contacted their office claiming to have the stolen XRF in their possession. The RSO verified it was the correct device by the S/N and arranged to retrieve the device the next day. Two of the Licensee's authorized users met the individual at the previously agreed upon location, paid the negotiated reward, and retrieved the device. The XRF and XRF accessories appeared to be in perfect condition."

New York Event Report ID No: NY-17-02

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

AGREEMENT STATE REPORT - MEDICAL EVENT INVOLVING HIGH DOSE RATE THERAPY DOSE TO AN UNINTENDED LOCATION

The following information was obtained from the state of New Hampshire via facsimile:

"NH Radiological Health Section 'Agency' was notified on November 23 by Chief Physicist followed by an e-mail from the Radiation Safety Officer (RSO) at Mary Hitchcock Memorial Hospital on November 24, 2016, of the HDR [high dose rate therapy] dose to an unintended location. The patient and the Authorized User were notified of the error and the correct fraction was administered.

"The licensee's RSO conducted an investigation and interviewed persons involved with the administration. A written explanation of the event was obtained. Cause of incident was identified as equipment malfunction (a deformed transfer tube)."

New Hampshire Event Report ID No.: NH-16-001

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.