Event Notification Report for May 21, 2002
U.S. Nuclear Regulatory Commission Operations Center Event Reports For 05/20/2002 - 05/21/2002 ** EVENT NUMBERS ** 38922 38923 38930 38931 38932 +------------------------------------------------------------------------------+ |General Information or Other |Event Number: 38922 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | REP ORG: CALIFORNIA RADIATION CONTROL PRGM |NOTIFICATION DATE: 05/16/2002| |LICENSEE: HUNTINGTON MEMORIAL HOSPITAL |NOTIFICATION TIME: 17:25[EDT]| | CITY: PASADENA REGION: 4 |EVENT DATE: 05/15/2002| | COUNTY: STATE: CA |EVENT TIME: 11:00[PDT]| |LICENSE#: 0239-19 AGREEMENT: Y |LAST UPDATE DATE: 05/16/2002| | DOCKET: |+----------------------------+ | |PERSON ORGANIZATION | | |GREG PICK R4 | | |C.W. (BILL) REAMER NMSS | +------------------------------------------------+ | | NRC NOTIFIED BY: BARBARA HAMRICK | | | HQ OPS OFFICER: MIKE NORRIS | | +------------------------------------------------+ | |EMERGENCY CLASS: NON EMERGENCY | | |10 CFR SECTION: | | |NAGR AGREEMENT STATE | | | | | | | | | | | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | AGREEMENT STATE REPORT INVOLVING THEFT OF LICENSED MATERIAL >1000 TIMES | | | | "At 11:00 am PDT on May 15, 2002, four packages were stolen from an | | unsecured Airborne Express truck parked at 39 Congress Avenue, Pasadena, Ca. | | Due to a mix-up by the driver, it was not known that one of the packages | | contained radioactive material until the next day, when Huntington Memorial | | Hospital's Radiation Safety Officer[ ], realized that they had not received | | one of the packages of Palladium-103 seeds that they were expecting. [The | | RSO] reported the loss to the California Radiologic Health Branch at 12:15 | | PM PDT on May 16, 2002. | | | | "The package was supposed to have contained 72 seeds at 1.54 mCi/seed, or a | | total of 110 mCi of Pd-103, which would produce a field of about 230 mR/hr | | at one foot from the unshielded material. | | | | "Los Angeles County personnel took the initial call from the hospital, and | | is following up on this incident. Los Angeles County is a Contract County in | | California's Agreement State Program. The L.A. County inspector talked to | | the hospital about issuing a press release, and they are currently preparing | | one. The inspector will also obtain information on the package dose-rates, | | when it was shipped by Imagyn in TX, and the calibration dates for the | | seeds.. The seeds were purchased from Theragenics, shipped to Imagyn for | | some preparation, then shipped to the California licensee in two packages. | | The first package was received in tact. The second was stolen from the | | Airborne Express truck. There has been no indication by any of the parties | | that the other three packages stolen contained any radioactive material." | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ |General Information or Other |Event Number: 38923 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | REP ORG: COLORADO DEPT OF HEALTH |NOTIFICATION DATE: 05/16/2002| |LICENSEE: LUTHERAN MEDICAL CENTER |NOTIFICATION TIME: 18:29[EDT]| | CITY: REGION: 4 |EVENT DATE: 05/16/2002| | COUNTY: STATE: CO |EVENT TIME: [MDT]| |LICENSE#: AGREEMENT: Y |LAST UPDATE DATE: 05/16/2002| | DOCKET: |+----------------------------+ | |PERSON ORGANIZATION | | |GREG PICK R4 | | |C.W. (BILL) REAMER NMSS | +------------------------------------------------+ | | NRC NOTIFIED BY: TIM G. BONZER (fax) | | | HQ OPS OFFICER: MIKE NORRIS | | +------------------------------------------------+ | |EMERGENCY CLASS: NON EMERGENCY | | |10 CFR SECTION: | | |NAGR AGREEMENT STATE | | | | | | | | | | | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | AGREEMENT STATE REPORT ON MEDICAL MISADMINISTRATION | | | | "[ ]Med. Physicist called on the date of this memo. It was regarding the | | placing of 111 seeds [of I-125] when the prescribed dose was 110 seeds. Per | | the physicist he could not see the additional seed because of the blood. | | After doing a source count he believes the additional seed was implanted | | into the patient. The additional seeds activity was 0.33 mCi. Additional | | information will follow." | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ |Power Reactor |Event Number: 38930 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | FACILITY: CALLAWAY REGION: 4 |NOTIFICATION DATE: 05/20/2002| | UNIT: [1] [] [] STATE: MO |NOTIFICATION TIME: 05:43[EDT]| | RXTYPE: [1] W-4-LP |EVENT DATE: 05/20/2002| +------------------------------------------------+EVENT TIME: 05:00[CDT]| | NRC NOTIFIED BY: GARY OLMSTEAD |LAST UPDATE DATE: 05/20/2002| | HQ OPS OFFICER: LEIGH TROCINE +-----------------------------+ +------------------------------------------------+PERSON ORGANIZATION | |EMERGENCY CLASS: NON EMERGENCY |GREG PICK R4 | |10 CFR SECTION: | | |ACOM 50.72(b)(3)(xiii) LOSS COMM/ASMT/RESPONSE| | | | | | | | | | | +-----+----------+-------+--------+-----------------+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ |1 N Y 100 Power Operation |100 Power Operation | | | | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | PLANNED MAINTENANCE RESULTING IN THE LOSS OF AN EMERGENCY RESPONSE FACILITY | | FOR THE DURATION OF THE EVOLUTION | | | | The following text is a portion of a facsimile received from the licensee: | | | | "During performance of planned maintenance, the Emergency Operation Facility | | (EOF) will be de-energized. These maintenance activities, including | | electrical isolation and restoration, are expected to last approximately 16 | | hours. Contingency plans for emergency situations have been established." | | | | "This event is reportable per 10CFR50.72(b)(3)(xiii) since this constitutes | | a loss of an emergency response facility for the duration of the | | evolution." | | | | "The NRC Resident was previously notified that this activity was scheduled | | to occur and will be informed of this ENS notification." | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ |Other Nuclear Material |Event Number: 38931 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | REP ORG: GILES ENGINEERING |NOTIFICATION DATE: 05/20/2002| |LICENSEE: GILES ENGINEERING |NOTIFICATION TIME: 12:30[EDT]| | CITY: NEW BERLIN REGION: 3 |EVENT DATE: 05/20/2002| | COUNTY: STATE: WI |EVENT TIME: 09:30[CDT]| |LICENSE#: 48-18547-02 AGREEMENT: N |LAST UPDATE DATE: 05/20/2002| | DOCKET: |+----------------------------+ | |PERSON ORGANIZATION | | |CHRISTINE LIPA R3 | | |FRED BROWN NMSS | +------------------------------------------------+ | | NRC NOTIFIED BY: CHARLES GRESSER | | | HQ OPS OFFICER: RICH LAURA | | +------------------------------------------------+ | |EMERGENCY CLASS: NON EMERGENCY | | |10 CFR SECTION: | | |IBBE 30.50(b)(2) SAFETY EQUIPMENT FAILUR| | | | | | | | | | | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | DAMAGED MOISTURE DENSITY GAUGE AT CONSTRUCTION SITE IN WISCONSIN | | | | The licensee reported that a moisture density guage was damaged when a | | construction vehicle accidentally ran over the guage. The gauge was | | manufactured CPN and was model number MC1DR. The guage contained 10 | | millicuries of CS-137 and 50 millicuries of AM-241-BE. The company | | radiation safety officer responded to the site and established a 75 foot | | exclusion area. Surveys revealed no release of radioactive materials. The | | guage was in the safe position with the ram in the lead shield. | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ |Other Nuclear Material |Event Number: 38932 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | REP ORG: GME CONSUTANTS |NOTIFICATION DATE: 05/20/2002| |LICENSEE: GME CONSULTANTS |NOTIFICATION TIME: 14:57[EDT]| | CITY: NEW HOPE REGION: 3 |EVENT DATE: 05/20/2002| | COUNTY: STATE: MN |EVENT TIME: 10:00[CDT]| |LICENSE#: 22-23402-01 AGREEMENT: N |LAST UPDATE DATE: 05/20/2002| | DOCKET: |+----------------------------+ | |PERSON ORGANIZATION | | |CHRISTINE LIPA R3 | | |FRED BROWN NMSS | +------------------------------------------------+ | | NRC NOTIFIED BY: BILL BLOUMENDAL | | | HQ OPS OFFICER: RICH LAURA | | +------------------------------------------------+ | |EMERGENCY CLASS: NON EMERGENCY | | |10 CFR SECTION: | | |IBBE 30.50(b)(2) SAFETY EQUIPMENT FAILUR| | | | | | | | | | | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | DAMAGED MOISTURE DENSITY GUAGE AT CONSTRUCTION SITE | | | | A construction vehicle ran over a CPN moisture density guage, model number | | MC3. The radiation safety officer responded to the site. Radiological | | surveys were performed and the damaged guage was collected in an appropriate | | container. The guage was then returned to the licensee storage facility | | where it will be shipped out for repair. The guage was closed and locked at | | the time of the event. No personnel contaminations were reported. The | | guage contained less than 50 millicuries of AM-241 and less than 10 | | millicuries of CS-137. | +------------------------------------------------------------------------------+
Page Last Reviewed/Updated Thursday, March 25, 2021
Page Last Reviewed/Updated Thursday, March 25, 2021