The U.S. Nuclear Regulatory Commission is in the process of rescinding or revising guidance and policies posted on this webpage in accordance with Executive Order 14151 Ending Radical and Wasteful Government DEI Programs and Preferencing, and Executive Order 14168 Defending Women From Gender Ideology Extremism and Restoring Biological Truth to the Federal Government. In the interim, any previously issued diversity, equity, inclusion, or gender-related guidance on this webpage should be considered rescinded that is inconsistent with these Executive Orders.

Event Notification Report for June 19, 2002

                         
                    U.S. Nuclear Regulatory Commission
                              Operations Center

                              Event Reports For
                           06/18/2002 - 06/19/2002

                              ** EVENT NUMBERS **

38994  39001  

+------------------------------------------------------------------------------+
|General Information or Other                     |Event Number:   38994       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG:  CALIFORNIA RADIATION CONTROL PRGM    |NOTIFICATION DATE:
06/14/2002|
|LICENSEE:  CITY OF HOPE NATIONAL MEDICAL CENTER |NOTIFICATION TIME:
17:28[EDT]|
|    CITY:  DUARTE                   REGION:  4  |EVENT DATE:        06/13/2002|
|  COUNTY:  LOS ANGELES               STATE:  CA |EVENT TIME:        14:30[PDT]|
|LICENSE#:  0307-19               AGREEMENT:  Y  |LAST UPDATE DATE:  06/14/2002|
|  DOCKET:                                       |+----------------------------+
|                                                |PERSON          ORGANIZATION |
|                                                |ANTHONY GODY         R4      |
|                                                |LARRY CAMPER         NMSS    |
+------------------------------------------------+                             |
| NRC NOTIFIED BY:  GREGER                       |                             |
|  HQ OPS OFFICER:  CHAUNCEY GOULD               |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          NON EMERGENCY         |                             |
|10 CFR SECTION:                                 |                             |
|NAGR                     AGREEMENT STATE        |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+------------------------------------------------------------------------------+

                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| STATE LICENSEE REPORTED THAT THREE OF TEN I-125 SEEDS WERE LOST IN THE
SEWER |
| DRAIN                                                                        |
|                                                                              |
| At 2:30pm on June 13, 2002 the radiation safety officer (RSO) for City of    |
| Hope National Medical Center reported that during the course of an           |
| iodine-125 prostate permanent implant procedure, three of the ten seeds were |
| lost down the autoclave sink located in the operating room.                  |
|                                                                              |
| The initial report from the preliminary investigation was that the operating |
| room technician wanted to wash off the three seeds prior to autoclaving      |
| them.  They were not going to be used in the procedure.  During this process |
| they ended up being washed down the drain of the autoclave sink.   Although  |
| this occurred at approximately 5:00pm on June 12, 2002, the RSO was not      |
| notified until approximately noon on June 13, 2002.   They requested the RSO |
| investigate the reason(s) for the delay in reporting the incident.  The      |
| activity of the iodine -125 seeds was 0.344 mCi each (for a total of 1.032   |
| mCi) at 5:00pm on June 12, 2002.   At noon on June 13, 2002 the activity was |
| 0.340 mCi (for a total of 1.02 mCi).                                         |
|                                                                              |
| On June 14, 2002 a request was made to remove the sink trap and piping in an |
| effort to locate the seeds.  At approximately 10:00am it was reported that   |
| the seeds were not located, even with the use of a NaI probe and visual      |
| examination.  This information was forwarded to ICE Supervisor for reporting |
| to the NRC.                                                                  |
|                                                                              |
| Investigation # 061402                                                       |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   39001       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: OCONEE                   REGION:  2  |NOTIFICATION DATE: 06/18/2002|
|    UNIT:  [1] [2] [3]               STATE:  SC |NOTIFICATION TIME: 11:10[EDT]|
|   RXTYPE: [1] B&W-L-LP,[2] B&W-L-LP,[3] B&W-L-L|EVENT DATE:        06/18/2002|
+------------------------------------------------+EVENT TIME:        08:42[EDT]|
| NRC NOTIFIED BY:  RANDY TODD                   |LAST UPDATE DATE:  06/18/2002|
|  HQ OPS OFFICER:  STEVE SANDIN                 +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          NON EMERGENCY         |KERRY LANDIS         R2      |
|10 CFR SECTION:                                 |                             |
|APRE 50.72(b)(2)(xi)     OFFSITE NOTIFICATION   |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR|   INIT RX MODE  |CURR PWR|  CURR RX MODE  
|
+-----+----------+-------+--------+-----------------+--------+-----------------+
|1     N          Y       100      Power Operation  |100      Power Operation  |
|2     N          Y       100      Power Operation  |100      Power Operation  |
|3     N          Y       100      Power Operation  |100      Power Operation  |
+------------------------------------------------------------------------------+
                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| OFFSITE NOTIFICATION TO LOCAL AUTHORITIES DUE TO DISCOVERY OF SUICIDE
VICTIM |
| FOUND ON UTILITY PROPERTY OUTSIDE THE OWNER CONTROLLED AREA                  |
|                                                                              |
| "On 06/18/02 at 0842 Oconee Nuclear Station security discovered an apparent  |
| suicide victim parked on Duke Energy property outside the owner controlled   |
| area.  The control room was notified and dispatched a Medical Emergency      |
| Response Team, which was unable to revive the victim.  The individual was    |
| determined not to be a Duke Energy employee.  Pickens County (South          |
| Carolina) authorities were notified and have responded to the scene.         |
| Pending the result of the coroner's investigation, cause of death is         |
| apparently self-induced carbon monoxide poisoning.  A suicide note was found |
| at the scene."                                                               |
|                                                                              |
| The NRC Resident Inspector was notified of this event by the licensee.       |
+------------------------------------------------------------------------------+


Page Last Reviewed/Updated Thursday, March 25, 2021