United States Nuclear Regulatory Commission - Protecting People and the Environment
Home > NRC Library > Document Collections > Reports Associated With Events > Event Notification Reports > 2003 > February 12

Event Notification Report for February 12, 2003








                    U.S. Nuclear Regulatory Commission

                              Operations Center



                              Event Reports For

                           02/11/2003 - 02/12/2003



                              ** EVENT NUMBERS **



39517  39565  39568  39569  39570  39572  39577  39578  



+------------------------------------------------------------------------------+

|General Information or Other                     |Event Number:   39517       |

+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+

| REP ORG:  OHIO BUREAU OF RADIATION PROTECTION  |NOTIFICATION DATE: 01/17/2003|

|LICENSEE:  ABB INCORPORATED                     |NOTIFICATION TIME: 09:44[EST]|

|    CITY:  COLUMBUS                 REGION:  3  |EVENT DATE:        01/16/2003|

|  COUNTY:                            STATE:  OH |EVENT TIME:        17:00[EST]|

|LICENSE#:  03211250000           AGREEMENT:  Y  |LAST UPDATE DATE:  02/11/2003|

|  DOCKET:                                       |+----------------------------+

|                                                |PERSON          ORGANIZATION |

|                                                |DAVID HILLS          R3      |

|                                                |FRED BROWN           NMSS    |

+------------------------------------------------+                             |

| NRC NOTIFIED BY:  SNEE                         |                             |

|  HQ OPS OFFICER:  CHAUNCEY GOULD               |                             |

+------------------------------------------------+                             |

|EMERGENCY CLASS:          NON EMERGENCY         |                             |

|10 CFR SECTION:                                 |                             |

|NAGR                     AGREEMENT STATE        |                             |

|                                                |                             |

|                                                |                             |

|                                                |                             |

|                                                |                             |

+------------------------------------------------------------------------------+



                                   EVENT TEXT                                   

+------------------------------------------------------------------------------+

| LEAKING PROMETHIUM - 147 SOURCE                                              |

|                                                                              |

| The licensee informed the Ohio Department of Health on 1/16/03 of a leaking  |

| Pm-147 source possibly caused by a defective or failed material.  The source |

| had been received by ABB from a customer in Japan (Yokagawa Electric).  The  |

| source was contained and no spread of contamination was detected. ABB will   |

| inform the facility in Japan and properly dispose of the source.  The        |

| leaking source was a 70 millicurie Pm-147, ABB model S-11.                   |

|                                                                              |

| *****UPDATE BY FAX ON 2/11/03 AT 11:30 FROM MIKE SNEE TO RICH LAURA*****     |

|                                                                              |

| The leaking source was an ABB model S-20 instead of the earlier reported     |

| model S-11.                                                                  |

|                                                                              |

| Notified NMSS (F. Brown) and R3DO (S. Burgess).                              |

+------------------------------------------------------------------------------+



+------------------------------------------------------------------------------+

|General Information or Other                     |Event Number:   39565       |

+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+

| REP ORG:  NV DIV OF RAD HEALTH                 |NOTIFICATION DATE: 02/06/2003|

|LICENSEE:  GEOTEK, INC.                         |NOTIFICATION TIME: 12:39[EST]|

|    CITY:  LAS VEGAS                REGION:  4  |EVENT DATE:        02/05/2003|

|  COUNTY:  CLARK                     STATE:  NV |EVENT TIME:             [PST]|

|LICENSE#:  00-11-0348-01         AGREEMENT:  Y  |LAST UPDATE DATE:  02/06/2003|

|  DOCKET:                                       |+----------------------------+

|                                                |PERSON          ORGANIZATION |

|                                                |CLAUDE JOHNSON       R4      |

|                                                |MELVYN LEACH         NMSS    |

+------------------------------------------------+                             |

| NRC NOTIFIED BY:  STAN MARSHALL                |                             |

|  HQ OPS OFFICER:  ARLON COSTA                  |                             |

+------------------------------------------------+                             |

|EMERGENCY CLASS:          NON EMERGENCY         |                             |

|10 CFR SECTION:                                 |                             |

|NAGR                     AGREEMENT STATE        |                             |

|                                                |                             |

|                                                |                             |

|                                                |                             |

|                                                |                             |

+------------------------------------------------------------------------------+



                                   EVENT TEXT                                   

+------------------------------------------------------------------------------+

| AGREEMENT STATE REPORT - LOST /RECOVERED TROXLER MOISTURE DENSITY GAUGE      |

|                                                                              |

| Received fax from Nevada Health Division Radiological Health Section on      |

| 2/6/03 reporting the following:                                              |

|                                                                              |

| On 2/5/03, a Licensee Technician left a Troxler gauge (3411B No.T13081)      |

| locked but not secured in the vehicle.  He left for a brief tour of the      |

| construction site and when he returned to the truck the gauge was missing.   |

| The gauge case reportedly showed evidence of minor abrasions as if it had    |

| fallen out of the bed of a pickup.                                           |

|                                                                              |

| The gauge was found by local police and returned to the licensee.  When the  |

| gauge was recovered, the source rod was reportedly in the safe, shielded     |

| position.  The gauge index rod was slightly bent but the source rod is not   |

| prevented from full retraction into the shielded position.  The licensee     |

| reports that when the gauge was refurbished by Troxler approximately one     |

| month ago, the  trigger lock to lock the source rod in the shielded position |

| was removed.                                                                 |

|                                                                              |

| The licensee intends to have a training session with all gauge users later   |

| this week. They also intend to implement a field audit process.              |

|                                                                              |

| Call the Headquarters Operations Officer for contact information.            |

+------------------------------------------------------------------------------+



+------------------------------------------------------------------------------+

|General Information or Other                     |Event Number:   39568       |

+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+

| REP ORG:  BRIGHAM YOUNG UNIVERSITY             |NOTIFICATION DATE: 02/06/2003|

|LICENSEE:  BRIGHAM YOUNG UNIVERSITY             |NOTIFICATION TIME: 14:51[EST]|

|    CITY:  LAIE                     REGION:  4  |EVENT DATE:        02/03/2003|

|  COUNTY:  HONOLUL                   STATE:  HI |EVENT TIME:             [HST]|

|LICENSE#:                        AGREEMENT:  N  |LAST UPDATE DATE:  02/06/2003|

|  DOCKET:                                       |+----------------------------+

|                                                |PERSON          ORGANIZATION |

|                                                |CLAUDE JOHNSON       R4      |

|                                                |MELVYN LEACH         NMSS    |

+------------------------------------------------+                             |

| NRC NOTIFIED BY:  E. JAMES FREEMAN             |                             |

|  HQ OPS OFFICER:  ARLON COSTA                  |                             |

+------------------------------------------------+                             |

|EMERGENCY CLASS:          NON EMERGENCY         |                             |

|10 CFR SECTION:                                 |                             |

|BLO1 20.2201(a)(1)(i)    LOST/STOLEN LNM>1000X  |                             |

|                                                |                             |

|                                                |                             |

|                                                |                             |

|                                                |                             |

+------------------------------------------------------------------------------+



                                   EVENT TEXT                                   

+------------------------------------------------------------------------------+

| GENERAL LICENSED TRITIUM EXIT SIGNS DESTROYED BY FIRE                        |

|                                                                              |

| On 2/3/03 the Chemical Management Facility at the Brigham Young University   |

| Campus in Laie, HI caught on fire.  The facility was storing 28 Tritium      |

| signs and the Safety Officer (SO) at the University believes that they were  |

| vaporized with the intense fire and no residues of the Tritium signs were    |

| found by the Environmentalist Contractor in charge of the building clean up. |

| Based on other self-powered exit signs the SO feels the missing signs        |

| contained 10 Curie tritium sources each and were manufactured by SRB         |

| Technologies, Inc. located in Winston-Salem, NC between 1992 and 1993.  A    |

| written report will be submitted for the loss of this general licensed       |

| material in accordance with NUREG-1556.                                      |

|                                                                              |

| Call the Headquarters Operations Officer for contact information.            |

+------------------------------------------------------------------------------+



+------------------------------------------------------------------------------+

|General Information or Other                     |Event Number:   39569       |

+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+

| REP ORG:  ARIZONA RADIATION REGULATORY AGENCY  |NOTIFICATION DATE: 02/06/2003|

|LICENSEE:  SCOTTSDALE MEMORIAL HEALTH SERVICES, |NOTIFICATION TIME: 17:28[EST]|

|    CITY:  SCOTTSDALE               REGION:  4  |EVENT DATE:        02/06/2003|

|  COUNTY:                            STATE:  AZ |EVENT TIME:        15:00[MST]|

|LICENSE#:  07-265                AGREEMENT:  Y  |LAST UPDATE DATE:  02/06/2003|

|  DOCKET:                                       |+----------------------------+

|                                                |PERSON          ORGANIZATION |

|                                                |CLAUDE JOHNSON       R4      |

|                                                |MELVYN LEACH         NMSS    |

+------------------------------------------------+JOHN DAVIDSON        TAS     |

| NRC NOTIFIED BY:  AUBREY V. GODWIN             |                             |

|  HQ OPS OFFICER:  STEVE SANDIN                 |                             |

+------------------------------------------------+                             |

|EMERGENCY CLASS:          NON EMERGENCY         |                             |

|10 CFR SECTION:                                 |                             |

|NAGR                     AGREEMENT STATE        |                             |

|                                                |                             |

|                                                |                             |

|                                                |                             |

|                                                |                             |

+------------------------------------------------------------------------------+



                                   EVENT TEXT                                   

+------------------------------------------------------------------------------+

| AGREEMENT STATE REPORT INVOLVING FIVE MISSING I-125 SEEDS                    |

|                                                                              |

| The following information was received from the Arizona Radiation Regulatory |

| Agency:                                                                      |

|                                                                              |

| "Date:  February 6, 2003                                                     |

| "Time: 3:00 PM (MST)                                                         |

|                                                                              |

| "First Notice:  03-03                                                        |

|                                                                              |

| "Arizona Licensee:                                                           |

|                                                                              |

| "Scottsdale Memorial Health Services, Co., Inc.                              |

| "9003 E. Shea Blvd.                                                          |

| "Scottsdale, AZ  85260                                                       |

|                                                                              |

| "License. No. 07-265                                                         |

|                                                                              |

| "On January 29, 2003, a Bracytherapy procedure using Iodine-125 seeds (3M,   |

| Model 6500 Series) was conducted at the above named hospital.  On February   |

| 6, 2003, it was discovered that five seeds containing approximately 0.39 mCi |

| each could not be accounted for.  A survey of the source storage area,       |

| source use area, linens, and waste was conducted and could not account for   |

| the missing sources.                                                         |

|                                                                              |

| "The Agency and licensee will continue to investigate this occurrence and    |

| report further.                                                              |

|                                                                              |

| "The U.S. NRC and the U.S.FBI are being notified of this event."             |

|                                                                              |

| Call the Headquarters Operations Officer for contact information.            |

+------------------------------------------------------------------------------+



+------------------------------------------------------------------------------+

|General Information or Other                     |Event Number:   39570       |

+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+

| REP ORG:  ARIZONA RADIATION REGULATORY AGENCY  |NOTIFICATION DATE: 02/06/2003|

|LICENSEE:  UNIVERSITY OF ARIZONA                |NOTIFICATION TIME: 17:17[EST]|

|    CITY:  PHOENIX                  REGION:  4  |EVENT DATE:        02/06/2003|

|  COUNTY:                            STATE:  AZ |EVENT TIME:        15:00[MST]|

|LICENSE#:  AZ 10-44              AGREEMENT:  Y  |LAST UPDATE DATE:  02/06/2003|

|  DOCKET:                                       |+----------------------------+

|                                                |PERSON          ORGANIZATION |

|                                                |CLAUDE JOHNSON       R4      |

|                                                |MELVYN LEACH         NMSS    |

+------------------------------------------------+JOHN DAVIDSON        TAS     |

| NRC NOTIFIED BY:  AUBREY V. GODWIN             |ANNE BOLAND          IAT     |

|  HQ OPS OFFICER:  STEVE SANDIN                 |FEMA, DOE, USDA      FAX     |

+------------------------------------------------+HHS, EPA, DOT(NRC)   FAX     |

|EMERGENCY CLASS:          NON EMERGENCY         |                             |

|10 CFR SECTION:                                 |                             |

|NAGR                     AGREEMENT STATE        |                             |

|                                                |                             |

|                                                |                             |

|                                                |                             |

|                                                |                             |

+------------------------------------------------------------------------------+



                                   EVENT TEXT                                   

+------------------------------------------------------------------------------+

| AGREEMENT STATE REPORT INVOLVING MISSING 62 MILLICURIE STRONTIUM-90 SOURCE   |

|                                                                              |

| The following information was received from the Arizona Radiation Regulatory |

| Agency:                                                                      |

|                                                                              |

| "Date:  February 6, 2003                                                     |

| "Time: 3:00 PM (MST)                                                         |

|                                                                              |

| "First Notice:  03-04                                                        |

|                                                                              |

| "Arizona Location                                                            |

| "Tucson FEDEX                                                                |

| "Phoenix, AZ  85040                                                          |

|                                                                              |

| "License No. Transportation to                                               |

| "AZ 10-44                                                                    |

|                                                                              |

| "At approximately 2:00 PM the Agency was informed by the University of       |

| Arizona that on 1/23/2003 they shipped a 90-Sr sealed source [62 mCi] to     |

| Novoste at Norcross, GA.  At approximately 11:30 MST the University was      |

| contacted by Novoste and informed that a package with the University waybill |

| did not have the 90-Sr sources but contained airplane parts.  FEDEX reported |

| to the University that the shipment left Tucson, AZ 6:44 PM on 1/23/03       |

| arriving in Memphis TN around 1:07 AM 1/24/03.  The log indicates 'Missing   |

| Paperwork.'  Subsequently the package went to Atlanta and the Decatur        |

| Station.  The package was back in Memphis on 1/26/03, then back the Atlanta  |

| and Decatur on 1/27/03.  At approximately 9:07 AM, 1/27/03 the package was   |

| delivered to Novoste.  The shipping package was a 12 by 13 inch metal pail   |

| weighing 35 pounds. It was shipped standard overnight on waybill #           |

| 838483848672.                                                                |

|                                                                              |

| "The Agency and the University continue to look for the source.              |

|                                                                              |

| "The states of GA, and TN and U.S. NRC and FBI are being notified of this    |

| event."                                                                      |

|                                                                              |

| Call the Headquarters Operations Officer for contact information.            |

|                                                                              |

|                                                                              |

| *** UPDATE ON 2/7/03 1500 EST FROM ROD HARRELL TO ARLON COSTA ***            |

|                                                                              |

| The Sr-90 source was held by FEDEX at Memphis pending completion of          |

| paperwork and was subsequently sent to Novoste at Norcross, GA.  The source  |

| was delivered to Novoste on 01/27/03 at 0930 EST.                            |

|                                                                              |

| Notified NMSS EO (Leach), TAS (Hann), R4DO (Johnson), R4 IAT (Boland) and    |

| FEMA, DOE, USDA, HHS, EPA, DOT(NRC) via  fax.                                |

+------------------------------------------------------------------------------+



+------------------------------------------------------------------------------+

|General Information or Other                     |Event Number:   39572       |

+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+

| REP ORG:  CALIFORNIA RADIATION CONTROL PRGM    |NOTIFICATION DATE: 02/06/2003|

|LICENSEE:  REGENTS OF THE UNIV OF CA, SAN DIEGO |NOTIFICATION TIME: 22:39[EST]|

|    CITY:  LA JOLLA                 REGION:  4  |EVENT DATE:        02/06/2003|

|  COUNTY:                            STATE:  CA |EVENT TIME:        17:39[PST]|

|LICENSE#:  1339-37               AGREEMENT:  Y  |LAST UPDATE DATE:  02/06/2003|

|  DOCKET:                                       |+----------------------------+

|                                                |PERSON          ORGANIZATION |

|                                                |CLAUDE JOHNSON       R4      |

|                                                |MELVYN LEACH         NMSS    |

+------------------------------------------------+                             |

| NRC NOTIFIED BY:  ROBERT GREGER                |                             |

|  HQ OPS OFFICER:  ARLON COSTA                  |                             |

+------------------------------------------------+                             |

|EMERGENCY CLASS:          NON EMERGENCY         |                             |

|10 CFR SECTION:                                 |                             |

|NAGR                     AGREEMENT STATE        |                             |

|                                                |                             |

|                                                |                             |

|                                                |                             |

|                                                |                             |

+------------------------------------------------------------------------------+



                                   EVENT TEXT                                   

+------------------------------------------------------------------------------+

| AGREEMENT STATE NOTIFICATION OF RADIATION OVER - EXPOSURE                    |

|                                                                              |

| "Abstract:                                                                   |

| On January 31, 2003, the Radiation Safety Officer from the University        |

| contacted our office to notify us that a physician, who works in the         |

| Radiation Oncology Department at the University's Medical Center-Hillcrest,  |

| received a whole body dose of 5700 mrem for CY 2002, exceeding the           |

| occupational worker limit of 5000 mrem/year.  The 5700 mrem was all received |

| during the dosimeter wear period of October to December 2002.                |

|                                                                              |

| "The RSO states that this exposure appears to be real and therefore          |

| qualifies as an overexposure. The matter is being investigated by UCSD's     |

| Environmental, Health and Safety office with a formal report to be submitted |

| within                                                                       |

| 30 days.                                                                     |

|                                                                              |

| "The physician has been interviewed by UCSD and feels the dose may have      |

| occurred during Cs-137 seed implants.  UCSD is currently in the process of   |

| researching how many seed implants this doctor was involved in during this   |

| time period (they think the doctor was involved with at least 2-3 seed       |

| implants between October 1 through December 31, 2002).                       |

|                                                                              |

| "In the years 2000, 2001 and for the first three quarters of 2002, this      |

| individual's reported dose was 0 DDE, LDE, SDE (note: This individual  lost  |

| the ring badges for the first three quarters of 2002 and there are no ring   |

| badge records available for 2002).  UCSD is having a special session of the  |

| Radiation Safety Committee next week to discuss this overexposure and will   |

| do their own investigation.  They will also ask the doctor what happened to  |

| the ring badges.                                                             |

|                                                                              |

| "Summary:                                                                    |

| At approximately 0900, the Brea office received a call from John Zummo, RSO  |

| and John Olson, ARSO  from The Regents of the University of California, San  |

| Diego, 9500 Gilman Drive, La Jolla, CA 92093-0920, RAML# 1339-37, (858)      |

| 534-1069 to give notice that dosimetery readings indicate an overexposure to |

| a staff physician. The physician works in the Radiation Oncology Department  |

| of Hillcrest Medical Center, San Diego, and received a dose of 5700 mrem     |

| whole-body for CY 2002, exceeding the occupational worker limit of 5000      |

| mrem/year.  The 5700 mrem was all received during the dosimeter wear period  |

| of October to December 2002.                                                 |

|                                                                              |

| "A preliminary report was e-mailed to the office (sent 0912, on 1-31-03).    |

| That report relays that, based on the information known so far, the 5700     |

| mrem appears to be real and therefore qualifies as an overexposure. The      |

| matter is being investigated by UCSD's Environmental, Health and Safety      |

| office with a formal report to be submitted within 30 days."                 |

+------------------------------------------------------------------------------+



+------------------------------------------------------------------------------+

|Fuel Cycle Facility                              |Event Number:   39577       |

+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+

| FACILITY: PORTSMOUTH GASEOUS DIFFUSION PLANT   |NOTIFICATION DATE: 02/11/2003|

|   RXTYPE: URANIUM ENRICHMENT FACILITY          |NOTIFICATION TIME: 06:16[EST]|

| COMMENTS: 2 DEMOCRACY CENTER                   |EVENT DATE:        02/10/2003|

|           6903 ROCKLEDGE DRIVE                 |EVENT TIME:        16:20[EST]|

|           BETHESDA, MD 20817    (301)564-3200  |LAST UPDATE DATE:  02/11/2003|

|    CITY:  PIKETON                  REGION:  3  +-----------------------------+

|  COUNTY:  PIKE                      STATE:  OH |PERSON          ORGANIZATION |

|LICENSE#:  GDP-2                 AGREEMENT:  N  |SONIA BURGESS        R3      |

|  DOCKET:  0707002                              |MELVYN LEACH         NMSS    |

+------------------------------------------------+Patrick Hiland       IRO     |

| NRC NOTIFIED BY:  Gary Salyers                 |                             |

|  HQ OPS OFFICER:  YAMIR DIAZ                   |                             |

+------------------------------------------------+                             |

|EMERGENCY CLASS:          NON EMERGENCY         |                             |

|10 CFR SECTION:                                 |                             |

|NONR                     OTHER UNSPEC REQMNT    |                             |

|                                                |                             |

|                                                |                             |

|                                                |                             |

|                                                |                             |

+------------------------------------------------------------------------------+



                                   EVENT TEXT                                   

+------------------------------------------------------------------------------+

| STEAM VALVE SHUTDOWN DUE TO HIGH CONDENSATE LEVEL                            |

|                                                                              |

| "At 1620 hrs, Autoclave (AC) #2 in the X-344 Facility experienced a Steam    |

| Shutdown due to high condensate level alarms (A) and (B) actuating. The AC   |

| was in applicable TSR MODE IV 'Feeding, Transfer or Sampling' when the       |

| actuation occurred. This is considered a valid actuation of a 'Q' Safety     |

| System. The autoclave was placed in MODE VII 'Shutdown' and declared         |

| inoperable by the Plant Shift Superintendent (PSS). An investigation is      |

| underway to determine the cause of the actuation. No release of radioactive  |

| material occurred as a result of the incident.   This event is being         |

| reported in accordance with UE2-RA-RE1030 Appendix D. J. 2. Safety Equipment |

| Actuations."                                                                 |

|                                                                              |

| The Autoclave (AC) lost one of four trains.  This event was caused by        |

| operator error.  A root cause investigation is planned by the licensee.      |

|                                                                              |

| The licensee notified the NRC resident inspector.                            |

+------------------------------------------------------------------------------+



+------------------------------------------------------------------------------+

|Power Reactor                                    |Event Number:   39578       |

+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+

| FACILITY: TURKEY POINT             REGION:  2  |NOTIFICATION DATE: 02/11/2003|

|    UNIT:  [3] [] []                 STATE:  FL |NOTIFICATION TIME: 11:08[EST]|

|   RXTYPE: [3] W-3-LP,[4] W-3-LP                |EVENT DATE:        02/11/2003|

+------------------------------------------------+EVENT TIME:        09:40[EST]|

| NRC NOTIFIED BY:  TIM JONES                    |LAST UPDATE DATE:  02/11/2003|

|  HQ OPS OFFICER:  YAMIR DIAZ                   +-----------------------------+

+------------------------------------------------+PERSON          ORGANIZATION |

|EMERGENCY CLASS:          NON EMERGENCY         |MARK LESSER          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   |

+-----+----------+-------+--------+-----------------+--------+-----------------+

|3     N          Y       100      Power Operation  |100      Power Operation  |

|                                                   |                          |

|                                                   |                          |

+------------------------------------------------------------------------------+

                                   EVENT TEXT                                   

+------------------------------------------------------------------------------+

| OFFSITE NOTIFICATION                                                         |

|                                                                              |

| "Notification from Land Utilization that a 'Endangered Species' crocodile    |

| will need to be transported offsite to Miami Metro Zoo for rehabilitation of |

| injury to left rear leg.                                                     |

|                                                                              |

| "Land Utilization notified the Florida Fresh Water and the Wildlife          |

| Conservation Commission at 09:40 EST."                                       |

|                                                                              |

| The licensee will notify the NRC resident inspector.                         |

+------------------------------------------------------------------------------+