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Event Notification Report for March 12, 2004

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
03/11/2004 - 03/12/2004

** EVENT NUMBERS **


40575 40579 40585

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General Information or Other Event Number: 40575
Rep Org: OHIO BUREAU OF RADIATION PROTECTION
Licensee: CLEVELAND CLINIC FOUNDATION
Region: 3
City: CLEVELAND State: OH
County:
License #: 02110180013
Agreement: Y
Docket:
NRC Notified By: MARK LIGHT
HQ OPS Officer: CHAUNCEY GOULD
Notification Date: 03/08/2004
Notification Time: 10:15 [ET]
Event Date: 03/04/2004
Event Time: 16:00 [EST]
Last Update Date: 03/08/2004
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
KENNETH RIEMER (R3)
TOM ESSIG (NMSS)

Event Text

THE CLEVELAND CLINIC FOUNDATION ADMINISTERED AN UNDERDOSE DURING A THERAPEUTIC TREATMENT

During a therapeutic procedure using I-125 Gliasite from 2/28 - 3/1, the state licensee administered an under dose of 24%. The therapist calculated a dwell time of only 97 hours when the prescribed dwell time was 120 hrs for treating a brain tumor. This resulted in the patient receiving 5,300 rads instead of the prescribed 7,000 rads. Both the patient and the referring physician were notified. The licensee will make up for the under dosage by using a linear accelerator.

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General Information or Other Event Number: 40579
Rep Org: NC DIV OF RADIATION PROTECTION
Licensee: Titan Atlantic
Region: 1
City: RALIEGH State: NC
County:
License #: 092-1064-1
Agreement: Y
Docket:
NRC Notified By: SHARN JEFFRIES
HQ OPS Officer: BILL GOTT
Notification Date: 03/09/2004
Notification Time: 14:06 [ET]
Event Date: 03/06/2004
Event Time: [EST]
Last Update Date: 03/09/2004
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
EUGENE COBEY (R1)
FRED BROWN (NMSS)

Event Text

AGREEMENT STATE REPORT OF A STOLEN RADIOGRAPHER'S DARKROOM. NO RADIOACTIVE MATERIAL INVOLVED

An industrial radiographer's 14 ft tandem axle trailer (darkroom) was stolen from the parking lot behind the home office sometime between 3/6/04 and 3/9/04. The trailer is red with white lettering, "Titan Atlantic." Neither the radiography source nor camera was in the trailer at the time of the theft. The following materials were in the trailer: overpack with "Caution Radioactive Materials" and "Radioactive Yellow II" labels, "Caution Radioactive Materials", "Caution Radiation Area", and "Caution High Radiation Area" signs, and yellow and magenta ropes and barricades.

The Raleigh NC police were notified on 3/9/04.

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Power Reactor Event Number: 40585
Facility: MONTICELLO
Region: 3 State: MN
Unit: [1] [ ] [ ]
RX Type: [1] GE-3
NRC Notified By: DALE JOHNSON
HQ OPS Officer: STEVE SANDIN
Notification Date: 03/11/2004
Notification Time: 21:22 [ET]
Event Date: 03/11/2004
Event Time: 14:30 [CST]
Last Update Date: 03/11/2004
Emergency Class: NON EMERGENCY
10 CFR Section:
OTHER UNSPEC REQMNT
Person (Organization):
ERIC DUNCAN (R3)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
1 N Y 100 Power Operation 100 Power Operation

Event Text

VOLUNTARY REPORT INVOLVING POTENTIAL TSC UNAVAILABILITY DURING A DBA LOCA

"Monticello Nuclear Generating plant is making a voluntary report with regard to the Technical Support Center (TSC) not meeting design criteria Subsection 8.2-1.f of Supplement 1 to NUREG-0737. This specifies that the TSC will be provided with radiological protection necessary to assure that the radiation exposure to any person working in the TSC would not exceed 5 REM whole body (or its equivalent part of the body) for the duration of the accident.

"During review of the calculations associated with an on-going Alternative Source Term project, plant staff identified the potential for a radiation shine path to exist from the reactor building to the TSC during a DBA [Design Basis Accident] - Loss of Coolant Accident [LOCA], that could result in radiation levels reaching a point dictating evacuation of the TSC under existing emergency plan procedures.

"As required by NUREG-0696 and confirmed by the plant staff, existing procedural guidance directs personnel to evacuate to the back-up TSC (located in the EOF) if the TSC cannot be occupied continuously.

"The NRC resident has been informed of this discovery.'

The licensee is continuing their assessment and will determine the appropriate corrective actions.

Page Last Reviewed/Updated Friday, March 30, 2012
Friday, March 30, 2012