United States Nuclear Regulatory Commission - Protecting People and the Environment
Home > NRC Library > Document Collections > Reports Associated with Events > Event Notification Reports > 2005 > May 24

Event Notification Report for May 24, 2005

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
05/23/2005 - 05/24/2005

** EVENT NUMBERS **


41707 41708 41709 41718 41719 41724 41725

To top of page
General Information or Other Event Number: 41707
Rep Org: LOUISIANA RADIATION PROTECTION DIV
Licensee: SUPERIOR ENERGY SERVICES
Region: 4
City:  State: LA
County: EVANGELINE
License #: LA-7561-L01A
Agreement: Y
Docket:
NRC Notified By: MIKE HENRY
HQ OPS Officer: PETE SNYDER
Notification Date: 05/18/2005
Notification Time: 13:55 [ET]
Event Date: 05/12/2005
Event Time: [CDT]
Last Update Date: 05/18/2005
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
REBECCA NEASE (R4)
RICHARD CORREIA (NMSS)

Event Text

AGREEMENT STATE - LOST AND RECOVERED SOURCE

The State provided the following information via facsimile:

"On the evening of May 12, 2005, Superior Energy Services lost a tool string with a 150 mCi [millicuries] source of Am-241 downhole at about 11,000 feet. Superior's slickline division fished for the tool and recovered the tool string and source on May 14, 2005 with no damage to the source housing. The onsite technician surveyed the tool and did not find any radiation leakage from the housing. The source was returned to the storage location and surveyed again before putting the source in the bunker. No radiation leakage was detected.

"Louisiana Event Report ID No.: LA050005"

To top of page
General Information or Other Event Number: 41708
Rep Org: GEORGIA RADIOACTIVE MATERIAL PGM
Licensee: CSRA TESTING & ENGINEERING CO.
Region: 1
City: AUGUSTA State: GA
County:
License #: GA 620-1
Agreement: Y
Docket:
NRC Notified By: ELIZABETH DRINNON
HQ OPS Officer: PETE SNYDER
Notification Date: 05/18/2005
Notification Time: 14:43 [ET]
Event Date: 05/16/2005
Event Time: 09:45 [EDT]
Last Update Date: 05/18/2005
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
RONALD BELLAMY (R1)
RICHARD CORREIA (NMSS)

Event Text

AGREEMENT STATE REPORT - LOST/STOLEN AND RECOVERED MOISTURE DENSITY GAUGE

The State provided the following information via facsimile:

"Description of Event: Received a report that a Troxler gauge had been found in the middle of Stevens Creek Road. Date of event: 5/16/05.

"A delivery truck driver recovered the gauge from the street and notified the Augusta-Richmond County Fire Department. The fire department then notified the Georgia Radioactive Materials Program. The gauge was a model 3430 Troxler Moisture Density Gauge.

"Isotope: Cesium 137 and Americium 241, Beryllium. Amount of Activity: 8 mCi [millicuries] Cs 137 and 40 mCi Am/Be.

"Describe clean-up actions taken by RCP: None.

"List radiation measurements taken by RCP: Took measurements to confirm source was in proper position in gauge and did not exceed transport index."

The Augusta Chronicle published a story in this event on May 16, 2005.

To top of page
General Information or Other Event Number: 41709
Rep Org: COLORADO DEPT OF HEALTH
Licensee: GEOCAL INC.
Region: 4
City: AURORA State: CO
County:
License #: 894-01
Agreement: Y
Docket:
NRC Notified By: TIM G. BONZER
HQ OPS Officer: PETE SNYDER
Notification Date: 05/18/2005
Notification Time: 14:41 [ET]
Event Date: 05/18/2005
Event Time: [MDT]
Last Update Date: 05/19/2005
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
REBECCA NEASE (R4)
RICHARD CORREIA (NMSS)

Event Text

AGREEMENT STATE - STOLEN MOISTURE DENSITY GAUGE

The State provided the following information via facsimile:

"A Ford F-150 with the CO license plate #225ALO was stolen at approximately 88th and Washington Street in Thornton (at approximately 11:00 am). A Troxler model 3430, gauge serial # 33250 was inside a DOT approved container, which was chained in the back truck bed and the container/box, was also locked. The keys for those locks were with the truck keys, with the individuals who have stole the truck; per Mr. D.

"Per Mr. D, he is waiting for the Thronton Police to arrive to document such. Further information will be forwarded to us upon learning."

* * * UPDATE FROM STATE (BONZER) VIA FAX RECEIVED AT 1348 EDT ON 5/19/05 * * *

The stolen truck was recovered with gauge in the truck bed. The licensee retrieved the truck and gauge at 0115 MDT on 5/19/05 with no evidence that the gauge had been tampered with or disturbed. The licensee intends on leak testing the gauge and will keep the gauge out of service until results are obtained.

R4DO (Nease) and NMSS (Correia) have been notified. TAS (Hahn) informed via e-mail.

To top of page
General Information or Other Event Number: 41718
Rep Org: WISCONSIN RADIATION PROTECTION
Licensee: GUNDERSEN LUTHERN MEDICAL CENTER
Region: 3
City: LA CROSSE State: WI
County:
License #: 063-1121-01
Agreement: Y
Docket:
NRC Notified By: MEGAN SHOBER
HQ OPS Officer: JOHN KNOKE
Notification Date: 05/19/2005
Notification Time: 12:34 [ET]
Event Date: 05/18/2005
Event Time: [CDT]
Last Update Date: 05/19/2005
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
CHRISTINE LIPA (R3)
RICHARD CORREIA (NMSS)

Event Text

AGREEMENT STATE REPORT - UNPLANNED CONTAMINATION WITH BROKEN PD-103 SEED (1.7 MILLICURIES)

The State provided the following information via facsimile:

"On May 18, 2005, during a prostate brachytherapy procedure, a pre-loaded cartridge containing Pd-103 seeds jammed in a Mick applicator. The jam occurred during a cartridge change, and when the authorized user attempted to remove the stuck cartridge from the applicator, the end of one seed was sheared off. After the authorized user reattached the applicator to the needle, he determined a seed had broken. Pieces of the broken seed were found in a needle and in the cartridge. This needle was removed from the patient and a new needle was inserted. The cartridge was removed from the Mick applicator and no contamination was detected on the applicator itself. The patient treatment was completed without further incident. Contamination was detected on several pieces of equipment as well as on the floor of the operating room. All personnel were surveyed before they were permitted to leave the operating room. Access to the operating room was restricted until the room was decontaminated by the radiation safety officer and the medical physicist. The seed fragments and cartridge were placed in a lead pig and secured in the radioactive waste storage area, where they will be held for decay-in-storage. The activity of the broken Pd-103 seed was 1.7 mCi.

"The licensee notified DHFS on May 18, 2005. The Wisconsin Radiation Protection Section will investigate this event."

The State event report number is 26.

To top of page
General Information or Other Event Number: 41719
Rep Org: CALIFORNIA RADIATION CONTROL PRGM
Licensee: WESTERN MEDICAL CENTER
Region: 4
City: SANTA ANA State: CA
County: ORANGE
License #: 0231-30
Agreement: Y
Docket:
NRC Notified By: BARBARA HAMRICK
HQ OPS Officer: JOHN KNOKE
Notification Date: 05/19/2005
Notification Time: 13:42 [ET]
Event Date: 03/21/2005
Event Time: [PDT]
Last Update Date: 05/20/2005
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
REBECCA NEASE (R4)
RICHARD CORREIA (NMSS)

Event Text

AGREEMENT STATE REPORT - LOST 12 UNUSED I-125 THERAPY SEEDS TOTALING 4.8 MILLICURIES

The State provided the following information via facsimile:

"On March 21, 2005, the licensee, Western Medical Center, shipped 12 unused I-125 therapy seeds of 0.4 mCi/seed (4.8 mCi total) to GE Healthcare via Fed-Ex. On April 19, 2005, Fed-Ex notified the licensee by letter that the shipment had apparently been lost in transit. The shipment has not yet been located. [The State] will update NMED as more information becomes available."

The Fed Ex shipment information will be forthcoming from the State as they receive it.

The State report number is 051905.

* * * UPDATE ON 05/19/05 AT 14:58 EDT FROM HAMRICK TO KNOKE * * *

"The number of seeds should be 14 at 0.391 mCi/seed for a total of 5.474 mCi (as of 2/26/05; activity is now about 2.12 mCi).

"The shipment left the licensee's facility on 3/21/05 via FedEx to GE Healthcare in Arlington, IL.

"On 3/24/05, the licensee was first notified by GE Healthcare that they had received the package, but that it did not contain the seeds, but some type of brackets. The licensee notified FedEx, who initiated a tracking operation. On 4/19/05, the licensee received written notice from FedEx that the package still had not been found. The records internal to FedEx indicated the package had apparently been damaged during the shipment, and FedEx speculates the shipping papers were switched with the other shipment. [The State] will provide additional information at the close of the investigation into this matter."

Notifications were given to R4DO (Nease) and NMSS (Moore & Correia)

* * * UPDATE ON 05/20/05 AT 15:30 EDT FROM THE STATE ( HAMRICK) VIA E-MAIL * * *

"This is a follow up to the reported lost shipment of I-125 seeds, which are now found. The seeds were delivered to the shippee, GE Healthcare, on March 24, 2005. The contact from GE Healthcare to the licensee in California indicated they had received an unexpected package from them (containing some type of brackets), but was not intended to indicate they had not received the package containing the seeds. The California licensee interpreted the information from GE Healthcare to mean that the seeds they had shipped had not arrived, however this apparently was not the case. Receipts of non-radioactive and radioactive shipments are handled separately at GE Healthcare, so the call to the California licensee was only to report the receipt of the unexpected non-radioactive shipment.

Thus, GE Healthcare received the seeds on March 24, 2005, and knew they had received them on that date. There was simply a misunderstanding in the communication with the California licensee."

Notifications were given to R4DO (Nease) and NMSS (Correia)

To top of page
Power Reactor Event Number: 41724
Facility: CATAWBA
Region: 2 State: SC
Unit: [1] [2] [ ]
RX Type: [1] W-4-LP,[2] W-4-LP
NRC Notified By: BILL EVERETT
HQ OPS Officer: JOHN KNOKE
Notification Date: 05/23/2005
Notification Time: 16:25 [ET]
Event Date: 05/23/2005
Event Time: 15:12 [EDT]
Last Update Date: 05/23/2005
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(xi) - OFFSITE NOTIFICATION
Person (Organization):
CHARLES R. OGLE (R2)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
1 N N 0 Refueling 0 Refueling
2 N Y 100 Power Operation 100 Power Operation

Event Text

OFFSITE NOTIFICATION - SMALL FIRE IN OWNER CONTROLLED AREA OUTSIDE OWNER PROTECTED AREA

A small pile of scrap wood, located [near motor pool service area] outside the Owner Protected Area (OPA), was discovered to be on fire. The local fire department was notified at 15:12 EDT and responded onto the Owner Controlled Area . The fire was extinguished by onsite fire brigade and offsite fire agency [personnel] by 15:25 EDT. The licensee will be notifying State and County authorities, and has notified the NRC Resident Inspector.

To top of page
Power Reactor Event Number: 41725
Facility: HATCH
Region: 2 State: GA
Unit: [ ] [2] [ ]
RX Type: [1] GE-4,[2] GE-4
NRC Notified By: DOUG SIMKINS
HQ OPS Officer: JOHN KNOKE
Notification Date: 05/23/2005
Notification Time: 20:07 [ET]
Event Date: 05/23/2005
Event Time: 17:47 [EDT]
Last Update Date: 05/23/2005
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(iv)(B) - RPS ACTUATION - CRITICAL
50.72(b)(3)(iv)(A) - VALID SPECIF SYS ACTUATION
Person (Organization):
CHARLES R. OGLE (R2)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
2 M/R Y 57 Power Operation 0 Hot Shutdown

Event Text

MANUAL SCRAM DUE TO CONDENSER HOTWELL CHEMISTRY

"Based on increasing conductivity in the reactor vessel and condenser hotwell, a power reduction was initiated from 100 percent power. A manual scram was inserted at 57 percent RTP and 49 percent Core Flow based on Chemistry recommendations due to sulfates and chlorides in the hotwell. Following the scram a reduction in reactor water level to -28 inches resulted in a Primary Containment Group 2 Isolation (ESF) occurring. All isolations and systems responded as expected.

"Current plant status is Hot Shutdown with plans to proceed to cold shutdown."

All control rods fully inserted and decay heat is being removed with the bypass valves into the condenser.

The licensee notified the NRC Resident Inspector.

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