Alert

Due to a lapse in appropriations, the NRC has ceased normal operations. However, excepted and exempted activities necessary to maintain critical health and safety functions—as well as essential progress on designated critical activities, including those specified in Executive Order 14300—will continue, consistent with the OMB-Approved NRC Lapse Plan.

Event Notification Report for October 10, 2005

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
10/07/2005 - 10/10/2005

** EVENT NUMBERS **

General Information or Other	Event Number: 42036
Rep Org: GEORGIA RADIOACTIVE MATERIAL PGM Licensee: SOUTHERN REGIONAL MEDICAL CENTER Region: 1 City: RIVERDALE State: GA County: License #: GA 1039-1 Agreement: Y Docket: NRC Notified By: LAUREN PALMER HQ OPS Officer: MARK ABRAMOVITZ	Notification Date: 10/04/2005 Notification Time: 07:30 [ET] Event Date: 09/20/2005 Event Time: [EDT] Last Update Date: 10/04/2005
Emergency Class: NON EMERGENCY 10 CFR Section: AGREEMENT STATE	Person (Organization): JOHN ROGGE (R1) CHARLIE PAYNE (R2) MICHELE BURGESS (NMSS)

Event Text

AGREEMENT STATE REPORT - MEDICAL UNDEREXPOSURE

On Thursday morning, 9/20/05, a technologist gave a cancer patient receiving Iodine-131 therapy only one capsule of a prescribed 2-capsule dose. Consequently, only 93 milliCuries of an ordered 150 milliCuries was delivered to the patient. The referring endocrinologist was notified and determined that his patient had received adequate amount for the patient's therapy.

On Thursday afternoon, the licensee's Manager of Nuclear Medicine telephoned the Department and reported that the technologist involved in the event had also been responsible for a previous misadministration and had been fired. The capsule that was not administered was found in the lead container while preparing for a subsequent procedure on another patient.

Georgia report number: GA-2005-29

General Information or Other	Event Number: 42040
Rep Org: OHIO BUREAU OF RADIATION PROTECTION Licensee: THELEN ASSOCIATES, INC. Region: 3 City: CINCINNATI State: OH County: License #: OH31210310005 Agreement: Y Docket: NRC Notified By: STEPHEN JAMES HQ OPS Officer: JOHN MacKINNON	Notification Date: 10/05/2005 Notification Time: 16:29 [ET] Event Date: 09/29/2005 Event Time: 02:00 [EDT] Last Update Date: 10/05/2005
Emergency Class: NON EMERGENCY 10 CFR Section: AGREEMENT STATE	Person (Organization): BRUCE BURGESS (R3) E. WILLIAM BRACH (NMSS)

Event Text

OHIO AGREEMENT STATE REPORT - PORTABLE DENSITY GAUGE DAMAGED

"Portable density gauge was damaged by [an] intoxicated driver while [the] gauge was in use at approximately 2:00 AM. Licensee personnel were able to retract [the] source rod into [the] damaged case. [The] shielding appeared to be intact. Readings on [the] damaged gauge at one meter with [the] rod retracted were 0.2 to 0.3 mR/hr. [The] Gauge was placed in [a] transport case and returned to [the] licensee's storage location. Licensee performed [a] leak test and is awaiting results. Initial survey of [the] area around [the] damaged gauge indicated no contamination or evidence of leakage of [the] source. Gauge to be surveyed, packaged and prepared for shipment by local service provider (Cline Technical Services). Gauge is a Troxler Model 4640-B with 8 mCi (millicuries) Cs-137 source."

Corrective Action: Equipment returned to manufacturer for repair or disposal.

Manufacturer: Troxler Model Number: 4640-B Serial Number: 1122

Item Number: OH050006.

Other Nuclear Material	Event Number: 42044
Rep Org: GUARDIAN AUTOMOTIVE Licensee: NRD LLC Region: 3 City: EVANSVILLE State: IN County: License #: Agreement: N Docket: NRC Notified By: MARK BERTRAM HQ OPS Officer: PETE SNYDER	Notification Date: 10/07/2005 Notification Time: 16:38 [ET] Event Date: 10/06/2005 Event Time: 21:00 [CST] Last Update Date: 10/07/2005
Emergency Class: NON EMERGENCY 10 CFR Section: 20.2201(a)(1)(i) - LOST/STOLEN LNM>1000X	Person (Organization): BRUCE BURGESS (R3) TOM ESSIG (NMSS)

Event Text

LOST GENERAL LICENSED MATERIAL

On 10/6/05 Guardian Automotive lost the barrel of an air gun used to ionize automotive parts in a manufacturing process. The company searched for the material but was unable to locate it. It is thought that the material may have been inadvertently disposed of in the trash.

The material consisted of a 2 to 3 inch long by less than 1 inch in diameter section of an air gun with a 5.41 millicurie (maximum) Po 210 source inside. The gun was made by NRD LLC. The model number of the air gun is P-2000.

Other Nuclear Material	Event Number: 42045
Rep Org: BRAUN INTERTEC Licensee: BRAUN INTERTEC Region: 3 City: BLOOMINGTON State: MN County: License #: 22-16537-02 Agreement: N Docket: 03021059 NRC Notified By: GREG EBELING HQ OPS Officer: PETE SNYDER	Notification Date: 10/07/2005 Notification Time: 18:05 [ET] Event Date: 10/07/2005 Event Time: 10:00 [CDT] Last Update Date: 10/07/2005
Emergency Class: NON EMERGENCY 10 CFR Section: 30.50(b)(2) - SAFETY EQUIPMENT FAILURE	Person (Organization): BRUCE BURGESS (R3) E. WILLIAM BRACH (NMSS)

Event Text

RADIOGRAPHY CAMERA SOURCE TEMPORARILY UNABLE TO RETRACT

When performing radiography at Marathon Petroleum located in St. Paul Park, MN, a radiography source was unable to be fully retracted due to a dent in the guide tube tip caused by a collimator set screw. The camera is an AEA Model 660B Serial # B1839 which contains a 22 curie Iridium-192 source. The licensee personnel called their radiation safety officer (RSO) who assessed the situation. The RSO using shielding and other equipment was able to unscrew the guide tube tip with the collimator attached to allow the source to retract. There were no personnel overexposures. The licensee checked their remaining guide tube tips to ensure that the same problem did not exist on the other tips.

The Licensee notified Region 3.

Power Reactor	Event Number: 42046
Facility: MCGUIRE Region: 2 State: NC Unit: [ ] [2] [ ] RX Type: [1] W-4-LP,[2] W-4-LP NRC Notified By: STEVE BUSHNELL HQ OPS Officer: MIKE RIPLEY	Notification Date: 10/08/2005 Notification Time: 08:20 [ET] Event Date: 10/08/2005 Event Time: 07:20 [EDT] Last Update Date: 10/08/2005
Emergency Class: NON EMERGENCY 10 CFR Section: 50.72(b)(2)(i) - PLANT S/D REQD BY TS	Person (Organization): BRIAN BONSER (R2)

Unit	SCRAM Code	RX CRIT	Initial PWR	Initial RX Mode	Current PWR	Current RX Mode
2	N	Y	100	Power Operation	88	Power Operation

Event Text

TECHNICAL SPECIFICATION REQUIRED SHUTDOWN DUE TO INOPERABLE CONTROL ROOM CHILLER TRAIN

"'B' Train Control Room Chiller inoperable due to being aligned to Unit 1 Nuclear Cooling Water Train 'B.' This is a normal alignment for Unit 1 ESF 'B' Train testing. When we attempted to start 'A' Train Control Room Chiller, it failed to start. This placed Unit 2 in Tech Spec 3.0.3 at 0320 on 10/08/05. Unit load reduction started at 0720 on 10/08/05."

The licensee stated that the load reduction was terminated at 0815 on 10/08/05 based on a Notification of Enforcement Discretion (NOED) granting a 24-hour extension. The licensee notified the NRC Resident Inspector.

Page Last Reviewed/Updated Wednesday, March 24, 2021