United States Nuclear Regulatory Commission - Protecting People and the Environment
Home > NRC Library > Document Collections > Reports Associated with Events > Event Notification Reports > 2006 > November 15

Event Notification Report for November 15, 2006

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
11/13/2006 - 11/15/2006

** EVENT NUMBERS **


42980 42984 42989 42990 42991

To top of page
Hospital Event Number: 42980
Rep Org: DANVILLE REGIONAL MEDICAL CENTER
Licensee: DANVILLE REGIONAL MEDICAL CENTER
Region: 1
City: Danville State: VA
County:
License #: 451515403
Agreement: N
Docket:
NRC Notified By: DR. G. SHEROUSE
HQ OPS Officer: MARK ABRAMOVITZ
Notification Date: 11/09/2006
Notification Time: 16:02 [ET]
Event Date: 11/08/2006
Event Time: 10:10 [EST]
Last Update Date: 11/09/2006
Emergency Class: NON EMERGENCY
10 CFR Section:
INFORMATION ONLY
Person (Organization):
NEIL PERRY (R1)
MICHELE BURGESS (NMSS)

Event Text

POTENTIAL LEAKAGE FROM A I-125 SEED

Six cartridges of I-125 seeds were received on 11/6/2006. During the inspection of the cartridges, a bent seed was found and removed from one of the cartridges. One additional cartridge was inspected by removing the seeds and reloading the cartridge. The remaining cartridges were visually inspected. No contamination was found on any of the cartridges.

The seeds were implanted in a patient at approximately 10:00 on 11/8/2006. After the procedure, residual activity was found on one of the cartridges. A urine assay on the patient was performed and a low level of activity was found (about four times background). A spectrographic analysis confirmed the activity as I-125.

The licensee is performing a dose assessment. The seed manufacturer was notified and stated that they would notify the state of Illinois.

Source information:
Manufacturer: Bard of Carol Stream, Illinois.
Model: STM1251
Lot #I60539B03

To top of page
General Information or Other Event Number: 42984
Rep Org: ILLINOIS EMERGENCY MGMT. AGENCY
Licensee: BARD BRACHYTHERAPY
Region: 3
City: CAROL STREAM State: IL
County:
License #: IL-02062-01
Agreement: Y
Docket:
NRC Notified By: DAREN PERRERO
HQ OPS Officer: BILL HUFFMAN
Notification Date: 11/10/2006
Notification Time: 18:28 [ET]
Event Date: 11/10/2006
Event Time: [CST]
Last Update Date: 11/11/2006
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
JAMNES CAMERON (R3)
KEITH McCONNELL (NMSS)
ILTAB VIA E-MAIL ()

This material event contains a "Less than Cat 3" level of radioactive material.

Event Text

SHIPMENT OF IODINE - 125 SEEDS LOST IN TRANSIT

The State provided the following information via email:

"On November 10, 2006, [a representative] of Bard Brachytherapy, Inc. (IL-02062-01) called to report that they had been advised by their customer, that a package intended for Milton Hospital, Milton, Massachusetts did not make it to its destination. The package had been offered to their courier, Airnet, the previous evening for next morning delivery. Using the company's package tracking system, it was determined that the shipment (DELETED) had been transferred from Airnet, to the American Airlines' O'Hare Airport Air Freight Hub in Chicago, IL., but no record of its departure existed. Physical searches of the airport facility by the carriers' staff did not immediately locate the package containing the radioactive material. The shipment consisted of 2 leaded pigs of I-125 sealed sources. One pig held 73 'seeds' with an activity of 66 milliCuries, the second held 80 'seeds' with an activity of 72 mCi. The two packages had been combined into an 'over pack' with a total activity of approximately 134 milliCi of I-125. The package was identified as a 'limited quantity' package with a dose rate of less than 0.5 milliR/h at the surface of the container. The box was approximately 15x12x12 inches in size. As of 17:30 CST the package remains missing.

"The customer, Milton Hospital, notified their local regulatory authority, the Massachusetts Department of Public Health, Radiation Control Program to advise them of the situation. Due to the quantity of I-125 involved, the U.S. NRC Operations Center was advised of this event. As a result, U.S. NRC event number 42984 was assigned. Bard is continuing to work with their courier and the carrier to locate the package. At this time American Airlines believes it is still in possession of the package as it does not show the airbill tracking number (DELETED) as arriving at any of its domestic hubs. The radioactive material involved is encapsulated in medical grade stainless steel and is approximately the size of a 0.5 cm length of pencil lead. It is used as a permanent implant to treat cancer of the prostate. Due to the energy of I-125, it posses a very limited external exposure hazard, and then only at very close distances of less then a foot. [The Bard representative] promised to keep the Agency informed of developments as they occurred by contacting the Agency's radiation duty officer."

Illinois Report No: IL060058

* * * UPDATE AT 1755 ON 11/11/2006 FROM D. PERERRO TO M. ABRAMOVITZ * * *

The package has been located at the airport in Boston, MA. The package is intact and is being returned to the originator in Illinois.

Notified the R3DO (Cameron), NMSS (McConnell), and ILTAB (English via E-mail).

THIS MATERIAL EVENT CONTAINS A "LESS THAN CAT 3" LEVEL OF RADIOACTIVE MATERIAL

Sources that are "Less than IAEA Category 3 sources," are either sources that are very unlikely to cause permanent injury to individuals or contain a very small amount of radioactive material that would not cause any permanent injury. Some of these sources, such as moisture density gauges or thickness gauges that are Category 4, the amount of unshielded radioactive material, if not safely managed or securely protected, could possibly - although it is unlikely - temporarily injure someone who handled it or were otherwise in contact with it, or who were close to it for a period of many weeks.

To top of page
Power Reactor Event Number: 42989
Facility: BROWNS FERRY
Region: 2 State: AL
Unit: [1] [2] [3]
RX Type: [1] GE-4,[2] GE-4,[3] GE-4
NRC Notified By: DONALD C. SMITH
HQ OPS Officer: JOHN MacKINNON
Notification Date: 11/14/2006
Notification Time: 18:55 [ET]
Event Date: 11/07/2006
Event Time: 15:26 [CST]
Last Update Date: 11/14/2006
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(xi) - OFFSITE NOTIFICATION
Person (Organization):
ROBERT HAAG (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
3 N Y 100 Power Operation 100 Power Operation

Event Text

ACTUATION OF AN OFFSITE EMERGENCY SIREN

"At 1526 on 11/07/2006 the BFN (Browns Ferry Nuclear) Shift Manager was notified by the Operations Duty Specialist (ODS) that siren 32 in Morgan County had to be disabled due to alarming for no reason. It was later determined that this event was identified by an outside citizen who notified Morgan County personnel and @ 1550 on 11/10/2006 that Corporate TVA personnel notified the State of Alabama of the status of the alarming siren. The late reporting has been entered into the corrective action program and discussed with the NRC Resident.

"This event is reportable an a 4-hour Non-Emergency Notification 10CFR50.72 (b)(2)(xi) as 'Any event resulting in notification to other government agencies that has been or will be made.' "

The NRC Resident Inspector was notified of this event at 1340 CDST on 11/14/2006.

To top of page
Other Nuclear Material Event Number: 42990
Rep Org: NASA AMES RESEARCH CENTER
Licensee: NASA AMES RESEARCH CENTER
Region: 4
City: MOFFETT FIELD State: CA
County:
License #: 04-07845-04
Agreement: Y
Docket:
NRC Notified By: STAN PHILLIPS
HQ OPS Officer: JOHN KNOKE
Notification Date: 11/14/2006
Notification Time: 19:15 [ET]
Event Date: 11/13/2006
Event Time: 12:00 [PST]
Last Update Date: 11/14/2006
Emergency Class: NON EMERGENCY
10 CFR Section:
20.2201(a)(1)(i) - LOST/STOLEN LNM>1000X
Person (Organization):
KRISS KENNEDY (R4)
LARRY CAMPER (NMSS)
ILTAB Email ()

This material event contains a "Less than Cat 3" level of radioactive material.

Event Text

MISSING SOURCES

While licensee was conducting their semi-annual inventory of sources they discovered that two sources were unable to be located. One source, 13.9 milliCuries of Ni-63, was believed to be a double entry in the inventory log, however, that is not confirmed at this point. A second source, 10.4 microCuries of Am-241, is also missing. The RSO has been notified. The licensee is continuing to search for the missing sources. A meeting was held by the licensee to review their inventory control procedures and see how this can be prevented in the future.



THIS MATERIAL EVENT CONTAINS A "LESS THAN CAT 3" LEVEL OF RADIOACTIVE MATERIAL

Sources that are "Less than IAEA Category 3 sources," are either sources that are very unlikely to cause permanent injury to individuals or contain a very small amount of radioactive material that would not cause any permanent injury. Some of these sources, such as moisture density gauges or thickness gauges that are Category 4, the amount of unshielded radioactive material, if not safely managed or securely protected, could possibly - although it is unlikely - temporarily injure someone who handled it or were otherwise in contact with it, or who were close to it for a period of many weeks.

To top of page
Power Reactor Event Number: 42991
Facility: SUMMER
Region: 2 State: SC
Unit: [1] [ ] [ ]
RX Type: [1] W-3-LP
NRC Notified By: ROBERT G. SWEET
HQ OPS Officer: JOHN MacKINNON
Notification Date: 11/14/2006
Notification Time: 20:02 [ET]
Event Date: 11/14/2006
Event Time: 16:42 [EST]
Last Update Date: 11/14/2006
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
ROBERT HAAG (R2)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
1 N N 0 Cold Shutdown 0 Cold Shutdown

Event Text

EMERGENCY SIREN ACTIVATION CAPABILITY INOPERABLE FOR APPROXIMATELY 15 MINUTES

"At 1642 hours on 11/14/06, activation capability was lost to all ENS sirens due to the malfunction of a radio repeater. Plant personnel secured the affected repeater and control was automatically transferred to one of the four remaining functional repeaters. The siren system has been satisfactorily tested. The total siren outage time was approximately 15 minutes. This event has been entered into the station corrective action program for evaluation."

State and Local Officials were notified of this event by the licensee.

The NRC Resident Inspector was notified of this event by the licensee.

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