| U.S. Nuclear Regulatory Commission
Operations Center Event Reports For
11/13/2006 - 11/15/2006 ** EVENT NUMBERS ** |
 | 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 |
| 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. |
| 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. |
| 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. |
| 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. | |