Event Notification Report for January 10, 2007

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
01/09/2007 - 01/10/2007

** EVENT NUMBERS **


43069 43073 43074 43075 43079 43081

To top of page
General Information or Other Event Number: 43069
Rep Org: FLORIDA BUREAU OF RADIATION CONTROL
Licensee: HDR CONSTRUCTION CORP
Region: 1
City: TAMPA State: FL
County: POLK
License #: 2763-1
Agreement: Y
Docket:
NRC Notified By: STEVE FURNACE
HQ OPS Officer: BILL HUFFMAN
Notification Date: 01/02/2007
Notification Time: 10:37 [ET]
Event Date: 01/01/2007
Event Time: 20:30 [EST]
Last Update Date: 01/10/2007
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
RAYMOND LORSON (R1)
JOE GIITTER (NMSS)
ILTAB VIA E-MAIL ()

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

Event Text

AGREEMENT STATE REPORT - FLORIDA - STOLEN MOISTURE DENSITY GAUGE.

A truck belonging to the licensee flipped over on a highway in Polk County, FL on January 1, 2007, at approximately 8 or 9 pm. The truck was carrying a Humboldt Model 5001EZ moisture density gauge (nominal 50 millicuries Am-241/Be and 10 millicuries Cs-137). The driver was unhurt and walked to a local business to report the accident leaving the gauge unattended. The gauge was stolen while the driver was gone. Police were notified and a report filed. The gauge was locked inside of the locked case and chained to the vehicle.

FL report #FL07-001

* * * UPDATE FROM STATE OF FLORIDA (FURNACE) TO HUFFMAN AT 0726 EST ON 1/10/07 * * *

The State reports that a gauge meeting the description of the missing gauge was found by a Polk County representative on the side of a road. The gauge was not in its case but was intact and did not appear to be damaged. The gauge is being stored by the County (which is licensed to possess and use moisture density gauges) in an authorized safe and secure storage location and will be transferred to the licensee today. The licensee plans to send the gauge to a vendor to have it checked-out, leak tested, and certified for use before returning it to service.

R1DO (Bellamy) and NMSS (Morell) have been notified. ILTAB notified by 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
General Information or Other Event Number: 43073
Rep Org: TENNESSEE DIV OF RAD HEALTH
Licensee: METHODIST MEDICAL CENTER OF OAK RIDGE
Region: 1
City: OAK RIDGE State: TN
County:
License #: R-01083
Agreement: Y
Docket:
NRC Notified By: BILLY FREEMAN
HQ OPS Officer: JASON KOZAL
Notification Date: 01/04/2007
Notification Time: 10:47 [ET]
Event Date: 12/28/2006
Event Time: 07:30 [EST]
Last Update Date: 01/04/2007
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
ANTHONY DIMITRIADIS (R1)
GREG MORELL (NMSS)

Event Text

AGREEMENT STATE REPORT - FAILURE OF SOURCE TO RETRACT INTO AFTERLOADER UNIT

The State provided the following information via facsimile:

"Prior to a scheduled patient treatment, the RSO at Methodist Medical Center was performing QA testing on the Nucletron-Oldelft Corp. Model microSelection-HDR remote afterloading device. The device utilizes a sealed source containing 10 curies of Iridium-192 to be used for treatment of cancer in humans. The sealed source would not retract when the RSO tried the emergency retraction button at the control console. Following the emergency procedures, the RSO manually retracted the sealed source into the HDR afterloader unit. The RSO estimated it took three seconds to return the sealed source to its shielded position. Nucletron Corp. was immediately notified of the malfunction by the RSO. Nucletron Corp. called DRH to request reciprocal recognition of its Maryland license and an authorized service person arrived at the licensee's facility on 12/28/06. The circuit board was found to be faulty and was repaired. After repair, the required safety functions of the system were tested and found to be functioning as designed. The licensee will complete a written report and submit to the State."

Tennessee report number: TN-06-158

To top of page
General Information or Other Event Number: 43074
Rep Org: WISCONSIN RADIATION PROTECTION
Licensee: UNIV. OF WISCONSIN HOSPITAL AT MADISON
Region: 3
City: MADISON State: WI
County:
License #: 25-1323-01
Agreement: Y
Docket:
NRC Notified By: JASON HUNT
HQ OPS Officer: JOHN MacKINNON
Notification Date: 01/04/2007
Notification Time: 11:33 [ET]
Event Date: 12/27/2006
Event Time: 12:00 [CST]
Last Update Date: 01/04/2007
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
JOHN MADERA (R3)
GREG MORELL (NMSS)

Event Text

WISCONSIN AGREEMENT STATE REPORT

"Event Location: University of Wisconsin Hospital, 600 Highland Avenue, Madison, Wisconsin 53792

"The event occurred on Wednesday, December 27, 2006. A patient was to receive 4 high dose-rate brachytherapy fractions of 5 Gy each over a 7 cm length of the vaginal mucosa using a vaginal cylinder.

"About halfway through the first treatment fraction, the actual dose delivered to part of the target organ, over the inferior 3 cm of the treatment length, exceeded the prescribed dose by more than 50%, (range 1.5 - 2.37 times the prescribed dose).

"The biological dose to the patient from this event was under the prescribed dose. The subsequent 3 fractions will be modified to deliver the intended biological dose to the patient, and no adverse health effects are expected to the patient.

"Notification, by the licensee, of this event to the Department of Health and Family Services (DHFS) occurred on Thursday, December 28, 2006. DHFS will dispatch a team on Monday, January 8, 2007 to investigate this event."

Event Report ID No: WI-07-01



A "Medical Event" may indicate potential problems in a medical facility's use of radioactive materials. It does not necessarily result in harm to the patient.

To top of page
General Information or Other Event Number: 43075
Rep Org: NE DIV OF RADIOACTIVE MATERIALS
Licensee: RADIO SHACK CORPORATION
Region: 4
City: NORTH PLATTE State: NE
County:
License #: GL0169
Agreement: Y
Docket:
NRC Notified By: TRUDY HILL
HQ OPS Officer: JEFF ROTTON
Notification Date: 01/04/2007
Notification Time: 15:27 [ET]
Event Date: 12/31/1993
Event Time: [CST]
Last Update Date: 01/04/2007
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
TROY PRUETT (R4)
GREG MORELL (NMSS)
ILTAB (via email) (TAS)

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

Event Text

AGREEMENT STATE REPORT - LOST TRITIUM EXIT SIGNS

The State provided the following information via email:

"This Agency [Nebraska Health and Human Services] contacted the general licensee in November 2006 concerning their three NRD Inc. self luminous exit signs (Model T-4001, with 19.8 Curies of H-3 when shipped, Serial Numbers 24921, 24922 and 24923) which where shipped to the licensee in early 1986. The licensee discovered that in 1993 the store moved to a new location within the shopping mall. The signs were left in the original store location. This location went through a major renovation in 1993 at which time a demolition company gutted the entire store. The debris was disposed of by the demolition company. The mall's manager and the new store's representative do not know the name of the demolition company and do not know the current location of the three exit signs."

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.

This source is not amongst those sources or devices identified by the IAEA Code of Conduct for the Safety & Security of Radioactive Sources to be of concern from a radiological standpoint. Therefore is it being categorized as a less than Category 3 source

To top of page
General Information or Other Event Number: 43079
Rep Org: MAINE RADIATION CONTROL PROGRAM
Licensee: CITY OF PRESQUE ISLE
Region: 1
City: PRESQUE ISLE State: ME
County:
License #: 03701G
Agreement: N
Docket:
NRC Notified By: SHAWN SEELEY
HQ OPS Officer: PETE SNYDER
Notification Date: 01/05/2007
Notification Time: 15:45 [ET]
Event Date: 12/21/2006
Event Time: 14:00 [EST]
Last Update Date: 01/05/2007
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
ANTHONY DIMITRIADIS (R1)
GREG MORELL (NMSS)
ILTAB (EMAIL) ()

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

Event Text

AGREEMENT STATE REPORT - LOST TRITIUM EXIT SIGNS

On December 21, 2006 at approximately 2 pm local time the Maine Radiation Control Program received notification from a licensee, the City of Presque Isle, that they had lost 5 tritium exit signs during building renovations. Sometime between August 2006 and December 2006 at the time of the report to the state the licensee noted that 6 tritium exit signs had been disposed of as part of renovations to Building 1309. The signs were manufactured by Safety Light Corporation, Model 2040-50-20. The serial numbers are 0941221, 0941229, 0941223, 0941227, 0941225, and 0941228. While the exact location of the signs is not known they were probably disposed of in the trash. The state estimated the activity per sign to be about 5 Curies. The state is following up on this report.

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.

This source is not amongst those sources or devices identified by the IAEA Code of Conduct for the Safety & Security of Radioactive Sources to be of concern from a radiological standpoint. Therefore is it being categorized as a less than Category 3 source

To top of page
Power Reactor Event Number: 43081
Facility: ROBINSON
Region: 2 State: SC
Unit: [2] [ ] [ ]
RX Type: [2] W-3-LP
NRC Notified By: HENRY T CURRY
HQ OPS Officer: JASON KOZAL
Notification Date: 01/06/2007
Notification Time: 10:00 [ET]
Event Date: 01/06/2007
Event Time: 10:00 [EST]
Last Update Date: 01/10/2007
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
CHARLIE PAYNE (R2)

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

Event Text

LOSS OF SPDS PARAMETER DISPLAY DUE TO PLANNED MODIFICATION

"At 0904 hours EST, on January 6, 2007, the Emergency Response Facility Information System (ERFIS) computer system was removed from service to perform a planned modification of the ERFIS power supply system. The expected duration of ERFIS inoperability is approximately 2 hours. The ERFIS computer system provides monitoring and communications capability for plant data systems including the Emergency Response Data System (ERDS), Safety Parameter Display System (SPDS), Meteorological Data link system, and the Inadequate Core Cooling Monitor (ICCM). The loss of ERFIS requires alternate methods, as described in plant procedures, to be used for the above-described functions. Therefore, it is expected that appropriate assessment of plant conditions, notifications, and communications could still be made, if required, during the time that the ERFIS Computer system is inoperable. This report is being made in accordance with 10 CFR 50.72(b)(3)(xiii), which is any event that results in a major loss of emergency assessment capability, offsite response capability, or offsite communications capability. As previously stated, alternate means remained available to assess plant conditions, make notifications, and accomplish required communications, as necessary. An additional message will be provided when the ERFIS is restored."

The licensee will notify the NRC Resident Inspector.

* * * UPDATE PROVIDED BY HENRY CURRY TO JEFF ROTTON AT 1158 EST ON 01/06/07 * * *

ERFIS computer has been returned to operable status at 1146 EST. Licensee notified NRC Resident Inspector.

Notified R2DO(Payne)

Page Last Reviewed/Updated Thursday, March 25, 2021