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Event Notification Report for April 08, 2009

U.S. Nuclear Regulatory Commission
Operations Center

EVENT REPORTS FOR
04/07/2009 - 04/08/2009

EVENT NUMBERS
4497844979

Power Reactor
Event Number: 44978
Facility: MILLSTONE
Region: 1     State: CT
Unit: [] [] [3]
RX Type: [1] GE-3,[2] CE,[3] W-4-LP
NRC Notified By: ERIC BRODUER
HQ OPS Officer: JASON KOZAL
Notification Date: 04/08/2009
Notification Time: 17:22 [ET]
Event Date: 04/08/2009
Event Time: 14:55 [EDT]
Last Update Date: 04/08/2009
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(xi) - OFFSITE NOTIFICATION
Person (Organization):
LAWRENCE DOERFLEIN (R1)
WILLIAM GOTT (IRD)
MIKE CHEOK (NRR)
Power Reactor Unit Info
Unit SCRAM Code RX Crit Initial PWR Initial RX Mode Current PWR Current RX Mode
3 N Y 100 Power Operation 100 Power Operation
Event Text
OFFSITE NOTIFICATION TO THE STATE OF CONNECTICUT DUE TO ONSITE FATALITY

"The purpose of this report is to notify the NRC of an untimely death involving a Dominion worker at the Millstone station. Specifically, at 1406 EDT the Unit 3 Control Room was notified that an individual located outside the Protected Area had lost consciousness. The site emergency medical team responded and an ambulance was requested at 1410. At 1455 the Unit 3 Control Room was notified via Lawrence Memorial Hospital that the individual passed away. The untimely death was not occupationally related."

State and local offsite notifications were made.

The licensee notified the NRC Resident Inspector.


General Information or Other
Event Number: 44979
Rep Org: NC DIV OF RADIATION PROTECTION
Licensee: UNIVERSITY OF NORTH CAROLINA HOSPITALS
Region: 1
City: CHAPEL HILL   State: NC
County:
License #: 068-0565-1
Agreement: Y
Docket:
NRC Notified By: HENRY BARNES
HQ OPS Officer: DONALD NORWOOD
Notification Date: 04/09/2009
Notification Time: 13:48 [ET]
Event Date: 04/08/2009
Event Time: 11:45 [EDT]
Last Update Date: 04/09/2009
Emergency Class: NON EMERGENCY
10 CFR Section:
Person (Organization):
LAWRENCE DOERFLEIN (R1)
ANGELA MCINTOSH (FSME)
Event Text
AGREEMENT STATE REPORT - MISADMINISTRATION INVOLVING Y-90 MICROSPHERES

The following was received via facsimile:

"N.C. Radiation Protection Section was notified of a misadministration involving Y-90 microspheres. The licensee reports that the administered dosage was 24 percent less than the prescribed dosage.

"Licensee reports no equipment malfunction and no leakage of radioactive material from the delivery device. Licensee has notified patient and there are no plans to perform a second administration.

"Licensee is contacting vendor to assist in investigation.

"N.C. Radiation Protection has not received any media attention as of this report. No press release has been issued."

The North Carolina Event Report ID Number for this event is NC-09-22.

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.