Event Notification Report for May 13, 2009
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
05/12/2009 - 05/13/2009
EVENT NUMBERS
4506145062450644506545182
General Information or Other
Event Number: 45061
Rep Org: OHIO BUREAU OF RADIATION PROTECTION
Licensee: THE UROLOGY CENTER, LLC
Region: 3
City: Cincinnati State: OH
County:
License #: 02200310002
Agreement: Y
Docket:
NRC Notified By: MARK LIGHT
HQ OPS Officer: DONALD NORWOOD
Licensee: THE UROLOGY CENTER, LLC
Region: 3
City: Cincinnati State: OH
County:
License #: 02200310002
Agreement: Y
Docket:
NRC Notified By: MARK LIGHT
HQ OPS Officer: DONALD NORWOOD
Notification Date: 05/13/2009
Notification Time: 09:58 [ET]
Event Date: 05/13/2009
Event Time: 00:00 [EDT]
Last Update Date: 05/14/2009
Notification Time: 09:58 [ET]
Event Date: 05/13/2009
Event Time: 00:00 [EDT]
Last Update Date: 05/14/2009
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
MICHAEL KUNOWSKI (R3DO)
ANGELA MCINTOSH (FSME)
MICHAEL KUNOWSKI (R3DO)
ANGELA MCINTOSH (FSME)
AGREEMENT STATE REPORT - MEDICAL EVENT INVOLVING AN UNDERDOSAGE TO THE PROSTATE
"Ohio Department of Health (ODH) Bureau of Radiation Protection (BRP) was notified of a medical event that occurred at The Urology Center, LLC located at 4700 Smith Road, Suite M, Cincinnati, OH. 45212, Ohio license # 02200310002 at 12:30 PM 05/12/2009. The patient received a permanent implant of 64 I-125 seeds on 5-11-09. The total activity implanted was 28.422 mCi. (.444mCi/seed). The prescribed dose to the prostate was 144.0 Gy. The post-plan CT was evaluated 5-12-09 and determined that the prostate volume receiving the prescribed dose was 47% (i.e. V100%=47%) resulting in a 53 percent under dose of the prescribed dose. The patient and physician have been notified. ODH BRP will continue to evaluate this event. The licensee has initiated an internal evaluation."
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.
"Ohio Department of Health (ODH) Bureau of Radiation Protection (BRP) was notified of a medical event that occurred at The Urology Center, LLC located at 4700 Smith Road, Suite M, Cincinnati, OH. 45212, Ohio license # 02200310002 at 12:30 PM 05/12/2009. The patient received a permanent implant of 64 I-125 seeds on 5-11-09. The total activity implanted was 28.422 mCi. (.444mCi/seed). The prescribed dose to the prostate was 144.0 Gy. The post-plan CT was evaluated 5-12-09 and determined that the prostate volume receiving the prescribed dose was 47% (i.e. V100%=47%) resulting in a 53 percent under dose of the prescribed dose. The patient and physician have been notified. ODH BRP will continue to evaluate this event. The licensee has initiated an internal evaluation."
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.
General Information or Other
Event Number: 45062
Rep Org: GEORGIA RADIOACTIVE MATERIAL PGM
Licensee: GEORGIA DEPT OF TRANSPORATION
Region: 1
City: ATLANTA State: GA
County:
License #: GA50-1
Agreement: Y
Docket:
NRC Notified By: ERIC JAMESON
HQ OPS Officer: JOHN KNOKE
Licensee: GEORGIA DEPT OF TRANSPORATION
Region: 1
City: ATLANTA State: GA
County:
License #: GA50-1
Agreement: Y
Docket:
NRC Notified By: ERIC JAMESON
HQ OPS Officer: JOHN KNOKE
Notification Date: 05/13/2009
Notification Time: 16:45 [ET]
Event Date: 05/13/2009
Event Time: 16:00 [EDT]
Last Update Date: 05/13/2009
Notification Time: 16:45 [ET]
Event Date: 05/13/2009
Event Time: 16:00 [EDT]
Last Update Date: 05/13/2009
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
DANIEL HOLODY (R1DO)
GREG SUBER (FSME)
DANIEL HOLODY (R1DO)
GREG SUBER (FSME)
AGREEMENT STATE REPORT - DAMAGED TROXLER GAUGE
The licensee reported to the State that a vehicle transporting a Troxler gauge (Model 3430, s/n 38185) was involved in a traffic accident in Perry, GA along Highway 341, Mile Marker 3. The licensee's RSO is enroute to the site. The licensee indicated there was no harm to personnel. The gauge contained both a 40 mCi Am-241/Be source and a 8 mCi Cs-137 source.
The licensee reported to the State that a vehicle transporting a Troxler gauge (Model 3430, s/n 38185) was involved in a traffic accident in Perry, GA along Highway 341, Mile Marker 3. The licensee's RSO is enroute to the site. The licensee indicated there was no harm to personnel. The gauge contained both a 40 mCi Am-241/Be source and a 8 mCi Cs-137 source.
Power Reactor
Event Number: 45064
Facility: SEQUOYAH
Region: 2 State: TN
Unit: [1] [2] []
RX Type: [1] W-4-LP,[2] W-4-LP
NRC Notified By: PATRICK M. LEAHY
HQ OPS Officer: PETE SNYDER
Region: 2 State: TN
Unit: [1] [2] []
RX Type: [1] W-4-LP,[2] W-4-LP
NRC Notified By: PATRICK M. LEAHY
HQ OPS Officer: PETE SNYDER
Notification Date: 05/13/2009
Notification Time: 18:14 [ET]
Event Date: 05/13/2009
Event Time: 15:05 [EDT]
Last Update Date: 05/13/2009
Notification Time: 18:14 [ET]
Event Date: 05/13/2009
Event Time: 15:05 [EDT]
Last Update Date: 05/13/2009
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(xi) - OFFSITE NOTIFICATION
10 CFR Section:
50.72(b)(2)(xi) - OFFSITE NOTIFICATION
Person (Organization):
JAY HENSON (R2DO)
JAY HENSON (R2DO)
| Unit | SCRAM Code | RX Crit | Initial PWR | Initial RX Mode | Current PWR | Current RX Mode |
|---|---|---|---|---|---|---|
| 1 | N | Y | 100 | Power Operation | 100 | Power Operation |
| 2 | N | Y | 100 | Power Operation | 100 | Power Operation |
TRACK HOE SLID INTO INTAKE FOREBAY
"At approximately 1505 a Track Hoe clearing brush and foliage on the SQN Site berms slid into the SQN Intake Forebay. This is outside the Protected Area and does not affect Safety Related or other plant equipment. A small oil sheen was noted at the Track Hoe requiring notification of Federal and State Agencies in accordance with the Site Spill Prevention, Control and Countermeasure Plan. The containment of the oil sheen is in progress. An extraction plan is being developed by on-site personnel."
The licensee notified the NRC Resident Inspector.
"At approximately 1505 a Track Hoe clearing brush and foliage on the SQN Site berms slid into the SQN Intake Forebay. This is outside the Protected Area and does not affect Safety Related or other plant equipment. A small oil sheen was noted at the Track Hoe requiring notification of Federal and State Agencies in accordance with the Site Spill Prevention, Control and Countermeasure Plan. The containment of the oil sheen is in progress. An extraction plan is being developed by on-site personnel."
The licensee notified the NRC Resident Inspector.
Power Reactor
Event Number: 45065
Facility: COLUMBIA GENERATING STATION
Region: 4 State: WA
Unit: [2] [] []
RX Type: [2] GE-5
NRC Notified By: NICHOLAS RULLMAN
HQ OPS Officer: JOHN KNOKE
Region: 4 State: WA
Unit: [2] [] []
RX Type: [2] GE-5
NRC Notified By: NICHOLAS RULLMAN
HQ OPS Officer: JOHN KNOKE
Notification Date: 05/13/2009
Notification Time: 20:03 [ET]
Event Date: 05/13/2009
Event Time: 11:37 [PDT]
Last Update Date: 05/13/2009
Notification Time: 20:03 [ET]
Event Date: 05/13/2009
Event Time: 11:37 [PDT]
Last Update Date: 05/13/2009
Emergency Class: NON EMERGENCY
10 CFR Section:
26.719 - FITNESS FOR DUTY
10 CFR Section:
26.719 - FITNESS FOR DUTY
Person (Organization):
VIVIAN CAMPBELL (R4DO)
VIVIAN CAMPBELL (R4DO)
| Unit | SCRAM Code | RX Crit | Initial PWR | Initial RX Mode | Current PWR | Current RX Mode |
|---|---|---|---|---|---|---|
| 2 | N | N | 0 | Refueling | 0 | Refueling |
FITNESS FOR DUTY REPORT
A contractor supervisor had a confirmed urine sample substitution. The employee's access to the plant has been terminated. Contact the Headquarters Operations Officer for additional details.
The licensee has notified the NRC Resident Inspector.
A contractor supervisor had a confirmed urine sample substitution. The employee's access to the plant has been terminated. Contact the Headquarters Operations Officer for additional details.
The licensee has notified the NRC Resident Inspector.
General Information or Other
Event Number: 45182
Rep Org: PA BUREAU OF RADIATION PROTECTION
Licensee: CHESTER COUNTY HOSPITAL
Region: 1
City: WEST CHESTER State: PA
County: CHESTER
License #: PA-0071
Agreement: Y
Docket:
NRC Notified By: DAVE ALLARD
HQ OPS Officer: MARK ABRAMOVITZ
Licensee: CHESTER COUNTY HOSPITAL
Region: 1
City: WEST CHESTER State: PA
County: CHESTER
License #: PA-0071
Agreement: Y
Docket:
NRC Notified By: DAVE ALLARD
HQ OPS Officer: MARK ABRAMOVITZ
Notification Date: 07/02/2009
Notification Time: 23:28 [ET]
Event Date: 05/13/2009
Event Time: 00:00 [EDT]
Last Update Date: 07/02/2009
Notification Time: 23:28 [ET]
Event Date: 05/13/2009
Event Time: 00:00 [EDT]
Last Update Date: 07/02/2009
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
JAMES TRAPP (R1DO)
DUNCAN WHITE (FSME)
JAMES TRAPP (R1DO)
DUNCAN WHITE (FSME)
AGREEMENT STATE REPORT - FETAL EXPOSURE FROM RADIOIODINE THERAPY
The following report was received via facsimile:
"Patient was administered 54.1 mCi of I-131 on 3/30/2009. Patient had a false negative pregnancy test on 3/30/2009. Patient found out on May 13, 2009 that she was 9.5 weeks pregnant. Therefore, the therapy dose was given 5 days post-conception. Dose Eq to embryo/fetus = 11.9cGy. Dose Eq to fetal thyroid = 0.97cGy
"PA DEP Bureau of Radiation Protection was notified in writing, dated May 22, 2009, [from] the Radiation Safety Officer.
"The State has an inspection scheduled sometime in the future and will continue to keep NRC informed of the status of our investigation."
PA event: PA090024
The following report was received via facsimile:
"Patient was administered 54.1 mCi of I-131 on 3/30/2009. Patient had a false negative pregnancy test on 3/30/2009. Patient found out on May 13, 2009 that she was 9.5 weeks pregnant. Therefore, the therapy dose was given 5 days post-conception. Dose Eq to embryo/fetus = 11.9cGy. Dose Eq to fetal thyroid = 0.97cGy
"PA DEP Bureau of Radiation Protection was notified in writing, dated May 22, 2009, [from] the Radiation Safety Officer.
"The State has an inspection scheduled sometime in the future and will continue to keep NRC informed of the status of our investigation."
PA event: PA090024