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Event Notification Report for December 16, 2009

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
12/15/2009 - 12/16/2009

** EVENT NUMBERS **


45566 45570 45571

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General Information or Other Event Number: 45566
Rep Org: SC DIV OF HEALTH & ENV CONTROL
Licensee: MCLEOD REGIONAL MEDICAL CENTER
Region: 1
City: FLORENCE State: SC
County:
License #: 139
Agreement: Y
Docket:
NRC Notified By: JIM PETERSON
HQ OPS Officer: DONALD NORWOOD
Notification Date: 12/14/2009
Notification Time: 01:40 [ET]
Event Date: 12/09/2009
Event Time: [EST]
Last Update Date: 12/14/2009
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
DANIEL HOLODY (R1DO)
REBECCA NEASE (R2DO)
CHRISTIAN EINBERG (FSME)
SAM COLLINS (R1)
DONNA JANDA (R1)
JOHN KINNEMAN (R1)
DIANE SCRENCI (R1PA)
ROBERT LEWIS (FSME)
CHARLES MILLER (FSME)
JOE DECICCO (FSME)

Event Text

AGREEMENT STATE REPORT - Cs-137 BRACHYTHERAPY SOURCE LEAKING

The following information was communicated to the NRC via a telephone notification on December 14, 2009:

On Wednesday, December 9, 2009, Bionomics personnel were at McLeod Regional Medical Center in Florence, SC to package several old sources for disposal. These packages remained at McLeod until the following day when Bionomics personnel picked them up for transport to the Bionomics facility in Oak Ridge, TN.

On Friday, December 11, 2009, a Bionomics worker reported that he had radioactive contamination on his clothing. On Sunday, December 13, 2009 it was ascertained that this radioactive contamination had come from the sources picked up at McLeod. A brachytherapy source containing 38 mCi of Cs-137 was found to be leaking. Bionomics contacted an HP consultant from the University of SC to have him perform radiation surveys at the McLeod facility. Radiation surveys found contamination in treatment areas, supply rooms, offices, and hallways. Highest contact readings were localized and were approximately 100 mR/hr. At this time it is believed that no radioactive contamination had been tracked outside of the McLeod facility.

The McLeod Radiation Safety Officer has surveyed all staff personnel - except for two individuals - that had been in the contaminated areas. No radioactive contamination was found on any of these individuals. The other two individuals will be surveyed today, Monday, December 14, 2009.

Bionomics personnel are presently on-site at the McLeod Medical Center performing decontamination. The Medical Center has closed the area to personnel and patients until decontamination is completed.

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General Information or Other Event Number: 45570
Rep Org: NE DIV OF RADIOACTIVE MATERIALS
Licensee: BECTON DICKINSON INFUSION THERAPY SYS
Region: 4
City: BROKEN ARROW State: NE
County:
License #: 04-01-01
Agreement: Y
Docket:
NRC Notified By: JIM DEFRAIN
HQ OPS Officer: VINCE KLCO
Notification Date: 12/15/2009
Notification Time: 16:45 [ET]
Event Date: 12/14/2009
Event Time: 19:00 [CST]
Last Update Date: 12/15/2009
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
JACK WHITTEN (R4DO)
REBECCA TADESSE (FSME)

Event Text

AGREEMENT STATE REPORT - IRRADIATOR SAFETY INTERLOCKS BYPASSED

While engaged in production, the irradiator source was brought down due to an electrical fault. To verify the source was in the shielded position, an operator was sent to the roof and verified that there was no slack in the cables and the position of the cables indicated the source as in the shielded position. The interlocks were bypassed and an operator entered the cell. A damaged wire was discovered and repaired. Operators did not receive any radiation dose from this event.

Previously, a flex conduit was discovered with damaged insulation that had caused a short (Ref: EN # 45486).

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Power Reactor Event Number: 45571
Facility: CALLAWAY
Region: 4 State: MO
Unit: [1] [ ] [ ]
RX Type: [1] W-4-LP
NRC Notified By: JEFF SCHAEFER
HQ OPS Officer: JOHN KNOKE
Notification Date: 12/15/2009
Notification Time: 18:37 [ET]
Event Date: 12/15/2009
Event Time: 14:30 [CST]
Last Update Date: 12/15/2009
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(ii)(B) - UNANALYZED CONDITION
Person (Organization):
JACK WHITTEN (R4DO)

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

Event Text

HELB CONFIGURATION CALCULATIONS NOT CONSISTENT WITH PREVIOUS HELB ANALYSIS

"During a review of a High-Energy Line Break (HELB) calculation, valve FBV0146 on a 3" Auxiliary Steam line, FB-093-HBD-3", was found to be kept normally open. This is not consistent with HELB analysis, which assumes flow in line FB-093-HBD-3" is restricted by an orifice plate or isolated by FBV0146. This HELB analysis classified FB-093-HBD-3" as a moderate-energy line downstream of FBV0146 as a result of line isolation.

"No orifice plate was installed, and line FB-093-HBD-3" downstream of the FBV0146 is considered a high-energy line if FBV0146 is open. A room containing line FB-093-HBD-3" downstream from FBV0146 includes several components, the most critical of which are two RCS [Reactor Coolant System] pressure transmitters in one train which are used to provide indications during post-accident conditions. This configuration is therefore outside of current HELB analysis and potentially represents a condition that significantly degrades plant safety.

"Valve FBV0146 was closed at 1522. The NRC resident inspectors have been notified."

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Thursday, March 29, 2012