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Event Notification Report for February 2, 2010

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
02/01/2010 - 02/02/2010

** EVENT NUMBERS **


45665 45669 45670 45671

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General Information or Other Event Number: 45665
Rep Org: OHIO BUREAU OF RADIATION PROTECTION
Licensee: JEWISH HOSPITAL OF CINCINNATI
Region: 3
City: CINCINNATI State: OH
County:
License #: 02120310029
Agreement: Y
Docket:
NRC Notified By: MICHAEL SNEE
HQ OPS Officer: JOE O'HARA
Notification Date: 01/27/2010
Notification Time: 15:39 [ET]
Event Date: 01/27/2010
Event Time: [EST]
Last Update Date: 01/27/2010
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
CHRISTINE LIPA (R3DO)
MARK THAGGARD (FSME)

Event Text

AGREEMENT STATE REPORT - POTENTIAL MEDICAL EVENT INVOLVING A BRACHYTHERAPY UNDERDOSE EVENT

The following was received via e-mail:

"The BRP [Bureau of Radiation Protection] was informed on January 26, 2010 of a medical event that occurred at The Jewish Hospital of Cincinnati on December 28, 2009. A patient received a prostate I-125 seed implant on December 28, 2009. The post implant CT showed no problems but a follow-up CT performed on January 26, 2010 showed that the patient only received 75% of the prescribed dose to the prostate."

The intended dose was 144 Gy (14400 rad) and the actual received dose was 108 Gy (10800 rad). I-125 activity was 0.032 Ci per seed. The total dose delivered differs from the prescribed dose by twenty five percent. The state is investigating the matter.

Item Number: OH100002

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.

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Other Nuclear Material Event Number: 45669
Rep Org: KAKIVIK ASSET MANAGEMENT
Licensee: KAKIVIK ASSET MANAGEMENT
Region: 4
City: KUPARUK OIL FIELD State: AK
County:
License #: 50-27667-01
Agreement: N
Docket:
NRC Notified By: KEENAN REMELE
HQ OPS Officer: MARK ABRAMOVITZ
Notification Date: 02/01/2010
Notification Time: 13:07 [ET]
Event Date: 01/31/2010
Event Time: 01:30 [YST]
Last Update Date: 02/01/2010
Emergency Class: NON EMERGENCY
10 CFR Section:
30.50(a) - PROTECTIVE ACTION PREVENTED
Person (Organization):
VINCENT GADDY (R4DO)
ANGELA MCINTOSH (FSME)

Event Text

RADIOGRAPHY SOURCE FAILED TO FULLY RETRACT INTO CAMERA

"On January 31st, two different radiography crews working the Kuparuk Oil Field on the North Slope of Alaska experienced a malfunctioning locking system on the same INC IR-100 exposure device (serial number 6621).

"During the night shift, the locking mechanism tripped prematurely [approximately 1/4 inch before the retracted lock position]. A survey of the exposure device did not reveal any abnormal readings. When the crank assembly was disconnected, it was noted that the pigtail was not in the proper position. A trained technician removed the locking assembly and cleaned dirt and ice from the assembly. The exposure device was reassembled with the source in the safe and secure position.

"The day shift utilized the same device and experienced the same situation. When the lock was removed to be cleaned, there was a build up of ice in the locking assembly. The exposure device was reassembled with the source in the safe and secure position.

"Exposure Device: Industrial Nuclear IR-100; Device S/N: 6621; Source S/N: O835; Source Activity: 85 curies; Source Type: Ir-192.

"The weather was minus 15 degrees with a wind speed of 18 knots.

"There was no exposure to the crew or the General Public during this incident."

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Power Reactor Event Number: 45670
Facility: WATERFORD
Region: 4 State: LA
Unit: [3] [ ] [ ]
RX Type: [3] CE
NRC Notified By: JOE WILLIAMS
HQ OPS Officer: MARK ABRAMOVITZ
Notification Date: 02/01/2010
Notification Time: 21:05 [ET]
Event Date: 02/01/2010
Event Time: 10:15 [CST]
Last Update Date: 02/01/2010
Emergency Class: NON EMERGENCY
10 CFR Section:
26.719 - FITNESS FOR DUTY
Person (Organization):
VINCENT GADDY (R4DO)

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

FITNESS FOR DUTY TEST FOR AN ILLEGAL SUBSTANCE

A contract supervisor had a confirmed positive for illegal drugs during a random fitness-for-duty test. The employee's access to the plant has been terminated. Contact the Headquarters Operations Officer for additional details.

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Power Reactor Event Number: 45671
Facility: COLUMBIA GENERATING STATION
Region: 4 State: WA
Unit: [2] [ ] [ ]
RX Type: [2] GE-5
NRC Notified By: NICK RULLMAN
HQ OPS Officer: HOWIE CROUCH
Notification Date: 02/01/2010
Notification Time: 22:39 [ET]
Event Date: 02/01/2010
Event Time: 19:13 [PST]
Last Update Date: 02/01/2010
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
VINCENT GADDY (R4DO)

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

TSC UNAVAILABLE FOR PLANNED HVAC MAINTENANCE

"At 1913 on 02/01/2010, the Technical Support Center (TSC) was removed from service for planned maintenance. This event is being reported as a loss of emergency preparedness capabilities in accordance with 10 CFR 50.72(b)(3)(xiii). Maintenance will include replacement of carbon filter media in the TSC HVAC system. The total duration of the maintenance activities is expected to be approximately 24 hours. The Emergency Response Organization has been notified of the outage and provided instructions for responding if needed. No other emergency response facilities are impacted by this maintenance work. The NRC Resident Inspector has been notified. A follow up notification will be made when the maintenance work has been completed."

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