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Event Notification Report for December 17, 2010

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
12/16/2010 - 12/17/2010

** EVENT NUMBERS **


46472 46479 46485

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Hospital Event Number: 46472
Rep Org: HENRY FORD MACOMB
Licensee: HENRY FORD MACOMB
Region: 3
City: CLINTON TOWNSHIP State: MI
County:
License #: 21-11850-01
Agreement: N
Docket:
NRC Notified By: BRETT MILLER
HQ OPS Officer: JOHN KNOKE
Notification Date: 12/10/2010
Notification Time: 14:57 [ET]
Event Date: 12/10/2010
Event Time: 09:00 [EST]
Last Update Date: 12/15/2010
Emergency Class: NON EMERGENCY
10 CFR Section:
35.3045(a)(1) - DOSE <> PRESCRIBED DOSAGE
Person (Organization):
ROBERT DALEY (R3DO)
ANGELA MCINTOSH (FSME)

Event Text

MEDICAL EVENT - TREATMENT AREA DIFFERENT FROM THE PRESCRIBED AREA

A High Dose Rate brachytherapy treatment with a 5.11 Ci source of Ir-192 was performed on a patient for vaginal cancer. The prescribed procedure was for a tube be inserted into the vaginal area for 120 cm, however, the treatment length of insertion was 132 cm. This was an out-patient procedure, so the patient went home after her treatment. The physician will be notifying the patient of the 12 cm insertion error.

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.

* * * UPDATE AT 1610 EST ON 12/15/2010 FROM BRETT MILLER TO MARK ABRAMOVITZ * * *

The brachytherapy exposure was received by four patients with the 12 cm insertion error. Three patients received three fractions each and the fourth received five fractions. The physicians have been notified except for the fourth patient's physician who will be notified.

Notified the R3DO (Kazak) and FSME (O'Sullivan).

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General Information or Other Event Number: 46479
Rep Org: FLORIDA BUREAU OF RADIATION CONTROL
Licensee: ANDERSON COLUMBIA CO., INC.
Region: 1
City: LAKE CITY State: FL
County: COLUMBIA
License #: 2708-1
Agreement: Y
Docket:
NRC Notified By: STEVE FURNACE
HQ OPS Officer: JOHN SHOEMAKER
Notification Date: 12/14/2010
Notification Time: 16:15 [ET]
Event Date: 12/14/2010
Event Time: [EST]
Last Update Date: 12/14/2010
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
DANIEL HOLODY (R1DO)
KEVIN O'SULLIVAN (FSME)
ILTAB via email ()

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

Event Text

AGREEMENT STATE REPORT - STOLEN TROXLER SOIL MOISTURE DENSITY GAUGE

The following report was received via facsimile:

At 1545 EST on 12/14/10, the Florida Bureau of Radiation Control received an initial report from the licensee concerning a stolen soil moisture density gauge. The gauge was stolen from a truck at either the employee's residence [Branford, FL] or the licensee's place of business. A chain was cut from the truck securing the case with the gauge inside. Both the case and gauge were discovered stolen. The licensee still has keys to the gauge and will offer a reward for its recovery. Jacksonville Inspection Office will investigate.

The Soil Moisture Density Gauge is a Troxler Model 3430, serial #27858, containing 40 mCi of Am/Be and 8 mCi of Cs-137 sources.

FL Incident No.: FL10-120

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. For additional information go to http://www-pub.iaea.org/MTCD/publications/PDF/Pub1227_web.pdf

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Power Reactor Event Number: 46485
Facility: CALVERT CLIFFS
Region: 1 State: MD
Unit: [1] [2] [ ]
RX Type: [1] CE,[2] CE
NRC Notified By: TOM JONES
HQ OPS Officer: STEVE SANDIN
Notification Date: 12/16/2010
Notification Time: 06:04 [ET]
Event Date: 12/16/2010
Event Time: 08:00 [EST]
Last Update Date: 12/16/2010
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
DANIEL HOLODY (R1DO)

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

Event Text

PLANNED MAINTENANCE TO MICROWAVE RADIO SYSTEM AFFECTING EOF, STATE AND COUNTY FACILITIES

"This is an eight hour report per 10 CFR 50.72 (b)(3)(xiii). Calvert Cliffs will be implementing scheduled maintenance to the microwave radio system to improve reliability of the system at the Emergency Operations Facility (EOF), State and County facilities.

"This work will require that the microwave radio system at the EOF be removed for a period of approximately 4 to 6 hours. During this time, the following systems will be impacted for the duration of maintenance:

1. The plant's (e.g., Control Room, Technical Support Center (TSC), Simulator) Dedicated Offsite Agency telephones will be out of service. (EOF's system will continue to function)

2. 800 MHz desk set radios at the EOF only will be out of service.

3. 153.44 MHz frequency at the EOF only will be out of service. (backup for MEMA and MDE)

4. MIDAS Terminal (Meteorological Data) located in the Dose Assessment Office at the EOF will be out of service.

5. TSC Computer data transfer to the EOF only will be out of service.

"Once the scheduled maintenance starts, the systems (listed above) can be returned to service within 1 hour.

"Should an emergency be declared during this period, the Control Room will continue to have the capability to make the event notification to the offsite agencies within 15 minutes using either commercial telephone lines or the 800 MHz radio console (includes the 153.44 MHz frequency). The Emergency Preparedness communications procedure provides a chart listing the communication devices available and the order in which the process is to be implemented. MIDAS (Meteorological Data) will continue to be operational at the site and can be obtained by contacting the Control Room or TSC. The ERPIPs also provide a backup process and the instructions necessary for the EOF Dose Assessment Office to obtain Meteorological Data. Plant data can be obtained from the CR or TSC and will continue to be downloaded from the plant computer to the ERO SharePoint site.

"All work associated with this microwave radio maintenance will be performed in an expeditious manner consistent with the goal of minimizing unavailability of the systems listed above. A test of the offsite agency notification devices in the Control Room will be made prior to the commencement of the maintenance. A test of all systems will be performed at the completion of the maintenance.

"All EOF responders and Control Room personnel have been briefed on this work and expected contingent actions.

"This job will start on Thursday, December 16, 2010 at approximately 8:00 am. We anticipate that all work will be completed by 2:00 pm on the same day, including testing of the system. We will provide a notification update upon completion of the job."

The licensee informed the NRC Resident Inspector and the affected State and County Agencies.

* * * UPDATE AT 1248 ON 12/16/2010 FROM TOM JONES TO MARK ABRAMOVITZ * * *

The maintenance and testing was completed satisfactorily at 1130 EST. The licensee notified the NRC Resident Inspector.

Notified the R1DO (Holody).

Page Last Reviewed/Updated Thursday, March 29, 2012
Thursday, March 29, 2012