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Event Notification Report for June 1, 2011

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
05/31/2011 - 06/01/2011

** EVENT NUMBERS **


46895 46896

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Agreement State Event Number: 46895
Rep Org: NEW YORK STATE DEPT. OF HEALTH
Licensee: NOT PROVIDED
Region: 1
City: NOT PROVIDED State: NY
County:
License #: NOT PROVIDED
Agreement: Y
Docket:
NRC Notified By: ROBERT SNYDER
HQ OPS Officer: HOWIE CROUCH
Notification Date: 05/26/2011
Notification Time: 14:29 [ET]
Event Date: 01/01/2005
Event Time: [EDT]
Last Update Date: 05/26/2011
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
GLENN DENTEL (R1DO)
ANGELA MCINTOSH (FSME)

Event Text

AGREEMENT STATE REPORT - DOSE ADMINISTERED >20% DIFFERENT FROM PRESCRIBED DOSE

The following information was provided by the State of New York via email:

"A patient was prescribed 11 mCi of Iodine-131 for hyperthyroidism but received 7 mCi. Discovered during routine NYS DOH [New York State Department of Health] inspection on 10/18/2007. DOH staff reviewed a memo from the physicist to the RSO discussing the event, but their concern was only that the expiration date on the capsule was 12/28/04 (consultation with the pharmacy after the fact indicated that it was still acceptable to us this dose). A 'left-over' capsule from the previous week (15 mCi on 12/27/2004) with activity of 7 mCi on 01/01/2005 was administered to a patient who was prescribed 11 mCi with the permission of the RSO. Additional dose was ordered and an additional 4 mCi was administered the following day so they RSO did not think it was a misadministration. Follow-up letter from RSO concluded that there was no adverse effect on the patient. Corrective actions included changing procedures and staff training on proper course of action to take in the future and incident reporting requirements. Incident is closed."

New York Report Id No.: NY-11-09

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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Agreement State Event Number: 46896
Rep Org: TEXAS DEPARTMENT OF HEALTH
Licensee: AMC AMERICAN MULTI-CINEMA, INC
Region: 4
City: HOUSTON State: TX
County:
License #: G/L
Agreement: Y
Docket:
NRC Notified By: KAREN BLANCHARD
HQ OPS Officer: JOHN KNOKE
Notification Date: 05/26/2011
Notification Time: 14:54 [ET]
Event Date: 05/26/2011
Event Time: [CDT]
Last Update Date: 05/26/2011
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
MARK HAIRE (R4DO)
MATTHEW HAHN (ILTA)
LYDIA CHANG (FSME)

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

Event Text

TWO TRITIUM EXIT SIGNS STOLEN FROM MOVIE THEATER

The following information was provided by the State of Texas via email:

"On May 26, 2011, the Agency [Texas Department of Health] was notified during routine inspections of the facility's site safety systems, it was discovered that two tritium exit signs were missing from their fixed mounting positions. These signs were affixed to the walls near exits in a secure manner such that they could only be removed by means of removing safety capped mounting screws and then the use of tools to remove them. In this case, it is apparent that these signs were removed by way of vandalism and were essentially pulled off the walls leaving evidence that they were removed without the knowledge of the site personnel. A report was made to the local police department. The signs were installed new in 2010.

"In addition, this same vandalistic act occurred at the same location as reported to the Agency [Texas Department of Health] on February 2, 2011. At that time, four tritium exit signs were removed. A report was made to local law enforcement. The exit signs are Isolite Model 2040-95S-B-15-WS, and each contain 9.5 Curies of tritium."

Texas Incident: # I-8858

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

This source is not amongst those sources or devices identified by the IAEA Code of Conduct for the Safety & Security of Radioactive Sources to be of concern from a radiological standpoint. Therefore is it being categorized as a less than Category 3 source

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