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Event Notification Report for August 5, 2011

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
08/04/2011 - 08/05/2011

** EVENT NUMBERS **


47108 47115 47117 47119 47123 47124 47125

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Agreement State Event Number: 47108
Rep Org: MA RADIATION CONTROL PROGRAM
Licensee: LAHEY CLINIC
Region: 1
City: BURLINGTON State: MA
County:
License #:
Agreement: Y
Docket:
NRC Notified By: MAUREEN INGAHARRO
HQ OPS Officer: PETE SNYDER
Notification Date: 07/29/2011
Notification Time: 13:43 [ET]
Event Date: 07/29/2011
Event Time: [EDT]
Last Update Date: 07/29/2011
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
PAMELA HENDERSON (R1DO)
ANGELA MCINTOSH (FSME)

Event Text

AGREEMENT STATE REPORT - DOSE TO EMBRYO/FETUS

The following information was provided by the Commonwealth of Massachusetts via fax:

"On July 15, 2011, a female patient received a diagnostic scan and was administered 22 mCi of Tc-MDP. Before the CT scan and contrast administration, the patient signed a declaration that she was not pregnant. The RSO informed [the Commonwealth of Massachusetts representative] that it is Lahey's policy to have the patient sign an attestation to knowledge of pregnancy before the diagnostic scans, and they only do pregnancy tests before therapeutic administrations.

"On July 28, 2011, the patient notified the Lahey Clinic that she was pregnant at the time of the scan. The RSO, following the ANSI standard, calculated the dose to the fetus due to the radioactive materials was .506 rads. The total body burden from the CT scan was 2.1 rads. They used the conservative estimate that the embryo/fetus received all 2.1 rads making the total dose to the embryo/fetus 2.6 rads."

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!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED !!!!!
Agreement State Event Number: 47115
Rep Org: NC DIV OF RADIATION PROTECTION
Licensee: NC RADIATION THERAPY SERVICES INC
Region: 1
City: ASHEVILLE State: NC
County:
License #: 011-1276-1
Agreement: Y
Docket:
NRC Notified By: CLIFF HARRIS
HQ OPS Officer: JOE O'HARA
Notification Date: 08/02/2011
Notification Time: 10:54 [ET]
Event Date: 07/28/2011
Event Time: 12:00 [EDT]
Last Update Date: 08/03/2011
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
RONALD BELLAMY (R1DO)
ANGELA MCINTOSH (FSME)

Event Text

FIRE AT RADIATION THERAPY PRACTICE

The following was received from the state via e-mail:

"N.C. Radiation Protection Section was notified on 1 August 2011 by the Regional Medical Physicist for NC Radiation Therapy Management Services, Inc. d/b/a 21st Century Oncology of a major fire on the fifth floor of the building in which the licensee operates a radiation therapy practice on the ground floor. The ground floor did not receive direct fire/smoke damage, but did realize significant water damage to portions of its facility. One fireman was killed and 10 injured while fighting the fire. The entire building has been closed and is currently under the command of the Bureau of Alcohol, Tobacco, Firearms and Explosives (ATF) National Response Team (NRT) along with special agents from their Charlotte Field Division. Other agencies involved in this investigation are the North Carolina State Bureau of Investigation and the Asheville Fire Department. The licensee has been permitted to enter its facility once to retrieve critical computer servers that are utilized in patient care at their clinics throughout western North Carolina. The licensee examined its HDR remote afterloader containing one Ir-192 sealed source (<12 Ci) and found the afterloader to be undamaged and securely locked in a treatment vault. The licensee also has a small number of Cs-137 brachytherapy sealed sources (<450 mCi total) in a locked lead source safe within a locked source storage room. The licensee determined that there was no damage to the source storage room and that the room is secure. The licensee is in the process of contracting Nucletron to remove and dispose of the Ir-192 sealed source and is investigating the disposal of all Cs-137 brachytherapy sealed sources.

"The Radiation Protection Section has assigned an inspector to contact the ATF to determine the earliest possible time for a site visit.

"N.C. Radiation Protection has not received any media attention as of this report. No press release has been issued."

NC Event Report ID No. NC-11-42

* * * UPDATED AT 1515 EDT ON 08/03/11 FROM CLIFF HARRIS TO S. SANDIN * * *

The State of North Carolina is retracting this report based upon further review and discussions with NRC Region I Office staff in that the sealed sources were not impacted by the fire.

Notified R1DO (Bellamy) and FSME (McIntosh).

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Agreement State Event Number: 47117
Rep Org: ALABAMA RADIATION CONTROL
Licensee: QUANTEGY, INC.
Region: 1
City: OPELIKA State: AL
County:
License #:
Agreement: Y
Docket:
NRC Notified By: DAVID A. TURBERVILLE
HQ OPS Officer: STEVE SANDIN
Notification Date: 08/02/2011
Notification Time: 16:43 [ET]
Event Date: 07/20/2011
Event Time: [CDT]
Last Update Date: 08/02/2011
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
RONALD BELLAMY (R1DO)
CHRISTEPHER MCKENNEY (FSME)
ILTAB VIA E-MAIL ()

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

Event Text

AGREEMENT STATE REPORT OF LOST GENERAL LICENSED DEVICES

The following report was received from the State of Alabama via fax:

"On the afternoon of July 20, 2011, a representative of the Alabama Office of Radiation Control [the Agency] discovered that five general license devices containing radioactive material were unaccounted for at the closed Quantegy, Inc. facility located in Opelika, AL. The Agency representative was there to perform a routine inspection of general licensed activities and discovered that the facility was being demolished and the metal was being sold for scrap. Records indicate that the company did possess at one time fifteen general license devices. The Agency representative was able to account for ten of the fifteen devices. Five devices are unaccounted for at this time. The demolition crew, the scrap company and the Georgia Department of Natural Resources have been made aware of the missing devices. Also, the Agency is working with the manufacturer to determine if these devices were returned to the manufacturer in the past. The devices missing include four NDC Model 105 devices containing 250 millicuries (original assay) each of Cm-244. The serial numbers on record for these devices are 6075, 6025, 6102 and 6024. The fifth device missing is an NDC Model 103 device containing 150 millicuries (original assay) of Am-241. The serial number on record for this device is 2063.

"This is all the information that this Agency has at this time and is current as of 1530 CDT, August 2, 2011."

Alabama Incident No.: 11-30

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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Power Reactor Event Number: 47119
Facility: DRESDEN
Region: 3 State: IL
Unit: [ ] [2] [3]
RX Type: [1] GE-1,[2] GE-3,[3] GE-3
NRC Notified By: JASON SOLBERG
HQ OPS Officer: VINCE KLCO
Notification Date: 08/02/2011
Notification Time: 19:52 [ET]
Event Date: 08/03/2011
Event Time: 04:00 [CDT]
Last Update Date: 08/04/2011
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
RICHARD SKOKOWSKI (R3DO)

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

Event Text

TECHNICAL SUPPORT CENTER OUT OF SERVICE FOR PLANNED PREVENTATIVE MAINTENANCE

"At 0400 [CDT] on Wednesday, August 3, 2011, the Dresden Nuclear Power Station (DNPS) Technical Support Center (TSC) emergency ventilation system will be removed from service for planned preventative maintenance activities on the TSC ventilation radiation monitoring system (PING). The TSC air handing and filtration units will be nonfunctional, rendering the TSC HVAC accident mode non-functional. This maintenance is scheduled to minimize out of service time. The planned TSC ventilation outage is scheduled to be completed within 48 hours. If an emergency is declared requiring TSC activation during this period, the TSC will be staffed and activated using existing Emergency Planning procedures and checklists. If radiological conditions require TSC facility evacuation during ventilation system restoration; the Station Emergency Director will evacuate and relocate the TSC staff in accordance with, EP-AA-112-200-F-01.

"The licensee notified the NRC Resident Inspector."

* * * UPDATE FROM JASON SOLBERG TO CHARLES TEAL ON 8/4/11 AT 2040 EDT * * *

"At 1905 CDT on August 4, 2011, Dresden TSC ventilation was restored. The emergency response facility is fully functional at this time.

"The licensee has notified the NRC Resident Inspector."

Notified R3DO (Skokowski).

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Part 21 Event Number: 47123
Rep Org: EMERSON PROCESS MANAGEMENT
Licensee: FISHER CONTROLS INTERNATIONAL
Region: 3
City: MARSHALLTOWN State: IA
County:
License #:
Agreement: Y
Docket:
NRC Notified By: BILL FITZGERALD
HQ OPS Officer: CHARLES TEAL
Notification Date: 08/04/2011
Notification Time: 12:18 [ET]
Event Date: 08/04/2011
Event Time: [CDT]
Last Update Date: 08/04/2011
Emergency Class: NON EMERGENCY
10 CFR Section:
21.21 - UNSPECIFIED PARAGRAPH
Person (Organization):
RONALD BELLAMY (R1DO)
BINOY DESAI (R2DO)
RICHARD SKOKOWSKI (R3DO)
BOB HAGAR (R4DO)
PART 21 GROUP (EMAI)

Event Text

PART 21 - POSSIBLE WELD ROD CERTIFICATION ISSUES

"On March 3, 2011, an audit of one of Fisher Control's suppliers determined that weld rod certified by an ISO process (instead of ASME) might have been used for weld repair of castings intended for nuclear service. Fisher and the supplier are in the process of reviewing all orders affected by this issue and have yet to find any that used the subject non-confirming material

"Fisher expects to complete this evaluation by August 26, 2011. At this time, if the review determines that a failure to comply condition exits, Fisher will issue notification per the requirements of 10 CFR 21.21(b)."

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Power Reactor Event Number: 47124
Facility: BROWNS FERRY
Region: 2 State: AL
Unit: [1] [2] [3]
RX Type: [1] GE-4,[2] GE-4,[3] GE-4
NRC Notified By: TODD CHRISTENSON
HQ OPS Officer: CHARLES TEAL
Notification Date: 08/04/2011
Notification Time: 14:18 [ET]
Event Date: 08/04/2011
Event Time: 08:35 [CDT]
Last Update Date: 08/04/2011
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
BINOY DESAI (R2DO)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
1 N Y 50 Power Operation 50 Power Operation
2 N Y 50 Power Operation 50 Power Operation
3 N Y 50 Power Operation 50 Power Operation

Event Text

LOSS OF POWER TO EMERGENCY SIRENS DUE TO WEATHER

"At 0945 CDT on August 4, 2011, the TVA Corporate Operations Duty Specialist notified the Browns Ferry Shift Manager that 35 of the emergency sirens (33 in Limestone County and 2 in Morgan County) had been inoperable since 0835 CDT due to loss of power from thunderstorm activity. This constitutes a significant degradation (greater than or equal to 30%, i.e. 35 out of 100 sirens) in the BFN Alert and Notification System and is therefore reportable.

"At 1002 CDT 14 sirens were restored resulting in 21 sirens being out of service (19 in Limestone County and 2 in Morgan County), and a significant degradation of the BFN Alert and Notification System no longer exists.

"The following notifications have been made:

State of Alabama at 0950 CDT
Local government of Limestone County at 0954 CDT
Local government of Morgan County at 0959 CDT
NRC Resident at 1005 CDT

"This 8 hour notification is being made per the reporting requirements specified by 10 CFR 50.72(b)(3)(xiii), 'Any event that results in a major loss of emergency assessment capability, offsite response capability, or offsite communications capability.'"

The licensee has notified the NRC Resident Inspector.

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Power Reactor Event Number: 47125
Facility: KEWAUNEE
Region: 3 State: WI
Unit: [1] [ ] [ ]
RX Type: [1] W-2-LP
NRC Notified By: JACK GADZALA
HQ OPS Officer: DONALD NORWOOD
Notification Date: 08/04/2011
Notification Time: 14:21 [ET]
Event Date: 08/03/2011
Event Time: 17:00 [CDT]
Last Update Date: 08/04/2011
Emergency Class: NON EMERGENCY
10 CFR Section:
26.719 - FITNESS FOR DUTY
Person (Organization):
RICHARD SKOKOWSKI (R3DO)

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

24-HOUR FITNESS-FOR-DUTY REPORT

A non-licensed, non-supervisory employee was in possession of and had used a prescription drug for which the employee did not have a valid prescription. The employee's access to the facility has been suspended. Contact the Headquarters Operations Officer for further details.

The licensee notified the NRC Resident.

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