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Event Notification Report for February 1, 2013

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
01/31/2013 - 02/01/2013

** EVENT NUMBERS **


48692 48693 48697 48708 48709

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Agreement State Event Number: 48692
Rep Org: KANSAS DEPT OF HEALTH & ENVIRONMENT
Licensee: ST. FRANCIS HEALTH CENTER
Region: 4
City: TOPEKA State: KS
County:
License #: 19-B272-04
Agreement: Y
Docket:
NRC Notified By: DAVID J. WHITFILL
HQ OPS Officer: STEVE SANDIN
Notification Date: 01/23/2013
Notification Time: 11:00 [ET]
Event Date: 01/23/2013
Event Time: 06:22 [CST]
Last Update Date: 01/23/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
NEIL OKEEFE (R4DO)
FSME EVENTS RESOURCE (EMAI)
KING STABLEIN (NMSS)

Event Text

AGREEMENT STATE REPORT - VEHICLE ACCIDENT DURING TRANSPORT OF RADIOPHARMACEUTICALS

The following preliminary information was provided by the State of Kansas via fax:

"Rollover accident involving transport of radiopharmaceuticals. Initial report received at 06:22 A.M. [CST]. Condition of driver unknown. Accident location: 2.5 miles north of US 69 and 47 junction, close to Arma, KS. Preliminary information indicates shipment was Tc-99m. Max contact 0.04 mR/h, no damage to packages. Personnel from St. Francis are on site. Driver was taken to the hospital."

Kansas Item Number: KS130001

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Agreement State Event Number: 48693
Rep Org: TEXAS DEPARTMENT OF HEALTH
Licensee: DESERT NDT LLC
Region: 4
City: ABILENE State: TX
County:
License #: 06462
Agreement: Y
Docket:
NRC Notified By: ART TUCKER
HQ OPS Officer: CHARLES TEAL
Notification Date: 01/23/2013
Notification Time: 12:31 [ET]
Event Date: 01/22/2013
Event Time: [CST]
Last Update Date: 01/25/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
NEIL OKEEFE (R4DO)
FSME EMAIL RESOURCE (EMAI)

Event Text

AGREEMENT STATE REPORT - RADIOGRAPHY CAMERA SOURCE DISCONNECT

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

"On January 22, 2013, the Agency [State of Texas] was notified by the licensee's Radiation Safety Officer (RSO) that a radiography crew performing radiography operations at a field location experienced a source disconnect. The crew was using an INC IR 100 exposure device containing a iridium - 192 source. The crew had performed nine or ten exposures and was moving the camera to the next location when they discovered the source was still in the guide tube. A source recovery team was sent to the location and the source was returned to the exposure device and locked in the fully shielded position. The RSO did not know how the crew discovered the source was still in the guide tube. The RSO stated that the self reading dosimeter of the radiographer who moved the exposure device was reading off scale and that his personnel dosimeter was being sent to the dosimetry processor for immediate processing. The RSO stated that the radiographer did not perform a post exposure radiation survey prior to moving the camera and that the radiographer stated that their alarming dosimeter did not alarm. The RSO stated that he did not know how long or how close the radiographer was to the source while they were moving the exposure device. The RSO stated that the radiographer has been removed from all duties involving exposure to radiation. The RSO stated that no other individual received an exposure of concern. The RSO stated that the device would be returned to the manufacturer for inspection. The licensee is conducting an investigation into the event. Additional information will be provided as it is received in accordance with SA-300."

Texas Incident Number: I-9035

* * * UPDATE ON 1/25/2013 AT 1305 EST FROM ART TUCKER TO MARK ABRAMOVITZ * * *

The following information was received via fax:

"On January 25, 2013, the RSO stated the dosimetry processor reported the dose received by the individual who relocated the exposure device was 791 millirem DDE [deep dose equivalent]. The RSO stated that their investigation into the event is ongoing. Additional information will be provided as it is received in accordance with SA - 300."

Notified the R4DO (Okeefe) and FSME Events Resource.

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Agreement State Event Number: 48697
Rep Org: NE DIV OF RADIOACTIVE MATERIALS
Licensee: NEBRASKA MEDICAL CENTER
Region: 4
City: OMAHA State: NE
County:
License #: 018801
Agreement: Y
Docket:
NRC Notified By: BRYAN MILLER
HQ OPS Officer: HOWIE CROUCH
Notification Date: 01/24/2013
Notification Time: 16:07 [ET]
Event Date: 01/21/2013
Event Time: [CST]
Last Update Date: 01/24/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
NEIL OKEEFE (R4DO)
FSME RESOURCE (EMAI)
BARRY WRAY (ILTA)

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

Event Text

AGREEMENT STATE REPORT - LOST I-125 SEED

On January 21, 2013, a patient was undergoing a radioactive procedure using a 275 microCurie I-125 seed as well as a resection procedure for a breast tumor. The seed was implanted on the surface of the skin and taped into place. During post-surgical clean-up after the resection procedure was performed, the iodine seed was lost. It is believed it was removed with the tape and thrown away as medical waste.

After discovery of the loss, the patient, her car, her home and her clothing were surveyed with negative results. The surgical suite and all bedding and gowns used were surveyed with negative results. The surgical waste had already been removed by the time the suite was surveyed.

The licensee believes the seed is in the local landfill and has considered it to be lost.

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: 48708
Facility: PERRY
Region: 3 State: OH
Unit: [1] [ ] [ ]
RX Type: [1] GE-6
NRC Notified By: RICHARD O'CONNOR
HQ OPS Officer: STEVE SANDIN
Notification Date: 01/31/2013
Notification Time: 09:28 [ET]
Event Date: 01/31/2013
Event Time: 02:10 [EST]
Last Update Date: 01/31/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
ANN MARIE STONE (R3DO)
ERDS GROUP (EMAI)
CAT GROUP (EMAI)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
1 N Y 62 Power Operation 72 Power Operation

Event Text

LOSS OF EMERGENCY RESPONSE DATA SYSTEM (ERDS)

"On January 31, 2013, at approximately 0210 hours [EST], the ability to transfer plant parameter data via the Emergency Response Data System (ERDS) was lost. ERDS capability was restored at 0701 hours [EST]. The cause is under investigation.

"In the event of an emergency while ERDS was unavailable, contingency plans were in place to transmit plant parameter data, This event is being reported in accordance with 10 CFR 50.72(b)(3)(xiii),

"The NRC Resident Inspector has been notified."

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Fuel Cycle Facility Event Number: 48709
Facility: GLOBAL NUCLEAR FUEL - AMERICAS
RX Type: URANIUM FUEL FABRICATION
Comments: LEU CONVERSION (UF6 TO UO2)
                   LEU FABRICATION
                   LWR COMMERICAL FUEL
Region: 2
City: WILMINGTON State: NC
County: NEW HANOVER
License #: SNM-1097
Agreement: Y
Docket: 07001113
NRC Notified By: SCOTT MURRAY
HQ OPS Officer: JOHN SHOEMAKER
Notification Date: 01/31/2013
Notification Time: 14:00 [ET]
Event Date: 01/30/2013
Event Time: 15:30 [EST]
Last Update Date: 01/31/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
PART 70 APP A (b)(1) - UNANALYZED CONDITION
Person (Organization):
ROBERT HAAG (R2DO)
EARL EASTON (NMSS)

Event Text

COMPLETION OF INTEGRATED SAFETY ANALYSIS ACTION PLAN BALANCE OF PLANT MILESTONE

"In response to a Notice of Violation [NOV] (VIO 70-1113/2010-003), Global Nuclear Fuel Americas, LLC (GNF-A) committed to perform a review of the existing Integrated Safety Analysis (ISA). An ISA action plan and schedule for performing the ISA review was described in GNF-A's response to the NOV and the third milestone (balance of plant) was scheduled for completion by January 31, 2013.

"On January 30, 2013, GNF-A completed the ISA reviews for the balance of plant and has identified an additional 110 items relied on for safety (IROFS) for these areas which were existing safety controls. Implementation of the revised safety basis, IROFS, and application of management measures to the IROFS will be completed by March 31, 2013 per the current ISA action plan schedule.

"Because the revised ISA has designated existing safety controls as additional IROFS, GNF-A is making a report of this completion pursuant to the reporting requirements of 10CFR70 Appendix A(b)(1) within 24 hours.

"There was no event or plant condition that resulted in a degraded safety condition.

"Existing balance of plant area safety controls have been identified as IROFS per ISA action plan controls [continue to] perform their intended safety function.

"Balance of Plant Area milestone complete per ISA action plan."

The licensee will notify the R2 NRC Inspector (Thomas), North Carolina Division of Radiation Protection, and New Hanover County.

Page Last Reviewed/Updated Friday, February 01, 2013
Friday, February 01, 2013