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Event Notification Report for October 3, 2013

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
10/02/2013 - 10/03/2013

** EVENT NUMBERS **


49380 49381 49385 49398

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Non-Agreement State Event Number: 49380
Rep Org: CARROLL COUNTY MEMORIAL HOSPITAL
Licensee: CARROLL COUNTY MEMORIAL HOSPITAL
Region: 3
City: CARROLLTON State: MO
County:
License #: NOT PROVIDED
Agreement: N
Docket:
NRC Notified By: MICHAELLE GAMBLE
HQ OPS Officer: JOHN SHOEMAKER
Notification Date: 09/24/2013
Notification Time: 13:35 [ET]
Event Date: 09/24/2013
Event Time: [CDT]
Last Update Date: 09/24/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
20.1906(d)(2) - EXTERNAL RAD LEVELS > LIMITS
Person (Organization):
BILLY DICKSON (R3DO)
FSME EVENTS RESOURCE (EMAI)

Event Text

PACKAGE WITH EXTERNAL CONTAMINATION

The licensee's RSO (Radiation Safety Officer) reported that a package received from the pharmaceutical supplier was contaminated externally. Swipes from the outside of the package had counts of 91,500 cpm (counts per minute) with a background count reading of 588 cpm. Swipes from inside the package had counts of 1008 cpm. There were no indications of contamination to personnel or the surrounding area. The pharmaceutical supplier was contacted and has verified the driver was not contaminated. They will also check the delivery vehicle.

The package, containing Iodine-131 (18 mCi) and Technetium-99m (6 mCi) sources, has been placed in a secure location pending further investigation.

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Agreement State Event Number: 49381
Rep Org: MA RADIATION CONTROL PROGRAM
Licensee: BRIGHAM & WOMEN'S HOSPITAL
Region: 1
City: BOSTON State: MA
County:
License #: 44-0004
Agreement: Y
Docket:
NRC Notified By: MIKE WHALEN
HQ OPS Officer: JOHN SHOEMAKER
Notification Date: 09/24/2013
Notification Time: 15:53 [ET]
Event Date: 08/22/2013
Event Time: [EDT]
Last Update Date: 09/24/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
BLAKE WELLING (R1DO)
FSME EVENTS RESOURCE (EMAI)

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

Event Text

AGREEMENT STATE REPORT - MISSING BRACHYTHERAPY SEED

The following was received by the Commonwealth of Massachusetts via fax:

"On 8/22/2013, Brigham and Women's Hospital (BWH) was involved in a discrepancy in the contents of a shipment of I-125 brachytherapy seeds. The shipment was labeled to contain 71 seeds (as ordered), plus 4 seeds to be used for QC purposes. Upon opening, in preparation for administration, a count of the sources revealed only 70 of the 71 expected therapy seeds.

"Immediate recount and subsequent survey & investigation of the area, packaging and container showed no indication of the presence of the 71st seed. There was also no evidence of contamination detected.

"BWH does not believe the 71st seed was delivered.

"Meanwhile, the supplier, Bard Brachytherapy, Inc.'s (BBI) investigation indicates that the 71st seed was shipped to BWH.

"The expected 71st seed was a Bard Brachytherapy, Inc., model 125I containing 0.561 mCi (with an apparent activity of 0.330 mCi), with a reference date of 8/17/2013."

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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Agreement State Event Number: 49385
Rep Org: TEXAS DEPARTMENT OF HEALTH
Licensee: PARADIGM CONSULTANTS INC
Region: 4
City: HOUSTON State: TX
County:
License #: 04875
Agreement: Y
Docket:
NRC Notified By: KAREN BLANCHARD
HQ OPS Officer: JOHN SHOEMAKER
Notification Date: 09/25/2013
Notification Time: 12:30 [ET]
Event Date: 09/20/2013
Event Time: [CDT]
Last Update Date: 09/25/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
NEIL OKEEFE (R4DO)
FSME EVENT RESOURCES (EMAI)
DENNIS ALLSTON (ILTA)
MEXICO (FAX)

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

Event Text

AGREEMENT STATE REPORT - MISSING MOISTURE DENSITY GAUGE

The following report was received from the State of Texas via email:

"On September 25, 2013, the Agency [Texas Department of State Health Services] was notified by a licensee that one of its Humboldt Model 5001EZ moisture/density gauges was missing and presumed stolen from its facility. The gauge (SN: 3561) contains one 10 millicurie cesium-137 source and one 40 millicurie americium-241/beryllium source. The gauge could not be located on Friday, September 20, 2013, and the licensee began a search and investigation. On Monday, September 23, 2013, it made the determination that it was missing/presumed stolen. The gauge had been secured inside a locked storage area inside the facility with the licensee's other gauges. No other gauges were missing. The licensee notified local law enforcement and a gauge sales/service company in Houston. The Agency will notify the Texas Pawnbrokers Association. An investigation into this event is ongoing. Further information will be provided as it is obtained in accordance with SA-300.

"[The] Houston Police Department [was notified by the licensee on 09/23/2013]."

Texas Report # I 9118

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: 49398
Facility: CALLAWAY
Region: 4 State: MO
Unit: [1] [ ] [ ]
RX Type: [1] W-4-LP
NRC Notified By: DAVID LANTZ
HQ OPS Officer: CHARLES TEAL
Notification Date: 10/01/2013
Notification Time: 01:05 [ET]
Event Date: 09/30/2013
Event Time: 22:57 [CDT]
Last Update Date: 10/02/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
HEATHER GEPFORD (R4DO)

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

OFF-SITE EMERGENCY OPERATIONS FACILITY DECLARED INOPERABLE DUE TO AIR IN-LEAKAGE

"At 2257 CDT on September 30, 2013 the Callaway Plant Emergency Off-Site Facility (EOF) was declared nonfunctional due to air in-leakage outside acceptance criteria while ventilation is in filtration mode.

"Efforts are underway to restore the air in-leakage within acceptance criteria at the EOF.

"If EOF activation is necessary during the period of EOF non-functionality, the Recovery Manager will evaluate the suitability of the facility for the specific conditions of the event.

"This notification is being made in accordance with 10 CFR 50.72(b)(3)(xiii) due to the unavailability of an emergency response facility.

"The NRC Senior Resident Inspector has been notified."

* * * UPDATE FROM RICHARD HUGHEY TO JOHN SHOEMAKER AT 0248 EDT ON 10/02/13 * * *

"Repairs were made to the EOF ventilation system and all required post-maintenance testing has been completed satisfactorily. The EOF has been restored to a functional status."

The licensee will notify the NRC Resident Inspector.

Notified R4DO (Gepford).

Page Last Reviewed/Updated Thursday, October 03, 2013
Thursday, October 03, 2013