United States Nuclear Regulatory Commission - Protecting People and the Environment
Home > NRC Library > Document Collections > Reports Associated with Events > Event Notification Reports > 2014 > February 5

Event Notification Report for February 5, 2014

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
02/04/2014 - 02/05/2014

** EVENT NUMBERS **


49766 49769 49770 49772 49787 49789 49790 49791

To top of page
Non-Agreement State Event Number: 49766
Rep Org: US AIR FORCE
Licensee: US AIR FORCE
Region: 1
City: ARLINGTON State: VA
County:
License #: 42-23539-01AF
Agreement: Y
Docket:
NRC Notified By: DANIEL SHAW
HQ OPS Officer: JOHN SHOEMAKER
Notification Date: 01/27/2014
Notification Time: 08:39 [ET]
Event Date: 10/01/2013
Event Time: [EST]
Last Update Date: 01/27/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
20.2201(a)(1)(ii) - LOST/STOLEN LNM>10X
Person (Organization):
BLAIR SPITZBERG (R4DO)
FSME EVENT RESOURCE (EMAI)
MATTHEW HAHN (ILTA)

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

Event Text

LOSS OF RADIOACTIVE MATERIAL

The following report was received via email;

"1. IAW 10 CFR 20.2201(a)(1)(ii), we are providing a written report for the loss of radioactive material. The loss of material was reported on 27 Jan 14; 1) telephonically to NRC Operations Center, Event No. 49766 and 2) via E-mail to NRC, Region IV (Ms. Cook). The following information addresses the reporting requirements:

"a. Description of the licensed material: The subject device contained nickel 63 (Ni-63), one source, at 15 millicuries. The source is encapsulated in a hollow brass cylinder which in turn is sealed in a ceramic shield as referenced in Sealed Source & Device Registry (SS&DR) NR-0163-D-102-E (19 Oct 2010). The subject device was generally licensed (GLD) and used by USAF Security Forces Personnel (75th SFS) of Hill AFB, Ogden, UT.

"b. Description of circumstances for loss: The missing Ionscan 500DT was added to the Installation Radiation Safety Officers inventory of all GLDs on Hill AFB in October 2007. The serial number of the missing source is 50083. It was surveyed semi-annually through May 2013. During the November 2013 leak test/inventory of GLDs, the device was not at the security gate where it has always been. The 75 SFS storage warehouse was checked and it was not there either.

"c. Statement of disposition: 75 SFS personnel were asked multiple times about the disposition of the item. On 11 December 2013, they reported the Ionscan was no longer in their possession. They reported that the item was dropped and damaged during transport. An Airman was assigned to locate a disposal location that would be able to take the item and was directed to dispose of it there. Later the Airman reported that he had done this. The Airman was in the process of being dismissed from the Air Force at that time and is no longer in the Air Force for questioning on how he disposed of the item. Therefore, the final disposition of the item is unknown at this time.

"d. Exposures to individuals: Because the device contains Ni-63, which is sealed and incorporated into the Ion Mobility Spectrometer assembly, the radiation level surrounding the device would be indistinguishable from background.

"e. Actions taken: Requests have been made of multiple levels of 75 SFS command to obtain more specifics on the event. No additional information has been received to-date.

"f. Procedures/measures to rectify future loss: The installation radiation safety officer will reinforce the policies outlined in Air Force Instruction (AFI) 40-201, Managing Radioactive Materials in the United States Air Force for proper disposal of generally licensed devices."

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

To top of page
Agreement State Event Number: 49769
Rep Org: MARYLAND DEPT OF THE ENVIRONMENT
Licensee: ARC ENVIRONMENTAL
Region: 1
City: BALTIMORE State: MD
County:
License #: MD-07-199-01
Agreement: Y
Docket:
NRC Notified By: RAY MANLEY
HQ OPS Officer: HOWIE CROUCH
Notification Date: 01/27/2014
Notification Time: 16:35 [ET]
Event Date: 01/27/2014
Event Time: 14:40 [EST]
Last Update Date: 01/27/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
ART BURRITT (R1DO)
FSME EVENTS RESOURCE (EMAI)

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

Event Text

MARYLAND AGREEMENT STATE REPORT - STOLEN LEAD PAINT ANALYZER

The following information was received from the State of Maryland via email:

"The Maryland Radiation Program received a telephone call around 3:55 p.m. [EST] from [the RSO] of Arc Environmental (MD-07-199-01) informing the Department [Maryland Department of the Environment] that an XRF (RMD LPA1) was stolen from 2611 East Monument Street, Baltimore, Maryland where they were performing an inspection. The theft occurred at about 2:40 p.m. when the two inspectors, [names deleted], were leaving the site. They thought the other had put the XRF in the vehicle, and when they realized they did not have it, returned to the site, but the XRF was gone. They will provide the Department a copy of the police report when it is available. MDE may put out a press release on 1/28/14 if the device is not recovered."

Per the vendor documentation, the LPA1 nominally contains 12 mCi of Co-57.

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

To top of page
Agreement State Event Number: 49770
Rep Org: OHIO BUREAU OF RADIATION PROTECTION
Licensee: FLOWER HOSPITAL
Region: 3
City: SYLVANIA State: OH
County:
License #: 02120 49 0004
Agreement: Y
Docket:
NRC Notified By: KARL VON AHN
HQ OPS Officer: CHARLES TEAL
Notification Date: 01/27/2014
Notification Time: 17:05 [ET]
Event Date: 01/24/2014
Event Time: [EST]
Last Update Date: 01/27/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
STUART SHELDON (R3DO)
FSME EVENT RESOURCE (EMAI)

Event Text

AGREEEMENT STATE REPORT - PATIENT RECEIVED LESS THAN PRESCRIBED DOSE

The following was received from the State of Ohio via email:

"On Jan. 27, 2014, the RSO of Flower Hospital provided a telephone report of medical event that occurred on Jan. 24 and 27, 2014.

"A patient was being treated with a Varian GammaMed Plus HDR with 4.7 Ci of lr-192 in a vaginal cylinder. The written directive was for three fractions of 500 cGy for a total of 1,500 cGy. Then during the delivery of the second fraction the licensee realized that they were only delivering a planned dose of 166 cGy. The licensee completed the second fraction as planned. The treatment planning was entered as one third of the 500 cGy for three fractions instead of three fractions of 500 cGy. The license will modify the treatment plan to give the full prescribed 1500 cGy to the patient.

"The patient was notified on Jan. 27, 2014.

"This is a reportable medical event under OAC 3701:1-58-101 (A)(1)(c.) for a fractionated dose that differs by more than 50%."

Ohio Report #: OH140001

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.

To top of page
Agreement State Event Number: 49772
Rep Org: NJ RAD PROT AND REL PREVENTION PGM
Licensee: MEDI-PHYSICS INC
Region: 1
City: PLAINFIELD State: NJ
County:
License #: 456011
Agreement: Y
Docket:
NRC Notified By: BILL CSASZAR
HQ OPS Officer: CHARLES TEAL
Notification Date: 01/28/2014
Notification Time: 15:09 [ET]
Event Date: 01/28/2014
Event Time: 10:30 [EST]
Last Update Date: 01/28/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
ART BURRITT (R1DO)
FSME EVENT RESOURCE (EMAI)

Event Text

AGREEMENT STATE REPORT - EXTERNAL RADIATION LEVELS ON PACKAGE EXCEEDED LIMITS

The following was received from the State of New Jersey via email:

"Event Type:

"External radiation levels on packages containing Type A quantity material received exceeded the limits of 10 CFR 71.47 (200 millirem/h) on the external surface of the package. The maximum reading on one of the packages was 360 millirem/h.

"Event Description:

"A total of 4 packages (Sr-82/Sr-85) were received from Brookhaven National Laboratory Upton, NY.

"As per the licensee's incoming procedures, the TI [Transportation Index], surface and contamination readings were taken. The packages exceeded the regulatory surface limit of 200 mR/hr. No other issues were found on the packages.

"The licensee immediately contacted the Brookhaven Labs and informed them of the surface readings exceeding the regulatory limit of 200 mR/hr. The carrier's Dangerous Goods Division and the NJDEP were also notified. "

To top of page
Power Reactor Event Number: 49787
Facility: DRESDEN
Region: 3 State: IL
Unit: [ ] [2] [3]
RX Type: [1] GE-1,[2] GE-3,[3] GE-3
NRC Notified By: STEVEN MELL
HQ OPS Officer: JEFF ROTTON
Notification Date: 02/03/2014
Notification Time: 02:41 [ET]
Event Date: 02/03/2014
Event Time: 00:43 [CST]
Last Update Date: 02/04/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
STUART SHELDON (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 EMERGENCY VENTILATION SYSTEM OUT OF SERVICE FOR PLANNED MAINTENANCE

"At 0043 [CST] on Monday, February 3, 2014, the Dresden Nuclear Power Station (DNPS) Technical Support Center (TSC) emergency ventilation system was removed from service for planned preventative maintenance activities on the TSC ventilation system condensing unit. The TSC air handing and filtration units will be non-functional, 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 88 hours. If an emergency is declared requiring TSC activation during this period, the TSC will be staffed and activated using existing Emergency Preparedness (EP) procedures and checklists. If radiological conditions require TSC facility evacuation during ventilation system maintenance; the Station Emergency Director will evacuate and relocate the TSC staff in accordance with established procedures.

"The licensee notified the NRC Resident Inspector."

* * * UPDATE ON 2/4/14 AT 1939 EST FROM DAN MILLER TO DONG PARK * * *

"At 1800 CST on February 4, 2014, Dresden TSC ventilation was restored. The Dresden TSC ventilation is functional at this time.

"The NRC Resident Inspector has been notified."

Notified R3DO (Orlikowski).

To top of page
Power Reactor Event Number: 49789
Facility: FARLEY
Region: 2 State: AL
Unit: [1] [2] [ ]
RX Type: [1] W-3-LP,[2] W-3-LP
NRC Notified By: CHARLES BAREFIELD
HQ OPS Officer: DONG HWA PARK
Notification Date: 02/03/2014
Notification Time: 18:39 [ET]
Event Date: 02/03/2014
Event Time: 12:00 [CST]
Last Update Date: 02/04/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
GERALD MCCOY (R2DO)

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

TECHNICAL SUPPORT CENTER OUT OF SERVICE DUE TO A REFRIGERANT LEAK IN THE HVAC SYSTEM

"The facility Technical Support Center (TSC) was rendered non-functional due to a malfunction in the TSC HVAC system. A leak in the refrigerant tubing has resulted in a loss of refrigerant and affected the system's ability to provide proper climate control. Repairs are being planned and will commence today. The out of service time is greater than one hour which by the station's Technical Requirements Manual is an 8 hour non-emergency report.

"Compensatory measures per site procedure FNP-0-EIP-6.0 (TSC Setup and Activation) for maintaining emergency assessment, off-site response, and off-site communication capabilities are available. These measures include the conditional relocation of the TSC staff in the event of a declared emergency if the Emergency Director deems the TSC to be uninhabitable.

"A follow up notification will be made when the TSC is declared functional."

The licensee will notify the NRC Resident Inspector.

* * * UPDATE AT 0100 EST ON 02/04/14 FROM RICK LULLING TO S. SANDIN * * *

The following was received as a courtesy notification follow-up:

"At 2320 CST on 2/3/2014 the TSC HVAC was declared functional following post maintenance testing. Satisfactory pressure testing, system evacuation, and system re-charging were performed following the repair to two tubing leaks. Emergency assessment, off-site response, and off-site communication capabilities have been fully restored to the Technical Support Center. The Emergency Director, and NRC Senior Resident Inspector have been informed."

Notified R2DO (McCoy).

To top of page
Power Reactor Event Number: 49790
Facility: MILLSTONE
Region: 1 State: CT
Unit: [ ] [2] [ ]
RX Type: [1] GE-3,[2] CE,[3] W-4-LP
NRC Notified By: TODD PERKINS
HQ OPS Officer: PETE SNYDER
Notification Date: 02/04/2014
Notification Time: 10:26 [ET]
Event Date: 02/04/2014
Event Time: 08:54 [EST]
Last Update Date: 02/04/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
GLENN DENTEL (R1DO)

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

Event Text

STACK RADIATION MONITOR NON-FUNCTIONAL FOR PRE-PLANNED MAINTENANCE

The Millstone Station Stack Radiation Monitor, RM-8169, was removed from service at 0854 EST for pre-planned maintenance. The Stack Radiation Monitor will be restored to service after maintenance.

The licensee informed the Connecticut Department of Environmental Protection, Waterford Dispatch and the NRC Resident Inspector.

To top of page
Power Reactor Event Number: 49791
Facility: COOPER
Region: 4 State: NE
Unit: [1] [ ] [ ]
RX Type: [1] GE-4
NRC Notified By: KYLE SAYLER
HQ OPS Officer: STEVE SANDIN
Notification Date: 02/04/2014
Notification Time: 11:37 [ET]
Event Date: 02/04/2014
Event Time: 07:38 [CST]
Last Update Date: 02/04/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(xi) - OFFSITE NOTIFICATION
Person (Organization):
RAY AZUA (R4DO)
ERIC THOMAS (NRR)
WILLIAM GOTT (IRD)

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

OFFSITE NOTIFICATION DUE TO FATALITY ON SITE

"At 0738 CST on 2/4/2014, the control room received a report that a supplemental radiological technician was found unresponsive on the refueling floor in the Reactor Building. The individual was located in a contaminated area and was dressed out when he was found. At 0745 CST, the individual was reported to be deceased by the EMT's. The Nemaha County Sheriff Department was contacted and responded to the site. OSHA is also being contacted. A news release is planned. No release has been made at this time.

"The fatality does not appear to be work related at this time however an investigation is in progress. The individual was found to be not contaminated and was transferred off site.

"The NRC Resident Inspector has been notified of this event."

Page Last Reviewed/Updated Wednesday, May 14, 2014
Wednesday, May 14, 2014