Event Notification Report for May 17, 2021

EN Revision Imported Date: 5/17/2021

EN Revision Text: AGREEMENT STATE REPORT - LOST SMOKE MEASURING EQUIPMENT

The following report was received from the Illinois Emergency Management Agency (the Agency) via email:

"The Agency was contacted after business hours on 5/6/21 to report the possible loss of three 5 microCurie Am-241 sources. The sources were reported missing in transit on 5/6/2021 by Intertek Testing Services NA, Inc. The last known location was the common carrier hub in Memphis TN. The common carrier is still actively searching and has not yet declared the package as lost. While a reportable quantity under NRC, this does not represent a serious public safety hazard. There is no indication of intentional theft or diversion at this time. This quantity of material would not be immediately useful for elicit purposes.

"The three sources were contained in EC-912 MIC heads (smoke measuring equipment) which had been packaged for shipment to the manufacturer for calibration on 4/15/2021. The common carrier, is still actively trying to locate the three packages. As these were labeled as excepted packages, they only bear UN2911 and do not have radioactive labels on the exterior. This is not an immediate hazard to workers or members of the public that locate the package. Each of the three packages is approximately 24"x24"x48" in a framed wood box with metal reinforcements.

"This report will be updated as additional information becomes available."

Illinois Incident No.: IL210014

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

EN Revision Imported Date: 5/17/2021

EN Revision Text: MEDICAL EVENT - PATIENT UNDERDOSE

The following report was received via email from the VA National Health Physics Program (NHPP):

"VA Pittsburgh Healthcare System, Pittsburgh, Pennsylvania, which holds Permit Number 37-01230-03 under the VA master materials license, reported discovery of a medical event to NHPP at approximately 0730 EDT, May 10, 2021.

"An iodine-131 sodium iodide thyroid ablation therapy administration was performed on Friday, May 7, 2021. The prescribed dose was 60 milliCuries but only 31.2 milliCuries were delivered.

"The patient and the referring physician have been notified.

"NHPP will follow up with a written report in accordance with NRC requirements in 10 CFR 35.3045.

"NHPP notified [their] NRC Region III Project Manager, Bryan Parker."

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.

EN Revision Imported Date: 5/17/2021

EN Revision Text: AGREEMENT STATE REPORT - STOLEN AND RETURNED GAUGE
The following was received from the New York State Department of Health (the Department) via email:

"A regional inspector for the Department received an email at 0341 EDT on 5/7/21 from the RSO of a materials testing lab stating that a Troxler model 4640 thin [layer density gauge], serial number 722, containing 40 mCi of Am-241/Be and 11 mCi of Cs-137, was stolen from a job site in Bronx, NY. The operator left the device unattended for a short period of time and returned to find it missing. The device was in its locked position when it was taken. The area was canvassed, and the police were notified.

"On 5/7/21, the licensee received a phone call from [an individual] stating that they had the device and wanted the reward. The licensee paid the reward and the device is back in the possession of the licensee. The device appears to be in good shape, but it will be leak tested before it is put back into operation."

Event Report ID No.: NYDOH-21-02

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

EN Revision Imported Date: 5/17/2021

EN Revision Text: FITNESS FOR DUTY REPORT

A non-licensed temporary supervisor had a confirmed positive during a random fitness-for-duty test. The employee's access to the plant has been terminated.

The NRC Resident Inspector has been notified.

INDIVIDUAL FALL FROM SCAFFOLD LADDER - OTHER GOVERNMENT AGENCY NOTIFICATION

"At approximately 1300 CDT on 05/14/2021, a contract worker, who was using a scaffold ladder to access their work area on the iso-phase bus duct system for the main transformers at the Callaway plant, fell approximately 27 feet to the ground. An ambulance was dispatched to transport the individual to a local hospital. Union Electric (Ameren Missouri) subsequently learned that the event caused the individual to have a serious injury that required an overnight hospital stay. This event is reportable to OSHA per 29 CFR 1904.39(a)(2) by the contract worker's employer and is reportable to the Missouri Public Service Commission in accordance with Missouri regulation 20 CSR 4240-3.190(3)(A). This notification is being made to the NRC pursuant to 10 CFR 50.72(b)(2)(xi) due to other government notifications that will occur as a result of a situation related to the health and safety of onsite personnel.

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

The individual was not working in a contamination area.