Event Notification Report for August 10, 2021
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
08/09/2021 - 08/10/2021
Agreement State
Event Number: 55404
Rep Org: TENNESSEE DIV OF RAD HEALTH
Licensee: Energy Solutions
Region: 1
City: Oak Ridge State: TN
County:
License #: R-73016
Agreement: Y
Docket:
NRC Notified By: Andrew Holcomb
HQ OPS Officer: Kerby Scales
Licensee: Energy Solutions
Region: 1
City: Oak Ridge State: TN
County:
License #: R-73016
Agreement: Y
Docket:
NRC Notified By: Andrew Holcomb
HQ OPS Officer: Kerby Scales
Notification Date: 08/12/2021
Notification Time: 14:54 [ET]
Event Date: 08/10/2021
Event Time: 16:00 [EDT]
Last Update Date: 08/12/2021
Notification Time: 14:54 [ET]
Event Date: 08/10/2021
Event Time: 16:00 [EDT]
Last Update Date: 08/12/2021
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
WERKHEISER, DAVE (R1)
NMSS_EVENTS_NOTIFICATION, (EMAIL)
WERKHEISER, DAVE (R1)
NMSS_EVENTS_NOTIFICATION, (EMAIL)
EN Revision Imported Date: 9/10/2021
EN Revision Text: AGREEMENT STATE REPORT - SAFETY EQUIPMENT FAILS TO FUNCTION
The following report was received from the state of Tennessee via email:
"Power loss site wide at Energy Solutions. Power was restarted by the utility. However, the power at the Radioactive Materials Solutions (RMS) building did not return. As a result, the ventilation system at the RMS building was not functional. The back up generator failed to function under load of ventilation fans. Currently, the RMS building operations have ceased due to loss of power. An area monitor is in place and showing no signs of elevated activity from air monitoring inside of the building. The contractor was contacted to reestablish power to site. Security patrols have been established to monitor quantities of concern. A follow-up report will be submitted to include corrective actions from the licensee."
Tennessee Event Report Number: TN-21-082
EN Revision Text: AGREEMENT STATE REPORT - SAFETY EQUIPMENT FAILS TO FUNCTION
The following report was received from the state of Tennessee via email:
"Power loss site wide at Energy Solutions. Power was restarted by the utility. However, the power at the Radioactive Materials Solutions (RMS) building did not return. As a result, the ventilation system at the RMS building was not functional. The back up generator failed to function under load of ventilation fans. Currently, the RMS building operations have ceased due to loss of power. An area monitor is in place and showing no signs of elevated activity from air monitoring inside of the building. The contractor was contacted to reestablish power to site. Security patrols have been established to monitor quantities of concern. A follow-up report will be submitted to include corrective actions from the licensee."
Tennessee Event Report Number: TN-21-082
Agreement State
Event Number: 55402
Rep Org: UTAH DIVISION OF RADIATION CONTROL
Licensee: IHC Health Services (Intermountain Medical Center)
Region: 4
City: Murray State: UT
County:
License #: UT 210003
Agreement: Y
Docket:
NRC Notified By: Gwyn Galloway
HQ OPS Officer: Kerby Scales
Licensee: IHC Health Services (Intermountain Medical Center)
Region: 4
City: Murray State: UT
County:
License #: UT 210003
Agreement: Y
Docket:
NRC Notified By: Gwyn Galloway
HQ OPS Officer: Kerby Scales
Notification Date: 08/10/2021
Notification Time: 17:11 [ET]
Event Date: 08/10/2021
Event Time: 11:55 [MDT]
Last Update Date: 08/10/2021
Notification Time: 17:11 [ET]
Event Date: 08/10/2021
Event Time: 11:55 [MDT]
Last Update Date: 08/10/2021
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
KELLAR, RAY (R4)
NMSS_EVENTS_NOTIFICATION, (EMAIL)
Kevin Williams (NMSS)
KELLAR, RAY (R4)
NMSS_EVENTS_NOTIFICATION, (EMAIL)
Kevin Williams (NMSS)
EN Revision Imported Date: 9/10/2021
EN Revision Text: AGREEMENT STATE REPORT - MEDICAL EVENT (INCORRECT DOSAGE)
The following report was received from the Utah Department of Environmental Quality, Division of Waste Management and Radiation Control (the Division) via email:
"The Division was notified of the medical event about 1155 MDT on August 10, 2021, by the licensee's Radiation Safety Officer. At about 0730 a male patient reported to Intermountain Medical Center to have a nuclear medicine scan conducted. The scheduled scan was to use 10 milliCi of Fluorodeoxyglucose (FDG) (F-18). The Technician administered the dosage to the patient and then realized he had administered the wrong dosage. The dosage administered was actually 104 milliCi of FDG which is much greater than the 10 milliCi that was prescribed. The licensee is in the process of notifying the referring physician and the patient of the medical event. The licensee is aware of the 15 day requirement for a written report.
"The Division will investigate this matter and update the record upon completion of the investigation."
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 Text: AGREEMENT STATE REPORT - MEDICAL EVENT (INCORRECT DOSAGE)
The following report was received from the Utah Department of Environmental Quality, Division of Waste Management and Radiation Control (the Division) via email:
"The Division was notified of the medical event about 1155 MDT on August 10, 2021, by the licensee's Radiation Safety Officer. At about 0730 a male patient reported to Intermountain Medical Center to have a nuclear medicine scan conducted. The scheduled scan was to use 10 milliCi of Fluorodeoxyglucose (FDG) (F-18). The Technician administered the dosage to the patient and then realized he had administered the wrong dosage. The dosage administered was actually 104 milliCi of FDG which is much greater than the 10 milliCi that was prescribed. The licensee is in the process of notifying the referring physician and the patient of the medical event. The licensee is aware of the 15 day requirement for a written report.
"The Division will investigate this matter and update the record upon completion of the investigation."
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.