Event Notification Report for March 30, 2023
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
03/29/2023 - 03/30/2023
Agreement State
Event Number: 56448
Rep Org: New York State Dept. of Health
Licensee: United Memorial Medical Center
Region: 1
City: Batavia State: NY
County:
License #: 478
Agreement: Y
Docket:
NRC Notified By: Daniel Samson
HQ OPS Officer: Bill Gott
Licensee: United Memorial Medical Center
Region: 1
City: Batavia State: NY
County:
License #: 478
Agreement: Y
Docket:
NRC Notified By: Daniel Samson
HQ OPS Officer: Bill Gott
Notification Date: 03/31/2023
Notification Time: 15:35 [ET]
Event Date: 03/30/2023
Event Time: 00:00 [EDT]
Last Update Date: 03/31/2023
Notification Time: 15:35 [ET]
Event Date: 03/30/2023
Event Time: 00:00 [EDT]
Last Update Date: 03/31/2023
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
Schroeder, Dan (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
MacDonald, Mark (ILTAB)
CNSC (Canada) (EMAIL)
Schroeder, Dan (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
MacDonald, Mark (ILTAB)
CNSC (Canada) (EMAIL)
AGREEMENT STATE REPORT - RADIOACTIVE SOURCE LOST IN SHIPMENT
The following information was provided by the New York State Department of Health via email:
"New York State Department of Health received a phone call from United Memorial Medical Center to report a Co-57 flood source that was sent to International Isotopes on January 11, 2023. This flood source was picked up by [the common carrier] and never arrived at International Isotopes. The technologist that shipped this source back checked the status of the delivery and noticed that the shipment had been delayed and noted that the location of the package was at the Rochester NY [common carrier] hub for several weeks. The technologist called [the common carrier] on March 30, 2023, and was informed that the package was determined as lost. Information on the source is below:
"Make: International Isotopes
"Model: BM01L10 (SSDR: NR-1235-S-104-S)
"S/N: BM01L1021298203
"Isotope: Co-57
"Est Activity (as of 3/30/2023): 2.66 mCi
"NYS Department of Health contacted [the common carrier] independently on March 31, 2023, and was also informed that the package was lost and unlikely to be recovered. 10 CFR 20 Appendix C states a value of 100 microCi for Co-57, therefore this loss is 26.6 times this value, requiring a 30-day notification in accordance with 10 CFR 20.2201(a)(l)(ii). United Memorial Medical Center has been instructed to contact New York State Department of Health with any updates regarding this package. New York State continues to monitor this event under Incident No. 1434.
"Provided the estimated activity as of March 31, 2023, unshielded exposure rate at one meter from the package is expected to be approximately 147.8 microR/hr, which does not constitute any immediate risks to [the common carrier] staff or workers.
"No further information on the device, source or incident is available at this time. Any updates to this event will be provided as soon as available."
New York Event Report number: NY-23-02
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
The following information was provided by the New York State Department of Health via email:
"New York State Department of Health received a phone call from United Memorial Medical Center to report a Co-57 flood source that was sent to International Isotopes on January 11, 2023. This flood source was picked up by [the common carrier] and never arrived at International Isotopes. The technologist that shipped this source back checked the status of the delivery and noticed that the shipment had been delayed and noted that the location of the package was at the Rochester NY [common carrier] hub for several weeks. The technologist called [the common carrier] on March 30, 2023, and was informed that the package was determined as lost. Information on the source is below:
"Make: International Isotopes
"Model: BM01L10 (SSDR: NR-1235-S-104-S)
"S/N: BM01L1021298203
"Isotope: Co-57
"Est Activity (as of 3/30/2023): 2.66 mCi
"NYS Department of Health contacted [the common carrier] independently on March 31, 2023, and was also informed that the package was lost and unlikely to be recovered. 10 CFR 20 Appendix C states a value of 100 microCi for Co-57, therefore this loss is 26.6 times this value, requiring a 30-day notification in accordance with 10 CFR 20.2201(a)(l)(ii). United Memorial Medical Center has been instructed to contact New York State Department of Health with any updates regarding this package. New York State continues to monitor this event under Incident No. 1434.
"Provided the estimated activity as of March 31, 2023, unshielded exposure rate at one meter from the package is expected to be approximately 147.8 microR/hr, which does not constitute any immediate risks to [the common carrier] staff or workers.
"No further information on the device, source or incident is available at this time. Any updates to this event will be provided as soon as available."
New York Event Report number: NY-23-02
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
Agreement State
Event Number: 56444
Rep Org: Louisiana Radiation Protection Div
Licensee: Alpha-Omega Services, Inc.
Region: 4
City: Vinton State: LA
County:
License #: LA-10025-L01
Agreement: Y
Docket:
NRC Notified By: James Pate III
HQ OPS Officer: Bill Gott
Licensee: Alpha-Omega Services, Inc.
Region: 4
City: Vinton State: LA
County:
License #: LA-10025-L01
Agreement: Y
Docket:
NRC Notified By: James Pate III
HQ OPS Officer: Bill Gott
Notification Date: 03/31/2023
Notification Time: 13:31 [ET]
Event Date: 03/30/2023
Event Time: 00:00 [CDT]
Last Update Date: 03/31/2023
Notification Time: 13:31 [ET]
Event Date: 03/30/2023
Event Time: 00:00 [CDT]
Last Update Date: 03/31/2023
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
Taylor, Nick (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
MacDonald, Mark (EMAIL)
Taylor, Nick (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
MacDonald, Mark (EMAIL)
AGREEMENT STATE REPORT - RADIOACTIVE SOURCE LOST IN SHIPMENT
The following information was received from the Louisiana Department of Environmental Quality via email:
"On February 17, 2023, the [Alpha-Omega] Radiation Safety Officer (RSO) shipped a high dose rate (HDR) source through [a common carrier] for shipment to Radiation Oncology, Elk Grove Village, IL 60007. The shipment's last known location was the [common carrier's] Memphis Hub. Alpha-Omega contacted the Louisiana Department of Environmental Quality / Emergency Response Services Division / Radiation Section to report that a HDR Ir-192 source was lost in transit with [a common carrier] on March 30, 2023.
"The source serial number is 02-01-1027-001-021523-11023-87. The activity of the Ir-192 source on 2/17/23 was 400 GBq when it was shipped. The current activity on 3/31/23 is 7.292 Ci (269.8 GBq).The [common carrier's representative] in Dangerous Goods Administration stated that, '[the common carrier's] position is that an exhaustive manual search was completed and the parcel is no longer in our control.'"
Louisiana Event Report ID No.: LA20230006
THIS MATERIAL EVENT CONTAINS A 'Category 3' LEVEL OF RADIOACTIVE MATERIAL
Category 3 sources, if not safely managed or securely protected, could cause permanent injury to a person who handled them, or were otherwise in contact with them, for some hours. It could possibly - although it is unlikely - be fatal to be close to this amount of unshielded radioactive material for a period of days to weeks. These sources are typically used in practices such as fixed industrial gauges involving high activity sources (for example: level gauges, dredger gauges, conveyor gauges and spinning pipe gauges) and well logging. For additional information go to http://www-pub.iaea.org/MTCD/publications/PDF/Pub1227_web.pdf
The following information was received from the Louisiana Department of Environmental Quality via email:
"On February 17, 2023, the [Alpha-Omega] Radiation Safety Officer (RSO) shipped a high dose rate (HDR) source through [a common carrier] for shipment to Radiation Oncology, Elk Grove Village, IL 60007. The shipment's last known location was the [common carrier's] Memphis Hub. Alpha-Omega contacted the Louisiana Department of Environmental Quality / Emergency Response Services Division / Radiation Section to report that a HDR Ir-192 source was lost in transit with [a common carrier] on March 30, 2023.
"The source serial number is 02-01-1027-001-021523-11023-87. The activity of the Ir-192 source on 2/17/23 was 400 GBq when it was shipped. The current activity on 3/31/23 is 7.292 Ci (269.8 GBq).The [common carrier's representative] in Dangerous Goods Administration stated that, '[the common carrier's] position is that an exhaustive manual search was completed and the parcel is no longer in our control.'"
Louisiana Event Report ID No.: LA20230006
THIS MATERIAL EVENT CONTAINS A 'Category 3' LEVEL OF RADIOACTIVE MATERIAL
Category 3 sources, if not safely managed or securely protected, could cause permanent injury to a person who handled them, or were otherwise in contact with them, for some hours. It could possibly - although it is unlikely - be fatal to be close to this amount of unshielded radioactive material for a period of days to weeks. These sources are typically used in practices such as fixed industrial gauges involving high activity sources (for example: level gauges, dredger gauges, conveyor gauges and spinning pipe gauges) and well logging. For additional information go to http://www-pub.iaea.org/MTCD/publications/PDF/Pub1227_web.pdf
Power Reactor
Event Number: 56439
Facility: South Texas
Region: 4 State: TX
Unit: [1] [2] []
RX Type: [1] W-4-LP,[2] W-4-LP
NRC Notified By: Luke Netardus
HQ OPS Officer: Thomas Herrity
Region: 4 State: TX
Unit: [1] [2] []
RX Type: [1] W-4-LP,[2] W-4-LP
NRC Notified By: Luke Netardus
HQ OPS Officer: Thomas Herrity
Notification Date: 03/30/2023
Notification Time: 04:26 [ET]
Event Date: 03/30/2023
Event Time: 01:03 [CDT]
Last Update Date: 03/30/2023
Notification Time: 04:26 [ET]
Event Date: 03/30/2023
Event Time: 01:03 [CDT]
Last Update Date: 03/30/2023
Emergency Class: Non Emergency
10 CFR Section:
50.72(b)(2)(xi) - Offsite Notification
10 CFR Section:
50.72(b)(2)(xi) - Offsite Notification
Person (Organization):
Taylor, Nick (R4DO)
Felts, Russell (NRR)
Walker, Shakur (NRR)
Grant, Jeffery (IR)
Taylor, Nick (R4DO)
Felts, Russell (NRR)
Walker, Shakur (NRR)
Grant, Jeffery (IR)
| Unit | SCRAM Code | RX Crit | Initial PWR | Initial RX Mode | Current PWR | Current RX Mode |
|---|---|---|---|---|---|---|
| 1 | N | Y | 0 | Refueling | 0 | Refueling |
| 2 | N | Y | 100 | Power Operation | 100 | Power Operation |
OFFSITE NOTIFICATION DUE TO ON-SITE FATALITY
The following information was provided by the licensee via email:
"At approximately 0037 CDT on March 30, 2023, a non-responsive individual at South Texas Project (STP) Electric Generating Station was transported offsite for treatment at an offsite medical facility. The offsite medical facility notified STP Nuclear Operating Company that the individual had been declared deceased as of 0103 CDT.
"The fatality was not work-related, and the individual was outside of the radiologically controlled area.
"This event is reportable in accordance with 10 CFR 50.72(b)(2)(xi) as a four-hour, non-emergency notification for an on-site fatality and notification of another government agency. OSHA will be notified.
"The NRC Resident Inspector has been notified."
The following information was provided by the licensee via email:
"At approximately 0037 CDT on March 30, 2023, a non-responsive individual at South Texas Project (STP) Electric Generating Station was transported offsite for treatment at an offsite medical facility. The offsite medical facility notified STP Nuclear Operating Company that the individual had been declared deceased as of 0103 CDT.
"The fatality was not work-related, and the individual was outside of the radiologically controlled area.
"This event is reportable in accordance with 10 CFR 50.72(b)(2)(xi) as a four-hour, non-emergency notification for an on-site fatality and notification of another government agency. OSHA will be notified.
"The NRC Resident Inspector has been notified."