Event Notification Report for July 03, 2023
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
07/02/2023 - 07/03/2023
Agreement State
Event Number: 56639
Rep Org: New York State Dept. of Health
Licensee: Sisters of Charity Hospital
Region: 1
City: Buffalo State: NY
County:
License #: 2911
Agreement: Y
Docket:
NRC Notified By: Daniel Samson
HQ OPS Officer: Thomas Herrity
Licensee: Sisters of Charity Hospital
Region: 1
City: Buffalo State: NY
County:
License #: 2911
Agreement: Y
Docket:
NRC Notified By: Daniel Samson
HQ OPS Officer: Thomas Herrity
Notification Date: 07/25/2023
Notification Time: 16:23 [ET]
Event Date: 07/03/2023
Event Time: 00:00 [EDT]
Last Update Date: 07/25/2023
Notification Time: 16:23 [ET]
Event Date: 07/03/2023
Event Time: 00:00 [EDT]
Last Update Date: 07/25/2023
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
Bickett, Carey (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB, (EMAIL) (EMAIL)
Bickett, Carey (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB, (EMAIL) (EMAIL)
AGREEMENT STATE REPORT - LOST SEED
The following information was provided by the New York Department of Health via email:
"A patient at Sisters of Charity Hospital in Buffalo, RAM license 2911, was implanted with a Best Medical International model 2301, serial no. 56305C, I-125 localization seed (108.76 microcurie) on 6/23/23 for a surgical removal scheduled on 6/26/23. The seed was in the breast specimen when it arrived in pathology on 6/26/23 (Activity was 105.08 microcurie) and was supposedly removed, bagged, and stored in the proper storage area. Personnel from nuclear medicine retrieved the seeds from the pathology storage unit on 7/3/23 and filled out the log sheet and the chain of custody paperwork. While bringing the seeds to the nuclear medicine decay closet, a nuclear medical technician (NMT) noticed that one of the bags with seeds in it (they retrieved 4 seeds that day from pathology) had a seed that seemed thicker than the others. Upon further investigation, it was noted that there was a clip and not an I-125 seed in the one bag. NMT staff Immediately went and monitored all areas in pathology (floor, work areas, sharp containers, garbage of the remaining specimen and the patient slides). No activity was noted. Staff contacted the boiler house, and no radioactive waste has been discovered leaving the premises. The licensee believes that the seed possibly went down the drain in the pathology lab. As a precaution, the licensee plans to set up a dedicated area to survey the biohazard bag with the seed in it and the sink drain will be covered during dissection. This seed is considered lost with no reasonable probability of recapture."
New York State Event Report Number: NY-23-06
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 Department of Health via email:
"A patient at Sisters of Charity Hospital in Buffalo, RAM license 2911, was implanted with a Best Medical International model 2301, serial no. 56305C, I-125 localization seed (108.76 microcurie) on 6/23/23 for a surgical removal scheduled on 6/26/23. The seed was in the breast specimen when it arrived in pathology on 6/26/23 (Activity was 105.08 microcurie) and was supposedly removed, bagged, and stored in the proper storage area. Personnel from nuclear medicine retrieved the seeds from the pathology storage unit on 7/3/23 and filled out the log sheet and the chain of custody paperwork. While bringing the seeds to the nuclear medicine decay closet, a nuclear medical technician (NMT) noticed that one of the bags with seeds in it (they retrieved 4 seeds that day from pathology) had a seed that seemed thicker than the others. Upon further investigation, it was noted that there was a clip and not an I-125 seed in the one bag. NMT staff Immediately went and monitored all areas in pathology (floor, work areas, sharp containers, garbage of the remaining specimen and the patient slides). No activity was noted. Staff contacted the boiler house, and no radioactive waste has been discovered leaving the premises. The licensee believes that the seed possibly went down the drain in the pathology lab. As a precaution, the licensee plans to set up a dedicated area to survey the biohazard bag with the seed in it and the sink drain will be covered during dissection. This seed is considered lost with no reasonable probability of recapture."
New York State Event Report Number: NY-23-06
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
Power Reactor
Event Number: 56606
Facility: Quad Cities
Region: 3 State: IL
Unit: [1] [2] []
RX Type: [1] GE-3,[2] GE-3
NRC Notified By: Lincoln Brown
HQ OPS Officer: Ernest West
Region: 3 State: IL
Unit: [1] [2] []
RX Type: [1] GE-3,[2] GE-3
NRC Notified By: Lincoln Brown
HQ OPS Officer: Ernest West
Notification Date: 07/03/2023
Notification Time: 17:03 [ET]
Event Date: 07/03/2023
Event Time: 15:30 [CDT]
Last Update Date: 07/03/2023
Notification Time: 17:03 [ET]
Event Date: 07/03/2023
Event Time: 15:30 [CDT]
Last Update Date: 07/03/2023
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):
McCraw, Aaron (R3DO)
McCraw, Aaron (R3DO)
| 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 |
OFFSITE NOTIFICATION
The following information was provided by the licensee via phone and email:
"At 1530 [EDT] on July 3, 2023, Constellation Generation Company, LLC reported to the Illinois Environmental Protection Agency and the Illinois Emergency Management Agency and Office of Homeland Security (IEMA-OHS) that tritium concentrations in existing monitoring wells in a known [10 CFR] 50.75(g) recovery area were found higher than normal [at Quad Cities Nuclear Generating Station]. This higher than normal tritium concentration did not exceed any NRC regulations or reporting criteria and there is no indication of a liquid release beyond the site boundary. This notification is being made solely as a four-hour, non-emergency notification for a notification of other government agency in accordance with 10 CFR 50.72(b)(2)(xi).
"There was no impact on the health and safety of the public or plant personnel. The NRC Resident Inspector has been notified."
The following information was provided by the licensee via phone and email:
"At 1530 [EDT] on July 3, 2023, Constellation Generation Company, LLC reported to the Illinois Environmental Protection Agency and the Illinois Emergency Management Agency and Office of Homeland Security (IEMA-OHS) that tritium concentrations in existing monitoring wells in a known [10 CFR] 50.75(g) recovery area were found higher than normal [at Quad Cities Nuclear Generating Station]. This higher than normal tritium concentration did not exceed any NRC regulations or reporting criteria and there is no indication of a liquid release beyond the site boundary. This notification is being made solely as a four-hour, non-emergency notification for a notification of other government agency in accordance with 10 CFR 50.72(b)(2)(xi).
"There was no impact on the health and safety of the public or plant personnel. The NRC Resident Inspector has been notified."