Report to Congress on abnormal occurrences, April--June 1994: Volume 17, Number 2

Section 208 of the Energy Reorganization Act of 1974 identifies an abnormal occurrence (AO) as an unscheduled incident or event that the Nuclear Regulatory Commission determines to be significant from the standpoint of public health or safety and requires a quarterly report of such events to be made to Congress. This report provides a description of those events that have been determined to be abnormal occurrences during the period of April 1 through June 30, 1994. This report addresses seven abnormal occurrences (AOs) at NRC-licensed facilities. Five involved medical brachytherapy misadministrations, one involved a medical teletherapy misadministration, and one involved a medical sodium iodide misadministration. Four AOs were reported by the Agreement States as of August 3, 1994. Two involved medical brachytherapy misadministrations, one involved a radiation burn received by an industrial radiographer, and one involved a lost well logging source. The report also contains updates of seven AOs previously reported by NRC licensees and five AOs previously reported by Agreement State licensees. Three ''Other Events of Interest'' are also reported. One involved a deliberate cover up of an error in a diagnostic radiopharmaceutical administration at an NRC licensee, one involved an Order Suspending License and Demand for Information at an NRC licensee, and one involved an overexposure of an industrial radiographer at an Agreement State licensee