Event Notification Report for July 01, 2022
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
06/30/2022 - 07/01/2022
Non-Agreement State
Event Number: 56022
Rep Org: George Washington University
Licensee: George Washington University Hospital
Region: 1
City: Washington State: DC
County:
License #: 08-30607-01
Agreement: N
Docket:
NRC Notified By: Sarah Mills
HQ OPS Officer: Mike Stafford
Licensee: George Washington University Hospital
Region: 1
City: Washington State: DC
County:
License #: 08-30607-01
Agreement: N
Docket:
NRC Notified By: Sarah Mills
HQ OPS Officer: Mike Stafford
Notification Date: 07/29/2022
Notification Time: 12:52 [ET]
Event Date: 07/01/2022
Event Time: 00:00 [EDT]
Last Update Date: 07/29/2022
Notification Time: 12:52 [ET]
Event Date: 07/01/2022
Event Time: 00:00 [EDT]
Last Update Date: 07/29/2022
Emergency Class: Non Emergency
10 CFR Section:
20.2201(a)(1)(ii) - Lost/Stolen LNM>10x
10 CFR Section:
20.2201(a)(1)(ii) - Lost/Stolen LNM>10x
Person (Organization):
Werkheiser, Dave (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB, (EMAIL)
Werkheiser, Dave (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB, (EMAIL)
LOST IODINE-125 IMPLANT SEED
The following information was obtained from the licensee in accordance with Headquarters Operations Officers Report Guidance:
On 7/1/22 a 200 microCurie I-125 implant seed was lost. The seed was discovered to be missing on 7/5/22. Licensee staff verified that the seed had arrived in the pathology lab. A survey of the lab was performed and showed that the seed was not in the lab, in the trash, in the sample, and did not remain in the patient. The licensee believes the seed was most likely washed down a drain.
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 obtained from the licensee in accordance with Headquarters Operations Officers Report Guidance:
On 7/1/22 a 200 microCurie I-125 implant seed was lost. The seed was discovered to be missing on 7/5/22. Licensee staff verified that the seed had arrived in the pathology lab. A survey of the lab was performed and showed that the seed was not in the lab, in the trash, in the sample, and did not remain in the patient. The licensee believes the seed was most likely washed down a drain.
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: 56151
Rep Org: Colorado Dept of Health
Licensee: Westin Hotel - Westminster
Region: 4
City: Westminster State: CO
County:
License #: GL000738
Agreement: Y
Docket:
NRC Notified By: Kathryn Kirk
HQ OPS Officer: Ian Howard
Licensee: Westin Hotel - Westminster
Region: 4
City: Westminster State: CO
County:
License #: GL000738
Agreement: Y
Docket:
NRC Notified By: Kathryn Kirk
HQ OPS Officer: Ian Howard
Notification Date: 10/06/2022
Notification Time: 03:24 [ET]
Event Date: 07/01/2022
Event Time: 00:00 [MDT]
Last Update Date: 10/06/2022
Notification Time: 03:24 [ET]
Event Date: 07/01/2022
Event Time: 00:00 [MDT]
Last Update Date: 10/06/2022
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
Dixon, John (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB, (EMAIL)
MacDonald, Mark (ILTAB)
Dixon, John (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB, (EMAIL)
MacDonald, Mark (ILTAB)
AGREEMENT STATE REPORT - LOST EXIT SIGNS
The following is a summary of information received from the State of Colorado via email:
On 07/01/22, the licensee reported the loss of 5 exit signs.
Manufacturer: Isolite Corporation and Safety Light Corporation
Model Numbers: SLX60 and 2040
Isotope and Activity: H3, (two SLX60's with 6.2 Curies each) and (three 2040's with 7.5 Curies each)
Colorado Event Report Identification Number: C0220034
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 is a summary of information received from the State of Colorado via email:
On 07/01/22, the licensee reported the loss of 5 exit signs.
Manufacturer: Isolite Corporation and Safety Light Corporation
Model Numbers: SLX60 and 2040
Isotope and Activity: H3, (two SLX60's with 6.2 Curies each) and (three 2040's with 7.5 Curies each)
Colorado Event Report Identification Number: C0220034
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