Event Notification Report for February 15, 2024

AGREEMENT STATE REPORT - CONTAMINATED PACKAGE

The following is a summary of a report received from the North Carolina Department of Health and Human Services via email:

At 1542 EST on February 3, 2024, Forsyth Memorial Hospital Inc., doing business as Novant Health, Forsyth Medical Center Mobile PET/CT Services notified the North Carolina Department of Health and Human Services of a contaminated PETNET Solutions, Inc. transport case.

The transport case, containing fludeoxyglucose (FDG) (46.9 mCi of F-18), was received onboard a mobile coach lab while stationed at Novant Health Huntersville Medical Center. Immediately upon arrival, the technologist performed incoming package surveys. The survey at the surface read 6 mR/hr, and a removable contamination wipe read 33,000 dpm/100 sq cm. Two confirmatory wipes were then taken; both showing similar results. The technologist was able to pinpoint the contaminated spot on the transport case before securing the case onboard the mobile coach hot lab. The technologist then notified the PET/CT supervisor of the results. The supervisor contacted PETNET Winston-Salem who stated they would forward the event details to the PETNET location that dispatched the contaminated transport case, PETNET Columbia, SC.

NC Item number: NC240001

AGREEMENT STATE - STUCK OPEN SHUTTER

The following was received from the Texas Department of State Health Services (the Department) via email:

"On February 8, 2024, the Department was notified by the licensee that, while testing the shutter of a Vega SH-F2B nuclear gauge containing a 200 millicurie (original activity) cesium-137 source, the shutter failed to close. Open is the normal position of the shutter. The license stated there is no risk of exposure to members of the general public or their workers. The licensee may have the repair parts for the shutter already in hand. Additional information will be provided as it is received in accordance with SA-300."

Texas Incident Number: 10087
Texas NMED Number: TX240004

AGREEMENT STATE REPORT - STUCK OPEN SHUTTER

The following was received from the Colorado Department of Public Health and Environment via email:

"While conducting a six-month inspection of an Ohmart/Vega model SH-F2-45 fixed gauge, the shutter would not close. The fixed gauge contains a 375 mCi Cs-137 sealed source and is stuck in the open position. The licensee is following their emergency procedures, and the gauge is in a location that is not accessible by members of the public. The licensee has contacted the manufacturer to repair the gauge."

Colorado Event Report ID No: CO 240002

FITNESS FOR DUTY (FFD) REPORT - NON-LICENSED SUPERVISOR VIOLATED FFD POLICY

The following is a synopsis of information provided by the licensee via email:

On February 13, 2024, a non-licensed supervisor violated the station's FFD policy. The employee's access at Sequoyah Nuclear Plant has been terminated.

The NRC resident inspector has been notified.

OFFSITE NOTIFICATION
The following information was provided by the licensee email:

"At 1227 CST on February 14, 2024, OSHA was notified per 29 CFR 1904.39(a)(2) that an individual was transported to an offsite medical facility for treatment that required the individual to be admitted to the hospital. The individual was not working in a radiologically control area when the injury occurred.

"This event is being reported pursuant to 10 CFR 50.72(b)(2)(xi).

"The NRC Regional Inspector has been notified of this event."

The following additional information was obtained from the licensee in accordance with Headquarters Operations Officers Report Guidance:

The injured individual was working in an office environment prior to needing medical treatment.