Event Notification Report for July 30, 2015
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
07/29/2015 - 07/30/2015
EVENT NUMBERS
51278512765128751431
Agreement State
Event Number: 51278
Rep Org: WA OFFICE OF RADIATION PROTECTION
Licensee: KLEINFELDER, INC.
Region: 4
City: Redmond State: WA
County:
License #: WN-I0475
Agreement: Y
Docket:
NRC Notified By: CRAIG LAWRENCE
HQ OPS Officer: DANIEL MILLS
Licensee: KLEINFELDER, INC.
Region: 4
City: Redmond State: WA
County:
License #: WN-I0475
Agreement: Y
Docket:
NRC Notified By: CRAIG LAWRENCE
HQ OPS Officer: DANIEL MILLS
Notification Date: 07/30/2015
Notification Time: 18:18 [ET]
Event Date: 07/30/2015
Event Time: 00:00 [PDT]
Last Update Date: 07/30/2015
Notification Time: 18:18 [ET]
Event Date: 07/30/2015
Event Time: 00:00 [PDT]
Last Update Date: 07/30/2015
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
GREG WARNICK (R4DO)
NMSS_EVENTS_NOTIFIC (EMAI)
GREG WARNICK (R4DO)
NMSS_EVENTS_NOTIFIC (EMAI)
AGREEMENT STATE REPORT - DAMAGED MOISTURE DENSITY GAUGE
The following was received from the State of Washington via email:
"A Troxler 3440 gauge used by Kleinfelder, Inc., license number WN-I0475, fell from the back of a truck onto the middle of the runway at Seatac airport. The only sign of damage was to the circuit board. The source rod was undamaged and still works. Reporting requirement WAC 246-221-250(2)(f)(ii) - Damage affects the integrity of the radioactive material or its container."
The gauge contains 10 mCi of Cs-137 and 50 mCi of Am-241/Be. The damage is attributed to a failure to block and brace equipment.
Washington Incident Number WA-15-026
The following was received from the State of Washington via email:
"A Troxler 3440 gauge used by Kleinfelder, Inc., license number WN-I0475, fell from the back of a truck onto the middle of the runway at Seatac airport. The only sign of damage was to the circuit board. The source rod was undamaged and still works. Reporting requirement WAC 246-221-250(2)(f)(ii) - Damage affects the integrity of the radioactive material or its container."
The gauge contains 10 mCi of Cs-137 and 50 mCi of Am-241/Be. The damage is attributed to a failure to block and brace equipment.
Washington Incident Number WA-15-026
Agreement State
Event Number: 51276
Rep Org: OK DEQ RAD MANAGEMENT
Licensee: AMERICAN PIPING INSPECTION, INC
Region: 4
City: TULSA State: OK
County:
License #: OK-27438-02
Agreement: Y
Docket:
NRC Notified By: LIBBY McCASKILL
HQ OPS Officer: MARK ABRAMOVITZ
Licensee: AMERICAN PIPING INSPECTION, INC
Region: 4
City: TULSA State: OK
County:
License #: OK-27438-02
Agreement: Y
Docket:
NRC Notified By: LIBBY McCASKILL
HQ OPS Officer: MARK ABRAMOVITZ
Notification Date: 07/30/2015
Notification Time: 09:48 [ET]
Event Date: 07/30/2015
Event Time: 08:30 [CDT]
Last Update Date: 07/30/2015
Notification Time: 09:48 [ET]
Event Date: 07/30/2015
Event Time: 08:30 [CDT]
Last Update Date: 07/30/2015
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
GREG WARNICK (R4DO)
NMSS_EVENTS_NOTIFICA (EMAI)
GREG WARNICK (R4DO)
NMSS_EVENTS_NOTIFICA (EMAI)
AGREEMENT STATE REPORT - RADIOGRAPHY TRUCK (WITH CAMERA) STOLEN AND RECOVERED
The following report was received from the State of Oklahoma via e-mail:
"At about 0830 [CDT] American Piping Inspection, Inc., [license] OK-27438-02 (Tulsa, OK) reported to [the State of Oklahoma] that one of their radiography trucks was stolen and that there was a radiography camera on board. The truck has GPS and the company had tracked the truck to North Garnett Street in Tulsa, OK and the police were enroute.
[At approximately 0930 CDT], "the radiography camera was recovered by the company [American Piping Inspection, Inc]."
The thieves were in the truck when the police arrived. The thieves departed the scene on foot and were not apprehended. There was no apparent damage to the truck or the camera.
Device Model Number: Spec. G-60, containing 100 curies of IR-192.
THIS MATERIAL EVENT CONTAINS A "CATEGORY 2" LEVEL OF RADIOACTIVE MATERIAL
Category 2 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 a short time (minutes to hours). It could possibly be fatal to be close to this amount of unshielded radioactive material for a period of hours to days. These sources are typically used in practices such as industrial gamma radiography, high dose rate brachytherapy and medium dose rate brachytherapy. For additional information go to http://www-pub.iaea.org/MTCD/publications/PDF/Pub1227_web.pdf
The following report was received from the State of Oklahoma via e-mail:
"At about 0830 [CDT] American Piping Inspection, Inc., [license] OK-27438-02 (Tulsa, OK) reported to [the State of Oklahoma] that one of their radiography trucks was stolen and that there was a radiography camera on board. The truck has GPS and the company had tracked the truck to North Garnett Street in Tulsa, OK and the police were enroute.
[At approximately 0930 CDT], "the radiography camera was recovered by the company [American Piping Inspection, Inc]."
The thieves were in the truck when the police arrived. The thieves departed the scene on foot and were not apprehended. There was no apparent damage to the truck or the camera.
Device Model Number: Spec. G-60, containing 100 curies of IR-192.
THIS MATERIAL EVENT CONTAINS A "CATEGORY 2" LEVEL OF RADIOACTIVE MATERIAL
Category 2 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 a short time (minutes to hours). It could possibly be fatal to be close to this amount of unshielded radioactive material for a period of hours to days. These sources are typically used in practices such as industrial gamma radiography, high dose rate brachytherapy and medium dose rate brachytherapy. For additional information go to http://www-pub.iaea.org/MTCD/publications/PDF/Pub1227_web.pdf
Non-Agreement State
Event Number: 51287
Rep Org: SANFORD HEALTH
Licensee: SANFORD HEALTH
Region: 4
City: SIOUX FALLS State: SD
County:
License #: 40-12378-01
Agreement: N
Docket:
NRC Notified By: STEVEN MOECKLY
HQ OPS Officer: JEFF ROTTON
Licensee: SANFORD HEALTH
Region: 4
City: SIOUX FALLS State: SD
County:
License #: 40-12378-01
Agreement: N
Docket:
NRC Notified By: STEVEN MOECKLY
HQ OPS Officer: JEFF ROTTON
Notification Date: 08/04/2015
Notification Time: 18:09 [ET]
Event Date: 07/30/2015
Event Time: 12:00 [CDT]
Last Update Date: 08/04/2015
Notification Time: 18:09 [ET]
Event Date: 07/30/2015
Event Time: 12:00 [CDT]
Last Update Date: 08/04/2015
Emergency Class: NON EMERGENCY
10 CFR Section:
35.3045(a)(1) - DOSE <> PRESCRIBED DOSAGE
10 CFR Section:
35.3045(a)(1) - DOSE <> PRESCRIBED DOSAGE
Person (Organization):
RAY AZUA (R4DO)
NMSS_EVENTS_NOTIFIC (EMAI)
RAY AZUA (R4DO)
NMSS_EVENTS_NOTIFIC (EMAI)
MEDICAL EVENT RESULTING FROM ACTUAL TREATMENT DOSE 30 PERCENT GREATER THAN PRESCRIBED
On 7/31/2015, a patient was undergoing a single treatment for liver cancer using Y-90 microspheres (SIR-Spheres) with a prescribed dose from the physicians written directive of 29.43 milliCi. On 8/4/2015, it was discovered that the patient actually received 38.2 milliCi dose due a calculation error based on the physician's initial written directive when the physician had decided on a final dose reduction prior to treatment. The physician has been notified and believes that there will be no adverse effects to the patient. The patient will be notified on 8/5/2015.
A Medical Event may indicate potential problems in a medical facility's use of radioactive materials. It does not necessarily result in harm to the patient.
On 7/31/2015, a patient was undergoing a single treatment for liver cancer using Y-90 microspheres (SIR-Spheres) with a prescribed dose from the physicians written directive of 29.43 milliCi. On 8/4/2015, it was discovered that the patient actually received 38.2 milliCi dose due a calculation error based on the physician's initial written directive when the physician had decided on a final dose reduction prior to treatment. The physician has been notified and believes that there will be no adverse effects to the patient. The patient will be notified on 8/5/2015.
A Medical Event may indicate potential problems in a medical facility's use of radioactive materials. It does not necessarily result in harm to the patient.
Agreement State
Event Number: 51431
Rep Org: NEW YORK STATE DEPT. OF HEALTH
Licensee: LEHIGH NORTHEAST CEMENT COMPANY
Region: 1
City: GENS FALLS State: NY
County:
License #: C3003
Agreement: Y
Docket:
NRC Notified By: DANIEL J. SAMSON
HQ OPS Officer: HOWIE CROUCH
Licensee: LEHIGH NORTHEAST CEMENT COMPANY
Region: 1
City: GENS FALLS State: NY
County:
License #: C3003
Agreement: Y
Docket:
NRC Notified By: DANIEL J. SAMSON
HQ OPS Officer: HOWIE CROUCH
Notification Date: 09/29/2015
Notification Time: 14:42 [ET]
Event Date: 07/30/2015
Event Time: 00:00 [EDT]
Last Update Date: 09/29/2015
Notification Time: 14:42 [ET]
Event Date: 07/30/2015
Event Time: 00:00 [EDT]
Last Update Date: 09/29/2015
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
FRED BOWER (R1DO)
NMSS_EVENTS_NOTIFIC (EMAI)
CNSC (CANADA) (FAX)
FRED BOWER (R1DO)
NMSS_EVENTS_NOTIFIC (EMAI)
CNSC (CANADA) (FAX)
NEW YORK AGREEMENT STATE REPORT - LOST STRONTIUM-90 CALIBRATOR SOURCE
The following information was received from the state of New York via facsimile:
"A routine inspection by the NYS Department of Health resulted in a finding that a Thermo Fisher Scientific Model 885326 Ser. No. B7131 point level gauge calibrator source had not been used since 2011. Licensee efforts to locate the device following the inspection were not successful. The source was officially deemed missing July 30, 2015. The device contained a 2 microCurie Strontium 90 source. The licensee states that at some time between the original installation in 2001 and 2003, the board on which the Sr-90 source was installed, failed and was replaced by a new electronic test board that did not require a radioactive source. Thermo Fisher did the installation. Neither the facility nor Thermo Fisher have any documentation showing the disposition of the Sr-90 source."
NYS Event Report ID No.: NYDOH-15-09
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 received from the state of New York via facsimile:
"A routine inspection by the NYS Department of Health resulted in a finding that a Thermo Fisher Scientific Model 885326 Ser. No. B7131 point level gauge calibrator source had not been used since 2011. Licensee efforts to locate the device following the inspection were not successful. The source was officially deemed missing July 30, 2015. The device contained a 2 microCurie Strontium 90 source. The licensee states that at some time between the original installation in 2001 and 2003, the board on which the Sr-90 source was installed, failed and was replaced by a new electronic test board that did not require a radioactive source. Thermo Fisher did the installation. Neither the facility nor Thermo Fisher have any documentation showing the disposition of the Sr-90 source."
NYS Event Report ID No.: NYDOH-15-09
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