Event Notification Report for December 04, 2015
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
12/03/2015 - 12/04/2015
Agreement State
Event Number: 51590
Rep Org: PA BUREAU OF RADIATION PROTECTION
Licensee: GEISINGER HEALTH SYSTEM
Region: 1
City: Danville State: PA
County:
License #: PA-0006
Agreement: Y
Docket:
NRC Notified By: JOE MELNIC
HQ OPS Officer: JEFF HERRERA
Licensee: GEISINGER HEALTH SYSTEM
Region: 1
City: Danville State: PA
County:
License #: PA-0006
Agreement: Y
Docket:
NRC Notified By: JOE MELNIC
HQ OPS Officer: JEFF HERRERA
Notification Date: 12/07/2015
Notification Time: 14:39 [ET]
Event Date: 12/04/2015
Event Time: 00:00 [EST]
Last Update Date: 12/07/2015
Notification Time: 14:39 [ET]
Event Date: 12/04/2015
Event Time: 00:00 [EST]
Last Update Date: 12/07/2015
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
GLENN DENTEL (R1DO)
NMSS_EVENTS_NOTIFIC (EMAI)
GLENN DENTEL (R1DO)
NMSS_EVENTS_NOTIFIC (EMAI)
AGREEMENT STATE REPORT - DELIVERED DOSE OF YTTRIUM-90 LESS THAN PRESCRIBED DOSE
The following report was received from the Pennsylvania Department of Environmental Protection via facsimile:
"On 12/4/2015, a patient was scheduled for a yttrium-90 (Y-90) Sirsphere procedure. The prescribed dose on the written directive was 10 mCi. The ion chamber measurements indicated a delivered dose of 7.72 mCi (-22.8% of prescribed dose). Both the patient and referring physician were notified. No harm is expected to the patient.
"A reactive inspection is planned by the Pennsylvania Department of Environmental Protection."
Pennsylvania Event Report ID No: PA150032
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.
The following report was received from the Pennsylvania Department of Environmental Protection via facsimile:
"On 12/4/2015, a patient was scheduled for a yttrium-90 (Y-90) Sirsphere procedure. The prescribed dose on the written directive was 10 mCi. The ion chamber measurements indicated a delivered dose of 7.72 mCi (-22.8% of prescribed dose). Both the patient and referring physician were notified. No harm is expected to the patient.
"A reactive inspection is planned by the Pennsylvania Department of Environmental Protection."
Pennsylvania Event Report ID No: PA150032
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: 51591
Rep Org: PA BUREAU OF RADIATION PROTECTION
Licensee: US STEEL
Region: 1
City: WEST MIFFLIN State: PA
County:
License #: PA-G0309
Agreement: Y
Docket:
NRC Notified By: JOE M. MELNIC
HQ OPS Officer: JEFF HERRERA
Licensee: US STEEL
Region: 1
City: WEST MIFFLIN State: PA
County:
License #: PA-G0309
Agreement: Y
Docket:
NRC Notified By: JOE M. MELNIC
HQ OPS Officer: JEFF HERRERA
Notification Date: 12/07/2015
Notification Time: 15:08 [ET]
Event Date: 12/04/2015
Event Time: 00:00 [EST]
Last Update Date: 12/07/2015
Notification Time: 15:08 [ET]
Event Date: 12/04/2015
Event Time: 00:00 [EST]
Last Update Date: 12/07/2015
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
GLENN DENTEL (R1DO)
NMSS_EVENTS_NOTIFIC (EMAI)
GLENN DENTEL (R1DO)
NMSS_EVENTS_NOTIFIC (EMAI)
AGREEMENT STATE - TWO GAUGE SHUTTERS FAILED TO CLOSE
The following report was provided by the Pennsylvania Department of Environmental Protection via facsimile:
"Two separate shutter issues occurred during gauge standardization procedures on December 4, 2015. The shutters failed to close completely. All proper lock out procedures were followed and leak tests and survey data revealed no elevated radiation levels. A service provider has been contacted for repairs.
"Gauge #1
Radionuclide: Am-241
Manufacturer: Accu-Ray
Source Model#: S-16
Source SN#: AM-109
Device Model: U-3
Device SN#: 6631901
Activity: 1 Ci
"Gauge #2
Radionuclide: Am-241
Manufacturer: IRMS
Source Model#: S-16
Source SN#: AM-1149
Device Model: TG-2
Device SN#: OOM0397 -15
Activity: 3 Ci
"A reactive inspection is planned by the Pennsylvania Department of Environmental Protection. More information will be provided upon receipt."
Pennsylvania Event Report ID No: PA150033
The following report was provided by the Pennsylvania Department of Environmental Protection via facsimile:
"Two separate shutter issues occurred during gauge standardization procedures on December 4, 2015. The shutters failed to close completely. All proper lock out procedures were followed and leak tests and survey data revealed no elevated radiation levels. A service provider has been contacted for repairs.
"Gauge #1
Radionuclide: Am-241
Manufacturer: Accu-Ray
Source Model#: S-16
Source SN#: AM-109
Device Model: U-3
Device SN#: 6631901
Activity: 1 Ci
"Gauge #2
Radionuclide: Am-241
Manufacturer: IRMS
Source Model#: S-16
Source SN#: AM-1149
Device Model: TG-2
Device SN#: OOM0397 -15
Activity: 3 Ci
"A reactive inspection is planned by the Pennsylvania Department of Environmental Protection. More information will be provided upon receipt."
Pennsylvania Event Report ID No: PA150033