Event Notification Report for September 19, 2018
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
09/18/2018 - 09/19/2018
Agreement State
Event Number: 53613
Rep Org: OHIO BUREAU OF RADIATION PROTECTION
Licensee: THE CLEVELAND CLINIC FOUNDATION
Region: 3
City: CLEVELAND State: OH
County:
License #: 02110180013
Agreement: Y
Docket:
NRC Notified By: MICHAEL RUBADUE
HQ OPS Officer: ANDREW WAUGH
Licensee: THE CLEVELAND CLINIC FOUNDATION
Region: 3
City: CLEVELAND State: OH
County:
License #: 02110180013
Agreement: Y
Docket:
NRC Notified By: MICHAEL RUBADUE
HQ OPS Officer: ANDREW WAUGH
Notification Date: 09/19/2018
Notification Time: 14:40 [ET]
Event Date: 09/19/2018
Event Time: 00:00 [EDT]
Last Update Date: 09/19/2018
Notification Time: 14:40 [ET]
Event Date: 09/19/2018
Event Time: 00:00 [EDT]
Last Update Date: 09/19/2018
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
10 CFR Section:
AGREEMENT STATE
Person (Organization):
ROBERT ORLIKOWSKI (R3DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ROBERT ORLIKOWSKI (R3DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
AGREEMENT STATE REPORT - PACKAGE ARRIVED WITH SURFACE CONTAMINATION
The following information was obtained from the Ohio Department of Health via email:
"At approximately 0730 EDT on 9/19/18, a package containing Tc-99m was received by the Cleveland Clinic Foundation from Cardinal Health in
Oakwood, OH that exceeded the DOT surface contamination limits. The contact dose rates were incompliance. An initial wipe for removable
contamination showed 1258 cpm over 300 cm2 of the package surface. Wipes of the handle (10759 cpm), the zipper (11290 cpm) and the
top address label cover (24342 cpm) identified additional removable contamination on the package. Conversion to dpm with appropriate area
correction resulted in 2946 dpm/cm2.
"No other contamination was found in the lab or package receipt area.
"A follow-up inspection at Cardinal Health in Oakwood will be conducted to determine the cause of the event."
Ohio NMED Report No.: OH180008
The following information was obtained from the Ohio Department of Health via email:
"At approximately 0730 EDT on 9/19/18, a package containing Tc-99m was received by the Cleveland Clinic Foundation from Cardinal Health in
Oakwood, OH that exceeded the DOT surface contamination limits. The contact dose rates were incompliance. An initial wipe for removable
contamination showed 1258 cpm over 300 cm2 of the package surface. Wipes of the handle (10759 cpm), the zipper (11290 cpm) and the
top address label cover (24342 cpm) identified additional removable contamination on the package. Conversion to dpm with appropriate area
correction resulted in 2946 dpm/cm2.
"No other contamination was found in the lab or package receipt area.
"A follow-up inspection at Cardinal Health in Oakwood will be conducted to determine the cause of the event."
Ohio NMED Report No.: OH180008
Agreement State
Event Number: 53614
Rep Org: CALIFORNIA RADIATION CONTROL PRGM
Licensee: EARTH SYSTEMS PACIFIC
Region: 4
City: VENTURA State: CA
County:
License #: 8166-56
Agreement: Y
Docket:
NRC Notified By: DONALD OESTERLE
HQ OPS Officer: PHIL NATIVIDAD
Licensee: EARTH SYSTEMS PACIFIC
Region: 4
City: VENTURA State: CA
County:
License #: 8166-56
Agreement: Y
Docket:
NRC Notified By: DONALD OESTERLE
HQ OPS Officer: PHIL NATIVIDAD
Notification Date: 09/20/2018
Notification Time: 15:24 [ET]
Event Date: 09/19/2018
Event Time: 00:00 [PDT]
Last Update Date: 09/20/2018
Notification Time: 15:24 [ET]
Event Date: 09/19/2018
Event Time: 00:00 [PDT]
Last Update Date: 09/20/2018
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
10 CFR Section:
AGREEMENT STATE
Person (Organization):
NEIL O'KEEFE (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
NEIL O'KEEFE (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
AGREEMENT STATE REPORT - DAMAGED GAUGE AT CONSTRUCTION SITE
The following information was received from the State of California via email:
"On September 19, 2018, the [Radiation Safety Officer] RSO notified the [California Radiological Health Branch] that a CPN soils gauge, model MC-1DR # MD00605736 containing 10 mCi of Cs-137 and 50 mCi of Am-241/Be had been run over by construction equipment at a temporary job site in Camarillo, CA. The gauge operator had placed the gauge near his test area, but was 15 feet away when the accident occurred. After the accident, he immediately stopped all work in the area and cordoned off an area 30 feet around the damaged gauge before calling his RSO.
"A radiation survey meter was available from a local radiography company who met the RSO and the gauge operator at accident site. The shaft housing the rod above the cesium source was snapped off from the gauge. The source was in the 'safe mode' during the accident and remained in the shielded area of the gauge. The gauge was able to be loaded into the shipping container for return to the permanent storage location. Radiation surveys were performed with a Bicron GM detector and no contamination was found in the area. The root cause is operator error by the gauge operator. The gauge will be disposed thru the manufacturer (CPN)."
California Report No.: 5010-091918
The following information was received from the State of California via email:
"On September 19, 2018, the [Radiation Safety Officer] RSO notified the [California Radiological Health Branch] that a CPN soils gauge, model MC-1DR # MD00605736 containing 10 mCi of Cs-137 and 50 mCi of Am-241/Be had been run over by construction equipment at a temporary job site in Camarillo, CA. The gauge operator had placed the gauge near his test area, but was 15 feet away when the accident occurred. After the accident, he immediately stopped all work in the area and cordoned off an area 30 feet around the damaged gauge before calling his RSO.
"A radiation survey meter was available from a local radiography company who met the RSO and the gauge operator at accident site. The shaft housing the rod above the cesium source was snapped off from the gauge. The source was in the 'safe mode' during the accident and remained in the shielded area of the gauge. The gauge was able to be loaded into the shipping container for return to the permanent storage location. Radiation surveys were performed with a Bicron GM detector and no contamination was found in the area. The root cause is operator error by the gauge operator. The gauge will be disposed thru the manufacturer (CPN)."
California Report No.: 5010-091918
Non-Agreement State
Event Number: 53669
Rep Org: CLOROX
Licensee: CLOROX
Region: 1
City: SAN JUAN State: PR
County:
License #: GL
Agreement: N
Docket:
NRC Notified By: TRACY GLOVER
HQ OPS Officer: VINCE KLCO
Licensee: CLOROX
Region: 1
City: SAN JUAN State: PR
County:
License #: GL
Agreement: N
Docket:
NRC Notified By: TRACY GLOVER
HQ OPS Officer: VINCE KLCO
Notification Date: 10/16/2018
Notification Time: 10:12 [ET]
Event Date: 09/19/2018
Event Time: 00:00 [EDT]
Last Update Date: 10/16/2018
Notification Time: 10:12 [ET]
Event Date: 09/19/2018
Event Time: 00:00 [EDT]
Last Update Date: 10/16/2018
Emergency Class: NON EMERGENCY
10 CFR Section:
20.2201(a)(1)(i) - LOST/STOLEN LNM>1000X
10 CFR Section:
20.2201(a)(1)(i) - LOST/STOLEN LNM>1000X
Person (Organization):
MATT YOUNG (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB (EMAIL)
MATT YOUNG (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB (EMAIL)
MISSING FIXED GAUGE
The Clorox Company discovered a missing fixed gauge containing radioactive material. The gauge was a Filtec, model FT-2 containing 100 microCuries of Americium-241. Gauge S/N: 105382; Source S/N: 1786.
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 Clorox Company discovered a missing fixed gauge containing radioactive material. The gauge was a Filtec, model FT-2 containing 100 microCuries of Americium-241. Gauge S/N: 105382; Source S/N: 1786.
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