Event Notification Report for February 18, 2019
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
02/17/2019 - 02/18/2019
Agreement State
Event Number: 53882
Rep Org: LOUISIANA RADIATION PROTECTION DIV
Licensee: BLUE CUBE SOLUTIONS, LLC
Region: 4
City: PLAQUEMINE State: LA
County:
License #: LA-13286-L01AI#196702
Agreement: Y
Docket:
NRC Notified By: JOSEPH NOBLE
HQ OPS Officer: THOMAS KENDZIA
Licensee: BLUE CUBE SOLUTIONS, LLC
Region: 4
City: PLAQUEMINE State: LA
County:
License #: LA-13286-L01AI#196702
Agreement: Y
Docket:
NRC Notified By: JOSEPH NOBLE
HQ OPS Officer: THOMAS KENDZIA
Notification Date: 02/19/2019
Notification Time: 11:32 [ET]
Event Date: 02/18/2019
Event Time: 00:00 [CST]
Last Update Date: 02/19/2019
Notification Time: 11:32 [ET]
Event Date: 02/18/2019
Event Time: 00:00 [CST]
Last Update Date: 02/19/2019
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
10 CFR Section:
AGREEMENT STATE
Person (Organization):
RICK DEESE (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
RICK DEESE (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
AGREEMENT STATE REPORT - LEVEL DENSITY GAUGE SHUTTER MALFUNCTION
"On 02/18/2019, BCS [Blue Cube Solutions] was performing their routine operational checks of their RAM LICENSED devices. During their routine maintenance checks, the shutter malfunction was discovered. The gauge shutter would not close. BCS called a service contractor, BBP Sales, to evaluate the situation and determine the best course of action to correct the problem.
"The sources and device with the shutter stuck open will remain installed on the process until the repairs are made. This is not a radiation exposure hazard and does not pose a health and safety situation for the BCS employees or the general public.
"The Level Gauge is a KAY RAY Model 7062B device/source holder, S/N KR23306B, loaded with an approximately 100 mCi Cs-137 source.
"LDEQ [Louisiana Department of Environmental Quality] was notified when BCS called the LDEQ Radiation Emergency Hot Line at 0800 CST. The notice was forwarded to the LDEQ/ERSD/Radiation Section. The notification was to get the preliminary information report and meet the 24 hour reporting requirement. Additional information will be provided when available. BCS will provide LDEQ a corrective action and a final report no later than 30 days of the corrective action.
"This event is being reported to the NRC OPERATIONS CENTER as required by Regulatory Requirements 10 CFR Part 30.50(b)(2) & LAC 33:XV 340.B."
Louisiana report LA-190002.
"On 02/18/2019, BCS [Blue Cube Solutions] was performing their routine operational checks of their RAM LICENSED devices. During their routine maintenance checks, the shutter malfunction was discovered. The gauge shutter would not close. BCS called a service contractor, BBP Sales, to evaluate the situation and determine the best course of action to correct the problem.
"The sources and device with the shutter stuck open will remain installed on the process until the repairs are made. This is not a radiation exposure hazard and does not pose a health and safety situation for the BCS employees or the general public.
"The Level Gauge is a KAY RAY Model 7062B device/source holder, S/N KR23306B, loaded with an approximately 100 mCi Cs-137 source.
"LDEQ [Louisiana Department of Environmental Quality] was notified when BCS called the LDEQ Radiation Emergency Hot Line at 0800 CST. The notice was forwarded to the LDEQ/ERSD/Radiation Section. The notification was to get the preliminary information report and meet the 24 hour reporting requirement. Additional information will be provided when available. BCS will provide LDEQ a corrective action and a final report no later than 30 days of the corrective action.
"This event is being reported to the NRC OPERATIONS CENTER as required by Regulatory Requirements 10 CFR Part 30.50(b)(2) & LAC 33:XV 340.B."
Louisiana report LA-190002.
Agreement State
Event Number: 53915
Rep Org: NEW YORK STATE DEPT. OF HEALTH
Licensee: ROSWELL PARK CANCER INSTITUTE CORP.
Region: 1
City: BUFFALO State: NY
County:
License #: 2923
Agreement: Y
Docket:
NRC Notified By: DANIEL J. SAMSON
HQ OPS Officer: JEFF HERRERA
Licensee: ROSWELL PARK CANCER INSTITUTE CORP.
Region: 1
City: BUFFALO State: NY
County:
License #: 2923
Agreement: Y
Docket:
NRC Notified By: DANIEL J. SAMSON
HQ OPS Officer: JEFF HERRERA
Notification Date: 03/07/2019
Notification Time: 13:56 [ET]
Event Date: 02/18/2019
Event Time: 00:00 [EST]
Last Update Date: 03/07/2019
Notification Time: 13:56 [ET]
Event Date: 02/18/2019
Event Time: 00:00 [EST]
Last Update Date: 03/07/2019
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
10 CFR Section:
AGREEMENT STATE
Person (Organization):
ART BURRITT (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB (EMAIL)
CNSC (CANADA) (EMAIL)
ART BURRITT (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB (EMAIL)
CNSC (CANADA) (EMAIL)
AGREEMENT STATE REPORT - LOST IODINE-125 LOCALIZATION SEED
The following report was received from the New York State Department of Health via email:
"On February 20, 2019 the Department [New York State Department of Health] was notified of a missing I-125 localization seed
(Activity:[approximately] 215 microCuries) at Roswell Park Cancer Institute in Buffalo, New York.
"An lodine-125 localization seed was removed from a patient, along with a specimen, in a procedure that took place on February 18, 2019 (to be confirmed in the written report). Images confirm that the seed was removed from the patient. The seed and specimen are believed to have been delivered to the facility's Pathology Department. The RSO [Radiation Safety Officer] was informed of the missing seed on February 19, 2019. Currently, the facility is trying to locate the missing seed. Updates will be provided as they become available."
Event Report ID No.: NYDOH-19-03
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 report was received from the New York State Department of Health via email:
"On February 20, 2019 the Department [New York State Department of Health] was notified of a missing I-125 localization seed
(Activity:[approximately] 215 microCuries) at Roswell Park Cancer Institute in Buffalo, New York.
"An lodine-125 localization seed was removed from a patient, along with a specimen, in a procedure that took place on February 18, 2019 (to be confirmed in the written report). Images confirm that the seed was removed from the patient. The seed and specimen are believed to have been delivered to the facility's Pathology Department. The RSO [Radiation Safety Officer] was informed of the missing seed on February 19, 2019. Currently, the facility is trying to locate the missing seed. Updates will be provided as they become available."
Event Report ID No.: NYDOH-19-03
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