Event Notification Report for March 13, 2019
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
03/12/2019 - 03/13/2019
EVENT NUMBERS
53992
Non-Agreement State
Event Number: 53992
Rep Org: BROOKE ARMY MEDICAL CENTER
Licensee: BROOKE ARMY MEDICAL CENTER
Region: 4
City: SAN ANTONIO State: TX
County:
License #: 42-01368-01
Agreement: N
Docket:
NRC Notified By: KEVIN MARTILLA
HQ OPS Officer: CATY NOLAN
Licensee: BROOKE ARMY MEDICAL CENTER
Region: 4
City: SAN ANTONIO State: TX
County:
License #: 42-01368-01
Agreement: N
Docket:
NRC Notified By: KEVIN MARTILLA
HQ OPS Officer: CATY NOLAN
Notification Date: 04/11/2019
Notification Time: 18:19 [ET]
Event Date: 03/13/2019
Event Time: 00:00 [CDT]
Last Update Date: 04/11/2019
Notification Time: 18:19 [ET]
Event Date: 03/13/2019
Event Time: 00:00 [CDT]
Last Update Date: 04/11/2019
Emergency Class: NON EMERGENCY
10 CFR Section:
20.2201(a)(1)(ii) - LOST/STOLEN LNM>10X
10 CFR Section:
20.2201(a)(1)(ii) - LOST/STOLEN LNM>10X
Person (Organization):
GREG WERNER (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB (EMAIL)
- CNSNS (MEXICO) (EMAIL)
GREG WERNER (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB (EMAIL)
- CNSNS (MEXICO) (EMAIL)
LOST I-125 SEEDS
The following is a synopsis from a phone call:
At Brooke Army Medical Center, two I-125 seeds were lost on October 16, 2018. One source was 156 microCuries and the second source was 158 microCuries, totaling approximately 314 microCuries at the time. The sources were not realized missing until March 13, 2019, when the activity would have been approximately 28 microCuries each, totaling 56 microCuries.
Investigation is ongoing and actions to prevent recurrence are being implemented. There was no significant exposure above dose limits.
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 is a synopsis from a phone call:
At Brooke Army Medical Center, two I-125 seeds were lost on October 16, 2018. One source was 156 microCuries and the second source was 158 microCuries, totaling approximately 314 microCuries at the time. The sources were not realized missing until March 13, 2019, when the activity would have been approximately 28 microCuries each, totaling 56 microCuries.
Investigation is ongoing and actions to prevent recurrence are being implemented. There was no significant exposure above dose limits.
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