Event Notification Report for June 21, 2019
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
06/20/2019 - 06/21/2019
!!!!! THIS EVENT HAS BEEN RETRACTED !!!!!
!!!!! THIS EVENT HAS BEEN RETRACTED !!!!!
Agreement State
Event Number: 54128
Rep Org: TEXAS DEPT OF STATE HEALTH SERVICES
Licensee: ACUREN INSPECTION
Region: 4
City: LA PORTE State: TX
County:
License #: LL01774
Agreement: Y
Docket:
NRC Notified By: ROBERT FREE
HQ OPS Officer: CATY NOLAN
Licensee: ACUREN INSPECTION
Region: 4
City: LA PORTE State: TX
County:
License #: LL01774
Agreement: Y
Docket:
NRC Notified By: ROBERT FREE
HQ OPS Officer: CATY NOLAN
Notification Date: 06/24/2019
Notification Time: 15:19 [ET]
Event Date: 06/21/2019
Event Time: 00:00 [CDT]
Last Update Date: 08/01/2019
Notification Time: 15:19 [ET]
Event Date: 06/21/2019
Event Time: 00:00 [CDT]
Last Update Date: 08/01/2019
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
10 CFR Section:
AGREEMENT STATE
Person (Organization):
JEREMY GROOM (R4DO)
GRETCHEN RIVERA-CAPELLA (NMSS DAY)
NMSS_EVENTS_NOTIFICATION (EMAIL)
PATRICIA MILLIGAN (INES)
JEREMY GROOM (R4DO)
GRETCHEN RIVERA-CAPELLA (NMSS DAY)
NMSS_EVENTS_NOTIFICATION (EMAIL)
PATRICIA MILLIGAN (INES)
AGREEMENT STATE REPORT - OVEREXPOSURE DURING RADIOGRAPHY
The following report was received from the Texas Department of State Health Services (the Agency) via email:
"The licensee called [the Agency] to report an event involving a radiographer and trainee. They were conducting [non-destructive testing] NDT on pipe, shooting 8 second shots with a 76.3 Curie Ir-192 source and a QSA Global D888 camera. The radiographer went to the darkroom to complete some paperwork. The trainee took down film and moved the collimator to the next shot location. It was about then [the trainee] realized [the trainee] had not retracted the source. [The trainee] reported the mistake to the radiographer trainer. The trainee did not have dosimetry and did not conduct a camera survey prior to moving the camera. Both the trainer and trainee were issued RadEye G's so they did not have direct reading dosimeters. [The trainer and trainee] took the trainee's dosimeter that was left in the truck and decided to expose it to the source for a few seconds. Then they reported that [the trainee] received 145 mrem on his dosimeter. When the RSO questioned them, they told [the RSO] what had happened and [the RSO] then conducted a time dose study. Based on reenactment, the RSO determined the trainee was exposed to the source about 6 seconds. The calculations indicated the trainee may have received 1456 rem to the hand. [The RSO] didn't take credit for the collimator shielding and used 5.9 R/hr/Curie at 1 foot as the basis for the calculation. The radiographer and trainee have been placed on administrative leave pending a decision from the company's review board. [The Agency] told [the licensee] that it would be investigating this event and that it will want to interview the radiographer and trainee."
The Agency believes the calculated dose may be high but will follow-up during the investigation.
Texas Incident #: 9691
* * * UPDATE ON 06/27/2019 AT 1531 EDT FROM KAREN BLANCHARD TO JEFFREY WHITED * * *
The following report was received from the Texas Department of State Health Services (the Agency) via email:
"During an investigation, the Agency learned there had been a miscommunication in the dose the licensee reported for the radiographer trainee's hand. The dose was not 1456 rem. The licensee is working with a consultant to make both a hand and whole body dose calculation. With the information provided, it appears the calculated dose to the radiographer trainee's hand should be less than 10 rem, which is below the regulatory reporting limit. The licensee will continue to monitor the radiographer trainee's hand. More information will be provided as it is obtained in accordance with SA-300."
Notified R4DO (Groom) NMSS (Rivera-Capella) and NMSS Events and INES (Milligan) via e-mail.
* * * RETRACTION ON 8/1/19 AT 1725 EDT FROM KAREN BLANCHARD TO MICHAEL BLOODGOOD * * *
The following retraction information was obtained from the state of Texas via email:
"Miscommunication during initial incident reporting. Exposure was well below reporting requirement/no overexposure."
Notified R4DO (Groom) and NMSS Event Notifications via email.
The following report was received from the Texas Department of State Health Services (the Agency) via email:
"The licensee called [the Agency] to report an event involving a radiographer and trainee. They were conducting [non-destructive testing] NDT on pipe, shooting 8 second shots with a 76.3 Curie Ir-192 source and a QSA Global D888 camera. The radiographer went to the darkroom to complete some paperwork. The trainee took down film and moved the collimator to the next shot location. It was about then [the trainee] realized [the trainee] had not retracted the source. [The trainee] reported the mistake to the radiographer trainer. The trainee did not have dosimetry and did not conduct a camera survey prior to moving the camera. Both the trainer and trainee were issued RadEye G's so they did not have direct reading dosimeters. [The trainer and trainee] took the trainee's dosimeter that was left in the truck and decided to expose it to the source for a few seconds. Then they reported that [the trainee] received 145 mrem on his dosimeter. When the RSO questioned them, they told [the RSO] what had happened and [the RSO] then conducted a time dose study. Based on reenactment, the RSO determined the trainee was exposed to the source about 6 seconds. The calculations indicated the trainee may have received 1456 rem to the hand. [The RSO] didn't take credit for the collimator shielding and used 5.9 R/hr/Curie at 1 foot as the basis for the calculation. The radiographer and trainee have been placed on administrative leave pending a decision from the company's review board. [The Agency] told [the licensee] that it would be investigating this event and that it will want to interview the radiographer and trainee."
The Agency believes the calculated dose may be high but will follow-up during the investigation.
Texas Incident #: 9691
* * * UPDATE ON 06/27/2019 AT 1531 EDT FROM KAREN BLANCHARD TO JEFFREY WHITED * * *
The following report was received from the Texas Department of State Health Services (the Agency) via email:
"During an investigation, the Agency learned there had been a miscommunication in the dose the licensee reported for the radiographer trainee's hand. The dose was not 1456 rem. The licensee is working with a consultant to make both a hand and whole body dose calculation. With the information provided, it appears the calculated dose to the radiographer trainee's hand should be less than 10 rem, which is below the regulatory reporting limit. The licensee will continue to monitor the radiographer trainee's hand. More information will be provided as it is obtained in accordance with SA-300."
Notified R4DO (Groom) NMSS (Rivera-Capella) and NMSS Events and INES (Milligan) via e-mail.
* * * RETRACTION ON 8/1/19 AT 1725 EDT FROM KAREN BLANCHARD TO MICHAEL BLOODGOOD * * *
The following retraction information was obtained from the state of Texas via email:
"Miscommunication during initial incident reporting. Exposure was well below reporting requirement/no overexposure."
Notified R4DO (Groom) and NMSS Event Notifications via email.
Agreement State
Event Number: 54606
Rep Org: COLORADO DEPT OF HEALTH
Licensee: SOUTH PLATTE WATER RENEWAL PARTNERS
Region: 4
City: ENGLEWOOD State: CO
County:
License #: GL001320
Agreement: Y
Docket:
NRC Notified By: KATHRYN MOTE
HQ OPS Officer: BETHANY CECERE
Licensee: SOUTH PLATTE WATER RENEWAL PARTNERS
Region: 4
City: ENGLEWOOD State: CO
County:
License #: GL001320
Agreement: Y
Docket:
NRC Notified By: KATHRYN MOTE
HQ OPS Officer: BETHANY CECERE
Notification Date: 03/24/2020
Notification Time: 17:25 [ET]
Event Date: 06/21/2019
Event Time: 00:00 [MDT]
Last Update Date: 03/24/2020
Notification Time: 17:25 [ET]
Event Date: 06/21/2019
Event Time: 00:00 [MDT]
Last Update Date: 03/24/2020
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
10 CFR Section:
AGREEMENT STATE
Person (Organization):
RAY KELLAR (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB (EMAIL)
RAY KELLAR (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB (EMAIL)
AGREEMENT STATE REPORT - LOST TRITIUM EXIT SIGNS
The following summary was received from the state of Colorado via email:
The State is reporting four (4) lost tritium exit signs, containing 10 Ci each. The signs were not accounted for during annual registration. The licensee stated that the signs were never installed in the facility.
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 summary was received from the state of Colorado via email:
The State is reporting four (4) lost tritium exit signs, containing 10 Ci each. The signs were not accounted for during annual registration. The licensee stated that the signs were never installed in the facility.
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