Event Notification Report for August 01, 2019
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
07/31/2019 - 08/01/2019
Agreement State
Event Number: 54193
Rep Org: COLORADO DEPT OF HEALTH
Licensee: UNIVERSITY OF COLORADO HOSPITAL
Region: 4
City: ANSCHUTZ State: CO
County: AURORA
License #: 828-01
Agreement: Y
Docket:
NRC Notified By: SHIYA WANG
HQ OPS Officer: THOMAS KENDZIA
Licensee: UNIVERSITY OF COLORADO HOSPITAL
Region: 4
City: ANSCHUTZ State: CO
County: AURORA
License #: 828-01
Agreement: Y
Docket:
NRC Notified By: SHIYA WANG
HQ OPS Officer: THOMAS KENDZIA
Notification Date: 08/01/2019
Notification Time: 18:13 [ET]
Event Date: 08/01/2019
Event Time: 15:30 [MDT]
Last Update Date: 08/01/2019
Notification Time: 18:13 [ET]
Event Date: 08/01/2019
Event Time: 15:30 [MDT]
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)
LANCE ENGLISH (ILTAB)
NMSS_EVENTS_NOTIFICATION (EMAIL)
JEREMY GROOM (R4DO)
LANCE ENGLISH (ILTAB)
NMSS_EVENTS_NOTIFICATION (EMAIL)
AGREEMENT STATE REPORT - POSSIBLE LOST RADIOACTIVE MATERIAL
The following was received from the Colorado Department of Public Health and Environment (CDPHE) via e-mail:
"The licensee reported at approximately 1530 hrs. [MDT] of August 1, 2019 to CDPHE that there was a package in the morning of August 1, 2019, with its shipping paper indicating two vials of Lu-177 (200 mCi). The licensee only has 1 vial in possession and the nuclear medicine technician who opened the package did not remember seeing two vials in the package. The package has been disposed of in the hospital dumpster before the licensee identified this. The licensee surveyed the dumpster but did not identify any source of Lu-177. The licensee contacted the vendor and is awaiting more information from the vendor regarding whether a second vial was ever shipped from the vendor to the licensee."
Colorado Event Report No: CO190015
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 was received from the Colorado Department of Public Health and Environment (CDPHE) via e-mail:
"The licensee reported at approximately 1530 hrs. [MDT] of August 1, 2019 to CDPHE that there was a package in the morning of August 1, 2019, with its shipping paper indicating two vials of Lu-177 (200 mCi). The licensee only has 1 vial in possession and the nuclear medicine technician who opened the package did not remember seeing two vials in the package. The package has been disposed of in the hospital dumpster before the licensee identified this. The licensee surveyed the dumpster but did not identify any source of Lu-177. The licensee contacted the vendor and is awaiting more information from the vendor regarding whether a second vial was ever shipped from the vendor to the licensee."
Colorado Event Report No: CO190015
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
Agreement State
Event Number: 54194
Rep Org: TEXAS DEPT OF STATE HEALTH SERVICES
Licensee: OILPATCH NDT LLC
Region: 4
City: HOUSTON State: TX
County:
License #: L026718
Agreement: Y
Docket:
NRC Notified By: ARTHUR TUCKER
HQ OPS Officer: BRIAN P. SMITH
Licensee: OILPATCH NDT LLC
Region: 4
City: HOUSTON State: TX
County:
License #: L026718
Agreement: Y
Docket:
NRC Notified By: ARTHUR TUCKER
HQ OPS Officer: BRIAN P. SMITH
Notification Date: 08/02/2019
Notification Time: 11:27 [ET]
Event Date: 08/01/2019
Event Time: 00:00 [CDT]
Last Update Date: 08/02/2019
Notification Time: 11:27 [ET]
Event Date: 08/01/2019
Event Time: 00:00 [CDT]
Last Update Date: 08/02/2019
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
10 CFR Section:
AGREEMENT STATE
Person (Organization):
JEREMY GROOM (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
JEREMY GROOM (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
AGREEMENT STATE REPORT - STUCK RADIOGRAPHY SOURCE
The following was received via e-mail from the Texas Department of State Health Services:
"On August 2, 2019, the Agency was notified by the licensee's radiation safety officer (RSO) that a radiography crew was unable to retract a 56 Curie iridium - 192 source into a INC R100 exposure device. The radiographers set up a 2 millirem boundary and contacted the RSO. The RSO went to the scene and found that the guide tube had a sharp bend in it and would not let the source pass through the bend. The RSO straightened the guide tube and was able to return the source to the exposure device. No overexposures occurred. The guide tube has been removed from use."
Texas Event Report No: 9698
The following was received via e-mail from the Texas Department of State Health Services:
"On August 2, 2019, the Agency was notified by the licensee's radiation safety officer (RSO) that a radiography crew was unable to retract a 56 Curie iridium - 192 source into a INC R100 exposure device. The radiographers set up a 2 millirem boundary and contacted the RSO. The RSO went to the scene and found that the guide tube had a sharp bend in it and would not let the source pass through the bend. The RSO straightened the guide tube and was able to return the source to the exposure device. No overexposures occurred. The guide tube has been removed from use."
Texas Event Report No: 9698
Agreement State
Event Number: 54195
Rep Org: GEORGIA RADIOACTIVE MATERIAL PGM
Licensee: BASF
Region: 1
City: State: GA
County:
License #: GA 178-1
Agreement: Y
Docket:
NRC Notified By: IRENE BENNETT
HQ OPS Officer: BRIAN P. SMITH
Licensee: BASF
Region: 1
City: State: GA
County:
License #: GA 178-1
Agreement: Y
Docket:
NRC Notified By: IRENE BENNETT
HQ OPS Officer: BRIAN P. SMITH
Notification Date: 08/02/2019
Notification Time: 15:49 [ET]
Event Date: 08/01/2019
Event Time: 00:00 [EDT]
Last Update Date: 08/02/2019
Notification Time: 15:49 [ET]
Event Date: 08/01/2019
Event Time: 00:00 [EDT]
Last Update Date: 08/02/2019
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
10 CFR Section:
AGREEMENT STATE
Person (Organization):
FRED BOWER (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB (EMAIL)
FRED BOWER (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB (EMAIL)
AGREEMENT STATE REPORT - FIRE IN BUILDING CONTAINING RADIOACTIVE SOURCES
We received the following notification via email from the Georgia Environmental Protection Division:
"On August 2, 2019, our program [Georgia Environmental Protection Division] received a call from [the licensee] RSO, reporting a fire in a building at their facility that stored 6 radioactive sources. The fire occurred on August 1, 2019, is believed to have been caused by an electrical fire which resulted the building to burn to the ground.
"The licensee searched the area, which is approximately 8'X10', in hopes to recover the sources. Only 2 of the 6 sources were recovered. However, the 2 sources are unidentifiable. The 2 sources are currently stored in a bag in a secured building. They are assuming the 4 sources were burned in the fire. The licensee did a general survey of the area but were only able to detect microrem readings.
"Until the area has been determined free of contamination, the area will remain secured. The licensee will collect sample debris and wipe samples to determine if there is any contamination in the area. The samples will be sent off for analysis.
"The Fire Department will not be able to enter the area to determine the cause of the fire until the area is considered free from contamination.
"The licensee will be sending a follow-up report describing the incident, a current inventory of the sources damaged/lost, and current plan to determine the extent of the contamination and disposition of the sources."
THIS MATERIAL EVENT CONTAINS A "NOT RECORDED" LEVEL OF RADIOACTIVE MATERIAL
We received the following notification via email from the Georgia Environmental Protection Division:
"On August 2, 2019, our program [Georgia Environmental Protection Division] received a call from [the licensee] RSO, reporting a fire in a building at their facility that stored 6 radioactive sources. The fire occurred on August 1, 2019, is believed to have been caused by an electrical fire which resulted the building to burn to the ground.
"The licensee searched the area, which is approximately 8'X10', in hopes to recover the sources. Only 2 of the 6 sources were recovered. However, the 2 sources are unidentifiable. The 2 sources are currently stored in a bag in a secured building. They are assuming the 4 sources were burned in the fire. The licensee did a general survey of the area but were only able to detect microrem readings.
"Until the area has been determined free of contamination, the area will remain secured. The licensee will collect sample debris and wipe samples to determine if there is any contamination in the area. The samples will be sent off for analysis.
"The Fire Department will not be able to enter the area to determine the cause of the fire until the area is considered free from contamination.
"The licensee will be sending a follow-up report describing the incident, a current inventory of the sources damaged/lost, and current plan to determine the extent of the contamination and disposition of the sources."
THIS MATERIAL EVENT CONTAINS A "NOT RECORDED" LEVEL OF RADIOACTIVE MATERIAL