Event Notification Report for May 11, 2020
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
05/10/2020 - 05/11/2020
EVENT NUMBERS
54703547045470554702
Agreement State
Event Number: 54703
Rep Org: FLORIDA BUREAU OF RADIATION CONTROL
Licensee: Volkert Construction
Region: 1
City: Fort Myers State: FL
County:
License #: 2472-2
Agreement: Y
Docket:
NRC Notified By: Reno Fabii
HQ OPS Officer: Andrew Waugh
Licensee: Volkert Construction
Region: 1
City: Fort Myers State: FL
County:
License #: 2472-2
Agreement: Y
Docket:
NRC Notified By: Reno Fabii
HQ OPS Officer: Andrew Waugh
Notification Date: 05/12/2020
Notification Time: 07:41 [ET]
Event Date: 05/11/2020
Event Time: 20:30 [EDT]
Last Update Date: 05/12/2020
Notification Time: 07:41 [ET]
Event Date: 05/11/2020
Event Time: 20:30 [EDT]
Last Update Date: 05/12/2020
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
CHRISTOPHER LALLY (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB (EMAIL)
CHRISTOPHER LALLY (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB (EMAIL)
AGREEMENT STATE REPORT - LOST GAUGE
The following is a summary of an email received from the state of Florida:
At approximately 2030 EDT on 5/11/2020, a Troxler density gauge (serial number: 28189) fell off the back of one of the licensee's trucks because the chain securing the gauge's case was not properly attached. The gauge has not been located at this time. The gauge contains an 8 milliCurie Cs-137 source and a 40 milliCurie Am-241 source. Nearby police departments, the US Department of Transportation, and the Florida Department of Environmental Protection have all been notified.
Florida Incident Number: FL20-057
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 summary of an email received from the state of Florida:
At approximately 2030 EDT on 5/11/2020, a Troxler density gauge (serial number: 28189) fell off the back of one of the licensee's trucks because the chain securing the gauge's case was not properly attached. The gauge has not been located at this time. The gauge contains an 8 milliCurie Cs-137 source and a 40 milliCurie Am-241 source. Nearby police departments, the US Department of Transportation, and the Florida Department of Environmental Protection have all been notified.
Florida Incident Number: FL20-057
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: 54704
Rep Org: FLORIDA BUREAU OF RADIATION CONTROL
Licensee: Mayo Clinic
Region: 1
City: Jackonsville State: FL
County:
License #: 1812-3
Agreement: Y
Docket:
NRC Notified By: David Pieski
HQ OPS Officer: Andrew Waugh
Licensee: Mayo Clinic
Region: 1
City: Jackonsville State: FL
County:
License #: 1812-3
Agreement: Y
Docket:
NRC Notified By: David Pieski
HQ OPS Officer: Andrew Waugh
Notification Date: 05/12/2020
Notification Time: 09:50 [ET]
Event Date: 05/11/2020
Event Time: 00:00 [EDT]
Last Update Date: 05/12/2020
Notification Time: 09:50 [ET]
Event Date: 05/11/2020
Event Time: 00:00 [EDT]
Last Update Date: 05/12/2020
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
CHRISTOPHER LALLY (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
CHRISTOPHER LALLY (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
AGREEMENT STATE REPORT - PATIENT UNDERDOSE
The following is a summary of an email received from the state of Florida:
A patient underdose occurred during a Y-90 TheraSphere treatment at the licensee on 5/11/20. The patient was prescribed 2.48 GBq of Y-90, but only received 1.86 GBq (75% of the prescribed dose). The underdose was caused by the catheter being displaced during patient movement.
Florida Incident Number: FL20-056
A Medical Event may indicate potential problems in a medical facility's use of radioactive materials. It does not necessarily result in harm to the patient.
The following is a summary of an email received from the state of Florida:
A patient underdose occurred during a Y-90 TheraSphere treatment at the licensee on 5/11/20. The patient was prescribed 2.48 GBq of Y-90, but only received 1.86 GBq (75% of the prescribed dose). The underdose was caused by the catheter being displaced during patient movement.
Florida Incident Number: FL20-056
A Medical Event may indicate potential problems in a medical facility's use of radioactive materials. It does not necessarily result in harm to the patient.
Agreement State
Event Number: 54705
Rep Org: PA BUREAU OF RADIATION PROTECTION
Licensee: Alaron Corporation
Region: 1
City: Wampum State: PA
County:
License #: PA-0678
Agreement: Y
Docket:
NRC Notified By: John Chippo
HQ OPS Officer: Jeffrey Whited
Licensee: Alaron Corporation
Region: 1
City: Wampum State: PA
County:
License #: PA-0678
Agreement: Y
Docket:
NRC Notified By: John Chippo
HQ OPS Officer: Jeffrey Whited
Notification Date: 05/12/2020
Notification Time: 12:00 [ET]
Event Date: 05/11/2020
Event Time: 00:00 [EDT]
Last Update Date: 05/12/2020
Notification Time: 12:00 [ET]
Event Date: 05/11/2020
Event Time: 00:00 [EDT]
Last Update Date: 05/12/2020
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
CHRISTOPHER LALLY (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
CHRISTOPHER LALLY (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
AGREEMENT STATE REPORT - RADIATION LEVEL ON PACKAGE EXCEEDS DOT LIMITS
The following was received via email:
"On May 11, 2020 the licensee received a 10 gallon drum that fell outside of the Department of Transportation (DOT) dose rate level limitations. The package came from Cadman Materials, Inc. in Vancouver WA. The material inside is a gauge with a Cs-137 sealed source inside with an activity of 100 millicuries (3700 MBq). The package was shipped as UN2915, Radioactive Material Type A Package with Yellow-II labeling and a Transport Index of 0.1. Upon survey at receipt, the container exhibited dose rates of 3.4 rem/hr on contact, 240 mrem/hr at 12 inches, and 18 mrem/hr at 3.3 feet. The delivering carrier, and the client, Cadman Materials, have been notified. The Pennsylvania Bureau of Radiation Protection will update this event as soon as more information is provided."
The event is reportable per 10 CFR 20.1906(d)(2).
PA Event Report ID No: PA200012
The following was received via email:
"On May 11, 2020 the licensee received a 10 gallon drum that fell outside of the Department of Transportation (DOT) dose rate level limitations. The package came from Cadman Materials, Inc. in Vancouver WA. The material inside is a gauge with a Cs-137 sealed source inside with an activity of 100 millicuries (3700 MBq). The package was shipped as UN2915, Radioactive Material Type A Package with Yellow-II labeling and a Transport Index of 0.1. Upon survey at receipt, the container exhibited dose rates of 3.4 rem/hr on contact, 240 mrem/hr at 12 inches, and 18 mrem/hr at 3.3 feet. The delivering carrier, and the client, Cadman Materials, have been notified. The Pennsylvania Bureau of Radiation Protection will update this event as soon as more information is provided."
The event is reportable per 10 CFR 20.1906(d)(2).
PA Event Report ID No: PA200012
Agreement State
Event Number: 54702
Rep Org: ILLINOIS EMERGENCY MGMT. AGENCY
Licensee: TESTING SERVICE CORPORATION
Region: 3
City: CAROL STREAM State: IL
County:
License #: IL-01178-01
Agreement: Y
Docket:
NRC Notified By: Gary Foresee
HQ OPS Officer: Brian Lin
Licensee: TESTING SERVICE CORPORATION
Region: 3
City: CAROL STREAM State: IL
County:
License #: IL-01178-01
Agreement: Y
Docket:
NRC Notified By: Gary Foresee
HQ OPS Officer: Brian Lin
Notification Date: 05/11/2020
Notification Time: 21:55 [ET]
Event Date: 05/11/2020
Event Time: 00:00 [CDT]
Last Update Date: 05/11/2020
Notification Time: 21:55 [ET]
Event Date: 05/11/2020
Event Time: 00:00 [CDT]
Last Update Date: 05/11/2020
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
ANN MARIE STONE (R3DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ANN MARIE STONE (R3DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
AGREEMENT STATE REPORT - TROXLER GAUGE DESTROYED BY BULLDOZER
The following was received from the Illinois Emergency Management Agency via email:
"The Illinois Emergency Management Agency (IEMA) communications center was notified at approximately 1942 [CDT] on 5/11/20 by the radiation safety officer for Testing Service Corp., license number IL-01178-01, to advise that a gauge user operating a Troxler model 3440 was struck by a bulldozer. The gauge user is reportedly fine, but the gauge was destroyed. The density gauge, serial number 72404, contains 8 mCi of Cs-137 and 40 mCi of Am-241/Be. Reportedly the source rod remained intact and both sources were identified and recovered into a lead drum. The licensee does possess a Geiger Muller survey meter and reported an external survey rate of 0.4 mR/hour on the outside of the drum (0.0 mR/hour is the reported background). The incident occurred at the southeast corner of Vollmer and Harlem in Matteson, IL. The sources were transported back to the licensee's facility. Agency inspectors are meeting with the licensee at 0700 [CDT] on 5/12/20 to verify the recovery of both sources, perform gross leak tests, advise on appropriate follow-up actions, and perform a site survey in Matteson. The licensee has already been in contact with the manufacturer for advice and instructions for returning the sources."
Illinois Event No.: IL200007
The following was received from the Illinois Emergency Management Agency via email:
"The Illinois Emergency Management Agency (IEMA) communications center was notified at approximately 1942 [CDT] on 5/11/20 by the radiation safety officer for Testing Service Corp., license number IL-01178-01, to advise that a gauge user operating a Troxler model 3440 was struck by a bulldozer. The gauge user is reportedly fine, but the gauge was destroyed. The density gauge, serial number 72404, contains 8 mCi of Cs-137 and 40 mCi of Am-241/Be. Reportedly the source rod remained intact and both sources were identified and recovered into a lead drum. The licensee does possess a Geiger Muller survey meter and reported an external survey rate of 0.4 mR/hour on the outside of the drum (0.0 mR/hour is the reported background). The incident occurred at the southeast corner of Vollmer and Harlem in Matteson, IL. The sources were transported back to the licensee's facility. Agency inspectors are meeting with the licensee at 0700 [CDT] on 5/12/20 to verify the recovery of both sources, perform gross leak tests, advise on appropriate follow-up actions, and perform a site survey in Matteson. The licensee has already been in contact with the manufacturer for advice and instructions for returning the sources."
Illinois Event No.: IL200007