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Event Notification Report for March 15, 2017

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
03/14/2017 - 03/15/2017

** EVENT NUMBERS **


52593 52595 52596 52598

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Agreement State Event Number: 52593
Rep Org: NEW YORK STATE DEPT. OF HEALTH
Licensee: NOT PROVIDED
Region: 1
City:  State: NY
County:
License #:
Agreement: Y
Docket:
NRC Notified By: JANAKI KRISHNAMOORTHY
HQ OPS Officer: JEFF ROTTON
Notification Date: 03/06/2017
Notification Time: 11:40 [ET]
Event Date: 03/04/2017
Event Time: [EST]
Last Update Date: 03/06/2017
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
JAMES DWYER (R1DO)
NMSS_EVENTS_NOTIFICA (EMAI)

This material event contains a "Less than Cat 3 " level of radioactive material.

Event Text

AGREEMENT STATE REPORT - MISSING IODINE 125 CALIBRATION SOURCES

The following information was provided by the State of New York via Facsimile:

"A New York Licensee's RSO [Radiation Safety Officer] left voice mail on March 5, Sunday afternoon, stating that he was informed on the evening of the previous day (March 4, 2017) that 2 vials containing 15 seeds of I-125 that were to be used for calibration purposes were missing from their inventory. The total activity of the 15 seeds was reported to be less than 7 mCi. The surface exposure rates at the exterior of the lead shielded vials was stated to be at background radiation levels. The AU [Authorizing User] physician and the RSO conducted a thorough search on March 5, 2017, but and were unable to locate the seeds.

"DOH will staff became aware of the event earlier this morning [March 6, 2017] on arrival at work. Will update after following up with the licensee."

NY State Event Report ID NO. NYDOH-NY-17-05

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

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Agreement State Event Number: 52595
Rep Org: TEXAS DEPT OF STATE HEALTH SERVICES
Licensee: TICONA POLYMERS INC
Region: 4
City: BISHOP State: TX
County:
License #: L-02411
Agreement: Y
Docket:
NRC Notified By: GENTRY HEARN
HQ OPS Officer: BETHANY CECERE
Notification Date: 03/07/2017
Notification Time: 11:32 [ET]
Event Date: 03/06/2017
Event Time: 18:30 [CST]
Last Update Date: 03/07/2017
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
JESSE ROLLINS (R4DO)
NMSS_EVENTS_NOTIFICA (EMAI)

Event Text

AGREEMENT STATE REPORT - STUCK SHUTTER DEVICE

The following was received by email from the Texas Department of State Health Services:

"On March 7, 2017, the Agency [Texas Department of State Health Services] was contacted by a representative of the licensee to report that on the previous day a gauge was found to have a stuck shutter. The gauge is a Berthold LB 7442D with a 30 mCi Cs-137 source. The shutter is stuck in the normal operating position. The licensee is in contact with the manufacturer for a repair plan and with licensing for an exemption to operate the gauge temporarily with a stuck shutter. No exposures to the public are expected. Additional information will be shared as it becomes available in accordance with SA-300.

"Texas Incident #: I-9470"

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Non-Agreement State Event Number: 52596
Rep Org: KAKIVIK ASSET MANAGEMENT
Licensee: KAKIVIK ASSET MANAGEMENT
Region: 4
City: ANCHORAGE State: AK
County:
License #: 50-27667-01
Agreement: N
Docket:
NRC Notified By: PATTON PETTIJOHN
HQ OPS Officer: JEFF ROTTON
Notification Date: 03/07/2017
Notification Time: 13:44 [ET]
Event Date: 03/06/2017
Event Time: 20:00 [YST]
Last Update Date: 03/13/2017
Emergency Class: NON EMERGENCY
10 CFR Section:
30.50(b)(2) - SAFETY EQUIPMENT FAILURE
Person (Organization):
JESSE ROLLINS (R4DO)
ANGELA MCINTOSH (NMSS)
NMSS_EVENTS_NOTIFICA (EMAI)

Event Text

RADIOGRAPHY CAMERA SOURCE DID NOT LOCK IN THE SHIELDED POSITION WHEN RETRACTED

While performing radiography in arctic conditions at the Alpine oil field between ice roads CD1 and CD5, the radiographer retracted the source after an exposure and failed to recognize that the source was not in the locked position. Prior to moving the radiography camera to the next area for an exposure, the survey indicated the source was in the shielded position. The radiographer picked up the camera to take it to the next weld location for an exposure. When the radiographer placed the radiography camera down, his dosimeter rate alarm sounded, his survey meter (on the 10 scale setting) was off scale and his pocket dosimeter was off scale. It is believed that during the moving of the camera to the next shot location the source came out of the fully shielded position. The exact time and distance of the exposure is not known. Calculations show that the radiographer may have received between 3.5R - 39R of exposure. The radiographer's dosimeter has been sent for processing and results are expected in approximately 2 days. The assistant radiographer was not in the direct vicinity and received no exposure due to this event. The radiography camera involved was a QSA Global Model 880D with a 84.6 Ci Ir-192 source.

* * * UPDATE FROM PATTON PETTIJOHN TO HOWIE CROUCH AT 1148 EDT ON 3/13/17 * * *

The badge reading of the radiographer indicated that he received 452 mR exposure for the month therefore no overexposures occurred due to this event.

Notified R4DO (O'Keefe), NMSS (McIntosh) and NMSS Events Notification email.

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Agreement State Event Number: 52598
Rep Org: CALIFORNIA RADIATION CONTROL PRGM
Licensee: REGENTS OF THE UNIVERSITY OF CA-UCSF
Region: 4
City: SAN FRANCISCO State: CA
County:
License #: 1725-38
Agreement: Y
Docket:
NRC Notified By: ARUNIKA HEWADIKARAM
HQ OPS Officer: JEFF ROTTON
Notification Date: 03/07/2017
Notification Time: 20:00 [ET]
Event Date: 02/23/2017
Event Time: [PST]
Last Update Date: 03/07/2017
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
JESSE ROLLINS (R4DO)
NMSS_EVENTS_NOTIFICA (EMAI)
ILTAB (EMAI)
CNSNS (MEXICO) (EMAI)

This material event contains a "Less than Cat 3 " level of radioactive material.

Event Text

AGREEMENT STATE REPORT - LOST I-125 SEED

The following information was provided by the State of California via email:

"On 02/23/17, the RSO [Radiation Safety Officer] contacted RHB [California Radiologic Health Branch] to report a lost I-125 seed with an activity of 0.388 mCi. Licensee stated that three lead pigs each with an I-125 seed (0.303 mCi and 0.388 mCi from February 22nd and a 0.388 mCi I-125 seed from February 8th) believed to be accidentally thrown in Mission Bay Hospital general waste. When this was discovered, licensee contacted Recology, requested an urgent pickup of their waste compactor container at Recology site on 02/23/17. Digging through the waste, licensee was able to locate two of the three lead pigs (both from February 22nd). The pig containing 0.388 mCi I-125 from February 8th was not recovered and believed to be buried in the landfill. UCSF [University of California, San Francisco] was getting seeds from Oncura, [which] was recently bought out by Theragenics. UCSF medical physicists were accustomed to receiving just the patient seeds. Theragenics, the new vendor, had included an additional calibration seed in a separate led pig in the same package and physicist were not looking for this additional seed.

"RHB will be following up on the corrective actions."

CA 5010 Number: 022317

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

Page Last Reviewed/Updated Wednesday, March 15, 2017
Wednesday, March 15, 2017