Event Notification Report for April 11, 2017
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
04/10/2017 - 04/11/2017
EVENT NUMBERS
52675526725268055178
Agreement State
Event Number: 52675
Rep Org: NC DIV OF RADIATION PROTECTION
Licensee: NC DEPARTMENT OF TRANSPORTATION
Region: 1
City: RALEIGH State: NC
County:
License #: 092-0104-1
Agreement: Y
Docket:
NRC Notified By: DAVID CROWLEY
HQ OPS Officer: HOWIE CROUCH
Licensee: NC DEPARTMENT OF TRANSPORTATION
Region: 1
City: RALEIGH State: NC
County:
License #: 092-0104-1
Agreement: Y
Docket:
NRC Notified By: DAVID CROWLEY
HQ OPS Officer: HOWIE CROUCH
Notification Date: 04/13/2017
Notification Time: 12:23 [ET]
Event Date: 04/11/2017
Event Time: 00:00 [EDT]
Last Update Date: 04/13/2017
Notification Time: 12:23 [ET]
Event Date: 04/11/2017
Event Time: 00:00 [EDT]
Last Update Date: 04/13/2017
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
DON JACKSON (R1DO)
NMSS_EVENTS_NOTIFIC (EMAI)
ILTAB (EMAI)
DON JACKSON (R1DO)
NMSS_EVENTS_NOTIFIC (EMAI)
ILTAB (EMAI)
AGREEMENT STATE REPORT - LOST TROXLER MOISTURE DENSITY GAUGE
The following information was obtained from the state of North Carolina via email:
"1. Essential Details
"a. Narrative event description (e.g., Event circumstances and details including source radionuclide and activity).
RSO [Radiation Safety Officer] discovered gauge missing while doing inventory check on Tuesday, April 11, 2017. It was last checked in the log book on March 8, 2017 when it came back from calibration and leak testing from the manufacturer.
"b. Report identification number.
NC Local NMED 170014
"c. Event date and notification date.
Event discovered 4/11/2017 and notified on 4/12/2017.
"d. Licensee/reporting party information (i.e., name license number, and address).
NC License #: 092-0104-1
Licensee: NC Department of Transportation
Address: 1801 Blue Ridge Rd. Raleigh NC 27607
"e. Location (site) of event.
"f. Whether the event is NRC reportable and the applicable reporting requirement.
10 CFR 20.2201(a)(1)(i)
"g. Cause and corrective actions (States and licensees' actions).
Failure to properly log or check out gauge at time of use. RSO believes that it was checked out to a DOT field office and not properly recorded. They are currently contacting all trainers of gauge users, DOT engineers, and any District Engineers that may have access in order to locate gauge. They are in the process of developing a barcode scan in/out electronic use log to maintain better accountability and knowledge of gauge locations. Final causes/corrective actions are still to be determined.
"h. Notifications: local police, FBI, and other States; as needed.
Upper State DHSR/DHHS [North Carolina Department of Health Service Regulation/Department of Health and Human Services] management notified; working on press release with public information office.
"i. Indicate if there are any generic implications (i.e., generic issues or concerns).
None.
"2. Source/Radioactive Material
Isotope and activity; manufacturer, model and serial number, and leak test results, if applicable.
Nuclear Gauge
Make: Troxler
Model: 4640-B (thin-lift asphalt)
Serial Number: 1628
Type of Source: Cs-137 (8.0 mCi)
Source Serial Number: 75-7134
Leak Test Results: Pass (Performed by manufacturer at last calibration)."
* * * UPDATE FROM DAVID CROWLEY TO HOWIE CROUCH (VIA EMAIL) ON 4/13/17 AT 1535 EDT * * *
"Gauge was discovered back at the manufacturer's facility. It apparently was checked back into the licensee, but something didn't work appropriately (not regarding RAM sources) and went immediately back to the manufacturer. Gauge was not logged appropriately for being shipped right back out and it was forgotten by the licensee sometime in the last month."
Notified R1DO (Jackson) and NMSS Events Resource and ILTAB via email.
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 information was obtained from the state of North Carolina via email:
"1. Essential Details
"a. Narrative event description (e.g., Event circumstances and details including source radionuclide and activity).
RSO [Radiation Safety Officer] discovered gauge missing while doing inventory check on Tuesday, April 11, 2017. It was last checked in the log book on March 8, 2017 when it came back from calibration and leak testing from the manufacturer.
"b. Report identification number.
NC Local NMED 170014
"c. Event date and notification date.
Event discovered 4/11/2017 and notified on 4/12/2017.
"d. Licensee/reporting party information (i.e., name license number, and address).
NC License #: 092-0104-1
Licensee: NC Department of Transportation
Address: 1801 Blue Ridge Rd. Raleigh NC 27607
"e. Location (site) of event.
"f. Whether the event is NRC reportable and the applicable reporting requirement.
10 CFR 20.2201(a)(1)(i)
"g. Cause and corrective actions (States and licensees' actions).
Failure to properly log or check out gauge at time of use. RSO believes that it was checked out to a DOT field office and not properly recorded. They are currently contacting all trainers of gauge users, DOT engineers, and any District Engineers that may have access in order to locate gauge. They are in the process of developing a barcode scan in/out electronic use log to maintain better accountability and knowledge of gauge locations. Final causes/corrective actions are still to be determined.
"h. Notifications: local police, FBI, and other States; as needed.
Upper State DHSR/DHHS [North Carolina Department of Health Service Regulation/Department of Health and Human Services] management notified; working on press release with public information office.
"i. Indicate if there are any generic implications (i.e., generic issues or concerns).
None.
"2. Source/Radioactive Material
Isotope and activity; manufacturer, model and serial number, and leak test results, if applicable.
Nuclear Gauge
Make: Troxler
Model: 4640-B (thin-lift asphalt)
Serial Number: 1628
Type of Source: Cs-137 (8.0 mCi)
Source Serial Number: 75-7134
Leak Test Results: Pass (Performed by manufacturer at last calibration)."
* * * UPDATE FROM DAVID CROWLEY TO HOWIE CROUCH (VIA EMAIL) ON 4/13/17 AT 1535 EDT * * *
"Gauge was discovered back at the manufacturer's facility. It apparently was checked back into the licensee, but something didn't work appropriately (not regarding RAM sources) and went immediately back to the manufacturer. Gauge was not logged appropriately for being shipped right back out and it was forgotten by the licensee sometime in the last month."
Notified R1DO (Jackson) and NMSS Events Resource and ILTAB via email.
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
!!!!! THIS EVENT HAS BEEN RETRACTED !!!!!
!!!!! THIS EVENT HAS BEEN RETRACTED !!!!!
Non-Agreement State
Event Number: 52672
Rep Org: HARRISON STEEL
Licensee: HARRISON STEEL
Region: 3
City: ATTICA State: IN
County:
License #: 13-02141-01
Agreement: N
Docket:
NRC Notified By: AMANDA DILL
HQ OPS Officer: JEFF ROTTON
Licensee: HARRISON STEEL
Region: 3
City: ATTICA State: IN
County:
License #: 13-02141-01
Agreement: N
Docket:
NRC Notified By: AMANDA DILL
HQ OPS Officer: JEFF ROTTON
Notification Date: 04/11/2017
Notification Time: 14:23 [ET]
Event Date: 04/11/2017
Event Time: 12:00 [EDT]
Last Update Date: 04/17/2017
Notification Time: 14:23 [ET]
Event Date: 04/11/2017
Event Time: 12:00 [EDT]
Last Update Date: 04/17/2017
Emergency Class: NON EMERGENCY
10 CFR Section:
20.2202(b)(1) - PERS OVEREXPOSURE/TEDE >= 5 REM
10 CFR Section:
20.2202(b)(1) - PERS OVEREXPOSURE/TEDE >= 5 REM
Person (Organization):
MARK JEFFERS (R3DO)
NMSS_EVENTS_NOTIFICA (EMAI)
MARK JEFFERS (R3DO)
NMSS_EVENTS_NOTIFICA (EMAI)
RADIOGRAPHER LOST FILM BADGE IN VAULT
"On April 11, 2017 our Radiographic Supervisor dropped his film badge within the exposure vault after the clip had broken. [The individual] was not in the exposure vault during any exposure but his badge will reflect an exposure. His badge has been sent for processing this afternoon. [The individual] was working with another radiographer and their exposure amounts for this day should be comparable as to estimating his true daily exposure amount."
* * * RETRACTION ON 4/17/17 AT 1700 EDT FROM AMANDA DILL TO DONG PARK * * *
The event was initially reported by the licensee out of caution. Since the event does not meet reporting criteria, this notification is being retracted.
The licensee notified R3 (Craffey). Notified R3DO (Kunowski) and NMSS Events Notification.
"On April 11, 2017 our Radiographic Supervisor dropped his film badge within the exposure vault after the clip had broken. [The individual] was not in the exposure vault during any exposure but his badge will reflect an exposure. His badge has been sent for processing this afternoon. [The individual] was working with another radiographer and their exposure amounts for this day should be comparable as to estimating his true daily exposure amount."
* * * RETRACTION ON 4/17/17 AT 1700 EDT FROM AMANDA DILL TO DONG PARK * * *
The event was initially reported by the licensee out of caution. Since the event does not meet reporting criteria, this notification is being retracted.
The licensee notified R3 (Craffey). Notified R3DO (Kunowski) and NMSS Events Notification.
Agreement State
Event Number: 52680
Rep Org: MA RADIATION CONTROL PROGRAM
Licensee: HEURESIS CORPORATION
Region: 1
City: NEWTON State: MA
County:
License #: 55-0702
Agreement: Y
Docket:
NRC Notified By: TONY CARPENITO
HQ OPS Officer: HOWIE CROUCH
Licensee: HEURESIS CORPORATION
Region: 1
City: NEWTON State: MA
County:
License #: 55-0702
Agreement: Y
Docket:
NRC Notified By: TONY CARPENITO
HQ OPS Officer: HOWIE CROUCH
Notification Date: 04/14/2017
Notification Time: 14:38 [ET]
Event Date: 04/11/2017
Event Time: 00:00 [EDT]
Last Update Date: 04/14/2017
Notification Time: 14:38 [ET]
Event Date: 04/11/2017
Event Time: 00:00 [EDT]
Last Update Date: 04/14/2017
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
DON JACKSON (R1DO)
NMSS_EVENTS_NOTIFIC (EMAI)
DON JACKSON (R1DO)
NMSS_EVENTS_NOTIFIC (EMAI)
AGREEMENT STATE REPORT - LEAKING SEALED SOURCE
The following information was obtained from the Commonwealth of Massachusetts via email:
"Licensee reported one leaking sealed source (Model A3901-2, S/N P4-892, 6 mCi, Co-57) and one contaminated sealed source (Model A3901-2, S/N P4-898, 6 mCi, Co-57). These were among ten sources received from manufacturer individually wrapped in plastic ziplock bags. Leak test results for the other eight sources indicated that they were free of contamination. Leak test result for SN P4-892 was reported as 5.04 times the 0.005 microCurie wipe test limit and the leak test result for SN P4-898 was reported as 23 percent of the 0.005 microCurie limit. Leak test wipes were taken on 4/10/17 and analyzed on 4/11/17.
"Licensee reported the subject sources were not taken out of their respective bags and did not come into contact with anything other than the leak test swab. Initial survey of the outside of the transport package, and subsequent surveys of gloves worn during the leak testing, work area surfaces, inside the lead pig that contained the plastic bags, and outside the ten individual plastic bags indicated no other contamination present other than the interiors of the two plastic bags containing the two suspect sources and the sources themselves. P4-892 was returned to Eckert and Ziegler for analysis. P4-898 was re-wiped for analysis by licensee's leak testing consultant service.
"Agency [Massachusetts Radiation Control Program] considers this event docket to currently be OPEN."
The following information was obtained from the Commonwealth of Massachusetts via email:
"Licensee reported one leaking sealed source (Model A3901-2, S/N P4-892, 6 mCi, Co-57) and one contaminated sealed source (Model A3901-2, S/N P4-898, 6 mCi, Co-57). These were among ten sources received from manufacturer individually wrapped in plastic ziplock bags. Leak test results for the other eight sources indicated that they were free of contamination. Leak test result for SN P4-892 was reported as 5.04 times the 0.005 microCurie wipe test limit and the leak test result for SN P4-898 was reported as 23 percent of the 0.005 microCurie limit. Leak test wipes were taken on 4/10/17 and analyzed on 4/11/17.
"Licensee reported the subject sources were not taken out of their respective bags and did not come into contact with anything other than the leak test swab. Initial survey of the outside of the transport package, and subsequent surveys of gloves worn during the leak testing, work area surfaces, inside the lead pig that contained the plastic bags, and outside the ten individual plastic bags indicated no other contamination present other than the interiors of the two plastic bags containing the two suspect sources and the sources themselves. P4-892 was returned to Eckert and Ziegler for analysis. P4-898 was re-wiped for analysis by licensee's leak testing consultant service.
"Agency [Massachusetts Radiation Control Program] considers this event docket to currently be OPEN."
Agreement State
Event Number: 55178
Rep Org: NH DEPT OF HEALTH & HUMAN SERVICES
Licensee: OSRAM Sylvania
Region: 1
City: Hillsboro State: NH
County:
License #: General Licensee
Agreement: Y
Docket:
NRC Notified By: David Scalise
HQ OPS Officer: Jeffrey Whited
Licensee: OSRAM Sylvania
Region: 1
City: Hillsboro State: NH
County:
License #: General Licensee
Agreement: Y
Docket:
NRC Notified By: David Scalise
HQ OPS Officer: Jeffrey Whited
Notification Date: 04/07/2021
Notification Time: 13:49 [ET]
Event Date: 04/11/2017
Event Time: 00:00 [EDT]
Last Update Date: 04/07/2021
Notification Time: 13:49 [ET]
Event Date: 04/11/2017
Event Time: 00:00 [EDT]
Last Update Date: 04/07/2021
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
WERKHEISER, DAVE (R1)
NMSS_EVENTS_NOTIFICATION, (EMAIL)
ILTAB, (EMAIL)
CNSC (CANADA), - (FAX)
WERKHEISER, DAVE (R1)
NMSS_EVENTS_NOTIFICATION, (EMAIL)
ILTAB, (EMAIL)
CNSC (CANADA), - (FAX)
EN Revision Imported Date: 5/7/2021
EN Revision Text: AGREEMENT STATE REPORT - MISSING STATIC ELIMINATORS
The following was received from the New Hampshire Radiological Health Section via email:
"[In April 2017], a generally-licensed static eliminator was lost during a routine replacement of a series of 30 static eliminators. The devices are leased from NRD Corporation and are affixed to assembly line machines. Annually, they are removed from service and returned to NRD Corporation. The missing device was last in use during a production run on 3/10/17 between 1500 EDT and 2400 EDT. Device exchange occurred during the 2nd shift after the line was shut down. The missing device was noticed during the subsequent 1st shift when supervision performed accountability. A facility search and employee interviews were conducted. Roll-off containers servicing the 'household' and 'recyclables' waste streams were searched without success, likely because the roll-offs contained a significant amount of waste that impeded the search for the relatively small device. The device was still missing after 30 days. The licensee concluded the device was inadvertently disposed in the 'household' waste stream, which is taken to a waste-to-energy incinerator."
Device Details: Polonium-210, 10 mCi (0.37 GBq); NRD Corporation, Model P-2021-8000 static eliminator, s/n A2KN339
The New Hampshire Radiological Health Section considers this event closed.
Report ID #: #NH17-0004
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
EN Revision Text: AGREEMENT STATE REPORT - MISSING STATIC ELIMINATORS
The following was received from the New Hampshire Radiological Health Section via email:
"[In April 2017], a generally-licensed static eliminator was lost during a routine replacement of a series of 30 static eliminators. The devices are leased from NRD Corporation and are affixed to assembly line machines. Annually, they are removed from service and returned to NRD Corporation. The missing device was last in use during a production run on 3/10/17 between 1500 EDT and 2400 EDT. Device exchange occurred during the 2nd shift after the line was shut down. The missing device was noticed during the subsequent 1st shift when supervision performed accountability. A facility search and employee interviews were conducted. Roll-off containers servicing the 'household' and 'recyclables' waste streams were searched without success, likely because the roll-offs contained a significant amount of waste that impeded the search for the relatively small device. The device was still missing after 30 days. The licensee concluded the device was inadvertently disposed in the 'household' waste stream, which is taken to a waste-to-energy incinerator."
Device Details: Polonium-210, 10 mCi (0.37 GBq); NRD Corporation, Model P-2021-8000 static eliminator, s/n A2KN339
The New Hampshire Radiological Health Section considers this event closed.
Report ID #: #NH17-0004
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