Event Notification Report for October 20, 2017
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
10/19/2017 - 10/20/2017
Agreement State
Event Number: 53032
Rep Org: OR DEPT OF HEALTH RAD PROTECTION
Licensee: PROVIDENCE HEALTH SERVICES OREGON
Region: 4
City: PORTLAND State: OR
County:
License #: ORE-90946
Agreement: Y
Docket:
NRC Notified By: DARLY LEON
HQ OPS Officer: STEVEN VITTO
Licensee: PROVIDENCE HEALTH SERVICES OREGON
Region: 4
City: PORTLAND State: OR
County:
License #: ORE-90946
Agreement: Y
Docket:
NRC Notified By: DARLY LEON
HQ OPS Officer: STEVEN VITTO
Notification Date: 10/23/2017
Notification Time: 12:34 [ET]
Event Date: 10/20/2017
Event Time: 10:00 [PDT]
Last Update Date: 10/23/2017
Notification Time: 12:34 [ET]
Event Date: 10/20/2017
Event Time: 10:00 [PDT]
Last Update Date: 10/23/2017
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
RAY AZUA (R4DO)
NMSS_EVENTS_NOTIFICA (EMAI)
RAY AZUA (R4DO)
NMSS_EVENTS_NOTIFICA (EMAI)
AGREEMENT STATE REPORT - GAMMA KNIFE MALFUNCTION
On 10/20/17, at 1000 PDT, a Gamma knife treatment was in process when the machine malfunctioned and recorded an error. The backup battery on the UPS (Uninterruptible Power Source) was low and resulted in the machine pausing and returning the source to the shielded position. The patient received approximately one third of the prescribed dose. The service provider was contacted and is scheduled to report to the hospital today (10/23/2017) to replace the backup battery.
Elekta Leksell Gamma Knife Model Perfexion
Serial number NM-001-NM201
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.
On 10/20/17, at 1000 PDT, a Gamma knife treatment was in process when the machine malfunctioned and recorded an error. The backup battery on the UPS (Uninterruptible Power Source) was low and resulted in the machine pausing and returning the source to the shielded position. The patient received approximately one third of the prescribed dose. The service provider was contacted and is scheduled to report to the hospital today (10/23/2017) to replace the backup battery.
Elekta Leksell Gamma Knife Model Perfexion
Serial number NM-001-NM201
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: 53027
Rep Org: SC DIV OF HEALTH & ENV CONTROL
Licensee: GEO METRICS
Region: 1
City: CONWAY State: SC
County:
License #: 553
Agreement: Y
Docket:
NRC Notified By: ANDREW ROXBURGH
HQ OPS Officer: DONG HWA PARK
Licensee: GEO METRICS
Region: 1
City: CONWAY State: SC
County:
License #: 553
Agreement: Y
Docket:
NRC Notified By: ANDREW ROXBURGH
HQ OPS Officer: DONG HWA PARK
Notification Date: 10/20/2017
Notification Time: 14:42 [ET]
Event Date: 10/20/2017
Event Time: 13:37 [EDT]
Last Update Date: 10/23/2017
Notification Time: 14:42 [ET]
Event Date: 10/20/2017
Event Time: 13:37 [EDT]
Last Update Date: 10/23/2017
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
ANNE DeFRANCISCO (R1DO)
NMSS_EVENTS_NOTIFICA (EMAI)
ILTAB (EMAI)
ANNE DeFRANCISCO (R1DO)
NMSS_EVENTS_NOTIFICA (EMAI)
ILTAB (EMAI)
AGREEMENT STATE REPORT - STOLEN GAUGE
The licensee notified the South Carolina Department of Health and Environmental Control that an Instrotek Model 3500 moisture density gauge serial number 3055 was stolen from the licensee's truck during a lunch break. The gauge contained 11 mCi of Cs-137 and 44 mCi of Am-241:Be. LLEA was notified of the incident.
* * * UPDATE AT 0948 EDT ON 10/23/2017 FROM ANDREW M. ROXBURGH TO JEFF HERRERA * * *
The following update was received from the South Carolina Department of Health and Environmental Control via email:
"The licensee notified the Department [South Carolina Department of Health and Environmental Control] at approximately 1330 [EDT] on October 20, 2017 that one of its gauges had been stolen from the back of one of its trucks while on a lunch in Myrtle Beach, SC. The gauge is an Instrotek Model 3500 moisture density gauge serial number 3055. The gauge contained 11 mCi of Cs-137 and 44 Ci of Am-241:Be. The licensee is in the process of getting a copy of the police report to submit to the Department."
Notified the R1DO (Bickett), ILTAB and NMSS_Events (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 licensee notified the South Carolina Department of Health and Environmental Control that an Instrotek Model 3500 moisture density gauge serial number 3055 was stolen from the licensee's truck during a lunch break. The gauge contained 11 mCi of Cs-137 and 44 mCi of Am-241:Be. LLEA was notified of the incident.
* * * UPDATE AT 0948 EDT ON 10/23/2017 FROM ANDREW M. ROXBURGH TO JEFF HERRERA * * *
The following update was received from the South Carolina Department of Health and Environmental Control via email:
"The licensee notified the Department [South Carolina Department of Health and Environmental Control] at approximately 1330 [EDT] on October 20, 2017 that one of its gauges had been stolen from the back of one of its trucks while on a lunch in Myrtle Beach, SC. The gauge is an Instrotek Model 3500 moisture density gauge serial number 3055. The gauge contained 11 mCi of Cs-137 and 44 Ci of Am-241:Be. The licensee is in the process of getting a copy of the police report to submit to the Department."
Notified the R1DO (Bickett), ILTAB and NMSS_Events (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
Agreement State
Event Number: 53028
Rep Org: NJ RAD PROT AND REL PREVENTION PGM
Licensee: LEW CORPORATION
Region: 1
City: MINE HILL State: NJ
County:
License #: NJ PI ID # 44
Agreement: Y
Docket:
NRC Notified By: CATHY BIEL
HQ OPS Officer: STEVE SANDIN
Licensee: LEW CORPORATION
Region: 1
City: MINE HILL State: NJ
County:
License #: NJ PI ID # 44
Agreement: Y
Docket:
NRC Notified By: CATHY BIEL
HQ OPS Officer: STEVE SANDIN
Notification Date: 10/20/2017
Notification Time: 15:59 [ET]
Event Date: 10/20/2017
Event Time: 00:00 [EDT]
Last Update Date: 10/20/2017
Notification Time: 15:59 [ET]
Event Date: 10/20/2017
Event Time: 00:00 [EDT]
Last Update Date: 10/20/2017
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
ANNE DeFRANCISCO (R1DO)
NMSS_EVENTS_NOTIFICA (EMAI)
ILTAB (EMAI)
ANNE DeFRANCISCO (R1DO)
NMSS_EVENTS_NOTIFICA (EMAI)
ILTAB (EMAI)
AGREEMENT STATE REPORT - MISSING XRF DEVICE RETURNED TO MANUFACTURER FOR REPAIRS
The following information was received from the State of New Jersey via email:
"The licensee [Lew Corporation] called [the NJ Department of Environmental Protection's Bureau of Environmental Radiation] to report that one of their XRF devices is apparently lost. The device is a Protec LPA-1, serial number 2106, containing a Co-57 source with an activity of 7.2 mCi as of January 2017. The unit was shipped to the manufacturer, Protec, back in July for repairs. The licensee has proof from the delivery service that the device was signed for at Protec's office in Massachusetts back in July. Protec has now informed the licensee that they don't know the location of the device and are considering it lost. A written report from the licensee will be supplied within 30 days. The Massachusetts radiation control office has been informed."
The LPA-1 is a handheld Lead Paint Analyzer using X-Ray Florescence (XRF) and K-Shell technologies to non-destructively detect the presence of lead on a painted surface.
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 received from the State of New Jersey via email:
"The licensee [Lew Corporation] called [the NJ Department of Environmental Protection's Bureau of Environmental Radiation] to report that one of their XRF devices is apparently lost. The device is a Protec LPA-1, serial number 2106, containing a Co-57 source with an activity of 7.2 mCi as of January 2017. The unit was shipped to the manufacturer, Protec, back in July for repairs. The licensee has proof from the delivery service that the device was signed for at Protec's office in Massachusetts back in July. Protec has now informed the licensee that they don't know the location of the device and are considering it lost. A written report from the licensee will be supplied within 30 days. The Massachusetts radiation control office has been informed."
The LPA-1 is a handheld Lead Paint Analyzer using X-Ray Florescence (XRF) and K-Shell technologies to non-destructively detect the presence of lead on a painted surface.
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