Event Notification Report for November 07, 2018
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
11/06/2018 - 11/07/2018
Agreement State
Event Number: 53724
Rep Org: ILLINOIS EMERGENCY MGMT. AGENCY
Licensee: HINSDALE HOSPITAL
Region: 3
City: HINSDALE State: IL
County:
License #: IL-01403001
Agreement: Y
Docket:
NRC Notified By: C. GIBB VINSON
HQ OPS Officer: JEFFREY WHITED
Licensee: HINSDALE HOSPITAL
Region: 3
City: HINSDALE State: IL
County:
License #: IL-01403001
Agreement: Y
Docket:
NRC Notified By: C. GIBB VINSON
HQ OPS Officer: JEFFREY WHITED
Notification Date: 11/08/2018
Notification Time: 16:19 [ET]
Event Date: 11/07/2018
Event Time: 00:00 [CST]
Last Update Date: 11/08/2018
Notification Time: 16:19 [ET]
Event Date: 11/07/2018
Event Time: 00:00 [CST]
Last Update Date: 11/08/2018
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
10 CFR Section:
AGREEMENT STATE
Person (Organization):
JOHN HANNA (R3DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
JOHN HANNA (R3DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
AGREEMENT STATE REPORT - RESIDUAL CONTAMINATION FOUND DURING SOURCE EXCHANGE
This report was received by the State of Illinois via e-mail:
"Varian Medical Systems reported that during a routine [high dose rate] HDR source exchange on 11/7/18, at Hinsdale Hospital, IL, they found residual contamination on a wipe sample of the wire from the source being removed from the device. The wipe activity measured less than leak test limits of 0.005 microCurie and measured 7.87 cps (40 Bq) with background measuring 0.45 cps. The source and wire were removed from the device. The wire was wiped prior to shipment to return the source to Alpha Omega. The area was immediately cordoned off by the engineer. Varian assumes this is a contaminated particle on the wire and that the source itself is not leaking. The wire is wiped prior to shipment from Alpha Omega and if contaminated it should not have been installed in the field. The source activity is now approximately 4.0 Ci of lr-192. The investigation is ongoing by the licensee and Varian."
Illinois Item Number: IL180039
This report was received by the State of Illinois via e-mail:
"Varian Medical Systems reported that during a routine [high dose rate] HDR source exchange on 11/7/18, at Hinsdale Hospital, IL, they found residual contamination on a wipe sample of the wire from the source being removed from the device. The wipe activity measured less than leak test limits of 0.005 microCurie and measured 7.87 cps (40 Bq) with background measuring 0.45 cps. The source and wire were removed from the device. The wire was wiped prior to shipment to return the source to Alpha Omega. The area was immediately cordoned off by the engineer. Varian assumes this is a contaminated particle on the wire and that the source itself is not leaking. The wire is wiped prior to shipment from Alpha Omega and if contaminated it should not have been installed in the field. The source activity is now approximately 4.0 Ci of lr-192. The investigation is ongoing by the licensee and Varian."
Illinois Item Number: IL180039
Agreement State
Event Number: 53718
Rep Org: TEXAS DEPT OF STATE HEALTH SERVICES
Licensee: INTEC
Region: 4
City: SAN ANTONIO State: TX
County:
License #: Licen-RAM-L05150
Agreement: Y
Docket:
NRC Notified By: MATTHEW KENNINGTON
HQ OPS Officer: RICHARD SMITH
Licensee: INTEC
Region: 4
City: SAN ANTONIO State: TX
County:
License #: Licen-RAM-L05150
Agreement: Y
Docket:
NRC Notified By: MATTHEW KENNINGTON
HQ OPS Officer: RICHARD SMITH
Notification Date: 11/07/2018
Notification Time: 14:49 [ET]
Event Date: 11/07/2018
Event Time: 00:00 [CST]
Last Update Date: 11/07/2018
Notification Time: 14:49 [ET]
Event Date: 11/07/2018
Event Time: 00:00 [CST]
Last Update Date: 11/07/2018
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
10 CFR Section:
AGREEMENT STATE
Person (Organization):
MARK HAIRE (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
MARK HAIRE (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
AGREEMENT STATE REPORT - DAMAGED DENSITY GAUGE
The following was received via email from Texas Department of State Health Services:
"On November 7th, 2018, the Agency [Texas Department Of State Health Services] was notified by the licensee's radiation safety officer that a moisture density gauge was damaged by heavy equipment [at a construction site in San Antonio, TX]. The gauge was manufactured by Troxler, serial number 38348, with Cs-137 (S/N:77-5682) and Am-241:Be (S/N:47-8792) sources of 8 mCi and 40 mCi respectively. The technician was operating the gauge at a construction site and a heavy equipment operator failed to notice the technicians attempts to stop him, and subsequently ran the gauge over. The source rod remained intact, however it could not be retracted into the shielded position. The licensee contacted the manufacturer and received shielding instructions. The gauge and the soil surrounding it were removed and transported to the licensee's office. The gauge will be sent back to Troxler for repair in an approved type package. No overexposures to the technician or to the public were reported."
Texas Incident #: I-9631
The following was received via email from Texas Department of State Health Services:
"On November 7th, 2018, the Agency [Texas Department Of State Health Services] was notified by the licensee's radiation safety officer that a moisture density gauge was damaged by heavy equipment [at a construction site in San Antonio, TX]. The gauge was manufactured by Troxler, serial number 38348, with Cs-137 (S/N:77-5682) and Am-241:Be (S/N:47-8792) sources of 8 mCi and 40 mCi respectively. The technician was operating the gauge at a construction site and a heavy equipment operator failed to notice the technicians attempts to stop him, and subsequently ran the gauge over. The source rod remained intact, however it could not be retracted into the shielded position. The licensee contacted the manufacturer and received shielding instructions. The gauge and the soil surrounding it were removed and transported to the licensee's office. The gauge will be sent back to Troxler for repair in an approved type package. No overexposures to the technician or to the public were reported."
Texas Incident #: I-9631