|AGREEMENT STATE REPORT - POTENTIAL PERSONNEL OVEREXPOSURE
The following was received via e-mail:
"On April 11, 2019, at 1223 (CDT), the Radiation Safety Officer (RSO) for Vital Inspection Professionals, Inc. advised the [Alabama Department of Public Health] Office of Radiation Control (ORC) of an incident that occurred on that day in the permanent shooting room at their facility in Alabaster, AL. Vital Inspection Professionals, Inc. has an Alabama Radioactive Material License No. 1118 for conducting industrial radiography. Preliminary information indicates that the radiographer, working alone, cranked out a 67 Curie Ir-192 source for an exposure and failed to crank the source back in before setting up for the next exposure. The radiographer's personal dosimeter badge has been sent in for emergency processing. Results are pending.
"Personnel from ORC are currently at the licensee's facility performing an incident investigation to include interviewing personnel and conducting re-enactments of the event."
Alabama Incident: 19-08
* * * UPDATE AT 1118 EDT ON 4/15/19 FROM DAVID TURBERVILLE TO JOANNA BRIDGE * * *
The following was received via fax:
"This is an update to Alabama incident 19-08 that was reported the morning of April 12, 2019. As background, the Radiation Safety Officer (RSO) for Vital Inspection Professionals, Inc. (Alabama License No. 1118) advised the Office of Radiation Control (ORC) of an incident that occurred on April 11, 2019 in the permanent shooting room at their facility in Alabaster, AL. The radiographer, working alone, cranked out a 67 Curie Ir-192 source for an exposure and failed to crank the source back in before setting up for the next exposure.
"The radiographer's personal dosimeter badge was been sent for emergency processing and the results determined the badge received an exposure of 8.149 Rem. The licensee's preliminary investigation calculated extremity exposure to the left hand of 39.684 Rem and exposure to the right hand of 9.338 Rem. The radiographer is being monitored by a medical physician. Personnel from ORC performed an initial investigation of the incident on the morning of April 12, 2019. The primary cause of the incident appears to be human error. Specifically, the radiographer failed to crank in the source at the conclusion of the exposure; failed to observe the radiation actuated visible alarm; bypassed the audible alarm feature of the shooting room; and failed to observe his survey meter upon entry into the shooting room. The investigation concluded that all safety features were operating properly at the time of the incident. Additional contributing factors are being evaluated at this time. The licensee's written report is pending.
"The information in this report is current as of 1000 CDT, April 15, 2019."
Notified R1DO (Bicket), NMSS (Rivera-Capella), INES Coordinator (Milligan), and NMSS_Events_Notification email group.