United States Nuclear Regulatory Commission - Protecting People and the Environment
Home > NRC Library > Document Collections > Reports Associated with Events > Event Notification Reports > 2020 > June 17

Event Notification Report for June 17, 2020

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
6/16/2020 - 6/17/2020

** EVENT NUMBERS **


54743 54744

To top of page
Agreement State Event Number: 54743
Rep Org: FLORIDA BUREAU OF RADIATION CONTROL
Licensee: University of Florida
Region: 1
City: Jacksonville   State: FL
County:
License #: 0031-3
Agreement: Y
Docket:
NRC Notified By: Matthew Senison
HQ OPS Officer: Thomas Kendzia
Notification Date: 06/09/2020
Notification Time: 16:55 [ET]
Event Date: 06/05/2020
Event Time: 00:00 [EDT]
Last Update Date: 06/09/2020
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
Person (Organization):
DON JACKSON (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)

Event Text

AGREEMENT STATE REPORT - MEDICAL EVENT

The following was received via email from the Florida Bureau of Radiation:

"At 1605 [EDT], [on June 9, 2020, the University of Florida] RSO [Radiation Safety Officer] reported a radiation overdose at the Human Use Facility, Jacksonville, FL. The physicists began reviewing the patient's treatments on Friday, June 5, 2020. They were evaluating an Excel spreadsheet used to calculate monitoring units (MUs) for double scatter proton therapy and after 15 fractions caught an error. The intended dose was 80 Gy. At this point in the treatment 30 Gy should have been delivered, but instead the current total is approximately 50 Gy. The treating physician was informed and they informed the patient. It has been concluded that the patient will return to complete treatment and receive in total 59 Gy, which is a commonly used fractionation scheme. The doses to the organs at risk (OARs) are within the tolerance of the treatment goals of the delivered fractionation scheme. They are continuing to review the issue and will send a report as soon as possible."

Incident Number: FL20-066

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.

To top of page
Agreement State Event Number: 54744
Rep Org: TEXAS DEPT OF STATE HEALTH SERVICES
Licensee: Valero Refining Company
Region: 4
City: Texas City   State: TX
County:
License #: L 02578
Agreement: Y
Docket:
NRC Notified By: Art Tucker
HQ OPS Officer: Bethany Cecere
Notification Date: 06/09/2020
Notification Time: 18:03 [ET]
Event Date: 06/09/2020
Event Time: 00:00 [CDT]
Last Update Date: 06/09/2020
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
Person (Organization):
JASON KOZAL (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)

Event Text

AGREEMENT STATE REPORT - STUCK SHUTTER

The following was received by email from the state of Texas:

"On June 9, 2020, the Agency [Texas Department of State Health Services] was contacted by the licensee and informed that the shutter on a Vega SH-F1 gauge was found stuck in the open position during a routine inspection. The gauge contains a 20 milliCurie cesium-137 source. The gauge does not pose an exposure risk to any individual. The licensee has contacted the manufacturer for assistance in repairing the gauge. Additional information will be provided as it is received in accordance with SA-300."

Texas Incident #: 9773


Page Last Reviewed/Updated Wednesday, June 17, 2020
Wednesday, June 17, 2020