Event Notification Report for June 17, 2020
|
U.S. Nuclear Regulatory Commission Event Reports For ** EVENT NUMBERS ** |
| 54743 | 54744 |
| 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. |
| 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, March 24, 2021
Page Last Reviewed/Updated Wednesday, March 24, 2021