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Home NRC Library Document Collections Events, Reports Associated with Event Notification Reports 2021

Event Notification Report for March 29, 2021

U.S. Nuclear Regulatory Commission
Operations Center

EVENT REPORTS FOR
03/26/2021 - 03/29/2021

EVENT NUMBERS
55144 55145
Non-Agreement State
Event Number: 55144
Rep Org: US STEEL CORPORATION GARY WORKS
Licensee: US STEEL CORPORATION GARY WORKS
Region: 3
City: Gary   State: IN
County:
License #: 13-26-104-03
Agreement: N
Docket:
NRC Notified By: Shakeia Reese
HQ OPS Officer: Lloyd Desotell
Notification Date: 03/18/2021
Notification Time: 13:57 [ET]
Event Date: 03/17/2021
Event Time: 13:00 [CST]
Last Update Date: 03/18/2021
Emergency Class: Non Emergency
10 CFR Section:
30.50(b)(2) - Safety Equipment Failure
Person (Organization):
JOHN HANNA (R3DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
Event Text
GAUGE STUCK SHUTTER

The following is a summary from a phone notification received from the licensee:

Maintenance technicians performing a lockout for maintenance manipulated a moisture gauge shutter handle and the handle broke, rendering the shutter stuck in the open position. The normal position for the shutter is open. The maintenance was canceled and the area around the gauge was secured. The gauge manufacture has been contacted and will be out to the site to help the licensee repair the gauge on 3/23/21. No exposure to personnel resulted from this event.

The gauge measures the moisture content in a bin containing metallurgical coke. The Berthold [TM] gauge contains a 300 mCi Am-241/Be source.


Agreement State
Event Number: 55145
Rep Org: NORTH DAKOTA DEPARTMENT OF ENV QUAL
Licensee: Sanford Medical Center
Region: 4
City: Fargo   State: ND
County:
License #: 33-10227-02
Agreement: Y
Docket:
NRC Notified By: Brooke Olson
HQ OPS Officer: Lloyd Desotell
Notification Date: 03/19/2021
Notification Time: 12:05 [ET]
Event Date: 03/18/2021
Event Time: 00:00 [MDT]
Last Update Date: 03/19/2021
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
Person (Organization):
RAY KELLAR (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
Event Text
AGREEMENT STATE REPORT - MEDICAL EVENT (INCORRECT DOSE LOCATION)

The following report was received from the state of North Dakota Department of Environmental Quality via email:

"Received a phone call at 1600 [CST] on Thursday March 18 that a PET/CT patient was injected with 10 milliCuries of Fluorine-18 and it was found that all of the injected Fluorine-18 had infiltrated in the arm of the patient [rather than being dispersed throughout the body]. Patient's arm was imaged by PET scanner to confirm dose was in fact infiltrated in the arm. Dose calculations are being performed by licensee to determine the dose to the patient's skin. "

ND NMED Event # ND210001


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.