Event Notification Report for April 28, 2021
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
04/27/2021 - 04/28/2021
Agreement State
Event Number: 55222
Rep Org: TEXAS DEPT OF STATE HEALTH SERVICES
Licensee: The Methodist Hospital
Region: 4
City: Houston State: TX
County:
License #: L 00457
Agreement: Y
Docket:
NRC Notified By: Karen Blanchard
HQ OPS Officer: Joanna Bridge
Licensee: The Methodist Hospital
Region: 4
City: Houston State: TX
County:
License #: L 00457
Agreement: Y
Docket:
NRC Notified By: Karen Blanchard
HQ OPS Officer: Joanna Bridge
Notification Date: 04/29/2021
Notification Time: 17:39 [ET]
Event Date: 04/28/2021
Event Time: 00:00 [CST]
Last Update Date: 04/29/2021
Notification Time: 17:39 [ET]
Event Date: 04/28/2021
Event Time: 00:00 [CST]
Last Update Date: 04/29/2021
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
PROULX, DAVID (R4DO)
NMSS_EVENTS_NOTIFICATION, (EMAIL)
PROULX, DAVID (R4DO)
NMSS_EVENTS_NOTIFICATION, (EMAIL)
EN Revision Imported Date: 5/28/2021
EN Revision Text: AGREEMENT STATE REPORT - MEDICAL EVENT
The following was received via e-mail from the Texas Department of State Health Services:
"The licensee reported that on April 28, 2021, a medical event involving a High Dose Rate (HDR) afterloader gynocological treatment, using a Varian VariSource iX device, with an iridium-192 sealed source of 6.93 curies, at the time of treatment, had occurred at is facility. The wrong length transfer tube was used which resulted in a dose of 600 centigray, the intended dose fraction, to an area, mostly skin, approximately 12 centimeters from the intended treatment site. The authorized user does not expect any harm to the patient. The patient has been informed. More information will be provided as it is obtained in accordance with SA-300."
Texas Incident Number: 9843
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.
EN Revision Text: AGREEMENT STATE REPORT - MEDICAL EVENT
The following was received via e-mail from the Texas Department of State Health Services:
"The licensee reported that on April 28, 2021, a medical event involving a High Dose Rate (HDR) afterloader gynocological treatment, using a Varian VariSource iX device, with an iridium-192 sealed source of 6.93 curies, at the time of treatment, had occurred at is facility. The wrong length transfer tube was used which resulted in a dose of 600 centigray, the intended dose fraction, to an area, mostly skin, approximately 12 centimeters from the intended treatment site. The authorized user does not expect any harm to the patient. The patient has been informed. More information will be provided as it is obtained in accordance with SA-300."
Texas Incident Number: 9843
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.
Fuel Cycle Facility
Event Number: 55220
Facility: Bwx Technologies
Region: 2 State: VA
Unit: [] [] []
RX Type: Uranium Fuel Fabrication
Comments: Heu Fabrication & Scrap Recovery
Naval Reactor Fuel
NRC Notified By: Chris Terry
HQ OPS Officer: Ossy Font
Region: 2 State: VA
Unit: [] [] []
RX Type: Uranium Fuel Fabrication
Comments: Heu Fabrication & Scrap Recovery
Naval Reactor Fuel
NRC Notified By: Chris Terry
HQ OPS Officer: Ossy Font
Notification Date: 04/29/2021
Notification Time: 09:07 [ET]
Event Date: 04/28/2021
Event Time: 12:30 [EDT]
Last Update Date: 09/08/2022
Notification Time: 09:07 [ET]
Event Date: 04/28/2021
Event Time: 12:30 [EDT]
Last Update Date: 09/08/2022
Emergency Class: Non Emergency
10 CFR Section:
10 CFR Section:
Person (Organization):
NMSS_EVENTS_NOTIFICATION (EMAIL)
MILLER, MARK (R2DO)
FUELS GROUP, - (EMAIL)
NMSS_EVENTS_NOTIFICATION (EMAIL)
MILLER, MARK (R2DO)
FUELS GROUP, - (EMAIL)
CONCURRENT REPORT FOR OFFSITE NOTIFICATION
"BWXT is making a concurrent report to the NRC for an OSHA [(Occupational Safety and Health Administration)] reportable event under 29 CFR 1904.39(b)(2). The report of a workplace injury requiring the hospitalization of an employee was made to OSHA at 1230 EDT on 4/28/2021. At this time the incident is under investigation. While repositioning a component on a cart, the cart shifted causing the component to pinch the operators thumb and index finger. The employee was transported and admitted to Lynchburg General Hospital by BWXT's emergency team for treatment."
It was determined that the individual did not have contamination.
The licensee notified the NRC Resident Inspector.
"BWXT is making a concurrent report to the NRC for an OSHA [(Occupational Safety and Health Administration)] reportable event under 29 CFR 1904.39(b)(2). The report of a workplace injury requiring the hospitalization of an employee was made to OSHA at 1230 EDT on 4/28/2021. At this time the incident is under investigation. While repositioning a component on a cart, the cart shifted causing the component to pinch the operators thumb and index finger. The employee was transported and admitted to Lynchburg General Hospital by BWXT's emergency team for treatment."
It was determined that the individual did not have contamination.
The licensee notified the NRC Resident Inspector.