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Event Notification Report for November 11, 2021

U.S. Nuclear Regulatory Commission
Operations Center

EVENT REPORTS FOR
11/10/2021 - 11/11/2021

EVENT NUMBERS
55591
Non-Agreement State
Event Number: 55591
Rep Org: Ascension Medical Group
Licensee: Ascension Medical Group
Region: 3
City: Kalamazoo   State: MI
County:
License #: 21-12275-02
Agreement: N
Docket:
NRC Notified By: Shawna Squire
HQ OPS Officer: Lloyd Desotell
Notification Date: 11/18/2021
Notification Time: 08:44 [ET]
Event Date: 11/11/2021
Event Time: 00:00 [EST]
Last Update Date: 11/18/2021
Emergency Class: Non Emergency
10 CFR Section:
20.2201(a)(1)(i) - Lost/Stolen LNM>1000x
Person (Organization):
Orth, Steve (R3)
NMSS_Events_Notification, (EMAIL)
ILTAB, (EMAIL)
CNSC (Canada), - (FAX)
Event Text
EN Revision Imported Date: 12/17/2021

EN Revision Text: Co-57 SOURCE MISSING IN TRANSIT

The following is a summary of a phone call with Ascension Borgess Hospital:

A Co-57 flood source was lost in transit with the following details:

Shipping Date: 2/22/2021
Expected Arrival Date: 4/7/2021

Source model #: MED3743
Source number: BM552018086101
Original activity: 20 mCi (4/26/2018)
Activity upon shipment (2/22/2021): 1.43 mCi
Calculated activity as of 11/11/2021: 735 microCi


Origination point: Kalamazoo, MI
Destination: Burbank, CA
The common carrier has been notified and started an investigation.
The licensee is developing corrective actions to prevent future occurrences


THIS MATERIAL EVENT CONTAINS A 'Less than Cat 3' LEVEL OF RADIOACTIVE MATERIAL

Sources that are "Less than IAEA Category 3 sources," are either sources that are very unlikely to cause permanent injury to individuals or contain a very small amount of radioactive material that would not cause any permanent injury. Some of these sources, such as moisture density gauges or thickness gauges that are Category 4, the amount of unshielded radioactive material, if not safely managed or securely protected, could possibly - although it is unlikely - temporarily injure someone who handled it or were otherwise in contact with it, or who were close to it for a period of many weeks. For additional information go to http://www-pub.iaea.org/MTCD/publications/PDF/Pub1227_web.pdf