Event Notification Report for September 14, 2022

EN Revision Imported Date: 9/14/2022

EN Revision Text: AGREEMENT STATE REPORT - MISSING RADIOACTIVE MATERIAL SHIPMENT

The following information was received from the Massachusetts Radiation Control Program via email:

"The licensee (QSA Global, Inc., License No. 12-8361) reported at 1359 EDT on August 1, 2022 that it discovered on same day (August 1, 2022) at 1303 EDT that two packages (Yellow-III, Type B(U)) containing 12 sealed sources (Ir-192; 1279.4 Ci total) were reported missing by the shipper, QSA Global.

"Package 1 was shipped on July 19, 2022 in two pieces and one of the pieces containing 4 Ir-192 sources (430.2 Ci) was reported missing. Package 2, also reported as missing, was shipped on July 20, 2022 containing 8 Ir-192 sources (849.2 Ci). Both packages were intended for export to Mexico. Package 1 was most recently scanned at common carrier facility in Memphis, TN on July 28. Package 2 was most recently scanned at the common carrier facility in Memphis on July 22.

"The reporting requirement is immediate and is of 105 CMR 120.281(A)(1), missing licensed radioactive materials in aggregate quantity equal to or greater than 1,000 times quantity specified in 105 CMR 120.297, Appendix C. The four-hour reporting requirement of 105 CMR 120.077(B), missing shipment of Category 2 quantity of radioactive material, also applies.

"The Agency considers this event to be open."

Notified DHS SWO, DOE Operations Center, FEMA Operations Center, HHS Operations Center, USDA Operations Center, EPA Emergency Operations Center, FDA Emergency Operations Center, Nuclear SSA, FEMA National Watch Center, and CWMD Watch Desk via email.

* * * UPDATE FROM BOB LOCKE TO BILL GOTT AT 1119 EDT ON 08/04/2022 * * *

The following was received from the Massachusetts Radiation Control Program via email:

"The Licensee reported at 1040 EDT on August 4, 2022 that the common carrier has confirmed all packages have been located and have arrived at their intended destination in Mexico.

"The Agency considers this event closed."

Notified internal: R1RDO (Henrion), NMSS DAY (Rivera-Capella), IR MOC (Crouch), and ILTAB (MacDonald), and via email: INES (Smith), NMSS Events Notification, and ILTAB.

Notified external: DHS SWO, FEMA Ops Center, USDA Ops Center, HHS Ops Center, DOE Ops Center, DHS CISA Central, and EPA EOC and via E-mail: FDA EOC, Nuclear SSA, FEMA National Watch Center, CWMD Watch Desk, and CNSNS Mexico.

* * * UPDATE FROM BOB LOCKE TO ERNEST WEST AT 0953 EDT ON 09/13/2022 * * *

The following was received from the Massachusetts Radiation Control Program via email:

"Reference: NMED Item 220346 and Massachusetts Event 20-5089.

"Original Agency Report to NMED 09/01/2022

"Updates and Information noted in the NMED database as previously not reported by this Agency:

"Corrective Actions Information: No corrective action taken

"Source/Radioactive Material Information:
"Source 1 Model Number: A424-9
"Source 2 Model Number: A424-9

"Device/Associated Equipment Information:
"Device 1 Manufacturer: QSA Global, Inc.
"Device 1 Model Number: SC-360-4
"Device 1 Serial Number: DU4021
"Device 2 Manufacturer: QSA Global, Inc.
"Device 2 Model Number: SC-650L
"Device 2 Serial Number: 2145"

Notified R1DO (Young) and NMSS Events Notifications via email.

THIS MATERIAL EVENT CONTAINS A 'Category 2' LEVEL OF RADIOACTIVE MATERIAL

Category 2 sources, if not safely managed or securely protected, could cause permanent injury to a person who handled them, or were otherwise in contact with them, for a short time (minutes to hours). It could possibly be fatal to be close to this amount of unshielded radioactive material for a period of hours to days. These sources are typically used in practices such as industrial gamma radiography, high dose rate brachytherapy and medium dose rate brachytherapy. For additional information go to http://www-pub.iaea.org/MTCD/publications/PDF/Pub1227_web.pdf

AGREEMENT STATE REPORT - STUCK SHUTTER RESULTS IN UNINTENDED EXPOSURE

The following event was received via e-mail from the Mississippi State Department of Radiological Health:

"On August 22, 2022, the [Radiation Safety Officer] RSO reported to the Mississippi Director of Radiological Health that a shutter was found stuck open during six month surveys. [The gauge is an Ohmart/Vega Model SH-F2-45, Serial Number 2933 CN, with a 100 mCi Cesium 137 source]. On August 31, 2022, source lock out procedures were implemented to allow a crew in the tank to inspect the tank. The gauge was locked out in the unshielded position. A confined entry crew of four workers were exposed for seventy-seven minutes and three workers were exposed for twenty-two minutes. On September 2, 2022 at approximately 1830 [CDT], the licensee RSO contacted the Radioactive Material Director regarding the exposures. On September 6, 2022 at 1247 [CDT], the inspector was notified of the incident, contacted the licensee, and will arrive on site on September 7, 2022. Findings and updates will be reported to the NRC after onsite investigation."

Mississippi Event Number: MS-220003