Event Notification Report for March 24, 2023
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
03/23/2023 - 03/24/2023
Agreement State
Event Number: 56432
Rep Org: New Mexico Rad Control Program
Licensee: Protect
Region: 4
City: Carlsbad State: NM
County:
License #: IR575-00
Agreement: Y
Docket:
NRC Notified By: Santiago Rodriguez
HQ OPS Officer: Karen Cotton-Gross
Licensee: Protect
Region: 4
City: Carlsbad State: NM
County:
License #: IR575-00
Agreement: Y
Docket:
NRC Notified By: Santiago Rodriguez
HQ OPS Officer: Karen Cotton-Gross
Notification Date: 03/24/2023
Notification Time: 14:29 [ET]
Event Date: 03/24/2023
Event Time: 12:10 [MDT]
Last Update Date: 03/24/2023
Notification Time: 14:29 [ET]
Event Date: 03/24/2023
Event Time: 12:10 [MDT]
Last Update Date: 03/24/2023
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
O'Keefe, Neil (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
O'Keefe, Neil (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
AGREEMENT STATE REPORT - DISCONNECTED RADIOGRAPHY SOURCE
The following information was provided by the New Mexico Radiation Control Bureau via email:
"The New Mexico Radiation Control Bureau received a report from the licensee that, as they were conducting radiography work in a pipeline in southern New Mexico near Carlsbad, a source disconnected. While the source was being cranked back into the radiography camera, it disconnected. The area around the camera has been secured and only the licensee personnel are on location to keep the perimeter and the source secured while they await a crew to arrive to retrieve, secure, and return the source to the camera. A formal report will follow in a separate email."
The following information was provided by the New Mexico Radiation Control Bureau via email:
"The New Mexico Radiation Control Bureau received a report from the licensee that, as they were conducting radiography work in a pipeline in southern New Mexico near Carlsbad, a source disconnected. While the source was being cranked back into the radiography camera, it disconnected. The area around the camera has been secured and only the licensee personnel are on location to keep the perimeter and the source secured while they await a crew to arrive to retrieve, secure, and return the source to the camera. A formal report will follow in a separate email."
Agreement State
Event Number: 56461
Rep Org: SC Dept of Health & Env Control
Licensee: Insight Health Corporation
Region: 1
City: West Columbia State: SC
County:
License #: 768
Agreement: Y
Docket:
NRC Notified By: Adam Gause
HQ OPS Officer: Sam Colvard
Licensee: Insight Health Corporation
Region: 1
City: West Columbia State: SC
County:
License #: 768
Agreement: Y
Docket:
NRC Notified By: Adam Gause
HQ OPS Officer: Sam Colvard
Notification Date: 04/10/2023
Notification Time: 14:40 [ET]
Event Date: 03/24/2023
Event Time: 00:00 [EDT]
Last Update Date: 04/10/2023
Notification Time: 14:40 [ET]
Event Date: 03/24/2023
Event Time: 00:00 [EDT]
Last Update Date: 04/10/2023
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
Lilliendahl, Jon (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
Lilliendahl, Jon (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
AGREEMENT STATE REPORT - POSSIBLE OVEREXPOSURE DOSE FOR AN EMBRYO/FETUS OF A DECLARED PREGNANT WOMAN
The following was received from the South Carolina Department of Health and Environmental Control (the Department) via email:
"On 03/24/23, at 1446 [EDT], the Department was notified by the licensee of a dose more than the dose limit for an embryo/fetus of a declared pregnant woman. A written report was also submitted on 03/24/23. The employee is a Technical Assistant for mobile [positron emission tomography/computed tomography] (PET/CT) operations and is not directly involved with handling radioactive material. The estimated dose reported was 1145 mrem [deep dose equivalent] (DDE) for a one-month period, the cumulative dose was 1239 mrem DDE. The licensee's report indicated it is possible that the badge may have been in the PET/CT scanner room during patient scans, but the employee could not recall that this ever happened. The licensee also reported the chest and control badges showed no elevated readings; only the fetal badge. The licensee's corrective actions included discussing with the employee the importance of making sure the badge is never left in a radiation area, and while at work, the badge is always worn properly for the entire day. Proper storage of badges next to the control badge was also discussed. The Department performed an on-site investigation on 03/29/23, and the information obtained during the on-site investigation was consistent with the licensee's written report. This event is considered closed."
South Carolina Department of Health and Environmental Control report no.: SC230008
The following was received from the South Carolina Department of Health and Environmental Control (the Department) via email:
"On 03/24/23, at 1446 [EDT], the Department was notified by the licensee of a dose more than the dose limit for an embryo/fetus of a declared pregnant woman. A written report was also submitted on 03/24/23. The employee is a Technical Assistant for mobile [positron emission tomography/computed tomography] (PET/CT) operations and is not directly involved with handling radioactive material. The estimated dose reported was 1145 mrem [deep dose equivalent] (DDE) for a one-month period, the cumulative dose was 1239 mrem DDE. The licensee's report indicated it is possible that the badge may have been in the PET/CT scanner room during patient scans, but the employee could not recall that this ever happened. The licensee also reported the chest and control badges showed no elevated readings; only the fetal badge. The licensee's corrective actions included discussing with the employee the importance of making sure the badge is never left in a radiation area, and while at work, the badge is always worn properly for the entire day. Proper storage of badges next to the control badge was also discussed. The Department performed an on-site investigation on 03/29/23, and the information obtained during the on-site investigation was consistent with the licensee's written report. This event is considered closed."
South Carolina Department of Health and Environmental Control report no.: SC230008