Event Notification Report for July 12, 2023
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
07/11/2023 - 07/12/2023
Agreement State
Event Number: 56674
Rep Org: California Radiation Control Prgm
Licensee: Tesla
Region: 4
City: San Rafael State: CA
County:
License #:
Agreement: Y
Docket:
NRC Notified By: K. Arunika Hewadikaram
HQ OPS Officer: Karen Cotton-Gross
Licensee: Tesla
Region: 4
City: San Rafael State: CA
County:
License #:
Agreement: Y
Docket:
NRC Notified By: K. Arunika Hewadikaram
HQ OPS Officer: Karen Cotton-Gross
Notification Date: 08/10/2023
Notification Time: 15:31 [ET]
Event Date: 07/12/2023
Event Time: 00:00 [PDT]
Last Update Date: 08/10/2023
Notification Time: 15:31 [ET]
Event Date: 07/12/2023
Event Time: 00:00 [PDT]
Last Update Date: 08/10/2023
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
Deese, Rick (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB, (EMAIL) (EMAIL)
CNSNS (Mexico), - (EMAIL)
Deese, Rick (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB, (EMAIL) (EMAIL)
CNSNS (Mexico), - (EMAIL)
AGREEMENT STATE REPORT - LOST RADIOACTIVE SOURCE
The following information was provided by the California Radiation Control Program (RHB) via email:
"On 7/12/23, Tesla, San Rafael facility contacted RHB to report a lost radioactive source. The lost item was a Po-210, 10 mCi source, Model P-2021-Z705, serial number A2LZ130 (air-gun), originally shipped to the facility by NRD, LLC on 5/8/2020, (based on this information, current activity is approximately 26 microcuries). The source was used to blow dust off of auto body panels and prevent static buildup prior to painting.
"The employees at the shop could not provide an estimate of when the last time the device was used and believe that the device may have been disposed of in the trash. Facility will be transitioning to an anti-static tool that does not utilize a radioactive source."
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
The following information was provided by the California Radiation Control Program (RHB) via email:
"On 7/12/23, Tesla, San Rafael facility contacted RHB to report a lost radioactive source. The lost item was a Po-210, 10 mCi source, Model P-2021-Z705, serial number A2LZ130 (air-gun), originally shipped to the facility by NRD, LLC on 5/8/2020, (based on this information, current activity is approximately 26 microcuries). The source was used to blow dust off of auto body panels and prevent static buildup prior to painting.
"The employees at the shop could not provide an estimate of when the last time the device was used and believe that the device may have been disposed of in the trash. Facility will be transitioning to an anti-static tool that does not utilize a radioactive source."
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
Agreement State
Event Number: 56623
Rep Org: California Dept. of Public Health
Licensee: Kaiser Medical Center
Region: 4
City: Baldwin Park State: CA
County: Los Angeles
License #: 0372-19
Agreement: Y
Docket:
NRC Notified By: Tanya Ridgle
HQ OPS Officer: Donald Norwood
Licensee: Kaiser Medical Center
Region: 4
City: Baldwin Park State: CA
County: Los Angeles
License #: 0372-19
Agreement: Y
Docket:
NRC Notified By: Tanya Ridgle
HQ OPS Officer: Donald Norwood
Notification Date: 07/14/2023
Notification Time: 21:18 [ET]
Event Date: 07/12/2023
Event Time: 00:00 [PDT]
Last Update Date: 07/14/2023
Notification Time: 21:18 [ET]
Event Date: 07/12/2023
Event Time: 00:00 [PDT]
Last Update Date: 07/14/2023
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
Groom, Jeremy (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB, (EMAIL) (EMAIL)
CNSNS (Mexico), - (EMAIL)
Groom, Jeremy (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB, (EMAIL) (EMAIL)
CNSNS (Mexico), - (EMAIL)
AGREEMENT STATE REPORT - LOST TRITIUM EXIT SIGNS
The following information is a summary of information received from the California Department of Public Health, Radiologic Health Branch via email:
On July 12, 2023, Kaiser Medical Center of Southern California (the licensee) discovered that nine tritium exit signs were missing (Make: Shield, Model: SLX-60, Original activity: 10 Ci, tritium). The missing signs were exit signs at the licensee's parking garage. It has not been determined how the signs went missing after an engineering and security review.
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
The following information is a summary of information received from the California Department of Public Health, Radiologic Health Branch via email:
On July 12, 2023, Kaiser Medical Center of Southern California (the licensee) discovered that nine tritium exit signs were missing (Make: Shield, Model: SLX-60, Original activity: 10 Ci, tritium). The missing signs were exit signs at the licensee's parking garage. It has not been determined how the signs went missing after an engineering and security review.
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
Agreement State
Event Number: 56621
Rep Org: Texas Dept of State Health Services
Licensee: Union Carbide Corporation
Region: 4
City: Seadrfit State: TX
County:
License #: L00051
Agreement: Y
Docket:
NRC Notified By: Arthur Tucker
HQ OPS Officer: Kerby Scales
Licensee: Union Carbide Corporation
Region: 4
City: Seadrfit State: TX
County:
License #: L00051
Agreement: Y
Docket:
NRC Notified By: Arthur Tucker
HQ OPS Officer: Kerby Scales
Notification Date: 07/12/2023
Notification Time: 19:25 [ET]
Event Date: 07/12/2023
Event Time: 00:00 [CDT]
Last Update Date: 07/12/2023
Notification Time: 19:25 [ET]
Event Date: 07/12/2023
Event Time: 00:00 [CDT]
Last Update Date: 07/12/2023
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
Groom, Jeremy (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
Groom, Jeremy (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
AGREEMENT STATE REPORT - STUCK OPEN SHUTTER
The following information was received from the Texas Department of State Health Services (the Agency) via email:
"On July 12, 2023, the Agency was notified by the licensee's service company that during routine shutter checks, the shutter on a Vega Americas model SH-F2 [gauge] could not be shut. The gauge contains a 200 millicurie (original activity) Cs-137 source. Open is the normal operating position for the shutter. The licensee has made plans to repair the gauge in the next seven days. The service company stated there is no risk of radiation exposure to members of the general public or radiation workers due to this event. Additional information will be provided as it is received in accordance with SA-300."
Texas Incident Number: 10036
The following information was received from the Texas Department of State Health Services (the Agency) via email:
"On July 12, 2023, the Agency was notified by the licensee's service company that during routine shutter checks, the shutter on a Vega Americas model SH-F2 [gauge] could not be shut. The gauge contains a 200 millicurie (original activity) Cs-137 source. Open is the normal operating position for the shutter. The licensee has made plans to repair the gauge in the next seven days. The service company stated there is no risk of radiation exposure to members of the general public or radiation workers due to this event. Additional information will be provided as it is received in accordance with SA-300."
Texas Incident Number: 10036
!!!!! THIS EVENT HAS BEEN RETRACTED !!!!!
!!!!! THIS EVENT HAS BEEN RETRACTED !!!!!
Power Reactor
Event Number: 56620
Facility: Millstone
Region: 1 State: CT
Unit: [3] [] []
RX Type: [1] GE-3,[2] CE,[3] W-4-LP
NRC Notified By: Todd Stringfellow
HQ OPS Officer: Kerby Scales
Region: 1 State: CT
Unit: [3] [] []
RX Type: [1] GE-3,[2] CE,[3] W-4-LP
NRC Notified By: Todd Stringfellow
HQ OPS Officer: Kerby Scales
Notification Date: 07/12/2023
Notification Time: 12:49 [ET]
Event Date: 07/12/2023
Event Time: 04:49 [EDT]
Last Update Date: 07/31/2023
Notification Time: 12:49 [ET]
Event Date: 07/12/2023
Event Time: 04:49 [EDT]
Last Update Date: 07/31/2023
Emergency Class: Non Emergency
10 CFR Section:
50.72(b)(3)(v)(B) - Pot Rhr Inop
10 CFR Section:
50.72(b)(3)(v)(B) - Pot Rhr Inop
Person (Organization):
Henrion, Mark (R1DO)
Henrion, Mark (R1DO)
| Unit | SCRAM Code | RX Crit | Initial PWR | Initial RX Mode | Current PWR | Current RX Mode |
|---|---|---|---|---|---|---|
| 3 | N | Y | 100 | Power Operation | 100 | Power Operation |
EN Revision Imported Date: 8/1/2023
EN Revision Text: ECCS POTENTIALLY INOPERABLE
The following information was provided by the licensee via email:
"At 0449 [EDT] on 7/12/2023, Millstone Unit 3 declared the 'B' train of the emergency core cooling system (ECCS) inoperable due to a degraded damper associated with the ventilation support system for the 'B' charging pump. At the time of this event, the 'A' train of service water was already inoperable due to planned maintenance on a breaker that would have prevented an 'A' service water valve powered from this breaker from closing on a safety signal. This configuration resulted in the possibility that the 'A' train of ECCS would not have been available to fulfill its design function under all postulated accident conditions. This event is being reported under 10 CFR 50.72(b)(3)(v)(B), '[any event or condition that at the time of discovery could have prevented the fulfillment of the safety function of structures or systems that are needed to: (B) remove residual heat].'
"Subsequently, the 'A' train of service water was restored to operable at 0548 on 7/12/2023. Repairs and investigation continue on the 'B' train ECCS damper. The NRC resident has been notified. This event did not impact Millstone Unit 2. There was no impact to the public."
* * * RETRACTION ON 7/31/2023 AT 1400 EDT FROM JAMES KELLY TO JOHN RUSSELL* * *
The following information was provided by the licensee via email:
"The condition was reported to the NRC pursuant to 10 CFR 50.72(b)(3)(v)(B), via an 8-hour report as an event or condition that at the time of discovery could have prevented the fulfillment of the safety function of structures or systems that are needed to remove residual heat.
"A subsequent engineering review of the conditions that existed at the time determined that, based on area temperature response, any impact on ventilation flows into and out of the `B' charging pump cubicle did not generate an observable change in the temperature trend. Based on this, it is concluded with reasonable assurance that the functional requirement of the support system was maintained and the `B' charging pump would have continued to perform its safety function until the `A' train of service water was restored to operable and as a result safety function was not lost.
"Therefore, this condition is not reportable and NRC Event Number 56620 is being retracted.
"The basis for this conclusion has been provided to the NRC Resident Inspector."
Notified R1DO (Bicket).
EN Revision Text: ECCS POTENTIALLY INOPERABLE
The following information was provided by the licensee via email:
"At 0449 [EDT] on 7/12/2023, Millstone Unit 3 declared the 'B' train of the emergency core cooling system (ECCS) inoperable due to a degraded damper associated with the ventilation support system for the 'B' charging pump. At the time of this event, the 'A' train of service water was already inoperable due to planned maintenance on a breaker that would have prevented an 'A' service water valve powered from this breaker from closing on a safety signal. This configuration resulted in the possibility that the 'A' train of ECCS would not have been available to fulfill its design function under all postulated accident conditions. This event is being reported under 10 CFR 50.72(b)(3)(v)(B), '[any event or condition that at the time of discovery could have prevented the fulfillment of the safety function of structures or systems that are needed to: (B) remove residual heat].'
"Subsequently, the 'A' train of service water was restored to operable at 0548 on 7/12/2023. Repairs and investigation continue on the 'B' train ECCS damper. The NRC resident has been notified. This event did not impact Millstone Unit 2. There was no impact to the public."
* * * RETRACTION ON 7/31/2023 AT 1400 EDT FROM JAMES KELLY TO JOHN RUSSELL* * *
The following information was provided by the licensee via email:
"The condition was reported to the NRC pursuant to 10 CFR 50.72(b)(3)(v)(B), via an 8-hour report as an event or condition that at the time of discovery could have prevented the fulfillment of the safety function of structures or systems that are needed to remove residual heat.
"A subsequent engineering review of the conditions that existed at the time determined that, based on area temperature response, any impact on ventilation flows into and out of the `B' charging pump cubicle did not generate an observable change in the temperature trend. Based on this, it is concluded with reasonable assurance that the functional requirement of the support system was maintained and the `B' charging pump would have continued to perform its safety function until the `A' train of service water was restored to operable and as a result safety function was not lost.
"Therefore, this condition is not reportable and NRC Event Number 56620 is being retracted.
"The basis for this conclusion has been provided to the NRC Resident Inspector."
Notified R1DO (Bicket).
Agreement State
Event Number: 56640
Rep Org: New York State Dept. of Health
Licensee: Tesla
Region: 1
City: Buffalo State: NY
County:
License #: G6086
Agreement: Y
Docket:
NRC Notified By: Daniel Samson
HQ OPS Officer: Thomas Herrity
Licensee: Tesla
Region: 1
City: Buffalo State: NY
County:
License #: G6086
Agreement: Y
Docket:
NRC Notified By: Daniel Samson
HQ OPS Officer: Thomas Herrity
Notification Date: 07/25/2023
Notification Time: 16:40 [ET]
Event Date: 07/12/2023
Event Time: 00:00 [EDT]
Last Update Date: 07/25/2023
Notification Time: 16:40 [ET]
Event Date: 07/12/2023
Event Time: 00:00 [EDT]
Last Update Date: 07/25/2023
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
Bickett, Carey (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB, (EMAIL) (EMAIL)
Bickett, Carey (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB, (EMAIL) (EMAIL)
AGREEMENT STATE REPORT - MISSING STATIC ELIMINATOR
The following information was provided by the New York Department of Health via email:
"Tesla reported that one of their Polonium-210 static eliminators is missing. The device is a NRD model P-2021-Z705, s/n A2ME848. The device was shipped to Tesla on 2/23/21. The device has been through more than six half-lives so the activity at this point should be below 0.1 millicurie."
New York State Event Report Number: NY-23-07
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
The following information was provided by the New York Department of Health via email:
"Tesla reported that one of their Polonium-210 static eliminators is missing. The device is a NRD model P-2021-Z705, s/n A2ME848. The device was shipped to Tesla on 2/23/21. The device has been through more than six half-lives so the activity at this point should be below 0.1 millicurie."
New York State Event Report Number: NY-23-07
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
Agreement State
Event Number: 56729
Rep Org: Texas Dept of State Health Services
Licensee: Tesla INC
Region: 4
City: Houston State: TX
County:
License #: GL N/A
Agreement: Y
Docket:
NRC Notified By: Arthur L Tucker
HQ OPS Officer: Bill Gott
Licensee: Tesla INC
Region: 4
City: Houston State: TX
County:
License #: GL N/A
Agreement: Y
Docket:
NRC Notified By: Arthur L Tucker
HQ OPS Officer: Bill Gott
Notification Date: 09/08/2023
Notification Time: 15:15 [ET]
Event Date: 07/12/2023
Event Time: 00:00 [CDT]
Last Update Date: 09/08/2023
Notification Time: 15:15 [ET]
Event Date: 07/12/2023
Event Time: 00:00 [CDT]
Last Update Date: 09/08/2023
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
Azua, Ray (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB (EMAIL)
CNSNS (Mexico) (EMAIL)
Azua, Ray (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB (EMAIL)
CNSNS (Mexico) (EMAIL)
AGREEMENT STATE REPORT - LOST GENERALLY LICENSED SOURCE
The following was received from the Texas Department of State Health Services (the Agency) via email:
"On July 12, 2023, the Agency received an e-mail from Tesla stating they had lost a generally licensed NRD device model number P-2021 Z705. The device contains a 10 millicurie polonium-210 source. The source is sealed inside an air tool used to blow off dust from cars prior to painting. The company performed searches for the device, but was unable to locate the device. The device was discovered missing when the company was getting ready to return them to the manufacturer. The company stated that due to the remaining activity (purchased on March 30, 2021) and the design of the device, it does not pose an exposure risk to any individual."
Texas Incident Number: 10037
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
The following was received from the Texas Department of State Health Services (the Agency) via email:
"On July 12, 2023, the Agency received an e-mail from Tesla stating they had lost a generally licensed NRD device model number P-2021 Z705. The device contains a 10 millicurie polonium-210 source. The source is sealed inside an air tool used to blow off dust from cars prior to painting. The company performed searches for the device, but was unable to locate the device. The device was discovered missing when the company was getting ready to return them to the manufacturer. The company stated that due to the remaining activity (purchased on March 30, 2021) and the design of the device, it does not pose an exposure risk to any individual."
Texas Incident Number: 10037
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
Agreement State
Event Number: 56730
Rep Org: Texas Dept of State Health Services
Licensee: Tesla INC
Region: 4
City: Austin State: TX
County:
License #: GL N/A
Agreement: Y
Docket:
NRC Notified By: Arthur L Tucker
HQ OPS Officer: Bill Gott
Licensee: Tesla INC
Region: 4
City: Austin State: TX
County:
License #: GL N/A
Agreement: Y
Docket:
NRC Notified By: Arthur L Tucker
HQ OPS Officer: Bill Gott
Notification Date: 09/08/2023
Notification Time: 15:15 [ET]
Event Date: 07/12/2023
Event Time: 00:00 [CDT]
Last Update Date: 09/08/2023
Notification Time: 15:15 [ET]
Event Date: 07/12/2023
Event Time: 00:00 [CDT]
Last Update Date: 09/08/2023
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
Azua, Ray (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB, (EMAIL)
CNSNS (Mexico), (EMAIL)
Azua, Ray (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB, (EMAIL)
CNSNS (Mexico), (EMAIL)
AGREEMENT STATE REPORT - LOST GENERALLY LICENSED SOURCE
The following was received from the Texas Department of State Health Services (the Agency) via email:
"On July 12, 2023, the Agency received an e-mail from Tesla stating they had lost a generally licensed NRD device model number P-2021 Z705. The device contains a 10 millicurie polonium-210 source. The source is sealed inside an air tool used to blow off dust from cars prior to painting. The company performed searches for the device, but was unable to locate the device. The device was discovered missing when the company was getting ready to return them to the manufacturer. The company stated that due to the remaining activity (purchased on June 8, 2022) and the design of the device, it does not pose an exposure risk to any individual."
Texas Incident Number: 10038
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
The following was received from the Texas Department of State Health Services (the Agency) via email:
"On July 12, 2023, the Agency received an e-mail from Tesla stating they had lost a generally licensed NRD device model number P-2021 Z705. The device contains a 10 millicurie polonium-210 source. The source is sealed inside an air tool used to blow off dust from cars prior to painting. The company performed searches for the device, but was unable to locate the device. The device was discovered missing when the company was getting ready to return them to the manufacturer. The company stated that due to the remaining activity (purchased on June 8, 2022) and the design of the device, it does not pose an exposure risk to any individual."
Texas Incident Number: 10038
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
Agreement State
Event Number: 56751
Rep Org: Maryland Dept of the Environment
Licensee: Tesla
Region: 1
City: Owing Mills State: MD
County:
License #: General
Agreement: Y
Docket:
NRC Notified By: Atnatiwos Meshesha
HQ OPS Officer: Lawrence Criscione
Licensee: Tesla
Region: 1
City: Owing Mills State: MD
County:
License #: General
Agreement: Y
Docket:
NRC Notified By: Atnatiwos Meshesha
HQ OPS Officer: Lawrence Criscione
Notification Date: 09/20/2023
Notification Time: 17:38 [ET]
Event Date: 07/12/2023
Event Time: 00:00 [EDT]
Last Update Date: 09/20/2023
Notification Time: 17:38 [ET]
Event Date: 07/12/2023
Event Time: 00:00 [EDT]
Last Update Date: 09/20/2023
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
Dentel, Glenn (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB, (EMAIL) (EMAIL)
Dentel, Glenn (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB, (EMAIL) (EMAIL)
AGREEMENT STATE REPORT - LOST RADIOACTIVE MATERIAL
The following information was provided by the Maryland Department of the Environment via email:
"On July 12, 2023, the Maryland Department of the Environment Radiological Health Program (MDE/RHP) was contacted via email from a Tesla employee who reported the loss of a device with NRD model number P-2021 Z705 from a Tesla Body and Paint facility located in Maryland.
"The lost device is manufactured by NRD, LLC with model number P-2021-Z705, serial number A2MF439. The device contains 10 mCi of Polonium-210. No reference date is associated with it, but the device was shipped to Tesla, Inc. on March 16, 2021. These devices are generally-licensed and sold to Tesla by NRD, LLC. Tesla, Inc. Maryland Site, NA-US-MD-Owings Mills-Body is located at 9430 Reisterstown Road, Owings Mills, Maryland 21117.
"On July 14, 2023, the Maryland Department of the Environment Radiological Health Program (MDE/RHP) investigation showed that the Po-210 radioactive material is used for alpha ionizer applications at the Tesla paint and body shop to stop dust from clinging to the body panels prior to painting. As per the company's procedure, when the device is no longer in use, the radioactive 'barrel' cartridges will be returned to NRD (or suitable disposer). The device had the 'gun' separated from the 'barrel' cartridge. The 'barrel' cartridge was returned to NRD as per procedure and the non-radioactive 'gun' part was lost or misplaced. In this process, the Po-210 source was not accounted for by NRD, LLC and reported as lost.
"This information is not conclusive as a lost source and needs to be further confirmed. Information on the current activity is required. MDE/RHP will finalize a reactive investigation."
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
The following information was provided by the Maryland Department of the Environment via email:
"On July 12, 2023, the Maryland Department of the Environment Radiological Health Program (MDE/RHP) was contacted via email from a Tesla employee who reported the loss of a device with NRD model number P-2021 Z705 from a Tesla Body and Paint facility located in Maryland.
"The lost device is manufactured by NRD, LLC with model number P-2021-Z705, serial number A2MF439. The device contains 10 mCi of Polonium-210. No reference date is associated with it, but the device was shipped to Tesla, Inc. on March 16, 2021. These devices are generally-licensed and sold to Tesla by NRD, LLC. Tesla, Inc. Maryland Site, NA-US-MD-Owings Mills-Body is located at 9430 Reisterstown Road, Owings Mills, Maryland 21117.
"On July 14, 2023, the Maryland Department of the Environment Radiological Health Program (MDE/RHP) investigation showed that the Po-210 radioactive material is used for alpha ionizer applications at the Tesla paint and body shop to stop dust from clinging to the body panels prior to painting. As per the company's procedure, when the device is no longer in use, the radioactive 'barrel' cartridges will be returned to NRD (or suitable disposer). The device had the 'gun' separated from the 'barrel' cartridge. The 'barrel' cartridge was returned to NRD as per procedure and the non-radioactive 'gun' part was lost or misplaced. In this process, the Po-210 source was not accounted for by NRD, LLC and reported as lost.
"This information is not conclusive as a lost source and needs to be further confirmed. Information on the current activity is required. MDE/RHP will finalize a reactive investigation."
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