Event Notification Report for August 31, 2023
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
08/30/2023 - 08/31/2023
Agreement State
Event Number: 56806
Rep Org: Maryland Dept of the Environment
Licensee: ECS Mid-Atlantic
Region: 1
City: Clarksburg State: MD
County:
License #: MD-21-037-01
Agreement: Y
Docket:
NRC Notified By: Paul Kovach
HQ OPS Officer: Lawrence Criscione
Licensee: ECS Mid-Atlantic
Region: 1
City: Clarksburg State: MD
County:
License #: MD-21-037-01
Agreement: Y
Docket:
NRC Notified By: Paul Kovach
HQ OPS Officer: Lawrence Criscione
Notification Date: 10/20/2023
Notification Time: 12:49 [ET]
Event Date: 08/31/2023
Event Time: 15:20 [EDT]
Last Update Date: 10/20/2023
Notification Time: 12:49 [ET]
Event Date: 08/31/2023
Event Time: 15:20 [EDT]
Last Update Date: 10/20/2023
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
Jackson, Don (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
Jackson, Don (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
AGREEMENT STATE REPORT - DAMAGED TROXLER GAUGE
The following information was provided by the Maryland Department of the Environment (MDE) via email:
"At 1520 EDT on August 31, 2023 a troxler gauge containing a 9 mCi Cs-137 source and a 44 mCi Am-241 source was struck by a dump truck at a construction site in Clarksburg, Maryland. The gauge was licensed to, and being operated by, ECS Mid-Atlantic, LLC (MD-21-037-01). The display and source guide handle was damaged but the part of the gauge containing the sources was not. The sources' shielding was not damaged. The source rod was successfully retracted by the Radiation Safety Officer (RSO) and several surveys of the area were performed by the RSO confirming only background radiation levels. At the time, the gauge was returned to the licensee's storage facility and tested for source leakage. MDE was notified and requested that the gauge be tested for leakage and the RSO's dosimetry be read. Leak tests later showed no leakage of radioactive material and the RSO's dosimetry read a minimal dose. At this time, the gauge has been repaired by the manufacturer and returned to service.
The following information was provided by the Maryland Department of the Environment (MDE) via email:
"At 1520 EDT on August 31, 2023 a troxler gauge containing a 9 mCi Cs-137 source and a 44 mCi Am-241 source was struck by a dump truck at a construction site in Clarksburg, Maryland. The gauge was licensed to, and being operated by, ECS Mid-Atlantic, LLC (MD-21-037-01). The display and source guide handle was damaged but the part of the gauge containing the sources was not. The sources' shielding was not damaged. The source rod was successfully retracted by the Radiation Safety Officer (RSO) and several surveys of the area were performed by the RSO confirming only background radiation levels. At the time, the gauge was returned to the licensee's storage facility and tested for source leakage. MDE was notified and requested that the gauge be tested for leakage and the RSO's dosimetry be read. Leak tests later showed no leakage of radioactive material and the RSO's dosimetry read a minimal dose. At this time, the gauge has been repaired by the manufacturer and returned to service.
Agreement State
Event Number: 56704
Rep Org: New Mexico Rad Control Program
Licensee: X-ray Associates of New Mexico
Region: 4
City: Albuquerque State: NM
County:
License #: MD 252
Agreement: Y
Docket:
NRC Notified By: Robert Bicknell
HQ OPS Officer: Lawrence Criscione
Licensee: X-ray Associates of New Mexico
Region: 4
City: Albuquerque State: NM
County:
License #: MD 252
Agreement: Y
Docket:
NRC Notified By: Robert Bicknell
HQ OPS Officer: Lawrence Criscione
Notification Date: 08/31/2023
Notification Time: 18:26 [ET]
Event Date: 08/31/2023
Event Time: 00:00 [MDT]
Last Update Date: 08/31/2023
Notification Time: 18:26 [ET]
Event Date: 08/31/2023
Event Time: 00:00 [MDT]
Last Update Date: 08/31/2023
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
Gepford, Heather (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
Gepford, Heather (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
AGREEMENT STATE REPORT - MEDICAL UNDERDOSE
The following is a summary of information that was provided by the New Mexico Environment Department via phone and email:
On August 31, 2023, at approximately 1530 MDT, X-ray Associates of New Mexico reported that an original prescribed dose of 2.11 Gbq of Yttrium 90 was attempted to be delivered, but the patient received a reported dose of 0.927 Gbq, which was only 43 percent of the prescribed dose. The cause for the undelivered amount is undetermined. The licensee has been instructed to provide a complete written report.
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.
The following is a summary of information that was provided by the New Mexico Environment Department via phone and email:
On August 31, 2023, at approximately 1530 MDT, X-ray Associates of New Mexico reported that an original prescribed dose of 2.11 Gbq of Yttrium 90 was attempted to be delivered, but the patient received a reported dose of 0.927 Gbq, which was only 43 percent of the prescribed dose. The cause for the undelivered amount is undetermined. The licensee has been instructed to provide a complete written report.
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.