Event Notification Report for July 24, 2024

U.S. Nuclear Regulatory Commission
Operations Center

EVENT REPORTS FOR
07/23/2024 - 07/24/2024

EVENT NUMBERS
57229 57230 57231
Agreement State
Event Number: 57229
Rep Org: Colorado Dept of Health
Licensee: The York on City Park
Region: 4
City: Denver   State: CO
County:
License #: GL002514
Agreement: Y
Docket:
NRC Notified By: Kathryn Kirk
HQ OPS Officer: Sam Colvard
Notification Date: 07/16/2024
Notification Time: 11:18 [ET]
Event Date: 07/15/2024
Event Time: 00:00 [MDT]
Last Update Date: 07/16/2024
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
Person (Organization):
Taylor, Nick (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
Event Text
AGREEMENT STATE REPORT - LOST EXIT SIGN

The following is a summary of information received from the Colorado Department of Public Health via email:

The state of Colorado reported the loss of one exit sign.

Manufacturer: Isolite Corporation
Model Number: SLX60
Isotope and Activity: H-3, 7.5 Ci

Colorado Event Report ID Number: CO240018

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: 57230
Rep Org: Colorado Dept of Health
Licensee: HD Powers, LLC
Region: 4
City: Colorado Springs   State: CO
County:
License #: GL001607
Agreement: Y
Docket:
NRC Notified By: Kathryn Kirk
HQ OPS Officer: Natalie Starfish
Notification Date: 07/16/2024
Notification Time: 12:29 [ET]
Event Date: 07/01/2024
Event Time: 00:00 [MDT]
Last Update Date: 07/16/2024
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
Person (Organization):
Taylor, Nick (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB, (EMAIL) (EMAIL)
Event Text
AGREEMENT STATE REPORT - LOST EXIT SIGNS

The following is a summary of information received from the Colorado Department of Public Health and Environment via email:

Two Isolite Corporation exit signs (model number: DH/SL201 RW) containing 11.5 curies of tritium each (23 curies total) were determined to be lost by the licensee.

Colorado event number: CO240019


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: 57231
Rep Org: Arizona Dept of Health Services
Licensee: Banner Boswell Medical Center
Region: 4
City: Sun City   State: AZ
County:
License #: 07-138
Agreement: Y
Docket:
NRC Notified By: Brian Goretzki
HQ OPS Officer: Adam Koziol
Notification Date: 07/17/2024
Notification Time: 12:56 [ET]
Event Date: 07/16/2024
Event Time: 00:00 [MST]
Last Update Date: 07/17/2024
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
Person (Organization):
Taylor, Nick (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB, (EMAIL) (EMAIL)
CNSNS (Mexico) (EMAIL)
Event Text
AGREEMENT STATE REPORT - LOST I-125 SEED

The following information was provided by the Arizona Department of Health Services (the Department) via email:

"The Department received notification from the licensee of a lost I-125 seed used for localization. A patient was implanted with (1) approximately 0.150 mCi I-125 seed on July 15, 2024. The patient returned to the hospital on July 16, 2024, to have the tissue, including the seed, removed. When the surgeon attempted to locate the seed, they were unable to detect it. The operating room and patient were surveyed but the seed was not located. The Department has requested additional information and continues to investigate the event.

"Additional information will be provided as it is received in accordance with SA-300."

Arizona Incident Number: 24-009

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