Information Notice No. 90-14: Accidental Disposal of Radioactive Materials
NUCLEAR REGULATORY COMMISSION
OFFICE OF NUCLEAR MATERIALS SAFETY AND SAFEGUARDS
WASHINGTON, D.C. 20555
March 6, 1990
Information Notice No. 90-14: ACCIDENTAL DISPOSAL OF RADIOACTIVE
Addressees: All U.S. Nuclear Regulatory Commission (NRC) Byproduct
This information notice (IN) alerts licensees to recent cases where
unauthorized, accidental disposal of radioactive material has occurred, and
of the need to avoid storing radioactive materials in places where the
materials could inadvertently be disposed of in an unauthorized manner
(e.g., unauthorized land burial, incineration, or removal to unrestricted
areas). Licensees should review this information for applicability to their
programs, distribute it to appropriate personnel and consider actions, as
appropriate, to preclude these events from occurring at their facilities.
Information contained in this notice does not constitute new NRC
Description of Circumstances:
Licensees were previously informed of the importance of assuring that access
to licensed radioactive material is controlled (IN 89-35, "Loss and Theft of
Unsecured Licensed Material," attached.) The following additional cases are
examples of events that have occurred since IN 89-35 was issued.
CASE 1. Accidental Incineration of Iodine-131
A licensee reported that radioactive trash containing approximately 1
millicurie of iodine-131 (used for a medical procedure) was removed from a
hospital patient's room and incinerated with non-radioactive waste. A
follow-up inspection determined that the incinerated material was
iodine-131, and that there was a lack of proper training among licensee
CASE 2. Incineration of Iodine-125 Brachytherapy Seeds
A licensee's Radiation Safety Officer informed the NRC of the apparent loss
of control of four iodine-125 seeds, approximately one millicurie of
activity each. Twenty seeds had been implanted in a patient in a hospital
operating room during a cancer treatment. The surgical materials,
coverings, and waste materials were not surveyed, but were put in the
infectious waste trash.
March 6, 1990
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Later, x-rays were taken of the patient's implant site, revealing that only
16 of the 20 seeds were in place. The licensee concluded that the four
seeds were incinerated. The manufacturer of the seeds stated that intense
heat from burning would break down the titanium capsule that covered the
CASE 3. Loss of Two Industrial Gauges Containing Strontium-90 Sources
A licensee reported that two density measurement gauges had been
inadvertently transferred from its facility to a scrap metal processor.
Searches at the scrap dealer failed to locate the devices. The gauges each
contained a 13-millicurie strontium-90 sealed source. One gauge was
subsequently located by NRC inspectors. NRC imposed a civil penalty for the
first lost source, and licensee is still looking for the remaining source.
CASE 4. Loss of a 40-Microcurie Cesium-137 Sealed Source
A licensee reported the loss of a 40 microcurie cesium-137 sealed reference
source (part of a liquid scintillation counter) that had been sent
inadvertently to a scrap-yard for disposal. The source has not been found.
CASE 5. Lost Density Level Gauge
A licensee informed an NRC regional office that it was unable to locate a
generally licensed density gauge, which it previously possessed, despite an
on-going intensive search. The gauge contained 50 millicuries of
cesium-137, and has not been found.
CASE 6. Steel Furnace Melts Cesium Source
An Agreement State notified the NRC that a cesium-137 source had been
inadvertently melted by a steel mill. The mill reported to the State that
an outgoing rail shipment of furnace flue dust tripped the plant's radiation
monitors. Surveys by a consultant and by a State inspector found radiation
levels up to 1 mr/hr on the sides of the railcars. Analysis of samples
identified the contaminant as cesium-137.
The NRC is aware of 15 cases, since 1983, of accidental smelting of
radioactive sources. Eleven have occurred in the United States. Cesium-137
and cobalt-60 are the primary sources of contamination. In response, many
scrapyards and dealers have installed radiation detectors to monitor
incoming scrap. In 1986, NRC issued a hazardous scrap warning poster that
has been distributed to the ferrous and non-ferrous metal industry.
IN 89-35, "Loss and Theft of Unsecured Licensed Material", issued in March,
1989, reminded licensees of the importance of assuring that access to
licensed radioactive material is controlled. This notice cites recent
examples of loss of radioactive materials, and indicates that many licensees
did not take sufficient actions to address this problem when IN 89-35 was
March 6, 1990
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Licensees should review systems for control of licensed material and
routinely instruct employees in the actions needed to assure control of
licensed material. Particular attention should be paid to instructing
workers who may only come in contact with licensed material on an occasional
basis, since several of the cited losses were due, in part, to the failure
of employees to recognize or appropriately handle licensed material.
Title 10, Code of Federal Regulations, Part 19, Section 19.12, "Instructions
to workers" requires that "... all individuals working in or frequenting any
portion of a restricted area shall be kept informed of the storage,
transfer, or use of radioactive materials...." Section 20.207 of 10 CFR
Part 20, "Storage and control of licensed materials in unrestricted areas,"
requires that such material be secured from unauthorized removal, and that
materials not in storage in an unrestricted area be under the constant
surveillance and immediate control of the licensee.
Licensees are reminded of the importance of ensuring that access to licensed
radioactive material is controlled as required by NRC regulations. The
incineration, burial, or damage of licensed radioactive material has the
potential for causing unnecessary exposures of employees and members of the
public. Severe penalties can be imposed for failure to control access to
licensed material as required by the NRC regulations. It is suggested that
licensees review their programs to assure that all radioactive material is
properly secured against unauthorized removal, and that workers are properly
trained in proper safety procedures.
No written response is required by this information notice. If you have any
questions about this matter, please contact the appropriate regional office
or this office.
Richard E. Cunningham, Director
Division of Industrial and
Medical Nuclear Safety, NMSS
Technical Contact: Jack R. Metzger, NMSS
1. IN 89-35, Loss and Theft of
Unsecured Licensed Material
2. List of Recently Issued NMSS Information Notices
3. List of Recently Issued NRC Information Notices
Page Last Reviewed/Updated Friday, May 22, 2015