ENS 44959
ENS Event | |
|---|---|
05:00 Jan 28, 2008 | |
| Title | Agreement State Report - Radiography Camera Malfuntion |
| Event Description | The following information was received from the State of Texas via Email:
On January 28, 2008, the Agency was notified by the licensee that a radiographer was doing work in one of their shooting bays when a 35.7 curie Iridium -192 source would not retract into the radiography camera. The radiographer used an installed video camera to look into the room and saw that the component he was working on had fallen and crimped the guide tube attached to the camera. The source was cranked to the end of the guide tube, and two attempts to straighten the guide tube and retract the source failed. A source retrieval supervisor then entered the room and placed lead bags over the end of the source guide tube and placed a lead sheet over the lead bags. The supervisor attempted to reshape the section of the guide tube that had been damaged using a hammer. This also did not work. Finally, the supervisor cut the damaged section of the guide tube out and the source was then retracted to the camera. The reported exposure for this event was 15 millirem. The radiographer received additional instruction on proper set up and operation of a radiography camera. This file is closed. This event was reported within 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br /> of the event using the NMED reporting system and not to the HOO [NRC Headquarters Operations Officer]. Failure to properly report this event was determined after a review was conducted of all radiography related events reported in the State of Texas from September 1, 2006 to March 31, 2009. This review was initiated in response to the State of Texas Incident Investigation Program (IIP) determining that they had failed to correctly interpret the requirements for reporting this type of event. The state used 10 CFR 34.101 to report these events, and not 10 CFR 30.50(b)(2), due to conflicting interpretations of NRC rules requiring reporting. In an effort to prevent a reoccurrence of this, each member of IIP was required to read Information Notice 2001-03, Incident Reporting Requirements for Radiography Licenses, dated April 6, 2001. In addition, the IIP database has been changed to clarify the reporting requirement and bring it in line with the NRC requirements. Texas Incident Report: I - 8604
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| Where | |
|---|---|
| Metco Houston, Texas (NRC Region 4) | |
| License number: | 03018 |
| Organization: | Texas Department Of Health |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+10333.83 h430.576 days <br />61.511 weeks <br />14.155 months <br />) | |
| Opened: | Art Tucker 17:50 Apr 2, 2009 |
| NRC Officer: | John Knoke |
| Last Updated: | Apr 8, 2009 |
| 44959 - NRC Website | |
Metco with Agreement State | |
WEEKMONTHYEARENS 500942014-05-07T03:00:0007 May 2014 03:00:00
[Table view]Agreement State Radiography Source Tube Crimped Preventing Source Retraction ENS 489672013-04-23T05:00:00023 April 2013 05:00:00 Agreement State Agreement State Report - Failure of Radiography Source to Fully Retract ENS 484202012-10-17T05:00:00017 October 2012 05:00:00 Agreement State Agreement State Report- Unable to Retract Radiography Camera Source ENS 476762012-02-17T06:00:00017 February 2012 06:00:00 Agreement State Agreement State Report Involving Potential Radiographer Overexposure ENS 473392011-10-10T12:00:00010 October 2011 12:00:00 Agreement State Agreement State Report - Misalignment in the Crankout Device ENS 468342011-04-19T05:00:00019 April 2011 05:00:00 Agreement State Agreement State Report - Stuck Radiography Camera Source ENS 451442009-06-10T07:35:00010 June 2009 07:35:00 Agreement State Agreement State Report - Unable to Retract Radiography Source ENS 445352008-09-29T18:00:00029 September 2008 18:00:00 Agreement State Agreement State Report - Potential Overexposure to Extremities ENS 449592008-01-28T05:00:00028 January 2008 05:00:00 Agreement State Agreement State Report - Radiography Camera Malfuntion ENS 449632008-01-05T05:00:0005 January 2008 05:00:00 Agreement State Agreement State Report- Radiography Camera Malfunction ENS 449612007-10-18T05:00:00018 October 2007 05:00:00 Agreement State Agreement State Report - Inability to Retract Radiography Source ENS 436442007-09-15T03:00:00015 September 2007 03:00:00 Agreement State Agreement State Report Involving Potential Overexposures During Industrial Radiography ENS 434112007-05-08T05:00:0008 May 2007 05:00:00 Agreement State Agreement State Report Involving Equipment Failure of Radiography Camera 2014-05-07T03:00:00 | |