ENS 57185
ENS Event | |
|---|---|
20:30 Jun 10, 2024 | |
| Title | Unplanned Contamination |
| Event Description | The following is a summary of information provided by the New York State Department of Health (NYSDOH) via email:
NYSDOH received an email from the radiation safety officer of NRD on 6/11/2024 to indicate that a non-routine bioassay was started for an employee due to hand contamination. The employee's hand was decontaminated with soap and water and a whole-body frisk and nasal swabs were conducted. The whole-body count and nasal swabs were less than background. [After NYSDOH inquiry, the licensee subsequently reported that] the incident occurred on 6/10/2024 at 1630 EDT and was identified when the employee was leaving the facility. As a standard procedure implemented by license condition, the employee was frisking hands and feet for potential removable contamination. It was discovered upon frisking that the employee had 758 disintegrations per minute of suspected Am-241 on the palm of their left hand when leaving the facility. This amount of alpha skin contamination is 63 times the incident levels established on the license. [The employee] was transferring contaminated personal protective equipment (PPE) bags into a B25 [shielded waste] container. [The employee is believed to have] incorrectly doffed gloves. No other individuals had contamination present. A survey was performed of the area showing no contamination in excess of background levels on the surfaces, including the external surface of the B25 container. NRD is still performing an investigation, reporting their findings, and providing NYSDOH with bioassay data for this employee. It is unclear if this event truly meets the reportability criteria by 10 CFR 20.2203(a)(3)(i) or (ii), however, NYSDOH wishes to voluntarily report this event in the event [it is reportable,] regardless of applicability. NYSDOH will provide updates as appropriate regarding this incident. NYSDOH Incident Number 1489
The following information was provided by the New York State Department of Health (NYSDOH) via email: Following the original notification, the worker in question's bioassay result indicated that no Am-241 or Po-210 in excess of this individual's baseline concentrations were present (all 'undetected'). Additionally, this worker's dosimeter did not record any dose received (dose received was below detection limits). This event did not meet the reportability criteria by 10 CFR 20.2203(a)(3)(i) or (ii), however, NYSDOH voluntarily reported this event regardless of applicability. As a corrective action, this worker was retrained by the licensee in proper use of PPE, including procedures to properly don and doff PPE. As this was the second event within the past month involving a hand contamination, the licensee also provided additional educational signage for reminding staff on proper PPE usage, training videos and hands-on demonstrations during annual refresher training. Furthermore, additional contamination equipment was purchased to improve monitoring capabilities of staff involved with handling radionuclides. NYSDOH has accepted these corrective actions and will evaluate the implementation of these actions on the next inspection. NYSDOH has closed this event. Notified R1DO (Werkheiser), NMSS (email). |
| Where | |
|---|---|
| Nrd, Llc Grand Island, New York (NRC Region 1) | |
| License number: | C1391 |
| Organization: | New York State Dept. Of Health |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+234.87 h9.786 days <br />1.398 weeks <br />0.322 months <br />) | |
| Opened: | Nathaniel Kishbaugh 15:22 Jun 20, 2024 |
| NRC Officer: | Robert A. Thompson |
| Last Updated: | Sep 16, 2024 |
| 57185 - NRC Website | |
Nrd, Llc with Agreement State | |
WEEKMONTHYEARENS 576192025-03-07T04:00:0007 March 2025 04:00:00
[Table view]Agreement State Potential Overexposure ENS 575572025-02-18T14:00:00018 February 2025 14:00:00 Agreement State Lost Smoke Detector Foil ENS 571852024-06-10T20:30:00010 June 2024 20:30:00 Agreement State Unplanned Contamination ENS 571842024-05-08T04:00:0008 May 2024 04:00:00 Agreement State Unplanned Contamination ENS 569812024-01-26T05:00:00026 January 2024 05:00:00 Agreement State Lost Sources ENS 568692023-11-19T05:00:00019 November 2023 05:00:00 Agreement State Potential Overexposure ENS 560452022-08-15T15:45:00015 August 2022 15:45:00 Agreement State Individual Exposed to Radioactive Materials ENS 539742019-04-01T04:00:0001 April 2019 04:00:00 Agreement State Agreement State Report - Possible Internal Overexposure 2025-03-07T04:00:00 | |