ENS Event | |
|---|---|
04:00 Jul 8, 2025 | |
| Title | Lost Source |
| Event Description | The following information was provided by the Florida Bureau of Radiation Control via email:
Adventist Health Systems radiation safety officer (RSO) called today at 1603 EDT to report a lost source while in transit with [common carrier]. The source was a rod source of Gd-153 being shipped in a lead sleeve. The activity of the Gd-153 source at the beginning of July 2025 was 0.04 mCi. The RSO was first notified on July 8, 2025, of the source not arriving at the destination of Eckert and Zeigler in Burbank, California. An employee with Eckert and Zeigler confirmed the box was empty when received on July 7, 2025. There was no source or lead sleeve in the box. They took one picture of the box, then disposed of the box. The RSO has been investigating this incident since July 8. He said the [common carrier] told him that the box was weighed at the midpoint of the shipment in Memphis and the box weight was unchanged from when it left Orlando. He also said anti-tamper tape was placed on the box, but it was unknown if the tape was intact upon arrival at Eckert and Zeigler. There is an ongoing investigation between Adventist Health and the [common carrier]. Florida Incident Number: FL25-074 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 |
| Where | |
|---|---|
| Adventist Health Systems Altamonte, Florida (NRC Region 1) | |
| License number: | 2897-1 |
| Organization: | Florida Bureau Of Radiation Control |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+565.18 h23.549 days <br />3.364 weeks <br />0.774 months <br />) | |
| Opened: | Mark Seidensticker 17:11 Jul 31, 2025 |
| NRC Officer: | Kerby Scales |
| Last Updated: | Jul 31, 2025 |
| 57843 - NRC Website | |
Adventist Health Systems with Agreement State | |
WEEKMONTHYEARENS 578302025-07-25T04:00:00025 July 2025 04:00:00
[Table view]Agreement State Medical Event ENS 578432025-07-08T04:00:0008 July 2025 04:00:00 Agreement State Lost Source ENS 502952014-06-26T04:00:00026 June 2014 04:00:00 Agreement State Agreement State Report Involving an Unintended Dose to a Fetus 2025-07-08T04:00:00 | |