ML19065A081
| ML19065A081 | |
| Person / Time | |
|---|---|
| Issue date: | 10/31/2018 |
| From: | Courtemanche S Division of Nuclear Materials Safety I |
| To: | Pace Analytical Services |
| References | |
| 53706 LER 2018-010 | |
| Download: ML19065A081 (4) | |
Text
RI - DNMS Licensee Event Report Dis osition Event Descriptior-n'-:_._......,.__..;....,~..:..,.....:....;:"'----....._........,="_..___-r-_ _ _ _- . - - - - - - - . . . . . - - - - , - - - - - - - - - ~
License No: Docket No: MLER-RI:
1--------1 Event Date: L.....I,_.......+-+>_ _..... Report Date: HQ Ops Event #:
- 1. REPORTING REQUIREMENT 10 CFR 20.1906 Package Contamination 10 CFR 30.50 Report 10 CFR 20.2201 Theft or Loss 10 CFR 35.3045 Medical Event 10 CFR 20.2203 30 Day Report License Condition Other
- 2. REGION I RESPONSE Immediate Site Inspection Inspector/Date X Special Inspection Inspector/Date 'e. ' "-"
(.1
- I I Cu-c.--<..
Telephone Inquiry Ins ector/Oate Preliminary Notification/Report Daily Report Information Entered in RI Log Review at Next Inspection Report Referred To:
- 3. REPORT EVALUATION 4.
Description of Event Levels of RAM Involved Cause of Event MANAGEMENT DIRECTIVE 8.3 EVALUATION
§ Corrective Actions Calculations Adequate Additional Information Requested from Licensee
µ!If Release w/Exposure > Limits Deliberate Misuse w/Exposure > Limits Repeated Inadequate Control Pkging Failure> 1O rads/hr or Contamination> 1OOOx Limits Exposure 5x Limits Large# lndivs w/Exp>Limits or Medical Deterministic Effects Potential Fatality Unique Circumstances or Safeguards Concerns If any of the above are involved:
D Considered Need for IIT D Considered Need for AIT Decision/Made By/Date:
- 5. MANAGEMENT DIRECTIVE 8.10 EVALUATION (additional evaluation for medical events only)
Timeliness - Inspection Meets Requirements (5 days for overdose/ 10 days for underdose)
Medical Consultant Used-Name of Consultant/Date of Report:
Medical Consultant Determined Event Directly Contributed to Fatality Device Failure with Possible Adverse Generic Implications HQ or Contractor Support Required to Evaluate Consequences
i"l.Public-SUNSI REVIEW COMPLETE Branch Chief Initials: Date:
Location of File: G:\REFERENCE\BLANK FORMS\LER FORM.DOCX Rev. 10/26/16
Courtemanche, Steven From: Adam Netzer <Adam.Netzer@pacelabs.com>
Sent: Wednesday, October 24, 2018 12:31 PM To: Courtemanche, Steven
Subject:
[External_Sender] Fwd: Re: Misplaced ECDs Incident Report
- Steven, Thank you for providing guidance for filing this incident report. Below is the information requested. Let me know if you need anything additional to comply with this notification.
Company Information Pace Analytical Services, LLC 1800 Elm Street SE Minneapolis, MN 55414 Specific Location Information Where Incident Occurred Pace Analytical Services, Beaver-WV Environmental Laboratory 225 Industrial Park Road Beaver, WV 25813 800-999-0105 Point of Contact/Reporting Person Adam Netzer - Corporate Health, Safety and Environmental Director 612-607-6329 Incident, Amount:
In our inventory, we had six spare Agilent ECDs. We, believe they were accidentally placed in the trash for disposal and were subsequently placed in the local landfill. The ECDs have a sealed source with -15 millicuries of Nickel 63 each. These were the ECD's only and not the entire instrument (GC).
ECDs: Model F6470 19233 F6526 19233 L2643 19233 L7189 19233 F4602 19233 F6242 19233 Date of Lost/Misplaced ECDs, Last Time Seen:
Identified as missing October 1, 2018.
Confirmed to be missing October 3, 2018 Last seen September 26, 2018.
Believed to be placed in the laboratory trash September 26th-29th, 2018.
Root Cause During a clean-up/lean event employees were going through the lab and reorganizing/disposing of unneeded materials.
The six ECDs were used as reserves for GC instrumentation and placed in a bag in efforts to not dispose of them. At some point later in the week, it is believed that either an employee or cleaning person mistook the bag as garbage and threw them away.
1
Mea~ures to Recover Upon discovering the lost ECDs, Pace contacted the trash hauler - Raleigh County Solid Waste Authority. They stated that, due to the length of time that has passed since disposal, the likelihood of recovery is essentially zero. Due to the process of filling hollow-like areas, anything disposed has approximately 20' of additional material over it, and they have no way of knowing where the truck would have dumped the materials.
Adam Netzer Director of Health, Safety & Environment Pace Analytical Services 1800 Elm Street SE Minneapolis, MN 55414 Office 612.607.6329 Mobile 612.508.5243 www.pacelabs.com 2
Courtemanche, Steven From: Hoc, HOO X Sent: Wednesday, October 31, 2018 12:12 PM To: Schroeder, Daniel; Courtemanche, Steven Cc: Hoc, HOO X
Subject:
Event Notice: 10/31/2018 Attachments: Summary.pdf; Events.pdf POC: Adam Netzer Director of Health, Safety & Environment Pace Analytical Services 1800 Elm Street SE Minneapolis, MN 55414 Office 612.607.6329 Mobile 612.508.5243 Event# 53706 is a radioactive material event of interest level: "Less than Cat 3".
Headquarters Operations Officer U.S. Nuclear Regulatory Commission Phone: 301-816-5100 Fax: 301-816-5151 email: hoo.hoc@nrc.gov secure e-mail: hoo1@nrc.sgov.gov 1