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Category:PRELIMINARY NOTIFICATION OF EVENT OR OCCURRENCE (PNO
MONTHYEARPNO-I-98-005A, on 980220,lost of 1 Mci P-32 Package Update Made.Licensee Performed Radiological Surveys of All Water Coolers & Coffee Pots in Bldg at Which Package Delivered,As Precautionary Measure.Area Contamination Surveys Performed1998-02-20020 February 1998 PNO-I-98-005A:on 980220,lost of 1 Mci P-32 Package Update Made.Licensee Performed Radiological Surveys of All Water Coolers & Coffee Pots in Bldg at Which Package Delivered,As Precautionary Measure.Area Contamination Surveys Performed PNO-I-98-005, on 980212,NIH RSO Notified NRC Region I That One Mci P-32 Package Missing.Matter Referred to Nih Police Who Investigating Missing P-32 as Possible Theft.Nrc Region I Evaluating Ongoing Efforts of Licensee1998-02-13013 February 1998 PNO-I-98-005:on 980212,NIH RSO Notified NRC Region I That One Mci P-32 Package Missing.Matter Referred to Nih Police Who Investigating Missing P-32 as Possible Theft.Nrc Region I Evaluating Ongoing Efforts of Licensee PNO-I-97-007A, on 970122,update of Status of Lost Package Containing 1 Mci of I-125 Occurred.Vial Verified to Be Missing Vial by Licensee.State of MD Notified by Region I1997-01-24024 January 1997 PNO-I-97-007A:on 970122,update of Status of Lost Package Containing 1 Mci of I-125 Occurred.Vial Verified to Be Missing Vial by Licensee.State of MD Notified by Region I PNO-I-97-007, on 970122,RSO Notified NRC Operations Ctr, Unable to Locate Package Containing 1 Mci of I-125.RSO Reported Shield Transported by Rsb Staff within Us DOT 7A Type a Cardboard Box,Required Labels & Markings1997-01-23023 January 1997 PNO-I-97-007:on 970122,RSO Notified NRC Operations Ctr, Unable to Locate Package Containing 1 Mci of I-125.RSO Reported Shield Transported by Rsb Staff within Us DOT 7A Type a Cardboard Box,Required Labels & Markings PNO-I-96-095, on 961221,fire Occurred in One of Nih Labs.Lab Contained Small Quantities of Radioactive Matls Used in Research Tracer Studies.Lab Also Contained Dry & Liquid Radioactive Waste Containers1996-12-23023 December 1996 PNO-I-96-095:on 961221,fire Occurred in One of Nih Labs.Lab Contained Small Quantities of Radioactive Matls Used in Research Tracer Studies.Lab Also Contained Dry & Liquid Radioactive Waste Containers PNO-I-88-005, on 880804,licensee Notified NRC of Apparent Loss of Calibr Ref Source.Source Is Small Metal Capsule Containing 0.88 Mci Cs-137.Licensee Plans to Release Advisory to All Nih Employees on Bethesda Campus1988-08-0404 August 1988 PNO-I-88-005:on 880804,licensee Notified NRC of Apparent Loss of Calibr Ref Source.Source Is Small Metal Capsule Containing 0.88 Mci Cs-137.Licensee Plans to Release Advisory to All Nih Employees on Bethesda Campus 1998-02-20
[Table view] Category:TEXT-INSPECTION & AUDIT & I&E CIRCULARS
MONTHYEARPNO-I-98-005A, on 980220,lost of 1 Mci P-32 Package Update Made.Licensee Performed Radiological Surveys of All Water Coolers & Coffee Pots in Bldg at Which Package Delivered,As Precautionary Measure.Area Contamination Surveys Performed1998-02-20020 February 1998 PNO-I-98-005A:on 980220,lost of 1 Mci P-32 Package Update Made.Licensee Performed Radiological Surveys of All Water Coolers & Coffee Pots in Bldg at Which Package Delivered,As Precautionary Measure.Area Contamination Surveys Performed PNO-I-98-005, on 980212,NIH RSO Notified NRC Region I That One Mci P-32 Package Missing.Matter Referred to Nih Police Who Investigating Missing P-32 as Possible Theft.Nrc Region I Evaluating Ongoing Efforts of Licensee1998-02-13013 February 1998 PNO-I-98-005:on 980212,NIH RSO Notified NRC Region I That One Mci P-32 Package Missing.Matter Referred to Nih Police Who Investigating Missing P-32 as Possible Theft.Nrc Region I Evaluating Ongoing Efforts of Licensee PNO-I-97-007A, on 970122,update of Status of Lost Package Containing 1 Mci of I-125 Occurred.Vial Verified to Be Missing Vial by Licensee.State of MD Notified by Region I1997-01-24024 January 1997 PNO-I-97-007A:on 970122,update of Status of Lost Package Containing 1 Mci of I-125 Occurred.Vial Verified to Be Missing Vial by Licensee.State of MD Notified by Region I PNO-I-97-007, on 970122,RSO Notified NRC Operations Ctr, Unable to Locate Package Containing 1 Mci of I-125.RSO Reported Shield Transported by Rsb Staff within Us DOT 7A Type a Cardboard Box,Required Labels & Markings1997-01-23023 January 1997 PNO-I-97-007:on 970122,RSO Notified NRC Operations Ctr, Unable to Locate Package Containing 1 Mci of I-125.RSO Reported Shield Transported by Rsb Staff within Us DOT 7A Type a Cardboard Box,Required Labels & Markings PNO-I-96-095, on 961221,fire Occurred in One of Nih Labs.Lab Contained Small Quantities of Radioactive Matls Used in Research Tracer Studies.Lab Also Contained Dry & Liquid Radioactive Waste Containers1996-12-23023 December 1996 PNO-I-96-095:on 961221,fire Occurred in One of Nih Labs.Lab Contained Small Quantities of Radioactive Matls Used in Research Tracer Studies.Lab Also Contained Dry & Liquid Radioactive Waste Containers ML20133K6201995-11-22022 November 1995 AIT Insp Rept 30-01786/95-02 on 950630-1115.No Violations Noted.Major Areas Inpsected:Licensee Response to Internal Contamination Incident Identified by Licensee on Evening of 950629 PNO-I-88-005, on 880804,licensee Notified NRC of Apparent Loss of Calibr Ref Source.Source Is Small Metal Capsule Containing 0.88 Mci Cs-137.Licensee Plans to Release Advisory to All Nih Employees on Bethesda Campus1988-08-0404 August 1988 PNO-I-88-005:on 880804,licensee Notified NRC of Apparent Loss of Calibr Ref Source.Source Is Small Metal Capsule Containing 0.88 Mci Cs-137.Licensee Plans to Release Advisory to All Nih Employees on Bethesda Campus 1998-02-20
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January 23, 1997 PdELIMINARY NOTIFICATION OF EVENT OR UNUSUAL OCCURRENCE PNO-I-97-007 4 This preliminary notification constitutes EARLY notice of events of POSSIBLE safety or public interest significance. The information is as initially received without verification or evaluatisa, and is basically all that is known by Region I staff in King of Prussia, Pennsylvania on this date.
Facility Licensee Emeroency Classification National Institute Of Health Notification of Unusual Event National Institute Of Health Alert Bethesda, Maryland Site Area Emergency Dockets: 03001786 License No: 19-00296-10 General Emergency X Not Applicable
Subject:
LOSS OF PACKAGE CONTAINING ONE MILLICURIE OF IODINE-125 At 4:17 p.m. on January 22, 1997, the licensee's Radiation Safety Officer (RSO) notified the NRC Operations Center that they were unable to locate a package containing 1 millicurie of iodine-125. The RSO reported that the package was received by the Radiation Safety Branch (RSB) staff on
. January 9 and was delivered by the RSB staff to the laboratory of the i autnorized user who requested the material on January 10, 1997. Delivered with the package containing the iodine-125 were two additional packages,
. each containing a quantity of phosphorus-32. RSB records indicate that
! three packages were delivered to the correct laboratory and were provided i to an individual who was authorized to use the materials. The individual who received these packages acknowledges signing a receipt form which identified all three packages but only recalls receiving, opening, and placing into storage, the two boxes which contained the phosphorus-32.
i The licensee reported that they are able to account for the phosphorus-32 received that day.
The researcher who ordered the iodine-125 first began looking for the material at approximately 3:00 p.m. on January 21, 1997. The RSO stated that iodine-125 is normally stored in the iodination fume hood located within the laboratory. When the researcher was unable to find the t iodine-125 in the iodination hood, he initiated a search and questioned his laboratory coworkers. At approximately 10:30 a.m. on January 22, 1997, the researcher concluded that the package was missing and contacted the RSB staff. RSB staff immediately responded and assisted the
- researcher in performing a more extensive search for the missing material. The RSO reported that a utilization form for the missing iodine-125, which was prepared by the RSB staff at the time that the material was received in the RSB office, was located in the researcher's laboratory. Because this form was delivered along with the radioactive l
, material to the researcher's laboratory, the licensee believes that the j iodine-125 package was delivered to the correct laboratory and opened. -
The material, 1 millicurie of iodine-125 sodium iodide (Dupont NEN Product Number NEZ- 033L) was delivered in an NENSURE lucite vial secured
, within a plastic-coated screw-top lead shield. The RSO reported that the shield was transported by the RSB staff within a US DOT 7A Type A cardboard box which had the required labels and markings. I The RSO hypothesizes that: (1) the package containing the radioactive material was inadvertently discarded as non-radioactive waste; (2) the i
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PNO-I-97-OO7 PDR l oh !
[,9NOl'.-97-007 i ~ ..
vial.containing the iodine- 125 was disposed of in the dry radioactive waste: container which 'was collected on January 16, 1997; or - (3)' the package was~ stored in a location which has not yet.been discovered. The licensee is. reviewing these and other possibilities and continues to search for the missing iodine-125. The RSO stated that they would parform additional surveys to search for possible contamination.
Rsgion I will perform a special inspection at the licensee's facility during the week of January 27,.1997. The State of Maryland has been notifiedivia fax by the Headquarter's Operations Officer. .The. Region I Office.of1Public Affairs.is prepared to respond to media inquiries. This.
information.is current as of 10:00 a.m. on. January 23, 1997.
Contact:
David Everhart James Dwyer (610)337-6936 '(610)337-5309