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Start date | Reporting criterion | Title | Event description | System | LER | |
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ENS 51277 | 29 July 2015 14:00:00 | Agreement State | Agreement State Report - Radioactive Shipment Delivered to Wrong Address | The following information was received from the State of Arkansas via email: The Arkansas Radiation Control Program is making this immediate notification under 10 CFR 20.2201(a)(1)(i) and Arkansas Regulations RH-1501.c.1.A. On July 30, 2015, at 1349 (CDT), NEA Baptist Memorial Hospital, in Jonesboro, Arkansas Radioactive Material License Number ARK-0504-02120, reported that an Iridium-192 sealed source, approximately 10 Curies had been delivered to the wrong address. The source was in an unsecured location for approximately 23.5 hours. The source had been delivered by (common carrier) at 0900 (CDT) on July 29, 2015, to a clinic of a similar name as the hospital but at the wrong address. The source was delivered to the therapy department through the Hospital's receiving department this morning at 0830 (CDT). This concludes the available information at this time. The Licensee is investigating this event. The Arkansas Radiation Control Program continues to investigate this event under Arkansas Event Number AR-2015-010.
The following information was provided by the State of Arkansas via email: The Program (Arkansas Radiation Control Program) received a written report from the licensee on September 3, 2015, outlining actions taken to inform staff should a package containing radioactive material be delivered to the wrong area. These actions included: reviewing procedures, photos of packages containing radioactive material and retraining on the receipt procedures. The Department (Arkansas Department of Health) considers this event to be closed. Notified R4DO (Warnick) and NMSS Events Notifications group via email. THIS MATERIAL EVENT CONTAINS A "CATEGORY 3" LEVEL OF RADIOACTIVE MATERIAL Category 3 sources, if not safely managed or securely protected, could cause permanent injury to a person who handled them, or were otherwise in contact with them, for some hours. It could possibly - although it is unlikely - be fatal to be close to this amount of unshielded radioactive material for a period of days to weeks. These sources are typically used in practices such as fixed industrial gauges involving high activity sources (for example: level gauges, dredger gauges, conveyor gauges and spinning pipe gauges) and well logging. For additional information go to http://www-pub.iaea.org/MTCD/publications/PDF/Pub1227_web.pdf |