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 Start dateReporting criterionTitleEvent descriptionSystemLER
ENS 5155319 November 2015 11:30:00Agreement StateAgreement State Report - Radiography Camera Missing

A radiographer for the licensee was in contact with other PetroChem personnel at approximately 0530 CST on 11/19/2015. As of the time of this report, the radiographer has not been heard from and is unaccounted for. The radiographer is considered a Trustworthy and Reliable employee by the licensee. Searches have been and continue to be conducted of routes that the radiographer could have taken to travel to his work location in Corpus Christi, Texas. The licensee has also contacted family members, interviewed co-workers, and checked the job site, all with negative results. The radiographer was traveling in a 2015 Ford F250 diesel 4x4 truck, white in color, with Texas license number GDY-6331. A QSA 880 Delta source projector (serial number 5187) containing a 74 curie IR-192 source was in the truck and is now considered unaccounted for. The Corpus Christi police department has been contacted by the licensee for assistance. Texas Report Number: I-9359. Notified DHS SWO, FEMA, USDA, HHS, DOE, DHS NICC Watch Officer and EPA. Notified via E-mail only FDA, Nuclear SSA, FEMA National Watch Center, and DNDO-JAC. Notified Mexico via facsimile.

  • * * UPDATE FROM ART TUCKER TO JOHN SHOEMAKER AT 0701 EST ON 11/20/15 * * *

The Agency (Texas Department of State Health Services) contacted the (licensee's) radiation safety officer (RSO) at 0655 (CST) and (the RSO) stated they recovered the camera and the truck at 0000 (CST on 11/20/15). The investigation into this event is on going. Additional information will be provided as it is received in accordance with SA 300. Notified R4DO (Warnick), NMSS (McIntosh), ILTAB (Bunch), IRD (Stapleton), NMSS Event Notification via email, DHS SWO, FEMA, USDA, HHS, DOE, DHS NICC Watch Officer and EPA. Notified via E-mail only FDA, Nuclear SSA, FEMA National Watch Center, and DNDO-JAC. Notified Mexico via facsimile. THIS MATERIAL EVENT CONTAINS A "CATEGORY 2" LEVEL OF RADIOACTIVE MATERIAL Category 2 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 a short time (minutes to hours). It could possibly be fatal to be close to this amount of unshielded radioactive material for a period of hours to days. These sources are typically used in practices such as industrial gamma radiography, high dose rate brachytherapy and medium dose rate brachytherapy. For additional information go to http://www-pub.iaea.org/MTCD/publications/PDF/Pub1227_web.pdf

ENS 4885726 March 2013 05:00:00Agreement StateAgreement State Report - Stuck Radiography Source Due to Damaged Guide TubeThe following information was obtained from the State of Texas via email: On March 27, 2013, the Agency (Texas Bureau of Radiation Health) was notified by the licensee that a radiography (camera) guide tube at a temporary field site had suffered damage, causing the source to become unretractable. The source was recovered by the licensee according to the terms of the license. The source was part of a GRP model 880D Sentinel radiography camera, S/N 9185. The source was a 51 Ci Ir-192 sealed source, S/N 91313B. Initial dose estimates show 1.4R exposure to whole body and 2R exposure to the hand by the retrieval worker. The work site was closed so no dose was received by members of the public. More information will be provided as needed per SA300. Texas Incident # I-9060
ENS 4737712 October 2011 05:00:00Agreement StateTexas Agreement State Report - Radiographer OverexposureThe following was received from the state via email: On October 17, 2011, the Agency (Texas Department of State Health Services) was notified by a licensee that one of its radiographers had climbed a ladder to remove the guide tube from a SA Model 880 radiography camera containing a 49.3 curie Iridium (IR)-192 source that was suspended by a rope. Another employee walked by the area and observed the survey meter needle was pegged high. He yelled at the radiographer who climbed down the ladder and attempted to crank the source back into the camera. The source would not move so he cranked it all the way out and then retracted it successfully. The radiographer's badge was sent for processing. The badge had a whole-body dose reading of 4,192 millirem, bringing his total for the year to 5,196 millirem, exceeding the annual limit. The radiographer was unable to ascertain where the source had been in the guide tube. The radiographer did not carry the dose rate instrument to the camera because the safety rules for the facility he was working at does not allow an individual to climb a ladder with any articles in their hand. On October 27, 2011, the Agency (Texas Department of State Health Services) was informed by the licensee that they had completed their investigation and had calculated the dose to the radiographers left hand, which had been on the guide tube, to be between 51 and 58 rem for the event exceeding the annual limit. The licensee stated that they had not observed any changes in appearance in the radiographer's hand. Additional information will be provided as it is received in accordance with SA-300. Texas Incident # I-8894
ENS 4521319 June 2009 04:00:00Agreement StateAgreement State Report - Difficulty Retrieiving Radiography SourceThe following report was received via email: On 6/19/09 at approximately 11:30 a.m., the licensee was unable to retract an industrial radiography source. (The) cause was due to a magnetic positioning device used during operations which fell onto the guide tube, crimping the tube and preventing the source to be retracted to the fully shielded position. (The) device was a QSA Model 660, S/N B2692, with a 91 Curie Ir-192 source, QSA S/N 53932B. No over exposure to personnel or (the) public was reported. (The) source was retrieved into (the) camera by trained personnel within approximately 1/2 hour. (The) licensee revised procedures and conducted refresher training to help prevent similar accidents in the future. ODH (Ohio Department of Health) conducted (an) inspection of (the) job site on 7/1/09. (The) licensee provided (a) written report within (the) 30-day required timeframe. (The) licensee originally thought that this event required a 30-day notice. (The) licensee has been instructed as to the need for 24-hour notification for these events. Ohio report number: OH090007