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| Start date | Reporting criterion | Title | Event description | System | LER | |
|---|---|---|---|---|---|---|
| ENS 50537 | 14 October 2014 05:00:00 | Agreement State | Agreement State Report - Source Fails to Retract Into Camera | The following report was received via e-mail: On October 15, 2014, the Agency (Texas Department of Health) was notified by the licensee's radiation safety officer (RSO) that on October 14, 2014, a radiography crew could not retract a 38.5 curie iridium-192 source to the fully retracted and locked position in a QSA 880D exposure device (camera). The lead radiographer who had just completed the third shot of the day at a temporary field site could not fully retract the source into the camera, feeling increased binding in the crank assembly. The radiographer cranked the source back out into the collimator and contacted the RSO who was onsite. The RSO and radiographers increased the control area. After three attempts to retrieve the source, the RSO retrieved the source by disconnecting the handles of the crank mechanism. She was able to manually pull the cable until the source was retrieved into the camera. The RSO received the highest dose of 196 mrem on her 0 - 5R range pocket dosimeter. The crank assembly and drive cable will be sent to the manufacturer for inspection. The RSO stated the camera and guide tube appeared to be operating normally. Additional information will be provided in accordance with SA-300. QSA 880D camera serial #D1127 Source Model A-424-9, serial #16137C Texas Incident Number: I-9243 |