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| Start date | Reporting criterion | Title | Event description | System | LER | |
|---|---|---|---|---|---|---|
| ENS 54999 | 1 October 2020 04:00:00 | Agreement State | Source Sent to Recycling Center, Then Recovered and Returned | The following was received from the state of North Carolina, Radioactive Materials Branch (RMB): Licensee reports that a laminating device containing a Kr-85 source was inadvertently disposed through their recycling service on 10/1 and was discovered missing on 11/4. On 11/5, working with the licensee, RMB was able to trace the disposal of the device to a recycling yard in York, SC. Licensee arranged with an authorized service provider that was able to assess the device for leakage/contamination and arrange for transport to return to vendor. No evidence of leakage or contamination was found, and the device was packaged and removed from the recycling yard on 11/6. South Carolina DHEC (Department of Health and Environmental Control) was made aware of this incident on 11/5. Device Manufacturer: INDEV, Model: 015030-2, Serial: 2289-4 Source Manufacturer: INDEV, Model: 127-2, Isotope: Kr-85, Serial: KV-412, Activity: 500 mCi Cause: The licensee identified the cause as human error/process error. Corrective Action(s): Re-training of personnel, Methods & Procedure reviews and revising existing procedures. NC event number: 200022 THIS MATERIAL EVENT CONTAINS A "LESS THAN CAT 3" LEVEL OF RADIOACTIVE MATERIAL Sources that are "Less than IAEA Category 3 sources," are either sources that are very unlikely to cause permanent injury to individuals or contain a very small amount of radioactive material that would not cause any permanent injury. Some of these sources, such as moisture density gauges or thickness gauges that are Category 4, the amount of unshielded radioactive material, if not safely managed or securely protected, could possibly - although it is unlikely - temporarily injure someone who handled it or were otherwise in contact with it, or who were close to it for a period of many weeks. For additional information go to http://www-pub.iaea.org/MTCD/publications/PDF/Pub1227_web.pdf | ||
| ENS 54063 | 10 May 2019 21:00:00 | Agreement State | Agreement State Report - Shutter Stuck in Open Position | The following was received via e-mail: On May 13, 2019, the Wisconsin Department of Health Services (DHS) was notified by the licensee TC Transcontinental that at around 1600 CDT on Friday, May 10, 2019, a shutter got stuck in the open position. A ThermoFisher technician was on site doing regular maintenance checks on a Kr-85 Thermo EGS Gauging Model TFC-185 when the shutter got stuck in the open position. The licensee cordoned off the area to prevent unauthorized access to the vicinity. ThermoFisher was on site Saturday, May 11, 2019 and repaired the stuck shutter. The shutter now opens and closes as expected. The Wisconsin DHS will perform a reactive inspection with the licensee. Event Report ID No.: WI 190004 |