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ENS 534411 June 2018 15:50:00

The following information was received via E-mail: On May 31, 2018, during a turn-around at Calcasieu Refining Co., lockout and tagout procedures were not performed for two fixed gauges. Two non-radiation workers were over-exposed for the limit of 2 mR/hr. External radiation exposures are currently estimated at between 20 to 40 millirem whole body. The two sources were 50 mCi Cs-137 sources in Ohmart Vega Model SH-F1 gauges with serial numbers 70012 and 69998.

This event was reported by the facility on June 1, 2018. LA Event Report ID No.: LA20180010

ENS 570054 March 2024 10:25:00The following is a summary of the information provided by the Louisiana Department of Environmental Quality (LDEQ) via email: At 2152 CST on March 3, 2024, a lost source was found along Corporate Blvd., Baton Rouge, LA. The device is a Model IC-51 Calibrator with 1000 mCi of Cs-137 as of August 25, 1980. The label on the device indicates the manufacturer was Gulf Nuclear, Inc., of Webster, Texas. LDEQ took possession of the device on March 4, 2024, and has it at the time of this report. Event Report ID No.: LA20240003 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 5692614 January 2024 19:21:00The following information was provided by the Louisiana Department of Environmental Quality (LA DEQ) via email: This medical event was reported (to the LA DEQ) on January 13, 2024, at 2259 (CST). On January 12, 2024, the licensee was performing a Y-90 brachytherapy medical procedure. A tubing failure (catheter) resulted in an incomplete dosing of the patient. The catheter became blocked up with the undelivered radiopharmaceutical Y-90. The Y-90 was contained within the administrating device's tubing. There was no spill involved. The Y-90 being used was TheraSphere from Boston Scientific. Approximately 23 percent of the radiopharmaceutical Y-90 was delivered to the patient. No effect on the individual was determined. The remainder of the prescribed dose will be administered to the patient at a later date. LA DEQ Event Report ID: LA20240001 A Medical Event may indicate potential problems in a medical facility's use of radioactive materials. It does not necessarily result in harm to the patient.
ENS 5690622 December 2023 10:56:00The following information was provided by the Louisiana Department of Environmental Quality (DEQ) via email: On December 14, 2023, the licensee was performing a Y-90 procedure. A tubing failure resulted in an incomplete dosing of the patient. All of the unadministered radiopharmaceutical was contained within the administrating device's tubing. There was no spill involved. No effect on the individual was determined. Of the prescribed dose of 105 Gy, only 50.5 Gy was administered. The remainder of the prescribed dose is scheduled to be administered on January 2, 2024. A representative from TheraSphere was in attendance during the procedure and witnessed the tube failure. The TheraSphere representative alerted their colleagues at Boston Scientific. Improvements needed to prevent recurrence: More thorough inspection of device tubing prior to administration. LA Event Report ID No.: LA20230013 A Medical Event may indicate potential problems in a medical facility's use of radioactive materials. It does not necessarily result in harm to the patient.
ENS 567712 October 2023 16:43:00The following report was received from the Louisiana Department of Environmental Quality (the Department) via email: On October 2, 2023, Syngenta Crop Protection, LLC notified the Department that a nuclear level gauge shutter was broken. The shutter is stuck open at approximately 40 percent. The gauge manufacturer is Texas Nuclear, Model: 5182, serial number 149. The source is Cs-137 with 50 mCi activity, serial number: J34. BBP Sales has been contacted to come out to the facility to perform repairs on the nuclear gauge. Louisiana Event Report ID No.: LA20230012
ENS 5676830 September 2023 15:18:00The following was received from the Louisiana Department of Environmental Quality (the Department) via email: On September 30, 2023, Acuren Inspection, Inc. notified the Department that an industrial radiography camera failed to retract the source after an exposure. The industrial radiography camera was a Century 330 QSA Cobalt camera. The serial number of the camera is P30078. The radiation source is a Cobalt-60 with an activity strength of 52.2 curie. The source serial number is 59740G. The source was cranked back out the end of the source guide tube with a collimator. The facility where this event occurred is in St. Martin, Louisiana. Only the two man radiography crew was present at the site during the event, which occurred between 0300 (CDT) and 0350. A source retrieval was performed, resulting with the source in a shielded condition in the radiography camera. The individual performing the source retrieval received only 1 millirem. Louisiana Event Report ID No.: LA20230010
ENS 5659428 June 2023 11:33:00The following information was provided by the Louisiana Department of Environmental Quality (the Department) via email: On June 28, 2023, Dow Chemical Company notified the Department that a fixed gauge had a stuck shutter in the open position. Vega Model SHF2B serial number: 0368CR with a 500 mCi Cs-137, source serial number: N/A. The facility was using BBP Sales to perform their six-month audit on the gauges. BBP Sales sprayed penetrating lubricant on the shutter which loosened the shutter. They plan to come back to re-spray the shutter and make sure that it functions as designed. LA Event Report Number: LA20230009
ENS 565087 May 2023 11:50:00The following information was provided by the LA Department of Environmental Quality (the Department) via email: (On) May 6, 2023, Shell Chemical LP notified the Department that a fixed gauge has a stuck shutter in the open position. (Gauge information:) Vega Model SHF1 serial number: N0416 with Cs-137 50 mCi, source serial number: N/A. The facility has contacted BBP Sales to come out on Monday, May 8, 2023. The facility is planning to replace the nuclear gauge housing because of corrosion. Event Report ID No.: LA20230008
ENS 5642723 March 2023 15:27:00The following information was received from the Louisiana Department of Environmental Quality (the Department) via email: On March 23, 2023, Nondestructive & Visual Inspection, L.L.C. notified the Department that there was a possible overexposure. The event occurred on March 21, 2023. The industrial radiography crew was working with a SPEC 150 (serial number: 2256) with 80 Ci of Ir-192. The source serial number was EA1810. The industrial radiography crew was working on a pipeline in Red River Parish, Louisiana. The industrial radiographer was not wearing his dosimetry badge, pocket ion chamber, and rate alarm meter when he realized the radiation source had not been cranked back into a shielded condition and was out to the end of the source guide tube with a collimator. The radiographer has had bloodwork done to send to REACT for testing. The calculation for exposure ranged from 1.8 rem to 21 rem. The industrial radiography source is now secured and properly shielded within the SPEC 150 camera." Louisiana Event Report ID No.: LA20230005
ENS 5642219 March 2023 18:12:00The following information was provided by the Louisiana Department of Environmental Quality (the Department) via email: On March 19, 2023, Versa Integrity Group, Inc. notified the Department that there was a possible overexposure. The industrial radiography crew was working with a QSA 880 Delta (source projector) with 100 Ci of Ir-192 at Air Liquide, Geismar, LA. The camera serial number is D14952. The Ir-192 source serial number is 72308M. The crew pocket ion chamber went off scale. The industrial radiography source is secured and properly shielded within the QSA 880 Delta camera. The following additional information was obtained from the licensee in accordance with Headquarters Operations Officers Report Guidance: The Department will be meeting with the licensee's radiation safety officer (RSO) and conducting an investigation tomorrow, March 20, 2023.
ENS 563917 March 2023 14:38:00The following information was received from the Louisiana Radiation Protection Division (the Department) via email: On March 7, 2023, Boise Packaging and Newsprint, LLC notified the Department that there was an equipment malfunction. The pivot pin connecting the shutter handle rusted out and failed. The fixed gauge was an Ohmart Model SHRM-B serial number 1301/1830. The source was 80 mCi of Cs-137. A third party licensee was contacted to come out and fix the Ohmart gauge. Louisiana Report ID: LA20230003
ENS 5632731 January 2023 17:14:00The following report was received by the Louisiana Department of Environmental Quality (the Department): On January 31, 2023, University Hospital & Clinics, Inc. notified the Department of a Nuclear Medicine Event. A patient back on October 26, 2022, was being treated with thyroid ablation with isotope I-131 with an activity of 30 mCi. The patient was found out to be pregnant at eleven weeks at the time of treatment. The physicist determined that the fetus received 5 rads. Louisiana Event Report Number: LA20230001
ENS 561506 October 2022 14:05:00The following is a summary of information received from the Louisiana Department of Environmental Quality (the Department) via email: On October 6, 2022, Cleco Power, LLC notified the Department that four of their fixed gauges failed their shutter checks. 1. Two Texas Nuclear Model 5197 with serial number B1769 & B1770. They each contained a 100 mCi Cs-137 source (model number: 570-57157C). 2. Two Texas Nuclear Model 5192 with serial number B2503 & B2504. They each contained a 20 mCi Cs-137 source. The two Model 5192 will be repaired using replacement parts by BBP Sales. The two Model 5197 will be disposed of and not placed back into service. Louisiana Event Report ID Number: LA20220010
ENS 5610614 September 2022 15:05:00The following information was provided by the Louisiana Department of Environmental Quality (the Department) via email: Today, September 14, 2022, Air Liquide notified the Department that their two dew point testers are considered lost at this time. The dew point tester was manufactured by ALNOR. The device model numbers were 7280U with serial number 12476 and 7200U with serial number 22469. Both devices each contained 6.25 microCuries of Ra-226. The following additional information was obtained from the licensee in accordance with Headquarters Operations Officers Report Guidance: The last known inventory of the two missing sources occurred in 2007. The facility in which the missing sources were held closed in 2021. Louisiana Incident Number: LA20220009 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 559775 July 2022 15:52:00The following was received from the state of Louisiana via email and phone: (On) July 5, 2022, QSA Global, Inc. received a package for disposal from Costa Rica. The package read 500 mrem at the surface (exceeding the 200 mrem requirement). The shipment contained two drums which had two sources inside each drum. One drum whose shielding had moved during shipment contained two Am-241 sources, serial numbers 9224 LX and 9225 LX, with an activity of one curie each. The source models are QXV 9000. The manufacturer is Valmet. Sources were received from DEL BCR 125 M ESTE, Cole SA, Costa Rica.
ENS 558161 April 2022 11:07:00The following information was received from the Louisiana Department of Environmental Quality (LDEQ) via email: On April 1, 2022, LDEQ received this event notification. The licensee was working at Bayer Crop Science, LP performing industrial radiography work on March 28, 2022. At approximately 1051 CDT, the RSO ((Radiation Safety Officer)) was notified of a source disconnect. The event involved a QSA 880 Delta, serial number 7511, source serial number 4806514. The source was an Ir-192 with an activity of 59 Ci. The drive cable end connector had broken off from the drive cable. The source was retrieved back into a shielded condition. The person performing the source retrieval received 460 mR exposure. The radiographer involved had his pocket ion chamber go off scale and his badge was sent in. The badge read 337 mR which was at the end of the working month. Louisiana Event Report ID No.: LA 20220004
ENS 5570111 January 2022 08:23:00The following information was received via E-mail: On January 10, 2022, at 1535 CST, the Louisiana Department of Environmental Quality (LDEQ) was notified by the Union Carbide Corporation Radiation Safety Officer, via phone, concerning a handle that had broken off an Ohmart Vega FH-F2-0 nuclear gauge holder (housing). The holder serial number is 20285009. The source serial number is 156OCO. The source activity is 500 mCi of Cs-137. The gauge is in the 'On' position in its present condition. This event occurred at the Union Carbide Corporation Taft Plant in Taft, Louisiana. Louisiana Event Report ID No.: LA 20220001
ENS 5548924 September 2021 13:48:00The following information was received via email: Louisiana Department of Environmental Quality (LDEQ) was notified by the St. Tammany Parish Hospital Director of Radiology via the LDEQ Radiation Hotline at approximately 0915 CDT on September 24, 2021, concerning a medical event which took place at the licensee's facility between 1500 and 1600 CDT on September 22, 2021. According to the Director of Radiology, the patient received 366.2 Gray of the radiation dose of Y-90 TheraSpheres, instead of the prescribed radiation dose of 720 Gray, which is more than 20 percent below the prescribed dose. The facility Physicist was notified by the Director of Radiology concerning the above medical event on or about 1600 CDT on September 22, 2021. The Physicist in turn notified the hospital Radiation Safety Officer (RSO), who notified the hospital administration concerning the medical event at approximately 0955 CDT on September 23, 2021. According to the Physicist (during a conference call with LDEQ), the remaining Y-90 dose was not shunted, but remained within the TheraSphere kit. According to the Director of Radiology and the Physicist, the prescribing physician stated the patient nevertheless received an adequate therapeutic dose of Y-90. LDEQ Event Report ID No.: LA 20210008 A Medical Event may indicate potential problems in a medical facility's use of radioactive materials. It does not necessarily result in harm to the patient.
ENS 5536620 July 2021 19:44:00The following synopsis was received from the Louisiana Department of Environmental Quality (the department) via phone: The department was notified that the licensee was performing radiography shots with a QSA 880D (s/n #: D11621) at the pipeline just outside Ringgold, LA. When attempting to retract, the drive cable connector came off, leaving the 73 Ci Ir-192 source (s/n: 31880M) in the collimator. The Radiation Safety Officer (RSO) was notified and arrived to retrieve the source. The RSO covered the source with bags of lead shot and replaced the drive cable. The source was disconnected from the source cable and retrieved with tongs. The two radiographers received 30 and 29 mrem. The RSO received 189 mrem. Since the pipeline is in an isolated area, there were no other workers or member of the public around.
ENS 5513311 March 2021 13:50:00The following was received from the State of Louisiana via email: EPIC Piping, LLC contacted the Louisiana Department of Environmental Quality (LDEQ), Emergency and Radiological Services Division (ERSD), Radiation Section about a Landauer Badge Report indicating an exposure (real or threatened) greater than or equal to 5 Rem. The badge indicated a 7,232 mR exposure. The Landauer Badge Report covered dates of January 15 to February 15, 2021. The source was an Ir-192 using a QSA Global 880D industrial radiography camera. The facility uses permanent industrial radiography shooting cells. The radiographer used potentially different radiography cameras having different sources according to which shooting cell was being used that day. Louisiana Event Report ID Number: LA 20210004
ENS 5510312 February 2021 16:35:00The following was received from the LA Department of Environmental Quality, (LDEQ): QSA Global Inc. called in a notification (to LDEQ) of receiving a transportation shipment today, Friday, February 12, 2021 at 1430 CST. Baker Hughes Oilfield Operations, LLC was the shipper. The package was surveyed with a radiation reading at surface on the bottom greater than 440 mrem, with a TI (Transportation Index) of 11.1. The lateral sides were reading 75 mrem. The carrier was not an enclosed vehicle. The package consisted of ten (10) gauges. The manufacture of density gauges is TN Technologies. The package originated from San Fernando Trinidad, West Indies to 11211 FM 2920, Tomball, Texas 77375, to 1046 Alliet Road, Broussard, Louisiana 70518 to QSA Global, Baton Rouge, Louisiana. Louisiana Event Report ID No.: LA 20210003
ENS 5507015 January 2021 17:21:00The following was received from the State of Louisiana, Department of Environmental Quality: On January 05, 2021, (the Radiation Safety Officer) (RSO) dropped off seventeen sources to the common carrier for shipment to various locations. Alpha-Omega contacted the Louisiana Department of Environmental Quality / Emergency Response Services Division / Radiation Section (at 1530 CST on 1/15/21) to report that a High Dose Rate (HDR) Ir-192 source was lost in transit with the common carrier. The source was being shipped to Mid-Columbia Medical Center, The Dalles, OR. The source serial number is D36R0392. The activity of the Ir-192 source on 1/5/21 was 10.568 Ci (391.016 GBq) when it was shipped. The current activity on 1/15/21 is 9.626 Ci (356.162 GBq). The common carrier does not show this source being tracked or received. LA Event Report ID No.: LA 20210001 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 Note: This device is assigned an IAEA Category 3 value based on the actual radioactivity of the source, not on the device type. (Reference IAEA RG-G-1.9)
ENS 550978 February 2021 11:58:00The following was received from the state of Louisiana via email: A written notification was received on February 8, 2021 at 09:15 am, which stated that on January 12, 2021, a contract employee was sanding and painting on the 491-V-44 ASO Washer Vessel, near two permitted nuclear level gauges. Estimated exposure time was forty minutes for the hand and forearm. The gauges were two Texas Nuclear Model 5206, 500 mCi Cs-137 (not decay corrected), gauge serial numbers B364 & source s/n GG-5325 and gauge s/n B365 & source s/n GG-5917. The exposure was calculated for extremities of hand and forearm to be 2,423 mrem. The dose to the whole body has not been calculated at this time and is in the process of being done. Louisiana Incident Number : LA20210002
ENS 550224 December 2020 15:44:00The following was received from the state of Louisiana via email: On December 04, 2020, Alpha-Omega Services RSO contacted the Louisiana Department of Environmental Quality / Emergency Response Services Division / Radiation Section to report that a High Dose Rate (HDR) Ir-192 source was lost in transit with the commercial carrier. The source was being shipped to Stanford University Medical Center, 820 Quarry Road, Palo Alto, CA 94304. The source serial number is 02-01-2922-001-111120-11438-41. The activity of the Ir-192 source was 11.44 Ci (423.22 GBq) on November 13, 2020 when it was shipped. The source was last tracked in the commercial carrier Memphis, TN Hub on November 14, 2020 at 06:07 am CST. Louisiana Incident Number: LA20200011 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 Note: This device is assigned an IAEA Category 3 value based on the actual radioactivity of the source, not on the device type. (Reference IAEA RG-G-1.9)
ENS 550193 December 2020 15:19:00The following information was received via E-mail: Acuren Inspection, Inc. contacted the Louisiana Department of Environmental Quality / Emergency Response Services Division / Radiation Section on December 3, 2020, concerning an industrial radiography source that had been stuck within the source guide tube. The crew was using a QSA Global model - 880D, serial number - 14783, with an Ir-192 source, with source serial number - 11512M, with an activity of 41 Ci (1,517 GBq). On December 2, 2020, around 1640 CST, the source became stuck outside the camera in the source guide tube while performing radiography operations (when an equipment stand fell on the source guide tube leading it to become crimped). There were no excessive radiation exposures. The industrial radiography crew's pocket dosimeters did not go off scale. A source retrieval team was sent out and had the source returned back into the camera by 2000 CST on December 2, 2020. The event occurred at Enbride Venice Facility in Venice, LA. Louisiana Event Report ID No.: LA20200010
ENS 5500724 November 2020 14:25:00The following was received from the State of Louisiana via email: Marathon Petroleum Company contacted the Louisiana Department of Environmental Quality / Emergency Response Services Division / Radiation Section on November 24, 2020, concerning a stuck shutter. The fixed gauge is stuck open and determined on November 23, 2020 to be in this condition. The fixed gauge is an Ohmart/Vega Model Number SHGL-2, s/n for housing and source is 9853 CN. The source is Cs-137 with an activity of 5000 mR (185 GBq). There were no radiation exposures. A technician from BBP will be out at the facility on December 1, 2020 for repair. Louisiana Incident No.: LA20200009
ENS 5487131 August 2020 15:06:00The following was received from the state of Louisiana: On August 28, 2020, the Louisiana Department of Environmental Quality (LDEQ) / Emergency Response Services Division / Radiation Section was contacted to report radioactive material was discovered being brought into the facility in a roll-off box to Southern Recycling LLC. The roll-off box came from Monsanto Company, Luling, Louisiana 70070. The roll-off box contained scrap metal from a new construction site at Monsanto Company. American Radiation Services (ARS), Port Allen, LA was brought in to survey the box and make determination of the radioactive material. ARS determined that the radioactive material was Se-75. The survey reading was two mR/hr at surface contact. The survey reading was taken from a corrugated paper box with no removable contamination. At this time, no radiation sealed source has been found or indication to make determination of the potential source. LDEQ is sending an inspector to the facility to make further determination if possible with ARS. The radioactive material is secured on site at Southern Recycling. Louisiana Incident No.: LA20200008
ENS 548144 August 2020 15:38:00The following is a summary of information that was received from the Louisiana Department of Environmental Quality via email: On August 4, 2020, at 1120 CDT, at a job site in New Iberia, LA, the drive cable on one of the licensee's industrial radiography cameras broke six inches from the drive cable to source cable connector. The radiographers set up a 2mR boundary after being unable to retract the source into a shielded position. One of the licensee's radiation safety officers (RSO) was called to the scene and was able to retrieve the source. During this event the RSO received a dose of 313 mR and the crew received 16 and 11 mR according to their insta-dose badges. The radiography camera is a SPEC 150 (s/n: 2131) with a 56 Ci Ir-192 source (s/n: BF2401). Event Report ID No.: LA20200007
ENS 5478516 July 2020 13:09:00The following is a synopsis of information received via E-mail and phone: On July 15, 2020, at 1445 CDT, the Radiation Safety Officer (RSO) for Syngenta Crop Protection, LLC contacted the Louisiana Department of Environmental Quality / Emergency and Radiological Services Division / Radiation Section to report that shutters had failed to close on two fixed density gauges during routine maintenance. The shutters are stuck in the open position and do not affect operation. The gauges are Ronan Engineering Model SAI, s/n's 5832GK and 5835GK, each with a 50 mCi Cs-137 sealed source, at the time of installation. The licensee contacted the contractor, BBP Sales, LLC, to determine whether the gauges should be disposed of or repaired. The decision will be made on July 16, 2020 on how to deal with the stuck shutters. Repair or disposal of the gauges should be accomplished by July 20, 2020. Louisiana Event Report ID No.: LA20200005
ENS 5478717 July 2020 10:48:00The following was received from the Louisiana Department of Environmental Quality via email: On July 12, 2020, the Radiation Safety Officer (RSO) contacted the state by voice mail to the Louisiana Department of Environmental Quality/Emergency Response Services Division/Radiation Section to report that a High Dose Rate (HDR) Ir-192 source was damaged in transit with the shipper. The source was being shipped to Providence Regional Cancer Partnership, Rad Oncology Department, 1717 13th Street, Everett, WA 98201. The source serial number is 02-01-2499-001-062320-11518-64. The activity of the Ir-192 source was 11.189 Ci on June 26, 2020 when it was shipped. The source was returned back to Alpha-Omega Services because the HDR drive cable was found damaged and twisted. The transport container had been damaged. The source was found to be one inch high from its designated shielding transportation position. The return survey found the exposure to be 80 mR.hr at surface and 4.0 mR/hr TI. The container had been shipped at a surface reading of 31 mR/hr and a TI of 0.9 mR/hr at one meter. LA Report Number: LA20200006
ENS 5474818 June 2020 16:35:00The following information was received via email: On June 18, 2020 at 1130 CDT, an industrial radiography crew was working at DOW Chemical Company located in St. Charles Parish. The crew was working on top of a furnace. The crank-out controls (of a radiography camera) came into contact with a pipe and melted while the source was out. The source retracted some but stopped. The source was secured. Six people worked the boundary to ensure no one got exposed. The Radiation Safety Officer (RSO) disconnected the 35 foot crank-out that had melted and pulled on the cable to finish retracting the source into a shielded condition. The RSO received a 43 mrem exposure and their assistant received a 73 mrem exposure. The radiography camera was a QSA 880 Delta, s/n D6309. Source s/n was 92997G, with an activity of 23 Ci of Ir-192. Event Report ID No.: LA20200004
ENS 5455228 February 2020 15:54:00The following was received from the state of Louisiana via email: On February 11, 2020, Source Production & Equipment Company, Inc. (SPEC) contacted Louisiana Department of Environmental Quality, Emergency & Radiation Services Division, Radiation Section, by email to report that two employees had exceeded their annual five rem limit for the 2019 year. Both employees worked at SPEC in the hot cell room manufacturing Se-75, Ir-192, and Co-60 sources for industrial radiography. Hot Cell employee number 1 received an estimated TEDE of 5,028 mR and Hot Cell Employee number 2 received an estimated TEDE of 5,687 mR for 2019 year. Event Report ID No.: LA20200003
ENS 5448115 January 2020 16:16:00The following information was received via E-mail: On January 15, 2020, at 1400 CST, the DOW Chemical Radiation Safety Officer contacted the supervisor of the Louisiana Department of Environmental Quality/ERSD/Radiation Section to report that a shutter failed to shut during routine maintenance. The shutter which failed to shut was found on January 14, 2020, at approximately 1500 CST, at DOW Chemicals Company. The shutter is stuck in the open condition and does not effect operation. The gauge is a Vega Americas model number SHF2B, s/n 38953125, with a 500 mCi Cs-137 sealed source, s/n 0368CR. The licensee has contacted the contractor for repair and is awaiting a date and time for the repair. Event Report ID No.: LA20200001
ENS 5440522 November 2019 11:10:00The following was received via email from the Louisiana Department of Environmental Quality (the department): On 11/21/2019, at 1245 (CST), (the licensee) called (the department) to report that a stuck shutter (model - OHMART SH-F1 with 50 mCi of Cs-137) was found during the annual shutter check test. An equipment malfunction, which was a stuck shutter, was found on 11/19/2019, at approximately 1030 (CST) at BASF Corporation Chemicals Division. The shutter is stuck in the open condition and does not affect operation. BASF has contacted BBP Sales, Inc. to come in to replace the handle and any other parts needing replacing. Event Report ID No.: LA190013
ENS 5417218 July 2019 13:22:00The following is an abstract of information received via E-mail: On July 17, 2019, a Capitol Ultrasonics (CU) three-person crew was making exposures on a compressor at a chemical plant at ExxonMobil Refinery, at a temporary jobsite in Baton Rouge, Louisiana. The three-person radiography crew consisted of two radiography instructors and an assistant radiographer. After performing three approximately one minute and 25 second exposures and upon completing the fourth exposure and cranking in the source, the radiography instructor noticed, after rocking the crank-out handle back and forth, that the exposure device auto-lock was not engaging. Before reaching the exposure device, the instructor noticed higher than expected survey readings. Several more attempts were made to crank in the source without success. The instructor at once contacted his Radiation Safety Officer (RSO), as well as the ExxonMobil Safety Superintendent. The crew then immediately extended their restricted area boundary to the 2 mR/hr line. Six to seven radiography technicians of the licensee maintained visual surveillance of the boundary and awaited arrival of their RSO. The exposure device was a QSA Global Model 741OP, serial number, B107, containing 15.1 Ci of Co-60, source Model number, A424-18 and source serial number, 60487B. The lead technician of the crew leading the incident response prior to the arrival of the RSO, received 30 mR on his direct-reading dosimeter (DRD). The RSO received approximately 17 mR on his DRD by the time that the source was finally placed back in the exposure device in the shielded position. An environmental scientist from the Louisiana Department of Environmental Quality made a site visit to the temporary jobsite of the incident and performed preliminary investigation to include observing the successful retrieval of the source on July 17, 2019, by QSA Global. QSA Radiation Technicians received from 40 to 78.3 mR whole body exposure as a result of performing the source retrieval. Louisiana Event Report ID No.: LA 190010
ENS 5393915 March 2019 14:37:00

The following was received via e-mail: On March 14, 2019 around 1430 CDT, Turner Industries Group, LLC was performing work in a permanent shooting cell. Two industrial radiographers got into a verbal altercation, which lead to one industrial radiographer cranking out a source onto the other industrial radiographer. Dose reconstruction indicated less than 2 millirem/hr whole body to the one radiographer. The first radiographer was twelve feet from the four Half-Value Layer (HVL) collimator and ran to a shielded condition within seconds after realizing the source had been cranked out. The second radiographer was behind a shooting cell wall performing the crankout.

"The radiographer performing the crankout has been terminated and led off the property.  All access that he had has been revoked and access codes changed.

Louisiana Event Report ID No.: LA20190004

ENS 5368622 October 2018 15:27:00The following was received from the State of Louisiana via email: On October 22, 2018 around 1000 CDT, Capitol Ultrasonics, L.L.C. was working at Exxon Refinery. Two industrial radiographers' pocket ion chambers went off scale while moving the source guide tube. Dose reconstruction indicated 743 mR whole body to one radiographer. The second radiographer received 294 mR whole body and 51 Rem extremity dose to the hands. The industrial radiography camera being used was an 880D Amersham, serial number: D15404, with a source strength of 34.3 Ci of Ir-192, serial number: 66839G. Body badges are being sent in for immediate processing at this time. Louisiana Event Report ID No.: LA20180017
ENS 5348029 June 2018 22:31:00

The following report was received from the State of Louisiana via phone: On June 29, 2018 the Louisiana Radiation Protection Division was notified that an employee of Wood Material (a dredging company) stole a radiation device. The radiation device was subsequently sold by the employee to the ERM Southern Recycling center. The recycling center identified and recovered the device. The recycling center then performed a leak test on the device to confirm that the device was not leaking. The device was then isolated and secured in a drum by the recycling center. The device is manufactured by Ronan Engineering and has a serial number of 211023A, but the activity is not known at this time. A police report was filed on the employee who stole the device. Louisiana has notified the NRC regional office.

  • * * UPDATE ON 7/3/18 AT 0923 EDT FROM JAMES PATE TO BETHANY CECERE * * *

The following report was received from the State of Louisiana by email: The gauge was a Ronan Engineering Flow Meter Gauge Model RLLI, Device S/N: 211023A, Source Model Number: CDC.700, Isotope: Cs-137 with Activity: 0.90 mCi. The gauge was stolen by an employee from Wood Materials, 6148 River Road, New Orleans 70123. A police report was made & filed. The employee confessed to scraping the gauge for scrap metal. Employee terminated.

The gauge is secure at this time. Enforcement action will be taken on the licensee of the gauge for not securing the gauge. This matter is considered closed out. Notified the R4DO (Miller), NMSS Events, and ILTAB. 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 5342023 May 2018 10:52:00

The following information was received from the State of Louisiana via email: On Friday May 23, 2018 Georgia-Pacific was notified by a third party inspection company performing fixed gauge inspections that three fixed gauges were found with stuck shutters. The three gauges were: 1.) Ohmart, Model Number HM-8, S/N: 6563, 100 mCi Cs-137 2.) Ronan, Model Number SA8-C10, S/N: 9775GG, 50 mCi Cs-137 3.) Berthold, Model Number P2608.11, S/N: 773/2-03-11, 1.297 mCi Co-60

Georgia-Pacific is planning to replace the gauge holders and sources. Louisiana Event Report ID No.: LA-20180009

ENS 533082 April 2018 14:33:00

The following information was received via E-mail: On Friday, March 9, 2018, Applied Inspection Systems was performing industrial radiography. At approximately 1315 CDT while performing industrial radiography, a pipe fitting sitting on a 'V' pipe stand fell over and crushed the source guide tube. Source Production & Equipment Company was called in to perform source retrieval. There were no over-exposures or reportable exposures. The retrieval crew received a maximum of 40 mR. The source was retrieved and re-inserted back into the camera with no concerns noted. The SPEC IR-192 Model G-60 source serial number was YK0701, source strength was 35 Ci, and camera serial number was 1381. The industrial radiography camera was a SPEC-150.

"This event is considered closed out.

Applied Inspection Systems, Inc. License Number: ARK-0576-03310, Reciprocity: RC-493, AI#: 154688. This Arkansas licensee was working under reciprocity in the State of Louisiana at the Calumet-Cotton Valley Refinery, in Cotton Valley, Louisiana. Louisiana Event Report ID No.: LA20180003

ENS 5311311 December 2017 14:43:00The following was received via fax: On Wednesday, December 6, 2017, a contract technician from BBP Sales conducted Georgia-Pacific semiannual shutter checks. It was found that a handle would not turn to close a shutter for a level gauge. The gauge was a Ronan holder model SAI-F37 manufactured in 1987. The sealed source serial number is MI104. This is a 150 mCi Cesium-137 source. Louisiana Department of Environmental Quality (LDEQ) was notified on December 11, 2017. The source holder will have to be replaced as there is no way to remove the shutter for repair. LA Report ID: LA20170018
ENS 5263724 March 2017 11:48:00The following information was received from the State of Louisiana via fax: On March 24, 2017, LDEQ (Louisiana Department of Environmental Quality) was notified by Blue Cube Operations LLC, that during an annual equipment inspection, it was determined that a level density gauge shutter was malfunctioning. The density gauge was a TN Technologies Inc. Model: 5202, and equipped with a TN Technologies Inc. Model 57157C sealed source - serial number: GK-9492. Initial source activity was 500 mCi (Cs-137), after decay correction, it is 341.78 mCi. No release or exposure to personnel. Blue Cube Operations plans to repair the shutter to the level density gauge. Event Report ID No.: LA170004
ENS 5260613 March 2017 11:48:00

The following information was obtained from the state of Louisiana via email: On Friday, March 10, 2017, TEAM Industrial Services, Inc., in Borger, TX expected to receive two Ir-192 radiography camera sources from Source Production & Equipment Co., Inc., in St. Rose, LA. Only one source arrived at TEAM Industrial. The transportation company began a search for the missing source and discovered that the source had been shipped to Portland, OR. The source, 105 Ci of Ir-192 (as of 3/13/17), is enroute to TEAM Industrial in Texas and expected to be there by Thursday 3/16/17. The source was a G-60 source, serial number YC0801, in a SPEC-150, serial number 137. Louisiana Event Report ID No.: LA170003

      • UPDATE ON 3/21/17 FROM JAMES PATE TO NESTOR MAKRIS ***

The following update was received via email: I am updating a notification in writing. The confirmation number was 52606 from the HOO. Louisiana Event Report ID Number is LA170003. The transportation misplaced source was located and was received by TEAM Industrial on Friday 03/17/2017. NMED, please closed out this event. The source was received at the designated receiving location on Friday 03/17/2017. Notified R4DO (Drake), ILTAB DO (Davis), and NMSS Events Notification. 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 5239123 November 2016 10:21:00The following report was received from the Louisiana Department of Environmental Quality via email: On the 3rd of November, 2016, QSA Global, Inc. had an incident during the transfer of Kr-85 sources to approved shipping containers for transportation to Qual-X, Inc. for recycling. The work was being preformed at approximately 1530 to 1600 hrs. (CST). After the completion of the work, there was no indication at that time of any possible leakage. At approximately 1800 hrs., it was noticed that the scintillation counter background had a slightly higher than normal background reading. It was determined that the only possible cause was the Kr-85 sources, as that is all that QSA Global, Inc. had worked with that day. A visual inspection of the possible leaking Kr-85 sources was performed. There was no damage to any of the windows, but QSA Global, Inc. now knows that was the point of origin of the contamination due to the surveys of the lead container that they were stored in. The sources were sealed in a 10 gallon steel drum and then placed in a plastic bag to prevent any additional release of material. The sources involved are LFE Model S-70A s/n 9234 at 168 mCi, 9332 at 184 mCi and 9333 at 184 mCi. The original activity of these sources was 1200 mCi. The building was ventilated using fans to remove the Kr-85 that had accumulated in the building. The building was surveyed at 0230 hrs. (on November 4, 2016) with no contamination detected. Another survey of the building was performed again at 0530 again with no contamination found. After QSA Global discussed the situation with Qual-X, Inc. and using their expertise in these types of situations, it was determined from survey readings and building size, that an estimated amount of less than 1-2 mCi may have been released. They also indicated that the sources were of the type that are known to leak due to the way they are manufactured and their age being 29 years. At this point QSA Global, Inc. believes that all three may be leaking. Event Report ID No.: LA160015
ENS 5180318 March 2016 10:44:00

The following was received from the State of Louisiana via email: On March 17, 2016, Acuren Inspection, Inc. notified LDEQ (Louisiana Department of Environmental Quality) during a telephone discussion, about a source retrieval on March 2, 2016, but did not use our 24-hour hotline number for these types of notifications within the regulatory guidelines prescribe time limits of 24 hours. The event occurred at Exxon Mobil Baton Rouge, 4045 Scenic Hwy., Baton Rouge, LA.

"The source could not be retracted due to a crimped guide tube.  The total amount of Ir-192 for the industrial radiography camera was 64.7 Ci.  The camera was:

QSA Global: 880D, S/N: D4022, Curies: 64.7, Source S/N: 27719G. Louisiana Event Report Identification Number: LA160006

ENS 5164512 January 2016 10:56:00Unauthorized entry and attempted theft of Category 2 material. Licensee informed local law enforcement. Louisiana Event Report ID # LA160001
ENS 515812 December 2015 15:59:00

The following information was received via E-mail: On December 2, 2015, BASF Corporation notified LDEQ (Louisiana Department of Environmental Quality) of an equipment malfunction. An Ohmart gauge, source serial number 6241GK, with 34 mCi Cs-137, was found to have a stuck open shutter during an annual inspection. The stuck open position of the shutter does not affect the use of the gauge in its normal day to day operation.

"BASF has contacted BBP Inc. and ordered a repair kit.  The kit will arrive within a few weeks.  BBP Inc. will repair the gauge which is planned to happen in January 2016.

Louisiana Event Report ID No.: LA150021

ENS 5147616 October 2015 14:19:00

The following information was received from the State of Louisiana via email: On October 02, 2015, around 1500 CDT, Source Production & Equipment Company (SPEC) was manufacturing a 30 Curie sealed Co-60 source within Hot Cell Number 2. During the welding process of double encapsulating the sealed source the welder malfunctioned. Two radiation workers within Hot Cell Number 2, behind the room divider, attempted to grind off the ruined outer encapsulation.

"The result was two workers inhaled Co-60 material.  Nasal swipes indicated 11,743 cpm on the highest wipe.  It was initially calculated internal exposure of around 200 mRem.
"The event was basically contained to Hot Cell Number 2 except for some footprints outside the cell which were remediated.  The Hot Cell is currently restricted because of contamination.
"The workers have had two whole body scans on 10/07/15 and 10/12/15 with a third scan planned for 10/19/15. 
"Currently internal exposure from inhalation has been calculated to be 373 mRem from 2.3 microCi of Co-60.  The other worker's calculated exposure was 80 mRem from 0.42 microCi of Co-60.
"SPEC has enacted a policy in regards to this event to no longer allow reworking a ruined source during manufacturing by grinding on it.  They will just retire/dispose of that source and get a new source to work with.

The licensee is also collecting bioassay samples from both workers for analysis. LA Event Report ID NO.: LA150017

ENS 500088 April 2014 11:27:00The following was received from the State of Louisiana via fax: A general licensed device gauge, containing (decay) corrected 30.47 mCi of Cs-137, serial number B-0187 was improperly disposed of. A recycling company had with a torch burned into the gauge and had come within one (1) mm of the source capsule. The Department of Energy had exercised eminent domain and taken over the oil well next to a strategic reserve for their use during November 2011 from Boardwalk LA Midstream, LLC. The gauge was not leaking and the source capsule was still intact. QSA Global has accepted the gauge for disposal. The Department (Louisiana Department of Environmental Quality) considers this matter closed. Louisiana report # LA-140004
ENS 493306 September 2013 14:51:00Dosimetry badge result were reported to the licensee around July 19, 2013 with an individual's badge having received a total annual occupational dose exposure exceeding 7,437 mrem. 2013 badge history results showed exposures for the following months: January - 538 mrem, February - 410 mrem, March - 287 mrem, April 367 mrem, May 2,412 - mrem, and June - 3,423 mrem. LA Event Report ID No. LA130003