Semantic search
Jump to navigation
Jump to search
| Entered date | Event description | |
|---|---|---|
| ENS 55633 | 8 December 2021 15:25:00 | The following information from the state of Utah Division of Radiation Control (Division) was received by email: A licensee gauge operator lost/misplaced a Troxler portable nuclear density gauge model 3411 (SN 12109), (containing 8 mCi of Cs and 40 mCi of Am-Be). He claims he arrived at the licensee laboratory and signed his gauge out on the shipping log at 0615 (MST). He then took his gauge within the transportation case outside of the secured storage room and set it down on the floor inside the laboratory next to the storage room and proceeded to load additional equipment into his truck parked out back. He was outside loading this equipment and was having a conversation with another employee. The other employee said he had to leave and the gauge operator said he had to leave also and got in his truck and drove to his first project at 0630 (MST). At his first project site in Riverton, he then realized he had forgotten the gauge at the lab. At 0730 (MST) he left the project and drove back to the lab to discover that the gauge was not there on the floor at approximately 0830 (MST). He searched the lab, storage room, and questioned lab personal. The RSO was informed of this situation at 0850 (MST). The licensee has notified law enforcement of the missing gauge. The Division is waiting for additional information from the licensee. UT Event Report ID No.: UT-21-0007 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 54903 | 16 September 2020 18:00:00 | The following was received from the state of Utah, Division of Waste Management and Radiation Control, via email: At approximately 1300 (MDT), on September 16, 2020, a Nuclear Medicine Technician injected 9.5 mCi of Tc-99 Sestamibi into the wrong patient. The prescribed radiopharmaceutical to be administered was Tc-99m MAA. The dose of Tc-99 Sestamibi was intended for a patient scheduled earlier in the day that did not show up for their appointment. The Nuclear Medicine Technician failed to swap out the Tc-99 Sestamibi for Tc-99m MAA for the 1300 MDT patient. State Event Report No.: Will be provided in a follow up report. 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 53451 | 11 June 2018 10:21:00 | The following was received from the State of Utah via email. The morning of June 10, 2018, the licensee discovered that a portable nuclear density gauge had been stolen from one of their work trucks. The truck had been parked in the driveway of the AGEC's (Applied Geotechnical Engineering Consultants, Inc.) employee's house. The license claims that the gauge was properly stored in storage container that was bolted to the bed of the truck and the tailgate was locked. The licensee explained that the perpetrator broke through the locked tailgate, cut the barriers around the Troxler box, cut the locks on the Troxler box and removed the portable gauge. The Salt Lake City Police Department was also contacted. The licensee will continue to investigate the incident and will submit a written report to the DWMRC (Division of Waste Management and Radiation Control). Event Report ID No.: UT180002 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 |