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The following information was received via … The following information was received via facsimile:</br>A worker was working in a hot cell when a F-18 (radio-isotope) was mistakenly delivered to the hot cell. (The) initial estimated worker dose (was) 100 Rad extremity dose and 20 Rad to the whole body (upper arm). The dosimeter has been sent to Landauer for immediate processing. (The) worker has been taken off Rad work and is being monitored" </br>A Commonwealth of Massachusetts investigation is pending.</br>* * * UPDATE ON 8/13/2009 AT 1130 FROM TONY CARPENITO TO MARK ABRAMOVITZ </br>The following report was received via e-mail:</br>On 6/30/09, 1.6 Curies of Fluorine-18 was mistakenly delivered to a shielded vial within the cyclotron facility hot cell while a worker was performing routine maintenance within the hot cell. Delivery was intended for a different hot cell. The total worker exposure time was less than 3 minutes. The worker was removed from radiation work and dosimeters were sent out for immediate processing. Same day notification was made from the licensee to the Agency (Massachusetts Radiation Control Program). The licensee submitted an independent consultant written report, dated 7/8/09, to the Agency (Massachusetts Radiation Control Program) on 7/27/09. The worker's effective dose equivalent was conservatively determined to be not more than 0.170 Rem, the maximum extremity not more than 26.9 Rem, and the eye dose equivalent not more than 1.2 Rem. These dose values were assigned to the worker. The worker was returned to radiation work with cumulative dose closely monitored.</br>Licensee's formal descriptions of cause, contributing and precipitating factors, and corrective actions are pending.</br>The Agency (Massachusetts Radiation Control Program) considers this situation to still be OPEN.</br>Notified the R1DO (Cook) and FSME (McIntosh).</br>* * * UPDATE ON 9/17/2009 AT 0949 FROM CARPENITO TO HUFFMAN * * *</br>The following update was received via e-mail:</br>9/16/09 Update: A subsequent on-site Agency inspection was performed. On 8/27/09, the licensee submitted report of cause, contributing and precipitating factors, and corrective actions. </br>Cause: Pre-event re-configuration of transport tubing during an earlier calibration effort was not returned to original configuration and operators were not aware of the routing change. </br>Precipitating and Contributing Factors: Licensee procedures related to use of personnel dosimeters, functioning survey instruments, and hot cell door closure, were not followed. </br>Corrective Actions: Licensee to implement procedural changes and retraining of staff.</br>The Agency considers this situation to be closed.</br>Notified the R1DO (Jackson) and FSME (McIntosh).ed the R1DO (Jackson) and FSME (McIntosh).
15:30:00, 30 June 2009 +
45,176 +
17:27:00, 30 June 2009 +
15:30:00, 30 June 2009 +
The following information was received via … The following information was received via facsimile:</br>A worker was working in a hot cell when a F-18 (radio-isotope) was mistakenly delivered to the hot cell. (The) initial estimated worker dose (was) 100 Rad extremity dose and 20 Rad to the whole body (upper arm). The dosimeter has been sent to Landauer for immediate processing. (The) worker has been taken off Rad work and is being monitored" </br>A Commonwealth of Massachusetts investigation is pending.</br>* * * UPDATE ON 8/13/2009 AT 1130 FROM TONY CARPENITO TO MARK ABRAMOVITZ </br>The following report was received via e-mail:</br>On 6/30/09, 1.6 Curies of Fluorine-18 was mistakenly delivered to a shielded vial within the cyclotron facility hot cell while a worker was performing routine maintenance within the hot cell. Delivery was intended for a different hot cell. The total worker exposure time was less than 3 minutes. The worker was removed from radiation work and dosimeters were sent out for immediate processing. Same day notification was made from the licensee to the Agency (Massachusetts Radiation Control Program). The licensee submitted an independent consultant written report, dated 7/8/09, to the Agency (Massachusetts Radiation Control Program) on 7/27/09. The worker's effective dose equivalent was conservatively determined to be not more than 0.170 Rem, the maximum extremity not more than 26.9 Rem, and the eye dose equivalent not more than 1.2 Rem. These dose values were assigned to the worker. The worker was returned to radiation work with cumulative dose closely monitored.</br>Licensee's formal descriptions of cause, contributing and precipitating factors, and corrective actions are pending.</br>The Agency (Massachusetts Radiation Control Program) considers this situation to still be OPEN.</br>Notified the R1DO (Cook) and FSME (McIntosh).</br>* * * UPDATE ON 9/17/2009 AT 0949 FROM CARPENITO TO HUFFMAN * * *</br>The following update was received via e-mail:</br>9/16/09 Update: A subsequent on-site Agency inspection was performed. On 8/27/09, the licensee submitted report of cause, contributing and precipitating factors, and corrective actions. </br>Cause: Pre-event re-configuration of transport tubing during an earlier calibration effort was not returned to original configuration and operators were not aware of the routing change. </br>Precipitating and Contributing Factors: Licensee procedures related to use of personnel dosimeters, functioning survey instruments, and hot cell door closure, were not followed. </br>Corrective Actions: Licensee to implement procedural changes and retraining of staff.</br>The Agency considers this situation to be closed.</br>Notified the R1DO (Jackson) and FSME (McIntosh).ed the R1DO (Jackson) and FSME (McIntosh).
Has query"Has query" is a predefined property that represents meta information (in form of a <a rel="nofollow" class="external text" href="https://www.semantic-mediawiki.org/wiki/Subobject">subobject</a>) about individual queries and is provided by <a rel="nofollow" class="external text" href="https://www.semantic-mediawiki.org/wiki/Help:Special_properties">Semantic MediaWiki</a>.
00:00:00, 17 September 2009 +
44-0004 +
Modification date"Modification date" is a predefined property that corresponds to the date of the last modification of a subject and is provided by <a rel="nofollow" class="external text" href="https://www.semantic-mediawiki.org/wiki/Help:Special_properties">Semantic MediaWiki</a>.
22:31:41, 24 September 2017 +
17:27:00, 30 June 2009 +
0.0813 d (1.95 hours, 0.0116 weeks, 0.00267 months) +
15:30:00, 30 June 2009 +
URL"URL" is a <a href="/Special:Types/URL" title="Special:Types/URL">type</a> and predefined property provided by <a rel="nofollow" class="external text" href="https://www.semantic-mediawiki.org/wiki/Help:Special_properties">Semantic MediaWiki</a> to represent URI/URL values.