ENS 49675: Difference between revisions
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| facility = Cardinal Health | | facility = Cardinal Health | ||
| Organization = Pa Bureau Of Radiation Protection | | Organization = Pa Bureau Of Radiation Protection | ||
| license number = | | license number = PA-0385 | ||
| region = 1 | | region = 1 | ||
| state = Pennsylvania | | state = Pennsylvania | ||
Latest revision as of 19:10, 24 November 2018
ENS Event | |
|---|---|
05:00 Dec 6, 2013 | |
| Title | Agreement State Report - Licensed Material Recovered at a Landfill |
| Event Description | NOTIFICATIONS:
On December 6, 2013 the PA Department of Environmental Protection (PA DEP) was notified of a radiation alarm at Modern Landfill in York, PA. A health physics consultant for the landfill had responded and determined that two bare molybdenum-99 (Mo-99) generator cores were the cause of the alarm. The Mo-99 generators had their labels intact and noted an activity of 18 curies (Ci) on 10/29/2013 and 11/06/2013. Expiration dates were 11/12/2013 and 11/19/2013 respectively. Per 10 CFR 20.2201, decay correcting the activity would prompt a 30-day report per 10 CFR 22.2201(a)(ii); however, after further investigation and discussion with the licensee, a conservative (immediate) report per 10CFR 20.2201(a)(i) may be required. EVENT DESCRIPTION: The December 6th initial notification to the PA DEP/BRP was due to a load of solid waste possibly containing Mo-99, versus Tc-99m which is often found to set off landfill radiation alarms. Upon off-loading the waste and discovery of two bare Mo-99 generator cores and investigation the following week, the serial number on each of the Mo-99 generator labels revealed they were from a Pennsylvania nuclear pharmacy licensee, Cardinal Health (C. H.), PA-0385. A reactive inspection was initiated. The RSO for C.H. concluded that the generators may have been stolen after their expiration date, and thus would involve a decayed activity of 510 mCi. This is greater than 1,000 times the quantity specified in 10 CFR 20 Appendix C for Mo-99 (that is, greater than 100 mCi). PA DEP/BRP is expecting the licensee to assess the range of whole body and extremity doses to the individual(s) that disassembled these Mo-99 generators using conservative bounding assumptions. No one has admitted to the removal of the Mo-99 from the C.H. facility. CAUSE OF THE EVENT: Possible theft as a crime of opportunity for scrap lead shielding. ACTIONS: A reactive inspection by the PA DEP Regional Office has already occurred and further evaluation of the potential individual radiation exposure and needed corrective actions are ongoing. PA Event Report ID No: PA130029 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 |
| Where | |
|---|---|
| Cardinal Health Sharon Hill, Pennsylvania (NRC Region 1) | |
| License number: | PA-0385 |
| Organization: | Pa Bureau Of Radiation Protection |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+441.8 h18.408 days <br />2.63 weeks <br />0.605 months <br />) | |
| Opened: | David Allard 14:48 Dec 24, 2013 |
| NRC Officer: | Charles Teal |
| Last Updated: | Dec 24, 2013 |
| 49675 - NRC Website | |
Cardinal Health with Agreement State | |
WEEKMONTHYEARENS 569692024-02-05T14:00:0005 February 2024 14:00:00
[Table view]Agreement State Lost Source ENS 566272023-07-10T04:00:00010 July 2023 04:00:00 Agreement State Eluate Exceeded Mo-99 Limit ENS 558812022-05-05T14:45:0005 May 2022 14:45:00 Agreement State Transportation Event ENS 543572019-10-29T08:15:00029 October 2019 08:15:00 Agreement State Agreement State Report - Stolen Sources ENS 542252019-08-14T17:00:00014 August 2019 17:00:00 Agreement State Agreement State Report - Vehicle Accident During Radiopharmaceutical Transport ENS 539312019-02-26T04:00:00026 February 2019 04:00:00 Agreement State Agreement State Report - Mo-99/Tc-99 Breakthrough Limit Exceeded. ENS 533592018-04-23T04:00:00023 April 2018 04:00:00 Agreement State Agreement State Report - Stolen Technicium-99 ENS 526592017-03-22T04:00:00022 March 2017 04:00:00 Agreement State Agreement State Report - Package Lost During Shipment ENS 526172017-03-17T11:00:00017 March 2017 11:00:00 Agreement State Agreement State Report - Transportation Accident Damaging Licensed Material ENS 519712016-06-01T05:00:0001 June 2016 05:00:00 Agreement State Agreement State Report - Two Radioactive Materials Packages Not Located After Carrier Accident ENS 509202015-03-01T04:00:0001 March 2015 04:00:00 Agreement State Agreement State Report - Radiation Technician Potential Overexposure ENS 504812014-08-27T07:00:00027 August 2014 07:00:00 Agreement State Agreement State Report - Radioactive Material Release Exceeding Emission Limit ENS 496752013-12-06T05:00:0006 December 2013 05:00:00 Agreement State Agreement State Report - Licensed Material Recovered at a Landfill ENS 494022013-09-23T04:00:00023 September 2013 04:00:00 Agreement State Agreement State Report - Radiopharmaceutical Worker Received >50 Rem to Both Hands ENS 475602011-12-21T08:00:00021 December 2011 08:00:00 Agreement State Agreement State Report - Iodine-125 Brachytherapy Seed Missing from Transportation Package ENS 465662010-12-28T06:00:00028 December 2010 06:00:00 Agreement State Agreement State Report - Transportation Accident Involving Radiopharmaceuticals ENS 464512010-12-02T11:20:0002 December 2010 11:20:00 Agreement State Agreement State Report - Employee Contaminations During Cyclotron Operation ENS 453422009-09-11T09:30:00011 September 2009 09:30:00 Agreement State Agreement State Report - Contaminated Pharmacy Shipment Package ENS 453632009-07-21T04:00:00021 July 2009 04:00:00 Agreement State Agreement State - Potential Extremity Overexposure ENS 443072008-06-13T08:00:00013 June 2008 08:00:00 Agreement State Agreement State Report Involving a Vehicle Transporting Radioactive Material ENS 442642008-06-03T05:00:0003 June 2008 05:00:00 Agreement State Agreement State Report - Radiopharmaceuticals Delivery Vehicle Accident ENS 441362008-04-09T12:00:0009 April 2008 12:00:00 Agreement State Agreement State - Mississippi - Traffic Accident Involving Truck Carrying Tc-99M ENS 441392008-03-19T04:00:00019 March 2008 04:00:00 Agreement State Agreement State - Florida - Missing Dose of Tc-99M ENS 438412007-11-19T15:13:00019 November 2007 15:13:00 Agreement State Agreement State Report - Dose to Wrong Organs ENS 437312007-09-24T05:00:00024 September 2007 05:00:00 Agreement State Agreement State Report Involving an Improper Injection ENS 434322007-05-16T05:00:00016 May 2007 05:00:00 Agreement State Louisiana Agreement State Report - Medical Event Due to Dispensing Error ENS 432012007-02-14T06:00:00014 February 2007 06:00:00 Agreement State Agreement State Report - Dispensing Error for Thallium -201 Dose ENS 429992006-11-16T06:00:00016 November 2006 06:00:00 Agreement State Agreement State - Stolen Truck Containing Radiopharmiceuticals ENS 428582006-09-22T11:00:00022 September 2006 11:00:00 Agreement State Agreement State Report - Traffic Accident Involving a Truck Carrying Radioactive Material ENS 426242006-05-22T05:00:00022 May 2006 05:00:00 Agreement State Agreement State Report - Unsecured Delivery of Radioactive Material ENS 424412006-03-22T08:00:00022 March 2006 08:00:00 Agreement State Agreement State Report - Radiation Exposure ENS 424182006-03-05T06:00:0005 March 2006 06:00:00 Agreement State Agreement State Report - Patient Received Improper Medical Dose ENS 422732006-01-18T06:00:00018 January 2006 06:00:00 Agreement State Agreement State Report of an Extremity Exposure Greater than Limit ENS 422362005-12-29T16:45:00029 December 2005 16:45:00 Agreement State Agreement State Report - Transportation Accident Involving Used Technetium 99M Syringes ENS 422232005-12-22T12:30:00022 December 2005 12:30:00 Agreement State Agreement State Report of Traffic Accident Involving Radioactive Material ENS 418402005-06-26T21:20:00026 June 2005 21:20:00 Agreement State Agreement State - Medical Sources Stolen ENS 414692005-03-08T13:40:0008 March 2005 13:40:00 Agreement State Agreement State Report - Truck Containing Radiopharmaceuticals Stolen in Massachusetts ENS 413512005-01-20T17:00:00020 January 2005 17:00:00 Agreement State Agreement State Report Involving a Pharmacy Spill of Samarium-153 ENS 413062005-01-01T10:00:0001 January 2005 10:00:00 Agreement State Agreement State Report of Truck Crash Resulting in Minor Contamination and Loss of Radiopharmaceutical Vials ENS 412712004-10-25T20:00:00025 October 2004 20:00:00 Agreement State Agreement State Medical Event ENS 409362004-08-09T13:30:0009 August 2004 13:30:00 Agreement State Spill of I-131 Resulting in Contamination ENS 418332004-05-02T04:00:0002 May 2004 04:00:00 Agreement State Agreement State Report Involving a Potential Extremity Overexposure ENS 408482004-02-27T05:00:00027 February 2004 05:00:00 Agreement State Lousiana Agreement State Report - Medical Event ENS 405532004-02-26T21:00:00026 February 2004 21:00:00 Agreement State Agreement State Reports Spill at Nuclear Pharmacy 2024-02-05T14:00:00 | |