ENS 54696: Difference between revisions
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{{ENS notification | {{ENS notification | ||
| event number = 54696 | | event number = 54696 | ||
| facility = | | facility = | ||
| Organization = Pa Bureau Of Radiation Protection | | Organization = Pa Bureau Of Radiation Protection | ||
| license number = PA-0249 | | license number = PA-0249 | ||
| Line 10: | Line 10: | ||
| utype = | | utype = | ||
| cfr = Agreement State | | cfr = Agreement State | ||
| emergency class = | | emergency class = Non Emergency | ||
| notification date = 05/06/2020 12:43 | | notification date = 05/06/2020 12:43 | ||
| notification by = John Chippo | | notification by = John Chippo | ||
| Line 23: | Line 23: | ||
The following information was received via email: | The following information was received via email: | ||
Manufacturer service technicians removed the wire/source from the afterloader on 5/6/2020. Preliminarily, it appears the source became stuck approximately 4 to 5 inches from the shielded park position (inside the afterloader, but outside the shielded safe). Dosimetry badges have been sent for emergency read, results are expected today, and those results are expected to be minimal. | Manufacturer service technicians removed the wire/source from the afterloader on 5/6/2020. Preliminarily, it appears the source became stuck approximately 4 to 5 inches from the shielded park position (inside the afterloader, but outside the shielded safe). Dosimetry badges have been sent for emergency read, results are expected today, and those results are expected to be minimal. | ||
The patient and all personnel involved were surveyed after the incident and readings were at background levels. | The patient and all personnel involved were surveyed after the incident and readings were at background levels. | ||
Notified R1DO (Dentel) and NMSS Event Notifications (email). | Notified R1DO (Dentel) and NMSS Event Notifications (email). | ||
* * * UPDATE ON 5/12/20 AT 1158 EDT FROM JOHN CHIPPO TO JEFFREY WHITED * * * | * * * UPDATE ON 5/12/20 AT 1158 EDT FROM JOHN CHIPPO TO JEFFREY WHITED * * * | ||
The following information was received via email: | The following information was received via email: | ||
The preliminary dosimetry report indicates three staff members involved in the event. The technologist received 4 mrem whole body dose, the authorized user received 3 mrem whole body dose and the AMP received 3 mrem whole body dose and a 15 mrem dose on their finger dosimeter. No other dose information was received at this time. | The preliminary dosimetry report indicates three staff members involved in the event. The technologist received 4 mrem whole body dose, the authorized user received 3 mrem whole body dose and the AMP received 3 mrem whole body dose and a 15 mrem dose on their finger dosimeter. No other dose information was received at this time. | ||
Notified R1DO (Lally) and NMSS Event Notifications (email). | Notified R1DO (Lally) and NMSS Event Notifications (email). | ||
A Medical Event may indicate potential problems in a medical facility's use of radioactive materials. | 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. | ||
| URL = https://www.nrc.gov/reading-rm/doc-collections/event-status/event/2020/20200515en.html#en54696 | | URL = https://www.nrc.gov/reading-rm/doc-collections/event-status/event/2020/20200515en.html#en54696 | ||
}} | }} | ||
{{ENS-Nav}} | {{ENS-Nav}} | ||
Latest revision as of 12:38, 15 January 2021
| Where | |
|---|---|
| Pa Bureau Of Radiation Protection Mechanicsburg, Pennsylvania (NRC Region 1) | |
| License number: | PA-0249 |
| Organization: | Pa Bureau Of Radiation Protection |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+32.72 h1.363 days <br />0.195 weeks <br />0.0448 months <br />) | |
| Opened: | John Chippo 12:43 May 6, 2020 |
| NRC Officer: | Andrew Waugh |
| Last Updated: | May 12, 2020 |
| 54696 - NRC Website | |