ENS 50064: Difference between revisions
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| facility = Elekta, Inc. | | facility = Elekta, Inc. | ||
| Organization = Ne Div Of Radioactive Materials | | Organization = Ne Div Of Radioactive Materials | ||
| license number = | | license number = GA 1153-2 | ||
| region = 1 | | region = 1 | ||
| state = Georgia | | state = Georgia | ||
| Line 16: | Line 16: | ||
| event date = 04/24/2014 EDT | | event date = 04/24/2014 EDT | ||
| last update date = 09/09/2014 | | last update date = 09/09/2014 | ||
| title = Agreement State Report - Failure | | title = Agreement State Report - Failure of Source to Retract | ||
| event text = The following information was received via E-mail: | | event text = The following information was received via E-mail: | ||
On the evening of April 24, 2014 Elekta, (Georgia license - GA 1153-2) working under a Nebraska reciprocity general license, was installing the initial source (9.98 curies of lr-192) into the new Flexitron unit at Saint Francis Medical Center (Nebraska Radioactive Material License # 08-09-01) in Grand Island, Nebraska. During the upload procedure, the source did not completely retract into the safe and became hung-up on the in-drive. The device gave an error stating the source was detached from the cable. Following the manufacturer's recommended emergency procedures, the engineer entered the room to investigate the issue and determined the source cable needed to be cut to remove it from the stuck source drive. The Field Service Engineer (FSE) then quickly cut the exposed source cable and, using pliers, manually inserted the source into the transport container. However, due to the fact that the source cable was short, he could not get it completely into the center of the shielded transport container. The exposure rate at one meter from the transport container was 200 mR/hour. The facility physicist and FSE insured the door to the treatment room was sealed and marked so no one could enter overnight. | On the evening of April 24, 2014 Elekta, (Georgia license - GA 1153-2) working under a Nebraska reciprocity general license, was installing the initial source (9.98 curies of lr-192) into the new Flexitron unit at Saint Francis Medical Center (Nebraska Radioactive Material License # 08-09-01) in Grand Island, Nebraska. During the upload procedure, the source did not completely retract into the safe and became hung-up on the in-drive. The device gave an error stating the source was detached from the cable. Following the manufacturer's recommended emergency procedures, the engineer entered the room to investigate the issue and determined the source cable needed to be cut to remove it from the stuck source drive. The Field Service Engineer (FSE) then quickly cut the exposed source cable and, using pliers, manually inserted the source into the transport container. However, due to the fact that the source cable was short, he could not get it completely into the center of the shielded transport container. The exposure rate at one meter from the transport container was 200 mR/hour. The facility physicist and FSE insured the door to the treatment room was sealed and marked so no one could enter overnight. | ||
Latest revision as of 18:07, 24 November 2018
| Where | |
|---|---|
| Elekta, Inc. Norcross, Georgia (NRC Region 1) | |
| License number: | GA 1153-2 |
| Organization: | Ne Div Of Radioactive Materials |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+102.33 h4.264 days <br />0.609 weeks <br />0.14 months <br />) | |
| Opened: | Howard Shuman 10:20 Apr 28, 2014 |
| NRC Officer: | Dong Park |
| Last Updated: | Sep 9, 2014 |
| 50064 - NRC Website | |