ENS 56635: Difference between revisions

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| NRC officer = Donald Norwood
| NRC officer = Donald Norwood
| event date = 07/24/2023 18:45 PDT
| event date = 07/24/2023 18:45 PDT
| last update date = 07/24/2023
| last update date = 08/23/2023
| title = Loss of Control (Lost Then Found) of Radioactive Material
| title = Loss of Control (Lost Then Found) of Radioactive Material
| event text = The following is a synopsis of information received from Oregon Health Authority, Radiation Protection Services (RPS):
| event text = The following is a synopsis of information received from Oregon Health Authority, Radiation Protection Services (RPS):
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As far as timing, the lead courier explained that the driver had left Cardinal Health at approximately 1800 PDT and the package was discovered by Weston Solutions at 1820 PDT. When talking with the Weston Solutions employee, he had mentioned that they were in the parking lot area at 1745 PDT and did not see the package at that time, confirming the timeline. Therefore the material was in the parking lot for only about 20 minutes before it was discovered.  
As far as timing, the lead courier explained that the driver had left Cardinal Health at approximately 1800 PDT and the package was discovered by Weston Solutions at 1820 PDT. When talking with the Weston Solutions employee, he had mentioned that they were in the parking lot area at 1745 PDT and did not see the package at that time, confirming the timeline. Therefore the material was in the parking lot for only about 20 minutes before it was discovered.  
RPS Incident Number:  23-0035
RPS Incident Number:  23-0035
| URL = https://www.nrc.gov/reading-rm/doc-collections/event-status/event/2023/20230801en.html#en56635
* * * UPDATE FROM TOM PFAHLER TO DONALD NORWOOD AT1334 EDT ON 8/23/2023 * * *
The following information was received from RPS via email:
This letter [from Cardinal Health to RPS] serves as the written report concerning an incident involving the loss of radioactive material as it relates to Oregon radioactive materials license ORE-90509, pursuant to OAR 333-102-0350(3)(b).
On July 23, 2023 at 1845 PDT, a caller contacted the state emergency response system to report a package was discovered in their parking lot with a radioactive material label in Portland, OR. The package was labeled Cardinal Health. Cardinal Health's Portland nuclear pharmacy (ORE-90509) shares a parking lot with the location that reported the package. The police delivered the package to Cardinal Health, where it was then secured by a Cardinal Health employee. The package was inspected and wipe tested by the site radiation safety officer, with no contamination, damage, or breach found.
The package contained 1 mCi worth of I-131 capsules that had been packaged for delivery to a separate Cardinal Health location in Seattle, WA. The package was transferred to PNW Trade Winds, a contract courier, upon receipt at the airport for transportation to Cardinal Health's Seattle location. PNW Trade Winds reported that the package was likely dropped when segregating packages for different delivery locations. The driver reportedly left the licensee at approximately 6:00 pm, the package was discovered at 1820 PDT. With this timeline the package was left unattended for approximately 20 minutes before it was discovered.
In response to this event Cardinal Health has inquired with PNW Trade Winds to review the corrective actions taken on their part. PNW Trade Winds reported that the driver has reviewed their triple check policy and has been placed on three months' probation. During the first month of their probation they are required to call their manager at each stop to review the delivery and verify the remaining packages in the vehicle.
Notified R4DO (Dixon) and the NMSS Events Notification and ILTAB email groups.
| URL = https://www.nrc.gov/reading-rm/doc-collections/event-status/event/2023/20230824en.html#en56635
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Latest revision as of 07:30, 24 August 2023

ENS 56635 +/-
Where
Cardinal Health Nuclear Pharmacy
Portland, Oregon (NRC Region 4)
License number: 90509
Organization: Or Dept Of Health Rad Protection
Reporting
Agreement State
Time - Person (Reporting Time:+-25.28 h-1.053 days <br />-0.15 weeks <br />-0.0346 months <br />)
Opened: Thomas Pfahler
00:28 Jul 24, 2023
NRC Officer: Donald Norwood
Last Updated: Aug 23, 2023
56635 - NRC Website