ENS 56969: Difference between revisions

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| NRC officer = Bill Gott
| NRC officer = Bill Gott
| event date = 02/05/2024 09:00 EST
| event date = 02/05/2024 09:00 EST
| last update date = 09/17/2024
| last update date = 02/15/2024
| title = Lost Source
| title = Lost Source
| event text = The following information was provided by the New York State Department of Health (the Department) via fax:
| event text = The following information was provided by the New York State Department of Health (the Department) via fax:
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Based on information at this time, external radiation levels outside of the shipping container would not likely pose any concern or adverse health risks to members of the public, including couriers. As of the date and time of this notification, the expected activity of the vial is estimated to be 0.56 millicuries and will rapidly decay to background levels provided the short half-life of ln-111 (2.8 days). In accordance with 10 CFR 20.2201(a)(ii), the activity of ln-111 was approximately 10 times the quantity specified in Appendix C to 10 CFR 20, which prompts a 30-day telephone report and subsequent written report within 30 days of the initial notification to the Department. It is possible that due to the short half-life, this vial may in actuality contain less than the reportable quantity prescribed by 10 CFR 20.2201(a), however, this event is being reported out of an abundance of caution as the circumstances around this lost vial are not immediately available. NYSDOH is actively monitoring this incident and has assigned incident number 1474 to track this event. Cardinal Health is currently working through the initial investigation of this event, and anticipates submitting a thorough outline of their investigation, primary and contributing causes, and steps to prevent recurrence as prescribed in addition to all items prescribed by 10 CFR 20.2201(b), under NYS (10 NYCRR 16.15) requirements.
Based on information at this time, external radiation levels outside of the shipping container would not likely pose any concern or adverse health risks to members of the public, including couriers. As of the date and time of this notification, the expected activity of the vial is estimated to be 0.56 millicuries and will rapidly decay to background levels provided the short half-life of ln-111 (2.8 days). In accordance with 10 CFR 20.2201(a)(ii), the activity of ln-111 was approximately 10 times the quantity specified in Appendix C to 10 CFR 20, which prompts a 30-day telephone report and subsequent written report within 30 days of the initial notification to the Department. It is possible that due to the short half-life, this vial may in actuality contain less than the reportable quantity prescribed by 10 CFR 20.2201(a), however, this event is being reported out of an abundance of caution as the circumstances around this lost vial are not immediately available. NYSDOH is actively monitoring this incident and has assigned incident number 1474 to track this event. Cardinal Health is currently working through the initial investigation of this event, and anticipates submitting a thorough outline of their investigation, primary and contributing causes, and steps to prevent recurrence as prescribed in addition to all items prescribed by 10 CFR 20.2201(b), under NYS (10 NYCRR 16.15) requirements.
New York State Event Report Number: NY-24-01  
New York State Event Report Number: NY-24-01  
* * * UPDATE ON 9/17/2024 AT 1517 EDT FROM NATE KISHBAUGH TO ROBERT THOMPSON * * *
The following information was provided by the New York State Department of Health (NYSDOH) via email:
Cardinal Health (the licensee) provided a description of the event, actions taken to attempt to recover the vial, and preventative measures to prevent recurrence. The licensee interviewed staff, performed recovery surveys, and provided an investigation to attempt to locate this source. It is believed that this In-111 vial was placed on a cart with return waste in a similar delivery case, and it was inadvertently mistaken as returned customer waste. The vial was likely placed into decay-in-storage. To date, the vial in question has not been recovered and has decayed to background levels. To prevent recurrence, delivery personnel are required to immediately sign all acknowledgements of receipt prior to transferring the package and leaving the facility.
NYSDOH has accepted these corrective actions and will evaluate them on the next inspection. This event was closed by NYSDOH.
Notified R1DO (Werkheiser), NMSS Events Notification (email), ILTAB (email), Canadian Nuclear Safety Commission (email).
THIS MATERIAL EVENT CONTAINS A 'Less than Cat 3' LEVEL OF RADIOACTIVE MATERIAL
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
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
| URL = https://www.nrc.gov/reading-rm/doc-collections/event-status/event/2024/20240918en.html#en56969
| URL = https://www.nrc.gov/reading-rm/doc-collections/event-status/event/2024/20240223en.html#en56969
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Latest revision as of 07:21, 1 February 2025

ENS 56969 +/-
Where
Cardinal Health
Plainview, New York (NRC Region 1)
License number: C3046
Organization: New York State Dept. Of Health
Reporting
Agreement State
Time - Person (Reporting Time:+235.82 h9.826 days <br />1.404 weeks <br />0.323 months <br />)
Opened: Daniel Samson
09:49 Feb 15, 2024
NRC Officer: Bill Gott
Last Updated: Feb 15, 2024
56969 - NRC Website