ENS Event | |
|---|---|
13:30 Apr 6, 2019 | |
| Title | Agreement State Report - Dry Source Storage Irradiator Source Rack Did Not Retract Completely |
| Event Description | The following was received from the state of New York via fax:
The New York State Department of Health (NYSDOH) was notified that on Saturday, April 6, 2019, at approximately 0930 [EDT], a bearing in the pulley that is part of the 'slack cable' switch/mechanism failed to function as intended. The failure caused the source cable to bind where it passes through the slack cable switch, which prevented the source from reaching its full down/safe position. When the licensee freed the cable from the slack cable switch, the source easily returned to its down/safe position. The radiation levels in the irradiator confirmed that the source was in its shielded position. The licensee repaired the slack cable switch (in a way that will prevent re-occurrence) and cycled the source up and down many times with no further incident. Pall Hauppauge is licensed to possess cobalt 60 for use in a Nordion International panoramic dry [source] storage irradiator. The licensee sent an email and left a voice mail to the NYSDOH mail log, which was not read or listened to until 0830 [EDT] on Monday morning. The licensee failed to contact the NYS Warning Point who would have then immediately notified responsible individuals within NYSDOH. NYSDOH will conduct a site visit since this is the second time in less than a year that they have had issues with source retraction. The earlier event was on 11/9/18 reported in EN53729. Incident Report#: NY-19-05. |
| Where | |
|---|---|
| Pall Hauppauge Hauppauge, New York (NRC Region 1) | |
| License number: | C1935 |
| Organization: | New York State Dept. Of Health |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+48.92 h2.038 days <br />0.291 weeks <br />0.067 months <br />) | |
| Opened: | Daniel Samson 14:25 Apr 8, 2019 |
| NRC Officer: | Karl Diederich |
| Last Updated: | Apr 8, 2019 |
| 53984 - NRC Website | |
Pall Hauppauge with Agreement State | |
WEEKMONTHYEARENS 542492019-08-28T22:00:00028 August 2019 22:00:00
[Table view]Agreement State Agreement State Report - Panoramic Irradiator Source Failed to Retract ENS 540252019-04-23T13:00:00023 April 2019 13:00:00 Agreement State New York Agreement State Report - Panoramic Irradiator Source Failed to Retract ENS 539842019-04-06T13:30:0006 April 2019 13:30:00 Agreement State Agreement State Report - Dry Source Storage Irradiator Source Rack Did Not Retract Completely ENS 537292018-11-09T05:00:0009 November 2018 05:00:00 Agreement State Agreement State Report - Irradiator Source Rack Fails to Retract 2019-08-28T22:00:00 | |