ENS 50458
ENS Event | |
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04:00 Aug 6, 2014 | |
Title | Agreement State Report - Manufacturing Defect Resulting In Equipment To Not Perform As Designed |
Event Description | The following information was provided by the Commonwealth of Massachusetts via email:
On 9/15/2014, Massachusetts Radiation Control Program (MA RCP) was notified by licensee (QSA Global, Inc.) in accordance with 105 CMR 120.142(B)(2) of manufacturing defect of a model 95020 radiographic guide tube resulting in equipment that failed to function as designed. The licensee reported that its customer (Team Industrial Services of South Roxana, Illinois) informed the licensee on 8/6/2014 that the end stop of the guide tube had come off during a radiographic exposure performed 7/25/2014, that the source was able to be returned to the shielded/stored position in the exposure device using normal retraction with the control assembly, and that there was no excessive personnel exposure related to the part failure. The licensee reported that its examination of the model 95020 assembly failed part showed that the end fitting had not been swaged to the guide tube housing as is required by the design. The licensee reported that upon learning of the part failure, it immediately performed a visual inspection of all guide tube and control assemblies accepted into stock for distribution and that there were no other instances of unswaged fitting or improper manufacture identified for accepted stock. Licensee further reported that it believes that the instance to be an isolated occurrence and that no other assemblies containing this defect remain in the field. Licensee reported that manufacturer failed to swage end stop fitting to guide tube and manufacturer failed to perform pull test of end stop fitting to guide tube and check connection for slip using inspection gauge. Licensee reported that corrective actions include changes that will be implemented in the production process to increase inspection and review of quality critical operational steps to ensure this type of manufacturing defect is not accepted and released to customers in the future. Model 95020 guide tubes are approved for use with QSA Global, Inc. model 880 series radiographic exposure devices described by Sealed Source and Device Registration No. MA-1059-D-334-S. Licensee reported that it conducted a review to determine if this type of condition had occurred previously and identified one instance from 2012 where a different model guide tube, model 48906, had not been properly swaged and tested prior to distribution to an international customer. MA RCP plans to perform inspection to include evaluation for any generic implications. |
Where | |
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Qsa Global, Inc. Burlington, Massachusetts (NRC Region 1) | |
License number: | 12-8361 |
Organization: | Ma Radiation Control Program |
Reporting | |
Agreement State | |
Time - Person (Reporting Time:+971.2 h40.467 days <br />5.781 weeks <br />1.33 months <br />) | |
Opened: | Joshua Daehler 15:12 Sep 15, 2014 |
NRC Officer: | Jeff Rotton |
Last Updated: | Sep 15, 2014 |
50458 - NRC Website | |
Qsa Global, Inc. with Agreement State | |
WEEKMONTHYEARENS 560302022-07-25T04:00:00025 July 2022 04:00:00
[Table view]Agreement State Lost/Missing Category 2 Radioactive Material Shipment ENS 557952022-03-18T17:06:00018 March 2022 17:06:00 Agreement State Lost Package Containing Radioactive Material ENS 555472021-10-26T20:50:00026 October 2021 20:50:00 Agreement State Radiography Camera Delivered to Wrong Address ENS 551632021-03-31T14:44:00031 March 2021 14:44:00 Agreement State Sealed Source Missing in Transit ENS 551192021-03-01T19:00:0001 March 2021 19:00:00 Agreement State Category 2 Package Containing Seven Sealed Sources Lost in Transit ENS 551122021-02-23T17:00:00023 February 2021 17:00:00 Agreement State Lost Source ENS 532332018-02-28T15:30:00028 February 2018 15:30:00 Agreement State Agreement State Report - Package Containing Category 2 Sealed Sources Missing in Transit ENS 523912016-11-03T06:00:0003 November 2016 06:00:00 Agreement State Agreement State Report - Leaking Kr-85 Source During Transfer to Approved Shipping Container ENS 518252016-03-26T04:00:00026 March 2016 04:00:00 Agreement State Agreement State Report - Missing Shipment of Radioactive Materials ENS 514992015-10-26T05:00:00026 October 2015 05:00:00 Agreement State Nuclear Density Gauge Potentially Damaged During Shipment ENS 508202015-02-13T17:35:00013 February 2015 17:35:00 Agreement State Agreement State Report - Cat 1 Iridium-192 Shipment Lost/Found During Transit ENS 507352015-01-14T18:47:00014 January 2015 18:47:00 Agreement State Agreement State Report - Two Category 2 Iridium Sources Unaccounted for During Shipment ENS 504582014-08-06T04:00:0006 August 2014 04:00:00 Agreement State Agreement State Report - Manufacturing Defect Resulting in Equipment to Not Perform as Designed ENS 465792011-01-26T05:00:00026 January 2011 05:00:00 Agreement State Agreement State Report - Missing Radioactive Material Shipment ENS 464082010-11-08T05:00:0008 November 2010 05:00:00 Agreement State Agreement State Report - Radioactive Material Shipment Fails to Arrive ENS 444302008-08-20T20:41:00020 August 2008 20:41:00 Agreement State Massachusetts Agreement State Report - Radiation Greater than Ten Times Limit 2022-07-25T04:00:00 | |