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 Start dateReporting criterionTitleEvent descriptionSystemLER
ENS 4065011 March 2004 05:00:0010 CFR 20.2201(a)(1)(i)Lost Tritium Sealed SourceThe US Army Tank Automotive Armaments Command reported that, during routine maintenance following live fire exercises at the National Training Center, Fort Erwin, CA, the US Army determined that the beam splitter from the muzzle reference sensor was missing from the muzzle of one of the tanks. The beam splitter contains a 10 curie tritium sealed source. The range was searched with negative results. Device number: NR-155D-120-S.
ENS 413255 January 2005 06:00:0010 CFR 20.2201(a)(1)(i)Two Lost M43A1 Chemical Agent Detectors Containing Am-241 Sealed SourcesOn 1/5/05 during maintenance activities at the Oregon National Guard Camp Withycombe located in Clackamas, OR, two (2) M43A1 Chemical Agent Cells (reg. device #1129-D-102S) were discovered missing. Each missing Chemical Agent Cell contained an Am-241sealed source of 250 microCuries. The serial numbers for the two (2) missing sources are Z03-C-12123 and Z03-C-05051. An exhaustive search of the maintenance area including the low-level waste disposal facility was conducted with negative results.
ENS 4354830 July 2007 05:00:0010 CFR 20.2201(a)(1)(i)Two Missing M114 A1 Elbow TelescopesLocation : Anniston AD (Army Depot), Anniston, AL Date reported to the licensee: 2 Aug 2007 by the Anniston AD RSO Licensed material involved: M114A1 elbow telescopes 2 each. NSN 1240-00-150-8889. Each elbow telescope contains 5.6 curies of tritium ( gaseous form). Historical information: On 30 June, two M102 howitzers left the maintenance repair facility at Anniston Army Depot from bldg. 418. Each howitzer contains a carrying case that contains the M114A1, M140 alignment device and M137 pantel telescope. The M102 howitzers and associated cases were transported to a contractor operated paint facility located on post in bldg 143. The howitzers were to be painted. When work was completed by the contractor, the howitzers and associated carrying cases (containing the tritium fire control devices) were moved to the Defense Logistics Agency (DLA) shipping area on or about July 23rd. During the week of July 23rd, DLA personnel inspected the howitzers and associated components prior to them being shipped. It was at this time that DLA discovered that the M114A1 elbow telescopes were missing from each of the respective cases. The other tritium devices in the carrying case (M140 and M137) were still present. The licensee RSO contacted Army CID on 3 August for assistance in investigating the loss of the devices. Army CID from Ft. McPherson, GA office will begin their investigation on Monday August 6th 2007. 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. This source is not amongst those sources or devices identified by the IAEA Code of Conduct for the Safety & Security of Radioactive Sources to be of concern from a radiological standpoint. Therefore is it being categorized as a less than Category 3 source
ENS 4779116 December 2009 04:00:0010 CFR 20.2201(a)(1)(i)Missing Chemical Agent Detector

When returning from deployment a Virginia National Guard unit discovered that they had lost a M43A1 Chemical Detector containing 250 uCi of Am-241. The unit searched the facility as well as a storage warehouse located in Richmond, VA for the device, but they were unable to locate it.

  • * * RETRACTION FROM THOMAS GIZICKI TO VINCE KLCO ON 4/5/2012 AT 1201 EDT * * *

Retraction due to the detector found in the same location in a different Army unit. Notified the R1DO (Caruso), R3DO (Bloomer) and the FSME (McIntosh). 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 This source is not amongst those sources or devices identified by the IAEA Code of Conduct for the Safety & Security of Radioactive Sources to be of concern from a radiological standpoint. Therefore is it being categorized as a less than Category 3 source

ENS 5019912 June 2014 20:00:0010 CFR 20.2201(a)(1)(i)Lost Depleted Uranium ProjectileThe licensee was conducting a test fire exercise at the Ford Farms section of the Aberdeen Test Center when a depleted uranium penetrator projectile went off it's intended flight path, exited the building, and landed in an area near the facility designated to receive test rounds. Ford Farms is an indoor hard target test facility. There were no injuries or projected dose to workers or the public. No additional effort will be made to recover the projectile because the projectile landed in a historic impact area of Aberdeen containing various other unexploded ordinance. 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
ENS 5238712 October 2016 19:24:0010 CFR 20.2201(a)(1)(i)Lost Shipment of Material Containing TritiumUSMC shipped the package (containing 45.06 Ci of tritium) via (common carrier) out of Hawthorne Army Depot, Hawthorne, NV on October 6, 2016 to MARCORLOGBASE, Director Fleet Support Dir Code 587, Radford Blvd, Suite 20320, Albany, GA. The package was signed for with initials and a signature showing delivery on October 12, 2016 at 1424 (EDT). There were several attempts of delivery before the package was delivered. The initials of who signed for the shipment cannot be traced to anyone and the signature is unreadable. (The common carrier) indicates delivery to the address of a receptionist. The package had UN2911 markings on opposite sides of the package. USMC RADCON conducted a physical search of USMC Albany locations to include the Post Office with no results. Defense Logistics Agency (DLA) Albany was contacted and DLA performed a physical search with no results. Also, another shipment from Hawthorne was sent out to a different location, which was received. This location was checked for receipt of the concerned package. On November 2, 2016, an Albany All Hands/Base wide official message was sent out regarding the package. The conclusion at this time is that the package is considered missing and likely somewhere at MCLB, Albany. The US Navy indicates that physical searches and base wide notifications continue in the effort to locate the package. 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
ENS 5388420 February 2019 14:30:0010 CFR 20.2201(a)(1)(i)Report of Loss of Ni-63 Sources Used in Improved Chemical Agent Monitors

The following was received from the licensee via e-mail: The concerned radioactive material is part of an Army Chemical Detection Equipment (CDE) and is called an Improved Chemical Agent Monitor (ICAM) NSN (National Stock Number) 6665-01-357-8502 and Chemical Agent Monitor (CAM), NSN 6665-01-199-4153. Each ICAM and CAM contains 10 mCi of Ni-63. The items with the radioactive material are under US Army NRC License 21-32838-01 issued to the Tank-Automotive and Armaments Command (TACOM). TACOM is located in Warren, MI. The reporting was based on 10 CFR 20.2201(a)(ii) (Reports of Theft or Loss of Licensed Material). Licensed material in a quantity greater than 10 times the quantity specified in Appendix C. The quantity specified in Appendix C is 100 microCi. One ICAM/CAM containing 10 mCi is 10,000 microCi. (The Radiation Safety Officer (RSO)) had reported nine CDE, but after confirming the serial numbers, we determined that one of the CDE (serial number 11769) was under another NRC license 19-10306-01 issued to the US Army Edgewood Chemical Biological Center (ECBC) located in Aberdeen Proving Ground (APG), Maryland. This report is for eight CDE under TACOM's NRC license. We have six ICAMs and two CAMs that are lost for a total of 80,000 microCi. The serial numbers for the ICAMs are Z47-M-13972, Z47-M-13526, Z47-M-01859, Z47-M-15832, Z47-M-21980 and Z47-M-18759. The serial numbers for the CAMs are Z16-M-01075 and Z16-M-01025.

The ICAMs/CAMs are not known to leak and do not have a leak test requirement. The Ni-63 is inside the ICAM/CAM. (The RSO) was notified via e-mail on February 19, 2019, at 1545 EST, by the Army Rad waste agency (Joint Munitions Command (JMC) located in Rock Island, IL) of the following: 'A package containing nine each CDE was in route from APG, Maryland to Pine Bluff Arsenal (PBA), Alabama via (a Common Carrier) and was lost in the possession of (the Common Carrier). The CDE were being sent for demilitarization and eventual disposal of the Ni-63. The subject package was dropped off at (the Common Carrier) in Baltimore, MD on 26 Nov 2018. The tracking system showing the package as 'In (Common Carrier) Possession'.' Prior to the notification on February 19, 2019, JMC called PBA shipping and receiving. PBA personnel indicated that subject package was not received at their location. Also, APG personnel traveled to the (Common Carrier) facility where the items were dropped off. Personnel confirmed that the package was not at that facility. As of February 19, 2019, JMC indicated that (the Common Carrier) has not formally issued the a statement of loss, but that JMC will continue to track this for APG. It was a Local Project for JMC with ID number of APG 2018-001. On February 20, 2019, at 0847 EST, the (RSO) called (the Common Carrier) with the tracking number. (The RSO) spoke to (an individual) who indicated that a case was assigned to the shipment and a claim was put in. (The RSO) was put in contact with the Trace Department, and was then told that the shipment was considered lost. Shipments after 14 days are considered lost. This event is related to NRC Event Number 53888. 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

ENS 5704421 March 2024 21:00:0010 CFR 20.2201(a)(1)(i)Lost Tritium Aiming Post LightsThe following information was provided by the licensee: At around 1700 CDT on March 21, 2024, the Detroit Army Arsenals radiation safety officer (RSO) noticed a picture of two Army M58 Aiming Post Lights, which typically contain 5 Ci of tritium each, on a Reddit sub-group. The post indicated that the devices were a "going away gift" from the Army, and that the individual was no longer in the Army. The sealed sources appeared to be intact, but the RSO could not see the serial numbers. The RSO plans on reporting this to his chain of command and to the Army Criminal Investigative Service. 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