ENS 47608
ENS Event | |
|---|---|
06:00 Jan 14, 2012 | |
| Title | Agreement State Report - Missing Then Recovered Thallium-201 Source |
| Event Description | On January 17, 2011 the licensee's radiation safety officer called [the state] to advise that a portion of a shipment of radiological material to be used for medical purposes had not arrived at its intended destination. A package containing two doses of Thallium-201 of nominally 20 milliCi each was picked up by the Texas licensee, Pan Handle Nuclear, on January 14, 2012 in Amarillo. However, the package showed signs of repaired damage and when inspected, the third dose of Thallium-201 was missing from the package. The manufacturer was alerted on the morning of January 16th and they subsequently contacted the carrier, regarding the package.
HazMat Personnel from [the shipping company] conducted a trace of their facilities associated with the transfer which resulted in the missing vial being identified as 'found' in the Memphis 'Over goods' holding area. Apparently, the package had become damaged early in the morning on January 14th during the shipping process such that one of the three vials had escaped the packaging. The damage to the package was noted and repaired, however an accurate count of the contents was not conducted and, contrary to standing instructions from the manufacturer, the package was forwarded to the intended recipient rather than being returned to the manufacturer. The 'missing' vial was subsequently found on the same day later that morning, some hours after the package was processed through the Memphis hub. The vial was identified as hazardous based on the trefoil which appeared on the shielded and intact container and the manufacturer's name. It was isolated and placed into an over pack that same day. The slightly damaged, but intact shielded container was then returned to the manufacturer as of January 18, 2012 after it was determined to be the 'missing' third vial. Surveys of the returned vial conducted by the manufacturer showed that there was no external contamination on the shielded vial, there was no damage to the vial and all the expected material remained present. Illinois Item Number: IL 12004 |
| Where | |
|---|---|
| G.E. Healthcare Arlington Heights, Illinois (NRC Region 3) | |
| License number: | IL-01109-01 |
| Organization: | Illinois Emergency Mgmt. Agency |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+106.83 h4.451 days <br />0.636 weeks <br />0.146 months <br />) | |
| Opened: | Daren Perrero 16:50 Jan 18, 2012 |
| NRC Officer: | Joe O'Hara |
| Last Updated: | Jan 18, 2012 |
| 47608 - NRC Website | |
G.E. Healthcare with Agreement State | |
WEEKMONTHYEARENS 570632024-02-29T05:00:00029 February 2024 05:00:00
[Table view]Agreement State Agreement State - Lost Package ENS 569472024-02-02T06:00:0002 February 2024 06:00:00 Agreement State Lost/Missing Source ENS 568902023-12-14T06:00:00014 December 2023 06:00:00 Agreement State Agreement State - Lost Package ENS 567122023-09-01T05:00:0001 September 2023 05:00:00 Agreement State Missing Packages ENS 476082012-01-14T06:00:00014 January 2012 06:00:00 Agreement State Agreement State Report - Missing Then Recovered Thallium-201 Source ENS 415212005-03-24T06:00:00024 March 2005 06:00:00 Agreement State Missing Shipment of 105 Brachytherapy (I-125) Seeds Totaling 66 Millicuries 2024-02-29T05:00:00 | |