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Fwd: >> "oops"
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>Date: Fri, 05 Oct 2001 07:21:13 -0400
>From: William V Lipton <liptonw@dteenergy.com>
>Subject: >> "oops"
>To: radsafe@list.vanderbilt.edu
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>Reply-To: William V Lipton <liptonw@dteenergy.com>
>
>Here's another radiography event, with nonstochastic damage. I'm afraid
>that it will take a fatality to get the regulators and users to take
>radiography controls seriously.
>
>The opinions expressed are strictly mine.
>It's not about dose, it's about trust.
>
>Bill Lipton
>liptonw@dteenergy.com
>
>DCS No.: 03031045010925 Date:
>October 4, 2001
>
>PRELIMINARY NOTIFICATION OF EVENT OR UNUSUAL OCCURRENCE- PNO-I-01-028
>
>This preliminary notification constitutes EARLY notice of events of
>POSSIBLE safety or public interest significance. The information is as
>initially received without verification or evaluation, and is basically
>all that is known by the Region I staff on this date.
>
> Facility
>Licensee Emergency Classification
> Accurate Technologies, Inc. Notification of Unusual
>Event
> 89 Apple Street
> Alert
> Tinton Falls, NJ 07724
> Site Area
>Emergency
>
> General
>Emergency
>
> X Not
>Applicable
>
>
>
>
>Maryland License No.:MD-07-192-01
>NRC Docket No.: 030-31045
>NRC License No.: 29-28358-01
>
>SUBJECT: Potential Radiography Overexposure
>
>On September 25, 2001, a radiographer employed by Accurate Technologies
>and working under their license with the State of Maryland, an Agreement
>State, received a potential overexposure while working at McShane
>Industries, located at 605 Pittman Road in Baltimore, MD. The
>radiographer was using an Amersham 660B radiography exposure device
>(camera) when a sealed source, containing 60 curies of Iridium 192,
>became stuck in an extension connector which connected the guide tube to
>an extension tube. The radiographer inadvertently thought that the
>source was back in the shielded camera when he relocated the camera and
>guide tube to set up his next shot. The radiographer did not use a
>survey meter and he was not wearing a pocket dosimeter, whole body badge
>or alarming rate meter. On September 29, the individual noticed a
>burning and itching sensation of his fingers. On October 1, the
>individual notified the Radiation Safety Officer (RSO) of Accurate
>Technologies of the incident. The RSO sent the radiographer to a doctor
>for medical treatment that same day.
>
>The NRC contacted the physician who informed the Agency that, on October
>1, the individual had erythema (reddening and swelling) on his fingers,
>and currently has erythema on his palms as well. The results of blood
>analysis were normal with the exception of the lymphocytes indicating a
>number slightly less than the normal range. The NRC has put the
>physician in contact with Radiation Emergency Assistance Center/Training
>Site (REAC/TS) to ensure that the patient obtains proper medical
>treatment.
>
>The RSO conducted a re-enactment of the occurrence on October 3, 2001,
>at the Baltimore temporary job site, and calculated the worker's dose to
>his hands to be approximately 730 rem. The RSO also calculated the whole
>body dose to be
>approximately 40 rem with a worst case estimate of approximately 350
>rem. The NRC occupational dose limit is five rem in one year.
>
>An assistant radiographer on site during the incident apparently was not
>exposed.
>
>The States of Maryland, New Jersey and New York have been notified of
>the event. This licensee has a license to perform radiography with the
>NRC, the State of Maryland and the State of New York. The licensee and
>the State of Maryland plan to conduct a re-enactment of the incident at
>the Baltimore temporary job site on October 5, 2001. A Region I
>inspector will observe the re-enactment.
>The licensee has agreed to suspend operations in Maryland. The State of
>Maryland also plans to conduct an inspection of the incident within the
>next few weeks at the licensee's New Jersey facility. Region I will
>provide support and plans to accompany State inspectors.
>
>The Region I Public Affairs Office is prepared to handle information
>requests.
>
>This information is current as of 4:00 p.m., October 4, 2001.
>
> Contact:
> Sheri Minnick
> (610) 337-5342
> Judy Joustra
> (610) 337-5355
>
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+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=
Jean-Charles ABBE
Délégation CNRS
IRCCyN
1, Rue de la Noë
BP 92101
44321 Nantes cedex 3
Tel : 02 51 12 45 16
Fax : 02 51 81 05 77
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