![]() For additional information go to ĪGREEMENT STATE REPORT - MISSING STATIC ELIMINATOR 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. 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. THIS MATERIAL EVENT CONTAINS A 'Less than Cat 3' LEVEL OF RADIOACTIVE MATERIAL New York State Event Report Number: NY-23-06 This seed is considered lost with no reasonable probability of recapture." As a precaution, the licensee plans to set up a dedicated area to survey the biohazard bag with the seed in it and the sink drain will be covered during dissection. The licensee believes that the seed possibly went down the drain in the pathology lab. Staff contacted the boiler house, and no radioactive waste has been discovered leaving the premises. NMT staff Immediately went and monitored all areas in pathology (floor, work areas, sharp containers, garbage of the remaining specimen and the patient slides). Upon further investigation, it was noted that there was a clip and not an I-125 seed in the one bag. While bringing the seeds to the nuclear medicine decay closet, a nuclear medical technician (NMT) noticed that one of the bags with seeds in it (they retrieved 4 seeds that day from pathology) had a seed that seemed thicker than the others. Personnel from nuclear medicine retrieved the seeds from the pathology storage unit on 7/3/23 and filled out the log sheet and the chain of custody paperwork. The seed was in the breast specimen when it arrived in pathology on 6/26/23 (Activity was 105.08 microcurie) and was supposedly removed, bagged, and stored in the proper storage area. 56305C, I-125 localization seed (108.76 microcurie) on 6/23/23 for a surgical removal scheduled on 6/26/23. "A patient at Sisters of Charity Hospital in Buffalo, RAM license 2911, was implanted with a Best Medical International model 2301, serial no. The following information was provided by the New York Department of Health via email: "The Division will investigate this matter and update the record upon completion of the investigation." The licensee is arranging for a technician to come and decommission the device and will then forward the appropriate paperwork once that work is completed. The licensee taped off the other end and placed radiation warning signs to keep personnel from entering the area. The licensee moved the gauge with a scoop into Crosscut 38 which is about 100 feet away from the original position of the gauge. Once they were able to access the gauge and assess its condition, the licensee determined that the gauge was not repairable and would need to be decommissioned. The process of mucking and bolting the brow took priority until the morning of Jwhen they were able to safely access the gauge. That morning, the licensee had a brow collapse in the same area, effectively setting them back to where they started. "The RSO was notified on July 19, 2023, that the device was visible but not yet accessible due to the roof not being bolted. The area was pre-shifted twice a day with the pre-shifter using a radiation detector to ensure that there was no errant radiation. The approval allowed the licensee to work their way through approximately 150 feet of rubble, removing rubble and bolting the roof every 5 to 6 feet according to the roof control plan. After notification of the incident, the licensee began the process of developing a plan and getting an approval from the Mine Safety Health Administration (MSHA) to begin the work of removing rubble and uncovering the belt and device. The roof fall occurred on the morning of July 16, 2023. "The device referenced was an AshScan serial number AS16-157, utilizing 300 mCi of Am241 and 5 mCi of Cs137. "Received from the licensee (by the Division): The Division contacted the licensee's radiation safety officer (RSO) at 0630 on Jafter listening to the voicemail. The Division was notified of the incident by voicemail the afternoon of J(State of Utah Holiday). "There was a partial roof collapse in a coal mine, resulting in a damaged, beyond repair AshScan coal analyzer. The following information was provided by the Utah Division of Radiation Control (the Division) via email: AGREEMENT STATE REPORT - DAMAGED ASH/MOISTURE GAUGE
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