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Event Report Forms (ERFs) are filed to the IAEA. Sometimes there are multiple event reports, updating the rating, the event description. Here you only see the latest event report

ERF send date: Mon, 14-05-2018
ERF description: A radiographer received a whole body dose of 60 mSv (6.0 rem) on or about 4/6/2018. The radiographer was working at a fabrication shop with a radiography camera containing a 3.804 TBq (102.8 Ci) Ir-192 source. The radiographer finished performing radiography exposures in one location then carried the camera and attached the cables approximately 3-4 feet and set it down. He then walked out of the excessively noisy shooting bay. As he exited, he realized his alarming rate meter was sounding. He walked back to the camera, operated the cranks, and retracted the source into the fully locked position inside the camera. The licensee requested the expedited processing of the radiographer’s whole body dosimeter. The camera and cranks were tested and appeared to be working normally. The dose received by the radiographer exceeds the U.S. statutory limit for whole body dose of 50 mSv (5 rem). Texas plans to conduct an investigation to determine the circumstances surrounding the worker overexposure and perform dose calculations. NRC EN53332

UPDATE: The radiography camera was located under a large amount of piping. As the radiographer picked up the camera from underneath the pipes, he inadvertently put his hand on the ball-stop locking device and unlocked the camera. The cranks and source tube were still attached. When the radiographer moved the camera, the cranks rotated causing the source to move 6-10 inches out of the camera. The radiographer moved the camera about 5 feet and held the camera for 15 seconds. He worked near the camera for 5 minutes setting up a new film. When the radiographer walked out of the shooting bay another technician told him that his rate meter was alarming. The radiographer returned to the bay and rotated the cranks one full turn locking the source back into place. The total whole body dose for the incident was 59 mSv (5.9 rem). The root cause of the incident was poor placement of the camera with a source tube that was too short which caused the radiographer to have to grab the camera near the unlock mechanism to drag it from underneath the pipes. Also, the loud noise caused the radiographer the inability to hear his rate meter alarm. The licensee is conducting training with workers, and researching additional alarm systems for the bay and better rate meter alarms. The licensee is reassessing the size of the source tube to ensure the camera can be placed in a position which allows for easier pick up.
ERF rating date: 10-05-2018
ERF contact person: Patricia Milligan
ERF address: Reported by Nuclear Regulatory Commission (NRC) of United States of America on 19 Apr 2018. Last update on 14 May 2018
ERF affiliation: U.S. Nuclear Regulatory Commission

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Power Reactor Research Reactor Radwaste Facility Enrichment Facility Radiation Source Irradiation/Accelerator Facility Transportation

Fuel Fabrication Fuel Reprocessing Research Facility Mining/Milling Radioisotope Processing/Handling Facility Other