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Regulatory Disclosures: 2000- 2009
The matters listed below include radiological incidents that arose between 2000 and 2009. For the most recent safety-related incidents that occurred from 2010 onwards, please visit either our main Regulatory disclosures page or our Regulatory disclosures: 2010 page.
Find more details on the regulations governing ANSTO.
Significant radiological incidents 2000-2009
| Dec 2009 | Contractors working adjacent to a licenced facility without all relevant ANSTO operational staff being fully aware. No safety or security issues as a result. | Notified to ARPANSA and also Comcare by telephone. Communication processes with subcontractors were reviewed and are being benchmarked with broader industry sector. |
| Mid 2009 | Allowable airborne discharge levels under licence were exceeded during radiopharmaceutical production. This was due to activities previously undertaken at Camperdown having transferred to Lucas Heights. The discharge was significantly below that allowed normally at Camperdown. ANSTO’s dose constraint on public doses not impacted. | Notified to ARPANSA. An application for a modification of the existing discharge authorisation has been submitted to ARPANSA. |
| Early 2009 | The radioactive content for a transport package exceeded the licence limit. | Notified to ARPANSA. Corrective actions taken by ANSTO. |
| Early 2009 | Operational limits and conditions were exceeded in the medical isotope production area of ARI by acquiring activity in excess of licence conditions.
| Notified to ARPANSA. Corrective actions taken by ANSTO. |
| 28 jan 2009 | A proposed change to the OPAL shift roster was initially categorised as not needing formal ARPANSA approval. However, ARPANSA were notified of the proposal in line with transparent reporting. ARPANSA requested formal approval be sought for the change. Proposal postponed while formal approval sought.
| ARPANSA notified of proposal in ine with transparent reporting. No enforcement action taken. |
| 10 Nov 2008 | When an OPAL instrument failed operators were unable to change settings on the faulty instrument within time allowed under operating licence. The signal continued to be monitored by back-up systems. Monitoring was of neutron flux levels during start-up mode. Reactor was at full power. Staff considered they were operatong correctly under source licence. The component was replaced as quickly as possible and analysis of the event showed that the reactor was always in a safe state.
| ARPANSA determined on 18 February 2010 that ANSTO failed to observe an OPAL operating licence condition. ANSTO is currently considering its response. Notified to ARPANSA in quarterly report and remedial actions implemented. Determination of breach accepted.
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| Aug 2008 | Several staff were concerned that employees may have been exposed when a vial was dropped in a shielded cell during radiopharmaceutical production transfer. No exposure above normal occupational levels was recorded. An employee raised the matter at the Central Safety Co-ordinating Committee in May 2009 and further investigations occurred including one by ARPANSA. No exposure in excess of normal occupational levels was detected. ARPANSA found that there was no significant exposure.
| Notified to ARPANSA. In January 2010 ARPANSA found that ANSTO had not covered up the incident and made seven recommendations for training operational and management improvements. All were consistent with ANSTO’s findings and were complete or well advanced. |
| Mid 2008 | An X-ray unit was disposed of without prior approval by ARPANSA . | ANSTO did not comply with licence conditions. ANSTO reviewed its procedures and increased awareness amongst relevant staff. |
| 5 Sept 2007 | Two employees in radiopharmaceutical production had localised contamination on clothing of the medical isotope, Yttrium-90. One employee had localised contamination on his face, which was decontaminated by washing. Follow-up urine analysis indicated no intake of radioactivity. | ARPANSA was notified. Following concerns raised by an employee ANSTO is reviewing aspects of the incident. ARPANSA is also investigating the matter. |
| May 2007 | OPAL reactor fuel assemblies had several plates slip. The reactor was shut down for 10 months to enable a fuel redesign and analysis. ARPANSA notified. Redesign was approved by ARPANSA and reactor restarted in May 2008. | ARPANSA notified. Redesign was approved by ARPANSA and reactor restarted in May 2008. |
| 27 April 2007 | April 2007 A spillage of Yttrium-90 within a contained enclosure led to a finger dose in excess of the statutory limit, but below any threshold for associated health effects.
| ARPANSA notified. |
| Feb 2007 | Internal ANSTO processes in regard to the accreditation of an OPAL Shift Manager were not correctly followed. | ANSTO notified ARPANSA. Invesigation confirmed licence breach. ANSTO reviewed and changed procedures. |
| Early 2007 | A baggage x-ray machine was used and moved contrary to the licence. | ARPANSA notified. A licence breach was recorded. |
| 14 Jun 2006 | An employee received a dose of Iodine-123 when packing medical isotopes for patient use. The dose was 4% of the annual limit for radiation workers. Due to the low- level notification to ARPANSA was not required.
| ARPANSA notification not required. ANSTO logged event. |
| 8 Jun 2006 | A pipe rupture occurred within a shielded enclosure during production of the medical isotope Technitium-99m. There was no impact to any employee. ARPANSA and Comcare were notified.
| ARPANSA and Comcare were notified. Comcare investigation cocluded a breach of duty of care. |
| Early 2006 | Calibration of a monitor was not properly maintained at the Gamma irradiation facility.
| ARPANSA notified. Matter remedied and procedures improved. |
| 26 July 2005 | At the Camperdown cyclotron medical isotope production facility an inter-cell door jammed and damaged an in-cell rail causing exposure to an employee. In a separate incident an employee got trace contamination on hair and clothing. Contamination was immediately removed. The exposures were below ANSTO’s limits and within normal occupational exposure levels.
| ARPANSA notifie. The equipment fault was rectified. |
11 Aug 2005 | Personnel at the Camperdown cyclotron received a small quantity of contamination on their clothing during medical isotope production. Decontamination occurred promptly. There was no measurable radiation dose or impact on their health.
| Notified ARPANSA |
| June 2005 | Dosimeter worn by a radiopharmaceutical technician indicated an effective dose of 66 millisieverts – equivalent to five abdominal CT scans. The statutory limit is 20 mSv annually with ANSTO’s self-imposed constraint as 15 mSv. The allowable limit was exceeded. The employee was reassigned to non-radioactive duties as a precaution Possible explanation for high reading on dosimeter may be from it being left near a radioactive source for an extended period.
| On September 15 2005 ANSTO notified ARPANSA after regular monthly checks. Tis was determined by ARPANSAas a breach in 2006. |
| Early 2005 | NSTO failed to notify ARPANSA that an extra hoist was installed on the crane in the HIFAR reactor hall. | ARPANSA observed the hois during a periodic inspection. The hois was subsequently removed.
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| 12 Mar 2002 | Licence requirements were breached when personnel did not undertake heavy water plant room check resulting in employee contamination from Tritium of 2.33 millisieverts effective dose. The statutory limit is 20 mSV annually. ANSTO’s self-imposed constraint is 15 mSv.
| Notified ARPANSA |
| 15 Mar 2002 | A HIFAR fuel rod was partially cut during cropping in a fuel pool within a building. There was light contamination on clothing of an employee and radioactive particles also entered the pool. The ARPANSA investigation noted two dead birds outside the pool. Testing showed trace radioactive elements at levels which were not a health or environmental concern. Traces of employee clothing contamination required clean up at several locations including off site. All resulting exposures were low and not of health concern.
| ARPANSA notified an undertook investigation and subsequent report. ANSTO undertook detailed investigation resulting in a number of procedural improvements. |
| Early 2001 | Technical breaches occurred in the Environment Division due to radioactive sources being unlicensed or misplaced. | Procedures reviewed and employee awareness improved. |
15 Mar 2002 Early 2001 Note: This information has been updated progressively. Historic incidents will be reviewed to ensure accurate presentation of fact.
Last updated: 2 May 2011
