Event Notification Report for August 22, 2023

U.S. Nuclear Regulatory Commission
Operations Center

EVENT REPORTS FOR
08/21/2023 - 08/22/2023

EVENT NUMBERS
56678 56680 56685
Agreement State
Event Number: 56678
Rep Org: Maine Radiation Control Program
Licensee: Nine Dragons Paper
Region: 1
City: Rumford   State: ME
County:
License #: 17601
Agreement: Y
Docket:
NRC Notified By: J. Hyland
HQ OPS Officer: Thomas Herrity
Notification Date: 08/15/2023
Notification Time: 11:35 [ET]
Event Date: 08/14/2023
Event Time: 11:35 [EDT]
Last Update Date: 08/15/2023
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
Person (Organization):
Arner, Frank (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
Event Text
AGREEMENT STATE REPORT - STUCK SHUTTERS

The following is a synopsis of information received from Maine Radiation Control Program via telephone:

The licensee was in the process of shutting down the plant when it was discovered that 4 level gauges on one tank have stuck open shutters. The model and activity are not available at this time. Due to the location of the gauges, no exposures were recorded nor are any expected. This investigation for the stuck open shutters is on going.


Hospital
Event Number: 56680
Rep Org: Hartford Hospital
Licensee: Hartford Hospital
Region: 1
City: Hartford   State: CT
County:
License #: 06-00253-04
Agreement: N
Docket:
NRC Notified By: Jason Marsden
HQ OPS Officer: Kerby Scales
Notification Date: 08/15/2023
Notification Time: 15:00 [ET]
Event Date: 08/14/2023
Event Time: 17:00 [EDT]
Last Update Date: 08/15/2023
Emergency Class: Non Emergency
10 CFR Section:
35.3045(a)(1) - Dose <> Prescribed Dosage
Person (Organization):
Arner, Frank (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
Event Text
MEDICAL EVENT - PATIENT UNDERDOSE

The following is a summary of information provided by the licensee via phone:

A patient underwent an eye plaque procedure where they were to receive 85 Gy of Iodine-125 over a seven day period. The patient received an estimated dose of 57 Gy. The total dose delivered differs from the prescribed dose by greater than 20 percent. The licensee believed the seed could have shifted during the 7 days. A written report will be forwarded when complete.

A Medical Event may indicate potential problems in a medical facility's use of radioactive materials. It does not necessarily result in harm to the patient.


Power Reactor
Event Number: 56685
Facility: Fermi
Region: 3     State: MI
Unit: [2] [] []
RX Type: [2] GE-4
NRC Notified By: Richard Beck
HQ OPS Officer: Dan Livermore
Notification Date: 08/20/2023
Notification Time: 18:30 [ET]
Event Date: 08/20/2023
Event Time: 16:00 [EDT]
Last Update Date: 08/20/2023
Emergency Class: Non Emergency
10 CFR Section:
50.72(b)(2)(i) - Plant S/D Reqd By Ts
50.72(b)(2)(xi) - Offsite Notification
50.72(b)(3)(ii)(A) - Degraded Condition
Person (Organization):
Betancourt-Roldan, Diana (R3DO)
Power Reactor Unit Info
Unit SCRAM Code RX Crit Initial PWR Initial RX Mode Current PWR Current RX Mode
2 N N 0 Hot Shutdown 0 Hot Shutdown
Event Text
TECHNICAL SPECIFICATION REQUIRED SHUTDOWN

The following information was provided by the licensee via email:

"On 8/20/2023 at 1600 EDT, during plant walkdowns in the drywell while in mode 3 to identify a cause of increasing unidentified leakage rate, reactor coolant system pressure boundary leakage (approximately 2 gpm) was identified on the reactor recirculation sample line between the reactor recirculation sample line inboard isolation valve (B3100F019) and where the sample line taps off the B reactor recirculation jet pump riser. This requires entry into technical specification 3.4.4 condition C, identification of pressure boundary leakage with a required action to be in mode 3 in 12 hours and mode 4 in 36 hours. At 1630 EDT, a technical specification required shutdown to mode 4, cold shutdown, was initiated.

"A press release by DTE is anticipated. This event is being reported as a four-hour, non-emergency notification per 10 CFR 50.72(b)(2)(i), a four-hour, non-emergency notification per 10 CFR 50.72(b)(2)(xi), and an eight-hour, non-emergency notification 10 CFR 50.72(b)(3)(ii)(A) for the degraded condition of the pressure boundary.

"Investigation into the cause of the reactor coolant system pressure boundary leakage is still ongoing.

"There was no impact on the health and safety of the public or plant personnel. The NRC resident inspector has been notified."