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Event Notification Report for October 03, 2024

U.S. Nuclear Regulatory Commission
Operations Center

EVENT REPORTS FOR
10/02/2024 - 10/03/2024

EVENT NUMBERS
573625736157360
Hospital
Event Number: 57362
Rep Org: Christiana Hospital
Licensee: Christiana Hospital
Region: 1
City: Newark   State: DE
County:
License #: 07-12153-02
Agreement: N
Docket:
NRC Notified By: Carol Wen
HQ OPS Officer: Natalie Starfish
Notification Date: 10/04/2024
Notification Time: 09:16 [ET]
Event Date: 10/03/2024
Event Time: 10:00 [EDT]
Last Update Date: 10/04/2024
Emergency Class: Non Emergency
10 CFR Section:
35.3045(a)(1) - Dose <> Prescribed Dosage
Person (Organization):
Deboer, Joseph (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
Event Text
MEDICAL EVENT - Y-90 UNDERDOSE

The following information was provided by the licensee via phone:

A medical event involving Y-90 TheraSpheres occurred on 10/03/2024 at approximately 1000 EDT. A patient received an underdose of about 67 percent due to leakage at a connection point to the catheter.

The following additional information was obtained from the licensee in accordance with Headquarters Operations Officers Report Guidance:

The leak appears to be caused from a crooked connection. Modifications are being made to the procedure to review the connections from different angles to assure alignment.

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: 57361
Facility: Vogtle 1/2
Region: 2     State: GA
Unit: [1] [2] []
RX Type: [1] W-4-LP,[2] W-4-LP
NRC Notified By: Andrew Dyer
HQ OPS Officer: Natalie Starfish
Notification Date: 10/04/2024
Notification Time: 04:23 [ET]
Event Date: 10/03/2024
Event Time: 22:35 [EDT]
Last Update Date: 10/04/2024
Emergency Class: Non Emergency
10 CFR Section:
50.72(b)(3)(xiii) - Loss Comm/Asmt/Response
Person (Organization):
Suber, Gregory (R2DO)
Power Reactor Unit Info
Unit SCRAM Code RX Crit Initial PWR Initial RX Mode Current PWR Current RX Mode
1 N Y 45 Power Operation 45 Power Operation
2 N Y 100 Power Operation 100 Power Operation
Event Text
LOSS OF SEISMIC MONITORING FOR EMERGENCY PLAN ASSESSMENT

The following information was provided by the licensee via phone and email:

"At 2235 on 10/03/2024, the Vogtle 1 and 2 seismic monitoring panel experienced an electrical fault, rendering the panel nonfunctional. Compensatory measures for seismic event classification have been implemented in accordance with Vogtle procedures.

"This is an eight-hour, non-emergency notification for a loss of emergency assessment capability. This event is reportable in accordance with 10 CFR 50.72(b)(3)(xiii) because the seismic monitoring panel is the method for evaluating that an operational basis earthquake (OBE) threshold has been exceeded following a seismic event. This is in accordance with Initiating condition `seismic event greater than OBE levels' and emergency action level HU2.

"There was no impact on the health and safety of the public or plant personnel.

"The NRC Resident Inspector has been notified."


Independent Spent Fuel Storage Installation
Event Number: 57360
Rep Org: Kewaunee
Licensee:
Region: 3
City: Kewaunee   State: WI
County: Kewaunee
License #: GL
Agreement: Y
Docket:
NRC Notified By: Rick Smythe
HQ OPS Officer: Sam Colvard
Notification Date: 10/03/2024
Notification Time: 14:55 [ET]
Event Date: 10/03/2024
Event Time: 10:00 [CDT]
Last Update Date: 10/03/2024
Emergency Class: Non Emergency
10 CFR Section:
50.72(b)(2)(xi) - Offsite Notification
Person (Organization):
Havertape, Joshua (R3DO)
Event Text
OFFSITE AGENCY NOTIFICATION

The following information was provided by the licensee via phone and email:

"At 1000 CDT, on October 3, 2024, Kewaunee Power Station was informed that the Wisconsin Department of Health Services (WDHS) was notified of an asbestos worker qualification issue specific to several workers at the Kewaunee Solutions Decommissioning Project. This notification was made by a subcontractor performing asbestos abatement work at the site and involves a lack of documentation of the worker qualifications.

"The NRC Regional Inspector has been notified."