[Federal Register Volume 90, Number 153 (Tuesday, August 12, 2025)]
[Notices]
[Pages 38828-38831]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2025-15293]


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NUCLEAR REGULATORY COMMISSION

[NRC-2023-0075]


Abnormal Occurrence Reporting

AGENCY: Nuclear Regulatory Commission.

ACTION: Policy statement; issuance.

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SUMMARY: The U.S. Nuclear Regulatory Commission (NRC) is issuing a 
limited revision to its policy statement on reporting abnormal 
occurrences (AOs) to Congress. The revised policy statement provides 
more specific language to the medical event criteria to better identify 
those incidents and events that the Commission considers significant 
from the standpoint of public health or safety. The revised AO criteria 
contain additional language to add clarity, helping to delineate 
abnormal occurrence events from nonreportable events which may have 
been reviewed under the previous criteria.

DATES: The policy statement is effective on August 12, 2025.

ADDRESSES: Please refer to Docket ID NRC-2023-0075 when contacting the 
NRC about the availability of information for this action. You may 
obtain publicly available information related to this action by any of 
the following methods:
     Federal Rulemaking website: Go to https://www.regulations.gov and search for Docket ID NRC-2023-0075. Address 
questions about NRC dockets to Helen Chang; telephone: 301-415-3228; 
email: [email protected]. For technical questions, contact the 
individual listed in the FOR FURTHER INFORMATION CONTACT section of 
this document.
     NRC's Agencywide Documents Access and Management System 
(ADAMS): You may obtain publicly available documents online in the 
ADAMS Public Documents collection at https://www.nrc.gov/reading-rm/adams.html. To begin the search, select ``Begin Web-based ADAMS 
Search.'' For problems with ADAMS, please contact the NRC's Public 
Document Room (PDR) reference staff at 1-800-397-4209, at 301-415-4737, 
or by email to [email protected]. The ADAMS accession number for 
each document referenced (if it is available in ADAMS) is provided the 
first time that it is mentioned in the SUPPLEMENTARY INFORMATION 
section.
     NRC's PDR: The PDR, where you may examine and order copies 
of publicly available documents, is open by appointment. To make an 
appointment to visit the PDR, please send an email to 
[email protected] or call 1-800-397-4209 or 301-415-4737, between 8 
a.m. and 4 p.m. eastern time, Monday through Friday, except Federal 
holidays.

FOR FURTHER INFORMATION CONTACT: Rigel Flora, Office of Nuclear 
Regulatory Research, U.S. Nuclear Regulatory Commission, Washington DC 
20555-

[[Page 38829]]

0001; telephone: 301-415-3890; email: [email protected].

SUPPLEMENTARY INFORMATION:

I. Background

    Section 208 of the Energy Reorganization Act of 1974, as amended 
(Public Law 93-438), defines an AO as an unscheduled incident or event 
that the NRC determines to be significant from the standpoint of public 
health or safety. As required by Section 208, the discussion for each 
event includes the date and place, the nature and probable 
consequences, the cause or causes, and the action taken to prevent 
recurrence. The Commission must also widely disseminate the AO report 
to the public within 15 days of publishing the AO report to Congress. 
The Federal Reports Elimination and Sunset Act of 1995 (Pub. L. 104-66) 
requires that AOs be reported to Congress annually.

Abnormal Occurrence Reporting

    The Commission developed the AO policy statement to comply with 
Section 208 of the Energy Reorganization Act of 1974, as amended. The 
annual AO report is developed based upon the criteria in the AO policy 
statement. The AO report keeps Congress and the public informed of 
unscheduled incidents or events that the Commission considers 
significant from the standpoint of public health or safety. This policy 
addresses a range of health or safety concerns and applies to incidents 
and events involving a single individual, as well as those having an 
overall impact on the general public. The AO criteria set out in the 
policy use a reporting threshold so that only those events considered 
significant from the standpoint of public health or safety are reported 
to Congress.

Licensee Reports

    The changes to the general policy statement do not change the 
reporting requirements for licensees in NRC or Agreement State 
regulations, license conditions, or technical specifications. The 
licensees will continue to submit required reports on a wide range of 
events, including instrument malfunctions and deviations from normal 
operating procedures that may not be significant from the standpoint of 
the public health or safety but provide data useful to the NRC in 
monitoring operating trends of licensed facilities and in comparing the 
actual performance of these facilities with their design and/or 
licensing basis.

II. Opportunity for Public Participation

    The NRC is revising the AO criteria for medical events to improve 
conformance with current regulatory requirements and reflect new 
developments in medical radiation treatments. In developing the revised 
AO criteria, the NRC staff consulted with experts in the reactor and 
nuclear material areas, including the Advisory Committee on the Medical 
Uses of Isotopes (ACMUI), and coordinated with Agreement States. The 
NRC staff undertook this effort to ensure events that have the 
potential for significant health or safety consequences are properly 
identified and reported to Congress.
    The NRC staff provided multiple opportunities for public 
participation. Staff shared the preliminary proposed change with the 
Organization of Agreement States (OAS) for comment. Several 
coordination meetings were held with ACMUI providing updates on the 
process and allowing opportunity for comments. Additionally, the 
proposed AO criteria were published in the Federal Register (FR) on May 
19, 2023 (88 FR 32144), for a 90-day public comment period. No comments 
were received.

III. Coordination With NRC Agreement States

    The NRC coordinated with the Agreement States throughout the 
development of this final policy statement. On May 5, 2021, the NRC 
provided a preliminary proposed policy statement to the Agreement 
States for their review and comment. The OAS Executive Board (Board) 
provided comments dated July 26, 2021. The NRC staff did not make any 
changes in response to the comments.
    While the Board was generally supportive of the 2021 preliminary 
proposed changes, it suggested edits to the AO criteria that would be 
inclusive of nuclear medicine extravasations, which are currently 
excluded from medical event reporting requirements. The NRC staff 
considered the Board's recommendations and concluded that revision of 
the AO criteria to capture extravasations is outside the scope of the 
Commission's direction to make limited changes to the medical AO 
criteria in the policy statement on AO reporting. However, the NRC 
staff submitted SECY-24-0067, Proposed Rule: Reporting Nuclear Medicine 
Injection Extravasations as Medical Events (ADAMS Accession Package No. 
ML24016A290) on August 13, 2024, to the Commission for its 
consideration. The proposed rule would amend the regulations in title 
10 of the Code of Federal Regulations (10 CFR) Part 35, ``Medical Use 
of Byproduct Material,'' to require reporting of certain nuclear 
medicine injection extravasations as medical events.

IV. Coordination With the Advisory Committee on the Medical Uses of 
Isotopes

    The ACMUI submitted comments on the preliminary proposed policy 
statement in a final report dated June 1, 2021 (ADAMS Accession No. 
ML21227A001). These comments concerned the reporting of events that the 
ACMUI may not find to be significant for public health or safety. The 
ACMUI recommended that criteria in Section III.C ``For Medical 
Licensees'' be adjusted to remove dose-based criteria and instead focus 
on radiation induced injuries, significant adverse health effects, or 
death. In response to SRM-SECY-22-0009 (ADAMS Accession Package No. 
ML23088A089), NRC staff retained previous Section III.C criteria (ADAMS 
Accession No. ML12166A196) and did not make any changes in response to 
ACMUI's recommendation. The final ACMUI comment concerned moving 
reporting of embryo/fetal exposure from Section I.A ``Human Exposure to 
Radiation from Licensed Material'' to Section III.C. The NRC staff did 
not make any changes in response to this comment.

V. Congressional Review Act

    This policy statement is not a rule as defined in the Congressional 
Review Act (5 U.S.C. 801-808).

    Dated: August 8, 2025.

    For the Nuclear Regulatory Commission.
Carrie Safford,
Secretary of the Commission.

Attachment--Abnormal Occurrence Statement of Policy

Appendix A

Abnormal Occurrence Criteria; Abnormal Occurrence General Statement of 
Policy

    The U.S. Nuclear Regulatory Commission (NRC) will apply the 
following policy in determining whether an incident or event at a 
facility or involving an activity that is licensed or otherwise 
regulated by the Commission or an Agreement State is an abnormal 
occurrence (AO): \1\
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    \1\ Events reported to the NRC by Agreement States that reach 
the threshold for reporting as AOs will be reported as such by the 
Commission.
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    An incident or event is considered an AO if it involves a major 
reduction in the protection of public health or safety. The incident 
or event has a moderate or severe impact on public health or safety 
and could include, but need not be limited to, the following:
    (1) Moderate exposure to, or release of, radioactive material 
licensed by or otherwise regulated by the Commission or Agreement 
State;

[[Page 38830]]

    (2) Major degradation of essential safety-related equipment;
    (3) Major deficiencies in design, construction, use of, or 
management controls for, facilities or radioactive material licensed 
by or otherwise regulated by the Commission or Agreement State; or
    (4) Substantiated case of actual loss, theft, or diversion of 
risk-significant radioactive material licensed by or otherwise 
regulated by the Commission or Agreement State.

Abnormal Occurrence Criteria

    The following presents the criteria, by types of events, used to 
determine which events will be considered for reporting as AOs.

I. All Licensees 2
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    \2\ Medical patients and human research subjects are excluded 
from consideration under these criteria, and these criteria do not 
apply to medical events defined in Sec.  35.3045 of Title 10 of the 
Code of Federal Regulations (10 CFR), ``Report and notification of a 
medical event,'' which are considered in AO Criteria III.C.
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A. Human Exposure to Radiation From Licensed Material

    1. Any unintended radiation exposure to an adult (any individual 
18 years of age or older) resulting in:
    a. An annual total effective dose equivalent (TEDE) of 250 
millisieverts (mSv) (25 rem) or more;
    b. An annual sum of the deep dose equivalent (external dose) and 
committed dose equivalent (intake of radioactive material) to any 
individual organ other than the lens of the eye, the bone marrow, 
and the gonads of 2,500 mSv (250 rem) or more;
    c. An annual dose equivalent to the lens of the eye of 1 Sievert 
(Sv) (100 rem) or more;
    d. An annual sum of the deep dose equivalent and committed dose 
equivalent to the bone marrow of 1 Sv (100 rem) or more;
    e. A committed dose equivalent to the gonads of 2,500 mSv (250 
rem) or more; or
    f. An annual shallow-dose equivalent to the skin or extremities 
of 2,500 mSv (250 rem) or more.
    2. Any unintended radiation exposure to any minor (an individual 
less than 18 years of age) resulting in an annual TEDE of 50 mSv (5 
rem) or more, or to an embryo/fetus resulting in a dose equivalent 
of 50 mSv (5 rem) or more.
    3. Any radiation exposure that has resulted in unintended 
permanent functional damage to an organ or a physiological system as 
determined by an independent physician \3\ deemed qualified by the 
NRC or Agreement State.
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    \3\ ``Independent physician'' is defined as a physician not on 
the licensee's staff and who was not involved in the care of the 
patient involved.
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B. Discharge or Dispersal of Radioactive Material From Its Intended 
Place of Confinement

    The release of radioactive material to an unrestricted area in 
concentrations that, if averaged over a period of 24 hours, exceed 
5,000 times the values specified in Table 2 of Appendix B, ``Annual 
Limits on Intake (ALIs) and Derived Air Concentrations (DACs) of 
Radionuclides for Occupational Exposure; Effluent Concentrations; 
Concentrations for Release to Sewerage,'' to 10 CFR part 20, 
``Standards for protection against radiation,'' unless the licensee 
has demonstrated compliance with Sec.  20.1301, ``Dose limits for 
individual members of the public,'' using Sec.  20.1302(b)(1) or 
Sec.  20.1302(b)(2)(ii). This criterion does not apply to 
transportation events.

C. Theft, Diversion, or Loss of Licensed Material; Sabotage; or 
Security Breach 4 5 6
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    \4\ Information pertaining to certain incidents may either be 
classified or under consideration for classification because of 
national security implications. Classified information will be 
withheld when formally reporting these incidents in accordance with 
Executive Order 13526, ``Classified National Security Information,'' 
as amended (75 FR 707; January 5, 2010), or any predecessor or 
successor order to require protection against unauthorized 
disclosures. Any classified details about these incidents would be 
available to Congress upon request, under appropriate security 
arrangements.
    \5\ Information pertaining to certain incidents may be 
Safeguards Information as defined in Sec.  73.2 because of safety 
and security implications. The AO report would withhold specific 
Safeguards Information in accordance with Section 147 of the Atomic 
Energy Act of 1954, as amended. Any safeguards details regarding 
these incidents would be available to Congress upon request, under 
appropriate security arrangements.
    \6\ Reporting lost or stolen material is based on the activity 
of the source at the time the radioactive material was known to be 
lost or stolen. If, by the time the AO report is due to Congress, 
the radioactive material has decayed below the thresholds listed in 
Appendix A to 10 CFR part 37, the report will clarify that the 
radioactive material has decayed below the thresholds.
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    1. Any stolen, diverted, abandoned, or unrecovered lost 
radioactive material that meets or exceeds the thresholds listed in 
Appendix A, ``Category 1 and Category 2 Radioactive Materials,'' to 
10 CFR part 37, ``Physical Protection of Category 1 and Category 2 
Quantities of Radioactive Material.'' Excluded from reporting under 
this criterion are those events involving sources that are lost or 
abandoned under the following conditions: sources that have been 
lost and for which a reasonable attempt at recovery has been made 
without success, or irretrievable well logging sources as defined in 
Sec.  39.2, ``Definitions.'' These sources are only excluded if 
there is reasonable assurance that the doses from these sources have 
not exceeded, and will not exceed, the reporting thresholds 
specified in AO Criteria I.A.1 and I.A.2 and the agency has 
determined that the risk of theft or diversion is acceptably low.
    2. An act that results in radiological sabotage as defined in 
Sec.  37.5 and Sec.  73.2.
    3. Any substantiated \7\ case of actual theft, diversion, or 
loss of a formula quantity of special nuclear material,\8\ or an 
inventory discrepancy of a formula quantity of special nuclear 
material that is judged to be caused by theft or diversion.
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    \7\ ``Substantiated'' means a situation in which there is an 
indication of loss, theft, or unlawful diversion, such as an 
allegation of diversion, report of lost or stolen material, or other 
indication of loss of material control or accountability that cannot 
be refuted following an investigation, and requires further action 
on the part of the agency or other proper authorities.
    \8\ ``Formula quantity of special nuclear material'' is defined 
in Sec.  70.4, ``Definitions.''
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    4. Any substantial breakdown \9\ of physical security, cyber 
security, or material control and accountability programs that 
significantly weakens the protection against loss, theft, diversion, 
or sabotage.
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    \9\ A substantial breakdown is defined as a red finding under 
the Reactor Oversight Process (ROP) in the physical security 
inspection program or any plant or facility determined to have 
overall unacceptable performance.
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    5. Any significant unauthorized disclosures (loss, theft, and/or 
deliberate disclosure) of classified information that harms national 
security or of Safeguards Information that threatens public health 
or safety.

D. Initiation of High-Level NRC Team Inspection 10
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    \10\ This item addresses the initiation of any incident 
investigation teams, as described in NRC Management Directive (MD) 
8.3, ``NRC Incident Investigation Program'' (ADAMS Accession No. 
ML13175A294), or initiation of any accident review groups, as 
described in MD 8.9, ``Accident Investigation'' (ADAMS Accession No. 
ML13319A133).
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II. Commercial Nuclear Power Plant Licensees

A. Malfunction of Facility, Structures, or Equipment

    1. Exceeding a safety limit of a license technical specification 
(TS) (Sec.  50.36(c)).
    2. Serious degradation of fuel integrity, primary coolant 
pressure boundary, or primary containment boundary.
    3. Loss of plant capability to perform essential safety 
functions so that a release of radioactive materials that could 
result in exceeding the dose limits of 10 CFR part 100, ``Reactor 
site criteria,'' or five times the dose limits of General Design 
Criteria (GDC) 19, ``Control Room,'' in Appendix A, ``General Design 
Criteria for Nuclear Power Plants,'' to 10 CFR part 50, ``Domestic 
licensing of production and utilization facilities,'' could occur 
from a postulated transient or accident (e.g., loss of emergency 
core cooling system, loss of control rod system).

B. Design or Safety Analysis Deficiency, Personnel Error, or 
Procedural or Administrative Inadequacy

    1. Discovery of a major condition not specifically considered in 
the safety analysis report or TS that requires immediate remedial 
action.
    2. Personnel error or procedural deficiencies that result in the 
loss of plant capability to perform essential safety functions such 
that a release of radioactive materials exceeding the dose limits of 
10 CFR part 100 or five times the dose limits of GDC 19 in Appendix 
A to 10 CFR part 50, could occur from a postulated transient or 
accident (e.g., loss of emergency core cooling system, loss of 
control rod drive mechanism).
    C. Any operating reactor events or conditions evaluated by the 
NRC ROP to be the result of or associated with licensee

[[Page 38831]]

performance issues of high safety significance.\11\
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    \11\ The NRC ROP uses four colors to describe the safety 
significance of licensee performance. As defined in NRC MD 8.13, 
``Reactor Oversight Process'' (ADAMS Accession No. ML17347B670), 
green is used for very low safety significance, white is used for 
low to moderate safety significance, yellow is used for substantial 
safety significance, and red is used for high safety significance. 
Reactor conditions or performance indicators evaluated to be red are 
considered AOs.
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    D. Any operating reactor events or conditions evaluated by the 
NRC Accident Sequence Precursor (ASP) program to have a conditional 
core damage probability (CCDP) or change in core damage probability 
([Delta]CDP) of greater than or equal to 1 x 10-\3\.\12\
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    \12\ Results from the NRC Accident Sequence Precursor program 
are used to monitor agency performance against the agency's 
strategic safety goal (e.g., ensure the safe use of radioactive 
materials) and objectives (e.g., prevent and mitigate accidents and 
ensure radiation safety). A precursor event with a CCDP or 
[Delta]CDP of greater than or equal to 1 x 10-3 is used 
as a performance indicator for the strategic safety goal by 
determining that there have been no significant precursors of a 
nuclear reactor accident and that there have been no more than one 
significant adverse trend in industry safety performance.
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    E. Any operating reactor plants that are determined to have 
overall unacceptable performance or are in a shutdown condition as a 
result of significant performance problems and/or operational 
event(s).\13\
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    \13\ Any plants assessed by the ROP to be in the unacceptable 
performance column, as described in NRC Inspection Manual Chapter 
(IMC) 0305, ``Operating Reactor Assessment Program'' (ADAMS 
Accession No. ML19256A191), or under NRC IMC 0350, ``Oversight of 
Reactor Facilities in a Shutdown Condition Due to Significant 
Performance and/or Operational Concerns'' (ADAMS Accession No. 
ML17116A273). This assessment of safety performance is based on the 
number and significance of NRC inspection findings and licensee 
performance indicators.
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III. Events at Facilities Other Than Nuclear Power Plants and All 
Transportation Events

A. Events Involving Design, Analysis, Construction, Testing, 
Operation, Transport, Use, or Disposal

    1. An accidental criticality.
    2. A major deficiency in design, construction, control, or 
operation having significant safety implications that require 
immediate remedial action.
    3. A serious safety-significant deficiency in management or 
procedural controls.
    4. A series of events (in which the individual events are not of 
major importance), recurring incidents, or incidents with 
implications for similar facilities (generic incidents) that raise a 
major safety concern.

B. Fuel Cycle Facilities 14
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    \14\ Criterion III.A also applies to fuel cycle facilities.
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    1. Absence or failure of all safety controls (engineered and 
human) such that conditions were present for the occurrence of a 
high-consequence event involving an NRC-regulated hazard 
(radiological or chemical).\15\
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    \15\ High-consequence events for facilities licensed under 10 
CFR part 70, ``Domestic licensing of special nuclear material,'' are 
those that could seriously harm the worker or a member of the public 
in accordance with Sec.  70.61, ``Performance requirements.'' The 
integrated safety analysis conducted and maintained by the licensee 
or applicant of 10 CFR part 70 fuel cycle facilities identifies such 
hazards and the safety controls (Sec.  70.62(c)) applied to meet the 
performance requirements in accordance with Sec.  70.61(b) through 
(d). Fuel cycle facilities licensed under 10 CFR part 40, ``Domestic 
licensing of source material,'' or certified under 10 CFR part 76, 
``Certification of gaseous diffusion plants,'' have licensing basis 
documents that describe facility specific hazards, consequences, and 
those controls used to prevent or mitigate the consequences of such 
accidents. For these facilities, a high-consequence event would be a 
release that has the potential to cause acute radiological or 
chemical exposures to a worker or a member of the public similar to 
that defined in Appendix A to Chapter 3, Section A.2, of NUREG-1520, 
Revision 2, ``Standard Review Plan for Fuel Cycle Facilities License 
Applications--Final Report,'' issued June 2015, under ``Consequence 
Category 3 (High Consequences)'' (ADAMS Accession No. ML15176A258).
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    2. An NRC-ordered safety-related or security-related immediate 
remedial action.

C. Events Involving the Medical Use of Radioactive Materials in 
Patients or Human Research Subjects 16
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    \16\ Criteria III.A.2, III.A.3, and III.A.4 also apply to 
medical licensees.
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    1. A medical event, as defined in Sec.  35.3045 or in conditions 
of a license,\17\ which results in an unintended dose:
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    \17\ ``In conditions of a license'' means either the specific 
35.1000 medical criterion can be written out in a license condition, 
or a license condition can incorporate a commitment to use the 
applicable criteria.
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    a. That is equal to or greater than 1 gray (Gy) (100 rad) to a 
major portion of the bone marrow or to the lens of the eye; or equal 
to or greater than 2.5 Gy (250 rad) to the gonads; or
    b. To any other organ or tissue from the administration that 
exceeds, by 10 Gy (1,000 rad), the intended dose or the dose that 
would have resulted from delivery of the prescribed dose, prescribed 
dosage, or prescribed activity; and
    2. A medical event, as defined in Sec.  35.3045 or in conditions 
of a license 17
    a. A dose or dosage that is at least 50 percent greater than 
that prescribed, or
    b. A prescribed dose or dosage that:
    (i) Uses the wrong radiopharmaceutical or unsealed byproduct 
material; or
    (ii) Is delivered by the wrong route of administration; or
    (iii) Is delivered to the wrong treatment site; or
    (iv) Is delivered by the wrong treatment mode; or
    (v) Is from a leaking source or sources; or
    (vi) is delivered to the wrong individual or human research 
subject.

[FR Doc. 2025-15293 Filed 8-11-25; 8:45 am]
BILLING CODE 7590-01-P