Event Notification Report for September 14, 2022
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
09/13/2022 - 09/14/2022
Agreement State
Event Number: 56026
Rep Org: MA Radiation Control Program
Licensee: QSA Global Inc
Region: 1
City: Burlington State: MA
County:
License #: 12-8361
Agreement: Y
Docket:
NRC Notified By: Bob Locke
HQ OPS Officer: Brian Lin
Licensee: QSA Global Inc
Region: 1
City: Burlington State: MA
County:
License #: 12-8361
Agreement: Y
Docket:
NRC Notified By: Bob Locke
HQ OPS Officer: Brian Lin
Notification Date: 08/01/2022
Notification Time: 16:03 [ET]
Event Date: 08/01/2022
Event Time: 13:03 [EDT]
Last Update Date: 09/13/2022
Notification Time: 16:03 [ET]
Event Date: 08/01/2022
Event Time: 13:03 [EDT]
Last Update Date: 09/13/2022
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
Henrion, Mark (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB, (EMAIL)
Rivera-Capella, Gretchen (NMSS DAY)
Grant, Jeffery (IR)
Henrion, Mark (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB, (EMAIL)
Rivera-Capella, Gretchen (NMSS DAY)
Grant, Jeffery (IR)
EN Revision Imported Date: 9/14/2022
EN Revision Text: AGREEMENT STATE REPORT - MISSING RADIOACTIVE MATERIAL SHIPMENT
The following information was received from the Massachusetts Radiation Control Program via email:
"The licensee (QSA Global, Inc., License No. 12-8361) reported at 1359 EDT on August 1, 2022 that it discovered on same day (August 1, 2022) at 1303 EDT that two packages (Yellow-III, Type B(U)) containing 12 sealed sources (Ir-192; 1279.4 Ci total) were reported missing by the shipper, QSA Global.
"Package 1 was shipped on July 19, 2022 in two pieces and one of the pieces containing 4 Ir-192 sources (430.2 Ci) was reported missing. Package 2, also reported as missing, was shipped on July 20, 2022 containing 8 Ir-192 sources (849.2 Ci). Both packages were intended for export to Mexico. Package 1 was most recently scanned at common carrier facility in Memphis, TN on July 28. Package 2 was most recently scanned at the common carrier facility in Memphis on July 22.
"The reporting requirement is immediate and is of 105 CMR 120.281(A)(1), missing licensed radioactive materials in aggregate quantity equal to or greater than 1,000 times quantity specified in 105 CMR 120.297, Appendix C. The four-hour reporting requirement of 105 CMR 120.077(B), missing shipment of Category 2 quantity of radioactive material, also applies.
"The Agency considers this event to be open."
Notified DHS SWO, DOE Operations Center, FEMA Operations Center, HHS Operations Center, USDA Operations Center, EPA Emergency Operations Center, FDA Emergency Operations Center, Nuclear SSA, FEMA National Watch Center, and CWMD Watch Desk via email.
* * * UPDATE FROM BOB LOCKE TO BILL GOTT AT 1119 EDT ON 08/04/2022 * * *
The following was received from the Massachusetts Radiation Control Program via email:
"The Licensee reported at 1040 EDT on August 4, 2022 that the common carrier has confirmed all packages have been located and have arrived at their intended destination in Mexico.
"The Agency considers this event closed."
Notified internal: R1RDO (Henrion), NMSS DAY (Rivera-Capella), IR MOC (Crouch), and ILTAB (MacDonald), and via email: INES (Smith), NMSS Events Notification, and ILTAB.
Notified external: DHS SWO, FEMA Ops Center, USDA Ops Center, HHS Ops Center, DOE Ops Center, DHS CISA Central, and EPA EOC and via E-mail: FDA EOC, Nuclear SSA, FEMA National Watch Center, CWMD Watch Desk, and CNSNS Mexico.
* * * UPDATE FROM BOB LOCKE TO ERNEST WEST AT 0953 EDT ON 09/13/2022 * * *
The following was received from the Massachusetts Radiation Control Program via email:
"Reference: NMED Item 220346 and Massachusetts Event 20-5089.
"Original Agency Report to NMED 09/01/2022
"Updates and Information noted in the NMED database as previously not reported by this Agency:
"Corrective Actions Information: No corrective action taken
"Source/Radioactive Material Information:
"Source 1 Model Number: A424-9
"Source 2 Model Number: A424-9
"Device/Associated Equipment Information:
"Device 1 Manufacturer: QSA Global, Inc.
"Device 1 Model Number: SC-360-4
"Device 1 Serial Number: DU4021
"Device 2 Manufacturer: QSA Global, Inc.
"Device 2 Model Number: SC-650L
"Device 2 Serial Number: 2145"
Notified R1DO (Young) and NMSS Events Notifications via email.
THIS MATERIAL EVENT CONTAINS A 'Category 2' LEVEL OF RADIOACTIVE MATERIAL
Category 2 sources, if not safely managed or securely protected, could cause permanent injury to a person who handled them, or were otherwise in contact with them, for a short time (minutes to hours). It could possibly be fatal to be close to this amount of unshielded radioactive material for a period of hours to days. These sources are typically used in practices such as industrial gamma radiography, high dose rate brachytherapy and medium dose rate brachytherapy. For additional information go to http://www-pub.iaea.org/MTCD/publications/PDF/Pub1227_web.pdf
EN Revision Text: AGREEMENT STATE REPORT - MISSING RADIOACTIVE MATERIAL SHIPMENT
The following information was received from the Massachusetts Radiation Control Program via email:
"The licensee (QSA Global, Inc., License No. 12-8361) reported at 1359 EDT on August 1, 2022 that it discovered on same day (August 1, 2022) at 1303 EDT that two packages (Yellow-III, Type B(U)) containing 12 sealed sources (Ir-192; 1279.4 Ci total) were reported missing by the shipper, QSA Global.
"Package 1 was shipped on July 19, 2022 in two pieces and one of the pieces containing 4 Ir-192 sources (430.2 Ci) was reported missing. Package 2, also reported as missing, was shipped on July 20, 2022 containing 8 Ir-192 sources (849.2 Ci). Both packages were intended for export to Mexico. Package 1 was most recently scanned at common carrier facility in Memphis, TN on July 28. Package 2 was most recently scanned at the common carrier facility in Memphis on July 22.
"The reporting requirement is immediate and is of 105 CMR 120.281(A)(1), missing licensed radioactive materials in aggregate quantity equal to or greater than 1,000 times quantity specified in 105 CMR 120.297, Appendix C. The four-hour reporting requirement of 105 CMR 120.077(B), missing shipment of Category 2 quantity of radioactive material, also applies.
"The Agency considers this event to be open."
Notified DHS SWO, DOE Operations Center, FEMA Operations Center, HHS Operations Center, USDA Operations Center, EPA Emergency Operations Center, FDA Emergency Operations Center, Nuclear SSA, FEMA National Watch Center, and CWMD Watch Desk via email.
* * * UPDATE FROM BOB LOCKE TO BILL GOTT AT 1119 EDT ON 08/04/2022 * * *
The following was received from the Massachusetts Radiation Control Program via email:
"The Licensee reported at 1040 EDT on August 4, 2022 that the common carrier has confirmed all packages have been located and have arrived at their intended destination in Mexico.
"The Agency considers this event closed."
Notified internal: R1RDO (Henrion), NMSS DAY (Rivera-Capella), IR MOC (Crouch), and ILTAB (MacDonald), and via email: INES (Smith), NMSS Events Notification, and ILTAB.
Notified external: DHS SWO, FEMA Ops Center, USDA Ops Center, HHS Ops Center, DOE Ops Center, DHS CISA Central, and EPA EOC and via E-mail: FDA EOC, Nuclear SSA, FEMA National Watch Center, CWMD Watch Desk, and CNSNS Mexico.
* * * UPDATE FROM BOB LOCKE TO ERNEST WEST AT 0953 EDT ON 09/13/2022 * * *
The following was received from the Massachusetts Radiation Control Program via email:
"Reference: NMED Item 220346 and Massachusetts Event 20-5089.
"Original Agency Report to NMED 09/01/2022
"Updates and Information noted in the NMED database as previously not reported by this Agency:
"Corrective Actions Information: No corrective action taken
"Source/Radioactive Material Information:
"Source 1 Model Number: A424-9
"Source 2 Model Number: A424-9
"Device/Associated Equipment Information:
"Device 1 Manufacturer: QSA Global, Inc.
"Device 1 Model Number: SC-360-4
"Device 1 Serial Number: DU4021
"Device 2 Manufacturer: QSA Global, Inc.
"Device 2 Model Number: SC-650L
"Device 2 Serial Number: 2145"
Notified R1DO (Young) and NMSS Events Notifications via email.
THIS MATERIAL EVENT CONTAINS A 'Category 2' LEVEL OF RADIOACTIVE MATERIAL
Category 2 sources, if not safely managed or securely protected, could cause permanent injury to a person who handled them, or were otherwise in contact with them, for a short time (minutes to hours). It could possibly be fatal to be close to this amount of unshielded radioactive material for a period of hours to days. These sources are typically used in practices such as industrial gamma radiography, high dose rate brachytherapy and medium dose rate brachytherapy. For additional information go to http://www-pub.iaea.org/MTCD/publications/PDF/Pub1227_web.pdf
Agreement State
Event Number: 56092
Rep Org: Mississippi Div of Rad Health
Licensee: The Chemours Company
Region: 4
City: Pass Christian State: MS
County:
License #: MS-409-01
Agreement: Y
Docket:
NRC Notified By: Robert Sims
HQ OPS Officer: Brian P. Smith
Licensee: The Chemours Company
Region: 4
City: Pass Christian State: MS
County:
License #: MS-409-01
Agreement: Y
Docket:
NRC Notified By: Robert Sims
HQ OPS Officer: Brian P. Smith
Notification Date: 09/06/2022
Notification Time: 17:29 [ET]
Event Date: 08/22/2022
Event Time: 12:00 [CDT]
Last Update Date: 09/06/2022
Notification Time: 17:29 [ET]
Event Date: 08/22/2022
Event Time: 12:00 [CDT]
Last Update Date: 09/06/2022
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
Pick, Greg (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
Pick, Greg (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
AGREEMENT STATE REPORT - STUCK SHUTTER RESULTS IN UNINTENDED EXPOSURE
The following event was received via e-mail from the Mississippi State Department of Radiological Health:
"On August 22, 2022, the [Radiation Safety Officer] RSO reported to the Mississippi Director of Radiological Health that a shutter was found stuck open during six month surveys. [The gauge is an Ohmart/Vega Model SH-F2-45, Serial Number 2933 CN, with a 100 mCi Cesium 137 source]. On August 31, 2022, source lock out procedures were implemented to allow a crew in the tank to inspect the tank. The gauge was locked out in the unshielded position. A confined entry crew of four workers were exposed for seventy-seven minutes and three workers were exposed for twenty-two minutes. On September 2, 2022 at approximately 1830 [CDT], the licensee RSO contacted the Radioactive Material Director regarding the exposures. On September 6, 2022 at 1247 [CDT], the inspector was notified of the incident, contacted the licensee, and will arrive on site on September 7, 2022. Findings and updates will be reported to the NRC after onsite investigation."
Mississippi Event Number: MS-220003
The following event was received via e-mail from the Mississippi State Department of Radiological Health:
"On August 22, 2022, the [Radiation Safety Officer] RSO reported to the Mississippi Director of Radiological Health that a shutter was found stuck open during six month surveys. [The gauge is an Ohmart/Vega Model SH-F2-45, Serial Number 2933 CN, with a 100 mCi Cesium 137 source]. On August 31, 2022, source lock out procedures were implemented to allow a crew in the tank to inspect the tank. The gauge was locked out in the unshielded position. A confined entry crew of four workers were exposed for seventy-seven minutes and three workers were exposed for twenty-two minutes. On September 2, 2022 at approximately 1830 [CDT], the licensee RSO contacted the Radioactive Material Director regarding the exposures. On September 6, 2022 at 1247 [CDT], the inspector was notified of the incident, contacted the licensee, and will arrive on site on September 7, 2022. Findings and updates will be reported to the NRC after onsite investigation."
Mississippi Event Number: MS-220003
Agreement State
Event Number: 56096
Rep Org: LA Dept of Environmental Quality
Licensee: ExxonMobil Baton Rouge Plastics
Region: 4
City: Baton Rouge State: LA
County:
License #: LA-2349-L01, Amendment 40
Agreement: Y
Docket:
NRC Notified By: Russell Clark
HQ OPS Officer: Bethany Cecere
Licensee: ExxonMobil Baton Rouge Plastics
Region: 4
City: Baton Rouge State: LA
County:
License #: LA-2349-L01, Amendment 40
Agreement: Y
Docket:
NRC Notified By: Russell Clark
HQ OPS Officer: Bethany Cecere
Notification Date: 09/08/2022
Notification Time: 14:07 [ET]
Event Date: 09/07/2022
Event Time: 14:56 [CDT]
Last Update Date: 09/08/2022
Notification Time: 14:07 [ET]
Event Date: 09/07/2022
Event Time: 14:56 [CDT]
Last Update Date: 09/08/2022
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
Pick, Greg (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
Pick, Greg (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
AGREEMENT STATE REPORT - TWO GAUGES WITH STUCK SHUTTERS
The following information was received by email from the state of Louisiana Department of Environmental Quality (the Department/LDEQ):
"On September 7, 2022, at approximately 1456 CDT, [the] Site Environmental Coordinator and Radiation Safety Officer (RSO) for ExxonMobil Baton Rouge Plastics Plant, notified LDEQ of equipment malfunctions. The licensee reported that two level/density gauges located at the ExxonMobil Baton Rouge Plastics Plant have shutters that cannot be closed. The two gauges are Ronan Model SA1-F37, device serial numbers, BDL012X and BDL011BX, respectively, installed on the reactor vessel on May 12, 2008. The gauges are installed in a vertical configuration on low pressure separator vessel, V201B within the B-Line unit. The gauges each contain one sealed source with 500 mCi of Cs-137, source serial numbers, 2577CN and 2555CN, respectively.
"The gauges were undergoing routine annual shutter tests when the malfunctions were observed. [The] Lead Instrumentation and Electronics Technician and Assistant RSO for the licensee, notified [the RSO] concerning the stuck gauge shutters at approximately 1000 CDT on September 7, 2022. The gauge shutters remain open, as the gauges are needed to operate process control equipment. The gauges cannot be locked out in their current state. As a result, no vessel entries will be conducted.
"The licensee will continue to monitor the gauges' status of repair and will keep the Department updated on the progress of the repairs. No exposures to radiation workers or members of the public above regulatory limits occurred.
"The licensee plans to meet with the vendor representative to discuss recommendations and a path forward. After repairs are completed, shutter tests and radiation surveys will be conducted according to regulatory requirements to ensure that the gauges operate according to design. The licensee shall notify the Department when corrective actions are completed."
LA incident no.: LA20220007
The following information was received by email from the state of Louisiana Department of Environmental Quality (the Department/LDEQ):
"On September 7, 2022, at approximately 1456 CDT, [the] Site Environmental Coordinator and Radiation Safety Officer (RSO) for ExxonMobil Baton Rouge Plastics Plant, notified LDEQ of equipment malfunctions. The licensee reported that two level/density gauges located at the ExxonMobil Baton Rouge Plastics Plant have shutters that cannot be closed. The two gauges are Ronan Model SA1-F37, device serial numbers, BDL012X and BDL011BX, respectively, installed on the reactor vessel on May 12, 2008. The gauges are installed in a vertical configuration on low pressure separator vessel, V201B within the B-Line unit. The gauges each contain one sealed source with 500 mCi of Cs-137, source serial numbers, 2577CN and 2555CN, respectively.
"The gauges were undergoing routine annual shutter tests when the malfunctions were observed. [The] Lead Instrumentation and Electronics Technician and Assistant RSO for the licensee, notified [the RSO] concerning the stuck gauge shutters at approximately 1000 CDT on September 7, 2022. The gauge shutters remain open, as the gauges are needed to operate process control equipment. The gauges cannot be locked out in their current state. As a result, no vessel entries will be conducted.
"The licensee will continue to monitor the gauges' status of repair and will keep the Department updated on the progress of the repairs. No exposures to radiation workers or members of the public above regulatory limits occurred.
"The licensee plans to meet with the vendor representative to discuss recommendations and a path forward. After repairs are completed, shutter tests and radiation surveys will be conducted according to regulatory requirements to ensure that the gauges operate according to design. The licensee shall notify the Department when corrective actions are completed."
LA incident no.: LA20220007
Agreement State
Event Number: 56097
Rep Org: MA Dept of Public Health
Licensee: Beth Israel Deaconess Medical Ctr
Region: 1
City: Boston State: MA
County:
License #: 60-0432
Agreement: Y
Docket:
NRC Notified By: Bruce Packard
HQ OPS Officer: Bethany Cecere
Licensee: Beth Israel Deaconess Medical Ctr
Region: 1
City: Boston State: MA
County:
License #: 60-0432
Agreement: Y
Docket:
NRC Notified By: Bruce Packard
HQ OPS Officer: Bethany Cecere
Notification Date: 09/08/2022
Notification Time: 16:42 [ET]
Event Date: 09/06/2022
Event Time: 00:00 [EDT]
Last Update Date: 09/08/2022
Notification Time: 16:42 [ET]
Event Date: 09/06/2022
Event Time: 00:00 [EDT]
Last Update Date: 09/08/2022
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
Defrancisco, Anne (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
Defrancisco, Anne (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
AGREEMENT STATE REPORT - UNDERDOSE OF Y-90 MICROSPHERES
The following was submitted by the MA Department of Public Health (Agency) by email:
"On 9/8/2022, 0930 EDT, [the] licensee reported potential medical event under license 60-0432 for Sirtex Wilmington LLC SIR-Spheres Y-90 microspheres (SS&D MA-1229-D-101-S) emerging technology for total administered activity that differed from prescribed treatment activity as documented in the written directive by 18 to 22.8 percent or more. A portion of the Y-90 0.5 GBq microsphere therapy treatment delivered to patient liver on 9/6/22 remained in the delivery system causing delivery of 0.386 GBq to 0.41 GBq Y-90 of the prescribed 0.5 GBq. The error was reported to the RSO the next morning. The licensee stated the cause, including possible clogged catheter, has not yet been determined. The prescribing physician has been notified. Notification of the referring physician and patient is pending. The licensee stated no negative health effects to patient due to situation. No additional Y-90 therapy treatment is expected due to this situation. Licensee to submit written report within 15 days of discovery date. This is a next day reportable medical event per regulation.
"The investigation is ongoing. The Agency considers this event docket to still be open.
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.
The following was submitted by the MA Department of Public Health (Agency) by email:
"On 9/8/2022, 0930 EDT, [the] licensee reported potential medical event under license 60-0432 for Sirtex Wilmington LLC SIR-Spheres Y-90 microspheres (SS&D MA-1229-D-101-S) emerging technology for total administered activity that differed from prescribed treatment activity as documented in the written directive by 18 to 22.8 percent or more. A portion of the Y-90 0.5 GBq microsphere therapy treatment delivered to patient liver on 9/6/22 remained in the delivery system causing delivery of 0.386 GBq to 0.41 GBq Y-90 of the prescribed 0.5 GBq. The error was reported to the RSO the next morning. The licensee stated the cause, including possible clogged catheter, has not yet been determined. The prescribing physician has been notified. Notification of the referring physician and patient is pending. The licensee stated no negative health effects to patient due to situation. No additional Y-90 therapy treatment is expected due to this situation. Licensee to submit written report within 15 days of discovery date. This is a next day reportable medical event per regulation.
"The investigation is ongoing. The Agency considers this event docket to still be open.
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.
Agreement State
Event Number: 56098
Rep Org: Texas Dept of State Health Services
Licensee: Exxon Mobile Chemical
Region: 4
City: Mont Belvieu State: TX
County:
License #: L03119
Agreement: Y
Docket:
NRC Notified By: Art Tucker
HQ OPS Officer: Solomon Sahle
Licensee: Exxon Mobile Chemical
Region: 4
City: Mont Belvieu State: TX
County:
License #: L03119
Agreement: Y
Docket:
NRC Notified By: Art Tucker
HQ OPS Officer: Solomon Sahle
Notification Date: 09/08/2022
Notification Time: 19:08 [ET]
Event Date: 09/08/2022
Event Time: 00:00 [CDT]
Last Update Date: 09/08/2022
Notification Time: 19:08 [ET]
Event Date: 09/08/2022
Event Time: 00:00 [CDT]
Last Update Date: 09/08/2022
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
Pick, Greg (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
Pick, Greg (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
AGREEMENT STATE REPORT - EQUIPMENT FAILED TO FUNCTION AS DESIGNED
The following was submitted by the TX Department of State Health Services (the Agency):
"On September 8, 2022, the Agency was notified by the licensee that on this day, the shutter on a Vega SH-F2 gauge containing a 500 milliCuries (original activity) cesium - 137 source failed to close during routine testing. Open is the normal operating position of this gauge.
"The licensee will contact the manufacture to repair the shutter. No individual received additional exposure due to this event. "
TX event number I-9954
The following was submitted by the TX Department of State Health Services (the Agency):
"On September 8, 2022, the Agency was notified by the licensee that on this day, the shutter on a Vega SH-F2 gauge containing a 500 milliCuries (original activity) cesium - 137 source failed to close during routine testing. Open is the normal operating position of this gauge.
"The licensee will contact the manufacture to repair the shutter. No individual received additional exposure due to this event. "
TX event number I-9954
Power Reactor
Event Number: 56108
Facility: Calvert Cliffs
Region: 1 State: MD
Unit: [2] [] []
RX Type: [1] CE,[2] CE
NRC Notified By: Ervin Lyson
HQ OPS Officer: Adam Koziol
Region: 1 State: MD
Unit: [2] [] []
RX Type: [1] CE,[2] CE
NRC Notified By: Ervin Lyson
HQ OPS Officer: Adam Koziol
Notification Date: 09/14/2022
Notification Time: 21:43 [ET]
Event Date: 09/14/2022
Event Time: 13:48 [EDT]
Last Update Date: 09/14/2022
Notification Time: 21:43 [ET]
Event Date: 09/14/2022
Event Time: 13:48 [EDT]
Last Update Date: 09/14/2022
Emergency Class: Non Emergency
10 CFR Section:
50.72(b)(3)(iv)(A) - Valid Specif Sys Actuation
10 CFR Section:
50.72(b)(3)(iv)(A) - Valid Specif Sys Actuation
Person (Organization):
Young, Matt (R1DO)
Young, Matt (R1DO)
| Unit | SCRAM Code | RX Crit | Initial PWR | Initial RX Mode | Current PWR | Current RX Mode |
|---|---|---|---|---|---|---|
| 2 | N | N | 0 | Cold Shutdown | 0 | Cold Shutdown |
SAFETY INJECTION ACTUATION SIGNAL WHILE SHUTDOWN
The following information was provided by the licensee via email:
"With Unit 2 in Mode 5 and cooling down for a scheduled maintenance outage, Operations was bypassing safety injection and safety injection bypass sensor modules per procedure. Due to a human performance issue, a safety injection actuation signal was generated. All equipment operated as expected. Operations has reset the safety injection actuation signal and restored the equipment to its required condition.
"Unit 1 was at 100 percent power and unaffected by this issue."
The NRC Resident Inspector will be notified.
The following information was provided by the licensee via email:
"With Unit 2 in Mode 5 and cooling down for a scheduled maintenance outage, Operations was bypassing safety injection and safety injection bypass sensor modules per procedure. Due to a human performance issue, a safety injection actuation signal was generated. All equipment operated as expected. Operations has reset the safety injection actuation signal and restored the equipment to its required condition.
"Unit 1 was at 100 percent power and unaffected by this issue."
The NRC Resident Inspector will be notified.