ML020860434

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Temporary Change Notice Request Form, Emergency Team Formation
ML020860434
Person / Time
Site: Callaway Ameren icon.png
Issue date: 03/21/2002
From:
AmerenUE
To:
Document Control Desk, Office of Nuclear Security and Incident Response
References
EIP-ZZ-00220, Rev15
Download: ML020860434 (5)
v • d • e


Text

DATE: 03/21/02 KMEREýk/UE PAGE: 60 TIME: 10:26:18 DOCUMENT CONTROL SYSTEM ARDC8801 DOCUMENT TRANSMITTAL TRANSMITTAL NUMBER: 483773 RETURN ACKNOWLEDGED TRANSMITTAL AND TO CONTROL NUMBER: 338U SUPERSEDED DOCUMENTS (IF APPLICABLE) TO:

TITLE: OTHER ADMINISTRATION RECORDS DEPT: NUCLEAR REGULATORY COMM. AMEREN/UE LOCATION: USNRC - WASH DC CALLAWAY PLANT TRANSMITTAL DATE: 20020321 P.O. BOX 620 FULTON, MO 65251 TRAN DOC RET ALT ALT CODE TYPE DOCUMENT NUMBER REV REV MED COPY MED COPY AFFECTED DOCUMENT A PROC 02-0245 015 C 1 EIP-ZZ-00220 ACKNOWLEDGED BY: DATE:

ADL#$

TEMPORARY CHANGE NOTICE REQUEST FORM .O00I/A190.0035 (Instructionsfor Completion Following) O4, ,0?'S4t

/

TCN NO. NQ -C-6 Check the appropriate box below:

New TCN 1 2002 LI New One-time TCN Dates: Effective from to j- New Superceding TCN TCN No. to be superseded AG TABLE F1 Extending an existing one-time TCN (use original TCN No.) HOLDER E] Deleted TCN (use original TCN No.) *

[] Rejected TCN (use original TCN No.)

1. PROCEDURE NUMBER t" iP- . 0; O-O O REVISION NO. O /5" PROCEDURE TITLE Cf"c,-eje-*l Te%,,-. F-.r / O' 1.1 Mark one: [R REFERENCE USE PROCEDURE Is this the seventh (7th) TCN against this revision?
  • CONTINUOUS USE PROCEDURE
  • 1.2 YES [" NO 0j
  • This procedure must be performed *

(If"Yes',, generate a CARS action notice to notify the responsible

  • exactly as written with each step
  • department that aprocedure revision is necessary.)
  • being read by the user prior to the
  • CARS No.
  • performance of that step.
  • NOTE: If this is the eighth [8th] TCN, the procedure
  • requirs formal revision 44 1.3 YES [] NO [' Is someone else the owner of this procedure? TCN 01-0380
2. CHANGE

SUMMARY

2.1 PAGE NUMBERS AFFECTED BY CHANGE 64#4 -o*$" , ,- eA" 2.2 CHANGE

SUMMARY

C.A-W~oal~c, (A1i M ~ Ar ~ s ~ sil ,&'c.*,r 11-C ,el +41-e ' ~ e# %eez~ Cs~ ed1 dA - .5 6 f(eI 6A f QA,r, "4O h."C ~ c. e e -,1

3. THIS TEMPORARY CHANGE REPRESENTS:

3.1.a --YES IE NO A change to a plant procedure that contains information described in the FSAR (as ujpdated) such as how structures, systems, and components are operated and controlled (including assumed operator actions and response times)

If 3.1.a is checked "Yes", perform a 50.59 Screen (CA251 I from APA-ZZ-00143). Check the "No" box in 3.l.b if the 50.59 Screen (CA251 1)shows a 50.59 Evaluation (CA2512) is not required. The completed 2511 is attached.

  • If 3.1 .a is checked "No", select one of the below bases to substantiate the determination:

-]Basis 1: The procedure is listed on attachment 5.

L"Basis 2 An Applicability betermination (CA2510 from APA-ZZ-00143) has been completed and the determination verifies that a 50.59 Screen (CA251 1) IS NOT required. The completed CA2510 is attached.

('Basis 3: Other (annotate basis in Change Summary, section 2.2 above) 3.1.b - NO A change to plant procedures that requires 50.59 Evaluation.

A TCN is only allowed if 3.1.b is checked "No".

U. L Page lof 5 CA1685 ti A08/22/01 P Vr~irurn IQAPA-ZZ-0011 4 LI

TEMPORARY CHANGE NOTICE REQUEST FORM A190.000I/A190.0035 (Instructionsfor Completion Following)

PROCEDURE NUMBER IP. 0 2 .o

- o0o TCNNO. O*4.-0o, REVISIONNO. 0/"

3.2 K* NO A change to FSAR commitments?

A TCN is only allowed if 3.2 is checked 'No".

Select one of the below bases to substantiate the "NO" determination:

[]Basis 1: FSAR commitments are not being modified by the revision of the procedure.

I Basis 2: Other (annotate basis in Change Summary, Section 2.2 above) 3.3 I[ONO A change to the Technical Specifications?

3.4 [E NO A change affecting the environment or the NPDES Permit?

3.5 0 YES 0Z NO A change to the Offsite Dose Calculation Manual (ODCM) or Process Control Program (PCP)?

3.6 E0 YES [j] NO A change which affects the RERP?

3.7 0 YES [9NO A change which affects the Security Plan?

3.8 0 YES [L NO A change requiring a new/revision to a Surveillance Task Sheet or EQ PM Task Sheet?

3.9 0 YES [9 NO A change requiring revision to the Acceptance Criteria Instrumentation (ACI) Program?

3.10 0 YES El NO A new or change to a computerized Checkoff List?

3.11 91 NO A change to the Technical Specification Bases? (A "Yes" answer is a change of intent.)

3.12 El YES 99 NO A change to hidden text commitments? (Review a hidden text copy of the procedureto ensureyou are awareof the impact the change may have on commitments.)

3.13 IWYES ONO A change to a Callaway form? (Yes requires completion of a "Request for Forms" (CA0500) in accordance with APA-ZZ-00203.)

Two of the members ofplantstaff wIm-who(TCN 01-0380) Prepare Review orprovidePreliminar Approval of a TCN should be knowledgeable in the area affected by the TCN.

4. WRITTEN BY F1 Mi-, s*4* 5r.-2o -o0 S-Si ture op Title Date
5. PREPARED BY 4 ~ Ar Aac 4i..X ~ y.7-1 .

V~,g~au~

1 Title Date

6. QUALIFIED A7,a/w Ot, __-0-%

REVIEWER Signature Title' Date ForEOP TCNs, the QualifiedReviewer SHOULD be the EOP CoordinatorUNLESS thatperson is the Prepareror PreliminaryApprover The TCN QualfiledReviewer SHALL be differentfrom the Preparer n.d the PreliminaryApprover.

7. PRELIMINA AIP-ROVAL

,Y (Pwigrto issue CARS 1998O0102))-TCN 01-0380 /1 7.1 SS/OS/SRO ______________ .________________7

(.J Signature Title Date TCNs that WILL affect work In progressassociatedwith plant equipment MUST be approvedby the on-sh SS/OS before receivingfinal approval The PreliminaryApprover SHALL holda SRO license.

8. FINAL APPROVAL (No greater than 14 days past issue date CARS 199800102) 8.1 APPROVAL AUTHORITY Signature Title Date Page 2 of 5 CA1685 08/22/01 APA-ZZ-00 114

EIP-ZZ-00220 Rev. 015

.c ýq1 I 0 EMRERfENt" TFAM Rl"IrNErlV¶V.IM TEAM DEMNATOR EmEENCY RPAIR TEAM 1g'0 m-o D SEARcH & RESCUE TEAm L TEAM.FORMATION.

  • Emergency Repair Teams require two (2) Individuals. COMN 3325
  • Search and Rescue Teams require two (2) individuals, one must be qualified First Aid. COMN 3324
  • Complete top portion of CA 523Sb, and give to HPC or designee.

I IL 0

NAWE TASK BRIEFING (CARS 200106271)

EID Report of Problem or Condition and Suspected Cause:

First Aid Yes/ No IEM)

First Aid Yes/No

-I o Description of Task: (Perfonn assessment, operations, or repairs)

D Time Estimate to Complete Task._

o Task Location:

"* Proceed to the location where emergency repair is to be performed. Report abnormal conditions to the Emergency Team Coordinator (ETC).

"* After arriving at the repair location assess equipment operability and habitability conditions; report the following to the ETC:

- Extent of damnage/equipment status.

- Abnormal and/or unusual conditions.

-Additional assistance needed (e.g., tools, equipment, personnel, etc.).

- Dose rate and contamination levels. Of necessary).

  • For Search and Rescue Teams, consider the following:

- Request Fire Brigade Leader Support, If available.

- Coordinate efforts with the Control Room and Security Coordinator.

- Search areas and search patterns are clearly defined (e.g. room #, north to south, elevation east to west)

"o Special tools, vehicles, equipment needed:

0 Perform safety and operability checks on equipment. Replace/substitute equipment,if necessary.

"o Keys (may be obtained from these locations)

Security Coordinator I OSC Packet (tool room keys) / TSC key locker o Communications: (Maintain communications with the ETC at predetermined intervals)

(Radio -channel, Gaitronics-channel, Telephone-No.)

"* ETC phone 68426 or

"*Radio Channel 1 or

  • Primary: _ Secondary:

. Contact Intervals:l 5min/30min/ Other

  • Radio usage is prohibited in uNo Transmission Areas* as identified by orange signs in the Plant. (CARS 199901711)

Refer to Appendix I of this procedure.

  • Radio check performed SAT.

o Personal Safety: o Hazards Personal Protective equipment "*Electrical Conductors No/Yes

"*Fall Protection No/Yes "*CSEP (APA-ZZ-00802) No/Yes

"*Face Protection No/Yes "*WPA (APA-ZZ-00310) No/Yes #

"*Chemical Protection No/Yes "*Fire (EIP-ZZ-00226) No/Yes

"*Gloves No/Yes "*HAZMAT(EIP-ZZ-03010) No/Yes

"*Bunker Gear No/Yes Yes, requires Fire Brigade Member "*OTHER (Specify) No/Yes

"*Level A Suit No/Yes. Yes, requires Fire Brigade Member

"*Proximity Suit No/Yes Yes, requires Fire Brigade Member

"*SCBA No/Yes Yes, requires Fire Brigade Member 13 Remarks:

Task Briefcompleted by (ETC or Designee): Date Time 0] Copy of briefing form to team leader.

0 Sign out team on Emergency Team Status Board 03 Inform Team to Check out with Security K171.0010 Page I of I ATrACHMENT 1 CA-#0235a

I EIP-ZZ-00220 e r. rE4. #eaA P//SC- s ) 4If 5 et ki's+ Rev. 015

-EWR.iEENe; TPEAM D EnRE44KG CIIECKIAST it' AEe TEAM DES1NAToR 0 EMERGENCY REPAIR TEAM 0 SEARCH & RESCUE TEAM L TEAM FORMAION.

  • Emergency Repai Teams require two (2) Individuals. (COMN 3325)
  • Search and Rescue Teams require two (2) Individuals, one must be qualified First Aid. (COMN 3324)

Name Ei) Exposure Debriefed RWP EXIT Margin (toRem) Yes/No Sign-Out Dose (mRem)

SC omplete) Co n plete)

_ _ _ _ __ _ _ _ _ I H. HEALTH PHYSICS BRIEF (required If, or the potential for, a radiologlcal hazard exists.)

Radiological Work Permit- (CARS 199803482,CARS 200106250,CARS 200106224) 0 Emergency RWP (enter year) _ 9 1 1 2 o3 SRWP Number:

Radiological Protection:

  • Do not enter areaswhere radiationlewis are not measurable.
  • (anticipated dose is in excess of IOCFR20limibt, follow instructions In HDP-*Z-O1450 0 EDFast Entry mode shouldonly be usedfor Inittalentrle&CurrentOccupatlonalDose DOES NOThave to be considered when assigning EmergencyDoseLlmlr (Vdose rate alarm Isreceived duringthe dispatch of the Team; contact the ]PC to determine i the Team should proceed o3 Request an air sample, if appropriate, and not already taken oE TEDE/CDE Evaluation:
  • Lfno airsample, estimatefrom radiationlevel.,

0 MRemyx3=-TEDEMRemyx40-CDEthy Eo Dosimetrl (monitor approx. 15-30 minutes) (CARS 199803482) (COMN 3960) o Alarms - Fast Enty Dose(ntRemo) 1000 Dose Rate(mRem/hr) IM Other Dose(toRem). Dose Rate(mRlem/hr)__

[3 Extremitv Dosimetry None / Location:

o3 PQ (circle one): None / Partial I Full I Double o] Resoirator (circle one): None / Full Face Air Purif3ring / GMRI / SCBA (Fire Brigade Member)

Recommend Potassium Iodide:

O No o3 Yes Y should1Wotake KJ t(you are allergicto iodine.

You

  • fthe use ofKlis recommendedfollow instructonsin HDP-ZZ-01300, Attachment).

Turnaround Dose/Dose Rate: (CARS 199803482) r(Team receivesdse rate alarm, contact the PCforfurtherInstructions Team can continue andseek low dose *f* areawith approval Coverage Technician. Withdrawalof the Team shouldbe basedon integrateddose.

o3 En route to job site lOR/hr / Other o3 Atjob site 10 R/hr / Other Radiological Conditions: (if known) (CARS 199803482)

  • Conditions en route o thejobsite. 0 Not Known
  • o3 Routes (circle one) No release Release in progress - see Attachment CA0235d, Plant Map.

o3 Radiation Levels (mrem/hr) o Contamination Levels (dpm/100cm2l o Airborne (DAC): Particulate Iodine Noble Gas o3 High Beta Radiation(mrad/hr)

  • Conditionsgt the Job site 03 Not Known E3 Radiation Levels (mrem/hr)_

o3 Contamination Levels (dpm/100cm2)_

o Airborne (DAC): Particulate Iodine Noble Gas o3 High Beta Radiation(mrad/hr)_

Decon Facilities (CARS 199802961) o HPAC o TSC U Other 0[ Remarks:

HPC Review Health Physics Brief Performed by__Date Time K171.0010 Page I of I ATTACHMET 2 CA-#0235b

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