ML021280539
| ML021280539 | |
| Person / Time | |
|---|---|
| Site: | Palisades  |
| Issue date: | 04/22/2002 |
| From: | Brott N, Brunet J, Taylor B Consumers Energy |
| To: | Document Control Desk, Office of Nuclear Reactor Regulation |
| References | |
| El-16.1 Rev13 | |
| Download: ML021280539 (22) | |
Text
Date Entered: Apr 22, 2002 TO:
USNRC/WASHINGTON JMCKNIGHT Copy Number:
145 JTýRANSMITAL INUMB E R:
-- 21,5661 PROCEDURE NUMBER: El-16.1 TITLE: MAINTENANCE OF EMERGENCY EQUIPMENT TRANSMITTAL: LISTED BELOW ARE NEW/REVISED PROCEDURES WHICH MUST BE IMMEDIATELY INSERTED INTO OR DISCARDED FROM YOUR PROCEDURE MANUAL.
Action Required Section or Description REMOVE AND DESTROY EI-16.1, R/13, ENTIRE PROCEDURE REPLACE WITH EI-16.1, R/13, ENTIRE PROCEDURE EDITORIAL SIGN, DATE, AND RETURN THE ACKNOWLEDGEMENT FORM WITHIN 10 DAYS TO THE PALISADES PLANT DOCUMENT CONTROL.
SIGNATURE OR INITIALS Rý0-ý,
61*1ý DATE
Procedure No El-1 6.1 Revision 13 Issued Date 4/22/02 PALISADES NUCLEAR PLANT EMERGENCY IMPLEMENTING PROCEDURE TITLE: MAINTENANCE OF EMERGENCY EQUIPMENT I
Procddure Sponsor
/ bate NKBrott
/ 3/13/98 Technical Reviewer Date BTqylor I 3/12/98 JaI11,11,14 User Reviewer Date
PALISADES NUCLEAR PLANT Proc No El-16.1 EMERGENCY IMPLEMENTING PROCEDURE Revision 13 Page i TITLE: MAINTENANCE OF EMERGENCY EQUIPMENT Table of Contents 1.0 2.0 3.0 4.0 5.0 PERSONNEL RESPONSIBILITY.................
PURPOSE REFERENCES.............................
3.1 SOURCE DOCUMENTS...............
3.2 REFERENCE DOCUMENTS..............
INITIAL CONDITIONS ANDIOR REQUIREMENTS PROCEDURE.............................
5.1 GENERAL INSTRUCTIONS.............
5.1.1 Inspection and Inventory Frequency 5.1.2 Location..........
5.1.3 Equipment Quantities..........
5.2 INSTRUMENTATION.................
5.2.1 Radiation'Detection Instrumentation 5.2.2 Silver Zeolite Cartridges........
5.2.3 Self-Reading Dosimeters 5.2.4 Self-Reading Dosimeter Chargers 5.2.5 Calculators................
5.3 PROTECTIVE EQUIPMENT.............
5.3.1 Respirators.................
5.3.2 Potassium Iodide.............
5.3.3 TLD Badges................
5.4 COMMUNICATIONS 5.4.1 Radios....................
5.4.2 Telephones.................
° 1
PAS__-*iDNUCLEAR PLANT EMERGENCY IMPLEMENTING PROCEDURE Proc No EI-16.1 Revision 13 Page ii t11LE: MAINTENANCCE OF EMERGENCY EQUIPMENT Table of Contents MISCELLANEOUS..........................
flashlights.....
Bateres Emergency Vehicl~,.
EOF Electrical Generator"-....
5.5.1 5.5.2 5.5.3 5.5.4 6
6 5.6*
REVIEW/DOCUMENTATION 7
ATTACHMENTS AND RECORDS...................
7 ATTACHMENTS.................
RECORDS SPECIAL REVIEWS...............
8 ATTACHMENTS Attachment Attachment Attachment Attachment Attachment 1,
2, 3,
4, 5,,
"Inspection of Emergency Kits".
"Emergency Kit Inventory" "Medical Emergency Kit Inventory" "Decontamination Kit Inventory" "Maintenance Emergency Kit Inventory" "Kit 16 Allegan Service Center. Decontamination Equipment"
i
'V.
5.5 6.0 6.1 6.2 f-I 7.0 7
7
PLISADES NIEAPLAN EMEGEYIMPLEMENTING PR.J RE Proc No EI-16.1 Revision 13 Page 1 of 8 TITLE: MAINTENANCE OF EMERGENCY EQUIPMENT PERSONNEL RESPONSIBILITY.
Chemical and Radiological Services Department, Maiptenance and Construction Department, and the' Emergency lIanni.ng Section of the Training Department are responsiblJe for-inspection and. inventory of prepositioned emergency equiprment.
PURPOSE This procedure ensures that prepositioned emergency equipment, as listed in the Site Emergency Plan, is available and functidnal'in order to provide an adequate state of emergency preparedness. Equipment in addition to that listed in the Site Emergency Plan is available to provide more than adequate emergency equipment.
REFERENCES SOURCE DOCUMENTS IC 3.1.1 NUREG 0654, Sec~tion H, "Emergency facilities and Equipment" 3.1.2 Site Emergency Plan SEP-8, "Maintaining Emergency Preparedness" REFERENCE DOCUMENTS 3.2.1 Emergency Implementing Procedure El-1 5.2, "Communications Tests" 3.2.2 Work Instruction WI-RSD-T-001, "Emergency Preparedness Radio Testing" 3.2.3 Work Instruction WI-RSD-T-002, "Emergency Plan Radiation Detection Instruments Checklist" USER ALEBI INFORMATION USE PROCEDURE The activities covered by this procedure may be performed from memory...
1.0 2.0 3.0 3.1 3.2
PALISADES NUCLEAR PLANT EMERGENCY IMPLEMENTING PROCEDURE Proc No E1-16.1 Revision 13 Page 2 of 8 TITt'E:(MAINTUNANCE OF EMERGENCY EQUIPMENT INITIAL CONDITIONS AND/OR REQUIREMENTS
- a.
Missing or inoperable, equipment shall be promptly replaced or mitigating actions taken as specified by Emergency Planning.
- b.
Equipment described in this procedure might not be stored in a physical container, but shall be available in -the location described.
- c.
Work Instruction WI-RSD-T-002, "Emergency Plan Radiation Detection Instruments Checklist," contains the criteria for determining operability. of emergency radiation instruments.
This checklist is performed monthly.
PROCEDURE
5.1 GENERAL-INSTRUCTIO0NSi
5.1.1 Inspection and,InveJryFreuic_
- a.
Emergency kits.shall, be inspected at least quarterly.
- b.
Emergency-kits -shall be inventoried at a minimum, annually.
Also after each use and in the event the seal is broken.
- c.
Entry into emergency kits to replace shelf life items, perform operational/functional checks of portable radiation instruments, or to update procedures does not constitute use of a kit.
3:
I
- .
4.0 5.0 USER ALERT INFORMATION USE PRoCEDuRE The activities covered by thifsprocedure may be performed from memnory,.
PALISADES NUCLEAR PLANT Proc No EI-16.1 EMERGENCY IMPLEMENTING PROCEDURE Revision 13 Page 3 of 8 TITLE: MAINTENANCE'OF EMERGENCY EQUIPMENT 5.1.2 Location'
.L Emergency kits shall be located as follows:*.
- a.
Kit 1, Technical Support Center.
- b.
Kit 2, Technical Support Center (Decontamrination).
cd
- Kit<3, Operational Support Center, FaniRoom.
d'.
Kit, 4, iOperational SupobTt Center; Fan Room (Decontamination).
- e.
Kit 5, Emergency Vehicle 035.
- f.
Kit 6, Emergency Vehicle,-
P3-Q35
(,ecpntam.inoion).
- g.
Kit 7, Emergency Operatio ns Facility..,-.
- h.
Kit 8,,,rnrgency Operations Facility (Decontamination).
i.
Ki4..9q,-Ernergneny,Vebielex,-- 33,46 1,
- j.
Kit 10, Emergency Vehicle - 33461! (,Dicontarminatiorn).
- k.
Kit 11, Ambulance Kit,-;ealth Physibs Office.'ý
- 1.
Kit 12,' Ambulance Kit'-,Health PhysicsJ* Office :(Decontamination).
Mir.'_
Kit' 13" South Haven Community.bsiboital.
- n.
Kit 14, Medical First-Aid Kit, Health Physics Office.
- o.
- Kit 151, -Operational Support Center, Locker Room.
- p.
Kit 16, Allegan Service Center Equipment.
5.1.3 Equipment Quantities Minimum quantities of equipment are specified on the applicable attachment. Discrepancies shall be noted on the applicable attachment.
JLLI PALISADES NUCLEAR PLANT Proc No EI-16.1 EMERGENCY IMPLEMENTINGTPROCEDURE Revision 13 Page 4 of 8 TITLE'_.': A.AINTENANCE OF'EMERGENCY :EQUIPMENT 5.2 INSTRUMENTATION 5.2.1 Radiation Detection Instrumentation Radiation.detection instruments shall be checked-; tested, and replaced as necessary, and documented per Work Instruction WI,-RSD-T-002, "Emergency Plan Radiation Detection Instruments Checklists." The instrumentation for the E-Vans, along with spare batteries and manuals, will be kept inma depioVyment kit at the OSC, one kit for each vaii, and tested monthly by the Health Physics Portable Instrument (HPPI) group.
Air samplers and manuals are kept in Deployment Kits along with radiation detection ifistruments 1ocate;d in -the Fan' Roorh, north of the OSC. -These can be picked up there prior to, leavin;g site.
5.2.2 Silver Zeolite Cartridges Open packages of silver zeolite cartridges should be repackaged individually or in groups inside a ziploek bag.'
5.2.3 Self-Reading Dosimeters Dosimeters with certification due' before the end of the n;ext quarter shall be certified or replaced with certified dosimeters.
5.2.4 Self-Reading Dosimeter Chargers
'Self-reading dosimeter chargers shall be checked forOleribility and batteries replaced 'as ecessary.
5.2.5 Calculators Calculators shall be checked for operability and batteries replaced as necessary-.
_PAI.ISAD NUCLEAR PLANT Proc No EI-16.1 EME_.E0iKYMI-MENTING PROCEDURE Revision 13 Page 5 of 8 TITLE: MAINTENANCE OFEMERGENCY EQUIPMENT 5.3 PROTECTIVE EQUIPMENT 5.3.1 Respirators
- a.
Respirato~rs or their coptainers shall be marked with respirator type and dated. Dating shall, include-date respiratowr was put in the kit and inspectior) duedate (one-year).:
b.4 Respirators. shall be stored and inspected per.:applicable Health Physics procedu res.,.Respirators:with inspections due before the end of the next quarter shall be inspected.
- c.
A respirator qualificatjnp listing of personrnej is-normally kept in the Health.Physics office area jn hardcopy form or the qualifications can be retrieved from a computer in the same area.
5.3.2 Potassium Iodide
- a.
Potassium iodide (Kl), containers shall be:marked with the expiration date provided by the manufacturer.
- b.
Potassium iodide (KI) tablets with expiration dates before the end opf the next, q, u aiter,shaLl be '-eptacedO.
5.3.3 TILD Badges
- a.
Emergency personnel TLD Badges shall be replaced annually in EOF Kit7-and at Lakeland Medical Emergency Center. They shall also be replaced quarterly in the-Ambulance Kit 11 and SH Hospital Kit 13.
- b.
Accident TLD Badges shall be replaced annually.
- c.
Sets of extremity TLDs are maintained in the OSC Emergency Kit.
PALISADES NUCLEAR PLANT Proc No El-16.1
_NlERGENCY IMPLEMENTING PROCEDURE Revision 13 Page 6 of 8 TITLE:; MAJNTENANCE OF EMERGENCY.;EQUIPMENT 5.4 COMMUNICATIONS 5.4.1.
Radios,..... *
- .=
Radios used for emergency response are inventoried and tested monthly per Work, Instruction WI-RSD-,01,.Emer ency Preparedness Radio Testing."
5.4.2 Telephones.
r....
Telephone tests and drills are addressed in Emergency Implementing Procedure El-15.2, "Communications,.Tests",. This. procedure is intended to inventory the emergency telephones.
5.5 MISCELLANEOUS 5.5.1 Flashlights Flashlights shall be checked for operability, batteries, and bulbs replaced as necessary.
5.5.2 Batteries Spare batteries,.(with the exception of. instrument batteries) shall be stored in a container. The container shall be marked with the date the batteries are due.for replacement.(one-year).
Batteries due for -replacement before the end of the next quarter shall be replaced. Radiation detection instrument batteries shall be maintained in accordance with Work Instruction WI-RSD-T-002, "Emergency Plan Radiation Detection Instruments Checklists."
5.5.3 IEmergency J11ic1.
The emergency vehicles shall be checked for operability, by starting them, checking lights (interior and exterior), horn, fuel level (should be greater than or equal to one quarter tank).
5.5.4 EOF Electrical Generator The electrical generator used as backup power for the EOF is maintained and tested by the South Haven Conference Center staff.
PALISADES NUCLEAR PLANT Proc No EI-16.1 EMERGENCY iMPLEMENTING PROCEDURE Revision 13 Page 7 of 8 TITLE: MAINTENANCE OF EMERGENCY EQUIPMENT 5.6 REVIEW/DOCUMENTATION
- a.
Attachments shall be signed and dated by the person assigned to perform the inspection/inventory.
- b.
Completed attachments shall be forwarded to Engineering Records Center.
- c.
Inspections/inventories shall be retained by Engineering Records Center for five years.
6.0 ATTACHMENTS AND RECORDS 6.1 ATTACHMENTS 6.1.1, "Inspection of Emergency Kits" 6.1.2, "Emergency Kit Inventory" 6.1.3, "Medical Emergency Kit Inventory" 6.1.4, "Decontamination Kit Inventory" 6.1.5 Attachm6ntV5, "'Mainten'nte 'Emergency Kit Inventbry" 6.1.6 "Attachmeant 6, "-Kivt 16-Allegan Service CenteirDecontaimination
%Equ10m'eftt,'
6.2 RECORDS Records generated by this procedure shall be filed in accordance with Palisades Administrative Procedure 10.46, "Plant Records." Refer to the record matrix attached to Palisades Administrative Procedure 10.46 for information needed to complete'Record Indexihg Form (PAL1 04).
PALISADES NUCLEAR PLANT EMERGENCY IMPLEMENTING PROCEDURE Proc No EI-16.1 Revision 13 Page 8 of 8 TITLE: MAINTENANCE OF EMERGENCY EQUIPMENT e
I 7.0 SPECIALREVIEWS The scope, of this procedure does not include activities that require a 50.59 review per Palisades Administrative Procedure 10.41, "Procedure Initiation and Revision." Therefore, changes to this procedure do not require a 50.59 review.
The scope of this procedure includes activities that require a PRC review per Palisades Administrative Procedure 10;.41, "Procedure Initiatiomand, Revision." Therefore, changes to this procedure require a PRC review.
V 7., :
Proc No E1-16.1 Revision 13 Page 1 of 1 INSPECTION OF EMERGENCY KITS KiL Description..,
Inspection Date.- Kit Inventory Required*
Kit 1, Technical Support Center Yes No Kit 2, TSC Decon Yes No Kit 3, Operational Support Center Yes No Kit 4, OSC Decon Yes No Kit 5, Emergency Vehicle 23-035 Yes No Kit 6, Emergency Vehicle 23-035, Decon Yes _
No Kit 7, Emergency Operations Facility Yes No Kit 8, EOF Decon Yes No Kit 9, Emergency Vehicle 33-461 Yes _
No Kit 10, Emergency Vehicle, Decon Yes _
No Kit 11, Ambulance Kit Yes No Kit 12, Ambulance Kit, Decon Yes No Kit 13, South Haven Community Hospital Yes No Kit 14, Medical First Aid Kit Yes No Kit 15, OSC Locker Room Yes No Kit 16, Allegan Service Center Equipment Yes No Reason for Inspection:
Completed By:
Date:
Reviewed By:
Date:
Emergency kits with an unbroken seal are not required to be inventoried.
Refer to Section 5.1.1 for inventory frequency.
EMERGENCY KIT INVENTORY Proc No EI-16.1 Revision 13 Page 1 of 3 Kit 1 Kit 3 Kit 5 Kit 7 Kit 9 Emergency Emergency TSC OSC Vehicle-23-035 EOF Vehicle-33-461 Instruments Quant Check Quant Check Quant Check Quant Check Quant Check High range, fl/y Dose Rate Meter 1
1 Note 1 2
Note 1 9/y Countrate Meter (PRM-6 w/HP210 or Equivalent) 1 2
Note 1 2
Note 1 Sample Holder w/Planchet 1
1 1
2 1
Air Sampler 1
1 Note 1 2
Note 1 Air Sampler Filter Heads 1
6 Note 1 2
Note 1 Silver Zeolite Cartridges 10 15 15 15 15 Gelman Particulate Filters 1 Box 1 Box 1 Box 1 Box 1 Box Environmental A/S TEDA Iodine Cartridges Scott 10 10 10 10 Charcoal Cartridges for Air Sampler SAIC 10 Self-Reading Dosimeter, High Range (DRDs) 4 4
4 4
4 Self-Reading Dosimeter Charger w/Batteries 1
1 1
1 1
Calculator 1
1 1
1 1
Teletector 2
Protective Rainsuits 2
12 2
Group B Set 2
2 2
12 2
Coveralls, Paper 2
2 4
12 4
Gloves 12 pr 12 pr 12 pr 24 pr 12 pr Respirators, Full Face w/Iodine, and Particulate Filters 3
3 Spare Iodine and Particulate Filters 3 sets 3 sets Masking Tape, Wide 2 rolls 2 rolls 1 roll 6 rolls 1 roll Potassium Iodide Tablets and 70 70 70 70 70 Information Sheets Emergency Personnel TLD Badges 46 Accident TLD Badges 54 Extremity TLDs 15 sets Extremity Control TLDs 10 Electronic Dosimeters MG-ED 20 Communications Radios:
battery powered hand held Note 4 base station or mobile Note 4 Note 4 Note 4 Note 4 Note 4 PA and Telephone Box Key
-1 Sound Powered Phones 12 Wireless Microphone 2
2 Wireless Receiver 1
1-1 NOTE 1: Kit 5 and Kit 9 instruments and batteries are stored in deployment kits located at the OSC.
NOTE 4: Emergency response radios are inventoried and tested per WI-RSD-T-001.
EMERGENCY KIT INVENTORY Proc No EI-16.1 Revision 13 Page 2 of 3 Kit 1 Kit 3 Kit 5 Kit 7 Kit 9 I
Emergency Emergency Reference Material.
TSC OSC Vehicle-23-035 EOF Vehicle-33-461 Quant Check Quant Check
-Quant Check Quant Check Quant Check Palisades Site Emergency Plan 1
"* *Emergency Implementing Procedures 6
2 1
6 1
Site Map, large 1
1 1
2 1
County Maps:
Allegan 1
1 1
2 1
Berrien 1
1 1
2 1
Van Buren 1
1 1
2 1
10 Mile EPZ Map 1
1 1
1 1
50 Mile State of Michigan Map 1
1 Final Safety Analysis Report 1
1 County Emergency Plans:
Allegan 1
1
.1..
Berrien 1
1 Van Buren 1
1 Michigan Emergency Plan 1.
INPO Emergency Resources Manual 1
1-I 1
P&IDs 1
j_
2 Off Normal Operating Procedures 1
1 1
NRC Reg Ill Incident Response Supplement Vol.1 &2 2-NUREG 0654.
1 Public Information Policies &
1.
Procedures Palisades Tech Specs
-1 1
Palisades Tech Spec Bases 1.
1 Oil Hazardous Materials Spill I
1 Prevention Plan Deployment.Package Note 2 Note 2
- System Operating Procedure 1
1 1
(1 through 40)...
Emergency Operating Procedure.
1 1
1 1
Emergency Operating Procedure Supplement 1
1 1
Core Damage Software (Corecalc) 1 Severe Accident Management Guidelines 2
1 Floppy Disc for Offsite Dose Program 1
1 Licensed & Non-Licensed Operator Call Out Lists 1
1 NOTE 2: Offsite team deployment packages are maintained/stored in the OSC cabinet.
- Located in WCC/AO Office area due to Plant procedure reduction.
TSC, EOF and OSC all have (1) complete set of El's. 5 partial in TSC and EOF, 1 partial in OSC.
EMERGENCY KIT INVENTORY Kit 1 Kit 3 Kit 5 Proc No El-16.1 Revision 13 Page 3 of 3 Kit 7 Kit 9 Emergency Emergency TSC OSC -
Vehicle-23-035 EOF Vehicle-33-461 Quant Check Quant
-Check--
Quant Check Quant Check Quant Check Miscellaneous Plastic Bags, Large, Radioactive Material 2.
2 2..........-.
2 2
Plastic Bags, Small, Radioactive Material 4
4 4
4 4
Ziplock Bags, Small 10 10 10 10 10 Ziplock Bags, Large 10 16 10 10 10 Liter Bottles, Sample Collection 6
6..
6 6
6 Lead Shielding 1
Smears 1 Box 1 Bx.
1 Box.
1 Box 1 Box Masslinn W ipes......
Radiation Area Boundary Rope, Approx 50 ft 1..1 1
1 Step Off Pad 1
Contamination Area Tape Yellow & Magenta 1 Rol 1 Roll I.. Roll 1 Roll 1 Roll Radiation Area, Contamination
Area Signs 1..
1 e.ea...
lea...
lea lea Stopwatch 1
1 Flashlight w/Batteries 2
2 2
2 2
Inverter 1-1 1
Instrument. Batteries: D-cell-.
2
.4 2-2 4
2 9 volt.
. 2..
- 2.
2...
4 2
C cell 8
Other Batteries:
0D cell
'6 6
6 6
6 AAcell
.4
.4
.4 4
4 calculator battery-
.- 2 2
1 1
1 Extension Cord,'50 ft 1
1 1
1 1
Jumper Cable 1
1 Emergency Vehicle Keys-(per vehicle)
Note 3 Form 40s 4 pkgs
.. 4 pkgs 4 pkgs Garden Trowel 1....
Ladder 1
1 Sodium Bisulfate 1
Gallon Sample Container
-7 s 3o NOTE 3:
A set of keys for each emergency van is stored in the Instrument Deployment Kit.
Reason for Inventory:
Performed By:
Date: _______
Reviewed By:
Date:
MEDICAL EMERGENCY KIT INVENTORY Proc No EI-16.1 Revision 13 Page 1 of 2 Mid Range, I1/Y Dose Rate Meter R//Y Countrate Meter (PRM-6 w/HP 210 or Equivalent)
Self-Reading Dosimeters Self-Reading Dosimeter Charger Instrument Batteries:
D Cell 9 Volt Spare Batteries:
D Cell AA Cell TLD Badges Protective Clothing:
Surgical Clothing (Trousers, Shoe Covers, Shirts, Cap, Masks, Gloves, and Apron or Gown)
Masking Tape, Wide Radiation Tape, Yellow and Magenta Radiation Area, Contamination Area Sign Plastic Bags, Large, Radioactive Material Plastic Bags, Small, Radioactive Material Ziplock Bags Smears Equipment Container or Cart Stanchions Radiation Area Boundary Rope Approximately 50 Feet Collapsible Yellow Basins Liquid Radwaste Container Step Off Pad Flashlight w/Batteries Decon Kit (Ambulance)
Inventory List Masslinn Mop Masslinn Wipes Kit 11 Kit 13 Ambulance SH Hospital Quant Check Quant Check 1
1 1
6 12*
1 1
2 2
2 2
2 2
2 6
12*
S -
6 1 Roll 1 Roll 1 Roll 1 Roll 1 ea 1 ea 2
6 2
4 10 10 1 Box 1 Box 1
1 4
1 1
1 1
1 1-1-
1 1
1 1lpkg 1___
pkg
- NOTE:
Lakeland Medical Emergency Center Kit (shared with DCCook Nuclear Plant) shall have 12 Self-Reading Dosimeters (replaced annually) and 12 TLD Badges (replaced quarterly).
MEDICAL EMERGENCY KIT INVENTORY Proc No EI-16.1 Revision 13 Page 2 of 2 Kit 14 Medical First Aid Kit FIRST AID SUPPLIES Quant Check Blanket 1
4x4.lnch Gauze Pads 10 Sterile Burn Sheet Triangular Bandages 6
.Gauze Bandage 4" (Kling) Rolls 2
Gauze.Bandage 3" (Kling) Rolls 2
Gauze Bandage 2" (Kling) Rolls 2
3 x 3 inc.h Gauze Pack...
-10 Adhesive Bandage-1" Pack.
Adhesive Bandage 21/4 x 3Y2 Pack
.1 Pack Adhesive Bandage - Knuckle Bands 1 Pack Ammonia Inhalants Packs 1 Box 30 MI Bottles Eye Wash Solution 2
Alcohol Swabs 1 Pack 500 MI Bottle Sterile Water I
Trauma Dressing 10" x 30" 5" x 9" Sterile Dressing 2
Scissors 1
1" Adhesive Tape, 1 -Roil 2" Adhesive Tape 01 Rol.
3" Adhesive Tape 1 Roll Instant Cold Packs 2
Laerdal Pocket-Mask With One-Way-Valve 1
Bio Hazard Bag 1
Reason-for Inventory:
Performed By:
Date:
Reviewed By:
__ Date:
Proc No EI-16.1 Revision 13 Page 1 of 1 DECONTAMINATION KIT INVENTORY Kit 2 Kit 4 Kit 6 Kit 8 Kit 10 Kit 1 2 Emergency Emergency TSC.
OSC.
Vehicle 23-035 EOF
-Vehicle 33-461 Ambulance Quant Check Quant Check. Quat Check Quant Check
. Quant.. Check Quant Check Plastic Bags, Large Radioactive 2
2 22 2
2 2
Plastic Bags, 2
Small Radioactive 2
2 2
2 2
2 Teri Towels
- 10.
10 10 10 TO 10 Hand Towels 1 pkg 1 pkg
- 1. pkg 1 pkg 1 pkg 1 pkg Paper Coveralls 6-6-
6 6
6.6 6
Poly Booties 6,pr
.6 pr 6pr.
6pr -
6 pr 6 pr Poly Gloves 12 pr 12 pr 2 pr..
2pr 2
2pr 12 pr Cotton Liner Gloves 12 pr 12 pr 12 pr 12 pr 12 pr 12 pr Masking Tape 1 roll 1 roll*
1 roll 1,roil.
1 roll 1 roll Waterless Hand Cleaner 1 can 1 can 1 can qr!
1 can 1 can Hand Soap 4
4 4
4
" 4 4
EZ Scrub 6
6 6
6 6
6 Q-Tips 206 20 20
-20 20 20 All-purpose Cleaner 1
1 1
1 1
1 or Equivalent 1 Gallon Container, for Water 1-1.1.
1 1
HP 2.18 Copy 1
1 1*
1 HP 2.18-2 Forms 10 10 10**
10 10*,
10 Located in the controlled copy procedure 3-ring, binder.
- Located in the blank forms 3-ring binder Reason for Inventory:
Performed By:
Reviewed By:
Date:
Date:
MAINTENANCE EMERGENCY KIT INVENTORY Kit 15 OSC Cabinet Top Tray Quant Check Socket Set, 3/8" and 1/2" Set 1 ea Rachet, 3/8" and 1/2" 1 ea "T" Bar, 1/2" 1
Multiplier 1
Breaker Bar, 3/8" and 1/2" 1 ea Universal, 1/2" 1
Speed Wrench, 1/2" 1
10" Extension 1
Drawer #1 Phillips Screwdriver 3
Flat Screwdriver 3
Screw-holding Screwdriver 2
Offset Screwdrivers 1 Set Tape Measure, 25' 1
Level 1
Tubing Cutter 1
Razor Knife 1
Nut Driver Set 1 Set Set of #10 Linknuts 1 Set Drawer #2 Regular "Snoop" 2
Cold "Snoop" 2
Chisels, 3/8" to 7/8" 1 ea Hacksaw 2
Hacksaw Blades 2
Drawer #3 Offset Box End Wrenches, 1/2" to 1-7/16" 1lea Open Box Combo Wrenches, 5/16" to 1" 1 ea Drawer #4 Crescent Wrenches, 12", 10",
8", and 6" 1 ea Claw Hammer 1
Ballpeen Hammers 4
Pin Bar 2
Drawer #5 Grey Tape 2
Neolube 1260 2 Tubes Pipewrenches 18", 12", 10", and 8" 1 ea Proc No EI-16.1 Revision 13 Page 1 of 2
MAINTENANCE EMERGENCY KIT INVENTORY Proc No EI-16.1 Revision 13 Page 2 of 2 S ' Kit 15' osc Cabinet Top Tray Qu'ant,. Check Drawer #6 25' Extension Cord 1"
Droplight 1
90 Watt Light Bulb 1
__1__"
Cabinet Top (Drawer #3)
Regular Pliers 2
Diagonal Snippers 3
Lineman's Pliers 1
Cabinet Top (Drawer #4)
Needlenose Pliers 1
Adjustable Pliers 2
Vice Grip Pliers
- 2.
Locker Sound Powered Phones 3
P&IDs 1
Simpson 260 VOM" Jumper Set 1
Emergency Implementing Procedures Phones 3
Flashlights
- 6.
J!
Reason for Inventory:
Performed By:
Date:
Reviewed By:
Date:
Proc No EI-16.1 Revision 13 Page 1 of 1 KIT 16 ALLEGAN SERVICE CENTER DECONTAMINATION EQUIPMENT 5 sets of Anti-Cs with fish skins (including hoods,. booties, 2 sets of gloves, -and cloth liners each) 1 roll of radiological rope/ribbon 2 rolls of radiological tape 4 radiological bags (large) 4 radiological bags (small) 5 packages of masslinn.......
4 radiological posting signs (contamination/radiation area) 2 step-off pads.....
1 ýrollof herculite 10 booties and rubbers (beyond sets above).
25 pair of rubber and cloth gloves (beyond sets above) 25 paper coveralls (grays) 2 Titanic bottles' 2 grey tape rolls Swabs Ziplock bags (12 small and 12 large) 1 liter shampoo Scissor stands for rad bags Surgical scrub pads 3 utility knives 10 extra plastic booties (beyond sets above)
Reason for Inventory:
Performed By:
Date:
Reviewed By:
Date: