ML021440421
| ML021440421 | |
| Person / Time | |
|---|---|
| Site: | West Valley Demonstration Project, P00M-032 |
| Issue date: | 05/09/2002 |
| From: | Horton D Nuclear Information & Resource Service (NIRS) |
| To: | Glenn C NRC/NMSS/DWM |
| References | |
| +KBR1SISP20050613 | |
| Download: ML021440421 (40) | |
Text
RECORDS MANAGEMENT DEPARTMENT TO: C.
GLENN FROM: D.L.
HORTON TRANSMITTAL NUM: 000018257 NRC HEADQUARTERS AOC-21 TEL: 716 942-4300 CONTROLLED COPY TRANSMITTAL / RECEIPT ACKNOWLEDGEMENT So-Zo t DATE: 05/09/2002 PAGE:
1 Attached is a CONTROLLED COPY of the following document(s) and its applicable index.
Add or replace your existing copy with the attached.
PROC ID REV*
FC#
ISSUE DATE PROCEDURE TITLE 136 EMAP-204 05/08/2002 FACILITIES AND EQUIPMENT Copies made from a controlled document MUST be marked UNCONTROLLED before distribution.
Signature below signifies all previous revisions, if applicable, have been destroyed or marked superseded.
I have complied with the above instructions:
RETURN BY:
05/23/2002 Signature CBLACK INDELIBLE INK ONLY)
Date FOR YOUR CONVENIENCE, A SELF-ADDRESSED, STAMPED ENVELOPE HAS BEEN INCLUDED.
-/kciK6 CONTROLLED COPY#
DATE: 05/09/2002 TIME: 11:02 PAGE:
1 WVDP EHERGENCY MANAGEMENT ADMINISTRATIVE PROCEDURES NVDP-139 VOL II INDEX E-f PROCEDURE TITLE ADMINISTRATION OF THE EMERGENCY MANAGEMENT PROGRAM 1
ADMINISTRATION OF THE EMERGENCY MANAGEMENT PROGRAM 2
ADMINISTRATION OF THE EMERGENCY MANAGEMENT PROGRAM 3
ADMINISTRATION OF THE EMERGENCY MANAGEMENT PROGRAM 4
ADMINISTRATION OF THE EMERGENCY MANAGEMENT PROGRAM TRAINING OF THE EMERGENCY RESPONSE ORGANIZATION (ERO) 1 TRAINING OF THE EMERGENCY RESPONSE ORGANIZATION CERO)
EMERGENCY PREPAREDNESS EXERCISES I
EMERGENCY PREPAREDNESS EXERCISES 2
EMERGENCY PREPAREDNESS EXERCISES FACILITIES AND EQUIPMENT EMAP-EMERGENCY MANAGEMENT DEPARTMENT INTERNAL SELF-ASSESSMENT PROGRAM STATUS ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ACTIVE ISSUE DATE 09/29/1995 05/21/1997 10/07/1998 06/25/1999 01/10/20 00 02/28/2002 04/30/2002 01/19/2000 06/05/2000 12/20/2000 05/08/2002 10/20/2000 COGNIZANT MANAGER CHILSON,L.J.
CVILSONL.J.
CHILSON,L.J.
CHILSON,L.J.
CHILSONL.J.
CHILSONL.J.
CHILSON,L.J.
CHILSON,L.J.
CHILSON,L.J.
CHILSON,L.J.
CHILSON,L.J.
CHILSON,L.J.
PROC IDl EMAP-201 EMAP-201 EMAP-201 EMAP-201 EMAP-201 EMAP-202 EMAP -202 EMAP-203 EMAP -203 EMAP-203 EMAP-204 ELAP -206 REY 0
0 0
0 0
4 4
3 3
3 S
1
EMAP-204 Rev. 5 Page 1 of 37 Date 05/08/02 EMAP-204 Facilities and Equipment GENERAL REVISION 1.0 PURPOSE This procedure describes the examination and/or inspection requirements for the emergency response facilities and equipment that are provided and maintained at the West Valley Demonstration Project (WVDP).
2.0 SCOPE WVDP provides and maintains facilities and equipment to support the Emergency Response Organization (ERO).
Examination of equipment is conducted to maintain a minimum level of inventory at all times.
Facilities include the Emergency Operations Center (EOC),
the Alternate Emergency Operations Center (AEOC),
the Technical Support Center (TSC),
the Operations Support Center (OSC),
Bertrand Chaffee Hospital (BCH) and Erie County Medical Center (ECMC).
Emergency equipment includes appropriate equipment for a medical emergency, a
fire, or a release of radioactive materials, hazardous materials, or radioactive mixed waste as well as dosimetry to be issued to off-site emergency responders.
3.0 REQUIREMENTS AND REFERENCES 3.1 Requirements DOE 0 151.1, "Comprehensive Emergency Management System."
WVDP-010, "WVDP Radiological Controls Manual."
WVDP-071, "External Dosimetry Program Manual."
WVDP-139, "WVDP Emergency Management Implementing Procedures."
WVDP-022, "WVDP Emergency Plan."
10 CFR 835/BI, "Radiation Protection Program."
RC-EMRG-01, "Personnel Decontamination."
3.2 References WV-108, "Preventative Maintenance Recall Tracking System."
WVDP-262, "WVNS Manual for Records Management and Storage."
FHS-RESP-5, "Maintaining Respiratory Equipment Designated for Emergency Use."
RC-IOC-8, "Operation and calibration instructions for the Ludlum Model 3-2 Geiger Counter (rate meter)."
-
W11 EMAP-204 Rev.
5 Page 2 of 37 4.0 RESPONSIBILITIES Ii NOTE It is the responsibility of each person performing examinations and/or inspections to ensure that they are completed by the scheduled due date, the equipment is operating as manufactured, materials have not exceeded the recommended shelf-life and do not show signs of degradation.
Inventory discrepancies and comments pertaining to the examination and/or inspection will be documented on the visual examination comment sheet and submitted to the appropriate department.
4.1 Emergency Management (EM)
Program Manager ensures that the EOC,
- AEOC, TSC,
- OSC, BCH, and ECMC are adequately equipped.
The EM program manager is responsible to ensure that the inventory lists of emergency response equipment is kept current.
4.2 Employee Health Services (EHS) is responsible for the procurement of medical equipment, maintaining the minimum required inventory levels, storage locations, maintenance of equipment and examination of medical supplies to ensure that materials have not exceeded the recommended shelf-life and do not show signs of degradation.
4.3 Main Plant Operations (MPO) is responsible for the contents, maintenance and examination of Emergency Rescue Packs, the Emergency Vehicle, and the Incident Commander (IC) Vehicle.
4.4 Radiological Controls Operations (RCO) directs the inventory and periodic examination and maintenance of the decontamination supplies in the Chemical Viewing Aisle (CVA),
and Bulk Storage Warehouse (BSW).
4.5 Industrial Hyqiene & Safety (IH&S) maintains and examines the Self-Contained Breathing Apparatus (SCBAs) and air-purifying respirators.
4.6 Radiological Engineering (RE) maintains and examines radiological instrumentation (which includes the hand-held frisker at BCH used by Radiological Controls).
Radiological Engineering also maintains the emergency dosimetry stored with Security for issuance to off-site emergency response personnel.
5.0 PROCEDURE 5.1 Examinations and/or inspections of facilities and equipment shall be tracked in accordance with WV-108, "Preventative Maintenance Recall Tracking System."
5.2 Response equipment shall be maintained at predetermined (by the users) levels for adequate emergency response.
5.3 All equipment shall be examined, replaced, decontaminated, and cleaned immediately following use.
When the equipment has been inspected and returned to service, the cognizant individuals shall complete the appropriate forms within this procedure. Completed forms shall be transferred to Records Management, AOC-21, for storage in accordance
EMAP-204 Rev.
5 Page 3 of 37 with WVDP-262, "WVNS Manual for Records Management and Storage." Copies of the RCRA operating records shall be submitted to the RCRA file custodian at mail stop WV-VH-5, and the EM program manager, as scheduled.
5.4 Any deficiency that is noted and cannot be resolved during an inspection shall be documented on the appropriate form.
Items which exceed the recommended shelf-life will be removed from service by the person who identifies the deficiency and replaced as soon as practical.
When the problem is resolved, the equipment shall be examined and documented as no longer deficient.
Completed forms from this procedure shall be transferred to Records Management, AOC-21, for storage in accordance with WVDP-262.
Copies of the RCRA operating records shall be submitted to the Site RCRA file custodian at mail stop WV-VH-5, and the EM program manager, as scheduled.
5.5 If emergency equipment is to be relocated for any reason, the Main Plant Operations Shift Supervisor (MPOSS) and the EM program manager shall be notified prior to equipment relocation.
The MPOSS and the EM program manager, along with managers of personnel who may be affected by the equipment relocation shall receive notification of the new location.
5.6 Using the forms within this document, individual departments and cognizant managers have the responsibility to conduct regular examinations of emergency equipment.
If inventories do not contain the minimum quantities specified, the inventory shall be restocked as soon as practical by the cognizant owner(s).
5.7 Main Plant Operations (MPO) shall perform monthly examinations of:
5.7.1 Emergency Rescue Packs (Attachment A) located in the Main Control Room, ist floor Main Plant North Stairs (MOA),
the Analytical Aisle & the Utility Room and document the results on Form WV-2468.
5.7.2 Emergency Vehicle (Attachment B) and document the results on Form WV-2469.
EMAP-204 Rev.
5 Page 4 of 37 5.7.3 Incident Command Vehicle (Attachment C) and document the Ii results on Form WV-3321.
5.8 Radiological Control Operations (RCO) shall perform monthly Decontamination Materials Inventory located in the CVA and the BSW in accordance with Radiological Control Operations procedure RC-EMRG-01.
5.9 IH&S shall perform monthly inspections of Emergency Respirators and document the results on WV-1190 and WV-1191 as identified in Industrial Hygiene and Safety (IH&S) procedure FHS-RESP-5.
5.9.1 Perform weekly pressure check inspections of SCBA's and document the results on IH&S form WV-1199 as identified in procedure FHS-RESP-5.
5.10 Environmental Laboratory personnel shall perform quarterly examinations of the Environmental Laboratory Emergency Response Equipment (Attachment E) and document the results on Form WV-2473.
5.12 Emergency Management shall perform examinations of emergency response equipment and facilities as assigned and/or required by job task cards.
Perform and document results of the quarterly functional examinations of the equipment located in the TSC,
l Perform and document results of the semi-annual examinations of the WVDP Decontamination equipment and materials stored at BCH and ECMC on forms WV-3324 and WV-3326.
Semi-annually (January and July),
retrieve newly calibrated instruments from the Radiation Protection Laboratory, rotate out the hand held friskers located at BCH and ECMC to and ensure that the calibration of the unit is current.
I
EMAP-204 Rev.
5 Page 5 of 37 6.0 RECORDS MAINTENANCE 6.1 Temporary records generated as a result of implementing this procedure are as follows:
6.1.1 WV-2468, "Emergency Rescue Pack Inventory" 6.1.2 WV-2469, "Emergency Vehicle Inventory" 6.1.3 WV-3321, "Incident Command Vehicle Inventory" 6.1.4 WV-2470, "Emergency Medical Supplies and Equipment Locations" 6.1.5 WV-2473, "Environmental Laboratory Emergency Response Equipment Inventory" 6.1.6 WV-3317, "Emergency Operations Center (EOC)
Equipment Inventory and Functional Check" 6.1.7 WV-3322, "Alternate Emergency Operations Center (AEOC)
Equipment Inventory and Functional Check" 6.1.8 WV-3323, "Technical Support Center (TSC) Equipment Inventory and Functional Check" and "Operations Support Center (OSC)
Equipment Inventory and Functional Check" 6.1.9 WV-3324, "Bertrand Chaffee Hospital (BCH)
Equipment Inventory and Functional Check" 6.1.10 WV-3326, "WVNS/Erie County Medical Center (ECMC)
Inventory and Functional Check" 6.2 Records are identified on Emergency Management's Records Inventory and Disposition Schedule (RIDS).
These records are part of the RCRA operating record.
6.3 Original records shall be prepared, maintained, and transferred to the Records and Information Department for storage in accordance with WVDP-262, "WVNS Manual for Records Management and Storage."
Copies of the RCRA operating records shall be submitted to the Site RCRA file custodian at mail stop WV-VH-5, and the Emergency Management Program Manager.
EMAP-204 Rev.
5 Page 6 of 37 7.0 ATTACHMENTS Attachment A Attachment Attachment Attachment Attachment B
C D
E Attachment F Attachment G Attachment H Attachment I Attachment J WV-24 68 WV-24 69 WV-3321 WV-2470 WV-2473 WV-3317 WV-3322 WV-3323 WV-3324 WV-3326 Emergency Rescue Pack Inventory Emergency Vehicle Inventory Incident Command Vehicle Inventory Emergency Medical Supplies and Equipment Locations Environmental Laboratory Emergency Response Equipment Inventory Emergency Operations Center (EOC)
Equipment Inventory and Functional Check Alternate Emergency Operations Center (AEOC)Equipment Inventory and Functional Check Technical Support Center (TSC)
Equipment Inventory and Functional Check and OperaLions Support Center (OSC)
Equipment Inventory and Functional Check WVNS/Bertrand Chaffee Hospital (BCH)
Equipment Inventory and Functional Check WVNS/Erie County Medical Center (ECMC)
Equipment Inventory and Functional Check I1 I
EMAP-204 Rev.
5 Page 7 of 37 Attachment A Page 1 of 2 EMERGENCY RESCUE PACK INVENTORY RESPONSIBLE ORGANIZATION MAIN PLANT OPERATIONS ITEM Min Current STATUS UR I CR I ANA IMOAI Qty Qty CONDITION ACCEPTABLE Air Purifying 4
I I
I I
Respirator P100 Filters 4
I I
I I
Anti-C Coveralls 4
I I
I I
Anti-C Gloves pr.
4 I
I I
I Rubber Boots pr.
4 I
I I
I Duct Tape 1
I I
I Masking Tape 1
I I
I I
Anti-C Hoods 4
I I
I I
Plastic Bags 14x18 8
I I
I I
20' Rope 1
I I
I i
Scissors 1
I I
I I
Gauze Bandages 6
I I
I I
Utility Knife 1
I I
I I
Skindex gloves 8
I I
I I
Anti-C Paper suits 4
I I
I Both types of tape in January, April, July, October.
Send completed original forms to Records and Information, AOC-21, a copy to the Emergency Management Program Manager, and the Site RCRA file custodian at mail stop WV-VH-5.
WV-2468, Rev.
9 NOTE:
The monthly visual examination of items is to include a review of current shelf-life and signs of degradation for appropriate equipment and materials.
Items that have exceeded the recommended shelf-life or show signs of degradation are to be removed from service immediately.
If the emergency Rescue Packs inventory does not contain the listed minimum quantities, the Main Plant Operations department shall restock the inventory as soon as practical.
EMAP-204 Rev.
5 Page 8 of 37 Attachment A Page 2 of 2 Visual Examination Comments Name Date Signature (Print)
Comments:
Send completed original forms to Records and Information, AOC-21, a copy to the Emergency Management Program Manager, and the Site RCRA file custodian at mail stop WV-VH-5.
WV-2468, Rev.
9
EMAP-204 Rev.
5 Page 9 of 37 Attachment B Page 1 of 6 EMERGENCY VEHICLE INVENTORY RESPONSIBLE ORGANIZATION MAIN PLANT OPERATIONS Mi Current EMERGENCY VEHICLE Condition Item Removed Qty Qty Acceptable or Replaced Deleted Deleted 1
Traction Splint 4
Full Face Respirators - Various sizes 3
Organic Vapor Canisters 2
Foam Splints 1
4000 Watt Dayton Generator 1
M.A.S.T.
(Anti Shock Trousers) 1 K.E.D.
(Kendrix Extrication Device) 1 Bag of Assorted Splints 2
Danger (Keep Out)
Signs 2
Sets of Anti-C Garments 1
Blanket and Pillow 3
ABC Multipurpose Fire Extinguishers 2
Continuous Loop Slings 1
Rescue Rope Rapper 1
Voice Gun 1
CO2 Fire Extinguisher Service tag should be checked on the fire extinguishers.
Voice Gun and flashlight batteries should be changed semi-annually.
Send completed original forms to Records and Information, AOC-21, a copy to the Emergency Management Program Manager, and the Site RCRA file custodian at mail stop WV-VH-5.
WV-2469, Rev.
11 NOTE:
The visual examination of items is to include a review of current shelf life and signs of degradation for appropriate equipment and materials.
Items that have exceeded the recommended shelf-life or show signs of degradation are to be removed from service immediately.
If there is any inventory missing from the Emergency Vehicle that does not meet minimum quantity, the MPOSS shall be notified and inventory re-stocked, as soon as practical.
EMAP-204 Rev.
5 Page 10 of 37 Attachment B Page 2 of 6 EMERGENCY VEHICLE INVENTORY RESPONSIBLE ORGANIZATION MAIN PLANT OPERATIONS ir Current [EMERGENCY VEHICLE Qty Qty 6
Collars 2
Stretcher (Sked) 1 Basket Stretcher (2 Basket Restraints
& 7 Straps) 1 Folding Stretcher 1
Backboard & Spiders 2
Oregon Spine Splints 1
Front hook and rear hook harness 1
Oxygen Bottle 4
SCBA's 2
Flash Lights (Big Jims) 2 Top Spot II Flashlights 1
EMT Kit -
Health Services Administrator responsible for Contents.
1
_Exhaust Fan 1 rRope Edge Roller 4
MCI (Multi-Casualtv Incident) Kit
____________________ I Send completed original forms to Records and Information, AOC-21, a copy to the Emergency Management Program Manager, and the Site RCRA file custodian at mail stop WV-VH-5.
Prusik Knot Ropes WV-2469, Rev.
11 I)
NOTE:
The visual examination of items is to include a review of current shelf life and signs of degradation for appropriate equipment and materials.
Items that have exceeded the recommended shelf-life or show signs of degradation are to be removed from service immediately.
If there is any inventory missing from the Emergency Vehicle that does not meet minimum quantity, the MPOSS shall be notified and inventory re-stocked, as soon as practical.
EMAP-204 Rev.
5 Page 11 of 37 Attachment B Page 3 of 6 EMERGENCY VEHICLE INVENTORY RESPONSIBLE ORGANIZATION MAIN PLANT OPERATIONS Mi Current EMERGENCY VEHICLE Condition Item Removed Qty Acceptable or Replaced 1
Safety Goggles_______
1 21" to 1i" Reducer 1
Spanner Wrench 1
1ý" Fire Hose -
50' 1
T a r p 1
Extension Cord -
100' Pieces of Rope -Large Diameter 1
Small Diameter Rope 1
Bolt Cutter 1
Pry bar 2
Shovels Square 1
Roll Caution Tape 1
Role Hazardous Material Tape 2
Continuous loop slings-10' 4
Gibbs Ascenders for 7/16" 1/2" rope 4
4-each - Single Wheel & Double Wheel Pulleys Lifesaver Send completed original forms to Records and Information, AOC-21, a copy to the Emergency Management Program Manager, and the Site RCRA file custodian at mail stop WV-VH-5.
WV-2469, Rev.
11 NOTE:
The visual examination of items is to include a review of current shelf life and signs of degradation for appropriate equipment and materials.
Items that have exceeded the recommended shelf-life or show'signs of degradation are to be removed from service immediately.
If there is any inventory missing from the Emergency Vehicle that does not meet minimum quantity, the MPOSS shall be notified and inventory re-stocked, as soon as practical.
EMAP-204 Rev.
5 Page 12 of 37 Attachment B Page 4 of 6 EMERGENCY VEHICLE INVENTORY RESPONSIBLE ORGANIZATION MAIN PLANT OPERATIONS Mn Current EMERGENCY VEHICLE Condition Item Removed Qty Qty Acceptable or Replaced 4
Hard Hats 1
11/2" Fire Nozzle 1
Safety Strap 1
2k" Fire Hose -
50' 1
Pair Rain Pants 4
Full Body Harnesses 1
Spool of Yellow Rope 6
Webbing 1
Wrecking Bar 1
Sledge Hammer 1
Pig Pan 2
Caution Lights I
Bag of Anhydrous Calcium Chloride 3
Continuous loop slings-6' Drop Bags - Each With 100' Rope of Different Color Figure "8's" 4 with Safety Rings (Ears)
Send completed original forms to Records and Information, AOC-21, a copy to the Emergency Management Program Manager, and the Site RCRA file custodian at mail stop WV-VH-5.
WV-2469, Rev.
11 1)
NOTE:
The visual examination of items is to include a review of current shelf life and signs of degradation for appropriate equipment and materials.
Items that have exceeded the recommended shelf-life or show signs of degradation are to be removed from service immediately.
If there is any inventory missing from the Emergency Vehicle that does not meet minimum quantity, the MPOSS shall be notified and inventory re-stocked, as soon as practical.
EMAP-204 Rev.
5 Page 13 of 37 Attachment B Page 5 of 6 EMERGENCY VEHICLE INVENTORY RESPONSIBLE ORGANIZATION MAIN PLANT OPERATIONS Min Current TOOL BOX CONTENTS Condition Item Removed Qty Qty Acceptable or Replaced 1
K n i fe 2
12" Crescent Adjustable Wrenches 1
10" Crescent Adjustable Wrench 2
Flat Head Screwdrivers 2
Phillips.Head Screwdrivers 3
14"' Pipe. Wrenches 1
.18" Pipe Wrench 1
'Claw Hammer 1
Ball Peen Hammer E
li P1iers Send completed original forms to Records and Information, AOC-21, a copy to the Emergency Management Program Manager, and the Site RCRA file custodian at mail stop WV-VH-5.
WV-2469, Rev.
11 NOTE:
The visual examination of items is to include a review of current shelf life and signs of degradation for appropriate equipment and materials.
Items that have exceeded the recommended shelf-life or show signs of degradation are to be removed from service immediately.
If there is any inventory missing from the Emergency Vehicle that does not meet minimum quantity, the MPOSS shall be notified and inventory re-stocked, as soon as practical.
EMAP-204 Rev.
5 Page 14 of 37 Attachment B Page 6 of 6 Visual Examination Comments Name Signature (Print) 1)
Date Comments:
I Send completed original forms to Records and Information, AOC-21, a copy to the Emergency Management Program Manager, and the Site RCRA file custodian at mail stop WV-VH-5.
I WV-2469, Rev.
11
EMAP-204 Rev.
5 Page 15 of 37 Attachment C Page 1 of 2 INCIDENT COMMAND VEHICLE INVENTORY RESPONSIBLE ORGANIZATION MAIN PLANT OPERATIONS Min Current LOCATION/DESCRIPTION Condition Item Removed Qty Qty Acceptable or Replaced Vehicle Inventory 1
WVVHC (Chief 5) Radio 1
WVDP Permanent Mounted Radio 1
Incident Commander Vest Current copies of:
1 Incident Command Manual 1
EMIP-102 Attachments C & D 1
EMIP-103 Attachment D
1 EMIP-105 Send completed original forms to Records and Information, AOC-21, a copy to the Emergency Management Program Manager, and the Site RCRA file custodian at mail stop WV-VH-5.
WV-3321, Rev.
5 NOTE:
The visual examination of items is to include a review of current shelf-life and signs of degradation for appropriate equipment and materials.
Items that have exceeded the recommended shelf-life or show signs of degradation are to be removed from service immediately.
If the Incident Command Vehicle inventory does not contain the listed minimum quantities, the Main Plant Operations department shall restock the inventory as soon as practical.
EMAP-204 Rev. 5 Page 16 of 37 Attachment C Page 2 of 2 Visual Examination Comments Name Signature (Print)
Date Comments:
I Send completed original forms to Records and Information, AOC-21, a copy to the Emergency Management Program Manager, and the Site RCRA file custodian at mail stop WV-VH-5.
I WV-3321, Rev.
5
EMAP-204 Rev.
5 Page 17 of 37 Attachment D Page 1 of 4 EMERGENCY MEDICAL EQUIPMENT/LOCATIONS RESPONSIBLE ORGANIZATION -
HEALTH SERVICES
[Mity Current LOCATION/DESCRIPTION Condition1 Item Removed Qty Qty Acceptable or Replaced MAIN GATE HOUSE (UNDER DESK) 1 (Next to cabinet)
EMT Kit 1
Bio-Hazard Bag 1
ALS KIT 1
EMU Run Sheets 1
Defibrillator, 1
02 1
AMBU Bag 1-(Outside of cabinet)
Orange Plastic Stretcher ANNEX-CLOSET 1
(Next to Conference Room C) Chair stretcher MAIN PLANT MPOSS OFFICE 1
EMT Kit 1
02 1
.[
A M B U B A G SHIPPING DEPOT OFFICE 1
KED 1
Folding stretcher 1
Backboard 1
EMT Kit 102 L
' Cervical Collars (various si7es7)
EMERGENCY VAN 1
Hare Traction Splint 1
EMT Kit 1
MAST 1
KED 1
Stiff.neck cervical coll-ars 2
Back Boards 2
Orange plastic stretchers 1
Board splints/air.splints 1
02 1
AMBU BAG 1
MCI Kit Send completed original forms to Records and Information, AOC-21, a copy to the Emergency Management Department Manager, AOC-18, and the Site RCRA file custodian at mail stop WV-VH-5.
Checked by EHS (Initials)
Date_____
WV-2470, Rev.
11 NOTE:
The visual examination of items is, to include a review of current shelf life and signs of degradation for appropriate equipment and materials.
Items that have exceeded the recommended shelf-life or show signs of degradation are to be removed from service immediately.
If the Emergency Medical Supply inventory does not contain the listed minimum quantities, Employee Health Services shall restock the inventory as soon as practical.
EMAP-204 Rev.
5 Page 18 of 37 Attachment D Page 2 of 4 EMERGENCY MEDICAL EQUIPMENT/LOCATIONS RESPONSIBLE ORGANIZATION -- HEALTH SERVICES Min Current LOCATION/DESCRIPTION Condition Item Qty Qty Acceptable Removed or
___Replaced EMPLOYEE HEALTH SERVICES (TRAILER F) 1 EMT Kit 1
02, 1
AMBU BAG 1
Breakaway aluminum stretcher I
Wooden splints 1
Air splints Hare traction splint Wheelchair CPR Board MAINTENANCE (HALLWAY) 1 EMT Kit 1
Bio-Hazard Bag 1
Breakaway aluminum stretcher 1
0 1
AMBU BAG 1
Backboard 1
Cervical Collars (various sizes.)
1
_EMTKit OB-l SW ENTRANCE 1
EMT Kit 1
Bio-Hazard bag 1
Backboard
- 102, 1
Blanket 1
Cervical Collars (various sizes.)
FIRE PUMP HOUSE 1
Backboard Orange stretcher Breakaway aluminum stretcher Send completed original forms to Recoids and Information, AOC-21, a copy to the Emergency Management Department Manager, AOC-18, and the Site RCRA file custodian at mail stop WV-VH-5.
Checked by EHS (Initials)
- Date WV-2470, Rev.
11 J)
I NOTE:
The visual examination of items is to include a review of current shelf life and signs of degradation for appropriate equipment and materials.
Items that have exceeded the recommended shelf-life or show signs of degradation are to be removed from service immediately.
If the Emergency Medical Supply inventory does not contain the listed minimum quantities, Employee Health Services shall restock the inventory as soon as practical.
I
EMAP-204 Rev.
5 Page 19 of 37 Attachment D Page 3 of 4 EMERGENCY MEDICAL EQUIPMENT/LOCATIONS (continued)
RESPONSIBLE ORGANIZATION HEALTH SERVICES Mi Curr LOCATION/DESCRIPTION Condition Item Qty ent Acceptable Removed or Qty Replaced 1
4X4 Cover sponges 1
2x2 Cover sponges 1
Assorted bandages 1
Blanket 1
Scissors 1
_Stethoscope 1
Sphyogmorrmanometer 1
Oval eye pads 1
Sling 1
Ace bandages 1
Trauma dressing 1
Umbilical clamps 1
Burn sheets 1
Penlight 1
Instant Glucose 1
Pencil/pad 1
Cold packs 1
Adhesive tape 1
Airways INFECTION-CONTROL ITEMS 1
Bio-Hazard bags 1
Mask/eye shields 1
Gloves 1
Barrier gowns CPR barriers Checked by EHS (Initials)
- Date WV-2470, Rev.
11
EMAP-204 Rev.
5 Page 20 of 37 Attachment D Page 4 of 4 A
Visual Examination Comments (Print)
Date I
Send completed original forms to Records and Information, AOC-21, a copy to the Emergency Management Program Manager, and the Site RCRA file custodian at mail stop WV-VH-5.
I WV-2470, Rev.
11 Name Signature Comments:
NOTE:
The visual examination of itews is to include a review of current shelf life and signs of degradation for appropriate equipment and materials.
Items that have exceeded the recommended shelf-life or show signs of degradation are to be removed from service immediately.
If the Emergency Medical Supply inventory does not contain the listed minimum quantities, Employee Health Services shall restock the inventory as soon as practical.
EMAP-204 Rev. 5 Page 21 of 37 Attachment E Page 1 of 4 ENVIRONMENTAL LABORATORY EMERGENCY RESPONSE EQUIPMENT INVENTORY RESPONSIBLE ORGANIZATION ENVIRONMENTAL MONITORING Min Current LOCATION/DESCRIPTION Condition Item Removed Qty I
Acceptable or Replaced Miscellaneous Items 1
_50 Foot Extension Cord 1
25 Foot Extension Cord with Work Light 2
100 Foot Tape Measures 1
First Aid Kit 1
50 Foot Nylon Rope 6
Rolls of Tape (3 Each of Duct and 2"
_.... Wide Masking Tape) 3 Boxes of 47mm Glass Fiber Air Filters 1
Bag of Miscellaneous Items: Pens,
_Paper
- clips, etc.
Chase Cars 1
Crate with 2 Complete Anti-C Suit-Ups 1
Crate with Miscellaneous Sampling Equipment Metal Suitcases Containing-ESP-2 Survey Meters with Sensors NOTE Equipment is in labeled bins located in the green outside lockup.
1 dL
____Crate with 5 Complete Anti-C Suit-Ups 1
Crate with Miscellaneous Sampling SIEuiment Send completed original forms to Records and Information, AOC-21, a copy to the Emergency Management Program Manager, and the Site RCRA file custodian at mail stop WV-VH-5.
WV-2473, Rev.
10 NOTE:
The visual examination of items is to include a review of current 'shelf-life and signs of degradation for-appropriate equipment and materials.
Items that have exceeded the recommended shelf-life or show signs of degradation are to be removed immediately.,
If the Emergency Response Equipment inventory does not contain the minimum quantities, the Environmental Laboratory department is to restock or:replace the inventory as soon as practjcal.
EMAP-204 Rev.
5 Page 22 of 37 Attachment E Page 2 of 4 ENVIROIRNENTAL LABORATORY EMERGENCY RESPONSE EQUIPMENT INVNTORY RESPONSIBLE ORGANIZATION ENVIRONMENTAL MONITORING Mi Current ANTI-CONTAMINATION ITEMS Condition Item Removed Qty Qty Acceptable or Replaced 9
Can mask respirators (lsm.,lmed.,llg.)
20 Spare respirator canisters (P100 filters) 24 Spare Yellow Anti-C paper suits 6
Large Plastic Bags (3 ea. Yellow and Clear) 24 Small plastic bags (12 ea. Yellow and Clear) 3 Pre-bagged Gloves (10 pr. ea.
~
Wiuti-Co Cioth and Sandoaoer-I-)
I Send completed original forms to Records and Information, AOC-21, a copy to the Emergency Management Program Manager, and the Site RCRA file custodian at mail stop WV-VH-5.
I WV-2473, Rev.
10 NOTE:
The visual examination of items is to include a review of current shelf-life and signs of degradation for appropriate equipment and materials.
Items that have exceeded the recommended shelf-life or show signs of degradation are to be removed immediately.
If the Emergency Response Equipment inventory does not contain the minimum quantities, the Environmental Laboratory department is to restock or replace the inventory as soon as practical.
EMAP-204 Rev.
5 Page 23 of 37 Attachment E Page 3 of 4 ENVIRONMENTAL LABORATORY EMERGENCY RESPONSE EQUIPMENT INVENTORY RESPONSIBLE ORGANIZATION ENVIRONMENTAL MONITORING Mi Current INSTRUMENTATION Condition Item Removed Qty Qty Acceptable or Replaced 1
Ludlum Micro R Meter Model 19-4 2
Ludlum Model 3-2 Survey Meter with Model 44-9 GM Probe 1
Ludlum Model 3-2 Survey Meter with Model 43-5 Alpha Probe 2
RADeCO Portable Air Sampler "4669 & 4670 1
Bicron Micro Rem Survey Meter -
A779Q 1
Eberline Mini Scaler (portable)-
1605 4
Eberline ESP-2 Survey Meter
- 00773, 00764, 00771 and 00768 1
Eberline ESP-l Survey Meter -
1167 1
Reuter-Stokes HPIC (portable)
AE-3/C8342 5
Y.S.I. Inc. Model 3500 Ph and Cond.
Field Meter -
(A)
- G9004462, (B) E9002260 (C) 90F016276, (D)93J09257,,
(E)93J09014 2
GasTech Inc. NH3 Vapor Monitor Model NH-275 -
NHOO09 -
9409156 Interscan Corp. NO2 Gas Monitor Model 1152 -
210184 Send completed original forms to Records and Information, AOC-21, a copy to the Emergency Management Program Manager, and the Site RCRA file custodian at mail stop WV-VH-5.
WV-2473, Rev.
10 NOTE:
The visual examination of items is to include a review of current shelf-life and signs of degradation for appropriate equipment and materials.
Items that have exceeded the recommended shelf-life or show signs of degradation are to be removed immediately.
If the Emergency Response Equipment inventory does not contain the minimum quantities, the Environmental Laboratory department is to restock or replace the inventory as soon as practical.
EMAP-204 Rev. 5 Page 24 of 37 Attachment E Page 4 of 4 1)
Visual Examination Comments Name Signature (Print)
Date Comments:
Send completed original forms to Records and Information, AOC-21, a copy to the Emergency Management Program Manager, and the Site RCRA file custodian at mail stop WV-VH-5.
I I
WV-2473, Rev.
10 FC1>
EMAP-204 Rev.
5 Page 25 of 37 Attachment F Page 1 of 2 EMERGENCY OPERATIONS CENTER (EOC)
EQUIPMENT INVENTORY AND FUNCTIONAL CHECK RESPONSIBLE ORGANIZATION EMERGENCY MANAGEMENT Send completed original forms to Records and Information, AOC-21, a copy to the Emergency Management Manager, and the Site RCRA file custodian at mail stop WV-VH-5.
WV-3317, Rev.
6 EQUIPMENT Condition Item Removed Acceptable or Replaced 486 Compaq Computer & Monitor Deleted Fax Machine 4 Channel VGA Signal Splitters 32" JVC TV Monitors 2 Channel Splitter Quasar 19" TV/VCR (all in one)with remote 286 Computers Masterpiece Plus Surge Protectors HP Laser Jet 4 Plus printer Standard Telephones VGA to Video Portable Plus Converters VGA Switcher Boxes Deleted American Power Conversion Backup Units Kodak Slide Projector Overhead Projector Polaroid Portable Cameras NOTE:
The visual examination of items is to include a review of current shelf life and signs of degradation for appropriate equipment and materials.
Items that have exceeded the recommended shelf-life or show signs of degradation are to be removed from service immediately.
If there is equipment/inventory missing, the Emergency Management department is to restock or replace as soon as practical.
EMAP-204 Rev.
5 Page 26 of 37 Attachment F Page 2 of 2 Visual Examination Comments Name Signature (Print)
Date Comments:
Send completed original forms to Records and Information, AOC-21, a copy to the Emergency Management Program Manager, and the Site RCRA file custodian at mail stop WV-VH-5.
I WV-3317, Rev.
6 I
I
EMAP-204 Rev.
5 Page 27 of 37 Attachment G Page 1 of 2 ALTERNATE EMERGENCY OPERATIONS CENTER (AEOC)
EQUIPMENT INVENTORY AND FUNCTIONAL CHECK RESPONSIBLE ORGANIZATION EMERGENCY MANAGEMENT Send completed original forms to Records and Information, AOC-21, a copy to the Emergency Management Program Manager, and the Site RCRA file custodian at mail stop WV-VH-5.
WV-3322, Rev.
5 Mi Current EQUIPMENT Condition Item Removed Qty Qty Acceptable or Replaced 5
Cellular Telephones 9
Standard Telephones 1
Overhead Projector and Screen 1
Computerized Data Display Computer (286)and Monitor 1
Laser Jet 4 Printer 1
Computer/Monitor for Public Information 1
Electronic Board 1
HP Laser Jet 2 Printer (Public Info.)
1 286 Computer/Monitor for Consequence Assessment 1!
IBM Printer 1
Fax Machine NOTE:
The visual examination of items is to include a review of current shelf-life and signs of degradation for appropriate equipment and materials.
Items that have exceeded the recommended shelf-life or show signs of degradation are to be removed from service immediately.
If the AEOC equipment inventory does not contain the listed minimum quantities, the Emergency Management department shall restock the inventory as soon as practical.
EMAP-204 Rev.
5 Page 27 of 37 Attachment G Page 2 of 2 I
Visual Examination Comments Name Signature Date (Print)
Comments:
Send completed original forms to Records and Information, AOC-21, a copy to the Emergency Management Program Manager, and the Site RCRA file custodian at mail stop WV-VH-5.
I I
WV-3322, Rev.
5
EMAP-204 Rev.
5 Page 29 of 37 Attachment H Page 1 of 3 TECHNICAL SUPPORT CENTER (TSC)
EQUIPMENT INVENTORY AND FUNCTIONAL CHECK RESPONSIBLE ORGANIZATION EMERGENCY MANAGEMENT Send completed original forms to Records and Information, AOC-21, a copy to the Emergency Management Program Manager, and the Site RCRA file custodian at mail stop WV-VH-5.
WV-3323, Rev.
6 Mi Current EQUIPMENT Condition Item Removed Qty Qty Acceptable or Replaced 1
_486 Compaq Computer 5
11" Computer Monitor 1
HP Laser Jet 4 Plus printer 2
Masterpiece Plus Surge Protector 1
Master Surge Protector 1
Surge Arrest Plug Bar 1
Wireless Microphone System 2
Texas Instrument TI-36X Scientific Calculators 1
Radio Shack Scanner 1
Fax Machine 1
VGA Switcher Box 1
VGA Splitter 1
Epson Dot Matrix Printer Deleted Deleted Deleted Deleted 1
Speaker Telephone 7
Standard Telephones NOTE:
The visual examination of items is to include a review of current shelf-life and signs of degradation for appropriate equipment and materials.
Items that have exceeded the recommended shelf-life or show signs of degradation are to be removed from service immediately.
If the TSC facility and equipment inventory-does not contain the listed minimum quantities, the Emergency Management department shall restock the inventory as soon as practical.
EMAP-204 Rev.
5 Page 30 of 37 Attachment H Page 2 of 3 OPERATION SUPPORT CENTER (OSC)
EQUIPMENT INVENTORY AND FUNCTIONAL CHECK RESPONSIBLE ORGANIZATION EMERGENCY MANAGEMENT Mi Current EQUIPMENT Condition Item Removed Qty Qty.
Acceptable or Replaced 1
Radio Shack Scanner 1
jPC Monitor
_oa Book
-1 I
Send completed original forms to Records and Information, AOC-21, a copy to the Emergency Management Program Manager, and the Site RCRA file custodian at mail stop WV-VH-5.
I WV-3323, Rev.
6 NOTE:
The visual examination of items is to include a review of current shelf-life and signs of degradation for appropriate equipment and materials.
Items that have exceeded the recommended shelf-life or show signs of degradation are to be removed from service immediately.
If the TSC facility and equipment inventory does not contain the listed minimum quantities, the Emergency Management department shall restock the inventory as soon as practical.
EMAP-204 Rev. 5 Page 31 of 37 Attachment H Page 3 of 3 Visual Examination Comments Name Signature (Print)
Date Comments:
Send completed original forms to Records and Information, AOC-21, a copy to the Emergency Management Program Manager, and the Site RGRA file custodian at mail stop WV-VH-5.
WV-3323, Rev.
6
EMAP-204 Rev.
5 Page 32 of 37 Attachment I Page 1 of 2 WVNS/BERTRAND CHAFFEE HOSPITAL (BCH)
INVENTORY RESPONSIBLE ORGANIZATION -
EMERGENCY MANAGEMENT Send completed original forms to Records and Information, AOC-21, a copy to the Emergency Management Program Manager, and the Site RCRA file custodian at mail stop WV-VH-5.
WV-3324, Rev.
5 Mi Current EQUIPMENT Condition Item Removed Qty Qty Acceptable or Replaced 2
Red step off pads 2
Green step off pads 1
Ruler 1
Decontamination table 1
Hand held Frisker (WVNS - rotated out semi-annually) 4 Plastic specimen containers 50' Yellow/Magenta rope 4
Soft scrubbing brushes 3
Rolls of duct tape 4
Radiological postings 2
Rolls of masking tape 2
Large clear plastic bags 10 Large yellow plastic bags or clear Rad Waste bags 1
Yellow herculite 2
Anti-C gloves sizes 8
Pre-packaged protective clothing sets:
Anti-C hats Anti-C suits Shoe covers -
8 pairs Rubber boots-8 pairs Plastic bags NOTE:
The visual examination of items is to include a review of current shelf-life and signs of degradation for appropriate equipment and materials.
Items that have exceeded the recommended shelf-life or show signs of degradation are to be removed from service immediately.
If the BCH inventory does not contain the listed minimum quantities, the Emergency Management department shall restock the inventory as soon as practical.
EMAP-204 Rev.
5 Page 33 of 37 Attachment I Page 2 of 2 Visual Examination Comments Name I
Date (Print)
I Send completed original forms to Records and Information, AOC-21, a copy to the Emergency Management Program Manager, and the Site RCRA file custodian at mail stop WV-VH-5.
WV-3324, Rev.
5 Signature Comments:
EMAP-204 Rev.
5 Page 34 of 37 Attachment J Page 1 of 4 WVNS/ERIE COUNTY MEDICAL CENTER (ECMC)
EQUIPMENT INVENTORY AND FUNCTIONAL CHECK RESPONSIBLE ORGANIZATION -
EMERGENCY MANAGEMENT Send completed original forms to Records and Information, AOC-21, a copy to the Emergency Management Program Manager, and the Site RCRA file custodian at mail stop WV-VH-5.
WV-3326, Rev.
3 Min Current EQUIPMENT Condition Item Removed Qty Qty Acceptable or Replaced 1
Emergency Response Guide Book Deleted Deleted Deleted Deleted Deleted Deleted Deleted Deleted Deleted Deleted 2
Contaminated area exit procedure, wall charts Deleted Deleted 2
Anti-C Donning wall charts 2
Anti-C Doffing wall charts 1
Patient, disposable decon tray 24 Furnace filters 3
Plastic drop cloths 1
Cotton swabs Gross NOTE:
The visual examination of items is to include a review of current shelf-life and signs of degradation for appropriate-equipment and materials.
Items that have exceeded the recommended shelf-life or show signs of degradation are to be removed from service immediately.
If the ECMC inventory does not contain the listed minimum quantities, the Emergency Management department shall restock the inventory as soon as practical.
EMAP-204 Rev.
5 Page 35 of 37 Attachment J Page 2 of 4 WVNS/ERIE COUNTY MEDICALL CENTER (ECMC)
EQUIPMENT INVENTORY AND FUNCTIONAL CHECK RESPONSIBLE ORGANIZATION-EMERGENCY MANAGEMENT Min Current EQUIPMENT Condition Item Qty Qty Acceptable Removed or Replaced 96 X-Large Tyvec suits 4
"D" Batteries 9 pr.
Plastic eye goggles Deleted Deleted Deleted Deleted 1
- Ludlum, hand held Frisker (WVNS) 50' Yellow/Magenta Rope 6
Duct Tape rolls 5
Masking tape - assorted widths rolls 90 Zip loc bags 2
Green step off pads 20 Large plastic bags 1
Dosimetry issue log book LDeleted Deleted
___00 Blue -
latex cloves j
I Send completed original forms to Records and Information, AOC-21, a copy to the Emergency Management Program Manager, and the Site RCRA file custodian at mail stop WV-VH-5.
I WV-3326, Rev.
3 NOTE:
The visual examination of items is to include a review of current shelf-life and signs of degradation for appropriate equipment and materials.
Items that have exceeded the recommended shelf-life or show signs of degradation are to be removed from service immediately.
If the ECMC inventory does not contain the listed minimum quantities, t-he Emergency Management department shall restock the inventory as soon as practical.
EMAP-204 Rev.
5 Page 36 of 37 Attachment J Page 3 of 4 WVNS/ERIE COUNTY MEDICAL CENTER (ECMC)
EQUIPMENT INVENTORY AND FUNCTIONAL CHECK RESPONSIBLE ORGANIZATION -
EMERGENCY MANAGENENT Mi Current EQUIPMENT Condition Item Removed Qty Qty Acceptable or Replaced 2
Poitable eyewash st'ations" 1
Green herculite -
Roll(WVNS) 1 Yellow herculite -
Roll(WVNS)
Deleted Deleted Deleted Deleted 15 Prepackaged Anti-C (RMC) 2 Red step off pads.....
Deleted Deleted Deleted Deleted 16 Rad signs
-2 Decon kits (RMC)....
2 Garden'hose 2
Splash reduction spray nozzles 1
Decon table with backboard 2
Waste water collection container 2
Sample 'collection kit 4
Stanchions Deleted Deleted Deleted Deleted Deleted Deleted Delete jted Send completed original forms to Records and Information, AOC-21, a copy to the Emergency Management Program Manager, and the Site RCRA file custodian at mail stop WV-VH WV-3326, Rev. 3 NOTE:
The visual examination of items is to -include a review of current shelf-life and signs of degradation for appropriate equipment and materials.
Items that have exceeded the recommended shelf-life or show signs of degradation are to be removed from service immediately.
If the ECMC inventory does not contain the listed minimum quantities, the Emergency Management department shall restock the inventory as soon as practical.
EMAP-204 Rev.
5 Page 37 of 37 Attachment J Page 4 of 4 Visual Examination Comments Name I
Date (Print)
Send completed original forms to Records and Information, AOC-21, a copy to the Emergency Management Program Manager, and the Site RCRA file custodian at mail stop WV-VH-5.
I I
WV-3326, Rev.
3 Signature Comments:
EMAP-204 Rev.
5 WVNS RECORD OF REVISION Revision On Rev.
No.
Description of Changes Page(s)
Dated 5
GENERAL REVISION Deleted references to HazMat Team Deleted Attachment on HazMat Response Equipment form WV-2479 Repaginated as needed The ERO is affected by this change WV-1807, Rev.
8 05/08/02 All