ML031050407
| ML031050407 | |
| Person / Time | |
|---|---|
| Site: | Fermi  |
| Issue date: | 04/02/2003 |
| From: | Detroit Edison |
| To: | Document Control Desk, Office of Nuclear Reactor Regulation |
| References | |
| Download: ML031050407 (12) | |
Text
DETROIT EDISON -
FERMI 2 AUTOMATED RECORD MANAGEMENT DISTRIBUTION CONTROL LIST 04/02/03 To: 00935 US NRC DOCUMENT CNTRL DESK PAGE 1
WASHINGTON, DC 20555 Media: 8 1/2 X 11 Number Cnt Issue DTC Doc. Serial Number Page Rev Copies Lvl Date Sec Status TPEPT EP RERP APP A 1
1 ST 04/02/03 AFC TPEPT EP-290001 1
1 ST 04/02/03 AFC TPEPT EP-290002 2
1 ST 04/02/03 AFC TPEPT EP-290003 1
1 ST 04/02/03 AFC TPEPT EP-290004 0
1 SP 11/25/02 SUP VOID_STAMP/DESTROY TPEPT EP-290004 1
1 ST 04/02/03 AFC Please destroy or mark all revised, superseded, or cancelled documents as such.
CONTROLLED stamps must be voided by lining through and initialing.
Detroit Edison EF2,'C/O Info Mgmt 140 NOC, 6400 North Dixie Highway, Newport MI 48166. (734) 586-4338 OR (734) 586-4061 for-questions or concerns.
Ref: cb3461
Fermi 2 Detroit RERP Implementing Procedure Edison Appendix A Revision 1 FORMS Revision Summary
- 1)
Added a dash (-) to all form numbers.
Implementation Plan
- 1)
This appendix goes into effect upon issuance.
-FJTROLLED
RERP Implementing Procedure Appendix A - Forms RERP APP A Revision 1 Page 2 FORMS Form No.
EP-290001 EP-290002 EP-290003 EP-290004 EP-290005 EP-290006 EP-290007 EP-540001 EP-540002 EP-540003 EP-540004 EP-540005 EP-540006 EP-540007 EP-540008 EP-540009 EP-540010 Title Nuclear Plant Event Notification Form (ENF)
Nuclear Plant Event Technical Data Form (TDF)
Fire Department Support Request Form Ambulance/Paramedic Support Request Form Hospital Support Request Form Secondary Alarm Station Report Emergency Notification Facsimile Log Controller/Evaluator Comment Form Technical Support Center (TSC) Lead Controller Comment Form Emergency Operations Facility (EOF) Lead Controller Comment Form Operational Support Center (OSC) Lead Controller Comment Form Drill/Exercise Critique Summary Drill/Exercise Component Checklist Drill/Exercise Authorization NRC Performance Indicator (RERP) Documentation Form Scenario Implementation Log Drill/Exercise Feedback Form END
EJ Actual Event NUCLEAR PLANT EVENT NOTIFICATION FORM (Initial Notifications)
Ej Drill Plant Contact Information Nuclear Power Plant:
Ferimi 2 Plant Communicator:
Calling From C Control Room E TSC EJ EOF I] Other Call Back Telephone Number:
3 1 3 2 5 6
Plant Message Number Current Classification Ej Unusual Event a Alert
- r] Site Area Emergency Fa General Emergency El Termination This classification was declared as of:
Date:
Time:
(TDF Required)
I '
Reason for Classification
[ Abnormal Rad Level/Radiological Effluents r] Fission Product Barrier Degradation F] Hazards and Other Conditions Affecting Plant Safety Ej System Malfunction Fermi IC Number:
Plant Status E Stable Ml Degrading a Improving F] Recovery (TDF Required)
Radiological Release in Progress Due to Event C Yes -> AU1 Limits aNo F] None Protective Action Recommendations Evacuation of Area(s):
C]
1 F]
2 G
3 l:
4 El 5 In-Place Shelter of Area(s):
l:
1 la 2 F]
3 F]
4 EI 5 PAR based on: _] Dose Calculations (TDF Required)
E] Security Event E Plant Status a Other Meteorological Data NOTE: 10 m Met Tower Data is preferred.
Wind Direction (degrees):
From To Wind Speed (MPH):
Stability Class:
Precipitation: C)
Yes rd No Approved:
l e
Signature Print Name Date Time Notifications Time Contacted Name Telephone No. or Select Auto-Dial Monroe County Sheriff
_D Auto-Dial Wayne County Sheriff El Auto-Dial Michigan State Police
- E Auto-Dial NRC Operations Center Province of Ontario (Canada)
E Auto-Dial Nuclear Information DTC: TPEPT DSN EP-290001 Rev. 1 P/l1 File. 1703.10 File 0926 09 IP: I Approved:
3-21-03 Issued:
4-2-03 q 3-
NUCLEAR PLANT EVENT TECHNICAL DATA FORM CJi Actual Event El Drill Plant Contact Information Nuclear Power Plant-.
Fermi 2 Plant Communicator:
Calling From.
D Control Room a TSC I] EOF E Other Plant Message Number Call Back Telephone Number:
3 1 3 2 5 6
4 Meteorological Data NOTE: 10 m Met Tower Data is preferred.
l See attached Event Notification Form Wind Direction (degrees):
From To Wind Speed (MPH):
Stability Class:
Precipitation:
1] Yes EJ No Reactor Information Is the reactor shut down?
5 Yes
[5 No Additional Comments (if needed):
Release/Offsite Dose Data:
E N/A OR r-i See Page 2 (If N/A, do not send Page 2)
Approved:
I Signature Print Name Date Time Notifications Time Contacted Name Telephone No. or Select Auto-Dial Monroe County Sheriff
_i Auto-Dial Wayne County Sheriff E_
Auto-Dial Michigan State Police Auto-Dial NRC Operations Center Nuclear Information DTC: TPEPT DSN: EP-290002 Rev. 2 Pl/2 File 1703 10 File: 0926.09 IP. I Approved:
3-21-03 Issued:
4-2-03 13.5-
NUCLEAR PLANT EVENT TECHNICAL DATA FORM Release/Offsite Dose Data Release Pathway:
El Airborne rl Waterborne Projected Release Duration (hrs):
al Actual EJ Potential Time of Calculation:
Plant Message Number Release Rates Noble Gas (Ci/sec)
I Equivalent I -131 (Cilsec)
Particulate (Ci/sec)
Based On: EJ Monitor (in plant)
EJ Sample (in plant)
Dl Back Calculation of Field Data El Other Plant Conditions Projected Dose Rate TEDE Thyroid CDE Distance (mrem/hr)
(mrem/hr)
Site Boundary 2 Miles 5 Miles 10 Miles Projected Dose Distance TEDE Thyroid CDE (mrem)
(mrem)
Site Boundary 2 Miles 5 Miles 10 Miles Measured Offsite Radiation Levels Distance Time Highest Reading (mR/hr)
Sector Site Boundary Miles Miles Miles DTC: TPEPT DSN: EP-290002 Rev. 2 P212 File: 1703.10
FIRE DEPARTMENT SUPPORT REQUEST FORM Monroe County Central Dispatch - Frenchtown Fire Department: 734-241-2727
- 1.
This is:
Name:
-Title Telephone Number calling from Fermi 2. There is a fire onsite. Frenchtown Fire Department assistance is requested immediately.
- 2.
Use the Pointe Aux Peaux Road access gate.
- 3.
Basic information on the fire:
3.1 Type of Fire 3.2 Take the following precautions
- 4.
Determine the following information from Central Dispatch and relay this information to the SAS Operator using EP-290006.
4.1 Number of vehicles expected to arrive 4.2 Number of personnel expected to arrive
- 5.
Complete SAS notification.
DTC TPEPT DSN EP-290003 Rev. I PIl/l Fle: 1703.10 Approved:
3-21-03 Issued:
4-2-03 File: 092609 IP. I
AMBULANCE/PARAMEDIC SUPPORT REQUEST FORM
- 1.
Select required medical response:
NOTE: Make one call only.
LA For Ambulance Only - 734-241-1111 tJ For both Frenchtown Fire Department Paramedics and Ambulance - 734-241-2727
- 2.
This is:
Name:
Title Telephone Number calling from Fermi 2. There are injured personnel onsite and your assistance is required immediately.
- 3.
Number of injured personnel:
- 4.
Injuries to personnel:
- 5.
Nuniber of potentially contaminated personnel:
- 6.
Use the Fermi Drive access gate.
NOTE:
Mercy Memorial Hospital is the primary hospital. Use Oakwood Southshore Medical Center only if conditions prevent the use of Mercy Memorial Hospital.
- 7.
Transport the victim(s) to: tr Mercy Memorial Hospital
@] Oakwood Southshore Medical Center
- 8.
Take the following precautions:
- 9.
Determine the following information from Central Dispatch and relay this information to the SAS operator using EP-290006.
9.1 Number of vehicles expected to arrive 9.2 Number of personnel expected to arrive
- 10.
Complete SAS notification.
DTC: TPEPT DSN: EP-290004 Rev. I P1/l File: 1703 10 Approved:
3-21-03 Issued:
4-2-03 File: 092609 IP: I
DETROIT EDISON -
FERMI 2 AUTOMATED RECORD MANAGEMENT DISTRIBUTION CONTROL LIST 04/02/03 To: 00935 US NRC DOCUMENT CNTRL DESK PAGE 1
WASHINGTON, DC 20555 Media: 8 1/2 X 11 Number Cnt Issue DTC Doc. Serial Number Page Rev Copies Lvl Date Sec Status TPEPT EP-290005 1
1 ST 04/02/03 AFC TPEPT EP-290006 1
1 ST 04/02/03 AFC TPEPT EP-290007 1
1 ST 04/02/03 AFC Please destroy or mark all revised, superseded, or cancelled documents as such.
CONTROLLED stamps must be voided by lining through and initialing.
Detroit Edison EF2, C/O Info Mgmt 140 NOC, 6400 North Dixie Highway, Newport MI 48166. (734) 586-4338 OR (734) 586-4061 for questions or concerns.
Ref: cb3596
HOSPITAL SUPPORT REQUEST FORM NOTE: Mercy Memorial Hospital is the primary hospital. Use Oakwood Southshore Medical Center only C.
if conditions prevent the use of Mercy Memorial Hospital.
Mercy Memorial Hospital: 734-242-6500 Oakwood Southshore Medical Center: 734-671-3883 or 734-671-3800
- l.
This is:
Name:
Title Telephone Number calling from Fermi 2. There are injured personnel onsite and the ambulance service has been contacted to transport the victims to you.
- 2.
Number of injured personnel:
- 3.
Injuries to personnel:
- 4.
Number of potentially contaminated personnel:
- 5.
Number of personnel suffering from excessive radiation exposure: _
- 6.
If there are potentially contaminated personnel state the following:
"You are requested to implement your radiological emergency response plan."
- 7.
Complete SAS notification.
DTC. TPEPT DSN: EP-290005 Rev. I Pll File. 1703.10 File: 0926.09 IP. I Approved:
3-21-03 Issued:
4-2-03 q-39
SECONDARY ALARM STATION REPORT Secondary Alarm Station: Control Room - Security Direct Line or 6-5215
- 1.
Support organization contacted:
n Fire/Paramedics J
Ambulance 2 Hospital (which one?)
Other
- 2.
Number of personnel reporting onsite, if known:
- 3.
Number of vehicles reporting onsite, if known:
- 4.
Owner-controlled area access gate to be used:
t Pointe Aux Peaux P
Fermi Drive
- 5.
Location of emergency (If rescue/ambulance, where the vehicles should attend to the victim):
DTC: TPEPT DSN: EP-290006 Rev. 1 PI/1 File: 1703.10 File: 0926 09 IP: I Approved:
3-21-03 Issued:
4-2-03 Of 3_
I Date:
Facility:
Page of 4
r EMERGENCY NOTIFICATIONS FACSIMILE LOG Message Typ~e Originator No.
(Initial, Follow-up Time (CR, TSC, EOF Locations Sent or Program Button Used or Other) or Alternate facility)
T 0 -I t
+
I
+
+
4 4
DTC TPEPT DSN: EP-290007 Rev. I PIll File: 1703.10 File 0926 09 IP. I Approved: 21-03 Issued:
4-2-03 93-3