ML031681413

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To IP-EP-115, Emergency Plan Forms
ML031681413
Person / Time
Site: Indian Point Entergy icon.png
Issue date: 06/03/2003
From:
Entergy Nuclear
To: David Silk
Document Control Desk, Office of Nuclear Reactor Regulation
References
-RFPFR, 28207, FOIA/PA-2003-0379, FOIA/PA-2003-0388 IP-EP-115, Rev 3
Download: ML031681413 (65)
v • d • e


Text

Page:

1 DISTRIBUTION CONTROL LIST

!ocument Name:

EMER PLAN CC_NAME NAME DEPT LOCATION EP/TRAINING ADMINISTRATOR RES DEPARTMENT MANAGER REFERENCE LIBRARY JOINT NEWS CENTER SHIFT MGR.(LUB-001-GEN)

CONTROL ROOM & MASTER EOF AEOF/A.GROSJEAN(ALL EP S)

NUC ENGINEERING LIBRARY TSC RESIDENT INSPECTOR SILK DAVID SILK DAVID DOCUMENT CONTROL DESK AVRAKOTOS N E-PLAN STAFF E-PLAN STAFF BARANSKI J(VOLUME I ONLY)

SUTTON A -(VOLUME I

ONLY)

LONGO N (VOLUME I ONLY)

GREENE D (VOLUME I ONLY)

RAMPOLLA M(VOLUME I ONLY)

SIMULATOR QA MANAGER C.STELLATO(NRQ-OPS TRN)

L.GRANT(LRQ-OPS/TRAIN)

E-PLAN STAFF J.CHIUSANO(OPS INSTR)

L.GRANT(LRQ-OPS/TRAIN)

L.GRANT(LRQ-OPS/TRAIN)

C.STELLATO(NRQ-OPS TRN)

C.STELLATO(NRQ-OPS TRN)

PLANT MANAGER'S OFFICE DOCUMENT CONTROL CONTROL ROOM (UNIT 2)

SIMULATOR NRC RESIDENT ROBERT VOGLE (UNIT 2)

JOHN MCCANN (UNIT 2)

TRAINING (ALL EP'S)

RES (UNIT 3/IPEC ONLY)

REC/TRN(UNT 3/IPEC ONLY)

EMER PLN (ALL EP'S)

OPS (UNIT 3/IPEC ONLY)

OPS(3PT-DO01/6(U3/IPEC)

E-PLAN (ALL EP'S)

E-PLAN (EOP'S ONLY)

DOC (UNIT 3/IPEC ONLY)

RECORDS US NRC(UNIT 3/IPEC ONLY)

NRC (ALL EP'S)

NRC (ALL EP1 S)

NRC (ALL EP'S)

J A(UNIT 3/IPEC ONLY)

E-PLAN (ALL EP'S)

E-PLAN (ALL EP'S)

ST. EMERG. MGMT. OFFICE DISASTER & EMERGENCY EMERGENCY SERVICES DISASTER & CIVIL DEFENSE OFFICE OF EMERG MANAGE TRAIN(UNIT 3/IPEC ONLY)

QA (UNIT 3/IPEC)

NRQ (UNIT 3/IPEC ONLY)

LRQ (UNIT 3/IPEC ONLY)

E-PLAN (ALL EP'S)

(UNIT 3/IPEC ONLY)

LRQ (UNIT 3/IPEC ONLY)

LRQ (UNIT 3/IPEC ONLY)

NRQ (UNIT 3/IPEC ONLY)

NRQ (UNIT 3/IPEC ONLY)

ADMIN/(UNIT 2/IPEC ONLY)

UNIT 2(UNIT 2/IPEC ONLY)

OPS (UNIT 2 & IPEC ONLY)

TRAIN (UNIT 2/IPEC ONLY)

US NRC(UNIT 2/IPEC ONLY)

TRAIN/LIB (ALL EP'S)

NUC SAFETY/LIC(ALL EP'S)

  1. 48 45-4-A BLDG/17 EOF IP3 IP3(ONLY)

EOF WPO-12D WPO/7A 45-3-F 45-2-B OFFSITE OFFSITE OFFSITE OFFSITE EOF EOF OFFSITE WESTCHESTR ROCKLAND ORANGE PUTNAM 48-2-A TRL #2A

  1. 48
  1. 48 EOF
  1. 48
  1. 48
  1. 48
  1. 48
  1. 48 IP2 IP2 IP2 IP2 IP2 TODDVILLE IP2 2

3 4

9 10 11 14 16 19 21 22 23 24 25 28 29 30 31 32 33 34 35 41 107 319 354 376 424 510 511 512 513 517 518 520 521 522 523 524 13-MAR-03 k5

ATTACHMENT 10.1 SMM CONTROLLED DOCUMENT TRANSMITTAL FORM SITE MANAGEMENT MANUAL CONTROLLED DOCUMENT TRANSMITTAL FORM - PROCEDURES Page 1 of 1 EnIergv CONTROLLED DOCUMENT l ___________________________j TRANSMITTAL FORM - PROCEDURES TO: DISTRIBUTION DATE:

61312003 TRANSMITTAL NO: 28207 (Circe one)

FROM: IPEC DOCUMENT CONTROL: EEC or 1P2 53'EL PHONE NUMBER: 271-7057 The Document(s) identified below are forwarded for use. In accordance with IP-SMM-AD-103, please review to verify receipt, incorporate the document(s) into your controlled document file, properly disposition superseded, void, or inactive document(s). Sign and return the receipt acknowledgement below within fifteen (15) working days.

AFFECTED DOCUMENT:

EMERGENCY PLANNING PROCEDURE:

IPEC DOC #

REV #

TITLE INSTRUCTIONS NOTE: REPLACE CURRENT INDEX WiTH ATTACHED REVISED INDEX.

THE FOLLOWING PROCEDURE HAS BEEN REVISED. REPLACE CURRENT COPY WITH ATTACHED REVISED COPY:

IP-EP-115 REV.3

                      • PLEASE NOTE EFFECTIVE DATE***********

RECEIPT OF THE ABOVE LISTED DOCUMENT(S) IS HEREBY ACKNOWLEDGED. I CERTIFY THAT ALL SUPERSEDED, VOID, OR INACTIVE COPIES OF THE ABOVE LISTED DOCUMENT(S) IN MY POSSESSION HAVE BEEN REMOVED FROM USE AND ALL UPDATES HAVE BEEN PERFORMED IN ACCORDANCE WITH EFFECTIVE DATE(S) (IF APPLICABLE) AS SHOWN ON THE DOCUMENT(S).

NAME (PRINT)

SIGNATURE DATE CC#

Id is IPEC SITE QuALITY RELATED IP-SMM-AD-103 Revision 0 z::=EnteW MANAGEMENT ADMINISTRATIVE PROCEDURE MANUAL INFORMATIONAL USE Page 13 of 21

TO:

FROM:

Nuclear Regulatory Commission 2J IPEC Emergency Planning

SUBJECT:

Emergency Planning Document Update Date: 05/19/03 Please update your controlled copy of the documents listed below as specified with the copy(s) attached.

Please sign this memo indicating that you have completed the update as specified and return to:

Entergy Nuclear Indian Point Nuclear Generating Station Records and Documents Department Broadway & Bleakley Aves.

Buchanan, NY 10511 Attn: Document Custodian TOC 1 05/19/03 05/05/03 Replace old with new Rev. 3 Rev. 2 IP-EP-115 Emergency Plan Forms Replace old with new 05/19/03 05/05/03 Rpaeodwt e

Update completed as specified:

Signature of Controlled Copy Holder Date

-euvol

Indian Point Energy Center Emergency Plan Implementing Procedures Table of Contents IP-EP-1 15 Emergency Plan Forms 3

05/19/03 IP-EP-130 Emergency Notifications and Mobilization 0

05/05/03 IP-EP-250 Emergency Operations Facility 0

03/06/03 IP-EP-251 Altemate Emergency Operations Facility 1

03/06/03 IP-EP-255 Emergency Operations Facility Management and Liaisons N/A VOIDED IP-EP-260 Joint News Center 0

03/06/03 IP-EP-310 Dose Assessment 1

03/06/03 IP-EP-410 Protective Action Recommendations 1

03/06/03 IP-EP-510 Meteorological, Radiological & Plant Data Acquisition System 1

03/06/03 IP-EP-520 Modular Emergency Assessment & Notification System (MEANS) 1 03/06/03 IP-EP-610 Emergency Termination and Recovery 1

03/06/03 IP-EP-620 Estimating Total Population Exposure 1

03/06/03

[ __=_

As of 5/19/03 Page 1 of 1

IPEC NON-QuALrTy RELATE-D I-P15 Rvso EMERGENCY PLAN PROCEDURE IP EP-115 Revision3 IMPLEMENTING En te PROCEDURES REFERENCE USE Page 1

of 6

CONTROLLED COPY #

Emergency Plan Forms Prepared by:

Approval:

Daria Weaver Pnnt Name Frank Inzirio Effective Date: May 19. 2003 EP-IP-EP-115 (Forms) R3.doc I

"(~

e 4 ~ IU uate d2&/a,)

Print Nnrnn QIVHL auw.,

r'lwl L UL

Table of Contents Section Paae 1.0 PURPOSE......................................

3

2.0 REFERENCES

3 3.0 DEFINITIONS......................................

3 4.0 RESPONSIBILITIES......................................

3 5.0 DETAILS......................................

3 5.1 Use of Forms.....................................

3 5.2 Control of Forms.....................................

3 5.3 Method of Placing Forms in this Procedure......................................

3 6.0 INTERFACES......................................

4 7.0 RECORDS......................................

4 8.0 REQUIREMENTS AND COMMITMENTS....................................

4 9.0 ATTACHMENTS 9.1 Current List of Effective Forms 5

IPEC NON-QUALiTY RELATED IPE-15 Rvso3 EMERGENCY PLAN PROCEDURE IP-EP-115 Revision 3 da_

IMPLEMENTING IfEntew PROCEDURES REFERENCE USE Page 2

of 6

Emergency Plan Forms 1.0 PURPOSE This procedure controls Forms used by the Emergency Response Organization during emergencies.

2.0 REFERENCES

NONE 3.0 DEFINITIONS NONE 4.0 RESPONSIBILITIES 5.1 The Emergency Planning Department is responsible for maintaining forms used by the Emergency Response Organization in accordance with this procedure.

5.0 DETAILS 5.1 Use of Forms 5.1.1 The Implementing Procedure that calls for a form to be completed controls the actual use of forms.

5.1.2 Any needed instructions for form completion will either be on the form itself or in the procedure calling for its use.

5.2 Control of Forms 5.2.1 Forms are numbered sequentially as the need for them is defined by other implementing procedures.

5.2.2 Form numbers will be formatted as "Form EP-n Rev x", where n is the sequential number of the form and x is the current revision of the form.

5.3 Method of Placing Forms in this Procedure 5.3.1 Forms are attached as addendums to this procedure. They will appear formatted in the end use format. There will be no annotation on the addendums or actual forms showing addendum number or procedure page number.

IPEC NON-QuALuTY RELATED IP-EP-115 Revision 3 EMERGENCY PLAN PROCEDURE IMPLEMENTING I fEW fW PROCEDURES REFERENCE USE Page 3

of 6

i 6.0 INTERFACES, Current List of Effective Forms contains interfacing documents to each form.

7.0 RECORDS Forms become official records when completed during a declared emergency.

8.0 REQUIREMENTS AND COMMITMENT CROSS-REFERENCE None 9.0 ATTACHMENTS Current List of Effective Forms IPEC NON-QuALITY RELATED IP-EP-115 Revision 3 EMERGENCY PLAN PROCEDURE a_

IMPLEMENTING Ent&lgy PROCEDURES REFERENCE USE Page 4

of 6

Aftachment 9.1

EMERGENCY PLAN NON-QUALITY RELATED IP-EP-115 Revision 3 IMPLEMENTING EntIy PROCEDURES REFERENCE USE Page 5

of 6.1 Current List of Effective Forms Sheet 1 of 2 Form Current Form Title Interfacing Number Revision (number of pages)

Procedures EP-1 Rev. 1 NYS Radiological Emergency Data Form, Part 1 IP-EP-130 (1 page)

IP-EP-250 IP-1010 (Unit 2)

IP-2001 (Unit 3)

EP-2 Rev. 1 NYS Radiological Emergency Data Form, Part 2 IP-EP-130 (1 page)

IP-EP-250 IP-1010 (Unit 2)

EP-3 Rev. 1 CCR NUE Notification Checklist IP-EP-130 (2 pages, used back to back)

IP-EP-250 IP-1010 (Unit 2)

IP-2001 (Unit 3)

EP-4 Rev. 1 CCR Initial Notification Checklist - AlerVSAE/GE IP-EP-130 (2 pages, used back to back)

IP-EP-250 IP-1010 (Unit 2)

IP-2001 (Unit 3)

EP-5 Rev. 1 Upgrade I Update Notification AlertSAElGE Checklist IP-EP-130 (2 pages, used back to back)

IP-EP-250 IP-1010 (Unit 2)

IP-2001 (Unit 3)

EP-6 Rev. 0 Emergency Exposure Authorizations IP-EP-250 I

~~~~~~~~~~~~~~~~~~~~~

023 (Unit 2)

EP-7 Rev. 0 EOF Staffing IP-EP-250 EP-8 Rev. 0 Recovery Issues I Strategies Form IP-EP-61 0 IP-EP-250 EP-9 Rev. 1 Essential Information Checklist IP-1010 (Unit 2)

IP-2001 (Unit 3)

EP-10 Rev. 0 ERO Log Sheet IP-EP-250 IPEC Manual Dose Assessment Worksheet IIPEP EP-1 1 Rev. 1 Estimating Containment Activity via R-25 / 26 P-E-310 EP-12 Rev. 0 Estimated Total Population Dose (8 pages)

IP-EP-620 IPEC Manual Dose Assessment WorksheetJ TEDE Whole EP-13 Rev. 1 Body Exposure Calculations and TODE Thyroid Exposure IP-EP-310 Calculations (2 pages)

EP-14 Rev. 0 EOF Check Point Sign-In Log (2 pages, used back to back)

IP-EP-250 EP-15 Rev. 0 (un-assigned)

EP-16 Rev. 0 (un-assigned)

EP-17 Rev. 0 IP-2 Manual Determination of Release Rate IP-EP-310 a

IPEC NON-QuALITY RELATED EMERGENCY PLAN PROCEDURE IP-EP-115 Revision 3 IMPLEMENTING JEntelgy PROCEDURES REFERENCE USE Page 6

of 6.1 Current Llst of Effective Forms Sheet 2 of 2 Form Current Form Title Interfacing Number Revision (number of pages)

Procedures EP-18 Rev. 0 IP-3 Manual Determination of Release Rate IP-EP-310 EP-19 Rev. 0 IPEC Manual Dose Assessment Worksheet/Back IP-EP-310 ev._____

Calculating Release Rate from Field Data EP-20 Rev. 1 Emergency Director Turnover Sheet IP-EP-250 EP-21 Rev. 0 Media Briefing Worksheet IP-EP-260 EP-22 Rev. 0 Media Briefing Issues Form IP-EP-260 EP-23 Rev. 0 JNC Staffing Form IP-EP-260 EP-24 Rev. 0 Emergency Summary Sheet IP-EP-260 EP-25 Rev. 1 Written Statement Distribution Checklist IP-EP-260 EP-26 Rev. 2 Information Distribution Guide IP-EP-260 EP-27 Rev. 0 Public Inquiry - Media Referral and Media Monitoring Form IP-EP-260 EP-28 Rev. 0 Joint News Center Fax Cover Sheet IP-EP-260 EP-29 Rev. 0 Individual Exposure Tracking Log IP-EP-250 EP-30 Rev. 0 Monitoring Team Radiation Field Survey Data IP-EP-250 EP-31 Rev. 0 Monitoring Team Sample Data IP-EP-250 EP-32 Rev. 0 Determination of Radioactive Airborne Concentrations IP-EP-250 EP-33 Rev. 0 Media Inquiry Log IP-EP-260 EP-34 Rev. 0 Courtesy Call Guide IP-EP-260 EP-35 Rev. 0 JNC Talking Points IP-EP-260 EP-36 Rev. 0 Primary - ERO Activation Checklist IP-EP-130 EP-37 Rev.

Backup - ERO Activation Checklist IP-EP-1 30 NRC 361 12-2000 Reactor Plant Event Notification Worksheet (NRC Form)

IP-EP-130 I

k New York State Radiological Emergency Data Form Notification #

Indian Point Energy Center Part I - General Information Instructions

1.

This message being transmitted on:_______ at:_______

O AM VIA: A. RECS

_/

.(Date)

(Tmie) 0 PM B. Other

2.

This is...

A. NOT an Exercise B. An Exercise

3.

The Facility Affected is:

A. Unit 2 B. Unit 3 C. Both

4.

The Emergency A. Unusual Event C. Site Area Emergency E. Emergency F. Recovery B. Alert D. General Emergency Termninated G. Other

5.

This Emergency Classification Declared on:

at:

AM (Date)

(ime)

PM

6.

Release of A. No Release Radioactive Materials B. Release BELOW federally approved operating limits (Technical Specifications) due to the Classified Event:

0 To Atmosphere O To Water C. Release ABOVE federally approved operating limits (Technical Specifications) 0 To Atmosphere 0 To Water D. Unmonitored Release - requiring evaluation

7.

Protective Action Recommendations:

A. No need for Protective Actions outside the site boundary.

B. EVACUATE and implement the KI plan for the following ERPAs:

1 2

3 4

5 6 7

8 9

10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 C. SHELTER all remaining ERPAs.

S.

EAL Number: L i7 Brief Event Description

9.

The Plant status is:

A. Stable C. Degrading E. Cold Shutdown B. Improving D. Hot Shutdown

10.

Reactor Shutdown:

A. Not Applicable B.

at:

OAM (Date)

(ime)

OPM

11.

Wind Speed:

Meters/Second at elevation 10 meters.

12.

Wind Direction: (From) _Degrees at elevation 10 meters.

13.

Stability Class:

A B C D E F G

14.

Report By: _at Telephone Number (914)

(Communicator's Name)

Message Received by:

IMessage Ended at:

Emergency Director Review and Approval:

Part I Page 1 of Effective 5/5/3 Form EP-1, Rev 1

New York State Radiological Emergency Data Form Indian Point Energy Center Part II - Radiological Assessment Data

[This Is:

A. NOT an Exercise B. An Exercise Message transmitted at:

Date:

Time:

Location / Facility transmitted from:

16.

General release information:

A. Event Release started Date _

Time:

B.

Event Release expected to end Date:

.Time:

C.

Event Release ended:

Date:

.Time:

D. Reactor Shutdown:

N/A OR Date:

.Time:

Meteorological Data As of Date: _

Time:

E.

Wind Speed meters/second At elevation:

meters F.

Wind Direction:

degrees At elevation:

meters G. Stability class (Pasquill):A B C D E F G

17.

Atmospheric release Information:

As of Date Time_

A. Release from:

Ground O Elevated D.

Noble gas release rate:

Ci/sec B.

Iodine/Noble gas ratio:

E.

Iodine release rate Cl/sec (Assumed OR Actual)

C. Total release rate:

Cilsec F.

Particulate release rate Cilsec

18.

Waterborne release Information:

As of Date Time_

A. Volume of release gallons C.

Radiolnuclides in release:

B. Total concentration:

/uCI/ml D.

Total activity released Ci

19.

Dose calculations (based on a release duration of hours)

Calculation is based on (circle one):

A. Inplant measurements B.

Field Measurements C.

Assumed source term Table below applie to (circle one) A. Atmospheric release B. Waterbome release DOSE DISTANCE Xp/Q TEDE (Rem)

TODE (Rem)

Site Boundary 2 Miles 5 Miles 10 Miles Miles

20.

Field measurement of dose rates or surface contaminatlonJdepositlon:

Mile/Sector OR Time of Dose Rate (mRh) OR Mile/Degrees Location OR Sampling Point Reading Contamination (liCilm2)

Emergency Director Review and Approval:

Part II Page 1 of 1 Form EP-2, Rev 1

Control Room NUE Notification Checklist Note:

Perform only circled Items for NUE periodic Update Notifications

1. Contact opposite unit's Control Room and inform them of classification, time, EAL# and brief description.

IF Unit 3 is the affected unit THEN request Unit 2 Control Room to notify the ERO per step 13 of this checklist Unit 2: 734-5294 (5295)

Unit 3: 736-8277 (8282)

2. Notify Security Shift Supervisor at 736-8067 (8068) and provide them with the affected unit, date/ime of NUE classification. IF Unit 3 Is declaring the event, THEN request an Offsite Communicator report to the Control Room.

."l l:

S^

~

l;

-S

1
3. Pick up the RECS handset and depress the RECS ring button (for V-Band press the number "" button on the keypad.)
4. When you hear the message You have initiated a conference..." state:

"This Is to report an event at Indian Point Energy Center. Standby for roll call" (iE you did not hear the above message within 5 seconds of pressing the button THEN hang up (for V-Band press 'Clear to hang up), wait 5 seconds and repeat steps 3 and 4.

)F unable to contact any station via RECS THEN use Local Govemment Radio (LGR) (instructions on back).

OR telephone (phone numbers on back), to contact Waming Point(s) for those stations not reached.

Enter time you are starting the initial roll call in the space provided below.

I Initiate roll call by asking "(location title) are you on the line?" for each of the following stations, stopping after each name is read to allow station to identify itself. Check off 'Initial Roll Call" for each location as they answer the roll call:

Location Initial Final Location

~Roll Call Roll Call Time Initial Roll Call New York State U

0 Started I

I Time Final Roll Call Completed Westchester County U

U Peekskill City U

U Rockland County U

U Orange County u

U Putnam County u

U West Point U

U O SLOWLY read all of the information from the completed and approved NYS Radiological Emergency Data Form Part 1.

After reading the form say "Stay on line for final roll call."

G Perform a final roll call by asking "(location title) did you copy?" for each location. Check off Final Roll Call" for each location as they answer the roll call. lF any location did not copy the message THEN instruct them to call the State for clarification or, requested, repeat the form nformation.

O End notification by saying "Indian Point out at (time)". Enter final Roll Call time in the space provided above.

IF any location did not answer the initial roll call THEN contact the missing location via telephone (telephone numbers on back of this form) and direct them to either call the State to obtain the notification Information or read them the information over the telephone. Record the location and time of this notication In the comment section of this form.

S.

S.

MS.1lirM,IXTTa-MNIKC1

13. Ask the Shift Manger (Emergency Director) f Emergency Response Organization mobilization is needed or f Emergency Response Organization should receive Event Notification only. IE Unit 3 s the affected unit THEN contact the Unit 2 Control Room and direct notification by one of the following as appropriate:

IF Emergency Response Organization mobilization is needed, THEN use Envelope A "IPEC ERO Mobilization" envelop to mobilize the ERO. (Form EP-36)

IF event notification only, THEN use Envelope B IPEC ERO Event Notification" envelop to contact the approprate ERO members to notify them of the event. (Form EP-36)

IE Emergency Response Organization mobilization is needed for a Security Event, THEN use Envelope C "IPEC ERO Mobilization to Backup Locations envelop to mobilize the ERO. (Form EP-36)

Go to page 2 (back)

Proprietary Information Page of 2 Form EP-3 Rev

Control Room NUE Notification Checklist (cont)

Note:

Perform only circled Items for NUE periodic Update Notifications

14. Call Indian Point Communicatons Representative at 914-271-7031 Read the following statement to individual answering or into answering machine:

"This Is the Unit _

Control Room, an Unusual Event was declared at _

(time) on Emergency Action Level number _

(EAL)

Obtain and enter name of Individual contacted:

me v M

15. IF it Is during normal working hours THEN not-fy the affected unit(s) NRC Resident Inspector Unit 2: 739-9361 or x 5347 Unit 3: 739-8899 IF during off-hours THEN call or page the NRC Senior Resident Inspector using phone numbers provided In the Emergency Telephone Directory Provide the Inspector with Date/Time of NUE classification, EAL # and brief description of event.

Contact NRC by calling main number listed on ENS phone. (F main number does not work THEN use 1 st, 2nd or 3rd backup number, or region 4 altemate number listed.)

Inform them that this Is a 50.72 notification and provide them with Date/Time of emergency classification, EAL

  1. and brief description of event. Complete NRC Form 361, if requested.

O Record any Comments:

1 Date and sign this form IDate:

I Signature:

G Inform the Shift Manager that you have completed NUE notifications.

Fax copies of the NYS Radiological Emergency Data Form, Part I to State, counties, TSC, EOF, and JNC and provide originals to the Shift Manager.

Use of Local Govemment Radio or commercial telephone:

A.

If using the LGR (for V-Band depress the 'LGR" button on the communications console) verify power on and pickup the handset & depress the handset button. Conduct roll call (see step 7).

B.

If using the commercial telephone, then dial the Waming Points phone numbers below.

C.

Transmit the following: Thls Is to report that an Unusual Event has been declared at Indian Point Energy Center.

Stand by for a fax of the Part I form".

D. Fax the Part I form to the State and Counties Waming Points and EOC's.

Waming Point and EOC phone numbers Location Warning Point Phone #

EOC Phone #

Westchester County 914-864-7890 914-995-3026 or -3027 Peekskill City 914-737-8000 914-737-8000 Rockland County 845-364-8600 845-364-8800 or 364-8900 Orange County 845-291-4033 845-291-3199 Putnam County 845-225-4300 845-225-3896 or 225-9376 West Point 845-938-8846 845-938-8846 New York State 518-457-2200 or 457-6811 518-457-9900 Proprietary Information l

I Page 2 of 2 Forrn EP-3 Rev 1

Control Room Initial Notification Checklist - Alert / SAE / GE ii; Note: If the Shift Manager does not feel It Is safe to relocate personnel at this tme DO NOT sound the Site Assembly Alarm or call for personnel to report to the Assembly Areas.

1. Contact opposite unit's Control Room and inform them of classification, time, EAL# and brief description.

Unit 2: 734-5294 (5295)

Unit 3: 736-8277 (8282)

2.

Coordinate the following with the opposite unit Control Room:

a. Sounding of the Site Assembly Alarm for 30 seconds and,
b. Announcing the following message over both Unit's P.A. Systems three (3) times:

"Attention all personnel, a (Alert/Site Area Emergency/General Emergencj has been declared" "All Essential Personnel report to your assigned emergency facility" "All other personnel report to the (Energy Education Center [Unit 2]y (Training Center [Unit 3])"

3.

Notify Security Shift Supervisor at 736-8067 (8068) and provide them with the affected unit, date/time of classification. IF Unit 3 is declaring the event, THEN request an Offsite Communicator report to the Control Room 0

P I' 0

  • 0-I
4. Request direction from Shift Manger (Emergency Director) as to ERO mobilization needed utilizing the appropriate envelope. IE Unit 3 is the affected unit THEN contact the Unit 2 Control Room and direct notification by one of the following, as appropriate:

E IF a Security Event, THEN use Envelope C "iPEC ERO Mobilization to Backup Locations" (Form EP-36, Primary - ERO Activation Checklist) to mobilize EROs to backup locations.

Otherwise use Envelope A lPEC ERO Mobilization" (Form EP-36, Primary - ERO Activation Checklist) to mobilize EROs.

wiln.

-z

.1

5.

Pick up the console handset and depress the RECS button (f V-Band press the number 7" button on the keypad.)

6.

When you hear the message 'You have initiated a conference..." state:

"This Is to report an event at Indian Point. Standby for roll call"

7.

IE you did not hear the above message within 5 seconds of pressing the button THEN hang up (If V-Band press 'Clear to hang up), wait 5 seconds and repeat steps 5 and 6.

8.

IF unable to contact any station via RECS THEN use Local Govemment Radio (LGR) (instructions on back)

OR telephone (phone numbers on back), to contact Warning Point(s) for those stations not reached.

9.

Enter time you are starting the nitial roll call in the space provided below.

10. Initiate roll call by asking "(location title) are you on the line?" for each of the following stations, stopping after each name is read to allow station to identify itself. Check off lInitial Roll CaIr for each bcation as they answer:

Location Initial Final Roll Call Roll Call Time Initial Roll Call New York State Q

z Started Westchester County LI Peekskill City 0

0 Time Final Rockland County 0

0 Roll Call Completed Orange County 0

O Putnam County 0

O West Point 0

O

11. SLOWLY read all of the information from the completed and approved NYS Radiological Emergency Data Form Part 1. After reading form say "Stay on line for final roll call.'
12. Perform a final roll call by asing (location title) did you copy?" for each location. Check off "Final Roll Call' for each location as they answer the roll call. IF any location did not copy the message THEN Instruct them to call the State for clarification or, if requested, repeat the information.
13. End notification by saying 'Indian Point out at (time)'. Enter the ime above when final roll call is completed.
14. IE any location did not answer the initial roll call THEN contact the missing location via telephone and direct them to either call the State to obtain the notification information or read form Information over the telephone. Record the location and time of this notification in the comment section of this form.

Go to page 2 (back)

Proprietary Information Page 1 of 2 Form EP-4 Rev 1

CCR Initial Notification Checklist AlertSAE/GE (cont) 4* 1-0.*

15. Call Indian Point Communications Representative at 914-271-7031 IF individual answers THEN read the following statement:

'This Is the Unit _

Control Room, a(n) (Alert/Site Area Emergency/General Emergency}

(circle proper classification) was declared at _

on Emergency Action Level number _

(time)

(EAL #)

Obtain and enter name of individual contacted:

OR E after 2-5 rings the machine picks up THEN read the above message into machine after beep.

so0*

16. IF it is during normal working hours THEN notify the affected unit(s) NRC Resident Inspector Unit 2: 739-9361 or x 5347 Unit 3: 739-8899 IF during off-hours THEN call or page the NRC Senior Resident Inspector using phone numbers provided in the Emergency Telephone Directory Provide the Inspector with Date/Time of NUE classification, EAL # and brief description of event.
17. Contact NRC by calling main number listed on ENS phone. (IF main number does not work THEN use 1 ', 2nd or 3d backup number, or region 4 alternate number listed.)

Inform them that this is a 50.72 notification and provide them with Date/Time of emergency classification, EAL # and brief description of event. Complete NRC Form 361, requested.

18. Record any Comments:
19. Date and sign this form I Date:

I Signature:

20. Inform the Shift Manager that you have completed emergency notifications.
21. Fax copies of the NYS Radiological Data Form, Part I to State, counties, TSC, EOF and JNC and provide originals to the Shift Manager.

Use of Local Government Radio or commercial telephone:

A.

If using the LGR (for V-Band depress the 'LGR" button on the communications console) verify power on and pickup the handset & depress the handset button. Conduct roll call (see step 7). If using the commercial telephone, then dial the Waming Points phone numbers.

B. Transmit the following: "This Is to report that a (emergency classification) has been declared at Indian Point Energy Center. Stand by for a fax of the Part I form."

C.

Fax the Part I form to the State and Counties Warning Points and EOC's.

Waming Point and EOC phone numbers Location Warning Point Phone #

EOC Phone #

Westchester County 914-864-7890 914-995-3026 or 995-3027 Peekskill City 914-737-8000 914-737-8000 Rockland County 845-364-8600 845-364-8800 or 364-8900 Orange County 845-291-4033 845-291-3199 Putnam County 845-225-4300 845-225-3896 or 225-9376 West Point 845-938-8846 845-938-8846 New York State 518-457-2200 or 457-6811 518-457-9900 Proprietary Information Page 2 of 2 Form EP-4 Rev 1

i Update Notification (or upgrade from EOF) / AlertISAE/GE Checklist Upgrade notifications shall be made within 15 minutes of ciassification change. Periodic Update Notifications should be done approximately every 30 minutes or more frequent when conditions change.

Rm

-e I

1. IF a Site Area Emergency or General Emergency is declared and initial accountability has not been completed THEN notify the unaffected unit control room and coordinate the sounding or have both control rooms sound the Site Assembly Alarms
2.

IF the emergency classification changes THEN perform the following:

A.

Announce (or have both CCRs announce) the applicable message over the P.A. Systems three (3) times:

"Attention all personnel, a (Site Area Emergency / General Emergency) has been declared" OR if emergency classification is terminated THEN announce:

'Attention all personnel, the emergency has been terminated" B. Call the unaffected unit control room and Security Shift Supervisor and inform them of the new classification.

3.

Pick up the RECS handset and depress the RECS ring button (for V-Band press the number T? button on the keypad.)

4.

When you hear the message You have initiated a conference...' state:

"This Is to report an event at Indian Point Energy Center-Standby for roll call"

5.

IF you did not hear the above message within 5 seconds of pressing the button THEN hang up (for V-Band press 'Clear to hang up) wait 5 seconds and repeat steps 3 and 4

6.

IF unable to contact any station via RECS THEN use Local Govemment Radio (LGR) (instructions on back)

OR telephone (phone numbers on back), to contact Waming Point(s) or EOC(s) f activated for those stations not reached.

7.

Enter time you are starting the initial roll call In the space provided below.

8.

Initiate roll call by asking "(location title) are you on the line?" for each of the following stations, stopping after each name is read to allow station to Identify Itself. Check off Initial Roll Call" for each location as they answer the roll call:

Location Initial Final Roll Call Roll Call Time Initial Roll Call New York State i

Started Westchester County 0

0 Peekskill City O

Cl Time Final I

Roll Call Completed Rockland County l

O Orange County iIi Putnam County

°

° West Point O

0

9. SLOWLY read all of the information from the completed and approved NYS Radiological Emergency Data Form Part 1. After reading form say "Stay on line for final roll call.'
10. Perform a final roll call by asking '(location title) did you copy?" for each location. Check off 'Final Roll Call" for each location as they answer the roll call. IF any location did not copy the message THEN instruct them to call the State for clarification or, if requested, repeat the form information.
11. End notification by saying Indian Point out at (time)". Enter final Roll Call time in the space provided above.
12. IF any location did not answer the initial roll call THEN contact the missing location via telephone and direct them to either call the State to obtain the notification Information or read them the form information over the telephone. Record the location and time of this notification in the comment section of this form.

Go to page 2 (back)

Proprietary Information I

I Page 1 of 2 Form EP-5 Rev 1

Update Notification (or upgrade from EOF) / Alert/SAE/GE Checklist (cont)

Note:

Use the CCR AlertSAElGE Initial Notification Checklist for upgrade from NUE to Alert.

S **

R S **.5

13. Contact NRC by calling main number listed on ENS phone. (IF main number does not work THEN use 1 t, 2nd or 3rd backup number, or region 4 alternate number listed.)

Inform them that this is a 50.72 notification and provide them with the facility, classification, date/time of class-fication, EAL # and brief description of event. Complete NRC Form 361, if requested.

e In

  • 11
14. IF the emergency Is classified at an Alert or higher THEN notify the following via telephone (additional numbers may be In Emergency Telephone Directory). Provide the facility, classification, date/time of the classification, brief event description, and any other info requested. Update with each classification change.

ANI (860) 561 - 3433 NYPSC (Daytime) (518) 473- 0763 (Off hours) (518)674 - 8836 INPO (800)321 -0614 NEIL (302) 888 - 3000

15. Record any Comments:
16. Date and sign this form:

I Date:

I Signature:

17. Inform the Shift Manager that you have completed emergency notifications (CCR only).
18. Fax copies of the NYS Radiological Emergency Data Form (if completed) to State, Counties, TSC, EOF and JNC. Maintain originals and provide a copy to the Shift Manager (or EOF Manger).

Use of Local Govemment Radio or commercial telephone:

A. If using the LGR (for V-Band depress the LGR" button on the communications console) verify power on and pickup the handset & depress the handset button. Conduct roll call (see step 8). If using the commercial telephone, then dial the Waming Points phone numbers. When the EOC's are manned, then dial the EOC phone numbers.

B. Transmit the following:

his Is to report that a (emergency classification) has been declared at Indian Point Energy Center. Stand by for a fax of the Part I form."

C. Fax the Part I form to the State and Counties Warning Points and EOC's.

Waming Point and EOC phone numbers Location Warning Point Phone #

EOC Phone #

Westchester County 914-864-7890 914-995-3026 or 995-3027 Peekskill CitY 914-737-8000 914-737-8000 Rockland County 845-364-8600 845-364-8800 or 364-8900 Orange County 845-291-4033 845-291-3199 Putnam County 845-225-4300 845-225-3896 or 225-9376 West Point 845-938-8846 845-938-8846 New York State 518-457-2200 or 457-6811 518-457-9900 Proprietary Information Page 20of2 Form EP-5 Rev

INDIVIDUAL EMERGENCY EXPOSURES AUTHORIZATION K>

NAME:

SOCIAL SECURITY NO.:

AGE:

Reason for exposure in excess of 5 Rem: (include tasks to be performed)

ESTIMATE OF PLANNED DOSE AUTHORIZED EMERGENCY DOSE WHOLE BODY REM REM EXTREMITY REM REM THYROID REM REM nave volunteered to perform the task(s) during which I will receive the emergency Exposure, and I understand the potential consequences of the proposed emergency from the attached summary.

Individual to Receive Exposure:

Date:

(Signature)

EPM/POM Or Emergency Director Approval:

(Signature)_

Date:

\\~~~~~~~~~

~~~(Signature)

WARNING Emergency worker exposure limits are NOT TO BE APPUED to minors or Fertile women Emergency Exposure Guidelines:

1. All Emergency Exposures shall be authorized by the Emergency Director or Emergency Plant Manager.
2. All individuals may be authorized up to 5 Rem emergency exposure for a given emergency event. Historical occupational exposure is not totaled into this limit.
3. Procedures allow for the Emergency Director or Emergency Plant Manager to give a blanket authorization of up to 5 Rem emergency exposure for Alert or higher classifications.
4. Any emergency exposure greater than 5 Rem Whole Body, 50 Rem Extremities or 50 Rem Skin of Whole Body, shall be authorized on a individual basis for a specific task.
5. All emergency exposures are voluntary. - For higher doses individuals over the age of 45 are preferable.
6. Individuals shall be briefed that these exposures may increase their chances of cancer during their lifetime.
7. Volunteers may be authorized up to 10 Rem to protect valuable property.
8. Volunteers may be authorized up to 25 Rem for life saving or the protection of large populations.
9. Individuals may volunteer to receive greater than 25 Rem to save a life.
10. For any expected or actual Thyroid Exposure > 25 Rem CDE, the issuance of KI should be considered.

Form EP-6 Rev 0 Pagel1 of 2

EFFECTS FROM HIGH LEVELS OF RADIATION EXPOSURE Radiation injury depends on numerous factors such as the type of radiation, the parts of the body exposed, the rate and duration of exposure, the number of exposures, and the age and sex of the irradiated person. There are short and long term effects from high levels of radiation exposure.

Short Term Effects:

Whole Body Effects:

15 to 50 Rem - No symptoms, blood test may show some slight changes.

50 to 200 Rem -

Some nausea, vomiting, and slight decrease in blood count, no deaths expected.

200 to 450 Rem - Most have nausea, vomiting, and feel flu symptoms. Most have hair loss, infection likely, 10-50% deaths.

450 to 600 Rem - Flu, bleeding from mouth and throat, infections likely, 50-90% deaths.

600 to 1000 Rem-Symptoms worse than above, 90-100% deaths.

Radiation Injury to the Skin:

Less than 1000 Rem

- First degree thermal burn (similar to sunburn) to 5000 Rem

- Blisters form and break open to 5000 Rem

- Similar to scalding or chemical burn Over 5000 Rem

- Ulceration and major skin damage Potential Long Term Effects: Based on information from the National Research Council (BEIR V).

Cancer Probability:

The normal chance of contracting fatal cancer for a group of people with no radiation exposure in the United States is 20%.If this group of people were exposed to 100 Rem, the chance of any person contracting fatal cancer would increase to 28%.

Genetic Effects:

A 100 Rem exposure to radiation is estimated to increase the chance of a genetic effect from 0.25% for the average person with no radiation exposure to 0.5%

Fertility Effects:

An exposure to the gonads of 250 Rem may cause reduced fertility, and an exposure of 600 Rem may cause permanent sterility.

Cateracts:

(Cloudiness or darkening in the lens of the eyes.) 200 Rem to the eyes may cause cataracts (ICRP 41).

Form EP-6 Rev 0 Page 2 of 2

a EOF Staffing No.

Positions l

'" SHIFT 2 nd SHIFT 1*

Emergency Director 1*

ED Technical Advisor 1*

Offsite Radiological Manager 1*

Offsite Communicator 1

EOF Manager 2**

Dose Assessor 1

Radiological Communicator 1

Field Team Coordinator 6

Field Monitorng Team Members 1

Admin & Logistics Manager 3

EOF Clerical Staff 1

Lead Offsite Liaison 1

State Liaison 1

Westchester County Liaison 1

Rockland County Liaison 1

Orange County Liaison 1

Putnam County Liaison 1

Equipment Operator 1

Information Liaison Minimum Staffing for facility activation

    • Only one Dose Assessor required if determination is made there is limited offsite radiological concems for event.

Form EP-7 Rev 0

Recovery Issue / Strategies Form Area Owner Safety Rel.

Description of Issue Man-hours Resources Needed Use this form to document major items to be addressed during Recovery.

Area:

Onsite / Offsite I Public Information Owner:

Responsible individual or organization Safety Related:

Yes or No Priority:

1 = Immediate (24 hr.)

2 = Short Term (1 Week) 3 = Intermediate (1 Month) 4 = Long Term (> 1 Month)

Duration:

Estimated Calendar Duration Man-hours:

Estimated Total Project Hours Form EP-8 Rev 0

Essential Information Checklist Affected Unit: O Unit 2 O Unit 3 O Both Status of Unaffected Unit:

Emergency Classification:

Reactor:

At Power Tripped Time:

EAL#:

U Unusual Event RCS:

O Alert Temp:

OF Pressure:

PSIG U Site Area Emergency RVLIS / Pressurizer Level:

U General Emergency Last Offsite Notification Completed Subcooling.

Method of Core Cooling:

S SIG U Safety Injection U RHR Electrical Power Supply:

138 KV U 13.8 KV U #

Diesel Generators Event

Description:

Major Equipment Problems:

Current Priorities:

High Med Low O No Release O Release Fission Product Barrier Status U Liquid O Gaseous Barrier Intact Challenged Lost Release Status:

Fuel Clad u

LI U In Progress U Expected RCS L

L O

U Filtered U Unfiltered U Monitored U Unmonitored Containment L

O L

U Controlled U Uncontrolled Wind Speed:

Wind Direction From:

Date / Time This Checklist was Other:

Completed:

/

Form EP-9 Rev 1 S

Emergency Response Organization Log Sheet I ERO Position:

Date:

Name:

Time Significant Events, Information or Communications F K j

I_

4-4-

4-4-

T I.

Signature:

Form EP-10 Rev 0

R-25 /26 Reading Rem/hr Dose Conversion Factor (pcucc) / (R/hr)

(from table below)

Time after Shutdown (hrs.)

Dose Conversion Factor (CIcc)

(R/hr)

< 1000 Rem/hr

> 1000 Rem/hr (Gap Release)

(Fuel Overheat Melt Release) 0 0.04 0.03 4

0.12 0.07 8

0.17 0.1 12 0.2 0.13 16 0.22 0.14 20 0.25 0.17 24 0.27 0.18 Vapor Containment Activity Calculation x

x 7.4 E+10 cc R-25 /26 Dose Containment Total VC Activity (pCi)

Reading (R/hr)

Conversion Volume Factor x

R-25/26 Reading Dose Conversion Factor Release Concentration (pCi/cc)

(R/hr)

IPEC Manual Dose Assessment Worksheet Estimating Containment Activity via R-25 / 26 Radiological Data Sheet 1 of 2 Fonn EP-11I Rev. 1

IPEC Manual Dose Assessment Worksheet Estimating Containment Activity via R-25 /26 Containment Data Containment Pressure psig Estimated Leak Rate (cc/sec) - CM2 (see table below)

Estimated Leak Area Cm2 (leak area = icr)

Leak Rate per Cm2 VC Pressure Leak Rate (cc/sec)

VC Pressure Leak Rate (cc/sec) 1.0 8.34E+03 18.0 1.93E+04 1.5 9.96E+03 20.0 1.85E+04 2.0 1.12E+04 22.5 1.97E+04 2.5 1.22E+04 25.0 1.99E+04 3.0 1.31 E+04 27.5 2.01 E+04 4.0 1.44E+04 30.0 2.03E+04 5.0 1.55E+04 32.5 2.04E+04 6.0 1.63E+04 35.0 2.06E+04 7.0 1.69E+04 37.5 2.07E+04 8.0 1.74E+04 40.0 2.08E+04 9.0 1.78E+04 42.5 2.10E+04 10.0 1.81 E+04 45.5 2.11 E+04 12.0 1.86E+04 47.5 2.12E+04 14.0 1.89E+04 50.0 2.13E+04 16.0 1.91 E+04 Vapor Containment Release Rate Calculation x

x X 1.OE-06

=

VC Activity Leak Rate Leak Area Conversion VC Release Rate (pCUcc)

(from Table)

(Cm 2 )

J Factor (CVsec) b Sheet 2 of 2 Form EP-1 1 Rev. 1

C

(

ESTIMATED TOTAL POPULATION DOSE Sheet 1 of 8 Sector/Zone Ref. TLD mrem Zone Corr. Factor (1)

Interpreted mrem (2)

Modifier (3)

Population (4)

Est WB Rem 1 :1 0

1-2 55 1-3 0

1-4 20 1-6 t6335 1-6 350 1-7 5,425 1-8 5,935 1-9

_2,345 1-10 990 SECTOR TOTALS:

2-1 0

2-2 40 2-3 135 2-4

_140 2-5

_1,450 2-6

_1,065 2-7

_825 2 -8

_6 9 5 2-9

_2

,2 80 SECTOR TOTALS:

1,370 4

4 (1)

Zone in question correctlon factor (Attachment 2 procedure IP-EP-620 or calculated from formula at bottom of Attachment2 and Xu/O values)

(2)

Multiply TLD mrem by Zone Correction Factor (3)

If no evacuation, modifier Is 1.0 (4) 1990 Census Form EP-12 Rev 0 C

2-10 a,

C (I

ESTIMATED TOTAL POPULATION DOSE Sheet 2 of 8 Sector/Zone TLD mrem Zone Corr. Factor (1)

Interpreted mrem (2)

Modifier (3)

Population (4)

Est WB Rem 3-2 4,480 3-3

_8

,94 5 3-4 3,520 3-5

_5

,3 15 3-6 3,660 3-7 4,020 3-8 1,175 3-9 635 3-10 1,455

.'.m SECTOR TOTALS:

4-1

_40 4-2 2,715 4-3

_3,035 4-4

_1,990 4-5 2,095 4-6 2,725 4-7 2,715 4-8

_5,140 4-9 5,920 4-10 SECTOR TOTALS:

4,475 4

r-'

(1)

Zone In question correction factor (Attachment 2 procedure IP-EP-620 or calculated trom formula at bottom of Attachment2 and XuIQ values)

(2)

Multiply TLD mrem by Zone Correction Factor (3)

If no evacuation, modifier Is 1.0 (4) 1990 Census Form EP-12 Rev 0

(

(

(

V-ESTIMATED TOTAL POPULATION DOSE Sheet 3 of 8 Sector/Zone TLD mrem Zone Corr. Factor (1)

Interpreted mrem (2)

Modifier (3)

Population (4)

Est WB Rem 5-1 65 5-2

_505 5-3 l

S0 5-4

_230 5-5 140 5-6 235 5-7

_1,590 5-8 1,155 5-9 4,165 5-10 3,450 SECTOR TOTALS:

6-1 170 6-2 375 6-3 260 6-4 730 6-5 260 6-6 675 6-7 1,145 6 -8

_4 15 6-9 1.0 40 6-10 SECTOR TOTALS:

1,740 (1)

Zone In question correction factor (Attachment 2 procedure IP-EP-620 or calculated from formula at bottom of Attachment2 and Xu/O values)

(2)

Multiply TLD mrem by Zone Correction Factor (3)

If no evacuation, modifier Is 1.0 (4) 1990 Census Form EP-12 Rev 0

(

(

C ESTIMATED TOTAL POPULATION DOSE Sheet 4 of 8 Sector/Zone TLD mrem Ratio Corr. Factor (1)

Interpreted mren (2)

Modifier (3)

Population (4)

Est. WB Rem 7-1 555__

7-2 2,100 7-3

_980 7.4

_705 7.5

_420 7-6 5,150 7-7 3,340 7-8 2,505 7-9 2,010 7-10 6,945 SECTOR TOTALS:

8-1 105 8-2 1,835 8-3

_1,295 8-4

_635 8 -5

_8 5

8-6 0

8-7 0

8 -8

_9 5_

8-9

_9__

,0 2 0 8-10 SECTOR TOTALS:

5,955 (1)

Zone In question correction factor (Attachment 2 procedure IP-EP-620 or calculated from formula at bottom of Attachment2 and Xu/Q values)

(2)

Multiply TLD mrem by Zone Correction Factor (3)

If no evacuatlon, modifier Is 1.0 (4) 1990 Census Form EP-1 2 Rev 0

(

(

C ESTIMATED TOTAL POPULATION DOSE Sheet 5 of 8 SectorZone TLD mrem Zone Corr. Factor (1)

Interpreted mrem (2)

Modifier (3)

Population (4)

Est. WB Rem 9-1

_4 6 5 9-2

_695 9-3

_25 9-4 110 9-5 1,110 9-6 3,535 9-7 3,090 9-8 3,710 9-9 5,235 9-10 5,545 SECTOR TOTALS:

10-1 150 10-2 1,210 10-3 1,145 10-4 1,845 10-5 8,260 10-6 4,440 10-7 2,345 10-8 2,690 10-9 6,320 10-10 SECTOR TOTALS:

9,115 4

4 (1)

Zone In question correction factor (Attachment 2 procedure IP-EP-620 or calculated from formula at bottom of Attachment2 and XuI/ values)

(2)

Multiply TLD mrem by Zone Correction Factor (3) if no evacuation, modifier Is 1.0 (4) 1990 Census Form EP-12 Rev 0

(

(

(

ESTIMATED TOTAL POPULATION DOSE Sheet 6 of 8 Sector/Zone TLD mrem Zone Corr. Factor (1)

Interpreted mrem (2)

Modifier (3)

Population (4)

Est WB Rem 11-1 1,0 11-2 25 11-3 1,505 11-4 2,485 11-5 2,220 11-6 3,785 11-7 2,830 11-8 1,010 11-9 3,045 11-10 3,705 SECTOR TOTALS:

12 -1 1 0 12-2 3 4 5 12-3

_125 12 -4 2 9 5 12 -5 160__

12-6

_185 12-7 80_

12 -8 2 0 12 -9 155 12-10 SECTOR TOTALS:

565 (1)

Zone In question correction factor (Attachment 2 procedure IP-EP-620 or calculated from formula at bottom of Attachment2 and Xu/Q values)

(2)

Multiply TLD mrem by Zone Correction Factor (3)

If no evacuation, modifier Is 1.0 (4) 1990 Census Form EP-12 Rev 0

(

C

(

ESTIMATED TOTAL POPULATION DOSE Sheet 7 of 8 Sector/Zone TLD mrem Zone Corr. Factor (1)

Interpreted mrem (2)

Modifier (3)

Population (4)

Est WB Rem 13 -1 0

13-2 280 13-3 200 13-4 0 0

__° 13-5 0

__° 13-6 0

13-7 0

13-8 70 13-9 440 13-10 55 SECTOR TOTALS:

14-1 0

14-2 80 14-3 65 14-4 0 0

__'° 14-5 25 14-6 45_

14-7 20 14-8 620 14-9 320 14-10 SECTOR TOTALS:

2,045 (1)

Zone In question correction factor (Attachment 2 procedure IP-EP-620 or calculated from formula at bottom of Attachment2 and XulQ values)

(2)

Multiply TLD mrem by Zone CorrectIon Factor (3)

If no evacuation, modifier Is 1.0 (4) 1990 Census Form EP-1 2 Rev 0

(

(

(

E STIMATED TOTAL POPULATION DOSE Sheet 8 of 8 Sector/Zone TLD mrem Zone Corr. Factor (1)

Interpreted mrem (2)

Modifier (3)

Population (4)

Est. WB Rem 15-1 0

25 15-2 20 15-3 105 15 -4 180 15-5 1,45 15-6 20 15-7 20 15-8

_305 15-9 25 15-10 1,055 SECTOR TOTALS:

1 6 -1 0

16-2 70 16 -3 0

16-4

_95 16-5 1,635 16-6 235 16-7

_0 16-8 35 16 -9 2 5 16-10 0

SECTOR TOTALS:

(1)

Zone In question correction factor (Attachment 2 procedure IP-EP-620 or calculated from formula at bottom of Attachment2 and Xu/Q values)

(2)

Multiply TLD mrem by Zone Correction Factor (3)

If no evacuatlon, modifier Is 1.0 (4) 1990 Census Form EP-12 Rev 0 C

lDate:

Time Name:

Meteorologv Wind Direction (from):

Downwind Sector.

WS = Wind Speed (sec):

PasquillCategory:

A B

O C O D l E F

G TEDE -Whole Body Exp sure Release Duration (RD):

hrs Distance NGRR Xu/Q K1()

+

Dose Rate(DR)

Dose Distance (C/sec)

(from tables)

WS Constant 4 (mrem/hr)

(mrem)

~~(Mlsec)

(DR RD)

Site Boundary X

X jjX(

+

2 Mile X

X LIII X

( +

==

5Mile X

X 1I X(

+

10Mile X

X X(

+

(1) Obtain K value from table below.

(2) Constant for MSL & SGBD is 3.3E+05, for all others use 3.3E+03 (Constant includes Iodine CEDE)

Ki Whole Body @ Time After Shutdown K2 Thyroid for Noble Gas DDE For Iodine CDE TAS =

hours.

4.7E+5 0- 1.5 Hours Iodine Mix 8.0E+8 2.8E+5 1.5 - 2.5 Hours 1-131 2.6E+9 2.3E+5 2.5 - 3.5 Hours 1-132 1.5E+7 2.0E+5 3.5 - 4.5 Hours 1-133 4.4E+8 1.7E+5 4.5 - 6.5 Hours 1-134 2.6E+6 1.2E+5 6.5 - 12.5 Hours 1-135 7.6E+7 5.8E+4

> 12.5 Hours Form EP-13 Rev.1 Page 1 of 2 Manual Dose Assessment Worksheet TEDE Whole Body Exposure Calculations NOTE:

Particulate Dose Conversion Factor (DCF) for TEDE is 2.7E+07. This DCF should be used applied during dose assessments performed in the EOF or AEOF only if significant particulates are identified in the release (E.G., FSB Accident). Control Room Staff need not consider particulates.

f Date:

TI Tme Name:

Meteorology Wind Direction Downwind SectorT WS = Wind Speed (m/sec):

(from):

PasquillCategory:

A O B O C D

O E O F O G NOTES:

For Less Than 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br /> use Iodine Mix K2 (8.0 E+8)

For Greater Than 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br />, only use 1-131 K2 value when using isotopic analysis. (2.6 E+9)

Isotope 1-131 (or Total Mix)

TODE - Thyroid Exposure Release Duration (RD)= E I.

NGRR _

X Kl

= A T

RR(I.131 orTotal) _

X K2

= B Distance XuIQ A + B Dose Rate Doem Distance (from tables)

WS (above)

(mrer/Rhr)

(mrem)

(m/sec)

(DR X RD)

Site1 Boundary x

+

=

2Mile X

X(

+

=

5Mile X

X(

+

)

10 Mile x

X(

+

)

Form EP-13 Rev. 1 Page 2 of 2 IPEC Manual Dose Assessment Worksheet TODE Thyroid Exposure Calculations

f EOF Check Point Sign In Log EOF Registration Assistant:

Date:

lL9 (print name) l l_______l Print Name In Out n im Out Organization OI Indian Pt.

FFD* Yes: l No: l OI Other Li Indian Pt.

FFD* Yes: OI No: OI l Other LI Indian Pt.

FFD* Yes: LI No: LI l Other LI Indian Pt.

FFD* Yes: OI No: LI LI Other LI Indian Pt.

FFD* Yes: El No: l LI Other LI Indian Pt.

FFD* Yes: L No: LI l Other LI Indian Pt.

FFD* Yes: LI No: LI LI Other LI Indian Pt.

FFD* Yes: LI No: LI LI Other LI Indian Pt.

FFD* Yes: l No: LI LI Other l Indian Pt.

FFD* Yes: LI No: LI Li Other LI Indian Pt.

FFD* Yes: LI No: LI LI Other LI Indian Pt.

FFD* Yes: LI No: LI LI Other LI Indian Pt.

FFD* Yes: l No: LI LI Other

  • If NO, THEN report to EOF Manager for further evaluation.

Form EP-1 4 Rev 0 Page 1 of 2

t EOF Check Point Sign In Log EOF Check Point Instructions:

1.0 Set up a EOF Checkpoint at the entrance to the EOF.

NOTES:

IF there is any question if an individual should be allowed to enter the EOF THEN request clearance from the Emergency Director or the EOF Manager.

Individuals entering the EOF during emergencies must be screened in accordance IPEC Fitness for Duty procedures. The Emergency Director may authorize individuals not meeting these requirements into the EOF.

1.1 Have all individuals entering EOF complete sign in log.

1.2 Request the Admin & Logistics Manager draft someone to take sign in log around to individuals who may have entered facility before check point was set up.

2.0 3.0 Allow only the following personnel into the EOF:

A. Indian Point Emergency Response Organization Personnel, as listed in the Emergency Telephone Directory, B. Indian Point Corporate Officers, C. State and County Officials, D. Federal Officials from the Nuclear Regulatory Commission and Federal Emergency Management Agency; E. Individuals authorized by the Emergency Director or the EOF Manager.

Maintain a "EOF Check Point Sign in Log" complete with names of all personnel within the EOF.

Form EP-14 Rev 0 NOTE:

IF individuals are only going to another room within the Buchanan Service Center (offices across the hall or men's rest room) THEN it is not necessary to log them in and out each time they leave the EOF.

Page 2 of 2

9 Date:

Time:

Name:

Plant Vent Release Rate Calculations (use only one vent monitoring method)

R-27 X

X 4.7E-04

=

Wide Range (pcIcc)

(Plant Vent CFM)-

(Constant)

(NGRR Ci/sec)

R-44 X

X 4.7E-04

=

Low/ Mid Range (pcucc)

(Plant Vent CFM)'

(Constant)

(NGRR CUsec)

Vent Contact X

X X

4.7E-04

=

Reading (mRhr)

I (Conv Factor)

I (Plant Vent CFM).

(Constant)

(NGRR Ci/sec)

Time After TAS (hr)

Factor TAS (hr)

Factor Shutdown 0 - 2 2.8E-04 6 - 8 4.9E-04 Factors for 2 - 4 3.4E-04 8 - 12 6.1 E-04 Contact Reading 4 - 6 4.1 E-04 12 - 24 7.6E-04 Plant Vent x

X 4.7E-04

=

Chemistry wcucc)

(Plant Vernt CFM)'

a (Corstan)

(NGRR A/sec)

Sample Air Ejector (AE)

Air Ejector X

X 4.7E-04

=

R-45 W U/cc)

CFM)-

(Constant)

(NGRR C/sec)

Main Steam Line (MSL)

R-28, R-29 X

2.7E-03 X

X 4.9 E-06

=

R-30, R-31 (CPM)

(MSL Conv. Factor)

I (lbrn/r)**

I (Constant)

(NGRR Ci/sec)

Steam Generator Blowdown (SGBD)

Chemistry

[

X X

6.3E-05

=

Sample

[

(Pcicc)

(GPM)**

(Constant)

(NGRR Ci/sec)

Total Noble Gas Release Rate:

Total NGRR Add Plant Vent + AE + MSL + SGBD CVsec Determine RadioIodine Release Rate (RR) In Curies/Second

1. MSL NG RR + SGBD NG RR =

X 1.OE-02

=

2. Plant Vent NG RR + AE NG RR

=

X 1.OE-04

=

Total Radioiodine Release Rate (Add 1 + 2 to Obtain)

Total IRR (CVsec) =

  • If actual flow rate is unavailable, use 70,000 cfm
    • If actual flow rate s unavailable, use 20 cfrn

- Steam Generator Atmospheric Flowrate 3.50 E+5 Ibm I hr / atmospheric Steam Generator Safety Flowrate 7.60 E+5 Ibm I hr I safety

  1. 22 Auldluary Feedwater Pump 2.5 x 104 Ibm I hr Form EP-17 Rev 0 IP-2 Manual Determination of Release Rate Determine Noble Gas & Radiolodine Release Rates Page 1 of 1

IDate:

Time:

Name Plant Vent Release Rate Calculations (use only one vent monhoring method)

R-27 X

1.OE-06 Wide Range (pCUsec)

(Cipci)y (NGRR CUsec)

R-14 X

X 4.7E-04 Low/ Mid Range (Pci/cc)

(Plant Vent CFM)-

(Constant)

(NGRR

/sec)

Vent Contact X

X X

4.7E-04

=

Reading WArr)

I (Conv. Fctor) l(Plant Vent CFM).

(Constarnt) l (NGRR Cilsec)

(Conteact 6 Ft)

I I

F Time After TAS (hr) co t Fa tor 6ft TAS (hr)

Contct Fator 6ft Shutdown 0 - 2 6.OE-04 2.5E-03 6 - 12 2.8E-03 9.5E-03 Conversion 2 - 4 1.2E-03 3.8E-03 12 - 24 5.5E-03 1.6E-02 F a c to rs fo r Contact Reading 4 - 6 1.6E-03 5.5E-03 24-2 Wk 6.5E-03 2.OE-02 Plant Vent Chemistry Xc 4.7E-04 Sample pcucc)

(

Vert CFM)

T (Corstart)

(NGRRCsec)

Air Ejector (AE)

Air Ejector X

X 4.7E-04

=

R-15 J

c(jcc)

(AE CFM)-

(Constant)

(NGRR Cilsec)

Main Steam Line (MSL)

R-62A, R-62B X

X 3.2 E-06 R-62C, R-62D Wccc)

(lbmThr)*

(Constnt)

(NGRR Ci/sec)

Total Noble Gas Release Rate:

Total NGRR Add Plant Vent + AE + MSL + SGBD CVsec Determine Radiolodine Release Rate (RR) In CurieslSecond

1. MSLNG RR =

X 1.OE-02

=

2. Plant Vent NG RR + AE NG RR

=

X 1.OE-04

=

Total Radioiodine Release Rate (Add 1 + 2 to Obtain)

Total IRR (Ci/sec) =

I If actual flow rate Is unavailable, use 70,000 cfm

  • If actual flow rate is unavailable, use 20 cfm Steam Generator Atmospheric Flowrate Steam Generator Safety Flowrate 6.30 E+5 bm / hr / atmospheric 5.50 E+5 Ibm / hr / safety Form EP-18 Rev 0 IP-3 Manual Determination of Release Rate Determine Noble Gas & Radiolodine Release Rates Page 1 of 1

Back Calculating Release Rate from Field Data Administrative Data Field Reading Location Field Reading Mileage Miles Field Reading Sector 1 2 3 4

5 6 7 8 9 10 11 12 13 14 15 16 Meteorology Wind Speed (at time of release) meters/sec Radiological Data Field Reading (csd window or Reuter Stokes) mrem / hr Noble Gas DCF (from table below)

(mr/hr) / (pCVcc)

Time after Shutdown (hrs.)

Dose Conversion Factor (mr/hr) / (pCi/cc) 0-1.5 4.70 E+5 1.5 -2.5 2.80 E+5 2.5 - 3.5 2.30 E+5 3.5 - 4.5 2.00 E+5 4.5-6.5 1.70 E+5 6.5-12.5 1.20 E+5

> 12.5 5.80 E+4 Release Rate Calculation x

x

)

=

Field Wind Xp / 0 Noble Gas NGRR (CVsec)

Reading Speed DCF (mr/hr)

(m/sec)

IPEC Manual Dose Assessment Worksheet Sheet 1 of 1 Form EP-1 9 Rev 0

Turnover Sheet Date:

Time:

Outgoing:

Relieving:

Discuss the following items:

1. Emergency Classification: l GE OI SAE O Alert O Unusual Event EAL:
2. Initiating Event:
3. Current Status of:

A. Personnel Safety:

B. Plant Safety:

C. Release of Non-Essential Personnel:

D. Accountability:

Missing Persons:

Search and Rescue:

E: Radiological Conditions:

F. WPO/JNC Actions:

G. OSC/TSC Status:

H. Offsite Actions (ie: schools, facility activation, PARs, etc.)

5. Status of Offsite Notifications:

l None Li NYS /Counties l NRC (headquarters and Residents LINPO LI ANI

6. Corrective Actions:

Teams Out:

7. Actions Underway:

Priorities:

8. Actions that need to be Initiated:
9. Prognosis:

Form EP-20, Rev 1

Media Briefing Worksheet Date:

Briefing #:

Time:

Briefing Announced:

O Yes L

No Reason for Briefing:

l Initial Briefing L

Emergency Classidication Change OII EAS Broadcast LO Periodic Update I Other Points to be Covered Order Entergy Westchester County Rockland County Putnam County Orange County (confirm if via PictureTel or teleconference)

State of NY Public Inquiry Feedback Media Monitoring Feedback Graphic Changes Needed:

Graphics / Visual Requests:

Form EP-21 Rev. 0

Media Briefing Issues Form Time Noted:

lINoted By:

Type of Issue: l Incorrect Information OI Additional Information Needed El Clarification Requested LI Unanswered Question Issue:

Type of Resolution: l Provide Information to Media Rep. El Include in Written Statement Li Include in Next Media Briefing LI Brief Spokesperson(s) l Other Resolution Details:

Form EP-22, Rev 0 Page 1 or 1

(

18 Shift Name (print)

Time Arrived C

Time Departed 2" Shift Name (print)

Time Arrived Time Departed

. > 11'-Ii i

i g

djXi Spero Technical Briefer Media Room Liaison JNC Writer JNC Documenter Audiovisual Coordinator B;AV/GSr¢BahBic j<Sta.

(2 iwifo tvXi may irtud Audi f

____B_

Coorinatoryiji5si<, ?B

?.

Page 1 of 3 Form EP-23 Rev. 0 Shaded positions entail functions that are required for activation

(

Position Date:

(

(

Position

's P U£b ilN u:.:.o

'I --

elo.<:. I m>za--, i& M0,E>

,'ii ut

<Aiit{Vi> i,.

Media Monitoring Staff Media Referral Staff Member(s)

Public Inquiry Staff (as required) 1"' Shift Name (print)

Time Arrived Time Departed 2na Shift Name (print)

Time Arrived

(

Time Departed i

a t

4 4

4-

+

4 4-

+

t t

4

  • t-1*

t 4-t I

4-4-

t 1

4

.1-4 4

4 4

+

4-4 4

I 4

+

4 4

I 1

4-4 1

1 4-4-

4 It I

__I Date:

Page 2 of 3 Form EP-23 Rev. 0 Shaded positions entail functions that are required for activation

(

(

Position Support Services Staff Registration Coordinator IT Representative Radiological Advisor IP Communications Representative Government Liaison Rep Govemment Liaison Rep Government Liaison Rep 1' Shift Name (print)

Time Time Arrived Departed 2nd Shift Name (print)

Date:

Shaded positions entail functions that are required for activation Page 2 of 3 Form EP-23 Rev. 0 c

I,

Time Arrived Time Departed I

L

Emergency Summary Sheet Indian Point Energy Center Time:

Date:

1.

0 I

This is a Drill L

This is an Actual Event Li

2.

Emergencv Classification:

Unusual Event i

Alert Li Site Area Emergency Li General Emergency 0

IPutnamCou

\\Westchester

) J County 900 270-

3.

Event

Description:

4.

Radiological Conditions:

Release of L

Radioactive Materials due to the classified El event.

I 1uBo No Release Release BELOW federally approved operating limits (Technical Specifications)

O To Atmosphere 0 To Water l

Li Release ABOVE federally approved operating limits (Technical Specifications) 0I To Atmosphere 0 To Water Unmonitored Release - Being Evaluated

5.

Meteorological Conditions:

Wind Speed:

MPH Wind Direction (from):

General Weather Conditions:

(To convert Meters / sec to Miles / Hr divide by.46)

Form EP-24 Rev.

Written Statement Distribution Checklist

-ollow each step below as assigned. Some steps are

< 'concurrent, as noted by the numberng. Support Services Manager is to confirm all steps are completed at conclusion.

Statement Number:

  • CK L

II" Step JNC Position Completed By (Print)

Responsible Detail Description and Time 1

Support Obtain "APPROVED WRITTEN STATEMENT/NEWS Services RELEASE" from JNC Writer and start distribution Manager process:

O Have Company Spokesperson initial, notify Documenter of approval time O

Start a Written Statement Distribution Checklist and Fax Distribution Sheet (in Position Binder and file cabinet)

O Record Statement Number above O

Give Original statement with Distribution Checklist and Fax Distribution sheet to Support Services Staff to make initial copies.

2 3a Assigned Support Services Staff Person Support Services Staff assigned to Copy area O

Make 2 copies of statement O

Provide Support Services Staff in fax/copy room with 2 copies (one for further copying and one for fax distribution described below)

O Provide original initialed copy back to Support Services Manager Make 48+ copies of final written statement/news releases and coordinate distribution with other Support Services Staff as follows:

U 16 Copies to Public Inquiry Coordinator O

12+ Copies to the Media Room Liaison for media (Coordinate number needed with Media Room Liaison. Copies to Media may take priority depending on timing.)

Q 4 Copies to Media Monitoring Room Personnel U

8 Copies to Entergy Rooms A/B O

Post 1 Copy on Bulletin Board near JNC Writer U

7 (or 14-2 each) copies to each work room (State, Westchester, Rockland, Putnam, Orange, NRC and FEMA)

U Upon completion, provide this Distribution Checklist to Support Services Manager Form EP-25 Rev. 1 I

Page 1 of 2

Written Statement Distribution Checklist

__"oIIow each step below as assigned. Support Services Manager is to confirm all steps are conpleted.

Support Service Staff in Fax/Copy Room Support Services Manager Statement Number:

Concurrently, ensure statement is faxed to locations indicated on the Fax Distribution Form. DO NOT SEND FAX DISTRIBUTION FORM IN OUT-GOING FAX TRANSMISSION, Include Fax Cover Sheet O

Complete fax distribution to media on one fax machine O

Complete fax distribution to other emergency facilities and other Entergy locations on another fax machine (follow Fax Distribution Form)

O Review Fax Confirmation sheets to ensure they state that all transmissions were successfully completed (the text of the confirmation will read OK)

Upon completion, provide fax confirmation sheet(s) to Support Services Manager Provide original (initialed) statement; fax confirmation(s);

and this Distribution Checklist to JNC Documenter for log keeping Form EP-25 Rev. 1 3b 4

I E~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~.

.2..........

S ~~~~-11,11 >S,:.,..,qvf:?

l M 3ER.EEd.

sER:S>Sz H5E.:

i Er {>.F E a >>:<2

?

Page 20of2

i

)4 ype of Information Plant Status, including PICS or EDDS data sheets, Forms and plant parameters (received via fax or from/via JNC Technical Advisor)

EAS Statements (provided by State or via Agency Liaison)

Written Statements, including news releases

  • Ali Other Information Received (via fax or otherwise)

Information Distribution Guide (Follow the priority order noted)

Recipient (follow order for distribution, if possible)

Utility Room A & B O

JNC Technical Advisor (& Radiological Advisor)

O Company Spokesperson OI JNC Director O

Agency Liaison O

JNC Documenter O

State/County PlOs (Radiological Data Forms, Part 1 and 2 ONLY)

ALL Locations/All positions O

Public Inquiry Room & Media Monitoring Room (20+ copies)

O Entergy Rooms A & B (9+ copies)

O State, County and Federal Work Rooms LI Media Briefing Room (at assigned time provided by State or Agency Liaison)

Follow Written Statement Distribution Checklist form Request distribution instructions from the Support Services Manager and/or JNC Director Distribution Completed By (Print)

Page 1 of 1 Form EP-26 Rev. 2 Page 1 of 1 Form EP-26 Rev. 2

PUBLIC INQUIRY - MEDIA REFERRAL -

MEDIA MONITORING FORM

-ype of call: (Public Inquiry) (Professional Inquiry) (Media Inquiry) (Media Monitor Report)

Date of callbroadcast:

Time of calVbroadcast:

Name of responder/monitor:

Media Name/Location:

Callers/Reporters name:

Phone: (

)

Question(s) asked/I naccu rate Information:

Response given/Correct Information and Source:

Is call back required: ()

Yes

()

No Call Back I If yes, call back completed at:

Was the call referred: (

) Yes (.)

No If yes, Further action required:

()

Yes (.) No Was this action completed? (

) Yes

(.)

No By:

Reported to Public Inquiry Coordinator at:

Public Inquiry Coordinator Notes:

Number (_

By:-

to whom?

Return completed form to Public Inquiry Coordinator:

Form EP-27 Rev. 0 Page 1 of 1

I Joint News Center Fax Cover Sheet FROM:

DATE:

TIME:

Number of Pages (including cover):

WIRE SERVICES AP/NYC AP/WESTCHESTER CNN REUTERS AMERICA GANNET SUBURBAN NEWS/WHITE PLAINS BLOOMBERG NEWSWIRE NEW YORK TIMES NEWS SERVICE IP EOF OR LI IP AEOF LI ENTERGY MEDIA RELATIONS LI LOCAL OFFICIALS LI Other Form EP-28 Rev. 0 i

0 LI Page 1 of 1

Individual Exposure Tracking Log Name:

TLD#-

Employee #:

Available Time Emergency Location Team / Times Exposure of Dosimeter Exposure (mrem)

Reading Reading (mrem)

Team:

Time Out:

Time In:

Team:

Time Out:

Time In:

Team:

Time Out Time In:

Team:

Tim e Out:__

Time In:

Team:

Tim e O ut:

Time In:

NOTES:

1. Use this form to track individual's exposure of ERO members dispatched from EOF/OSCITSC and
2. Initial Exposure Limit will be 1000 mrem for duration of emergency. ED or EPM may authorize more exposure.
3. If Form is filled transfer Name, TLD # and remaining available exposure to new form and staple this completed form to it.

Form EP-29 Rev 0 i

MONITORING TEAM RADIATION FIELD SURVEY DATA n

TBn Nn.maI late:

Team Member Names:_

Count Rate Meter, Model#: _Serial#:

Ion Chamber, Model#: R-02 Serial#::

SURVEY LOCATION TIME OW CW (OW-CW)X2 (Sector/Mile, (HH:MM)

(CPM)

(mRlhr)

(mR/hr)

(mrad/hr)

REMARK Street/intersection/mi. to Int.)

l L2 _

F 1

[31 13

[3]

.4-

.4 4

4 4

4 4-4

4.

I 4

4 t

.4 I

I I

4-4

4.

4 4

4

-4 4-I 4

I

+

4 4-4 4

4 4-4 4-I I

I

.4.

4

4.

4 4

4 1-4 4-1 I

I 4

4 4-4 I

4

__lI I

I I

I _

_ I Remarks:

NOTES: [1]

24-hr clock

[2]

Count Rate Meter data or conversion from Dose Rate Meter 1000 CPM = 0.1 mR/hr (OW).

[3]

RO-2, Ion Chamber data.

Form EP-30, Rev.0 4

wv"Ns.

.%Ad a

I MONITORING TEAM SAMPLE DATA Team Name:

Date:

Samnle Location:

Radiation Field Measurements (may be recorded on separate fonn)

Ion Chamber, Model #:

Serial #:

Time:

@ 3 in. above ground:

@ 3 ft. above ground:

Opened Window (OW) (mR/hr):

Opened Window (OW) (mR/hr):

Closed Window (CW) (mR/hr):

-Closed Window (CW) (mR/hr):

A (OW-CW) X 2 (mrad/hr):

Air Sampling:

Air Sampler, Model #:

Serial #:

Particulate Filter:

Iodine (C):

Iodine (AgZ):

Sampling Start:

Time (HH:MM):

Sampling Stop:

Time (HH:MM):

Duration (MM)

Average Flow (CFM):

Sample Volume (CF):

Air Samnle Counting:

Count Rate Meter, Model #:

Flow (CFM):

Flow (CFM):

Serial #:

Time:

Part Filter, Bkgd (CPM):

Gross (CPM):

Net (CPM):

Iodine (C), Bkgd (CPM):

Gross (CPM):

Net (CPM):

Iodine (AgZ), Bkgd (CPM):

Gross (CPM):

Net (CPM):

Form EP-31, Rev 0 i

Determination of Radioactive Airborne Concentrations i

A =

Net CPM x 1.OE-09 PCi/cc =

B = 2.2 x Vol x Eff. x CCF Where: Vol 1 Is in liters ( Liters = 2.832 x 3 )

Efficiency2 Is 0.1 for particulate, 0.2 for iodine CCF3) Is.95 for Charcoal, 1.0 for AgZ I Paper Sample Location:

Particulate O Iodine Sample Time:

Team:

Sample Net CPM Constant A

X 1.01E-09 Sample Volume Eff iciency Constant CCFB U

in Liters(1)

(2)

(3)

B X

X 2.2 X

pCi/Cc = A/B

=

pCvcc Calculated by:

Time:

Sample Location:

O Particulate 0 Iodine Sample Time:

Team:

Sample Net CPM Constant A 4 X

1.OE-09

=

Sample Volume Efficiency Constant CCF in Liters("

(2)

(3)

B X

X 2.2 X

pCVcc A /B

=

pCVcc Calculated by:

Time:

Sample Location:

O Particulate O Iodine Sample Time:

Team:

Sample Net CPM ConstantA X

1.OE-09

=

Sample Volume Eff iciency Constant CCF in Liters( 1 )

(2)

(3)

B X

X 2.2 X pCi/cc = A / B

=

PCi/cc Calculated by:

Time:.

Forrn EP-32, Rev 0

MEDIA INQUIRY LOG DATE:

NAME OF REPORTER:

AFFILIATED WITH:

PHONE NUMBER:

INQUIRY:

TIME:

RESPONSE

RESPONSE PROVIDED BY:

COMMENTS:

Fonn EP-33 Rev. 0

Courtesy Call Guide

1. EVENT

SUMMARY

(from IP Communications Representative)

Indicate Emergency Classification Level (ECL), EAL/Time Unusual Event Alert Site Area Emergency General Emergency Plant Status/lnformation/Radiological Conditions (notes):

2. Script for Courtesy Calls "Hi, my name is I'm representing the Indian Point Energy Center as a Govemment Liaison Representative.

JI I'm calling to inform you that.... (provide the event information obtained from the IP Communications Representative)....

This is all the information that I have at this point. Entergy will be issuing a news release regarding the event (give timeframe, e.g. within the next 30 minutes).

Should I continue to call you at this number if I need to contact you again?"

Name of GLR:

Time Calls Completed:

Form EP-34 Rev. 0

JNC BRIEFING

SUMMARY

/TALKING POINTS K"~~RIEFING #

TIME: Start:

Indian Point Energy Center declared a declared as a result of_______

at (time). The event was PL4ANTrSTATUS/EVENT. INFORMTIN:

4 ESONE

tST, ORPOAT:

\\%.-,

A ~~~~~~~~~~~~~~~~~~~~~~~~k i_k 4

EMPATHY:

QUESTIONS REQUIRING FOLLOW-UP:

RUMORS TO ADDRESS:

Form EP-35 Rev. 0 I

i DATE:.

End:

Primary - ERO Activation Checklist S

I a

1. Verify that Shift Manager has determined that ERO mobilization or notification is needed.
2. Verify Control Room Pagers are on.
3. Call:

9-788-7771

4. You will hear: "This is the remote activation module. Please enter scenario activation password followed by the pound (#) sign."
5. Enter Activation Password and Press #:
6. After entering the activation password you will hear the following message: "To start a scenario, enter the scenario ID number followed by the pound (#) sign, or press pound alone to enter more options."
7. Enter Scenario Number and Press #:
8. After entering the Scenario Number you will hear "The pager event code is (three digit number). Press 1 to change the pager event code. Press 2 to continue."

NOTE: Do NOT change the three digit event code regardless of what code is given.

Pre 2

9. After entering "2" you will hear: "To start the scenario, press 3, followed by the pound sign (#).

Press:

3 #

10. WHEN you hear: "Goodbye" THEN Hang-up.
11. Enter the time you completed Dialogic activation.

l Time:

NOTE: Continue on with offsite notifications while waiting for verification of pager activation

12. Verify the notification system successfully activated by either Control Room pager sounding. IF neither pager activates within 3 minutes, THEN go to Step 15.
13. Inform the Shift Manager that you have completed ERO activation or notification.
14. Date and sign this form when complete:

Date:

Signature:

Continue ONLY if Control Room Pagers Did Not Activate

15. Contact Security SAS at 734-5330 and ask if the Security pager activated.
16. IF Security pager activated THEN go to step 13.
17. IF Security pager did not activate THEN repeat steps 3 through 10 one additional time.

IF during the 2nd attempt, on step 8, you hear: The scenario is currently active. Do you wish to stop the scenario." THEN do not stop the scenario. Press: 6 You will then hear: "To start a scenario press 1, to stop a scenario press 2, to check scenario information press 3, to enter a dffferent scenario activation password press 4, to end this call press pound (#). Press: #

18. IF a Control Room or Security pager does not sound after the 2nd attempt THEN activate the Backup Notification System per Form EP-37, Backup - Emergency Response Organization Activation Checklist.

Proprietary Information Page 1 of 1 Form EP-36 Rev. 0

a Backup - ERO Activation Checklist i

1.

Use the Backup Notification System ONLY the Primary Dialogic system fails to acbvate.

2.

Verify Control Room Pagers are on.

3.

Call:

9-1-866-521-7099

4.

Upon hearing the following message: This is the DCC Service Bureau. Please enter your company ID number followed by the pound (#) sign.

5.

Enter Company ID and Press #:

l 4732 #

6.

Upon hearing the following message: Please enter Scenario Activation Password followed by the pound (#) sign.'

7.

Enter Activation Password found In Dialogic Envelope and Press #:

I

8.

After entering the Activation Password you will hear the followng message: To start a scenario, enter the Scenario ID Number followed by the pound (#) sign, or press pound alone for more options.

9.

Enter Scenario ID Number found In Dialogic Envelope and Press #:

l

10.

After entering the Scenario ID Number you will hear the following message: To start a scenario press 1 to stop a scenario press 2, to check scenario Infonnation press 3 to enter a different scenario activation password press 4, to end this call press pound (#). Press:

NOTE: Press pound (#) to end the call.

11.

WHEN you hear the following message: Goodbyd THEN Hang-up.

12.

Enter the bme you completed Dialogic activabon.

NOTE: Continue on with offsite notificatons while waiting for verification of pager activation 3z #

I Time:

13.

Verify the backup notification system successfully activated by either Control Roorn pager sounding. IF the pager did not activate, THEN go to Part B.

14.

Inform the Shift Manager that you have completed ERO activation using the Backup System.

15.

Date and sign this form when complete:

l Date:

Signature:

Continue ONLY If Control Room Pagers Did Not Activate

16. Contact Security SAS at 734-5330 and ask if the Security pager activated.
17. IF Security pager activated THEN go to step 14.
18. £E Security pager did not activate THEN repeat steps 3 through 11 one additional bme.

IF during the 2d attempt, on step 10, you hear: 7he scenario Is currently active. Do you wish to stop the scenario. THEN do not stop the scenario. Press: 6 You will then hear. To start a scenario press 1, to stop a scenaio press 2 to check scenario Infomation press 3 to enter a different scenario activation password press 4, to end this call press pound (f).

Press: t

19. IF a Control Room or Security pager does not sound after the 2 dattempt THEN manually activate the Group Page using Part B of this form.

Proprietary Information Page 1 of 2 Form EP-37 Rev. 1

I Backu - ERO Activation Checklist

.Es L.;L, j

&$S;l 1*$ 0 Use the Manual Group Page Activation ONLY f the Primary AND Backup Dialogic systems both fail to activate.

2.

Request direction from Shift Manger (Emergency Director) as to ERO mobilization needed: IPEC.

3.

If mobilization is needed, call the IPEC Group Page phone number:

4.

To Activate IPEC ERO:

Dial IPEC Group Page number: 9-1-800-759-8888 Enter Pin number followed by # sign: 1940606#

Enter Event Code followed by #: __

  1. (In Dialogic Envelop)
5.

Upon hearing one or more beeps, enter the three digit Pager Event Code number followed by the # sign, found in the Dialogic Envelop. Press:

6.

Upon entering the three digit Event Code followed by the # sign you will hear a short message, to send the message, hit the # sign again, and to cancel the message hit the

  • key. Hang up.
7.

Enter time you completed activating pagers Time:

l

8.

Verify that the correct message was sent by confirming the pager message received on the Control Room or Security pager is same as the three digit Event Code.

9.

IF the Event Code is incorrect on the Control Room pager THEN immediately call the Group Page Phone Number (above) and send the Disregard Last Message" code as 999 #

listed below. Press:

n.

Upon entering the three digit Event Code followed by the # sign you will hear a short message, to send the message, hit the # sign again, and to cancel the message hit the

  • key. Hang up.
11.

IF Control Room and Security pagers fail to activate THEN inform Shift Manager that you are unable to mobilize the ERO.

Proprietary Information Page 2 of 2 Form EP-37 Rev 1 Proprietary Information Page 2 of 2 Form EP-37 Rev 1

PAGF I OF 2 I FACSIMILE of NRC FORM 361 i 112-2000)

U.S. NUCLEAR REGULATORY COMMISSION OPERATIONS CENTER REACTOR PLANT EVEPJT MNTIFIC_ATION WOnISIET NRC OPERATION TELEPHONE NUMBER: PRIMARY - 301-816-5100 or 800-532-3469, BACKUPS -- [lst] 301-951-0550 or 800-449-3694*,

fSq'O 145 M

3 30-1505 I-konsee who malnt11in h.ir nw rs ara noim thesr. tr.I-,h-. umr NOTIFICATION TIUE FACILINY OR ORGANIZATON l U NAME OF CALLER CALL BACK a EVENT TIME & Zone EVENT DATE POWERMODE BEFORE POWERMODE AFTER EVENT CLASSIFICATIONS 1-Hr. Non-Emergency 10 CFR 50.72(b)(1)

(v)(A)

Safe S/D Capability AINA GENERAL EMERGENCY GEN/MEC TS Deviation ADEV (v)(B) RHR Capability AINB SITE AREA EMERGENCY SITIAAEC 4-Hr. Non-Emergency 10 CFR 50.72(b)(2)

(v)(C) Control of Rad Release AINC ALERT ALEIAAEC (i)

TS Required SID ASHU (v)(D)

Accident Mitigation AIND UNUSUAL EVENT UNU/AAEC (iv)(A)

ECCS Discharge to RCS ACCS (xii)

Offsite Medical AMED 50.72 NON-EMERGENCY (see next columns)

(iv)(B)

RPS Actuation (scram)

ARPS (xiii) Loss CommtAsmt/Resp ACOM PHYSICAL SECURITY (73.71)

DDDD (xi)

Offsite Notification APRE 60-Day Optional 10 CFR

_ _50.73(a)(1)

MATERIAL/EXPOSURE B???

8-Hr. Non-Emergency 10 CFR 50.72(b)(3)

Invalid Specified System Actuation I AINV FITNESS FOR DUTY HFIT (iiXA)

Degraded Condition ADEG Other Unspecified Requirement I

(den ntty)

OTHER UNSPECIFIED REQMT. (see last column)

(ii)(B)

Unanalyzed Condition AUNA NONR INFORMATION ONLY NNF (iv)(A)

Specified System Actuation AESF NONR DESCRIPTION nclude: Systems affected, actuations and their iniiating signals, causes, effect of event on plant, actions taken or planned, etc. (Continued on back)

NOTIFICATIONS YES NO WILL SE ANYTHING UNUSUAL OR NRC RESIDENT NOT UNDERSTOOD?

0 YES (Explain above) 0 NO STATE(s)

DID ALL SYSTEMS 0 YES O NO (Explain above)

LOCAL

_______FUNCTION AS REQUIRED?

0YS0N Epanaoe OTHER GOV AGENCIES MODE OF OPERATION ESTIMATED MEDWPRESS RELEASE UNTIL CORRECTED:

RESTART DATE:

ADDITIONAL INFO ON BACK YES

[1 NO ty CSIMILE of NRC FORM (12-2000)

EN#*

AnniNiAI IFOMATION PAF F

RADIOLOGICAL RELEASES: CHECK OR FILL IN APPUCABLE TEMS (specm7c deta is/expnation should be covered In the event description)

LIQUID RELEASE GASEOUS RELEASE UNPLANNED RELEASE PLANNED RELEASE ONGOING TERMINATED MONITORED UNMONITORED OFFSiTE RELEASE T.S. EXCEEDED RM ALARMS ARE PERSONNEL EXPOSED OR CONTAMINATED OFFSITE PROTECTIVE ACTIONS RECOMMENDED S Sate release path I description Release Rate (Clsec)

% T. S. Umit HOCOGUIDE Total Activity (CI)

% T. S. Umit HOOGUIDE Noble Gas 0.1 CVsec 1000 Ci Iodine 10 uCVsec 0.01 Ci Particulate 1 uCUsec 1 mCi Uquid (excluding tritium 10 uCi/min 0.1 Ci and dissolved noble gases)

Liquid (tritium) 0.2 CUmin 5 Ci Total Activity PLANT STACK CONDENSER/AIR EJECTOR MAIN STEAM LiNE SG SLOWDOWN OTHER RAD MONITOR READINGS ALARM SETPOINTS

%T. S. LlIT (f appticable)

RCS OR SG TUBE LEAKS: CHECK OR FILL IN APPLiCABLE ITEMS: (specific detailexplanations should be covered In event descrption)

LOCATION OF THE LEAK (eg.. S 0, vWv,, pipe et.)

LEAK Rate UNITS: gpmrgpd T. S. LtMiTSl SUDDEN OR LONG-TERM DEVELOPMENT LEAK START DATE TIME COOLANT ACTIVITY PRIMARY SECONDARY AND UNITS:

UST OF SAFETY RELATED EQUIPMENT NOT OPERATiONAL SVFF*l,

.Fcr..n.rsn *fltsi

§.MS

  • I.DSfh I

.. -i.

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