ML032170114

Transmittal of Indian Point Energy Center Emergency Plan Implementing Procedures Update

ML032170114
Person / Time
Site:	Indian Point
Issue date:	07/11/2003
From:	Entergy Nuclear Operations
To:	Document Control Desk, NRC/FSME
References
-RFPFR, FOIA/PA-2003-0379, FOIA/PA-2003-0388
Download: ML032170114 (67)

Text

11-OUL-03 Page:

19 DISTRIBUTION CONTROL LIST D9 cument Name:

EMER PLAN CCNAME NAME 2 EP/TRAINING ADMINISTRATOR 3 RES DEPARTMENT MANAGER 4 REFERENCE LIBRARY 9 JOINT NEWS CENTER 10 SHIFT MGR.(LUB-001-GEN) 11 CONTROL ROOM & MASTER 14 EOF 16 AEOF/A.GROSJEAN(ALL EP'S) 19 NUC ENGINEERING LIBRARY 21 TSC 22 RESIDENT INSPECTOR 23 SILK DAVID 24 SILK DAVID f~WhOUMENT ~CONTROL--DESK

`28 -AVRAKOTOS 14N 29 E-PLAN STAFF 30 E-PLAN STAFF 31 BARANSKI J(VOLUME I ONLY) 32 SUTTON A -(VOLUME I ONLY) 33 LONGO N (VOLUME I ONLY) 34 GREENE D (VOLUME I ONLY) 35 RAMPOLLA M(VOLUME I ONLY) 41 SIMULATOR 107 QA MANAGER 319 C.STELLATO(NRQ-OPS TRN) 354 L.GRANT(LRQ-OPS/TRAIN) 376 E-PLAN STAFF 424 J.CHIUSANO(OPS INSTR) 510 L.GRANT(LRQ-OPS/TRAIN) 511 L.GRANT(LRQ-OPS/TRAIN) 512 C.STELLATO(NRQ-OPS TRN) 513 C.STELLATO(NRQ-OPS TRN) 517 PLANT MANAGER'S OFFICE 518 DOCUMENT CONTROL 520 CONTROL ROOM (UNIT 2) 521 SIMULATOR 522 NRC RESIDENT 523 ROBERT VOGLE (UNIT 2) 524 JOHN MCCANN (UNIT 2)

DEPT 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-D001/6(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 EP'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)

LOCATION

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

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1. 48 IP2 IP2 IP2 IP2 IP2 TODDVILLE IP2 1Jr64qS

IPEC SITE QUALITY RELATED IP-SMM-AD-103 Revision 0 Entegy MANAGEMENT ADMINISTRATIVE PROCEDURE MANUAL INFORMATIONAL USE Page 13 of 21 ATTACHMENT 10.1 SMM CONTROLLED DOCUMENT TRANSMITTAL FORM SITE MANAGEMENT MANUAL CONTROLLED DOCUMENT TRANSMITTAL FORM - PROCEDURES Page 1 of 1

• Enter CONTROLLED DOCUMENT TRANSMITTAL FORM - PROCEDURES TO: DISTRIBUTION DATE:

7M23/2003 TRANSMITTAL NO: 28403 (Cirde one)

FROM: IPEC DOCUMENT CONTROL: EEC or IP2 53'EL PHONE NUMBER: 271-7057 The Document(s) identified below are forwarded for use. In accordance with IP-SMM-AD-1 03, 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 #

I REV #

I TITLE I

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.4

• • • • • • • • • • • 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#

NAME (PRINT)

SIGNATURE DATE CC#~~~~~~~~~~~~~~~~~~~~~

TO:

Nuclear Regulatory Commission Document Controlled Copy # 0*'

FROM:

SUBJECT:

IPEC Emergency Planning Emergency Planning Document Update Date: 7/14/03 Please update your controlled copy of the documents listed below as specified with the copy(s) attached. It is requested that the update be completed within 3 days of the effective date shown on the document cover page.

Document#ocmen N

R Wv.

1. 1

Old, Instruions IPEC EFamergenc PlnIpeetnate Dt Emergency Plan Implementing TOC Procedures 7/14/03 Remove and Replace IP-EP-1 15 Emergency Plan Forms Rev.4/Date Rev.3/Date Remove and Replace 7/14/03 5/19/03

Indian Point Energy Center Emergency Plan Implementing Procedures Table of Contents Procedure Rev.

Effective No.

P~~~~~~roced ure Title N.

Dt IP-EP-115 Emergency Plan Forms 4

07/14/03 IP-EP-130 Emergency Notifications and Mobilization 0

05/05103 IP-EP-250 Emergency Operations Facility 0

03/06103 IP-EP-251 Alternate 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

03/06103 IP-EP-410 Protective Action Recommendations 1

03/06/03 IP-EP-430 Personnel Accountability 0

07109/03 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 Page I of 1 As of 07/14/03

AM

~~~IPEC NON-QUALiTY RELATED IP-EP-115 Revision 4 EMERGENCY PLAN PROCEDURE IMPLEMENTING uinteWgY PROCEDURES REFERENCE USE Page I

of 6

CONTROLLED I

i

-e COEnn Emergency Plan Forms Prepared by:

Approval:

Dafia Weaver FnMt Name Sgnature 2Q 2 i Frank Inzirillo Print Name

&a

Date 6 7 y

Igna lu re Effective Date:

? /'V /° 3 EP-IP-EP-1 15 (Forms) R4.doc

Ad^h.

IPEC NON-QUAUTY RELATED IP-EP-115 Revision 4 ARM E

EMERGENCY PLAN PROCEDURE IMPLEMENTING UifEnter&gy PROCEDURES REFERENCE USE Page 2

of 6

Table of Contents Section Page 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

EMERGEPEC NON-QUAUTY RELATED IP-EP-115 Revision 4 EMERGENCY PLAN PROCEDURE E_

IMPLEMENTING

'EnteWgy PROCEDURES I

REFERENCE USE Page 3

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-QuALITy RELATE:D IPE-S Rvso4 EMERGENCY PLAN PROCEDURE IP-EP-115 Revislon4 E_

IMPLEMENTING

£1nterW PROCEDURES REFERENCE USE Page 4

of 6

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.1 Current List of Effective Forms

IPEC NON-OUALUTY RELATED I-P15 Rvso EMERGENCY PLAN PROCEDURE IP-EP-115 Revision4 IMPLEMENTING J2Jzcergy PROCEDURES REFERENCE USE Page S

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-1 010 (Unit 2)

EP-3 Rev. 1 CCR NUE Notification Checklist IP-EP-1 30 (2 pages, used back to back)

IP-EP-250 IP-1 010 (Unit 2)

IP-2001 (Unit 3)

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

IP-EP-250 IP-1 010 (Unit 2)

IP-2001 (Unit 3)

EP-5 Rev. 1 Upgrade / Update Notification AlertSAE/GE 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 IP-1 023 (Unit 2)

EP-7 Rev. 0 EOF Staffing IP-EP-250 EP-8 Rev. 0 Recovery Issues / Strategies Form IP-EP-610 IP-EP-250 EP-9 Rev. 1 Essential Information Checklist IP-1010 (Unit 2)

IP-2001 (Unit 3)

EP-1 0 Rev. 0 ERO Log Sheet IP-EP-250 EP-11 Rev. I IPEC Manual Dose Assessment Worksheet?

IP-EP310 EP-i ev. 1 Estimating Containment Activity via R-25 / 26 EP-12 Rev. 0 Estimated Total Population Dose (8 pages)

IP-EP-620 IPEC Manual Dose Assessment Worksheet? 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-1 5 Rev. 0 (un-assigned)

EP-16 Rev. 0 (un-assigned)

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

IPEC NON-QUALITY RELATED IP-EP-115 Revision 4 EMERGENCY PLAN PROCEDURE E__

IMPLEMENTING EnteW PROCEDURES REFERENCE USE Page 6

of 6.1 Current List 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 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. 1 Backup - ERO Activation Checklist IP-EP-130 NRC 361 12-2000 Reactor Plant Event Notification Worksheet (NRC Form)

IP-EP-130 IP-EP-1023 Unit 2 EP-38 Rev. 0 Emergency Team Briefing Form IP-2204 Unit 3

New York State Radiological Emergency Data Form Notification #

Indian Point Energy Center Part I - General Information Instructions

1.

This message being transmitted on:

at:_

0 AM VIA: A. RECS (Date) 0Tie) 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 Terminated G. Other

5.

This Emergency Classification Declared on:

at:

C0 AM (Date)

(rire)

[3 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 0 To Water C. Release ABOVE federally approved operating limits (Technical Specifications) 0 To Atmosphere L 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.

8.

EAL Number:

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:

C 3AM (Date)

(Time)

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)_-

(Communicators Name)

Message Received by:

Message Ended at:

Emergency Director Review and Approval:

Part I Effective 5/5/03 Page 1 of 1 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:

O Ground O Elevated D.

Noble gas release rate:

Cl/sec B. Iodine/Noble gas ratio:

E.

Iodine release rate Ci/sec (Assumed OR Actual)

C. Total release rate:

Clisec F.

Particulate release rate _

Ci/sec

18.

Waterborne release Information:

As of Date Time_

A. Volume of release gallons C.

Radiolnuclides in release:

B. Total concentration:

u Cl/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 applies to (circle one) A. At ospheric 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 contamination/deposition:

Mile/Sector OR Time of Dose Rate (mR/h) OR Mile/Degrees Location OR Sampling Point Reading Contamination (pdCf/n)

.~~~~~

I.

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/time of NUE classification. IF Unit 3 is declaring the event, THEN request an Offsite Communicator report to the Control Room.

Li.

S

.S I

.h: x S Ad S

3:

(

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

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" i

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.

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

OR telephone (phone numbers on back), to contact Warning 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 0Initial 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 L

O Started I

I Time Final Roll Call Completed Westchester County U

Peekskill City O

Rockland County El Orange County L

Putnam County U

West Point Q

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

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. IF any location did not copy the message THEN instruct them to call the State for clarification or, if requested, repeat the form information.

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

IE 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 notification In the comment section of this form.

fly N MI W

B *!0

13. Ask the Shift Manger (Emergency Director) if Emergency Response Organization mobilization is needed or if Emergency Response Organization should receive Event Notification only. IF Unit 3 is 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 "1PEC ERO Event Notification" envelop to contact the appropriate ERO members to notify them of the event. (Form EP-36)

IF 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 1 of 2 Form EP-3 Rev 1

Control Room NUE Notification Checklist (cont)

Note:

Perform only circled Items for NUE periodic Update Notifications MT-e =;L.It 7

i, 1

14. Call Indian Point Communications 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:

S * *.

I"1

15. 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.

(i Contact NRC by calling main number listed on ENS phone. LF main number does not work THEN use 1 st, 2nd or 3rd 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

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

O Record any Comments:

(3 Date and sign this form IDate:

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 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).

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

C.

Transmit the following: "This 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 Warning Points and EOC's.

Warning 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 Oranae 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 2of 2 Form EP-3 Rev 1

Control Room Initial Notification Checklist - Alert / SAE / GE 0

S

.p a-I m

F-0VT 11111 0111 Note: If the Shift Manager does not feel It Is safe to relocate personnel at this time 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/Sle Area Emergency/General Emergency) 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 Roorr

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

L 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 IPEC ERO Mobilization" (Form EP-36, Primary - ERO Activation Checklist) to mobilize EROs.

z 0

S

• S~~~~

I M

V.

5.

Pick up the console handset and depress the "RECS button (if V-Band press the number'?" 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.

IF 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 Government 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 initial 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 "Initial Roll Calr for each location as they answern Location Initial Final Roll Call Roll Call Time Initial Roll Call New York State c

Q Started I

Westchester County c

O I

I Time Final Roll Call Completed Peekskill City Q

O Rockland County Q

c Orange County O

c Putnam County O

ci West Point c

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 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 Information.

13. End notification by saying 'Indian Point out at (time)". Enter the time above when final roll call is completed.

14. 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 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 AlertISAE/GE (cont)

MM VI

,l-

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

~

uThis is the Unit _

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

(circle proper classification) was declared at on Emergency Action Level number _

(time)

(EAL#)

Obtain and enter name of individual contacted:

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

Ofil m

• I

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 IE 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 3e backup number, or region 4 alternate number listed.)

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

18. Record any Comments:

19. Date and sign this form IDate:

ISignature:

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 Warning 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.

Warning Point and EOC phone numbers Location Warning Point Phone #

EOC Phone f 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 2of 2 Form EP-4 Rev 1

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

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.

mg Mz S

S

• III*5*

55

3.

Pick up the RECS handset and depress the RECS ring button (for V-Band press the number 7" 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 Government Radio (LGR) (instructions on back)

OR telephone (phone numbers on back), to contact Warning Point(s) or EOC(s) if 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 0

0 Started Westchester County 0

0 Peekskill City 0

0 Time Final Roll Call Completed Rockland County 0

0 Orange County 0

0 Putnam County

°

° West Point 0

0

9.

SLOWLY read all of the information from the completed and approved NYS Radiological Emergency Data Form Part I. 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. IE 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 Page 1 of 2 Form EP-5 Rev 1

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

Note:

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

13. Contact NRC by calling main number listed on ENS phone. (IF main number does not work THEN use 1 m, 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 classification, EAL # and brief description of event. Complete NRC Form 361, If requested.

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:

ISignature:

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: 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 Waming Points and EOC's.

Waming Point and EOC phone numbers Location Waring 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 2of 2 Form EP-5 Rev 1

INDIVIDUAL EMERGENCY EXPOSURES AUTHORIZATION 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 I have 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:

Date:

(Signature)

WARNING Emergency worker exposure limits are NOT TO BE APPLIED 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.

Page I of 2 Form EP-6 Rev 0

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%.lf 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).

Page 2of 2 Form EP-6 Rev 0

EOF Staffing No.

Positions l SHIFT 2nd 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 Monitoring 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 A*

Minimum Staffing for facility activation Only one Dose Assessor required if determination is made there is limited offsite radiological concerns for event.

Form EP-7 Rev 0

Recovery Issue / Strategies Form Area Owner Safety Rel.

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

Area:

Onsite I 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: Q Unit 2 0 Unit 3 E Both Status of Unaffected Unit:

Emergency Classification:

Reactor:

0 At Power L Tripped Time:

EAL #:

0 Unusual Event RCS:

0 Alert Temp:

'IF Pressure:

PSIG 0 Site Area Emergency RVLIS / Pressurizer Level:

0 General Emergency Last Offslte Notification Completed Subcooling:

Method of Core Cooling:

0 S/G 0 Safety Injection 0 RHR Electrical Power Supply:

0 138 KV 0 13.8 KV 0 #

Diesel Generators Event

Description:

Major Equipment Problems:

Current Priorities:

High Med Low J No Release O Release Fission Product Barrier Status LI Liquid L

Gaseous Barrier Intact Challenged Lost Release Status:

Fuel Clad la ID U

0 In Progress 0 Expected RCS U

U 0 Filtered 0 Unfiltered 0 Monitored 0 Unmonitored Containment U

U U

0 Controlled 0 Uncontrolled Wind Speed:

Wind Direction From:

Date / Time This Checklist was Other:

Completed:

/

Form EP-9 Rev 1

Emergency Response Organization Log Sheet ERO Position:

l Date:

Name:

Time Significant Events, Information or Communications 4

4 4

4

• 1 4

4

.1 4

6

Signature:

Form EP-1O Rev 0

IPEC Manual Dose Assessment Worksheet Estimating Containment Activity via R-25 1 26 Radiological Data R-25 / 26 Reading llRemn/hr Dose Conversion Factor

(,Cucc) / (R/hr)

(from table below)

Time after Shutdown (hrs.)

Dose Conversion Factor (pcvcc) / (R/hr)

< 1000 Rem/hr

> 1000 Rem/hr (Gap Release)

(Fuel Overheat I 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 FaCorFactor l__eeaeCncnrtin R-25/26 Reading Dose Conversion Factor I Release Concentration (pCi/cc)

(R/hr)

Sheet 1 of 2 Form EP-11 Rev. 1

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

(cc/sec) - cm2 Estimated Leak Area Cm2 (leak area = rc?)

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 1.95E+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 2.1OE+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 (pCOcc)

(from Table)

(Cm2)

Factor (CI/sec)

Sheet 2 of 2 Form EP-1 1 Rev. 1

(

(

(

ESTIMATED TOTAL POPULATION DOSE Sheet 1 of 8 Sectorlone 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 1-5 335 1-6 350 1-7 5,425 1-8

______________________5,935 1-9 2,345 1-10 990 j

i 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 2-8 695 2-9 2,280 2-10 1,370 SECTOR TOTALS:

(1)

(2)

(3)

(4)

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

Multiply TLD mrem by Zone Correction Factor It no evacuation, modifier Is 1.0 1990 Census Form EP-12 Rev 0

(

(

(

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

Interpreted mrem (2)

ModIfier (3)

Population (4)

Es?. WB Rem 3-1

_0 3-2 4,480 3-3

_8,945 3-4 3,520 3-5 5,315 3-6 3,660 3-7

_____4,020 3 -8

_1,175 3 -9

_6 3 5 3-10

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

a

,,~j SECTOR TOTALS:

4-2

_2,715 4 -3

_3,035 4-4

~

~

~

~

~

_1.990 4-5 2,095 4-6 2,725 4-7

_2,7 15 4 -8

_5

,14 0 4 -9

_5,92 0

4-10 4,475

+

4 SECTOR TOTALS:

(1)

(2)

(3)

(4)

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

Multiply TLD mrem by Zone Correction Factor If no evacuation, modifier Is 1.0 1990 Census Form EP-1 2 Rev 0

(

(

(

~~~ESTIMATED TOTAL POPULATION DOSE Sheet 3of 8 Sector/Zone TI-D mrem Zone Corr. Factor (1) interpreted mrem (2)

Modifier (3)

Population (4)

Est. WB Rem 5-1

_65 5-2

_505 5-3 0

5-4

_230 5-5

_140 5-6 235 5-7

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

_1

,1 5 5 5_

__9_

_4

,165 5-10

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

~~ ~~~

~

~

~

~SECTOR TOTALS:

6-1

~

~

~

~

~

~

~

~

~

~

__________170 6

-2

_ _375 6-3 260 6-6 675 6-7 1,145 6 -8

_4 15 6-9 1.0 4 0 6-10 1,740 I

I SECTOR TOTALS:

(1)

(2)

(3)

(4)

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

Multiply TLD mrem by Zone Correction Factor If no evacuation, modifier Is 1.0 1990 Census Form EP-12 Rev 0

(

(

(

ESTIMATED TOTAL POPULATION DOSE Sheet 4 of 8 Sector/Zone TLD mrem Ratio Corr. Factor (1) interpreted mrem (2)

Modifier (3)

PopulatIon (4)

Eat. WB Rem 7 -1

_5 5 5_

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

.0 10 7-10

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~6,9

~~~

~~SECTOR TOTALS:

8-2 1__

_835 8-5 85 8-6 0

8 -7 0

8 -8 95 8-9 5,020 8-10 5,955 SECTOR TOTALS:

A A

(1)

(2)

(3)

(4)

Zone In question correction factor (Attachment 2 procedure IP-EP-620 or calculated from formula at bottom of Attachment2 and XU1Q values)

Multiply TLD mrem by Zone Correction Factor If no evacuation, modifier Is 1.0 1990 Census Form EP-12 Rev 0

(

(

(

~~~ESTIMATED TOTAL POPULATION DOSE

_Sheet 5of 8 Sector/Zone TLD mrem Zone Carr. Factor (1)

Interpreted mere (2)

Modifier (3)

Population (4)

Est. WB Rem 9-1

_465 9-2 695 9 -3

_2 5

9-4

_110 9-5

_1,110 9-6 3,535_

9-7

_3,090 9 -8

_3

,7 10 9_ _

__9_

_5

,2 3 5 9-10

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~5 10-4 1,845 10-5 8,260 10-6 4,4400_ _

10-7 2,345 10-8 2,690 10-9 6,3 20 10-10 9,115 I

I SECTOR TOTALS:

I (1)

(2)

(3)

(4)

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

Multiply TLD mrem by Zone Correction Factor If no evacuation, modifier Is t.0 1990 Census Form EP-12 Rev 0

(

(::

(

~~~~ESTIMATED TOTAL POPULATION DOSE Sheet 6 of 8 SectorlZone TlD mrem Zone Corr. Factor (1)

Interpreted mrem (2)

Modifier (3)

Population (4)

Est. WS Rem 11-1

_0 11-2

___________________25 11-3 1,505 11-4 2,485 11-5 2,220 11-6 3,785 11-7

~

~

~

~

~

____________2,830 1 1 -8

_1,0 10 1_ _

__9_

_3

,0 4 5 11-10

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~3,705 12-5 160 12-6 185 12-7 80 12-8 20 12-9 155 12-10 565 f

f SECTOR TOTALS:

(1)

(2)

(3)

(4)

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

Multiply TLD mrem by Zone Correction Factor If no evacuation, modifier is 1.0 1990 Census Form EP-12 Rev 0

(

(

(

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

Interpreted mrem (2)

Modifier (3)

Population (4)

Est. WS Rem 1 3 -1

_0 13-2 280 13-3

_200 13-4 0

13 -5

_0 13-8 7__

_0 13-10

~~~~~~~~~~~~~~~~~~~~~~~~~~~~5 SECTOR TOTALS:

14-2 so__

0 14-3 65 14-4

_0 14-5

_25 14-6

_45 14-7

_20 14 -8 6 20 114-9 3 2 0 14-10 2,045 SECTOR TOTALS:

I (1)

(2)

(3)

(4)

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

Multiply TLD mrem by Zone Correction Factor If no evacuation, modifier Is 1.0 1990 Census Form EP-1 2 Rev 0

(

(

(

~~~~ESTIMATED TOTAL POPULATION DOSE Sheet 8 of 8 Sector/Zone TI-D mremn Zone Corr. Factor (1)

Interpreted mrem (2)

Modifier (3)

Population (4)

Est. WB Rem 15-1 0

15-2 20 15-3 105 15-4 180 15-5

_45 15-6 0

15-7

~ ~ ~

~

~

~

~

~

~

~

~

~

~ ~ ~ ~

____________20

_3 0 5 1 5 _

__9_

_2 5

15-10

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

~~ ~

4 ~z

~~SOTOR TOTALS:

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)

(2)

(3)

(4)

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

Multiply TLD mrem by Zone Correction Factor If no evacuation, modifier Is 1.0 1990 Census Form EP-1 2 Rev 0

Manual Dose Assessment Worksheet TEDE Whole Body Exposure Calculations Date:

Time Name:

Meteorology Wind Direction (from):

Downwind Sector:

WS = Wind Speed (m/sec):

PasquillCategory:

l A

l B

C l

D LI E F

LI G TEDE - Whole Body Exposure Release Duration (RD):

hrs DistaneNGRR Xu/Q WS

-+

Dose Rate(DR)

(Dore)

Distance (Clisec)

(from tables)

WS ConstantO (mrernvhr)

(rm (W~see)

_(D R x RD)

Site Boundary X

X X(

+

=

2 Mile X

X X(

+

=

1 5 Mile X

x X(

+

)=

10 Mile X

X X(

+

)

=

(1) Obtain K1 value from table below.

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

K1 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.OE+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.OE+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 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.

Form EP-13 Rev.1 Page 1 of 2

IPEC Manual Dose Assessment Worksheet TODE Thyroid Exposure Calculations Date:

Time Name:

Meteorology Wind Direction Downwind Sector:

WS = Wind Speed (m/sec):

(from):

PasquillCategory: O A O B C

El D l E O F l 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)= EII NGRR X K1

= A l RR(1 -131 or Total)

X K2

= B Distance

~XWQ

-A+B3Ds Rate Dosem Distance (from tables)

WS (above)

(mrem/hr)

(mreXr)

~~(m /sec)

(DR___

__X__

RD)__

Site 1

Boundary x

X(

+

=

2Mile X

Z X(

+=

5 Mile X

1 X(

+

=

10 Mile X

X(

+=

Form EP-13 Rev. 1 Page 2 of 2

EOF Check Point Sign In Log l

EOF Registration Assistant:

Date:

(print name) i Time Print Name Time In I Out Organization El Indian Pt.

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

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

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

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

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

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

FFD* Yes: LI No: El LII O ther __

LI Indian Pt.

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

FFD* Yes: LI No: El LII O ther __

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: LI No: l LI Other LI Indian Pt.

FFD* Yes: LI No: LI LI Other If NO, THEN report to EOF Manager for further evaluation.

Page 1 of 2 Form EP-1 4 Rev 0

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 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.

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.

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

Page 2of 2 Form EP-14 Rev 0

IP-2 Manual Determination of Release Rate Determine Noble Gas & Radiolodine Release Rates Date.

Time:

Name:

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

R-27 X

X 4.7E-04

=

Wide Range (pci/cc)

(Pim Vert CFM),

(Cnsstant)

(NGRR Ci/sec)

R-44 X

X 4.7E-04 Lowl Mid Range s-(pci/cc)

(Plarn Vern CFM)-

(Constanr)

(NGRR Ci/sec)

Vent Contact X

X X

4.7E-04

=

Reading (emR/br)

(Conv. Factor)

(Plant Vent CFM)-

(Corstant)

(NGRR Ci/sec)

Time After TAS (hr)

Factor TAS (hr)

Factor Shutdown 0 - 2 2.8E-04 6 - 8 4.9E-04 Conversion 2 - 4 3.4E-04 8 - 12 6.1 E-04 F acto rs for__

Contact Reading 4 - 6 4.1 E-04 12 - 24 7.6E-04 Plant Vent x

X 4.7E-04 Chemistry Sample I

Ic C

ail Vent Mr

(

tent (NGR i/eec Air Ejector (AE)

Air Ejector X

X 4.7E-04

=

R-45 (pc cc)

I (AE CFM)-

(Consatant)

(NGRR Ci/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 (ibmnr)**'

F (Constant) l (NGRR C/ihc)

Steam Generator Blowdown (SGBD)

Chemistry X

X 6.3E-05

=

Sample (Pci/cc)

(GPM)-'

(Constant)

(NGRR Ci/sec)

Total Noble Gas Release Rate:

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

1. MSLNG RR + SGBDNG 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 Is unavailable, use 20 cfm

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

1. 22 Auxiluary Feedwater Pump 2.5 x 104 Ibm / hr Page 1 of 1 Form EP-17 Rev 0

IP-3 Manual Determination of Release Rate Determine Noble Gas & Radiolodine Release Rates Date:

Time:

IName:

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

R-27 X

1.OE-06 Wide Range (pCiusec)

(C5pCi)U (NGRR Ci/sec)

R-14 X

X 4.7E-04

=

Low / Mid Range (pcucc)

(Plant Vent CU)-

(Constant)

(NGRR Cilsec)

Vent Contact x

X X

4.7E-04

=

Reading (mR/hr)

(Conv. Factor)

(Plant Vent CFM)*

(Costant)

(lNGRR Ci/sec)

(Contact 16 Ft)

Time After TAS (hr)

Conta Fa ctor 6ft TAS (hr) cotaB Fa r

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 Factors for Contact Reading 4 - 6 1.6E-03 5.5E-03 24-2 Wk 6.SE-03 2.OE-02 Plant Vent X

X 4.7E-04

=

Chemistry (p cc)(Plnt7entC0M Sample (pc/(C)

(Plan Vent CFM)

(Constant)

T (NGRR usecc Air Eiector (AE)

Air Ejector X

X 4.7E-04 R-15 (p cc)

(AE CFM)--

(Constant)

(NGFIR i/sec)

Main Steam Line (MSL)

R-62A, R-62B X

X 3.2 E-06 R-62C, R-62D (pcicc)

(NGRR CYsc Total Noble Gas Release Rate:

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

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 (CVsec) =

It actual low rate is unavailable, use 70,000 cfm If actual flow rate Is unavailable, use 20 cfm Steam Generator Atmospheric Flowrate 6.30 E+5 Ibm / hr / atmospheric Steam Generator Safety Flowrate 5.50 E+5 Ibm I hr / safety Page 1 of 1 Form EP-18 Rev 0

IPEC Manual Dose Assessment Worksheet 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 XI____

Radiological Data Field Reading (clsd window or Reuter Stokes) mrem / hr Noble Gas DCF (from table below)

(mr/hr) / (MCi/cc)

Time after Shutdown (hrs.)

Dose Conversion Factor (mr/hr) I (tCi/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 Xv /O Noble Gas NGRR (Cisec)

Reading Speed DCF (mr/hr)

(m/sec)

Sheet 1 of 1 Form EP-1 9 Rev 0

Turnover Sheet Date:

Time:

Outgoing:

Relieving:

Discuss the following items:

1. Emergency Classification: El GE O SAE LI 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:

El None El NYS /Counties El NRC (headquarters and Residents l INPO 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:

L Yes L

No Reason for Briefing:

U El L3 03 Initial Briefing Emergency Classification Change EAS Broadcast Periodic Update / Other Points to be Covered Entergy 4

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 I Visual Requests:

Form EP-21 Rev. 0

Media Briefing Issues Form Time Noted:

_] Noted By:

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

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

Pager1 or 1 Form EP-22, Rev 0

(

(

(

C ~~~~~~~~~~~~~~~~~

Position 1I' Shift Name (print)

Time Arrived Time Departed 2"" Shift Name (print)

Time Departed M;L+F-Ngs

.e t:gR~r y m~eg?!0 Fmrstemmgm(?8ioo~mmo~g~gyEe

l.

t t

I.i JNCDifrem

' I.

I I..

II I..L~ ~~..

..........+ I II I..

+.

CoAipany pokepersoi,,

s.ss.?.wv>

• c <+2-----i<

-;-> >> ¢ < <;i; - D j;

< ^ *--- > >1*

t I

-+

JNC TechnicaL Advsbr Technical Briefer 4~~~~~~~~~~~~~~

Ageny U Eso

... F. ! r;e:....;fd >! ! ! j !: ;S i.<.- ?.... ". ;;Z;.

4-4 4-

tzpport SeMes Maer

_ S Me{

$%SMOAKEg~

Media Room Liaison JNC Writer JNC Documenter Audiovisual Coordinator t

I

.1-I.-

I 4-I Date:

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

(

(

(

Position 1' Shift Name (print)

Time Arrived Time Departed 2nu Shift Name (print)

Time Arrived Time Departed Media Monitoring Staff Media Referral Staff Member(s) l l_

l

_l Public Inquiry Staff (as required)

>~~

~

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

I Date:

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

(

(

C(

Position 1" Shift Name (print)

Time Time Arrived Departed 2nd Shift Name (print)

Time Arrived Time Departed Support Services Staff Registration Coordinator IT Representative Radiological Advisor IP Communications Representative Govemnment Liaison Rep Govemnment Liaison Rep Government Liaison4Rep Goenmn Liaso Re Date:

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

Emergency Summary Sheet Indian Point Energv Center 00 Time:

Date:

1.

This is a Drill l

This is an Actual Event Li

2.

Emergencv Classification:

Unusual Event Li Alert

°I Site Area Emergency Li General Emergency Li

3.

Event

Description:

4.

Radiological Conditions:

Release of L

Radioactive Materials due to the classified L

event.

Li Li

5.

Meteorological Conditions:

Wind Speed:

General Weather Conditions:

270 -

-90o I0 181(f No Release Release BELOW federally approved operating limits (Technical Specifications) o To Atmosphere E To Water Release ABOVE federally approved operating limits (Technical Specifications) o To Atmosphere 0 To Water Unmonitored Release - Being Evaluated Wind Direction (from):.

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

Form EP-24 Rev. 0

Written Statement Distribution Checklist Follow each step below as assigned. Some steps are concurrent as noted by the numbering. Support Services Statement Number.

Manager is to confirm all steps are completed at conclusion.

Step JNC Position Completed By (Print)

Responsible Detail Descrption and Time 1

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

L 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 Assigned Support Services Staff Person 0

0 Make 2 copies of statement Provide Support Services Staff in fax/copy room with 2 copies (one for further copying and one for fax distribution described below) 0 Provide original initialed copy back to Support Services Manager 3a Support Services Staff assigned to Copy area Make 48+ copies of final written statement/news releases and coordinate distribution with other Support Services Staff as follows:

El 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.)

O 4 Copies to Media Monitoring Room Personnel O

8 Copies to Entergy Rooms ANB O

Post 1 Copy on Bulletin Board near JNC Writer O

7 (or 14-2 each) copies to each work room (State, Westchester, Rockland, Putnam, Orange, NRC and FEMA) 0 Upon completion, provide this Distribution Checklist to Support Services Manager Page I of 2 Form EP-25 Rev. 1

Written Statement Distribution Checklist

,Follow each step below as assigned. Support Services Manager Is to confirm all steps are completed.

Statement Number:

I

I
n`

M"-

1,

_ "

3b Support Service Staff in Fax/Copy Room 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)

L 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 4

Support Services Manager Provide original (initialed) statement; fax confirmation(s);

and this Distribution Checklist to JNC Documenter for log keeping Page 2 of 2 Form EP-25 Rev. 1

Information Distribution Guide (Follow the priority order noted)

-Type of Information Recipient (follow order for distribution, if possible)

Distribution Completed By (Print)

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

Utility 03 Room A & B JNC Technical Advisor (& Radiological Advisor)

O Company Spokesperson L

JNC Director O

Agency Liaison O

JNC Documenter O

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

EAS Statements (provided by State or via Agency Liaison)

ALL Locations/All positions O

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

O Entergy Rooms A & B (9+ copies) 0 State, County and Federal Work Rooms E

Media Briefing Room (at assigned time provided by State or Agency Liaison)

Written Statements, Follow Written Statement Distribution Checklist including news releases form All Other Information Received (via fax or otherwise)

Request distribution instructions from the Support Services Manager and/or JNC Director Page 1 of 1 Form EP-26 Rev. 2

.~~~~~~~~~~ae1o omE-6Rv

PUBLIC INQUIRY - MEDIA REFERRAL -

MEDIA MONITORING FORM

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

Date of call/broadcast:

Time of call/broadcast:

Name of responder/monitor:

Media Name/Location:

Caller's/Reporter's name:

Phone: (

)-

Question(s) asked/inaccurate Information:

Response given/Correct Information and Source:

Is call back required: (

) Yes

(

) No Call Back Number (

)

If yes, call back completed at:

By:

Was the call referred: (

) Yes (

) No If yes, to whom?

Further action required:

(U) Yes (_) No Was this action completed? (

Yes

(.)

No By:

Reported to Public Inquiry Coordinator at:

Public Inquiry Coordinator Notes:

Return completed form to Public Inquiry Coordinator:

Page I of 1 Form EP-27 Rev. 0

Joint News Center Fax Cover Sheet FROM:

DATE:

lIME:

Number of Pages (including co,- -- I-Li WIRE SERVICES AP/NYC AP/WESTCHESTER CNN REUTERS AMERICA GANNET SUBURBAN NEWS/WHITE PLAINS BLOOMBERG NEWSWIRE NEW YORK TIMES NEWS SERVICE IP EOF OR l IP AEOF Li ENTERGY MEDIA RELATIONS LJ LOCAL OFFICIALS El Other Page 1 of 1 Form EP-28 Rev. 0

Individual Exposure Tracking Log Name:

TLD #-

Employee #:

Available Time Emergency Location / Team / Times Exposure of Dosimeter Exposure l

(mrem)

Reading Reading (mrem)

Team:

Time Out:

Time In:

Team:

Time Out:

Time In:

Team:

Time Out:

Time In:

Team:

Time Out:

Time In:

Team:

Time Out:

Time In:

NOTES:

1. Use this form to track individual's exposure of ERO members dispatched from EOF/OSCfTSC 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

MONITORING TEAM RADIATION FIELD SURVEY DATA Team Name:

Date:

\\,'

Team Member Names:_

Count Rate Meter, Model#:

Serial#:

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

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

(CPM)

(mR/hr)

(mR/hr)

(mrad/hr)

REMARK Street/Intersectlon/mi. to Int.)

1. [

1

[3L 1

J 3_

Remarks:

NOTES: [1]

[2]

131 24-hr clock Count Rate Meter data or conversion from Dose Rate Meter 1000 CPM = 0.1mR/hr (OW).

RO-2, Ion Chamber data.

Form EP-30, Rev.0

MONITORING TEAM SAMPLE DATA Team Name:

Date:

Sample Location:

Radiation Field Measurements (may be recorded on separste form):

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) (mRlhr):_

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

Air Sampling:

Air Sampler, Model #:

Serial #:

Particulate Filter:

Iodine (C):

Iodine (AgZ):

Sampling Start:

Time (HH:MM):

Flow (CFM):

Sampling Stop:

Time (HH:MM):

Flow (CFM):

Duration (MM)

Average Flow (CFM):

Sample Volume (CF):

Air Sample Counting:

Count Rate Meter, Model #:

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

Determination of Radioactive Airborne Concentrations pCi/CC =

A = Net CPM x 1.OE-09 B= 2.2xVolxEff.xCCF Where: Vol") Is In liters ( Liters = 2.832 x Fr3 )

Efficiency4 is 0.1 for particulate, 0.2 for Iodine CCF° is.95 for Charcoal, 1.0 for AgZ I Paper Sample Location:

Particulate Iodine Sample Time:

Team:

Sample Net CPM ConstantA X

1.OE-09

=

Sample Volume Efficiency Constant CCF B 0 in Lfters~1)

(2)

(3)

X X

2.2 X

pCi/cc = A /B

=

pCi/cc Calculated by:

Time:

Sample Location:

Particulate E

Iodine Sample Time:

Team:

Sample Net CPM Constant AG X

1.OE-09

=

Sample Volume Efficiency Constant CCF B 4 in Liters~1)

(2)

(3)

X X

2.2 X

pCicc = A /B

=

PlCcc Calculated by:

Time:

Sample Location:

O Particulate O Iodine Sample Time:

Team:

Sample Net CPM Constant A

X 1.OE-09 Sample Volume Efficiency Constant CCF B 4 in Liters~1)

(2)

(3)

B I x

x 2.2 X

=

I I

pCVcc = A / B pCi/cc Calculated by:

Time:m Formn EP-32, Rev 0

MEDIA INQUIRY LOG DATE:

NAME OF REPORTER:

AFFILIATED WITH:

PHONE NUMBER:

INQUIRY:

TIME:

RESPONSE

RESPONSE PROVIDED BY:

COMMENTS:

Form 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 Statusflnformation/Radiological Conditions (notes):

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

I'm calling to inforn 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 BRIEFING #

DATE:_

TIME: Start:

End:

Indian Point Energy Center declared a at _

(time). The event was declared as a result of PLANTSTATUSIEVENTINFORMATION:

nET COROR

)

tR~~~tflOLOGICAL~~~

CODIIOS at EMPATHY:g2<

0461.j i-i-!2 s QUESTIONS REQUIRING FOLLOW-UP:

RUMORS TO ADDRESS:

Form EP-35 Rev. 0

Primary - ERO Activation Checklist I

I *. s 0

0 U~~~~

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 I 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.

Prel 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. "Goodbyd' THEN Hang-up.

11. Enter the time you completed Dialogic activation.

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:

I 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 different 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

Backup - ERO Activation Checklistl

1. Uethe Backup Notification System ONLY If the Primary Dialogic systemn falls to activate.

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 #:

lj4732i#

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 #:

[ 1 1

8.

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 for more options.'

9.

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

lI_

_ _ _iI#

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 Information press 3, to enter a different scenario activation password press 4, to end this call press pound (#). Press:

3X NOTE: Press pound (#) to end the call.

11.

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

12.

Enter the time you completed Dialogic activation.

[Time:

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

13.

Verify the backup notification system successfully activated by either Control Room pager sounding. LE 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:

I Date:

Signature:

Continue ONLY If Control Room Pagers Did Not Activate

16. Contact Security SAS at 734-5330 and ask f the Security pager activated.

17. IF Security pager activated TH EN go to step 14.

18. IE Security pager did not activate THEN repeat steps 3 through 11 one additional time.

IE during the 2!w attempt, on step 10, 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 different scenario activation password press 4, to end this call press pound (I).

Press: #

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

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

Backup - ERO Activation Checklist I

.v

.9c

=S

.S =£

> Use the Manual Group Page Activation ONLY if the Primary AND Backup Dialogic systems both fail to~~~~~~~~~~~~~~~~~~~~~~

Use the Manual Group Page Activation ONLY if 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: 9-1-800-759-888 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:

').

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 I

PAGE I OF 2 I FACSIMILE of NRC FORM 361 U.S. NUCLEAR REGULATORY COMMISSION l12-2000)

OPERATIONS CENTER REACTOR PLANT EVENT NOTIFICATION WORKSHEET EN#

NRC OPERATION TELEPHONE NUMBER: PRIMARY-301-816-5100 or 800532-3469*, BACKUPS -- (1st] 301-951-0550 or B0O-449-3694^,

121 301415-0550 and 13 1 301-415-063 Licensees who maintain ter own ETS are provided these teleohone numbers.

NOTIFICATION TIE FACILITY OR ORGANZATION l

UNIT I NAME OF CALLER I CALL BACK#

EVENT TIE a Zone EVENT DATE POWERIMODE BEFORE POWERfMODE AFTER EVENT CLASSIFICATIONS 1-Hr. Non-Emergency 10 CFR 50.72(bX1)

(v)(A)

Safe SD Capability AINA GENERAL EMERGENCY GEN/AAEC 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 ALE/AAEC (i)

TS Required SID ASHU (v)(D)

Accident Mitigation AIND UNUSUAL EVENT UNUIAAEC (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 ComnVmAsmV/Resp ACOM PHYSICAL SECURITY (73.71)

DDDD (xi)

OfIsite 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 T

~~~~~~~~~~~~~IAINV FITNESS FOR DUTY HFIT (ii)(A)

Degraded Condition ADEG Other Unspecified Requirement t(Identfy)

OTHER UNSPECIFIED REOMT. (see last column)

(ii)(B)

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

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

NOTIFICATIONS YES NO WILL BE ANYTHING UNUSUAL OR NR-C RESIDENT NOT UNDERSTOOD?

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

DID ALL SYSTEMS LOCAL FUNCTION AS REQUIRED?

0 YES 0 NO (Explain above)

OTHER GOV AGENCIES MODE OF OPERATION ESTIMATED MEDIAIPRESS RELEASE UNTIL CORRECTED:

RESTART DATE:

ADDITIONAL INFO ON BACK

__I O YES

[ NO

-ACSIMiLE of NRC FORM (12-2000)

ADrffHtkAI INF41RMATICN PAGE= 2 OF 2 RADIOLOGICAL RELEASES: CHECK OR FILL IN APPUCABLE ITEMS 8s eciflc detalislexplenation should be covered In the event descriltion)

LIQUID RELEASE GASEOUS RELEASE UNPLANNED RELEASE PLANNED RELEASE ONGOING TERMNATED MONITORED UNMONITORED OFFSITE RELEASE T.S. EXCEEDED RMALARMS AREAS EVACUATED PERSONNEL EXPOSED OR CONTAMINATED OFFSITE PROTECTIVE ACTIONS RECOMMENDED S

State release path hI description Release Rate (ClIsec)

% T. S. Limit HOO GUIDE Total Activity (CI)

% T. S. Umit lHO GJIDE Noble Gas 0.1 Clsec 1000 Ci Iodine 10 uClsec 0.01 Ci Particulate 1 uCisec 1 iml Uquld (excluding trtumn 10 uCi/min 0.1 Ci and dissolved noble oases)

ULquld (tritlum) 0.2 CUmin 5 Ci Total Activity PLANT STACK CONDENSERIAIR EJECTOR MAfI STEAM LINE SG SLOWDOWN OTHER RAD MONITOR READINGS ALARM SETPOINTS

% T. S. LltIT (

1ppcal)

RCS OR SG TUBE LEAKS: CHECK OR FILL IN APPLICABLE ITEMS: (specific detalls/explanatfons should be covered In event descrIption)

LOCATION OF THE LEMX (eP SG 0, wmv, p4e, etc.)

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

UST OF SAFETY RELATED EQUIPMENT NOT OPERATIONAL EVENT DESCRIPTION (Continued from front)

Emergency Team Briefing Form I Team #:

I I Iead Briefer:

Date:

Location of Work:

\\, >0 I&C L Rad 3 Maint I

I Ops Chem O Sec Time:_

Task (description/understandingicomprehension):

Attach any additional supporting documentation (diagrams,mapsvisual aids,procedures,drawings,etc)

Tools, Keys,Equipment and Supplies:

Name I Avail Dose Name I Avail Dose Team Members: a

• Designate one member as the Team Leader Rad. Brief: U Complete U NIA Estimated Dose:_

Contact Numbers:

ERWP:

0 NIA or #

Method(s) of Communications: 0 Radio 0 Phone 0 Other:

Recommended Route to Work:

Time released to field:

Expected duration in field:

Status / Debrief Items: 0 Completed

)ebriefer:

~~~~~~~~~Pg 1_f2Fr P3 e

Page I of 2 Form EP-38 Rev 0

Emergency Team Briefing Form Team Dispatch Guidelines:

Technical Briefing, including scope of job, held, description on form.

0

• Radiological Briefing held, available dose on form 0

• Is their Team Number on the form E

• Is the Location of Job and Route on the form 0

• Approximate Duration on form 0

• Required Tools on form 0

• Review Safety issues (ie electrical; confined space; lighting; environmental; 0

chemical; fall and fire protection; available/applicable OE; other work in vicinity)

• Do they have HP Coverage if needed 0

• Are the correct Team Members Assigned with names on form 0

• Put contact Phone Numbers on form 0

• Tell them to Report Back Every 20 - 30 Minutes 0

• Have them perform a Radio Check E

• Give copy of briefing form to Emergency Team Leader 0

Team Check-In Guidelines:

• Ensure All Team Members Returned 0

Record Dose Received C

• Ask about Job Status 0

• Have them Return Radio to Charger 0

• Tell them to Report to Lead Briefer for Debriefing 0

Team Debriefing Guidelines:

• Are there any outstanding safety issues to address?

0

• Were any Non-Quality or Non-Standard Parts used?

0

• Were any Temporary Facility Changes made?

0

• Was any excess torque or force applied to components?

0

• Was any valve position or equipment status changed?

0

• Was any work performed which would normally require follow-up Testing?

0 Attach further details as needed to ensure outstanding issues can be addressed during Recovery Phase.

Page 2 of 2 Form EP-38 Rev.O