ML053180067
| ML053180067 | |
| Person / Time | |
|---|---|
| Site: | Indian Point  |
| Issue date: | 09/01/2005 |
| From: | Schwartz G Entergy Nuclear Indian Point 2 |
| To: | Office of Nuclear Reactor Regulation |
| References | |
| FOIA/PA-2005-0369 IP2-2005-M-11 | |
| Download: ML053180067 (2) | |
Text
9-1 -cbS EN-LI-1 02, ATrACHMENT 9.3 MANUAL CR INmATION Sheet 2 of 4 CONDITON REPORTIMaulCNO
/
FORM I Manual CR NO.__
. PAGE OF CONDITIONIDENTIFICATION FORM (PRINT/TYPE, USE BLACK INK ONLY)
IDENTIFICATION OF PROBLEM For Operations Use Only (Please Print)
Originator_ Gec-' Sckwjvjv4%
Ext.:
6424 Date Rec'd Organization:
r=t
'I-' ln M
J Time Rec'd Supervisor.
S+ave. \\)eroA Date of Discoverv: 'q-l-os Time of Discoverv: So oc00 CONDITION DESCRIPTION: A Iha~vea'e. ~c'tk sevew,%PolaA % leCs.+4 4
w"1 -~-A
^
C~fr 1w"V 60 mSr Level.4 5 4 i.4 Z See-0 4-ua
.ILpool SowM'
-41t e,
+fCeI1 ssA..-
T'6e CvwiCL 1`%e..4A~me-ME ij~Ste~a..c u.J4 4A 4I.
tec a4IO'4WtS coF Cesso M134.flkts. L-~s 4.eu'&i 1~.wv-ejccadLu~fo-assoe~cim l
oa..t 6ywi-a.~
ttaAOe A$k SCdA^5 U
et04 T % CVVLCV 00"U~
v.J sol ~~b4 4-i i.-1o~4.~ c'4~I.IL+4M~
~~ ~IL(Di&~.e-bwe~
[Include information pertinent to operability determnination.]
Work Document # (i.e., WRIWO, OD, etc.)
Other IMMEDIATE ACTION DESCRIPTION: 'Z%6hj 51.4+ M*AA&.-.,
Of....4sv"~
L..+ M~
"I
.Ab. bIE
'..CA'r.
~~~~j. a fec~ajv^L Aer"~c~,
4moloatca4l-f CjD'tavl1&a4 AFFECTED EQUIPMENT/DOCUMENTSIMATERIAL:
Number/Description(s)
Sp.*- A;a coot Ievwila wajhl, toJ-a 4-aL, kY Ut,,J. 2..
SUGGESTED CORRECTIVE ACTION (S):
vPtd-loacIc1 c4 h-4s iL I
l r"--I I
L e-
_AsW.
PS cR -.o M-A FOSEB CCLxtW Lo W"411 ACQ>cd' I1 8y,%%.-
"V, S"Cu ~f.s 1
4 r toorSA S-, I Ju..lOaj o-i;.& J5 &r4c
,.O eD%.A44-c 1
-jiS,.).
o Operability In question?
o P
c3 Potentially reportable?
Oa
- 8-4
EN-LI-1I02, ATTACHMENT 9.3 MANUAL CR INIATION Sheet 4 of 4 OPERABILITY REVIEW & IMMEDIATE REPORTABILITY DETERMINATION - FORM 3
- 1. OPERABILITY REVIEW OPERABILITY EVALUATION REQUIRED El NO b-YES IF NO - EXPLAIN WHY:
(IF NO THEN LEAVE OPERABILITY EVALUATION SECTION BLANK - COMPLETE REPORTABILITY SECTION AND SIGN AS APPROVER)
- 11. OPERABILITY EVALUATION EQUIPMENT/SYSTEM/TRAIN BEING ASSESSED:
SF ?
PLANT CONDITIONIMODE:
° 4
ecu EFFECT OF THIS CONDITION ON EQUIPMENT/SYSTEM/TRAIN OPERABILITY:
El ADMIN - NA CONSIDERED OPERABLE BASED ON El EQUIPMENT INOPERABLE REASONABLE ASSURANCE YET FURTHER E OPERABLE - JUDGMENT EVALUATION REQUESTED a
EQUIPMENT OPERABLE O NOT REQUIRED lime Entered:
BASIS: OPERABILITY EVALUATIONS USING ENGINEERING JUDGMENT MUST BE SUBSTANTIATED (Include ReasonableA surance).
Wav-81^%
"b-f M*It%4 Cog *i uAi my
< - isc
-4up--E 1Ad!
'eXL do l
, --P k ^1/- AX\\lC
.~
ag.
LCO ENTERED 91 NO 0 YES LCO NO.
LCO ACTION TIME TECH SPEC/TRM ACTION STATEMENT #
DATE ENTERED TIMEZENTERED, IMMEDIATE mEaTEs ACTIONS TAKEN:
II.
IMMEDIATE REPORTABILITY DETERMINATION IS IMMEDIATE NRC NOTIFICATION REQUIRED?
OfNO El YES IF YES (Mark appropriate time requirement and complete thlssection) 0 1-HR RPT 0 4-HR RPT 0
8-HR RPT
[I 24-HR RPT DATE:
AND TIME:
OF REPORT.
NAME OF PERSON REPORT MADE TO:
CFR REQUIREMENT:
NAME OF PERSON MAKING REPORT:
NRC EVENT NO.
REACTOR POWER:
REACTOR PRESSURE:
RX / RX COOLANT TEMP
[(BWR ONLY)
CORE FLOW X 10le Ibm/HR REACTOR LEVEL in]
Ill.
PERFORMANCE/APPROVAL
,4
,-S-PERFORMED BY:
B/O l
DATE/TIME:
I
°z/tel-A*X OPERATIONS REPRESENTATIVE APPROVAL:E/TIME
-t